The outcome of cervical resistance index study and cervical cerclage in a tertiary referral centre - a retrospective cohort study

2010 ◽  
Vol 95 (Supplement 1) ◽  
pp. Fa104-Fa104
Author(s):  
P. Teoh ◽  
S. Alsammoua ◽  
A. Cameron
Keyword(s):  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Resistance Index ◽  
Referral Centre ◽  
Tertiary Referral ◽  
Cervical Cerclage ◽  
Tertiary Referral Centre ◽  
Index Study ◽  
Cervical Resistance

Neoplasia in Turner syndrome: a retrospective cohort study in a tertiary referral centre in Belgium

2020 ◽  
pp. 1-7
Author(s):  
Cas Dejonckheere ◽  
Carolien Moyson ◽  
Francis de Zegher ◽  
Leen Antonio ◽  
Griet Van Buggenhout ◽  
...  
Keyword(s):  
Cohort Study ◽  
Turner Syndrome ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Referral Centre ◽  
Tertiary Referral ◽  
Tertiary Referral Centre

scholarly journals Influence of bedspacing on outcomes of hospitalised medicine service patients: a retrospective cohort study

2020 ◽  
pp. bmjqs-2019-010675 ◽  
Author(s):  
Rachel Kohn ◽  
Michael O Harhay ◽  
Brian Bayes ◽  
Hummy Song ◽  
Scott D Halpern ◽  
...  
Keyword(s):  
United States ◽  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
General Medicine ◽  
Adverse Outcomes ◽  
Referral Centre ◽  
Tertiary Referral Centre ◽  
Medicine Service ◽  
Hospitalised Patients

BackgroundSpecialty wards cohort hospitalised patients to improve outcomes and lower costs. When demand exceeds capacity, patients overflow and are “bedspaced” to alternate wards. Some studies have demonstrated that bedspacing among medicine service patients is associated with adverse patient-centred outcomes, however, results have been inconsistent and have primarily been performed within national health systems. The objective of this study was to assess the association of bedspacing with patient-centred outcomes among United States patients admitted to general medicine services.MethodsWe performed a retrospective cohort study of internal medicine, family medicine and geriatric service patients who were bedspaced vs cohorted for the entirety of their hospital stay within three large, urban United States hospitals (quaternary referral centre, tertiary referral centre and community hospital, with different patient demographics and case-mixes) in 2014 and 2015. We performed quantile regression to determine differences in length of stay (LOS) between bedspaced vs cohorted patients and logistic regression for in-hospital mortality and discharge to home.ResultsAmong 18 802 patients in 33 wards, 6119 (33%) patients were bedspaced. Bedspaced patients had significantly longer LOS compared with cohorted patients at the 25th (0.1 days, 95% CI: 0.05 to 0.2, p=0.001), 50th (0.2 days, 95% CI: 0.1 to 0.3, p=0.003) and 75th (0.3 days, 95% CI: 0.2 to 0.5, p<0.001) percentiles; and no statistically significant differences in odds of mortality (OR=0.9, 95% CI: 0.6 to 1.3, p=0.5) or discharge to home (OR=0.9, 95% CI: 0.9 to 1.0, p=0.06) in adjusted analyses.ConclusionBedspacing is associated with adverse patient-centred outcomes. Future work is needed to confirm these findings, understand mechanisms contributing to adverse outcomes and identify factors that mitigate these adverse effects in order to provide high-value, patient-centred care to hospitalised patients.

scholarly journals Hepatitis B virus testing and linkage to care in a Canadian urban tertiary referral centre: a retrospective cohort study

CMAJ Open ◽  
2017 ◽  
Vol 5 (2) ◽  
pp. E431-E436 ◽  
Author(s):  
Keith C.K. Lau ◽  
Abdel Aziz Shaheen ◽  
Alexander A. Aspinall ◽  
Tazuko Ricento BA ◽  
Kamran Qureshi MBA ◽  
...  
Keyword(s):  
Cohort Study ◽  
Hepatitis B Virus ◽  
Hepatitis B ◽  
Retrospective Cohort ◽  
Linkage To Care ◽  
Referral Centre ◽  
Tertiary Referral ◽  
Tertiary Referral Centre ◽  
B Virus ◽  
Virus Testing

scholarly journals Causes and management of urogenital fistulas. A retrospective cohort study from a tertiary referral center in Saudi Arabia

2018 ◽  
Vol 39 (4) ◽  
pp. 373-378 ◽  
Author(s):  
Somaia Osman ◽  
Ahmed Al-Badr ◽  
Ola Malabarey ◽  
Ashraf Dawood ◽  
Badr AlMosaieed ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Tertiary Referral ◽  
Tertiary Referral Center ◽  
Referral Center

scholarly journals Infective endocarditis: a retrospective cohort study

QJM ◽  
2019 ◽  
Vol 112 (9) ◽  
pp. 663-667 ◽  
Author(s):  
C T O’Connor ◽  
S O’Rourke ◽  
A Buckley ◽  
R Murphy ◽  
P Crean ◽  
...  
Keyword(s):  
Cohort Study ◽  
Infective Endocarditis ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Electronic Device ◽  
Intravenous Drug User ◽  
Hospital Inpatient ◽  
Tertiary Referral Centre ◽  
Native Valve ◽  
Duke Criteria

Abstract Background Infective endocarditis (IE) is a potentially life-threatening infection of the heart’s endocardial surface. Despite advances in the diagnosis and management of IE, morbidity and mortality remain high. Aim To characterize the demographics, bacteriology and outcomes of IE cases presenting to an Irish tertiary referral centre. Design Retrospective cohort study. Methods Patients were identified using Hospital Inpatient Enquiry and Clinical Microbiology inpatient consult data, from January 2005 to January 2014. Patients were diagnosed with IE using Modified Duke Criteria. Standard Bayesian statistics were employed for analysis and cases were compared to contemporary international registries. Results Two hundred and two patients were diagnosed with IE during this period. Mean age 54 years. Of these, 136 (67%) were native valve endocarditis (NVE), 50 (25%) were prosthetic valve endocarditis (PVE) and 22 (11%) were cardiovascular implantable electronic device-associated endocarditis. Culprit organism was identified in 176 (87.1%) cases and Staphylococcal species were the most common (57.5%). Fifty-nine per cent of NVE required surgery compared to 66% of PVE. Mean mortality rate was 17.3%, with NVE being the lowest (12.5%) and PVE the highest (32%). Increasing age was also associated with increased mortality. Fifty-three (26.2%) patients had embolic complications. Conclusions This Irish cohort exhibited first-world demographic patterns comparable to those published in contemporary international literature. PVE required surgery more often and was associated with higher rates of mortality than NVE. Embolic complications were relatively common and represent important sequelae, especially in the intravenous drug user population. It is also pertinent to aggressively treat older cohorts as they were associated with increased mortality.

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