scholarly journals O4B.1 The impact of manual patient handling on work ability: a cross-sectional study

2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A34.1-A34
Author(s):  
Adriano Dias ◽  
João Marcos Bernardes
Keyword(s):  
Regression Model ◽  
Work Ability ◽  
Poisson Regression ◽  
Healthcare Workers ◽  
Cross Sectional Study ◽  
Poisson Regression Model ◽  
Sectional Study ◽  
Patient Handling ◽  
Cross Sectional ◽  
Robust Variance

This cross-sectional study investigated the level of work ability (WA) and its association with manual patient handling (MPH) in healthcare workers (HCW). Participants were HCWs working at the University Hospital of Botucatu Medical School, who were willing to participate and provided written informed consent. Of the 488 HCWs who were invited, 320 participated for a response rate of 65.6%. Sixteen participants (5%) were subsequently excluded from data analysis due to missing data. Data were collected using a self-administered anonymous paper questionnaire containing seven parts: manual patient handling, low back pain, demographic characteristics, occupational variables, psychosocial work conditions, lifestyle variables and work ability. Work ability was measured by the Brazilian version of the Work Ability Index (WAI). The association between WA and LBP was analyzed using a Poisson regression model. Initially, simple Poisson regression models with robust variance were conducted for each covariate. Those variables with a p value ≤ 0.25 were selected for inclusion in a multiple Poisson regression model with robust variance, and those with p<0.05 were considered statistically significant. Most respondents were female (83.6%), the mean age was 40.35 years (SD 9.74, range 22-66) and the average duration of employment was 10.67 years (SD 9.36, range 1-40). The WAI mean score was 38.03 points (SD 6.15, 95% CI 37.33-38.72), and the prevalence of adequate WA (equal to or above 37 points) was 56.58%. In the multiple Poisson regression model, MPH (PR 1.375, 95% CI 1.038-1.821) was significantly associated with WA, even when adjusted for the covariates. Thus, hospital managers should plan and implement interventions to maintain healthcare workers’ work ability, and these interventions should include the limitation of manual patient handling activities.

scholarly journals P.3.03 Low back pain and manual patient handling among healthcare workers: a cross-sectional study

2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A97.3-A98
Author(s):  
Adriano Dias ◽  
João Marcos Bernardes
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Regression Model ◽  
Poisson Regression ◽  
Healthcare Workers ◽  
Cross Sectional Study ◽  
Low Back ◽  
Poisson Regression Model ◽  
Patient Handling ◽  
Cross Sectional

This cross-sectional study investigated the prevalence of low back pain and analyzed whether manual patient handling activities (MPH) were related to low back pain (LBP) in healthcare workers (HCW). Participants were HCWs working at the University Hospital of Botucatu Medical School, who were willing to participate and provided written informed consent. Of the 488 HCWs who were invited, 320 participated for a response rate of 65,6%. Data were collected using a self-administered anonymous paper questionnaire containing seven parts: manual patient handling, low back pain, demographic characteristics, occupational variables, psychosocial work conditions, lifestyle variables and history of low back pain. The association between MPH and LBP was analyzed using a Poisson regression model. Initially, simple Poisson regression models with robust variance were conducted for each covariate. Those variables with a p value ≤ 0.25 were selected for inclusion in a multiple Poisson regression model with robust variance, and those with p < 0.05 were considered statistically significant. Most respondents were female (83.8%), the mean age was 39.93 years (range 21 - 66, SD 9.78). Of those participating in the study, the majority were nursing technicians (71.3%), 19.4% were nurses, 5.3% were nurse assistants, 2.2% were physical therapists and 1.9% were radiography technicians. The 3-month period prevalence of LBP was 57.8% (95% CI 52.3%-63.2%). In the multiple Poisson regression model, MPH (PR 1.444, 95% CI 1.169-1.783) was significantly associated with LBP, even when adjusted for other known predictive factors. Thus, preventive initiatives for low back pain among healthcare workers must focus on limiting manual patient handling and include the use of proper mechanical patient handling equipment and training on the use of these equipment.

scholarly journals Prevalence and Associated Factors for Frailty among Elder Patients in China: A multicenter cross-sectional study

