HIV, appendectomy and postoperative complications at a reference hospital in Northwest Tanzania: cross-sectional study

ObjectiveTo study if patient-related factors are associated with patient-evaluated quality of care in surgery. To examine if there is an association with postoperative complications and patient-evaluated low quality of care.DesignA correlation cross-sectional study, in addition, a phone call interview at 30 days postoperatively to examine complications.SettingThe data on patients admitted for non-cardiac general and orthopaedic surgery at a central hospital in Southwestern Finland were collected in two phases during an 8-month period.Participants436 consecutive consenting and eligible in-ward non-cardiac general surgery and orthopaedic surgery adult patients. Ambulatory, paediatric and memory disorder patients were excluded. 378 patients completed the questionnaire (Good Nursing Care Scale for Patients (GNCS-P)).MethodsPerceived quality of care was examined by the GNCS-P questionnaire. Patient-related factors were obtained from electronic patient records and questionnaire. A telephone interview related to postdischarge complications was conducted 30 days after discharge.Main outcome measuresPatient evaluation of quality of care at discharge, its association with patient-related factors and patient-reported postdischarge complications.ResultsThe overall quality was evaluated high or very high by the patients. The lowest overall quality of care rate was assessed by surgical patients living alone (p=0.0088) and patients who evaluated their state of health moderate or poor (p=0.0047). Surgical patients reporting postoperative complications after discharge evaluated lower overall quality of care (p=0.0105) than patients with no complications.ConclusionPatient demographic factors do not seem to influence the perceptions of the quality of care. Instead, subjective state of health and living conditions (living alone) may have an influence on the patient experience of quality of care. The perceived quality of care in healthcare staff technical and communication skills may have an association with reported postoperative complications.

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Evaluation of Nutritional Risk and Prevalence of Obesity in Patients with Covid-19 in A Reference Hospital in Salvador, Bahia, Brazil: A Cross-Sectional Study

International Journal of Nutrology ◽

10.1055/s-0041-1728680 ◽

2021 ◽

Vol 14 (01) ◽

pp. 011-015

Author(s):

Rodrigo Fernandes Weyll Pimentel ◽

Gilson Cruz de Moraes ◽

Shalla Gomes Cavalcanti Barcelos ◽

Pedro Carlos Muniz de Figueiredo ◽

Magno Conceição Das Merces

Keyword(s):

Cross Sectional Study ◽

Nutritional Risk ◽

Sectional Study ◽

Cross Sectional ◽

High Prevalence ◽

Reference Hospital ◽

Prevalence Of Obesity ◽

Nrs 2002 ◽

Study Type ◽

Nutritional Risk Screening

Abstract Introduction The Coronavirus has spread to almost every country in the world, causing the coronavirus disease (COVID-19). The coronavirus stands out among the other infections especially by it's high contagious power and important effects on the respiratory system. The COVID-19 has differents ways of presentation and these are influenced by the patient's previous nutricional status, correlated with the patient's lifestyle and comorbities. Objective this survey seeks to analyze the nutritional status and the prevalence of obesity in patients hospitalized with SARS-CoV-2. Methods: this is a descriptive, prospective and cross-sectional study type, which 41 patients affected by COVID-19 were interviewed. Patient's weight and height were used to assess the BMI, and nutritional risk assessment was performed using the Nutritional Risk Screening tool (NRS 2002). For the analysis, Absolute (AF) and Relative Frequency (RF), the mean and the standard deviation were calculated. Results It was observerd that 78% of the participants had a high nutritional risk, while only 22% had a low nutritional risk. Besides that, 34% showed overweight and 41.4% showed obesity. Conclusion the existence of a high prevalence of increased nutritional risk was evidenced, in addition to the high frequency of overweight in patients affected by SARS-CoV-2.

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EVALUATION AND COMPARISON OF DIABETIC AND NON-DIABETIC PATIENTS INFECTED BY COVID-19 AND PHENOTYPES OF SEVERITY: AN ANALYTICAL AND CROSS-SECTIONAL STUDY IN A REFERENCE HOSPITAL OF THE FEDERAL DISTRICT, BRAZIL

10.46898/rfb.9786558891789.12 ◽

2021 ◽

Author(s):

Marina Grazziotin PASOLINI ◽

Fernanda Silveira TAVARES ◽

Mariani Carla Prudente BATISTA ◽

Amanda Sena Nunes CANABRAVA ◽

Lisandra Vieira da Cruz SOUZA ◽

...

