scholarly journals Forecasting the Length-of-Stay of Pediatric Patients in Hospitals: A Scoping Review

2021 ◽  
Author(s):  
Natalia B. Medeiros ◽  
Flavio S. Fogliatto ◽  
Miriam K. Rocha ◽  
Guilherme L. Tortorella
Keyword(s):  
Length Of Stay ◽  
Scoping Review ◽  
Neonatal Intensive Care ◽  
Pediatric Patients ◽  
Healthcare Management ◽  
Future Research ◽  
Main Research ◽  
Forecasting Models ◽  
Future Research Agenda ◽  
Hospital Resources

Abstract Background: Healthcare management faces complex challenges in allocating hospital resources and predicting patients' length-of-stay (LOS) is critical in effectively managing those resources. This work aims to identify approaches used to forecast the LOS of Pediatric Patients in Hospitals (LOS–P), and patients' populations and environments used to develop the models. Methods: Based on a scoping review, 28 studies were identified and analyzed. Methods reported in the literature were classified according to the stage in which they are used in the modeling process: (i) pre-processing of data, (ii) variable selection, and (iii) cross-validation. Results: Forecasting models are most often applied to newborn patients and, consequently, in neonatal intensive care units. Regression analysis is the most widely used modeling approach; techniques associated with Machine Learning are still incipient and mostly used in emergency departments to model patients in specific situations.Conclusions: The studies' main benefits include informing family members about the patient's expected discharge date and enabling hospital resources' allocation and planning. Main research gaps are associated with the lack of generalization of forecasting models and limited reported applicability in hospital management. This study also provides a practical guide to methods applied for LOS–P forecasting and a future research agenda.

scholarly journals Forecasting the length-of-stay of pediatric patients in hospitals: a scoping review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Natália B. Medeiros ◽  
Flavio S. Fogliatto ◽  
Miriam K. Rocha ◽  
Guilherme L. Tortorella
Keyword(s):  
Length Of Stay ◽  
Scoping Review ◽  
Pediatric Patients ◽  
Healthcare Management ◽  
Hospital Length Of Stay ◽  
Future Research ◽  
Main Research ◽  
Forecasting Models ◽  
Scoping Reviews ◽  
Hospital Resources

Abstract Background Healthcare management faces complex challenges in allocating hospital resources, and predicting patients’ length-of-stay (LOS) is critical in effectively managing those resources. This work aims to map approaches used to forecast the LOS of Pediatric Patients in Hospitals (LOS–P) and patients’ populations and environments used to develop the models. Methods Using the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) methodology, we performed a scoping review that identified 28 studies and analyzed them. The search was conducted on four databases (Science Direct, Scopus, Web of Science, and Medline). The identification of relevant studies was structured around three axes related to the research questions: (i) forecast models, (ii) hospital length-of-stay, and (iii) pediatric patients. Two authors carried out all stages to ensure the reliability of the review process. Articles that passed the initial screening had their data charted on a spreadsheet. Methods reported in the literature were classified according to the stage in which they are used in the modeling process: (i) pre-processing of data, (ii) variable selection, and (iii) cross-validation. Results Forecasting models are most often applied to newborn patients and, consequently, in neonatal intensive care units. Regression analysis is the most widely used modeling approach; techniques associated with Machine Learning are still incipient and primarily used in emergency departments to model patients in specific situations. Conclusions The studies’ main benefits include informing family members about the patient’s expected discharge date and enabling hospital resources’ allocation and planning. Main research gaps are associated with the lack of generalization of forecasting models and limited reported applicability in hospital management. This study also provides a practical guide to LOS–P forecasting methods and a future research agenda.

scholarly journals Public Administration and Values Oriented to Sustainability: A Systematic Approach to the Literature

2021 ◽  
Vol 13 (5) ◽  
pp. 2566
Author(s):  
Isabel Marques ◽  
João Leitão ◽  
Alba Carvalho ◽  
Dina Pereira
Keyword(s):  
Public Administration ◽  
Future Research ◽  
Main Research ◽  
Sustainable Performance ◽  
Future Research Agenda ◽  
Research Collaborations ◽  
Work Area ◽  
The Social ◽  
The Usa ◽  
The University

