Analysis of the practice and the reasons for under documentation of body mass index and unintentional weight loss in adult hospitalized patients in Indian set up

Background: The present study analyzed the practice of documentation of BMI and history of unintentional weight loss in adult hospitalized patients on admission by the health care staff and the causes for their under documentation. Methods: A cross-sectional study was conducted among 600 healthcare workers, 150 duty medical officers and 450 nurses attending to adult hospitalized patients in both public and private hospitals of Lucknow, U.P., India and nearby districts. Information was collected on the basis of a self-administered questionnaire, on the practice of recording of weight, height, BMI and history of unintentional weight loss in past three months in patient records and also for the reasons for the under-documentation. Results: Only 54.16% of the staff admitted documenting BMI of the patients regularly in their case notes. Similarly, only 60% of the staff documented history of unintentional weight loss in past three months in patient case notes. Documentation was omitted more by nurses as compared to medical officers. The main reasons for under-documentation were work overload and time constraints, lack of training, confusion regarding responsibility and mistaken opinion for malnutrition screening. Conclusions: BMI and weight loss are often not recorded by health staff, more so by nurses. They need to be provided sufficient time to perform nutritional assessment of patient; moreover we should make them competent and delineate roles to them as well as develop a nutrition culture in our health facilities.

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The importance of dysphagia screening and nutritional assessment in hospitalized patients

Einstein (São Paulo) ◽

10.1590/s1679-45082018ao4189 ◽

2018 ◽

Vol 16 (2) ◽

Cited By ~ 5

Author(s):

Patrícia Amaro Andrade ◽

Carolina Araújo dos Santos ◽

Heloísa Helena Firmino ◽

Carla de Oliveira Barbosa Rosa

Keyword(s):

Nutritional Status ◽

Global Assessment ◽

Assessment Tool ◽

Nutritional Assessment ◽

Cross Sectional Study ◽

Hospitalized Patients ◽

The Body ◽

Subjective Global Assessment ◽

Cross Sectional ◽

Knee Height

ABSTRACT Objective: To determine frequency of dysphagia risk and associated factors in hospitalized patients as well as to evaluate nutritional status by using different methods and correlate the status with scores of the Eating Assessment Tool (EAT-10). Methods: This was a cross-sectional study including 909 inpatients of a philanthropic hospital. For the diagnosis of dysphagia we used an adapted and validated Brazilian version of the Eating Assessment Tool (EAT-10). The nutritional status was evaluated through the subjective global assessment, and anthropometric measurements included weight, calf and arm circumference, and knee height. The Mann-Whitney test, associations using the Pearson’s χ2 and Spearman’s correlation were used to verify differences between the groups. Results: The prevalence of dysphagia risk was 10.5%, and aging was the associated factor with this condition. Patients at risk presented lower values of arm and calf circumference, variables that correlated inversely with the Eating Assessment Tool (EAT-10) score. Malnutrition was observed in 13.2% of patients based on the subjective global assessment and in 15.2% based on the Body Mass Index. Conclusion: Screening for dysphagia and malnutrition should be introduced in hospitals routine to avoid or minimize damages caused by dysphagia or malnutrition, especially among older people.

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Nurses' Knowledge and Responsibility toward Nutritional Assessment for Patients in Intensive Care Units

Journal of Health Sciences ◽

10.17532/jhsci.2014.168 ◽

2014 ◽

Vol 4 (2) ◽

pp. 90-96

Author(s):

Mahmoud Al Kalaldeh ◽

Mahmoud Shahein

Keyword(s):

