Impact of resident and fellow changeovers on patient outcomes: a nationwide cross-sectional study

Background: Traumatic brain injury is still a major threat because it can cause global morbidity and mortality. Many factors can affect the outcome of a traumatic brain injury. Some conditions that can exacerbate traumatic brain injury include GCS conditions, blood pressure variability, and pupillary reflexes.Methods: The research was conducted in M. Djamil Padang Hospital from October 2020 to March 2021. The study design was a cross-sectional study in traumatic brain injury patients with ≤ 48 hours of onset and the aged between 18-60 years. The subjects in this study consisted of 66 subjects. At 6 weeks after onset, a GOS assessment was performed to assess patient outcomes. Statistical analysis was performed computerized with SPSS 22.0. P-value <0.05 was considered statistically significant. Results: Most of the patients were male (71.2%) with an average age of 36.41 ± 14,275 years, and the most common injury mechanism was traffic accidents (95.5%). There was a significant relationship between onset of incidence, hypotension, pupillary reflexes, and Rotterdam score with the outcome of traumatic brain injury patients (p<0.05) and there was no significant relationship between age, gender, and mechanism of injury with the outcome patients with traumatic brain injury. Conclution: The onset of events, hypotension, pupillary reflexes, and Rotterdam scores significantly affect the outcome patients of traumatic brain injury.

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Emergency general surgery in Rwandan district hospitals: a cross-sectional study of spectrum, management, and patient outcomes

BMC Surgery ◽

10.1186/s12893-017-0323-x ◽

2017 ◽

Vol 17 (1) ◽

Cited By ~ 2

Author(s):

Christophe Mpirimbanyi ◽

Alexandre Nyirimodoka ◽

Yihan Lin ◽

Bethany L. Hedt-Gauthier ◽

Jackline Odhiambo ◽

...

Keyword(s):

Patient Outcomes ◽

General Surgery ◽

Cross Sectional Study ◽

Spectrum Management ◽

Sectional Study ◽

Emergency General Surgery ◽

Cross Sectional ◽

District Hospitals

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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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ILEITIS - DO ENDOSCOPIST AND PATHOLOGIST SPEAK THE SAME LANGUAGE?

Arquivos de Gastroenterologia ◽

10.1590/s0004-2803.202100000-25 ◽

2021 ◽

Author(s):

Leticia ROSEVICS ◽

Luiz Roberto KOTZE ◽

Odery RAMOS JÚNIOR

Keyword(s):

Gastrointestinal Tract ◽

Patient Outcomes ◽

Medical Records ◽

Cross Sectional Study ◽

Kappa Coefficient ◽

Sectional Study ◽

Kappa Index ◽

Cross Sectional ◽

Clinically Significant

ABSTRACT BACKGROUND: Ileitis is defined as an inflammation of the ileum, which is evaluated during colonoscopy. Biopsies should be performed on altered ileus, aiding to the diagnosis. OBJECTIVE: Evaluate the correlation of anatomopathological findings on ileitis between pathologists and endoscopists. METHODS: A retrospective, cross-sectional study, between 2013 and 2017. Examination report, indications for colonoscopy, and medical records were evaluated to identify whether the colonoscopic findings were clinically significant. Anatomopathological samples were reviewed by a pathologist expert in gastrointestinal tract. Patients over 18 years of age who had undergone ileoscopy were included, whereas patients below 18 years of age and those with previous intestinal resections were excluded. The correlation was assessed using the kappa coefficient index. RESULTS: A total of 5833 colonoscopies were conducted in the study period and 3880 cases were included. Ileal alterations were observed in 206 cases, with 2.94% being clinically significant. A hundred and sixty three biopsies were evaluated using the kappa index, resulting in agreement among pathologists of 0.067 and among pathologist and endoscopist of 0.141. CONCLUSION: It was observed that despite the low concordance between pathologists and endoscopists, there was no change in patient outcomes. This study confirms the importance of knowledge of the main anatomopathological changes related to ileitis by pathologists and endoscopists, making the best diagnosis and follow-up.