Values guide actions and judgements, form the basis of attitudinal and behavioral processes, and have an impact on leaders’ decision-making, contributing to more sustainable performance. Through a bibliometric study and content analysis, 2038 articles were selected from Scopus, from the period 1994–2021, presenting global research tendencies on the subject of values, public administration, and sustainability. The results indicate that Sustainability is the most productive journal, the main research category is in social sciences, the most productive institution is the University of Queensland, the location with the most publications and research collaborations is the USA, and the authors with the greatest number of articles are Chung, from Chung-Ang University; García-Sánchez, from the University of Salamanca; and Pérez, from the University of Cantabria. Analysis of keywords shows that the most relevant are “sustainability”, “CSR”, “sustainable development”, “innovation”, and “leadership”. Time analysis of keywords reveals a tendency for lines of research in the social and work area. The results also provide data about the framing of studies in sustainability pillars and the types of values referred to and indicate the main areas of public administration studied. Finally, a future research agenda is proposed.

Cognitive Impairment and Length of Stay in Acute Care Hospitals: A Scoping Review of the Literature

2021 ◽  
pp. 1-19
Author(s):  
Jonathan Plante ◽  
Karine Latulippe ◽  
Edeltraut Kröger ◽  
Dominique Giroux ◽  
Martine Marcotte ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Length Of Stay ◽  
Acute Care ◽  
Scoping Review ◽  
Research Question ◽  
Positive Association ◽  
Well Being ◽  
Future Research ◽  
Care Hospital ◽  
The Impact

Abstract Older persons experiencing a longer length of stay (LOS) or delayed discharge (DD) may see a decline in their health and well-being, generating significant costs. This review aimed to identify evidence on the impact of cognitive impairment (CI) on acute care hospital LOS/DD. A scoping review of studies examining the association between CI and LOS/DD was performed. We searched six databases; two reviewers independently screened references until November 2019. A narrative synthesis was used to answer the research question; 58 studies were included of which 33 found a positive association between CI and LOS or DD, 8 studies had mixed results, 3 found an inverse relationship, and 14 showed an indirect link between CI-related syndromes and LOS/DD. Thus, cognitive impairment seemed to be frequently associated with increased LOS/DD. Future research should consider CI together with other risks for LOS/DD and also focus on explaining the association between the two.

664 Risk Factors for the Development of Transaminitis in Pediatric Burn Patients Treated with Oxandrolone

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S177-S177
Author(s):  
Kate Pape ◽  
Sarah Zavala ◽  
Rita Gayed ◽  
Melissa Reger ◽  
Kendrea Jones ◽  
...  
Keyword(s):  
Risk Factors ◽  
Length Of Stay ◽  
Pediatric Patients ◽  
Burn Injury ◽  
Total Body Surface Area ◽  
Future Research ◽  
Burn Patients ◽  
Thermal Burn ◽  
Increased Risk ◽  
Significant Difference

Abstract Introduction Oxandrolone is an anabolic steroid that is the standard of care for burn patients experiencing hypermetabolism. Previous studies have demonstrated the benefits of oxandrolone, including increased body mass and improved wound healing. One of the common side effects of oxandrolone is transaminitis, occurring in 5–15% of patients, but little is known about associated risk factors with the development of transaminitis. A recent multicenter study in adults found that younger age and those receiving concurrent intravenous vasopressors or amiodarone were more likely to develop transaminitis while on oxandrolone. The purpose of this study was to determine the incidence and identify risk factors for the development of transaminitis in pediatric burn patients receiving oxandrolone therapy. Methods This was a multicenter, retrospective risk factor analysis that included pediatric patients with thermal burn injury (total body surface area [TBSA] > 10%) who received oxandrolone over a 5-year time period. The primary outcome of the study was the development of transaminitis while on oxandrolone therapy, which was defined as aspartate aminotransferase (AST) or alanine aminotransferase (ALT) >100 mg/dL. Secondary outcomes included mortality, length of stay, and change from baseline ALT/AST. Results A total of 55 pediatric patients from 5 burn centers met inclusion criteria. Of those, 13 (23.6%) developed transaminitis, and the mean time to development of transaminitis was 17 days. Patients who developed transaminitis were older (12 vs 6.4 years, p = 0.01) and had a larger mean %TBSA (45.9 vs 34.1, p = 0.03). The odds of developing transaminitis increased by 23% for each 1 year increase in age (OR 1.23, CI 1.06–1.44). The use of other concurrent medications was not associated with an increased risk of developing transaminitis. Renal function and hepatic function was not associated with the development of transaminitis. There was no significant difference in length of stay and mortality. Conclusions Transaminitis occurred in 23.6% of our study population and was associated with patients who were older and had a larger mean %TBSA burn. Older pediatric patients with larger burns who are receiving oxandrolone should be closely monitored for the development of transaminitis. Applicability of Research to Practice Future research is needed to identify appropriate monitoring and management of transaminitis in oxandrolone-treated pediatric burn patients.