Keyword(s):

Federal District ◽

Cross Sectional Study ◽

Diabetic Patients ◽

Sectional Study ◽

Cross Sectional ◽

Reference Hospital

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Standardized Phase Angle as a Prognostic and Nutritional Status Tool for Pancreatic Cancer Patients Undergoing Pancreaticoduodenectomy: A Cross-sectional Study (P12-025-19)

Current Developments in Nutrition ◽

10.1093/cdn/nzz035.p12-025-19 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

Author(s):

Wei Chen ◽

Shengnan Zhou

Keyword(s):

Pancreatic Cancer ◽

Postoperative Complications ◽

Nutritional Status ◽

Cancer Patients ◽

Phase Angle ◽

Cross Sectional Study ◽

Nutritional Risk ◽

Sectional Study ◽

Cross Sectional ◽

Nrs 2002

Abstract Objectives This study investigated the use of standardized phase angle (SPA), determined by bioelectrical impedance analysis (BIA), as a nutrition status tool and prognostic factor for complications associated with pancreaticoduodenectomy (PD) in pancreatic cancer patients. Methods A cross-sectional study was conducted with 49 participants. All participants were assessed for nutritional risk and nutritional status using Nutritional Risk Screening 2002 (NRS-2002), Subjective Global Assessment (SGA) tools, Global Leadership Initiative on Malnutrition (GLIM) tool and BIA. The Clavien-Dindo classification method for surgical complications was used to identify and classify postoperative complications. Independent-samples T-tests, chi-square tests and Spearman correlation analyses were used to evaluate the association between SPA, nutrition and postoperative complications. Results A total of 49 patients were enrolled, and 20 patients (40%) had postoperative complications. The SPA value for the nourished group was significantly higher than the SPA value for the malnourished group (P = 0.021, 0.019, 0.023). Patients who were below the SPA cut-off values (−1.015, −1.065, and −0.69) were more likely to have postoperative complications (P = 0.009), whereas NRS-2002, SGA, and GLIM scores were not associated with postoperative complications. The SPA value of the group with complications was significantly lower than that of the group without complications (P = 0.004). The SPA threshold value for predicting postoperative complications in pancreatic cancer was −1.095 (AUC 0.737; 95% CI, 0.59, 0.88; P = 0.005). Conclusions The SPA is a prognostic indicator of postoperative complications in pancreatic cancer patients undergoing PD and is an effective tool for assessing nutritional status in pancreatic cancer patients. Funding Sources none. Supporting Tables, Images and/or Graphs

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Burnout Syndrome prevalence of on-call surgeons in a trauma reference hospital and its correlation with weekly workload: cross-sectional study

Revista do Colégio Brasileiro de Cirurgiões ◽

10.1590/0100-69912016005003 ◽

2016 ◽

Vol 43 (5) ◽

pp. 314-319 ◽

Cited By ~ 3

Author(s):

RODRIGO NOBRE DE NOVAIS ◽

LOUISE MATOS ROCHA ◽

RAISSA JARDELINO ELOI ◽

LUCIANO MENEZES DOS SANTOS ◽

MARINA VIEGAS MOURA REZENDE RIBEIRO ◽

...

Keyword(s):

Maslach Burnout Inventory ◽

Cross Sectional Study ◽

Demographic Characteristics ◽

Referral Hospital ◽

Three Dimensions ◽

Burnout Syndrome ◽

Sectional Study ◽

Cross Sectional ◽

Reference Hospital ◽

The Mean

ABSTRACT Objective: to determine the prevalence of Burnout Syndrome (BS) for surgeons working in referral hospital for trauma in Maceio and to evaluate the possible correlation between BS and weekly workload. Methods: cross-sectional study with 43 on-call surgeons at Professor Osvaldo Brandão Vilela General State Hospital, Maceió, between July and December, 2015. A self-administered form was used to evaluate BS through the Maslach Burnout Inventory (MBI) and socio-demographic characteristics among participants. Spearman's S test was used to compare BS and weekly workload. Significant level was 5%. Results: among the surgeons studied, 95.35% were male and the mean age was 43.9 ± 8.95 years. The mean weekly workload on call in trauma was 33.90 ± 16.82 hours. The frequency of high scores in at least one of the three dimensions of MBI was 46.5%. Professional achievement was correlated with weekly workload (P = 0.020). Conclusion: the prevalence of Burnout Syndrome among on-call surgeons in referral hospital for trauma was 46.5%. In this sample there was correlation between weekly workload and the Burnout Syndrome.

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