Regional dementia care networks in Germany: changes in caregiver burden at one-year follow-up and associated factors

2017 ◽  
Vol 29 (6) ◽  
pp. 991-1004 ◽  
Author(s):  
Franziska Laporte Uribe ◽  
Johannes Gräske ◽  
Susann Grill ◽  
Steffen Heinrich ◽  
Susanne Schäfer-Walkmann ◽  
...  
Keyword(s):  
Caregiver Burden ◽  
Economic Status ◽  
Informal Caregivers ◽  
Governance Structure ◽  
Dementia Care ◽  
Support Network ◽  
Factors Affecting ◽  
Caregiver Relationship ◽  
One Year

ABSTRACTBackground:Recently, regional dementia care networks (DCNs) have been established in Germany to provide timely support for persons with dementia (PwDs) and their families. There is a lack of research in this setting. This study was conducted to describe the burden experienced by informal caregivers over the course of one year when utilizing a DCN and the factors affecting potential changes in caregiver burden during that time.Methods:The study was part of the DemNet-D project, a multi-center observational study of DCNs in Germany. Standardized questionnaires were administered during face-to-face interviews at baseline and at a one-year follow-up with PwDs and their informal caregivers who used a DCN. Based on qualitative data, four DCN governance types were identified and used in a multivariate analysis of burden categories.Results:A total of 389 PwD-informal caregiver dyads completed the follow-up assessment. At follow-up, the dyads reported significantly lower scores for burden in relation to practical care tasks, conflicts of need, and role conflicts. This change was associated with the PwD–caregiver relationship, the caregiver's gender and health status, and the PwD's socio-economic status. The governance structure of the DCNs was associated with change in one of the four burden categories.Conclusions:Our data provide the first indications that different governance structures of DCNs seem to be similarly well suited to support network users and might contribute to reducing caregiver burden. However, further studies set in DCNs examining factors that mediate changes in burden are needed to draw strong conclusions regarding the effectiveness of DCNs. Gender differences and the PwD–caregiver relationship should be considered by DCN stakeholders when developing support structures.

Coronary endarterectomy in coronary artery disease: Factors affecting graft patency and survival

2021 ◽  
pp. 021849232110068
Author(s):  
Simon CY Chow ◽  
Jacky YK Ho ◽  
Micky WT Kwok ◽  
Takuya Fujikawa ◽  
Kevin Lim ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Graft Patency ◽  
Complete Revascularization ◽  
Coronary Endarterectomy ◽  
Factors Affecting ◽  
Early Results ◽  
Cerebrovascular Events ◽  
Obtuse Marginal ◽  
One Year

Background Coronary endarterectomy aims to improve completeness of revascularization in patients with occluded coronary vessels. The benefits of coronary endarterectomy remain uncertain. The aim of this study was to evaluate short-term surgical outcomes and factors affecting graft patency post-coronary endarterectomy. Methods Between 2009 and 2019, 81 consecutive patients who had coronary endarterectomy done were evaluated for their perioperative and early results. A total of 36 patients with follow-up coronary studies were included in patency analysis. Mortality rates, major adverse cardiac and cerebrovascular events, and graft patency were outcomes of interest. Survival and risk factor analysis were performed with Kaplan–Meier and logistic regression analysis. Results The average age of the cohort was 61.9 ± 9.29 years. Complete revascularization rate was 95.4% post-coronary endarterectomy. The 30-day and 1-year mortality was 2.5 and 6.2%, respectively. One-year major adverse cardiac and cerebrovascular events rate was 11.1%. Periprocedural myocardial infarction rate was 7.4%. Three patients required repeat revascularization within a mean follow-up duration of 49.6 ± 36.5 months. Overall graft patency was 89.2% at 20.2 months and graft patency post-coronary endarterectomy was 85.4%. Arterial grafts showed 100% patency. Vein grafts to endarterectomized obtuse marginal branch had patency rates of 33.3%. Multiple endarterectomies were associated with worse one-year major adverse cardiac and cerebrovascular events (OR: 28.6 ± 1.16; P = 0.003). Conclusions Coronary endarterectomy facilitates completeness of revascularization and does not increase early mortality. Graft patency post-coronary endarterectomy on obtuse marginal artery was suboptimal. Judicious use of coronary endarterectomy should be practiced to balance the need of completeness of revascularization against the risk of myocardial infarction.

scholarly journals Caregiver Burden and Emotional Wellbeing in Informal Caregivers to ICU Survivors: A Prospective Cohort Study

