scholarly journals Factors associated with mechanical restraint in the hospital environment: a cross-sectional study

2019 ◽  
Vol 53 ◽  
Author(s):  
Lívia Maria da Silva Souza ◽  
Rosimere Ferreira Santana ◽  
Cristiane da Silva Gabriel Capeletto ◽  
Arianna Kassiadou Menezes ◽  
Romulo Delvalle
Keyword(s):  
Cross Sectional Study ◽  
Hospital Environment ◽  
Cross Sectional ◽  
Evaluation Team ◽  
Sedative Medication ◽  
Mechanical Restraint ◽  
Factors Associated ◽  
Depth Analysis ◽  
Risk Of Falls ◽  
Surgical Clinic

ABSTRACT Objective: To estimate the prevalence of mechanical restraint in the hospital environment and the factors associated with its performance. Method: A cross-sectional, observational study with patients from a public hospital from the medical clinic, surgical clinic and intensive care unit evaluated by descriptive, univariate and multivariate analyses. Results: One hundred eleven (111) patients participated in the study. The prevalence of mechanical restraint was 51.4%; bilateral rails on the bed were used in 100% of the restraints, and bilateral wrist restraints were also observed in 29.8%. The most common justifications were the risk of falls (100.0%) and the risk of non-scheduled removal of invasive devices (57.9%). The restrained patients differ significantly from those not restrained by the following associated factors: male gender; age; stroke diagnosis; the hospitalization unit; ambulation capacity; the use of sedative medication; and the use of invasive devices. Conclusion: This study estimated a high mechanical restraint prevalence in the hospital environment and determined factors associated with the risk of a patient being restrained. A medical restraint evaluation team is recommended for an in-depth analysis of indication and therapy.

scholarly journals Mechanical Restraint in Nursing Homes in Brazil: a cross-sectional study

2020 ◽  
Vol 73 (suppl 3) ◽  
Author(s):  
Romulo Delvalle ◽  
Rosimere Ferreira Santana ◽  
Ariana Kassiadou Menezes ◽  
Keila Mara Cassiano ◽  
Ana Carolina Siqueira de Carvalho ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Cross Sectional Study ◽  
International Studies ◽  
Sectional Study ◽  
Cross Sectional ◽  
Mechanical Restraint ◽  
Alternative Interventions ◽  
Factors Associated ◽  
Restraint Use ◽  
Risk Of Falls

ABSTRACT Objective: to estimate the mechanical restraint prevalence in Nursing Homes in Brazil and the factors associated with its performance. Methods: this cross-sectional study was carried out in 14 institutions, with a final sample of 443 elderly people. Mechanical restraint was considered as a dependent variable. Results: there was a 7.45% prevalence of mechanical restraint considering bed rails and 3.84% without considering bed rails. Main justification for restraint use was risk of falls (66.7%), and restraint duration was 24 hours (84.8%). The factors associated with the dependent variable were: wandering (p=0.000); MMSE, with cognitive loss (p=0.000); Katz Index, with dependence for Activities of Daily Living (p=0.000); and Alzheimer’s comorbidity (p=0.001) Conclusion: prevalence was lower than international studies, but there was an association with worsening of wandering, dependence, cognitive worsening, and Alzheimer’s Disease, showing the need for alternative interventions to mechanical restraint.

scholarly journals Prevalence and factors associated with incidents related to medication in surgical patients

2014 ◽  
Vol 48 (1) ◽  
pp. 41-47 ◽  
Author(s):  
Thatianny Tanferri de Brito Paranaguá ◽  
Ana Lúcia Queiroz Bezerra ◽  
Andressa Luanna Moreira dos Santos ◽  
Ana Elisa Bauer de Camargo Silva
Keyword(s):  
Multivariate Analysis ◽  
Medical Records ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Surgical Patients ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Surgical Clinic ◽  
Length Of Hospitalization

The aim of this study was to estimate the prevalence and factors associated with the occurrence of incidents related to medication, registered in the medical records of patients admitted to a Surgical Clinic, in 2010. This is a cross-sectional study, conducted at a university hospital, with a sample of 735 hospitalizations. Was performed the categorization of types of incidents, multivariate analysis of regression logistic and calculated the prevalence. The prevalence of drug-related incidents was estimated at 48.0% and were identified, as factors related to the occurrence of these incidents: length of hospitalization more than four days, prescribed three or more medications per day and realization of surgery intervention. It is expected to have contributed for the professionals and area managers can identify risky situations and rethink their actions.

scholarly journals Children and adolescents on hemodialysis: attributes associated with quality of life

2014 ◽  
Vol 48 (4) ◽  
pp. 602-609 ◽  
Author(s):  
Isabella Schroeder Abreu ◽  
Maria Fernanda Cabral Kourrouski ◽  
Danielle Maria de Souza Serio dos Santos ◽  
Monika Bullinger ◽  
Lucila Castanheira Nascimento ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Medical Records ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Surgical Clinic ◽  
Length Of Hospitalization


The aim of this study was to estimate the prevalence and factors associated with the occurrence of incidents related to medication, registered in the medical records of patients admitted to a Surgical Clinic, in 2010. This is a cross-sectional study, conducted at a university hospital, with a sample of 735 hospitalizations. Was performed the categorization of types of incidents, multivariate analysis of regression logistic and calculated the prevalence. The prevalence of drug-related incidents was estimated at 48.0% and were identified, as factors related to the occurrence of these incidents: length of hospitalization more than four days, prescribed three or more medications per day and realization of surgery intervention. It is expected to have contributed for the professionals and area managers can identify risky situations and rethink their actions.


scholarly journals Factors related to sarcopenia and functional capacity in institutionalized elderly

