Inpatient satisfaction with medical information received from caregivers: an observational study on the effect of social deprivation

Background: Neuroleptics are commonly used in palliative care settings. However, adverse events of neuroleptics, known as extrapyramidal symptoms (EPSs), might be overlooked in clinical practice. We conducted this study to explore the prevalence of EPSs in palliative care setting. Methods: This multicenter, prospective, observational study included patients who 1) were referred to either a specialist palliative care team or a palliative care unit, 2) had a diagnosis of cancer, and 3) were ≥20 years of age. We investigated the prevalence of EPSs and medications used. The primary outcome was the overall Drug-Induced Extrapyramidal Symptom Scale (DIEPSS) score. Results: Between November 2015 and October 2016, 149 patients from 5 centers in Japan were enrolled. The median age was 67 years (range: 21–88 years) and the study population included 81 men (54.4%). The cancer types included lung (55 patients, 36.9%), upper gastrointestinal tract (5, 3.3%), hepatobiliary (19, 12.8%); breast (12, 8.1%); head and neck (10, 6.7%), gynecologic (10, 6.7%), genitourinary (10, 6.7%), and others (28, 18.8%). The median Karnofsky performance status was 60 (20–100). Most patients (86.6%) did not experience delirium. Thirty-nine (26.2%) patients received one or more EPS-inducing medications. EPSs occurred in 4 (2.7%) patients with a cutoff score of 5 points for 5 parkinsonism items in DIEPSS. Conclusion: A lower frequency (<3%) of patients than expected in this population had EPSs. Therefore, we concluded that an interventional study is not feasible. However, medications that cause EPSs are often used in palliative care; therefore, a longitudinal study is warranted. Trial registration: This study was registered in the University Hospital Medical Information Network Clinical Trials Registry (UMIN-CTR) (UMIN000019810) on 16, November, 2015.

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Patient Satisfaction, Needs and Preferences Concerning Information Dispensation at the Emergency Department; A Cross-Sectional Observational Study

10.21203/rs.3.rs-860920/v1 ◽

2021 ◽

Author(s):

Marank de Steenwinkel ◽

Juanita A Haagsma ◽

Esther C.M. van Berkel ◽

Lotte Rozema ◽

Pleunie P.M. Rood ◽

...

Keyword(s):

Emergency Department ◽

Patient Satisfaction ◽

Observational Study ◽

Medical Information ◽

General Information ◽

Cross Sectional ◽

Patient Satisfaction Score ◽

Important Indicator ◽

Practical Information ◽

To Receive

Abstract Background Patient satisfaction is an important indicator of emergency care quality and has been associated with information dispensation at the Emergency Department (ED). Optimal information dispensation could improve patient experience and expectations. Knowing what kind of information patients want to receive and the preferred way of information dispensation are essential to optimize information delivery at the ED. The purpose of this cross-sectional observational study was to evaluate patient satisfaction concerning information dispensation (including general, medical and practical information), the need for additional information and preferences with regards to the way of information dispensation at the ED of a teaching hospital in the Netherlands. Results423 patients (patients ≥18 years with Glasgow Coma Scale 15) were enrolled (response rate 79%). The median patient satisfaction score concerning the overall information dispensation at the ED was 7.5 on a rating scale 0-10. Shorter length of ED stay was associated with higher patient satisfaction in multivariate analysis (P<0.001). The majority of respondents was satisfied regarding medical (N=328; 78%) and general information (N =233; 55%). Patients were less satisfied regarding practical information (N =180; 43%). Respondents who indicated that they received general, medical and practical information were significantly more often satisfied compared to patients who did not receive this information (P<0.001). Two thirds (N=260; 62%) requested more general information. Half of the respondents (N=202; 48%) requested more practical information and a third (N=152; 36%) requested more medical information. The preferred way for receiving information was orally (N=189; 44.7%) or by leaflets (N=108; 25.5%).ConclusionThe majority of respondents were satisfied concerning information dispensation at the ED, especially regarding medical information. Respondents requested more general and practical information and preferred to receive the information orally or by leaflets.

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Web-Based Medical Information Searching by Chinese Patients With Breast Cancer and its Influence on Survival: Observational Study

Journal of Medical Internet Research ◽

10.2196/16768 ◽

2020 ◽

Vol 22 (4) ◽

pp. e16768 ◽

Cited By ~ 2

Author(s):

Yan Li ◽

Shan Ye ◽

Yidong Zhou ◽

Feng Mao ◽

Hailing Guo ◽

...