2020 ◽  
Author(s):  
Anna Milton ◽  
Anna Schandl ◽  
Ing-Marie Larsson ◽  
Ewa Wallin ◽  
Johanna Savilampi ◽  
...  
Keyword(s):  
Cohort Study ◽  
Intensive Care ◽  
Caregiver Burden ◽  
Mental Health Problems ◽  
Informal Caregivers ◽  
Psychological Outcomes ◽  
Psychological Status ◽  
Post Traumatic Stress ◽  
Psychological Outcome

Abstract BackgroundInformal caregivers to intensive care unit (ICU) survivors may develop post-intensive care syndrome family (PICS-F), including psychological problems such as depression, anxiety and post-traumatic stress (PTS). Our primary aim was to investigate associations between caregiver burden in informal caregivers cohabiting with ICU survivors and patients’ physical and psychological outcomes.MethodsWe conducted a prospective, multicentre cohort study in four ICUs in Sweden. Adults cohabiting with ICU patients included in a previous study were eligible for inclusion. Three months post-ICU, informal caregivers received questionnaires assessing perceived caregiver burden, health-related quality of life (HRQL) and symptoms of depression, anxiety and PTS. In parallel, patients reported their physical and psychological status via validated questionnaires. The primary outcome was to compare caregiver burden in informal caregivers to patients with and without adverse physical and psychological outcomes three months post-ICU. Secondary outcomes were correlations between caregiver burden and informal caregivers’ psychological status and mental HRQL.ResultsAmong 62 included informal caregivers, 55 (89%) responded to the follow-up questionnaires. Caregiver burden was higher in informal caregivers to patients with an adverse psychological or physical outcome, compared to informal caregivers to patients without an adverse outcome, caregiver burden scale score mean (±standard deviation) 52 (11) and 41 (13) respectively (p=0.003). There was strong negative correlation between caregiver burden and informal caregivers’ mental HRQL (rs -0.74, p<0.001). ConclusionInformal caregivers to ICU survivors with an adverse physical or psychological outcome experience a higher caregiver burden. A higher caregiver burden correlates with worse caregiver mental HRQL. ICU follow-up programs should consider screening and follow-up of informal caregivers for mental health problems.Trial registrationThe study was registered at clinicaltrials.gov, NCT02712541 on March 18 2016.

scholarly journals Factors affecting success and abstinence within a smoking cessation clinic: A one-year follow-up study in Turkey

2020 ◽  
Vol 6 (December) ◽  
pp. 1-8
Author(s):  
Ayse Esen ◽  
Yuksel Soylem ◽  
Secil Arica ◽  
Gulten Belgin ◽  
Nadire Gonultas
Keyword(s):  
Smoking Cessation ◽  
Factors Affecting ◽  
Follow Up Study ◽  
One Year ◽  
Cessation Clinic ◽  
Smoking Cessation Clinic

scholarly journals Quality of life in persons with dementia using regional dementia care network services in Germany: a one-year follow-up study

2018 ◽  
Vol 16 (1) ◽  
Author(s):  
Johannes Gräske ◽  
Annika Schmidt ◽  
Sylvia Schmidt ◽  
Franziska Laporte Uribe ◽  
Jochen René Thyrian ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Dementia Care ◽  
Network Services ◽  
Care Network ◽  
Follow Up Study ◽  
One Year

O2-11-04: Effect of Dementia Care Management on Healthcare Resource Utilization and Cost: One-year follow-Up Results of the Delphi Trial

2016 ◽  
Vol 12 ◽  
pp. P255-P255 ◽  
Author(s):  
Bernhard Michalowsky ◽  
Jochen René Thyrian ◽  
Diana Wucherer ◽  
Tilly Eichler ◽  
Johannes Hertel ◽  
...  
Keyword(s):  
Resource Utilization ◽  
Care Management ◽  
Healthcare Resource ◽  
Healthcare Resource Utilization ◽  
Dementia Care ◽  
One Year

scholarly journals One-Year Follow-up Results of Smoking Cessation Outpatient Clinic: Factors Affecting the Cessation of Smoking

2014 ◽  
Vol 16 (2) ◽  
pp. 99-104 ◽  
Author(s):  
Zehra Yasar ◽  
Ozlem Kar Kurt ◽  
Fahrettin Talay ◽  
Aysel Kargi
Keyword(s):  
Smoking Cessation ◽  
Outpatient Clinic ◽  
Factors Affecting ◽  
One Year