2019 ◽  
Author(s):  
Jing Jiao ◽  
Yu Wang ◽  
Chen Zhu ◽  
Fangfang Li ◽  
Minglei Zhu ◽  
...  
Keyword(s):  
Regression Model ◽  
Poisson Regression ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Small Sample ◽  
Poisson Regression Model ◽  
Sectional Study ◽  
Cross Sectional ◽  
Mixed Effect ◽  
Elder Patients

Abstract Background: Up to date, most of previous studies of frailty among hospitalized elder Chinese patients were conducted based on a small sample, which could not represent the elder patient population. The aim of this study is to identify the prevalence and the risk factors for frailty among elder patients in China. Study Design and Setting: This is a cross-sectional study, 9996 elder patients from 6 tertiary level hospitals in China were surveyed. The prevalence of frailty among patients from selected wards was surveyed by trained investigators. Mixed-effect Poisson regression model were used to analyze the associated factors of frailty among elder patients. Results: The mean age of all subjects was72.47±5.77years. The prevalence rate of frailty in this study was 18.02%. After controlling the confounding effect of hospital wards clustering effect, Mixed-effect Poisson regression model showed that the associated factors of frailty included: age(OR:1.016, 95% CI:1.012 -1.020), patients with BMI < 18.5(OR: 1.248, 95% CI:1.171-1.330), female(OR:1.058, 95% CI:1.004 -1.115), ethnic minorities(OR: 1.152, 95% CI: 1.073-1.236), admission to hospital by the emergency department(OR: 1.104, 95% CI:1.030 -1.184),the former drinker(OR: 1.094, 95% CI:1.022 -1.171),fall history in past 12 month(OR:1.257, 95%CI:1.194-1.323),vision dysfunction(OR:1.144 , 95% CI:1.080 -1.211),cognition impairment(OR:1.182 , 95% CI:1.130 -1.237),sleeping dysfunction(OR:1.215, 95% CI:1.215 -1.318),urinary dysfunction(OR: 1.175, 95% CI:1.104 -1.251),defecation dysfunction(OR:1.286 , 95% CI:1.217 -1.358). Conclusion: We identified a relatively high prevalence of frailty among elder patients, and there are several associate factors among the population derived from an investigation of a large-scale, multicenter, nationwide representative Chinese elderly inpatient population. Trial registration: Chinese clinical Trial registry, ChiCTR1800017682, Registered 09 August 2018 Keywords: Frailty; Elder patients; Prevalence; Associate factors

scholarly journals Prevalence and Associated Factors for Frailty among Elder Patients in China: A multicenter cross-sectional study

2020 ◽  
Author(s):  
Jing Jiao ◽  
Yu Wang ◽  
Chen Zhu ◽  
Fangfang Li ◽  
Minglei Zhu ◽  
...  
Keyword(s):  
Regression Model ◽  
Poisson Regression ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Small Sample ◽  
Poisson Regression Model ◽  
Sectional Study ◽  
Cross Sectional ◽  
Mixed Effect ◽  
Elder Patients

Abstract Background: Up to date, most of previous studies of frailty among hospitalized elder Chinese patients were conducted based on a small sample, which could not represent the elder patient population. The aim of this study is to identify the prevalence and the risk factors for frailty among elder patients in China. Study Design and Setting: This is a cross-sectional study, 9996 elder patients from 6 tertiary level hospitals in China were surveyed. The prevalence of frailty among patients from selected wards was surveyed by trained investigators. Mixed-effect Poisson regression model were used to analyze the associated factors of frailty among elder patients. Results: The mean age of all subjects was72.47±5.77years. The prevalence rate of frailty in this study was 18.02%. After controlling the confounding effect of hospital wards clustering effect, Mixed-effect Poisson regression model showed that the associated factors of frailty included: age(OR:1.016, 95% CI:1.012 -1.020), patients with BMI < 18.5(OR: 1.248, 95% CI:1.171-1.330), female(OR:1.058, 95% CI:1.004 -1.115), ethnic minorities(OR: 1.152, 95% CI: 1.073-1.236), admission to hospital by the emergency department(OR: 1.104, 95% CI:1.030 -1.184),the former drinker(OR: 1.094, 95% CI:1.022 -1.171),fall history in past 12 month(OR:1.257, 95%CI:1.194-1.323),vision dysfunction(OR:1.144 , 95% CI:1.080 -1.211),cognition impairment(OR:1.182 , 95% CI:1.130 -1.237),sleeping dysfunction(OR:1.215, 95% CI:1.215 -1.318),urinary dysfunction(OR: 1.175, 95% CI:1.104 -1.251),defecation dysfunction(OR:1.286 , 95% CI:1.217 -1.358). Conclusion: We identified a relatively high prevalence of frailty among elder patients, and there are several associate factors among the population derived from an investigation of a large-scale, multicenter, nationwide representative Chinese elderly inpatient population. Trial registration: Chinese clinical Trial registry, ChiCTR1800017682, Registered 09 August 2018 Keywords: Frailty; Elder patients; Prevalence; Associate factors

