P.0448 Personality dimensions and functioning/clinical outcome: is there an association? A cross-sectional study using SWAP-200

e18132 Background: In 2003 the German Cancer Society and the German Society for Breast Disease introduced a number of Quality Indicators (QIs) to improve standards of breast cancer care. Although QIs should be based on clinical evidence, evidence for important subpopulations (i.e. vulnerable patients) is often limited. In this prospective cross-sectional study we assessed conformity and non-conformity of guidelines and their impact on clinical outcome in a real-world setting. Methods: This prospective analysis included patients with primary breast cancer. Patients with stage IV and recurrent breast cancer were excluded. Data was collected from 2012-2016 in six certified breast care centers using a personal questionnaire and data from the patients' medical records. Guideline adherence to a set of 11 QIs was explored. Overall survival (OS) and disease free survival (DFS) were correlated with fulfillment of QIs and tumor characteristics. Results: Survival analysis was conducted in 2390 patients with a median follow-up of 16 months. 88 (4%) patients had a recurrent disease. 31 (1.3%) patients died of breast cancer. Tumor stage, grading, Her2- and hormone receptor status and Ki-67 correlated with DFS and OS. 1725/1907 patients (90.5%) received a guideline adherent treatment. The most prevalent reasons for non-conformity were old age (24.7%) and/or comorbidity (20.9%). Breast cancer specific DFS and OS were not significantly different between patients treated adherent or not adherent to the guidelines. In contrast, survival analysis of death other than breast cancer showed a significantly worse OS (p = 0.006) for patients not treated according to guideline recommendation. Conclusions: Conformity of clinical guidelines was observed in the majority of patients including healthy and vulnerable patients. These patients tended to have a longer breast cancer specific survival. Patients who were not considered suitable for guideline-adherent therapy died more often from other medical reasons rather than from breast cancer. In our study 10% of the patients had a limited life expectancy due to old age and co-morbidities with no assumed benefit from guideline adherence.

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What is the long-term clinical outcome after fragility fractures of the pelvis? - a CT-based cross-sectional study

Injury ◽

10.1016/j.injury.2021.09.056 ◽

2021 ◽

Author(s):

H. Banierink ◽

K. ten Duis ◽

J. Prijs ◽

K.W. Wendt ◽

V.M.A. Stirler ◽

...

Keyword(s):

Clinical Outcome ◽

Fragility Fractures ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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Regular Sports Participation as a Potential Predictor of Better Clinical Outcome in Adult Patients With COVID-19: A Large Cross-Sectional Study

Journal of Physical Activity and Health ◽

10.1123/jpah.2020-0392 ◽

2020 ◽

pp. 1-5

Author(s):

Farzin Halabchi ◽

Reza Mazaheri ◽

Khashayar Sabeti ◽

Masoud Yunesian ◽

Zahra Alizadeh ◽

...

Keyword(s):

Clinical Outcome ◽

Patient Outcomes ◽

Sports Participation ◽

Signs And Symptoms ◽

Cross Sectional Study ◽

Adult Patients ◽

Confounding Factors ◽

Sectional Study ◽

Cross Sectional ◽

Age And Sex

Purpose: To compare the severity outcomes of COVID-19 disease between patients with and without regular sports participation. Methods: In a cross-sectional study, the authors investigated all patients who visited the emergency department of Imam Khomeini hospital with signs and symptoms of COVID-19 from February 20 to April 20, 2020. Then the authors assessed all patient outcomes (outpatient vs hospitalization or death). Finally, the authors compared the outcomes between athletes with regular sports participation and others, adjusting for confounding factors of age and sex. Results: Of all 4694 adult patients, 249 individuals (137 males and 112 females with mean [SD] age of 36.45 [9.77] y) had regular participation in different sport disciplines. Overall, 30 (12%) athletes were hospitalized or died (30 and 0, respectively) compared with 957 (21.5%) nonathletes (878 and 79, respectively). Athletes with regular sports participation were 1.49 times less likely to be hospitalized (P = .044). Conclusions: Regular sports participation may positively affect the clinical outcome, regardless of confounding factors of age and sex. The probability of hospitalization in athletes with regular sports participation was 33% lower than nonathletes. However, more longitudinal studies are needed to determine the causal effects.