Keyword(s):

Breast Cancer ◽

Observational Study ◽

Internet Use ◽

Medical Information ◽

Chinese Patients ◽

Cancer Information ◽

The Internet ◽

Online Information ◽

Information Searching ◽

Web Based

Background The internet allows patients to easily look for health information. However, how Chinese patients with breast cancer use the internet has rarely been investigated, and there is a scarcity of information about the influence of internet use on survival. Objective This observational study aimed to investigate the details of online medical information searching by Chinese patients with breast cancer and to determine whether internet use has any survival benefits. Methods Patients who were diagnosed with invasive breast cancer at Peking Union Medical College Hospital between January 2014 and December 2015 were enrolled. We obtained information on their internet-searching behavior and gathered data from the patients’ medical and follow-up records. The associations between internet use and other clinic-pathological factors were analyzed. A Cox proportional-hazards model and the Kaplan-Meier method were used for disease-free survival (DFS) analyses. Results A total of 973 patients with invasive breast cancer who underwent definitive surgery took part in the study. Among them, 477 cases (49.0%) performed web-based breast cancer information searching before the initial treatment. A multivariate logistic regression analysis suggested that web-based breast cancer information searching was significantly associated with younger age (odds ratio [OR] 0.95, 95% CI 0.94-0.97, P<.001), higher education level (OR 1.37, 95% CI 1.01–1.86, P=.04), and breast conserving surgery (OR 1.35, 95% CI 1.04-1.77, P=.03). Baidu (73.4%, 350/477) and WeChat (66.7%, 318/477) were the two most popular online information sources for breast cancer; however, only 44.9% (214/477) felt satisfied with the online information. In contrast to the nonweb searching group, the web-using patients who were satisfied with online information showed significantly improved DFS (hazard ratio 0.26; 95% CI 0.08-0.88, P=.03). Conclusions The patients who were most likely to search the internet for breast cancer information were younger and well-educated, and they were more likely to have breast conserving therapy. Web-using patients who were satisfied with the internet information showed significantly improved DFS. Patients should browse credible websites offering accurate and updated information, and website developers should provide high-quality and easy-to-understand information to better meet the needs of patients with breast cancer.

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Influence of Social Deprivation on Outcome of Open Arterial Surgery in Tertiary Care: An Observational Study

Journal of Investigative Surgery ◽

10.3109/08941939.2016.1158888 ◽

2016 ◽

Vol 29 (5) ◽

pp. 289-293 ◽

Cited By ~ 1

Author(s):

N. Ahmad ◽

P.A. Green ◽

J.R.H. Scurr ◽

F. Torella

Keyword(s):

Observational Study ◽

Social Deprivation ◽

Tertiary Care

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Hospitalisation and mortality from COVID-19 in Mexican indigenous people: a cross-sectional observational study

Journal of Epidemiology & Community Health ◽

10.1136/jech-2020-216129 ◽

2021 ◽

pp. jech-2020-216129

Author(s):

Edson Serván-Mori ◽

Jacqueline A Seiglie ◽

Octavio Gómez-Dantés ◽

Veronika J Wirtz

Keyword(s):