scholarly journals Prevalence and Associated Factors for Frailty among Elder Patients in China: A multicenter cross-sectional study

2020 ◽  
Author(s):  
Jing Jiao ◽  
Yu Wang ◽  
Chen Zhu ◽  
Fangfang Li ◽  
Minglei Zhu ◽  
...  
Keyword(s):  
Regression Model ◽  
Poisson Regression ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Small Sample ◽  
Poisson Regression Model ◽  
Sectional Study ◽  
Cross Sectional ◽  
Mixed Effect ◽  
Elder Patients

Abstract Background: Up to date, most of previous studies of frailty among hospitalized elder Chinese patients were conducted based on a small sample, which could not represent the elder patient population. The aim of this study is to identify the prevalence and the risk factors for frailty among elder patients in China. Study Design and Setting: This is a cross-sectional study, 9996 elder patients from 6 tertiary level hospitals in China were surveyed. The prevalence of frailty among patients from selected wards was surveyed by trained investigators. Mixed-effect Poisson regression model were used to analyze the associated factors of frailty among elder patients. Results: The mean age of all subjects was72.47±5.77years. The prevalence rate of frailty in this study was 18.02%. After controlling the confounding effect of hospital wards clustering effect, Mixed-effect Poisson regression model showed that the associated factors of frailty included: age(OR:1.016, 95% CI:1.012 -1.020), patients with BMI < 18.5(OR: 1.248, 95% CI:1.171-1.330), female(OR:1.058, 95% CI:1.004 -1.115), ethnic minorities(OR: 1.152, 95% CI: 1.073-1.236), admission to hospital by the emergency department(OR: 1.104, 95% CI:1.030 -1.184),the former drinker(OR: 1.094, 95% CI:1.022 -1.171),fall history in past 12 month(OR:1.257, 95%CI:1.194-1.323),vision dysfunction(OR:1.144 , 95% CI:1.080 -1.211),cognition impairment(OR:1.182 , 95% CI:1.130 -1.237),sleeping dysfunction(OR:1.215, 95% CI:1.215 -1.318),urinary dysfunction(OR: 1.175, 95% CI:1.104 -1.251),defecation dysfunction(OR:1.286 , 95% CI:1.217 -1.358). Conclusion: We identified a relatively high prevalence of frailty among elder patients, and there are several associate factors among the population derived from an investigation of a large-scale, multicenter, nationwide representative Chinese elderly inpatient population. Trial registration: Chinese clinical Trial registry, ChiCTR1800017682, Registered 09 August 2018 Keywords: Frailty; Elder patients; Prevalence; Associate factors

scholarly journals Impact of the SARS-CoV-2 pandemic and first lockdown on pregnancy monitoring in France: the COVIMATER cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alexandra Doncarli ◽  
Lucia Araujo-Chaveron ◽  
Catherine Crenn-Hebert ◽  
Virginie Demiguel ◽  
Julie Boudet-Berquier ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Cross Sectional Study ◽  
Lower Probability ◽  
Medical Monitoring ◽  
Poisson Regression Model ◽  
Sectional Study ◽  
Cross Sectional ◽  
Robust Variance ◽  
The Impact ◽  
Prevalence Ratios

