Description of multimorbidity clusters of admitted patients in medical departments of a general hospital

ObjectiveWe aim to identify patterns of disease clusters among inpatients of a general hospital and to describe the characteristics and evolution of each group.MethodsWe used two data sets from the CMBD (Conjunto mínimo básico de datos - Minimum Basic Hospital Data Set (MBDS)) of the Lucus Augusti Hospital (Spain), hospitalisations and patients, realising a retrospective cohort study among the 74 220 patients discharged from the Medic Area between 01 January 2000 and 31 December 2015. We created multimorbidity clusters using multiple correspondence analysis.ResultsWe identified five clusters for both gender and age. Cluster 1: alcoholic liver disease, alcoholic dependency syndrome, lung and digestive tract malignant neoplasms (age under 50 years). Cluster 2: large intestine, prostate, breast and other malignant neoplasms, lymphoma and myeloma (age over 70, mostly males). Cluster 3: malnutrition, Parkinson disease and other mobility disorders, dementia and other mental health conditions (age over 80 years and mostly women). Cluster 4: atrial fibrillation/flutter, cardiac failure, chronic kidney failure and heart valve disease (age between 70–80 and mostly women). Cluster 5: hypertension/hypertensive heart disease, type 2 diabetes mellitus, ischaemic cardiomyopathy, dyslipidaemia, obesity and sleep apnea, including mostly men (age range 60–80). We assessed significant differences among the clusters when gender, age, number of chronic pathologies, number of rehospitalisations and mortality during the hospitalisation were assessed (p<0001 in all cases).ConclusionsWe identify for the first time in a hospital environment five clusters of disease combinations among the inpatients. These clusters contain several high-incidence diseases related to both age and gender that express their own evolution and clinical characteristics over time.

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Characteristics of and management strategies for 54 suicidal inpatients in a general hospital

Frontiers of Nursing ◽

10.2478/fon-2018-0018 ◽

2018 ◽

Vol 5 (2) ◽

pp. 139-145

Author(s):

Rong Tan ◽

De-Ying Hu ◽

Yan-Hong Han ◽

Yi-Lan Liu ◽

Xiao-Ping Ding ◽

...

Keyword(s):

General Hospital ◽

Reporting System ◽

Safety Management ◽

Management Strategies ◽

Hospital Environment ◽

Hospital Treatment ◽

Malignant Neoplasms ◽

Hospital Safety ◽

Improve Hospital ◽

Lethal Means

Abstract Objective The aim of this study was to explore the characteristics of and preventive management strategies for suicidal inpatients in a general hospital. Methods A total of 54 suicide victims were drawn from a patient safety adverse event network reporting system during hospitalization in a general hospital from November 2008 to January 2017. Results Subjects who committed suicide in the general hospital were women and those who suffered from malignant neoplasms during general hospital treatment. Furthermore, most of the patients who committed suicide used more violent suicide methods. The most common and lethal means was jumping from heights at the windowsill. Conclusions It is concluded that management strategies for suicide prevention can be provided from the aspects of patients, medical staff and the hospital environment. It is not only urgent but also feasible to reduce the suicide rate of inpatients and further improve hospital safety management.

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Reassessment of Suicide Attempters at Home, Shortly After Discharge from Hospital

Crisis ◽

10.1027/0227-5910/a000041 ◽

2010 ◽

Vol 31 (6) ◽

pp. 303-310 ◽

Cited By ~ 9

Author(s):

Bas Verwey ◽

Jeroen A. van Waarde ◽

Molla A. Bozdağ ◽

Iris van Rooij ◽

Edwin de Beurs ◽

...

Keyword(s):

Suicide Attempt ◽

General Hospital ◽

Hospital Environment ◽

Initial Assessment ◽

Suicide Attempters ◽

Systematic Assessment ◽

Suicide Intent ◽

Initial Hospital ◽

Discharge From Hospital ◽

At Home

Background: Assessment of suicide attempters in a general hospital may be influenced by the condition of the patient and the unfavorable circumstances of the hospital environment. Aims: To determine whether the results of a reassessment at home shortly after discharge from hospital differ from the initial assessment in the hospital. Methods: In this prospective study, systematic assessment of 52 suicide attempters in a general hospital was compared with reassessment at home, shortly after discharge. Results: Reassessments at home concerning suicide intent, motives for suicide attempt, and dimensions of psychopathology did not differ significantly from the initial hospital assessment. However, patients’ motives for the suicide attempt had changed to being less impulsive and more suicidal, worrying was significantly higher, and self-esteem was significantly lower. A third of the patients had forgotten their aftercare arrangements and most patients who initially felt no need for additional help had changed their mind at reassessment. Conclusions: Results from this group of suicide attempters suggest that a brief reassessment at home shortly after discharge from hospital should be considered.

