Abstract WP360: Sex Differences in Patient Centered Outcomes Obtained from Electronic Medical Records in the Greater Cincinnati Northern Kentucky Stroke Study

Stroke ◽  
2019 ◽  
Vol 50 (Suppl_1) ◽  
Author(s):  
Tracy E Madsen ◽  
Heidi Sucharew ◽  
Kathleen Alwell ◽  
Stacie L Demel ◽  
Felipe De Los Rios La Rosa ◽  
...  
2012 ◽  
Vol 13 (3) ◽  
pp. 228-234 ◽  
Author(s):  
David Ruau ◽  
Linda Y. Liu ◽  
J. David Clark ◽  
Martin S. Angst ◽  
Atul J. Butte

2021 ◽  
Author(s):  
Lo Fu Tan

Digital Health promises to transform healthcare in this decade. We have gone from “low tech” telephones, fax machines, dictation lines, desk-top electronic medical records, and data storage centers to video visits, texting, emails, smart phones and other mobile devices, and to higher forms including artificial intelligence, cloud data storage, and blockchain. However, letting go of legacy applications and then implementing the best available technology for clinical use has been challenging. This chapter will review the factors that contribute to the difficulty of moving from old to new tools. Specific examples will be video, electronic medical records and remote patient monitoring. The process of evaluating a new technological application will be described and a standardized framework proposed. We will finish with a discussion around local and scaled steps that can facilitate, support and sustain a patient-centered application of the best technology in healthcare. A call to action for the reader will be presented.


Author(s):  
Evan Ritter ◽  
Manpreet Malik ◽  
Rehan Qayyum

Hospitals are establishing procedure services to address resident training and patient safety. We examined whether a hospitalist procedure service affects a patient’s hospital length of stay (LOS) and the time from admission to paracentesis (A2P). We queried our electronic medical records for all inpatient peritoneal fluid samples from July 1, 2016, to May 31, 2019. LOS and A2P time were compared among patients who had paracentesis by the procedure service, by residents, or by radiology. Of the 1,321 procedures, 509 (38.5%) were performed by the procedure service. In the adjusted analysis, as compared with procedure service, the group that underwent paracentesis by the radiology service had a 27% longer LOS (95% CI, 2%-58%) and 40% longer A2P time (95% CI, 5%-87%). The resident group had shorter A2P (–19%; 95% CI, –33% to 0.2%; P = .05) than the procedure service group but similar LOS. To our knowledge, this is the first study that suggests patient-centered benefits of a hospitalist procedure service.


2020 ◽  
Author(s):  
Elisabetta Straface ◽  
Isabella Tarissi De Jacobis ◽  
Rosa Vona ◽  
Camilla Cittadini ◽  
Alessandra Marchesi ◽  
...  

Abstract Background: Since December 2019 coronavirus disease (COVID-19) emerged in Wuhan and spread rapidly worldwide. Despite the high number of people affected, data on clinical features and prognostic factors in children and adolescents are limited. We propose a retrospective study aimed to evaluate clinical characteristics of children infected with SARS-CoV-2 in Italy, taking into account gender differences. Methods: A pediatric population admitted with COVID-19 to Bambino Gesù Children's Hospital of Rome (Italy) in the period from the end of February to May 2020 has been studied taking into account sex differences. Medical history, comorbidities, symptoms and laboratory findings were obtained from patients' electronic medical records. Results: In 41 patients (21 males and 20 females) we found that: i) fever and cough were the dominant symptoms, while gastrointestinal symptoms were rare; and ii) all ages of childhood were susceptible to COVID-19. Moreover, we found that females with COVID-19, although not significantly, were older than males and required more days of hospitalization (p = 0.01). Conversely, males had, although not significantly, higher values of C reactive protein and erythrocyte sedimentation rate than females. Conclusions: Based on the data listed above, sex differences were detected in an Italian pediatric COVID-19 positive population. Compared to the adults we found that COVID-19 infection in children is a non-severe inflammatory disease in both males and females. In any case, many detailed studies should be conducted.


2014 ◽  
Author(s):  
C. McKenna ◽  
B. Gaines ◽  
C. Hatfield ◽  
S. Helman ◽  
L. Meyer ◽  
...  

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