Factors Affecting Self-Eruption of Displaced Permanent Maxillary Canines

Medicina ◽  
2011 ◽  
Vol 47 (3) ◽  
pp. 22
Author(s):  
Dalia Smailienė ◽  
Antanas Šidlauskas ◽  
Kristina Lopatienė ◽  
Vesta Guzevičienė ◽  
Gintaras Juodžbalys
Keyword(s):  
Characteristic Curve ◽  
Treatment Success ◽  
Vertical Position ◽  
Dental Arch ◽  
Factors Affecting ◽  
Significant Difference ◽  
One Year ◽  
Unerupted Teeth ◽  
The Impact

The aim of this study was to examine the possibility of the spontaneous eruption of displaced unerupted maxillary canines after the extraction of the deciduous canine and dental arch expansion and to determine the impact of initial canine position on treatment success rate. Materials and Methods. The study sample included 50 patients (mean age, 13.5 years [SD, 2.2]) with unilaterally displaced unerupted maxillary canines. Deciduous canines were extracted, and the space for displaced canine was created at the beginning of the study. The follow-up period for the spontaneous eruption was 12 months. The initial vertical, horizontal, labio-palatal position and angle of inclination to the midline of the displaced canine were assessed on panoramic radiographs. Results. Only 42% of displaced canines erupted spontaneously within one-year period (52.9% of labially displaced canines and 36.4% of palatally displaced canines). A significant difference of inclination was determined between spontaneously erupted and unerupted teeth in the labially displaced canine group (P<0.01), with no difference in the palatally displaced canine group. The receiver operating characteristic curve analysis showed that the critical angle of inclination for the spontaneous eruption of the retained canine was 20º (sensitivity 0.759; specificity 0.571; P<0.05). The majority of unerupted canines (75.9%) were inclined more than 20º. The initial height of canine was crucial for spontaneous eruption (sensitivity 0.966; specificity 0.81; P<0.001). This was true for both palatal and labial cases. Conclusions. The initial vertical position of the labially and palatally displaced canines and the inclination of the labially displaced canines were the most important predictors for spontaneous eruption of the cuspid.

scholarly journals Factors affecting visual acuity after one year of follow up after repeated intravitreal ranibizumab for macular degeneration

2015 ◽  
Vol 29 (3) ◽  
pp. 187-191 ◽  
Author(s):  
Gwyn Samuel Williams ◽  
Eulee Seow ◽  
Huw Evans ◽  
Muyiwa Owoniyi ◽  
Sam Evans ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Macular Degeneration ◽  
Intravitreal Ranibizumab ◽  
Factors Affecting ◽  
One Year

scholarly journals TP5.2.9 Mortality following major lower extremity amputation in people with and without diabetes in Scotland 2004-2013

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Ellen Murgitroyd ◽  
Xuehan Yao ◽  
Jan Kerssens ◽  
Jeremy Walker ◽  
Sarah Wild
Keyword(s):  
Lower Extremity ◽  
Economic Status ◽  
Population Based ◽  
Lower Extremity Amputation ◽  
Logistic Regression Models ◽  
Diabetes Status ◽  
Diabetic Population ◽  
One Year ◽  
Extremity Amputation

Abstract Aim To describe short and longer-term mortality following major lower extremity amputation (LEA) by diabetes status over two time periods. Methods A retrospective cohort study of patients who underwent major LEA between 2004 and 2013 was conducted based on linkage of national population-based hospital records and a register of people with diagnosed diabetes. Post-operative mortality was estimated at 30 days, one year and where available, five years. Using logistic regression models, we estimated the odds of death associated with diabetes adjusted for age, sex and socio-economic status within these time points compared to the non-diabetic population stratified by type of diabetes and five-year calendar periods. Results There were a total of 5436 people who received an amputation during the study period of whom approximately 40% had diabetes. Overall mortality for the 2004-8 and 2009-13 cohorts respectively was not significantly different at 7.9% and 7.3% at 30 days and 31% and 27% at one year. Almost 64% of the 2004-8 cohort were dead within five years. The only statistically significantly associations between diabetes and mortality were observed within five year follow-up of the 2004-8 cohort with odds ratios (95% CI) compared to the non-diabetic population of 1.62 (1.17, 2.26) for type 1 diabetes and 1.38 (1.14, 1.66) for type 2 diabetes. Conclusions An adverse association between diabetes and mortality after LEA only became apparent in longer term follow-up.

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