Intensive Care ◽

Nutritional Assessment ◽

Severity Of Illness ◽

Cross Sectional Study ◽

Cross Sectional ◽

Under Nutrition ◽

History Of ◽

History Of Nutrition ◽

And Function ◽

Nurses Knowledge

Introduction: Nutritional assessment is a prerequisite for nutritional delivery. Patients in intensive care suffer from under-nutrition and nutritional failure due to poor assessment. Nursing ability to early detect nutritional failure is the key for minimizing imparities in practice and attaining nutritional goals. Aim of this article is to examine the ability of Jordanian ICU nurses to assess the nutritional status of critically ill patients, considering biophysical and biochemical measures.Methods: This cross sectional study recruited nurses from different health sectors in Jordan. ICU nurses from the governmental sector (two hospitals) and private sectors (two hospitals) were surveyed using a self-administered questionnaire. Nurses' knowledge and responsibility towards nutritional assessment were examined.Results: A total of 220 nurses from both sectors have completed the questionnaire. Nurses were consistent in regard to knowledge, responsibility, and documentation of nutritional assessment. Nurses in the governmental hospitals inappropriately perceived the application of aspiration reduction measures. However, they scored higher in applying physical examination and anthropometric assessment. Although both nurses claimed higher use of biochemical measurements, biophysical measurements were less frequently used. Older nurses with longer clinical experience exhibited better adherence to biophysical measurement than younger nurses.Conclusion: Nursing nutritional assessment is still suboptimal to attain nutritional goals. Assessment of body weight, history of nutrition intake, severity of illness, and function of gastrointestinal tract should be considered over measuring albumin and pre-albumin levels. A well-defined evidence-based protocol as well as a multidisciplinary nutritional team for nutritional assessment is the best to minimize episodes of under-nutrition.

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SARS-CoV-2 Seroprevalence among the Health Care Staff of an Ophthalmological Reference Centre, a Cross Sectional Study

Ophthalmic Epidemiology ◽

10.1080/09286586.2021.1974493 ◽

2021 ◽

pp. 1-8

Author(s):

Fátima Sofía Magaña-Guerrero ◽

Diana Hinojosa Trujillo ◽

Beatriz Buentello-Volante ◽

José Eduardo Aguayo-Flores ◽

Edgar Alonso Melgoza-González ◽

...

Keyword(s):

Health Care ◽

Cross Sectional Study ◽

Care Staff ◽

Health Care Staff ◽

Sectional Study ◽

Cross Sectional ◽

Reference Centre

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Awareness and Perception of Thromboembolism and Thromboprophylaxis among Hospitalized Patients in Jordan

Current Clinical Pharmacology ◽

10.2174/1574884714666190823162055 ◽

2020 ◽

Vol 15 (1) ◽

pp. 72-80

Author(s):

Anan S. Jarab ◽

Sayer Al-Azzam ◽

Rawan Badaineh ◽

Tareq L. Mukattash ◽

Razan Bsoul

Keyword(s):

Educational Level ◽

Cross Sectional Study ◽

Hospitalized Patients ◽

Personal History ◽

High Educational Level ◽

Cross Sectional ◽

Vein Thrombosis ◽

Validated Questionnaire ◽

History Of ◽

Study Participants

Background and Objective: Despite the established importance of thromboprophylaxis in patients with Venous Thromboembolism (VTE), a limited number of studies have assessed the awareness of VTE and thromboprophylaxis therapy among the affected patients. The aim of the current study was to assess awareness and to explore variables associated with awareness about VTE and its thromboprophylaxis. Methods: A cross-sectional study was conducted on hospitalized patients who received thromboprophylaxis (5000 units of heparin subcutaneously (SC) q8-12h, or 30-40 mg of enoxaparin SC once daily). In addition to the sociodemographic variables, awareness and perception of VTE and its thromboprophylaxis were assessed using a validated questionnaire. Multiple logistic regressions were conducted to build a model of variables significantly associated with VTE awareness. Results: A total of 225 patients participated in the study, with only 38.2% and 22.2% of the participants being aware of Deep Vein Thrombosis (DVT) and Pulmonary Embolism (PE) respectively. Logistic regression showed that the participants with low educational level had 3.046 value, with the odds being not aware of DVT or PE compared with participants with high educational level. Participants without a personal history of VTE had 7.374 value, with the odds being not aware of DVT or PE compared with those who had a personal history of VTE. Participants who had a negative perception of VTE had 2.582 value, with the odds being not aware of DVT or PE compared with participants who had a positive perception and those who did not have any information about DVT or PE had 13.727 value, with the odds being not aware of DVT or PE. Conclusion: The findings reveal that there is a lack of awareness about VTE and its thromboprophylaxis among the study participants. Patients with lower educational level and those with no history of previous VTE need awareness improvement about VTE and its thromboprophylaxis. Clinical Pharmacists need to focus on providing information about VTE and improving patients’ perception about VTE and its thromboprophylaxis with the aim of improving the awareness about VTE, and hence the better health outcome.

