Evaluation of coagulation status using clot waveform analysis in general ward patients with COVID-19

BACKGROUND: For psychiatric patients, the issue of falling is complex. OBJECTIVE: The objective of this study was to compare the risk factors for falling in psychiatric inpatients and general ward inpatients who had fallen. METHODS: The researchers first derived official fall records for 122 psychiatric inpatients and then selected 122 psychiatric inpatients who had not fallen as well as 122 general ward patients who had fallen, matched for gender, age, and length of hospital stay at the time of the fall incident. RESULTS: After controlling other variables, multinomial logistic regression analysis revealed that psychiatric inpatients who had fallen and had dizziness (odds ratio [OR] = 7.11, p < .001), had an unsteady gait (OR = 1.97, p = .030), or were not using aids (OR = 0.42, p = .042) were at greater risk of falling than those who had not fallen. The researchers also found that general ward inpatients who had fallen and had higher Charlson Comorbidity Index scores (OR = 1.77, p < .001), were clear-headed (OR = 27.15, p = .001), had dizziness (OR = 11.55, p < .001), were unable to walk (OR = 64.28, p < .001), or were using aids (OR = 3.86, p = .001) were at greater risk of falling than those who had not fallen before. CONCLUSIONS: The causes of falling among psychiatric inpatients and general ward inpatients are different. Medical personnel should understand the medications and attributes of patients for an accurate assessment of their risk factors for falling and thus implement fall prevention measures and health education to reduce falls.

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Impact of peripheral muscle strength on prognosis after extubation and functional outcomes in critically ill patients: a feasibility study

Scientific Reports ◽

10.1038/s41598-021-95647-7 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Tsung-Hsien Wang ◽

Chin-Pyng Wu ◽

Li-Ying Wang

Keyword(s):

Muscle Strength ◽

Hospital Mortality ◽

Functional Outcomes ◽

Extubation Failure ◽

General Ward ◽

Walk Test ◽

Peripheral Muscle ◽

Observational Cohort ◽

Minute Walk ◽

Overall Mortality

AbstractThe influence of peripheral muscle strength on prognosis after extubation and subsequent functional outcomes is not evident. The objectives of this study were to determine (1) whether peripheral muscle strength can be used as a predictor for patients’ prognoses after extubation, and (2) whether the peripheral muscle strength before extubation is correlated with patients’ subsequent ambulation ability and in-hospital mortality. This study was a prospective observational cohort study. A hand-held dynamometer was used for evaluated the muscle strength of the biceps and quadriceps right before extubation. Besides, after the patients had been transferred from the ICU to the general ward, a 2-minute walk test was performed. A total of 52 patients were enrolled in this study, and the rate of extubation failure was 15%. The muscle strength of the quadriceps was significantly correlated with the prognosis after extubation, 48% of the patients were able to ambulate after being transferred to the general ward. The overall mortality rate was 11%, and there was a significant correlation between the biceps muscle strength and in-hospital mortality. Peripheral muscle strength may serve as an important predictor of a patients’ prognoses after extubation. Poor peripheral muscle strength is indicative of not only a higher risk of re-intubation but also higher in-hospital mortality and poorer functional outcomes.Trial registration: ISRCTN16370134. Registered 30 May 2019, prospectively registered. https://www.isrctn.com/ISRCTN16370134.

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ECG peak-detector and waveform analysis algorithm

10.1063/5.0051208 ◽

2021 ◽

Author(s):

R. I. Rojas-Jiménez ◽

A. Muñoz-Diosdado ◽

J. A. Zamora-Justo

Keyword(s):

Waveform Analysis ◽

Peak Detector ◽

Analysis Algorithm

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The Effect of a Non-Invasive Positive Pressure Ventilation Simulation Program on General Ward Nurses’ Knowledge and Self-Efficacy

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18062877 ◽

2021 ◽

Vol 18 (6) ◽

pp. 2877

Author(s):

Moon-Sook Kim ◽

Mi-Hee Seo ◽

Jin-Young Jung ◽

Jinhyun Kim

Keyword(s):

Self Efficacy ◽

Qualitative Data ◽

Positive Pressure Ventilation ◽

Intervention Group ◽

General Ward ◽

Simulation Program ◽

Positive Pressure ◽

Control Group ◽

Training Strategy ◽

Non Invasive

The purpose of this study is to develop a simulation-based ventilator training program for general ward nurses and identify its effects. Quantitative data were collected from 29 nurses (intervention group: 15, control group: 14), of which seven were interviewed with focus groups to collect qualitative data. The quantitative results revealed significant differences in ventilator-related knowledge (p = 0.029) and self-efficacy (p = 0.026) between the intervention and control groups. Moreover, three themes were derived from meaningful statements in the qualitative data: understanding psychophysical discomfort of the patient while applying the ventilator; helping in ventilator care; and establishing a future ventilator training strategy. The findings confirmed that the non-invasive positive pressure ventilation (NPPV) simulation program is an effective method for improving the knowledge of ventilator nursing and self-efficacy and will be helpful in developing educational methods and strategies related to ventilator nursing for general ward nurses.

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