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Comparisons of fatigue between dialysis modalities: A cross-sectional study

PLoS ONE ◽

10.1371/journal.pone.0246890 ◽

2021 ◽

Vol 16 (2) ◽

pp. e0246890

Author(s):

Yukio Maruyama ◽

Masaaki Nakayama ◽

Atsushi Ueda ◽

Mariko Miyazaki ◽

Takashi Yokoo

Keyword(s):

Patient Outcomes ◽

Employment Status ◽

Combined Therapy ◽

Cross Sectional Study ◽

Profile Of Mood States ◽

Sectional Study ◽

Dialysis Patients ◽

Cross Sectional ◽

Fatigue Development ◽

Original Scale

Background Fatigue is one of the most frequent complications in dialyzed patients and is associated with poorer patient outcomes. Multiple factors are reported to be associated with fatigue development. Of them, the impacts of dialysis modalities remain unknown. Methods A total of 194 dialysis patients (mean age, 61±11 years; 134 males; modalities included hemodialysis (HD) in 26, online hemodiafiltration (HDF) in 74, peritoneal dialysis (PD) in 68, and combined therapy with PD and HD in 26 cases) were recruited for this cross-sectional study. Fatigue was assessed using the Profile of Mood States (POMS), a Visual Analogue Scale (VAS), and our original scale of fatigue, and depression was assessed by the Beck Depression Inventory-second edition (BDI-II). Our original scale of fatigue was administered both on dialysis and dialysis-free days to patients on HD and online HDF. Results The scores of the POMS, VAS, and our original scale were weakly but significantly inter-related (rho = 0.58, P<0.01; rho = 0.47, P<0.01, and rho = 0.42, P<0.01 between POMS and VAS, POMS and our original scale for fatigue, and VAS and our original scale for fatigue, respectively). The scores of these 3 tests showed no significant differences among the 4 modalities. On multivariate analysis, age, body mass index, creatinine, and employment status were associated with the presence or severity of fatigue, whereas dialysis modality was not. A similar result was obtained in 122 patients without depression. The prevalence of fatigue by our original scale was significantly lower on dialysis-free days than on dialysis days in patients on HD and online HDF. Conclusions The results suggest that there is no significant association between different dialysis modalities including HD, online HDF, PD and combined therapy with PD and HD and the prevalence or severity of fatigue.

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Dyadic Agreement in the Perceptions of Patient Disability Between the Stroke Patient and Rehabilitation Therapist

Innovation in Aging ◽

10.1093/geroni/igaa057.3353 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 912-912

Author(s):

Naoki Takashi Michael McCarthy ◽

Rie Suzuki ◽

Kakuya Ogahara ◽

Masako Kihara ◽

Masahiro Kihara ◽

...

Keyword(s):

Patient Outcomes ◽

Stroke Patient ◽

Generalized Estimating Equations ◽

Eligible Patient ◽

Estimating Equations ◽

Cross Sectional Study ◽

Disability Assessment ◽

Sectional Study ◽

Cross Sectional ◽

Negatively Associated

Abstract Research supports that an agreement about the consequences of the illness within related parties is critical for optimal patient outcomes. This study aimed to explore the association between patient QOL and the degree of agreement in the perceptions of patient disability within the stroke patient-rehabilitation therapist dyad. A cross-sectional study was conducted in Japan from March 2019 to February 2020. A total of 81 dyads consisting of a male stroke patient living at home and the therapist in charge of the eligible patient participated. Patient QOL was measured using the WHOQOL BREF. Perceptions of patient disability were measured using the 12-item WHO Disability Assessment Schedule 2.0 (DAS). DAS scores of patients and therapists were classified into two (high, low) and three (high, medium, low) categories, respectively, and six patterns of agreement on patient ability were created to use in the analysis. Generalized estimating equations were used to examine multivariable associations between the degree of agreement within dyad and WHOQOL scores in patients. Results suggested that when the patient appraised himself as having a low disability, the degree of patient-therapist disagreement was negatively associated with patient QOL. When the patient appraised himself as having a high disability, his QOL was lower, regardless of the degree of agreement. Disagreements in the perception of disability between patients and therapists can worsen patient QOL, especially when the patient perceives himself as having a low disability.