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Efficiency of emergency services in under developed district of the Punjab, Pakistan

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20182520 ◽

2018 ◽

Vol 5 (7) ◽

pp. 2667

Author(s):

Mariam Sughra ◽

Farwa Fatima ◽

Mouzma Marrium ◽

Khizer Abbas

Keyword(s):

Emergency Department ◽

Emergency Services ◽

National Health System ◽

Cross Sectional Study ◽

Care Staff ◽

Health Care Staff ◽

Cross Sectional ◽

Medical Treatment Facility ◽

Health Need ◽

First Contact

Background: An emergency department or emergency room is a medical treatment facility specializing in emergency medicine, the acute care of patients who present without any prior appointment either by their own means or by that of an ambulance. The main objective of this study was to determine the efficiency of emergency service in Shaykh Zayed Hospital Rahim Yar Khan, Pakistan.Methods: This cross sectional study was carried out in the Emergency Department of Shaykh Zayed Hospital Rahim Yar Khan, Pakistan, from 05-06-2017 to 04-11-2017. A total of 139 subjects were involved in the study. Patients attending Emergency Department of Shaykh Zayed Hospital Rahim Yar Khan, Pakistan were included. Patients were observed and followed silently through their stay in the Emergency Department. All the data taken was entered in predesigned perform.Results: In the Emergency Department, among all the patients, 25.9% came with GIT complaints and only 3.6% had eye, ENT and Dental issues. About 48.2% of the patients had the first contact within 4 minutes. This study shows that the treatment of 49.7% patients started within 10 minutes after entering the emergency however for only 3.5% of the patients it took more than 25 minutes to start the treatment. About 42.4% of all the patients left the emergency after treatment within 20 minutes.Conclusions: Emergency medical services are a critical component of national health system in developing countries. Governments and ministries of health need to pay specific attention to develop emergency services and also to increase the health care staff.

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Nutritional Status of Lebanese Hospitalized Patients With Chronic Disease: A Cross-Sectional Study

Hospital Pharmacy ◽

10.1177/0018578719867664 ◽

2019 ◽

pp. 001857871986766

Author(s):

Georges Choueiry ◽

Nour Fattouh ◽

Rabih Hallit ◽

Francois Kazour ◽

Souheil Hallit ◽

...

Keyword(s):

Chronic Disease ◽

High Risk ◽

Nutritional Status ◽

Nutritional Assessment ◽

Mini Nutritional Assessment ◽

Cross Sectional Study ◽

Hospitalized Patients ◽

Tree Model ◽

Cross Sectional ◽

Poor Nutritional Status

Background: In a hospitalized setting, malnutrition is known to increase patient’s mortality and lower the quality of life; therefore, it is essential to detect such cases and intervene at the earliest possible. The goal of this study is to estimate the rate of malnutrition in hospitalized Lebanese patients, explore its association with different factors, and create a simple tool to detect patients at high risk of malnutrition. Methods: One hundred and fifty Lebanese hospitalized patients, suffering at least from one chronic disease, were randomly chosen from Centre Hospitalier Universitaire Notre Dame de Secours (CHU-NDS) hospital. The Mini Nutritional Assessment (MNA) score was used to assess nutritional status. Results: A total of 34.7% of patients in our sample were at risk of malnutrition and 9.3% were malnourished. A higher risk of malnutrition was found in patients with a low body mass index, who were physically inactive or admitted to the hospital more than once in the past 6 months. The nutritional status was not associated with certain chronic diseases more than others. We designed a simple decision tree model based only on 3 questions to detect patients at high risk of malnutrition/malnourished. This tool has a sensitivity of 62% and a specificity of 77%. Conclusion: The prevalence found in our study was comparable with previous data. However, factors associated with poor nutritional status were somewhat different. Further studies are needed to validate our screening tool and to examine the effect of specific diseases on malnutrition on a larger scale.

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SAFETY OF HYDROXYCHLOROQUINE FOR COVID-19 PROPHYLAXIS AMONG HEALTHCARE WORKERS: AN OBSERVATIONAL STUDY

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2020.v13i11.39150 ◽

2020 ◽

pp. 55-57

Author(s):

SANGEETA KHANNA ◽

NITUL M BEWAL ◽

AMIT ARORA ◽

KRISHNA PRASAD G V

Keyword(s):

