Assessment of Dental Management of Mentally Challenged Patients Treated in Special Care Dentistry in A Hospital Setting- Retrospective Study

2020 ◽  
Vol 13 (01) ◽  
Keyword(s):  
Retrospective Study ◽  
Hospital Setting ◽  
Special Care ◽  
Dental Management

scholarly journals A Retrospective Review of 589 Percutaneous Tracheostomies in a Canadian Community Teaching Hospital

2021 ◽  
pp. 014556132110257
Author(s):  
Dongho Shin ◽  
Andrew Ma ◽  
Yvonne Chan
Keyword(s):  
Retrospective Study ◽  
Teaching Hospital ◽  
Intraoperative Complications ◽  
Percutaneous Tracheostomy ◽  
Hospital Setting ◽  
Complication Rates ◽  
Safe Alternative ◽  
Neck Extension ◽  
Intraoperative Complication ◽  
Community Teaching

Objective: The primary objective of this study was to review the complication rate of percutaneous tracheostomies performed by a single surgeon in a community teaching hospital. Methods: This retrospective study reviewed the patients who underwent percutaneous tracheostomy with bronchoscopic guidance in a community hospital setting between 2009 and 2017. Patients older than the age of 18 requiring percutaneous tracheostomy were chosen for this retrospective study. Patients who were medically unstable, had no palpable neck landmarks, and inadequate neck extension were excluded. Indications for percutaneous tracheostomy included patients who had failed to wean from mechanical ventilation, required pulmonary toileting, or in whom airway protection was required. Results: Of the 600 patients who received percutaneous tracheostomy, 589 patients were included in the study. Intraoperative complication (2.6%) and postoperative complication rates (11.4%) compared similarly to literature reported rates. The most common intraoperative complications were bleeding, technical difficulties, and accidental extubation. Bleeding, tube obstruction, and infection were the most common postoperative complications. Overall burden of comorbidity, defined by Charlson Comorbidity Index, and coagulopathy were also found to be associated with higher complication rates. The decannulation rate at discharge was 46.3%. Conclusion: Percutaneous tracheostomy is a safe alternative to open tracheostomies in the community setting for appropriately selected patients.

A Retrospective Study on Urinary Tract Infections in a In-patient Rehabilitation Hospital Setting

2014 ◽  
Vol 42 (6) ◽  
pp. S118-S119
Author(s):  
Asif Saiyed ◽  
Alan Anschel ◽  
Eileen French ◽  
Mary Kuncis ◽  
James Purdy ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Hospital Setting ◽  
Rehabilitation Hospital ◽  
Tract Infections

scholarly journals Do Patients Maintain Proper Long-Term Cardiopulmonary Fitness Levels After Cardiac Rehabilitation? A Retrospective Study Using Medical Records

2021 ◽  
Vol 45 (2) ◽  
pp. 150-159
Author(s):  
Chul Kim ◽  
Hee Eun Choi ◽  
Jin Hyuk Jang ◽  
Jun Hyeong Song ◽  
Byung-Ok Kim
Keyword(s):  
Retrospective Study ◽  
Exercise Training ◽  
Cardiac Rehabilitation ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Hospital Setting ◽  
Aerobic Exercise Training ◽  
Cardiopulmonary Fitness ◽  
Coronary Syndrome

Objective To examine whether patients who participated in a cardiac rehabilitation (CR) program after hospitalization for acute coronary syndrome maintained cardiorespiratory fitness (CRF) in the community.Methods We conducted a retrospective study including 78 patients who underwent percutaneous coronary intervention or coronary artery bypass graft surgery at our hospital’s cardiovascular center and participated in a CR program and a 5-year follow-up evaluation. Patients were divided into a center-based CR (CBCR) group, participating in an electrocardiography-monitored exercise training in a hospital setting, and a home-based CR (HBCR) group, receiving aerobic exercise training and performed self-exercise at home.Results No significant differences were found between groups (p>0.05), except the proportion of non-smokers (CBCR 59.5% vs. HBCR 31.7%; p=0.01). In both groups, the maximal oxygen consumption (VO<sub>2max</sub>) increased significantly during the first 12 weeks of follow-up and remained at a steady state for the first year, but it decreased after the 1-year follow-up. Particularly, VO<sub>2max</sub> at 5 years decreased below the baseline value in the HBCR group. In the low CRF group, the CRF level significantly improved at 12 weeks, peaked at 1 year, and was still significantly different from the baseline value after 5 years. The high CRF group did not show any significant increase over time relative to the baseline value, but most patients in the high CRF group maintained relatively appropriate CRF levels after 5 years.Conclusion Continuous support should be provided to patients to maintain optimal CRF levels after completing a CR program.

scholarly journals Assessment of visually challenged patients treated in special care clinic in a hospital setting

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 287-291
Author(s):  
Dhanvanth M ◽  
Uma Maheswari T N ◽  
Deepika Rajendran
Keyword(s):  
Oral Hygiene ◽  
Statistical Tests ◽  
Hospital Setting ◽  
Signs And Symptoms ◽  
Special Care ◽  
The Body ◽  
Age Group ◽  
Care Clinic ◽  
Periodontal Status ◽  
Visually Challenged