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The rise and fall of PET and PET/CT

Nuklearmedizin ◽

10.1055/s-0038-1625217 ◽

2005 ◽

Vol 44 (S 01) ◽

pp. S58-S60 ◽

Cited By ~ 8

Author(s):

W. Mohnike

Keyword(s):

Clinical Practice ◽

General Hospital ◽

Private Practice ◽

Ct Imaging ◽

Hospital Environment ◽

Governmental Organizations ◽

Pet Ct

Summary:PET is being considered a diagnostic commodity in clinical practice worldwide and thus receives increasing attention by health insurances and governmental organizations. In Germany, however, neither PET nor PET/CT are subject to reimbursement. This renders clinical PET and PET/CT imaging a challenge both in a general hospital environment and in private practice. This article describes briefly these challenges, which are not solely related to turf battles and associated costs.

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WHY DON’T OLDER ADULTS USE SENIOR CENTERS? EVIDENCE FROM A SAMPLE OF MASSACHUSETTS ADULTS AGE 50 AND OLDER

Innovation in Aging ◽

10.1093/geroni/igz038.1845 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S498-S498

Author(s):

Ceara Somerville ◽

Nidya Velasco Roldan ◽

Cindy N Bui ◽

Caitlin E Coyle

Keyword(s):

Older Adults ◽

Age Groups ◽

Community Dwelling ◽

Senior Center ◽

Community Resource ◽

Senior Centers ◽

Data Set ◽

Younger Age ◽

And Gender ◽

Vast Range

Abstract Senior centers are an integral community resource, providing programs and services intended to meet the vast range of needs and interests of older adults. There is a growing literature describing senior center participants and benefits to participation, but little is known about those who choose not to participate at a local senior center. This presentation uniquely characterizes non-users of senior centers, based on a sample of community-dwelling adults aged 50+ from seven communities in Massachusetts (N = 9,462). To date, this is the largest data set that describes senior center usage. Most of the sample were women (60%) and in the 60-69 age group (36%). More than three quarters of the sample do not use the local senior center (77%). The most common reasons for non-usage were lack of interest (27%) and not feeling old enough (26%). There are significant differences in reasons of non-usage among age groups and gender (p < .001). Younger age groups’ (50-69) most popular reasons for non-usage were not feeling old enough, not having time, inconvenient senior center hours, and not knowing what is offered. In contrast, older age groups (80+) more frequently reported having no interest or using programs elsewhere. Men were more likely to report not being interested and not being familiar with what is offered. Women were more likely to report not having time, inconvenient hours of programming, and using programs elsewhere. Based on results from this study, this presentation will outline implications for the future of senior centers and their programming.

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Developing a Measurement Scale of Gender-Friendly Hospital Environments: An Exploratory Study of Customer Perceptions in Taiwan

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph15102227 ◽

2018 ◽

Vol 15 (10) ◽

pp. 2227 ◽

Cited By ~ 1

Author(s):

Ying-Chyi Chou ◽

Van Dang ◽

Hsin-Yi Yen ◽

Pi-Shan Hsu

Keyword(s):

Gender Equality ◽

Measurement Instrument ◽

Hospital Environment ◽

Equal Treatment ◽

Measurement Scale ◽

Customer Perceptions ◽

Hospital Environments ◽

Five Factors ◽

Healthcare Environments ◽

And Gender

According to the United Nations, males and females should be given equal treatment in physical and psychological services, and healthcare institutions should exert greater efforts to reduce the gap in gender equality. However, this issue has been largely ignored in previous literature on healthcare environments. Designing a hospital environment that focuses on gender differences is critical to academic researchers and practical managers in all healthcare institutions. Thus, as an exploratory effort, this study aims to develop a measurement to assess customer perceptions of gender-friendly hospital environments. To identify and refine the structure of the instrument, two studies are conducted at different hospitals in Taiwan. The exploratory evidence shows there are five factors (i.e., physical design, functional design, marking design, gender perception, and gender-friendly services) and 28 items in the measurement scale of gender-friendly hospital environments. Results also show that gender-friendly hospital environments affect customers’ loyalty and willingness to pay. Based on our findings, hospital practitioners and researchers can adopt the measurement instrument used in this study to deal with the gap of gender equality in healthcare environments.