Abstract Background In the context of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, consultations and pregnancy monitoring examinations had to be reorganised urgently. In addition, women themselves may have postponed or cancelled their medical monitoring for organisational reasons, for fear of contracting the disease caused by SARS-CoV-2 (COVID-19) or for other reasons of their own. Delayed care can have deleterious consequences for both the mother and the child. Our objective was therefore to study the impact of the SARS-CoV-2 pandemic and the first lockdown in France on voluntary changes by pregnant women in the medical monitoring of their pregnancy and the associated factors. Methods A cross-sectional study was conducted in July 2020 using a web-questionnaire completed by 500 adult (> 18 years old) pregnant women during the first French lockdown (March–May 2020). A robust variance Poisson regression model was used to estimate adjusted prevalence ratios (aPRs). Results Almost one women of five (23.4%) reported having voluntarily postponed or foregone at least one consultation or pregnancy check-up during the lockdown. Women who were professionally inactive (aPR = 1.98, CI95%[1.24–3.16]), who had experienced serious disputes or violence during the lockdown (1.47, [1.00–2.16]), who felt they received little or no support (1.71, [1.07–2.71]), and those who changed health professionals during the lockdown (1.57, [1.04–2.36]) were all more likely to have voluntarily changed their pregnancy monitoring. Higher level of worry about the pandemic was associated with a lower probability of voluntarily changing pregnancy monitoring (0.66, [0.46–0.96]). Conclusions Our results can guide prevention and support policies for pregnant women in the current and future pandemics.

scholarly journals Tooth loss and associated factors in adolescents – impact of extractions for orthodontic reason.

2018 ◽  
Vol 17 ◽  
pp. 1-12
Author(s):  
Paulo Roberto Grafitti Colussi ◽  
Fernando Neves Hugo ◽  
Francisco Wilker Mustafa Gomes Muniz ◽  
Cassiano Kuchenbecker Rösing
Keyword(s):  
Public Schools ◽  
Poisson Regression ◽  
Associated Factors ◽  
Tooth Loss ◽  
Cross Sectional Study ◽  
Analytical Models ◽  
Sectional Study ◽  
Cross Sectional ◽  
Public And Private ◽  
Robust Variance

Aim: To investigate tooth loss and its determinants in adolescents, considering the effect of extractions due to orthodontics reasons. Methods: This cross-sectional study was performed in students from public and private schools aged 15-19 years old from Passo Fundo, Brazil. The proportional randomly chosen sample included 736 adolescents. Clinical examinations and interviews were performed. Associations between prevalence of tooth loss and exposure variables studied were analysed by Poisson Regression with uni- and multivariate robust variance in two models. One model comprised students who had experienced tooth loss without orthodontic reasons and the other with all of the subjects presenting tooth loss. Results: Prevalence of tooth loss was 21.1% (mean of 0.42). Higher chances for tooth loss were found in the following features:  non-whites (PR=1.72; CI95%:1.15-2.60), poorly schooling mothers (PR=2.2; CI95%:0.96-5.02), from public schools (PR=4.16; CI95%:0.98-17.59), smokers (PR=1.91; CI95%:1.15-3.17). Conclusion: Demographic, socioeconomic and behavioural conditions were strongly associated with tooth loss. These associations were more evident when extractions for orthodontic reasons were not included in the analytical models.

scholarly journals Perceived discrimination as a barrier for the adequate treatment of chronic diseases in Venezuelan migrants from Peru

2021 ◽  
Vol 24 ◽  
Author(s):  
Carolina Delgado-Flores ◽  
Oscar Soto Cutire ◽  
Aleksandar Cvetkovic-Vega ◽  
Wendy Nieto-Gutierrez
Keyword(s):  
Chronic Diseases ◽  
Poisson Regression ◽  
Perceived Discrimination ◽  
Secondary Analysis ◽  
Cross Sectional Study ◽  
Poisson Regression Model ◽  
Sectional Study ◽  
Cross Sectional ◽  
Adequate Treatment ◽  
Multistage Sampling

ABSTRACT: Objective: To determine the association between perceived discrimination and receiving adequate treatment for chronic diseases in Venezuelan migrants. Methodology: A cross-sectional study was performed. This is a secondary analysis of the ENPOVE national survey from Peru. The association between the perceived discrimination and receiving adequate treatment for chronic diseases was evaluated using a Poisson regression model, considering the adjusted effect of the multistage sampling. Results: A total of 865 migrants were evaluated (age: 36.6 ± 0.7 years and 58.2% women). Of these, 54.8% perceived discrimination, and 89.2% did not receive adequate treatment for chronic diseases. Perceived discrimination was significantly associated with a lower prevalence of receiving adequate treatment for chronic diseases (PRa = 0.49; 95%CI 0.25 – 0.97). Conclusion: This study evidenced that perceived discrimination decreases the prevalence of receiving adequate treatment for chronic diseases by approximately 50% compared with those who did not perceive discrimination.