Clinical Practice ◽

Observational Study ◽

Indigenous Population ◽

Social Deprivation ◽

Early Death ◽

Early Mortality ◽

Cross Sectional ◽

Healthcare Resources ◽

Equipment Availability ◽

Hospital Equipment

BackgroundDespite having a large indigenous population, little is known about the differences in COVID-19-related health outcomes between indigenous and non-indigenous patients in Mexico. The aim of this study is to analyse the variation in hospitalisation and death between indigenous and non-indigenous patients with COVID-19 to guide future policies and clinical practice.MethodsWe used data from the Mexican Ministry of Health (MoH) to study the hospitalisation and death of adults with laboratory-confirmed SARS-CoV-2 in MoH facilities between 1 March 2020 and 28 February 2021. Predicted probabilities of hospitalisation and death were adjusted for sociodemographic and presentation to care characteristics as well as municipal social deprivation index and health jurisdiction-level index of human resource and hospital equipment availability.ResultsOf 465 676 hospitalised adults with COVID-19, 5873 (1.3%) were identified as indigenous. Indigenous patients had higher odds of hospitalisation (adjusted OR (aOR)=1.9, 95% CI 1.8 to 2.0), death (aOR=1.3, 95% CI 1.1 to 1. 3) and early mortality (aOR=1.2, 95% CI 1.0 to 1.4), compared with non-indigenous patients. Living in municipalities with high social deprivation was associated with a higher risk of hospitalisation and early death. Living in areas with low healthcare resources was associated with a higher risk of hospitalisation but not death. Being male, aged 51 years or older, having diabetes, hypertension and obesity were associated with an incremental probability of hospitalisation and death among indigenous patients.ConclusionsIndigenous patients with COVID-19 in Mexico have a higher risk of hospitalisation and death than non-indigenous individuals. Our findings can guide future efforts to protect this population from SARS-CoV-2 infection and associated outcomes.

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Expanding the concept of medical information: An observational study of physicians' information needs

Computers and Biomedical Research ◽

10.1016/0010-4809(92)90020-b ◽

1992 ◽

Vol 25 (2) ◽

pp. 181-200 ◽

Cited By ~ 104

Author(s):

Diana E. Forsythe ◽

Bruce G. Buchanan ◽

Jerome A. Osheroff ◽

Randolph A. Miller

Keyword(s):

Observational Study ◽

Information Needs ◽

Medical Information

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Patient and Consumer Safety Risks When Using Conversational Assistants for Medical Information: An Observational Study of Siri, Alexa, and Google Assistant

Journal of Medical Internet Research ◽

10.2196/11510 ◽

2018 ◽

Vol 20 (9) ◽

pp. e11510 ◽

Cited By ~ 47

Author(s):

Timothy W Bickmore ◽

Ha Trinh ◽

Stefan Olafsson ◽

Teresa K O'Leary ◽

Reza Asadi ◽

...

Keyword(s):

Observational Study ◽

Medical Information ◽

Consumer Safety ◽

Safety Risks

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Prevalence of Musculoskeletal Pain and Assessment of Ergonomic Factors in Undergraduate Dental Students: An Observational Study

Journal of Health Sciences & Research ◽

10.5005/jp-journals-10042-1001 ◽

2014 ◽

Vol 5 (2) ◽

pp. 1-5

Author(s):

R Vinaya Kumar ◽

P Anuroopa ◽

MS Nalini ◽

S Savita

Keyword(s):

Observational Study ◽

Musculoskeletal Pain ◽

Clinical Training ◽

Medical Information ◽

Dental Students ◽

Work Related ◽

Muscular Pain ◽

High Prevalence ◽

Dental Curriculum ◽

Dental Professionals

ABSTRACT Background The musculoskeletal health of dental pro- fessionals has been the focus of several studies globally. It has been estimated that work-related musculoskeletal injuries occur in 54 to 93% of dental professionals. However, when it comes to studies carried out on dental students, there is a dearth of information. Therefore, the objectives of this study were to determine the ergonomic factors and presence of muscular pain in dental students undergoing clinical training at Rajarajeswari Dental College and Hospital, Bengaluru, India. Materials and methods Data collection was carried out on a sample of 103 students pursuing their undergraduate program in dentistry using a structured questionnaire comprising questions pertaining to the recipient's sociodemographic information, ergonomic features, medical information, musculoskeletal disorders (MSDs) resulting from clinical practice, musculoskeletal demands, posture related queries, workplace, instruments and exercises. Results The results of this study revealed a high prevalence of musculoskeletal pain in dental students. Further, the study also highlighted the lack of knowledge among the students which could have led to the aggravation of symptoms. Conclusion Therefore, it is essential to include ergonomics in the dental curriculum so as to educate students regarding adoption of healthy postures and subsequently reduce the risk of MSDs. The etiology of musculoskeletal disease is multifactorial and consequently preventive strategies should focus on ergo- nomics, breaks at work, general health and physical exercise. How to cite this article Kumar RV, Anuroopa P, Nalini MS, Savita S. Prevalence of Musculoskeletal Pain and Assessment of Ergonomic Factors in Undergraduate Dental Students: An Observational Study. J Health Sci Res 2014;5(2):1-5.

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