Phone triage in paediatric intensive care: one-year report from a French tertiary care center

ABSTRACT BACKGROUND: Hip fractures are one of the leading causes of disability and dependency among the elderly. The rate of hip fractures has been progressively increasing due to the continuing increase in average life expectancy. Surgical intervention is the mainstay of treatment, but with an increasing prevalence of comorbid conditions and decreased functional capacity in elderly patients, more patients are prone to postoperative complications. OBJECTIVES: Assess the value of surgical intervention for hip fractures among the elderly by quantifying the 1-year mortality rate and assessing factors associated with mortality. DESIGN: Medical record review. SETTING: Tertiary care center. PATIENTS AND METHODS: All patients 60 years of age or older who sustained a hip fracture between the period of 2008 to 2018 in a single tertiary healthcare center. Data was obtained from case files, using both electronic and paper files. MAIN OUTCOME MEASURES: The 1-year mortality rate for hip fracture, postoperative complications and factors associated with mortality. SAMPLE SIZE: 802 patients. RESULTS: The majority of patients underwent surgical intervention (93%). Intra- and postoperative complications were 3% and 16%, respectively. Four percent of the sample died within 30 days, and 11% died within one year. In a multivariate analysis, an increased risk of 1-year mortality was associated with neck of femur fractures and postoperative complications ( P =.034, <.001, respectively) CONCLUSION: The 1-year mortality risk in our study reinforces the importance of aggressive surgical intervention for hip fractures. LIMITATION: Single-centered study. CONFLICT OF INTEREST: None.

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Epidemiology of Nosocomial Outbreaks: 14-Year Experience at a Tertiary-Care Center

Infection Control and Hospital Epidemiology ◽

10.1086/501800 ◽

2000 ◽

Vol 21 (8) ◽

pp. 527-529 ◽

Cited By ~ 6

Author(s):

Luis Ostrosky-Zeichner ◽

Rosa Baez-Martinez ◽

M. Sigfrido Rangel-Frausto ◽

Samuel Ponce-de-León

Keyword(s):

Intensive Care Unit ◽

Pseudomonas Aeruginosa ◽

Intensive Care ◽

Nosocomial Infections ◽

Care Center ◽

Tertiary Care ◽

Tertiary Care Center ◽

Common Organism ◽

Overall Mortality

Twelve nosocomial outbreaks over 14 years at a tertiary-care center in Mexico are described. Overall mortality was 25.8%, one half due to pneumonia. The most common organism was Pseudomonas aeruginosa. Incidence was three outbreaks per 10,000 discharges; outbreak-related infections comprised 1.56% of all nosocomial infections. Incidence in the intensive care unit was 10-fold higher.

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Study of nosocomial infections among the patients admitted in the intensive care units of a tertiary care center of North Eastern India

Journal of Patient Safety & Infection Control ◽

10.1016/j.jpsic.2015.10.176 ◽

2015 ◽

Vol 3 (2) ◽

pp. 107-108 ◽

Cited By ~ 1

Author(s):

V. Dutta ◽

I. Bora ◽

A. Phukan ◽

A. Khyriem

Keyword(s):

Intensive Care ◽

Intensive Care Units ◽

Nosocomial Infections ◽

Care Center ◽

Tertiary Care ◽

Tertiary Care Center ◽

Eastern India ◽

North Eastern ◽

North Eastern India

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Salivary Gland FNA Diagnostics in a Real-Life Setting: One-Year-Experiences of the Implementation of the Milan System in a Tertiary Care Center

Cancers ◽

10.3390/cancers11101589 ◽

2019 ◽

Vol 11 (10) ◽

pp. 1589 ◽

Cited By ~ 6

Author(s):

Erkka Tommola ◽

Satu Tommola ◽

Sinikka Porre ◽

Ivana Kholová

Keyword(s):

Salivary Gland ◽

Classification System ◽

Predictive Value ◽

Care Center ◽

Tertiary Care ◽

Diagnostic Category ◽

Real Life ◽

Benign Neoplasm ◽

Tertiary Care Center ◽

One Year

The Milan System for Reporting Salivary Gland Cytopathology (MSRSGC) was introduced in 2018 following other organ specific cytopathological reporting systems and it aimed at bringing a practical, evidence-based, user-friendly classification system with characterization and management algorithms. At the Department of Pathology, Fimlab Laboratories, Tampere, Finland all salivary fine needle aspirations (FNAs) have been given cytopathological diagnoses according to the MSRSGC since January 2018. Analyses of a one-year-period (January 2018–December 2018) consisted of 183 salivary FNA samples from 138 patients with correlation to histopathology in 90 cases with surgical follow-up. The MSRSGC performance in patient based analysis was as follows: accuracy was 90.9%, sensitivity was 61.5%, specificity was 100%, positive predictive value was 100%, and negative predictive value was 89.4%, respectively. Risks of malignancy (ROMs) in MSRSGC categories were: 0.0% (0/15) in non-diagnostic category, 100.0% (1/1) in non-neoplastic category biased by only one falsely-negative lymphoma case, 14.3% (1/7) in atypia of undetermined significance category, 0.0% (0/28) in benign neoplasm category, 27.3% (3/11) in neoplasm of uncertain malignant potential category, and 100% for both suspicious for malignancy (4/4) and malignancy (4/4) categories, respectively. The MSRSGC has been proven as a reliable classification system in salivary gland FNA routine diagnostics in a tertiary care center.

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