The Analysis for the Causes of Surgical Cancellations in a Brazilian University Hospital

Background: The aim of our study is to quantify the occurrence of suspension of scheduled surgeries in a Brazilian university hospital, trying to identify the causes of suspension of these operations and meet the medical specialties that most contributed to the cancellation. Methods: This study takes the form of an exploratory, descriptive, and quantitative enquiry carried out by analyzing the database from 2008 to 2011 of the operating theater. Results: Of the 29,518 scheduled surgeries, 16.1% were cancelled. The patient was the main reason, accounting for more than 40% of all suspensions. When calculating the rate of surgery suspended from a specialty, dividing the number of cancelled surgeries in a specialty by the number of scheduled surgeries in the same, we found that otolaryngology is the specialty with the highest rate of 21.3%. Conclusions: One of the main reasons in our sample why surgeries were cancelled is nonappearance of the patient. Improving communication between patient and hospital facilitates the client program and also contributes to avoid cancellations.

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Knowledge and attitudes towards dementia in a sample of medical residents from a university-hospital in São Paulo, Brazil

Dementia & Neuropsychologia ◽

10.1590/s1980-57642016dn10100007 ◽

2016 ◽

Vol 10 (1) ◽

pp. 37-41 ◽

Cited By ~ 5

Author(s):

Alessandro Ferrari Jacinto ◽

Paulo José Fortes Villas Boas ◽

Vânia Ferreira de Sá Mayoral ◽

Vanessa de Albuquerque Citero

Keyword(s):

Descriptive Analysis ◽

Sao Paulo ◽

University Hospital ◽

Medical Residents ◽

Good Knowledge ◽

Public Healthcare ◽

São Paulo ◽

Medical Specialties ◽

Dementia Prevalence ◽

Knowledge And Attitudes

An estimated 61% of the 24.3 million people diagnosed with dementia worldwide live in underdeveloped countries, including Brazil, where a public healthcare system covers the majority of the population. This care is usually provided by General Practitioners (GP) and in Brazil many doctors recently graduated from medical school and residents of different medical specialties practice as GPs. Objective : The aim of this study was to describe the knowledge and attitudes about dementia in a sample of Brazilian medical residents from a university-hospital in São Paulo, Brazil. Methods : A total of 152 Brazilian medical residents participated in the study. Participants answered a "Knowledge Quiz" (KQ) and "Attitude Quiz" (AQ) about dementia issues, transculturally adapted for use in Brazilian physicians. A descriptive analysis of the correct answers on knowledge and of the attitude aspects was performed. Results : The medical residents showed poor knowledge (<50%) about dementia prevalence and incidence and a good knowledge on disease management and diagnosis. Participants tended to be optimistic about caring for demented patients. Conclusion : In this study, it is likely that the physicians' good knowledge about dementia issues is the reason for their optimism dealing with demented patients.

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Clinical and Epidemiological Characterization of Neurological Consults: When a Neurological Evaluation Is Requested

The Neurohospitalist ◽

10.1177/1941874420972305 ◽

2020 ◽

pp. 194187442097230

Author(s):

Karin Mitiyo Corrêa ◽

Flávio Moura de Rezende Filho ◽

Fabiano Ferreira Abrantes ◽

João Brainer Clares de Andrade ◽

Orlando G. P. Barsottini ◽

...

Keyword(s):

