Oxygen saturations of medical inpatients in a Malawian hospital: cross-sectional study of oxygen supply and demand

INTRODUCTION: Coronovirus disease(COVID-19)rapidly spread worldwide after its first report in December 2019,in China.This spread drastically reduced the number of blood donations,thereby creating a shortage at blood banks in the whole world.Turkish Red Crescent(TRC) is the only legal authority that organizes collection,production,storage and distribution of blood and blood components in Turkey.Only in case of emergencyTRC gives permanent permission to hospitals;for collecting blood and producing its components through their own transfusion centers.This report describes how theCOVID-19 impacted blood supplies ofTRC and hospital demands in Turkey with an aim to improve the management of blood supply and demand during theCOVID-19 and future pandemics. METHODS: A cross-sectional study was conducted for a period of nine months;from November 1,2019 to July 31,2020.Data were retrospectively obtained from donor attendance and blood inventory records ofTRC and included;1)the number of donated units of apheresis platelet concentrates(APC) and blood toTRC,2)the number of units ofAPC and erythrocyte suspensions(ES) supplied by the hospitals themselves,3)the number of units of APC andES supplied to hospitals by TRC(APCHandESH).The periods before(first period) and after(third period)arrival of COVID-19 to Turkey are compared. RESULTS: An increase of 52%in the number of APCdonations,but a decrease of 22% in the number of blood donations(NBD) were detected in the third period compared to the first one.Mean APCH were 7081±550 and5121±255 units in the first and third periods,respectively.The mean ESH in the first period was 873±326 units,while it was3694±3143 units in the third period. DISCUSSION AND CONCLUSION: It is obvious that we have learnt many lessons from theCOVID-19 pandemic,like how to face challenges in maintaining the balance between blood demandandblood supply.Utilizing media to encourage donors and implementation of PatientBloodManagement on national and institutional levels may be some some of the key components of a comprehensive strategy.The collaboration ofMinistry of Health,TRC and hospitalswassuccessful in securing a balance between blood supply and demand in Turkey,which COVID-19 pandemic impacted significantly.

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Prevalence and factors associated with chronic kidney disease among medical inpatients at the Kenyatta National Hospital, Kenya, 2018: a cross-sectional study

Pan African Medical Journal ◽

10.11604/pamj.2019.33.321.18114 ◽

2019 ◽

Vol 33 ◽

Cited By ~ 1

Author(s):

Valerian Mwenda ◽

Jane Githuku ◽

Gladwell Gathecha ◽

Benjamin Maranga Wambugu ◽

Zeinab Gura Roka ◽

...

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Cross Sectional Study ◽

Sectional Study ◽

National Hospital ◽

Cross Sectional ◽

Factors Associated ◽

Kenyatta National Hospital ◽

Medical Inpatients

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Prevalence of mental incapacity in medical inpatients and associated risk factors: cross-sectional study

The Lancet ◽

10.1016/s0140-6736(04)17224-3 ◽

2004 ◽

Vol 364 (9443) ◽

pp. 1421-1427 ◽

Cited By ~ 231

Author(s):

Vanessa Raymont ◽

William Bingley ◽

Alec Buchanan ◽

Anthony S David ◽

Peter Hayward ◽

...

Keyword(s):

Risk Factors ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Medical Inpatients ◽

Associated Risk Factors

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Usage of unscheduled hospital care by homeless individuals in Dublin, Ireland: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2017-016420 ◽

2017 ◽

Vol 7 (11) ◽

pp. e016420 ◽

Cited By ~ 15

Author(s):

Clíona Ní Cheallaigh ◽

Sarah Cullivan ◽

Jess Sears ◽

Ann Marie Lawlee ◽

Joe Browne ◽

...