Known and Unknown Aspects of Workplace Bullying: A Systematic Review of Recent Literature and Future Research Agenda

2020 ◽  
Vol 19 (3) ◽  
pp. 263-308 ◽  
Author(s):  
Parul Gupta ◽  
Urvashi Gupta ◽  
Simran Wadhwa
Keyword(s):  
Empirical Research ◽  
Workplace Bullying ◽  
Recent Literature ◽  
Future Research ◽  
Journal Articles ◽  
Policy Makers ◽  
Main Research ◽  
Future Research Agenda ◽  
Research Themes ◽  
Antecedents And Consequences

Last decades showed a high interest in studying the workplace bullying (WB) phenomenon in a variety of disciplines and in a number of WB areas such as concepts and forms of WB, antecedents and consequences of WB, WB interventions, etc. This study offers classification and description of current WB literature, and identifies research gaps to be bridged by further empirical research. In the first part, authors systematically review 167 refereed journal articles, classify the WB research into five main research themes and summarize their findings. In the second part, the article uncovers various unknown aspects of WB and provides concrete directions for future empirical research. Thrust areas of attention are highlighted for industry and policy makers.

scholarly journals Establishing the Regional Sustainable Developmental Role of Universities—From the Multilevel-Perspective (MLP) and Beyond

2021 ◽  
Vol 13 (13) ◽  
pp. 6987
Author(s):  
Verena Radinger-Peer ◽  
Gesa Pflitsch ◽  
Helga Kanning ◽  
Daniel Schiller
Keyword(s):  
Narrative Analysis ◽  
Future Research ◽  
Main Research ◽  
Higher Education System ◽  
Future Research Agenda ◽  
Expert Working Group ◽  
Multilevel Perspective ◽  
Developmental Role ◽  
Sustainable Regional Development

This article establishes the multilevel perspective (MLP) as one of the main research approaches in transition research to study complex systemic change processes in socio-technical systems at different structural levels. The application of the MLP to the higher education system, especially to conceptualize the transition of universities towards a sustainable (regional) developmental role, is still in its infancy. Through using a descriptive narrative analysis of seminal articles, the results of the four-years cooperation within an expert working group, and own empirical findings, the present paper investigates the suitability of the MLP to study the transition of universities and university systems towards a sustainable developmental role in the regional context. Based on these investigations, three further perspectives (which must be considered for establishing a more comprehensive understanding of the universities’ sustainable developmental role) are identified and conceptualized: (a) The target dimension of sustainable regional development, (b) the role of agency, and (c) the introduction of space and place to multiscalar regional transitions. Based on these perspectives, a future research agenda beyond the MLP is developed.

scholarly journals Sociodevelopmental Challenges Faced by Young People with Chronic Pain: A Scoping Review

2020 ◽  
Author(s):  
Abigail Jones ◽  
Line Caes ◽  
C Meghan McMurtry ◽  
Christopher Eccleston ◽  
Abbie Jordan
Keyword(s):  
Chronic Pain ◽  
Young People ◽  
Identity Development ◽  
Social Development ◽  
Peer Relationships ◽  
Scoping Review ◽  
Future Research ◽  
Autonomy Development ◽  
Future Research Agenda ◽  
Developmental Domains