Care Delivery ◽

Hospital Setting ◽

University Hospital ◽

Neurological Manifestations ◽

Model Of Care ◽

Medical Specialties ◽

Level Of Consciousness ◽

Consultation Request

Background and Objectives: Medical consultation by a specialist physician consists of an evaluation to review diagnosis and management of patients with some neurological conditions referred from other specialty wards. This mode of care delivery has gained relevance in the field of neurology and adequate training on it is valuable, allowing neurologists to provide state-of-the-art management to patients with neurological manifestations. The present study aimed to characterize neurology consults and to discuss the roles of the neurologist within a hospital setting. Methods: A prospective analysis of neurological consultations provided to inpatients of a university hospital in São Paulo, Brazil, was performed from September 2016 to September 2017. These patients were followed by the principal investigator, who was not involved in their care. Results: We evaluated data from 117 female and 106 male inpatients with a mean age of 53.8 ± 2.4. The medical specialties that most frequently requested neurological consultations were Internal Medicine (17%), Cardiology (11.2%) and Pulmonology (9.4%). The main reasons for a neurology consultation request were seizures (15.6%); decreased level of consciousness (8.9%) and confusion (7.1%). The most frequent diagnosis in patients receiving a neurology consult were stroke (10.2%); hypoxic-ischemic encephalopathy (5.3%) and sepsis (2.2%). Conclusion: Our findings show the growing importance of the role of neurologists within hospital settings as many medical conditions present with neurological manifestations and the significance of the neurohospitalist model of care.

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PD61 HTA Regional Network In The Central Region Of Brazil: Survey In 2016

International Journal of Technology Assessment in Health Care ◽

10.1017/s0266462318003239 ◽

2018 ◽

Vol 34 (S1) ◽

pp. 152-152

Author(s):

Flavia Tavares Silva Elias ◽

Juliana da Motta Girardi ◽

Rafael Moraes ◽

Fabio Amorim ◽

Ana Carolina Pereira ◽

...

Keyword(s):

Public Health ◽

Health System ◽

Public Health System ◽

Federal District ◽

Decision Makers ◽

University Hospital ◽

Online Questionnaire ◽

Questionnaire Response ◽

Medical Specialties ◽

The Public

Introduction:The Federal District in Brazil has about 2.9 million inhabitants and the public health system is focused on medical specialties, with one university hospital and twenty regional hospitals. This ecosystem is favorable for fostering health technology assessment (HTA) to improve the efficiency and effectiveness of health care. The objective was to identify institutions that could form a HTA network to support decision-oriented evidence in the public health system.Methods:Stakeholders from the hospitals and training/research institutions in the Federal District were surveyed. An online questionnaire (Google Docs) was developed to identify the potential and capacity of institutions to analyze or produce clinical and economic evidence. Two HTA seminars were held to spread knowledge about HTA and to encourage stakeholders to complete the survey.Results:The questionnaire response rate was thirty-five percent (25/70). Fifteen institutions were cited by the respondents as having the potential to build a HTA network. Twelve of the institutions produced rapid reviews and clinical guidelines, but only three of these had an organized priority setting process or produced assessments at the request of the hospital manager. The challenges identified were training and willingness of decision makers to organize HTA units in the hospitals.Conclusions:An executive group was created which defined a strategy to support the implementation of HTA units as part of the HTA National Network (REBRATS). A regulation proposal was also created to encourage decision makers to activate a HTA network in the Federal District.

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A Multivariate Analysis of Risk Factors for Acquiring Bacteriuria in Patients With Indwelling Urinary Catheters for Longer Than 24 Hours

Infection Control ◽

10.1017/s019594170006104x ◽

1984 ◽

Vol 5 (11) ◽

pp. 525-532 ◽

Cited By ~ 67

Author(s):

Mervyn Shapiro ◽

Elisheva Simchen ◽

Shai Izraeli ◽

Theodore G. Sacks

Keyword(s):

Risk Factors ◽

Multivariate Analysis ◽

Ethnic Origin ◽

University Hospital ◽

Urinary Catheters ◽

Operating Theater ◽

Output Measurement ◽

Prolonged Duration ◽

Daily Risk ◽

Systemic Antibiotics

AbstractData related to risk factors for catheter-acquired bacteriuria were collected prospectively on 112 patients consecutively catheterized for >24 hours at the Hadassah University Hospital. Logistic regression analysis indicated that factors independently associated (p≤0.05) with a higher risk of catheter-acquired bacteriuria were as follows: hospitalization in orthopedics or urology, ethnic origin (Arabs > Jews), insertion of a catheter after the sixth day of hospitalization, catheterization outside the operating theaters, lack of administration of systemic antibiotics, unsatisfactory catheter care, and prolonged duration (≥7 days) of catheterization before infection occurred. The risk associated with catheterization outside the operating theater could be explained by its correlate, that is, catheterization for incontinence/obstruction as opposed to output measurement. Life-table analyses demonstrated that the daily risk for acquiring bacteriuria during the first six days of catheterization was higher among patients ultimately catheterized for ≥7 days than among those ultimately catheterized for < 7 days (P<0.05).