  The oral cavity is a window or mirror to the overall health of the body, and it reveals the early signs and symptoms of systemic diseases. The aim of the study was to assess the dental considerations for visually challenged patients treated in the Special Care Department in a hospital setting. A total of 20 cases were collected from the special care clinic. The data collected were assembled year wise and compiled in excel sheets with age, gender, periodontal status and oral hygiene status. The incomplete cases were removed. Frequency distribution statistical tests were used to calculate the frequency of age, gender, periodontal status and oral hygiene status of visually challenged patients. The comparison of the frequency of age, in visually challenged patients were common in the age group of 30 to 50 years of age. On comparing gender, males 60% were higher than females 40%. On comparing the frequency of periodontal status, it showed more prevalence of Generalized chronic gingivitis 55%, than Localised periodontitis 30% and generalized chronic periodontitis 15%. On comparing dental procedures done, the highest procedure done was restoration 85%. On comparing oral hygiene status, it showed more patients affected with OHI score 3.4 in the age group <35 years. On comparing oral hygiene status with gender, the males have higher prevalence with OHI score 2.5 compared with female 2.0. The conclusion is that males mostly attended to dental problems among visually challenged patients. The age group between 30 to 50 years were affected. The Oral hygiene status of visually challenged patients on calculating OHI scores results fair, and most of them have generalised chronic gingivitis. The common dental procedure done was restoration 85%, extraction 45%, prophylaxis 70% and prosthesis 15%.

Retrospective Analysis of a Home Care Hospice Program

1985 ◽  
Vol 15 (1) ◽  
pp. 37-44 ◽  
Author(s):  
Frank J. Brescia ◽  
Matthew Sadof ◽  
Janice Barstow
Keyword(s):  
Palliative Care ◽  
Retrospective Study ◽  
Home Care ◽  
Patient Population ◽  
Hospital Setting ◽  
Care Program ◽  
Patient Status ◽  
Symptom Complex ◽  
Specific Symptoms ◽  
At Home

This is a retrospective study of patients who died in the Overlook Hospice Home Care Program during a six-month period. Parameters to define and document quality palliative care were measured and differences between the patient population who died at home and those who died in the hospital setting were also recorded. Among the patients who died at home, there was no symptom complex which was perceived as unmanageable by the patient's family, nurse, or physician. We could not predict which patients would be able to die at home in this study. In the future, more complete documentation of patient status, specific symptoms, and whether these symptoms are relieved will be necessary.

scholarly journals Implementation of iPads to Increase Compliance with Delivery of New Parent Education in the Newborn Nursery: A Retrospective Study (Preprint)

2020 ◽  
Author(s):  
Haritha Pavuluri ◽  
Alicia Grant ◽  
Alexander Hartman ◽  
Lauren Fowler ◽  
Jennifer Hudson ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Standard Deviation ◽  
Healthcare System ◽  
Parent Education ◽  
Parental Education ◽  
Healthcare Providers ◽  
Hospital Setting ◽  
Educational Video ◽  
Tablet Computers ◽  
Improve Compliance

BACKGROUND Abusive Head Trauma (AHT) is a serious health problem affecting more than 3,000 infants annually in the US. The American Academy of Pediatrics and the CDC recommend that healthcare providers counsel new parents about the dangers of AHT. Previous studies showed that parental education is effective at reducing incidents of AHT. South Carolina law requires hospitals to provide all new parents with a state-produced educational video about AHT. This mandate was met in different ways in the several hospital campuses within a large SC healthcare system, with some using DVD players, others using workstations on wheels, and others allowing parents to view the video on their own personal devices. Frequent technical barriers and workflow inefficiencies resulted in low rates of compliance with this mandate at several campuses. To improve compliance with the state mandate, the healthcare system standardized video viewing protocol across all campuses by implementing the use of iPads for parental education. Existing literature suggests that patient education can be improved in the hospital setting by utilizing tablet computers, but our literature search failed to find an evaluation of tablet computers for the education of parents in the newborn nursery. We used the implementation of an iPad-based parental education delivery protocol to evaluate whether tablet computers can improve compliance with delivering new parent education in the hospital setting. OBJECTIVE To evaluate whether the introduction of iPads in the newborn nursery resulted in improved rates of parents being offered the opportunity to view a state-mandated video about AHT. METHODS We interviewed physicians and nurses from the newborn nurseries to determine what previous protocols were in place to educate new parents before a standardized iPad-based protocol was implemented across six campuses of a large SC healthcare system. A retrospective study was conducted by reviewing EHR of 1,491 patients across the six campuses to determine the pre- and post-intervention compliance rates of offering the AHT educational video to parents in the newborn nurseries. RESULTS Compliance increased overall (p<.001) across sites from an average of 41.93% (standard deviation of 46.24) to 99.73% (standard deviation of 0.26).  Four out of six locations saw a significant increase in compliance rates after introducing the iPad intervention (p <.001). The remaining two locations that showed no difference both had very high rates of pre-intervention compliance. CONCLUSIONS Following the implementation of a standardized iPad-based protocol to deliver new parent education, there was significant improvement in the percentage of new parents who were offered the opportunity to view an educational video about AHT in the newborn nursery. Based on these results, other healthcare providers should consider iPads to be a feasible and effective method for delivering hospital-based education to families in the newborn nursery.

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