scholarly journals Pediatric patients with home mechanical ventilation: The health services landscape

2018 ◽  
Vol 54 (1) ◽  
pp. 40-46 ◽  
Author(s):  
Sarah A. Sobotka ◽  
Dipika S. Gaur ◽  
Denise M. Goodman ◽  
Rishi K. Agrawal ◽  
Jay G. Berry ◽  
...  
2017 ◽  
Vol 27 (4) ◽  
Author(s):  
Aysegul Ertugrul ◽  
Benan Baykacı ◽  
Ilker Ertugrul ◽  
Selman Kesici ◽  
Ebru Gunes Yalcin

1983 ◽  
Vol 11 (3) ◽  
pp. 216 ◽  
Author(s):  
Frank R. Gioia ◽  
Randall C. Wetzel ◽  
Mark C. Rogers

2020 ◽  
Vol 55 (3) ◽  
pp. 771-779 ◽  
Author(s):  
Craig M. Dale ◽  
Sarah Carbone ◽  
Reshma Amin ◽  
Khushnuma Amaria ◽  
Robert Varadi ◽  
...  

2021 ◽  
Author(s):  
Gizem Özcan ◽  
Fazılcan Zirek ◽  
Merve Nur Tekin ◽  
Batuhan Bakirarar ◽  
Nazan Çobanoğlu

2003 ◽  
Vol 44 (2) ◽  
pp. 229 ◽  
Author(s):  
Kyoung Ok Kim ◽  
Ah Young Oh ◽  
Chul Joong Lee ◽  
Chong Doo Park ◽  
Chong Sung Kim

1990 ◽  
Vol 141 (1) ◽  
pp. 258-259 ◽  
Author(s):  
Howard Eigenn ◽  
Jean Zander

Author(s):  
Chalattil Bipin ◽  
Manoj K. Sahu ◽  
Sarvesh P. Singh ◽  
Velayoudam Devagourou ◽  
Palleti Rajashekar ◽  
...  

Abstract Objectives This study was aimed to assess the benefits of early tracheostomy (ET) compared with late tracheostomy (LT) on postoperative outcomes in pediatric cardiac surgical patients. Design Present one is a prospective, observational study. Setting The study was conducted at a cardiac surgical intensive care unit (ICU) of a tertiary care hospital. Participants All pediatric patients below 10 years of age, who underwent tracheostomy after cardiac surgery from January2019 to december2019, were subdivided into two groups according to the timing of tracheostomy: “early” if done before 7 days or “late” if done after 7 days postcardiac surgery. Interventions ET versus LT was measured in the study. Results Out of all 1,084 pediatric patients who underwent cardiac surgery over the study period, 41 (3.7%) received tracheostomy. Sixteen (39%) patients underwent ET and 25 (61%) underwent LT. ET had advantages by having reduced risk associations with the following variables: preoperative hospital stay (p = 0.0016), sepsis (p = 0.03), high risk surgery (p = 0.04), postoperative sepsis (p = 0.001), C-reactive protein (p = 0.04), ventilator-associated pneumonia (VAP; p = 0.006), antibiotic escalation (p = 0.006), and antifungal therapy (p = 0.01) requirement. Furthermore, ET was associated with lesser duration of mechanical ventilation (p = 0.0027), length of ICU stay (LOICUS; p = 0.01), length of hospital stay (LOHS; p = 0.001), lesser days of feed interruption (p = 0.0017), and tracheostomy tube change (p = 0.02). ET group of children, who had higher total ventilation-free days (p = 0.02), were decannulated earlier (p = 0.03) and discharged earlier (p = 0.0089). Conclusion ET had significant benefits in reduction of postoperative morbidities with overall shorter mechanical ventilation, LOICUS, and LOHS, better nutrition supplementation, lesser infection, etc. These benefits may promote faster patient convalescence and rehabilitation with reduced hospital costs.


Author(s):  
Magdalena Kwiatosz-Muc ◽  
Bożena Kopacz

Background: An increasing number of patients included in home mechanical ventilation (HMV) care has been under observation for many years. The study aimed to assess the patients opinion concerning the expected and perceived quality of care in an HMV system and a patient’s satisfaction with care. Methods: In 2017, patients treated with HMV were surveyed in Poland with the modified SERVQUAL questionnaire. Results: One hundred correctly completed surveys were analyzed. Patient Satisfaction Index was high. In every examined area, the expectations were statistically significant larger than the perception of the services. The biggest gap was in the tangibility dimension and the smallest gap was in the empathy dimension. Perceived respect and understanding for a patient’s needs are close to the expectations. Conclusions: The level of satisfaction with health care among patients treated with HMV in majority of investigated components is high. Moreover, the difference between perceived and expected quality of health care in the HMV system was relatively small in the opinion of the patients themselves. Further investigations with alternative methods are needed.


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