Rev Rene ◽  
2020 ◽  
Vol 21 ◽  
pp. e43864
Author(s):  
Marilia Braga Marques ◽  
Janaína Fonseca Victor Coutinho ◽  
Caroline Ribeiro Sousa ◽  
Joana Maria Rocha Sales ◽  
Maria Lucimar Castro de Brito ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Functional Capacity ◽  
Disease Risk ◽  
Cross Sectional Study ◽  
Timed Up And Go ◽  
Cross Sectional ◽  
Institutionalized Elderly ◽  
Factors Associated ◽  
Risk Of Falls

Objective: to analyze factors related to sarcopenia and functional capacity of institutionalized elderly. Methods: descriptive, correlational, cross-sectional study, with 92 elderly people, in four long-term institutions. For data collection, a socioeconomic and clinical form, Mini Mental State Examination, Barthel Index and Timed Up and Go test were applied. In the analysis, the chi-square and Fisher’s exact tests were adopted. Results: it was identified that 68 (73.9%) had probable sarcopenia, 7 (7.6%) sarcopenia and 11 (12.0%) severe sarcopenia. The factors associated with sarcopenia were education (p=0.017), risk of falls (p=0.000) and chronic kidney disease (p=0.040). As for functional capacity, 49 (53.3%) had mild dependence, 40 (43.5%) moderate and 3 (3.3%) severe. The factors associated with functional capacity were risk of falls (p=0.010), polypharmacy (p=0.017) and education (p=0.019). Conclusion: it was found that education, polypharmacy, chronic kidney disease, risk of falls, falls and sarcopenia can influence the functional capacity of institutionalized elderly.

Etiologies, Clinical Manifestations, and Factors Associated with Severe Symptomatic Hyponatremia among Hospitalized Hyponatremia Patients

2020 ◽  
Vol 103 (5) ◽  
pp. 465-471
Keyword(s):  
Clinical Manifestations ◽  
Cross Sectional Study ◽  
Hospitalized Patients ◽  
Sectional Study ◽  
Close Attention ◽  
Cross Sectional ◽  
Factors Associated ◽  
Present Cross Sectional Study ◽  
Important Health ◽  
Baseline Characteristics

Background: Hyponatremia is associated with unfavorable outcomes in many cases. The mainstay of hyponatremia treatment depends on its symptoms and etiology. However, etiologies, clinical manifestations, and factors associated with severe symptomatic hyponatremia have been rarely reported. Objective: To analyze and report etiologies, clinical manifestations, and factors associated with severe symptomatic hyponatremia. Materials and Methods: In the present cross-sectional study, the authors enrolled hospitalized patients with hyponatremia who had consulted a nephrologist between October 1, 2017, and October 31, 2018. Their baseline characteristics and clinical manifestations were recorded. Etiologies were confirmed by the attending nephrology staff. Factors associated with severe symptomatic hyponatremia were evaluated using logistic regression analysis. Results: One hundred patients were included in this study. The syndrome of inappropriate antidiuresis (SIAD), hypovolemia, and hydrochlorothiazide use were the leading hyponatremia etiologies. Hyponatremia etiologies differed between patients with community-acquired hyponatremia (n=50) and those with hospital-associated hyponatremia (n=50). Patients with communityacquired hyponatremia were older, presented with a higher frequency of severe symptomatic hyponatremia, and showed lower SNa-levels. Low SNa-levels were significantly associated with severe symptomatic hyponatremia (p=0.014). Conclusion: Hyponatremia remains an important health problem. SIAD, hypovolemia, and hydrochlorothiazide use are among the leading etiologies of hyponatremia. Low SNa-levels are associated with severe symptomatic hyponatremia; thus, physicians should pay close attention to low SNa-levels in hospitalized patients. Keywords: Hyponatremia, Symptomatic Hyponatremia, Community-acquired hyponatremia, Hospital-associated hyponatremia

Characteristics and risk factors associated with stroke subtypes among adult patients admitted to stroke unit of JUMC

2019 ◽  
Vol 15 ◽  
Author(s):  
Bekalu Getachew Gebreegziabher ◽  
Tesema Etefa Birhanu ◽  
Diriba Dereje Olana ◽  
Behailu Terefe Tesfaye
Keyword(s):  
Risk Factors ◽  
Stroke Unit ◽  
Medical Center ◽  
Data Entry ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Factors Associated ◽  
Stroke Subtypes

Background: Stroke is a great public health problem in Ethiopia. According to reports, in-hospital stroke mortality was estimated to be 14.7% in Ethiopia. Despite this, in this country researches done on factors associated with stroke sub-types were inadequate. Objective: To assess the Characteristics and risk factors associated with stroke sub-types among patients admitted to JUMC. Methods and materials: A retrospective cross sectional study was conducted from May 2017 to May 2018 in stroke unit of Jimma University Medical Center. A total of 106 medical charts of patients diagnosed with stroke were reviewed. Checklist comprising of relevant variables was used to collect data. SPSS version 21 was employed for data entry and analysis. Chi-square test was used to point-out association and difference among stroke sub-types. The data was presented using text, tables and figures. Result: From a total of 106 patients, 67(63.2%) were men. The mean ± SD of age was 52.67±12.46 years, and no significant association was found. Of all the patients, 59(55.6%) had ischemic strokes and 47(44.4%) had hemorrhagic strokes. The most common risk factor in the patients was alcohol use with a prevalence of 69.9%. Of all the risk factors, only sex, cigarettes smoking and dyslipidemia were significantly associated to sub-types of stroke. Conclusion: Ischemic stroke was the most common subtype of stroke. Sex of patient, cigarette smoking and dyslipidemia are significantly associated with the two stroke subtypes.

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