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Prevalence of depressive symptoms among inpatients at the university hospital of Sergipe, Brazil

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.625 ◽

2017 ◽

Vol 41 (S1) ◽

pp. s499-s500

Author(s):

J. Oliveira ◽

M. Machado ◽

E. Cunha ◽

K.M. Mansilla ◽

E. Vieira Melo ◽

...

Keyword(s):

Logistic Regression ◽

Depressive Symptoms ◽

Early Identification ◽

Medical Training ◽

Cross Sectional Study ◽

University Hospital ◽

Liaison Psychiatry ◽

Cross Sectional ◽

Medical Specialties ◽

The University

IntroductionDepressive Symptoms (DS) generate a public and economic health problem, with decreasing productivity, labour market withdrawal and increased demand for health services. Studies show that in hospitalized patients, DS rates are higher than in the general population, in medical practice, however, they are under diagnosed or under-treated. Consultation Liaison Psychiatry (LP) can prevent aggravation of the psychic symptoms by early identification of them and by integration of psychiatry with the other medical specialties.ObjectivesTo estimate the prevalence of DS and associated factors in inpatients and the frequency of consultation LP.MethodsA cross-sectional study was carried out in March 2016, with 87 patients hospitalized in the clinical and surgical wards at the University Hospital (Sergipe/BR), through two instruments: (1) Structured Questionnaire prepared by the authors, (2) Beck Depression Inventory (BDI). Data analysis through descriptive and analytical statistics with final step of logistic regression.ResultsThe prevalence of DS were 54%, of which 24% correspond to moderate and severe symptoms, and only 3.4% of the patients had a LP. In Logistic Regression, the only factor associated with DS was the reason for hospitalization. Clinical causes (87.2%) were 9.24 times more likely to develop DS than surgical causes.ConclusionsResults suggest a high prevalence of inpatients with some psychic symptom. Physicians did not detect these symptoms and, therefore, LP request was low. These data reinforce the importance of LP for early identification of DS that should be stimulated during medical training.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Have ignorance and abuse of authorship criteria decreased over the past 15 years?

Journal of Medical Ethics ◽

10.1136/medethics-2019-105737 ◽

2019 ◽

Vol 46 (4) ◽

pp. 255-258 ◽

Cited By ~ 2

Author(s):

Evelyne Decullier ◽

Hervé Maisonneuve

Keyword(s):

Research Process ◽

International Committee ◽

University Hospital ◽

Medical Specialties ◽

Publish Or Perish ◽

Telephone Interviews ◽

The Past ◽

Interview Guide ◽

High Prevalence ◽

The One

ObjectiveA high prevalence of authorship problems can have a severe impact on the integrity of the research process. We evaluated the authorship practices of clinicians from the same university hospital in 2019 to compare them with our 2003 data and to find out if the practices had changed.MethodsPractitioners were randomly selected from the hospital database (Hospices Civils de Lyon, France). The telephone interviews were conducted by a single researcher (HM) using a simplified interview guide compared with the one used in 2003. The doctors were informed that their answers would be aggregated without the possibility of identifying the respondents. During the interviews, the researcher ticked the boxes with the answers on a paper file.ResultsWe interviewed 26 clinicians (mean age 49±8 years) from various medical specialties. They were unfamiliar with the ICMJE (International Committee of Medical Journal Editors) criteria for writing medical articles and felt that these criteria were not well met in general. With regard to ways of reducing the practice of honorary authors, the participants clearly felt that asking for a signature was hypocritical and of little use. The ghost authors were well known; this practice was considered as rather rare. The ‘publish or perish’ has always been cited as being responsible for bad practices (26/26: 100%). We compared these results with those observed in 2003 and no improvement has been observed in the past 15 years.ConclusionFor the second time in France, within a 15-year interval, we have shown that the ICMJE criteria were ignored and that honorary authorship was frequent.