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CLINICAL SYMPTOMS AND CHEST X-RAY FINDINGS FOR EVALUATION OF CHEST X-RAY IN MANAGEMENT AND PREDICTION OF CLINICAL OUTCOME OF CONFIRM CASES OF COVID-19

Pakistan Armed Forces Medical Journal ◽

10.51253/pafmj.v70i6.4520 ◽

2020 ◽

Vol 70 (6) ◽

pp. 1847-52

Author(s):

Khawaja Muhammad Baqir Hassan ◽

Tathir Baqir Hassan ◽

Shakil Sarwar ◽

Irfan Najam Sheen ◽

Farrukh Islam ◽

...

Keyword(s):

Clinical Outcome ◽

Patient Management ◽

Clinical Symptoms ◽

Cross Sectional Study ◽

Military Hospital ◽

X Rays ◽

Sectional Study ◽

Cross Sectional ◽

X Ray ◽

Chest X Ray

Objective: To study clinical symptoms and chest X-ray findings for evaluation of chest X-ray in management ofconfirmed cases of COVID-19 and predicting the clinical outcome. Study Design: Cross sectional study. Place and Duration of Study: The departments of Radiology & Medicine of Combined Military Hospital Malir,from Mar to May 2020. Methodology: The sample used in this study consists of 73 patients. All the standard frontal projections of chest X-ray of PCR confirmed COVID-19 patients were studied on computer and findings were noted Results: At the aggregate, the study indicates that there is no Significant Connection in between the clinicalsymptoms, their severity and chest X-ray findings. Conclusion: There is no significant connection found between the severity of clinical symptoms and chest X-rays suggesting that chest X-Ray cannot be a reliable indicator to predict the clinical outcome of the patient and has limited role in management of patient. Clinical assessment is still the main stay of the patient management.

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The relationship between personality dimensions, spirituality, coping strategies and clinical clerkship satisfaction among intern nursing students: A cross-sectional study

10.21203/rs.2.24220/v4 ◽

2020 ◽

Author(s):

Yasser Rezapour-Mirsaleh ◽

Mahdi Aghabagheri

Keyword(s):

Nursing Students ◽

Coping Strategies ◽

Pearson Correlation ◽

Cross Sectional Study ◽

Clinical Clerkship ◽

Sectional Study ◽

Cross Sectional ◽

Personality Dimensions ◽

Problem Solving Skills ◽

The Relationship

Abstract Background: The clinical clerkship is a crucial stage in nursing training, yet a dissatisfaction at this stage may cause a nurse to quit in future. This study aimed to investigate the relationship among personality dimensions, spirituality, coping strategies and clinical clerkship satisfaction among intern nursing students. Methods: This was a correlational, cross-sectional study. A total of 293 Iranian nursing students, who were fulfilling their clinical clerkship at university-affiliated hospitals in Tehran, were selected using cluster random sampling. All participants were provided with standard questionnaires including personality dimensions (NEO_FFI), spirituality, coping strategies (WoCQ), and satisfaction with clinical clerkship. Data were analyzed using Pearson correlation and hierarchical multiple regression. Results: The results showed that spirituality (β=0.32, p<0.001), problem-focused coping (β=0.26, p<0.001) and extraversion (of personality dimensions, β=0.22, p<0.001) played significant roles in predicting clinical clerkship satisfaction among intern nursing students. Regression analysis showed openness (β=0.14, p<0.01), extraversion (β=0.16, p<0.01), and spirituality (β=0.23, p<0.001) could significantly predict problem-focused coping style among intern nursing students. However, personality dimensions and spirituality were not good predictors for emotion-focused coping among these students (p>0.05). Conclusion: Personality dimensions, coping strategies and, in particular, spirituality are good predictors of clinical clerkship satisfaction among intern nursing students. Therefore, paying attention to spiritual needs in nursing students, improving their problem solving skills in dealing with clinical stress and training extraversion characteristics can be effective in enhancing their satisfaction with clinical clerkship.

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