Keyword(s):

Electronic Patient Record ◽

Significant Proportion ◽

Homeless People ◽

Cross Sectional Study ◽

Patient Record ◽

Secondary Outcome ◽

Sectional Study ◽

Cross Sectional ◽

Medical Inpatients ◽

Bed Days

ObjectivesHomeless people lack a secure, stable place to live and experience higher rates of serious illness than the housed population. Studies, mainly from the USA, have reported increased use of unscheduled healthcare by homeless individuals.We sought to compare the use of unscheduled emergency department (ED) and inpatient care between housed and homeless hospital patients in a high-income European setting in Dublin, Ireland.SettingA large university teaching hospital serving the south inner city in Dublin, Ireland. Patient data are collected on an electronic patient record within the hospital.ParticipantsWe carried out an observational cross-sectional study using data on all ED visits (n=47 174) and all unscheduled admissions under the general medical take (n=7031) in 2015.Primary and secondary outcome measuresThe address field of the hospital’s electronic patient record was used to identify patients living in emergency accommodation or rough sleeping (hereafter referred to as homeless). Data on demographic details, length of stay and diagnoses were extracted.ResultsIn comparison with housed individuals in the hospital catchment area, homeless individuals had higher rates of ED attendance (0.16 attendances per person/annum vs 3.0 attendances per person/annum, respectively) and inpatient bed days (0.3 vs 4.4 bed days/person/annum). The rate of leaving ED before assessment was higher in homeless individuals (40% of ED attendances vs 15% of ED attendances in housed individuals). The mean age of homeless medical inpatients was 44.19 years (95% CI 42.98 to 45.40), whereas that of housed patients was 61.20 years (95% CI 60.72 to 61.68). Homeless patients were more likely to terminate an inpatient admission against medical advice (15% of admissions vs 2% of admissions in homeless individuals).ConclusionHomeless patients represent a significant proportion of ED attendees and medical inpatients. In contrast to housed patients, the bulk of usage of unscheduled care by homeless people occurs in individuals aged 25–65 years.

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Nursing discharge planning for older medical inpatients in Switzerland: A cross-sectional study

Geriatric Nursing ◽

10.1016/j.gerinurse.2015.07.002 ◽

2015 ◽

Vol 36 (6) ◽

pp. 451-457 ◽

Cited By ~ 7

Author(s):

Cedric Mabire ◽

Christophe Büla ◽

Diane Morin ◽

Celine Goulet

Keyword(s):

Discharge Planning ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Medical Inpatients

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Self-medication and the “infodemic” during mandatory preventive isolation due to the COVID-19 pandemic. v1

10.17504/protocols.io.by43pyyn ◽

2021 ◽

Author(s):

Jorge Machado Alba

Keyword(s):

Social Networks ◽

Nervous System ◽

Online Survey ◽

Supply And Demand ◽

Cross Sectional Study ◽

Sectional Study ◽

Self Medication ◽

Cross Sectional ◽

Source Of Information ◽

Systematic Data Collection

Aim: Quarantine due to the COVID-19 pandemic altered the supply and demand of health services. This, together with the “infodemic” and generalized panic, could alter the patterns of self-medication in the population. The objective was tocharacterize the patterns of self-medication in four municipalities of Colombia during mandatory preventive isolation in 2020. Methods: This was a cross-sectional study done in the municipality of Pereira and its metropolitan area during mandatory national preventive isolation between June and September 2020. A sample of 397 adults who responded to an online survey, based on the Instrument for Systematic Data Collection for Self-medication (Instrumento de Recolección Sistemática de Datos para la Automedicación - IRIS-AM), was obtained. The use of social networks (including WhatsApp) as the source of information about medications was explored. Results: The 397 people surveyed had a median age of 31.0 years, and 58.2% were women. The prevalence of self-medication during lockdown was 34.3% (n=136). Medications targeting the nervous system (n=117; 86.0% of those participants with self-medication) and the musculoskeletal system (n=68; 50.0%) were the most commonly used. Ten (7.4%) of the self-medicated patients reported doing so to prevent COVID-19, and 15 (11.0%) named social networks as the source of information. Conclusions: More than one-third of the participants reported self-medication during COVID-19 lockdown, mainly with analgesic-type nervous system medications. People who reported self-medication to prevent COVID-19 often got their information from social networks, the internet, and WhatsApp.

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