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Sexism and Gender Inequality Across 57 Societies

Psychological Science ◽

10.1177/0956797611420445 ◽

2011 ◽

Vol 22 (11) ◽

pp. 1413-1418 ◽

Cited By ~ 76

Author(s):

Mark J. Brandt

Keyword(s):

Longitudinal Data ◽

Multilevel Modeling ◽

Gender Inequality ◽

Past Research ◽

Status Quo ◽

Data Set ◽

Representative Data ◽

Gender Hierarchy ◽

And Gender

Theory predicts that individuals’ sexism serves to exacerbate inequality in their society’s gender hierarchy. Past research, however, has provided only correlational evidence to support this hypothesis. In this study, I analyzed a large longitudinal data set that included representative data from 57 societies. Multilevel modeling showed that sexism directly predicted increases in gender inequality. This study provides the first evidence that sexist ideologies can create gender inequality within societies, and this finding suggests that sexism not only legitimizes the societal status quo, but also actively enhances the severity of the gender hierarchy. Three potential mechanisms for this effect are discussed briefly.

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Nye seksualiteter, nye kjønn?

10.23865/noasp.142.ch13 ◽

2021 ◽

pp. 295-315

Author(s):

Willy Pedersen ◽

Ketil Slagstad ◽

Tilmann von Soest

Keyword(s):

Sexual Debut ◽

Sexual Scripts ◽

Sexual Script ◽

Social Forces ◽

Gender Identities ◽

Data Set ◽

Heterosexual Intercourse ◽

Sexual Activities ◽

And Gender ◽

The City

Fifty years ago, the concept “sexual script” was coined to describe sexual activities as social and learned interactions. Such scripts gradually change, however, and result in what we may label “generational sexualities”. Drawing on such theory and the Young in Oslo data set, we show that age of first heterosexual intercourse, perhaps contrary to expectations, has increased over the past two decades. We also show how debut age reflects sociodemographic and area-related characteristics in Oslo: Adolescents in the wealthy areas have a lower sexual debut age than those living in less affluent parts of the city. This pattern, however, varies with factors such as immigration, religion and the use of alcohol and social media. Further, we show that one in five no longer define themselves within the traditional homo-hetero dichotomy. We discuss whether gender identities have become more fluid, and we show that the term “queer”, with its connotations of exploration, openness and inclusion, has become popular, as opposed to older terms such as “lesbian”, “gay” or “bisexual”. Thus, strong social forces shape adolescent sexual behaviours, but sexual scripts, and sexual and gender identities, seem to allow for more variations than before.

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Categorical Functional Data Analysis. The cfda R Package

Mathematics ◽

10.3390/math9233074 ◽

2021 ◽

Vol 9 (23) ◽

pp. 3074

Author(s):

Cristian Preda ◽

Quentin Grimonprez ◽

Vincent Vandewalle

Keyword(s):

Functional Data ◽

Multiple Correspondence Analysis ◽

Real Data ◽

Jump Process ◽

R Package ◽

Finite Basis ◽

Data Set ◽

Stochastic Jump ◽

Finite Set ◽

Infinite Set

Categorical functional data represented by paths of a stochastic jump process with continuous time and a finite set of states are considered. As an extension of the multiple correspondence analysis to an infinite set of variables, optimal encodings of states over time are approximated using an arbitrary finite basis of functions. This allows dimension reduction, optimal representation, and visualisation of data in lower dimensional spaces. The methodology is implemented in the cfda R package and is illustrated using a real data set in the clustering framework.