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Point-of-care manufacturing: a single university hospital’s initial experience

3D Printing in Medicine ◽

10.1186/s41205-021-00101-z ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Jose Antonio Calvo-Haro ◽

Javier Pascau ◽

José Manuel Asencio-Pascual ◽

Felipe Calvo-Manuel ◽

Maria José Cancho-Gil ◽

...

Keyword(s):

3D Printing ◽

Point Of Care ◽

Maxillofacial Surgery ◽

University Hospital ◽

Manufacturing Companies ◽

Printing Technology ◽

Medical Specialties ◽

3D Printing Technology ◽

Surgical Guides ◽

Custom Made

Abstract Background The integration of 3D printing technology in hospitals is evolving toward production models such as point-of-care manufacturing. This study aims to present the results of the integration of 3D printing technology in a manufacturing university hospital. Methods Observational, descriptive, retrospective, and monocentric study of 907 instances of 3D printing from November 2015 to March 2020. Variables such as product type, utility, time, or manufacturing materials were analyzed. Results Orthopedic Surgery and Traumatology, Oral and Maxillofacial Surgery, and Gynecology and Obstetrics are the medical specialties that have manufactured the largest number of processes. Working and printing time, as well as the amount of printing material, is different for different types of products and input data. The most common printing material was polylactic acid, although biocompatible resin was introduced to produce surgical guides. In addition, the hospital has worked on the co-design of custom-made implants with manufacturing companies and has also participated in tissue bio-printing projects. Conclusions The integration of 3D printing in a university hospital allows identifying the conceptual evolution to “point-of-care manufacturing.”

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The use of integrative and complementary practices in leprosy-related pain is influenced by sociodemographic, clinical and care factors: A case-control study

Research Society and Development ◽

10.33448/rsd-v10i8.17306 ◽

2021 ◽

Vol 10 (8) ◽

pp. e24210817306

Author(s):

Amanda Francielle Santos ◽

Josimari Melo de Santana ◽

Francisco Prado Reis ◽

José Rodrigo Santos Silva ◽

Alexrangel Henrique Cruz Santos ◽

...

Keyword(s):

Pain Relief ◽

Quantitative Research ◽

Demographic Data ◽

University Hospital ◽

Cross Sectional ◽

Medical Specialties ◽

Lack Of Information ◽

Pain Scales ◽

The University ◽

Control Study

Purpose: Study in order to evaluate the use of complementary and integrative practices for leprosy-related pain. Cross-sectional, descriptive and quantitative research carried out at the University Hospital and Medical Specialties Center of Sergipe between February and June 2019. Methods: 170 people with leprosy pain contributed socio-demographic data, resources used for pain relief and factors that hinder adherence to practices. For pain assessment, the Verbal Pain Scales, Descriptor Scales and the tester Douler Neuropathic 4 were used. Results: Neuropathic pain was present in 119 individuals (70.0%) and the pain was assessed as severe in 85 (50.0%). Half of them (86; 50.6%) reported using pain relief: restricted diet (50, 29.4%), exercise (32, 18.8%), massage (31, 18.2%), among others. The factors that most influenced adherence to practices: lack of information (65, 38.2%), economic reasons (36, 21.2%), subjective characteristics (34, 20.0%). Women (45, 60.0%, p = 0.0427), patients with the borderline clinical form of the patient (23, 74.2%, p = 0.0014), reporting a burning sensation on the skin (70, 55, 5%, p = 0.0437), and those monitored by a physiotherapist (11, 84.6%, p = 0.0178) showed greater adherence to the practices. Conclusion: It is concluded that several complementary and integrative practices are being used for pain relief, but sociodemographic, clinical and care factors can influence adherence to these interventions.

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