Abstract Objective Map the current literature investigating autonomy development, identity development, and peer relationships in young people aged 10–24 years with chronic pain. Methods A scoping review method was used to systematically search four databases (APA PsycNET, PubMed, Web of Science, and Cinahl) for peer-reviewed articles. Search results were screened against inclusion and exclusion criteria to ensure they met the objective. Eligible papers were assessed for quality, their data relating to the objective were extracted, and results are synthesized. Results Searches returned 3,815 papers after the removal of duplicates, with 42 papers included in the full review. The majority of papers investigated peer relationships (86%). Fewer papers investigated autonomy (43%) and identity (21%) development. Included papers were mostly quantitative (64%), with fewer qualitative (34%) and mixed-methods papers (2%). Overall, we found bidirectional relationships between chronic pain in young people, their social development, and a range of functional outcomes. However, the mechanisms underlying these relationships remain relatively unexplored. Conclusions Review results are mapped onto the model proposed by Palermo et al. (2014). Guided by this model, clinical treatment for young people with chronic pain should consider social development. The model also sets out a future research agenda focused on exploring: (a) identity development, (b) the mechanisms underlying the relationships between social–developmental domains, pain, and outcomes, (c) a variety of participants and populations, and (d) a variety of methods, including longitudinal study designs.

scholarly journals Business Excellence, Leadership and Lean: A Systematic Literature Review

2021 ◽  
Vol 22 (1) ◽  
pp. 332-345
Author(s):  
Fok-Yew Oon ◽  
Abdul Hamid Nor Aziati ◽  
Abu Seman Esmadi Abu
Keyword(s):  
Literature Review ◽  
Systematic Literature Review ◽  
Original Work ◽  
Future Research ◽  
Lean Management ◽  
Main Research ◽  
Research Fields ◽  
Future Research Agenda ◽  
Business Excellence ◽  
Literature Reviews

The objective of this study is to examine the prevailing literature on Business Excellence (BE), leadership and Lean. Leadership is enabling criteria of Business Excellence Models (BEMs) and Lean is one of the keys improvement initiative which can be adopted and the path forward in achieving BE. The analysis involved studying 506 research articles published between 2009 and Aug 2020 in well-known academic databases. This systematic literature review intends to organize, synthesize and structure the shared fount of knowledge concerning to BE, leadership and Lean. The classification and analysis of these articles are according to the following axes: years of publication, types of journals and research context. Each trend of the three axes is granted in the analysis. The main research fields are suggested to guide future research agenda of BEMs. This study focused on recent 11 years articles and ignored those studies from journals that are focusing on an area other than quality and management, dissertations and books. The results of the study would also benefit academicians, researchers, and professionals to focus on the pertinence, growth and research developments in the Lean management field and BE system. This study is possibly one such comprehensive systematic literature reviews focusing on a vital agenda of leadership and Lean management in BE. All the texts, tables and figures presented in this paper were original work carried out by authors.

scholarly journals Measuring total factor productivity in agriculture: a bibliometric review

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Łukasz Kryszak ◽  
Katarzyna Świerczyńska ◽  
Jakub Staniszewski
Keyword(s):  
Total Factor Productivity ◽  
Secondary Data ◽  
Future Research ◽  
Policy Reforms ◽  
Factor Productivity ◽  
Content Type ◽  
Main Research ◽  
Agriculture Economics ◽  
Future Research Agenda ◽  
Bibliometric Review

PurposeTotal factor productivity (TFP) has become a prominent concept in agriculture economics and policy over the last three decades. The main aim of this paper is to obtain a detailed picture of the field via bibliometric analysis to identify research streams and future research agenda.Design/methodology/approachThe data sample consists of 472 papers in several bibliometric exercises. Citation and collaboration structure analyses are employed to identify most important authors and journals and track the interconnections between main authors and institutions. Next, content analysis based on bibliographic coupling is conducted to identify main research streams in TFP.FindingsThree research streams in agricultural TFP research were distinguished: TFP growth in developing countries in the context of policy reforms (1), TFP in the context of new challenges in agriculture (2) and finally, non-parametric TFP decomposition based on secondary data (3).Originality/valueThis research indicates agenda of future TFP research, in particular broadening the concept of TFP to the problems of policy, environment and technology in emerging countries. It provides description of the current state of the art in the agricultural TFP literature and can serve as a “guide” to the field.

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