scholarly journals Impact of the SARS-CoV-2 Pandemic and First Lockdown on Pregnancy Monitoring in France: the COVIMATER Cross-sectional Study

2021 ◽  
Author(s):  
Alexandra Doncarli ◽  
Lucia Araujo ◽  
Catherine Crenn-Hebert ◽  
Virginie Demiguel ◽  
Julie Boudet-Berquier ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Cross Sectional Study ◽  
Lower Probability ◽  
Medical Monitoring ◽  
Poisson Regression Model ◽  
Sectional Study ◽  
Cross Sectional ◽  
Robust Variance ◽  
The Impact ◽  
Prevalence Ratios

Abstract BackgroundIn the context of the SARS-CoV-2 pandemic, consultations and pregnancy monitoring examinations had to be reorganised urgently. In addition, women themselves may have postponed or cancelled their medical monitoring for organisational reasons, for fear of contracting the disease caused by SARS-CoV-2 (Covid-19) or for other reasons of their own. Delayed care can have deleterious consequences for both the mother and the child. Our objective was therefore to study the impact of the SARS-CoV-2 pandemic and the first lockdown in France on voluntary changes by pregnant women in the medical monitoring of their pregnancy and the associated factors.MethodsA cross-sectional study was conducted in July 2020 using a web-questionnaire completed by 500 adult (>18 years old) pregnant women during the first French lockdown (March-May 2020). A robust variance Poisson regression model was used to estimate adjusted prevalence ratios (aPRs). ResultsAlmost one women of five (23.4%) reported having voluntarily postponed or foregone at least one consultation or pregnancy check-up during the lockdown. Women who were professionally inactive (aPR=1.98, CI95%[1.24-3.16]), who had experienced serious disputes or violence during the lockdown (1.47, [1.00-2.16]), who felt they received little or no support (1.71, [1.07-2.71]), and those who changed health professionals during the lockdown (1.57, [1.04-2.36]) were all more likely to have voluntarily changed their pregnancy monitoring. Higher level of worry about the pandemic was associated with a lower probability of voluntarily changing pregnancy monitoring (0.66, [0.46 -0.96]).Conclusions Our results can guide prevention and support policies for pregnant women in the current and future pandemics.

Psychosocial Impact of Covid-19 Pandemic on Frontline Healthcare Workers in Pakistan: A Cross-Sectional Study

2020 ◽  
Author(s):  
Quratul-Ain Zafar
Keyword(s):  
Data Collection ◽  
Emotional Distress ◽  
Healthcare Workers ◽  
Cross Sectional Study ◽  
Psychosocial Impact ◽  
Control Group ◽  
Study Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Frontline Healthcare Workers

Objective: The purpose of this study was to evaluate the impact of the COVID-19 pandemic on frontline healthcare workers in Pakistan in terms of psychological factors emotional distress, insomnia, and burnout. Study Design: Observational cross-sectional study. Place and Duration of Study: This study was conducted at different hospitals across Pakistan and data collection was carried out from 15th June 2020 till 15th August 2020. Material and Methods: This was a questionnaire-based study aiming to compare the levels of burnout and emotional distress between frontline COVID-19 and non-COVID-19 healthcare workers. Any physician, nurse, and other healthcare workers were recruited from emergency care units and Covid-19 care units (target group), and non-COVID-19 care units (control group). Participation was voluntary and participants had to complete self-reported questionnaires and scales. A mixed-mode data collection was carried out, either in paper or web-based form to ensure maximum participation. Results: The independent t-test showed a statistically significant difference between the two groups regarding depression, stress, and insomnia. The study group showed higher scores for these factors than the control group. Chi-square test of association revealed significant scores of burnout and professional fulfillment in both groups. There was a higher prevalence of burnout in the study group than in the control group. Conclusion: This study concludes that there was a significant psychosocial impact of the Covid-19 pandemic in the frontline healthcare workers measured in terms of emotional distress, insomnia, and burnout.

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