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Fatigue, Work Schedules, and Perceived Performance in Bedside Care Nurses

Workplace Health & Safety ◽

10.1177/2165079916665398 ◽

2016 ◽

Vol 65 (7) ◽

pp. 304-312 ◽

Cited By ~ 23

Author(s):

Knar Sagherian ◽

Michael E. Clinton ◽

Huda Abu-Saad Huijer ◽

Jeanne Geiger-Brown

Keyword(s):

Patient Outcomes ◽

Work Performance ◽

Chronic Fatigue ◽

Cross Sectional Study ◽

Hospital Nurses ◽

Work Schedules ◽

Nursing Management ◽

Sectional Study ◽

Cross Sectional ◽

Perceived Performance

Hospital nurses are expected to maintain optimal work performance; yet, fatigue can threaten safe practice and result in unfavorable patient outcomes. This descriptive cross-sectional study explored the association between fatigue, work schedules, and perceived work performance among nurses. The study sample included 77 bedside nurses who were mostly female, single, and between 20 and 29 years of age. The majority worked 8-hour shifts and overtime. Nurses who worked during off days reported significantly higher chronic fatigue compared with those nurses who took time off. Nurses who reported feeling refreshed after sleep had significantly less chronic and acute fatigue and more intershift recovery. Nurses with acute and chronic fatigue perceived poorer physical performance. Also, nurses who reported chronic fatigue perceived they were less alert and less able to concentrate when providing patient care. Less effective communication was also associated with acute and chronic fatigue. In conclusion, fatigue has safety implications for nurses’ practice that should be monitored by nursing management.

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Factors Related To Outcome of Traumatic Brain Injury Patients at M Djamil Padang Hospital

BioScientia Medicina ◽

10.32539/bsm.v5i4.388 ◽

2021 ◽

Vol 5 (4) ◽

pp. 1095-1101

Author(s):

Nora Fitri ◽

Syarif Indra ◽

Hendra Permana

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

Patient Outcomes ◽

Significant Relationship ◽

Traffic Accidents ◽

Cross Sectional Study ◽

P Value ◽

Sectional Study ◽

Cross Sectional ◽

Major Threat

Background: Traumatic brain injury is still a major threat because it can cause global morbidity and mortality. Many factors can affect the outcome of a traumatic brain injury. Some conditions that can exacerbate traumatic brain injury include GCS conditions, blood pressure variability, and pupillary reflexes.Methods: The research was conducted in M. Djamil Padang Hospital from October 2020 to March 2021. The study design was a cross-sectional study in traumatic brain injury patients with ≤ 48 hours of onset and the aged between 18-60 years. The subjects in this study consisted of 66 subjects. At 6 weeks after onset, a GOS assessment was performed to assess patient outcomes. Statistical analysis was performed computerized with SPSS 22.0. P-value <0.05 was considered statistically significant. Results: Most of the patients were male (71.2%) with an average age of 36.41 ± 14,275 years, and the most common injury mechanism was traffic accidents (95.5%). There was a significant relationship between onset of incidence, hypotension, pupillary reflexes, and Rotterdam score with the outcome of traumatic brain injury patients (p<0.05) and there was no significant relationship between age, gender, and mechanism of injury with the outcome patients with traumatic brain injury. Conclution: The onset of events, hypotension, pupillary reflexes, and Rotterdam scores significantly affect the outcome patients of traumatic brain injury.

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