Health Care ◽

Adverse Effects ◽

Healthcare Workers ◽

Cross Sectional Study ◽

Care Staff ◽

Health Care Staff ◽

Online Questionnaire ◽

Cross Sectional ◽

Systemic Examination ◽

Harmful Effects

Objective: Indian Council of Medical Research recommended hydroxychloroquine (HCQ) for prophylaxis of COVID‐19 for healthcare workers and the Food and Drug Administration approved its use in the treatment and prophylaxis of COVID‐19 disease. Even though HCQ is adequately tolerated in usual circumstances, still questions about the harmful effects of the drug remain a cause for concern in adults treated with HCQ. The objective of this study was to evaluate the major and minor adverse effects of prophylactic HCQ for COVID-19 among healthcare workers. Methods: Our analysis was intended to analyze HCQ’s adverse drug reaction profile for COVID‐19 prophylaxis in prophylactic doses in health-care staff. This was a cross-sectional study carried out among healthcare workers taking HCQ prophylaxis for COVID‑19. The study was carried out over 08 weeks period from April to May 2020. The data were obtained regarding age, sex, comorbidities, and possible adverse effects. A pretested and validated online questionnaire was provided to the participants to assess the harmful effects that they experienced when taking HCQ. Furthermore, pre and post 8 weeks prophylaxis, individuals underwent general and systemic examination, along with ECG and blood sugar level monitoring. Results: The research group comprised 70 previously healthy and health-care staff. In 70 patients, 27 minor adverse effects were reported (18.9%). Headache was the most frequently reported symptoms followed by nausea and vomiting, itching, and skin rashes. There was no statistically relevant variation in harmful effects due to age or number of doses administered. However, none of the adverse effects was serious or debilitating. Conclusion: With adequate pre-prophylaxis evaluation, health education, and regular monitoring, HCQ prophylaxis is safe and devoid of any serious adverse effects in previously healthy individuals.

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Risk factors for work‐related stress and subjective hardship in health‐care staff in nursing homes for the elderly: A cross‐sectional study

Journal of Occupational Health ◽

10.1539/joh.14-0090-oa ◽

2015 ◽

Vol 57 (3) ◽

pp. 285-296 ◽

Cited By ~ 7

Author(s):

Carole Pélissier ◽

Michel Vohito ◽

Emmanuel Fort ◽

Brigitte Sellier ◽

Jean Pierre Agard ◽

...

Keyword(s):

Risk Factors ◽

The Elderly ◽

Cross Sectional Study ◽

Care Staff ◽

Health Care Staff ◽

Sectional Study ◽

Cross Sectional ◽

Work Related ◽

Homes For The Elderly ◽

Related Stress

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The Demographic and Clinical Characteristics of Ulcerative Colitis in a Northeast Brazilian Population

BioMed Research International ◽

10.1155/2015/359130 ◽

2015 ◽

Vol 2015 ◽

pp. 1-8 ◽

Cited By ~ 8

Author(s):

Bruno César da Silva ◽

Andre Castro Lyra ◽

Carlos Maurício Cardeal Mendes ◽

Camila Paula Oliveira Ribeiro ◽

Sonyara Rauedys Oliveira Lisboa ◽

...

Keyword(s):

Weight Loss ◽

Family History ◽

Steroid Therapy ◽

Cross Sectional Study ◽

Immunosuppressive Drugs ◽

Age At Diagnosis ◽

Cross Sectional ◽

Younger Age ◽

History Of ◽

Rural Patients

Introduction. The purpose of this study was to describe the clinical and demographic characteristics of UC in Bahia, a Brazilian state, and to identify the variables associated with extensive colitis, steroid therapy, immunosuppression, and colectomy.Methods. In this cross-sectional study UC patients were interviewed, and additional information was collected from the medical records. Descriptive statistics and multivariate Poisson regression analysis were used.Results. This study included 267 individuals, the mean age of whom was 39.4 years at diagnosis. There was a predominance of females and left-side colitis. Extensive colitis was positively associated with male gender, diarrhea, weight loss, and a younger age at diagnosis. In contrast, active smoking and a family history of IBD were negatively associated with extensive colitis. Positive associations were observed between steroid therapy and diarrhea, weight loss, urban patients, extraintestinal manifestations (EIMs), and hospitalization. Younger age and weight loss at diagnosis, a family history of IBD, extensive colitis, EIMs, hospitalization, and steroid therapy were all positively associated with immunosuppression. In contrast, Caucasian individuals, smokers, patients with rectal bleeding, and rural patients areas were all observed to have a decreased likelihood of immunosuppression.Conclusions. Our results corroborate the association between higher prevalence of extensive colitis and younger age at diagnosis. An association between steroid therapy and clinical presentation at diagnosis was observed. The observation that white individuals and rural patients use less immunosuppressive drugs highlights the need to study the influence of environmental and genetic factors on the behavior of UC in this population.

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