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Investigation of the international comparability of population-based routine hospital data set derived comorbidity scores for patients with lung cancer

Thorax ◽

10.1136/thoraxjnl-2017-210362 ◽

2017 ◽

Vol 73 (4) ◽

pp. 339-349 ◽

Cited By ~ 4

Author(s):

Margreet Lüchtenborg ◽

Eva J A Morris ◽

Daniela Tataru ◽

Victoria H Coupland ◽

Andrew Smith ◽

...

Keyword(s):

Lung Cancer ◽

Cancer Survival ◽

Population Based ◽

Data Sets ◽

Hospital Data ◽

Data Set ◽

Discharge Data ◽

International Differences ◽

Cancer Data ◽

Comorbidity Scores

IntroductionThe International Cancer Benchmarking Partnership (ICBP) identified significant international differences in lung cancer survival. Differing levels of comorbid disease across ICBP countries has been suggested as a potential explanation of this variation but, to date, no studies have quantified its impact. This study investigated whether comparable, robust comorbidity scores can be derived from the different routine population-based cancer data sets available in the ICBP jurisdictions and, if so, use them to quantify international variation in comorbidity and determine its influence on outcome.MethodsLinked population-based lung cancer registry and hospital discharge data sets were acquired from nine ICBP jurisdictions in Australia, Canada, Norway and the UK providing a study population of 233 981 individuals. For each person in this cohort Charlson, Elixhauser and inpatient bed day Comorbidity Scores were derived relating to the 4–36 months prior to their lung cancer diagnosis. The scores were then compared to assess their validity and feasibility of use in international survival comparisons.ResultsIt was feasible to generate the three comorbidity scores for each jurisdiction, which were found to have good content, face and concurrent validity. Predictive validity was limited and there was evidence that the reliability was questionable.ConclusionThe results presented here indicate that interjurisdictional comparability of recorded comorbidity was limited due to probable differences in coding and hospital admission practices in each area. Before the contribution of comorbidity on international differences in cancer survival can be investigated an internationally harmonised comorbidity index is required.

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Characteristics of Heart Failure Patients based on Its Causes in Camelia Hospitalization Room Dr. Soetomo General Hospital Surabaya January - December 2017

JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga ◽

10.20473/juxta.v11i12020.32-35 ◽

2020 ◽

Vol 11 (1) ◽

pp. 32

Author(s):

Chronica Elsa Retta Lumban Tobing ◽

Budi Baktijasa Dharmadjati ◽

Heroe Soebroto

Keyword(s):

Heart Failure ◽

Coronary Heart Disease ◽

Heart Disease ◽

Physical Examination ◽

General Hospital ◽

Heart Valve ◽

Heart Valve Disease ◽

Advanced Stage ◽

Pharmacological Treatments ◽

Male Patients

Introduction: Heart failure is one of cardiovascular diseases which becomes a global health problem, especially in Indonesia. It’s a clinical syndrome caused by variety of underlying diseases. Different causes that cause heart failure in patients will certainly lead to different manifestations and outcomes. Methods: This research was a descriptive study using secondary data taken from the patient's medical records. The number of samples in this study were 197 patients with heart failure in Camelia Hospitalization Room Dr. Soetomo General Hospital Surabaya. Sampling technique was total sampling. The variables were age, sex, stage, symptoms, physical examination, and pharmacological treatment. The data were analyzed descriptively. Results: Most heart failure causes in this hospital was coronary heart disease (40.6%). Patients aged 46-65 years old and male patients were more dominant although the difference was not really significant. Male patients were dominant in heart failure due to coronary heart disease and hypertension, meanwhile female patients were dominant in heart valve disease and other causes. Most patients in all causes of heart failure were diagnosed at advanced stage, such as stage III (35.5%) and stage IV (35.5%). Main symptom that was found more in the patients was dyspnea (70.1%), which could be found in coronary & heart valve disease. Physical examination results were based on the causes. Most pharmacological treatments that the patients had were Furosemide (88.3%) and Spironolactone (73.6%). Conclusion: Coronary heart disease still becomes the main cause of heart failure. Heart failure was more common in early and late elderly (46-65 years old), with male patients were more dominant. More patients were diagnosed at advanced stage. Symptom that was found more was dyspnea. Physical examination results were various based on its causes. Pharmacological treatments that the patients had gotten were Furosemide, kind of diuretics, and Spironolactone, kind of aldosterone antagonist.

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