scholarly journals Drain verus No Drain After Thyroidectomy: A Preliminary Prospective Randomized Controlled Trial

2014 ◽  
Vol 29 (1) ◽  
pp. 11-15
Author(s):  
Jefferson A. Alamani ◽  
Elias T. Reala ◽  
Samantha S. Castañeda ◽  
Antonio H. Chua
Keyword(s):  
Hospital Stay ◽  
Prevention And Control ◽  
Controlled Trial ◽  
Length Of Hospital Stay ◽  
Wound Dehiscence ◽  
Randomized Controlled ◽  
Prospective Randomized Controlled Trial ◽  
Drain Group ◽  
The Mean ◽  
And Control

Objective: To evaluate the necessity of placing a drain in post-thyroidectomy patients, we aimed to determine whether insertion of a passive drain, as compared to no drain, in post-thyroidectomy patients, would significantly affect hematoma formation, wound infection, wound dehiscence and length of hospital stay. Methods: Study Design:            Prospective randomized controlled trial Setting:                       Tertiary government training hospital Subjects:                     Patients who underwent thyroidectomy for various thyroid pathologies were divided into two postoperative treatment arms: one group with insertion of a passive drain, and another group without a drain. Hematoma, wound infection, wound dehiscence, and length of hospital stay were the outcomes measured per treatment arm.   Results: A total of 66 patients were evaluated. There were 54 females (81.81%) and 12 males (18.18%). The mean age for the drain group was 44.88 years and 43.67 years for the no drain group. Four patients developed complications in the drain group and 2 developed complications in the no drain group. The rate of complications between both groups was not statistically significant.  The mean hospital stay of the drain group was 3.15 days, which in the no drain group was 2.51 days. The difference in length of hospital stay was statistically significant.   Conclusion:   There was no difference in the development of complications among the drain and no drain group. Thyroidectomy without surgical drains was associated with a significant reduction in hospital stay compared to thyroidectomy with routine placement of drains.   Keywords: Surgical drainage / methods, hematoma / prevention and control, postoperative complications / prevention and control, thyroid disease / surgery, thyroidectomy / methods  

scholarly journals Implementation of enhanced recovery after surgery in gynecological operations: a randomized controlled trial

2020 ◽  
Vol 12 (1) ◽  
Author(s):  
Amr Nady Abdelrazik ◽  
Ahmad Sameer Sanad
Keyword(s):  
Hospital Stay ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Controlled Trial ◽  
Length Of Hospital Stay ◽  
Gynecologic Surgery ◽  
Complication Rates ◽  
Control Groups ◽  
Analog Scale ◽  
Randomized Controlled

Abstract Background To investigate the effects of enhanced recovery after surgery (ERAS) in patients undergoing gynecologic surgery on length of hospital stay, pain management, and complication rate. Results The length of hospital stay was reduced in ERAS groups when compared with the control groups (3.46 days vs 2.28 days; P < 0.0001; CI − 1.5767 to − 0.7833 for laparotomy groups and 2.18 vs 1.76 days; P = 0.0115; CI − 0.7439 to − 0.0961 for laparoscopy groups respectively). Intraoperative fluid use was reduced in both ERAS groups compared to the two control groups (934 ± 245 ml and 832 ± 197 ml vs 1747 ± 257 ml and 1459 ± 304 respectively; P < 0.0001) and postoperative fluid use was also less in the ERAS groups compared to the control groups (1606 ± 607 ml and 1210 ± 324 ml vs 2682 ± 396 ml and 1469 ± 315 ml respectively; P < 0.0001). Pain score using visual analog scale (VAS) on postoperative day 0 was 4.8 ± 1.4 and 4.1 ± 1.2 (P = 0.0066) for both laparotomy control and ERAS groups respectively, while in the laparoscopy groups, VAS was 3.8 ± 1.1 and 3.2 ± 0.9 (P = 0.0024) in control and ERAS groups respectively. Conclusion Implementation of ERAS protocols in gynecologic surgery was associated with significant reduction in length of hospital stay, associated with decrease intravenous fluids used and comparable pain control without increase in complication rates.

The effectiveness of emotional freedom techniques (EFT) on depression of postmenopausal women: a randomized controlled trial

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Asieh Mehdipour ◽  
Parvin Abedi ◽  
Somayeh Ansari ◽  
Maryam Dastoorpoor
Keyword(s):  
Randomized Controlled Trial ◽  
Postmenopausal Women ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Randomized Controlled ◽  
Moderate Depression ◽  
Before And After ◽  
The Mean ◽  
And Control

Abstract Objectives Postmenopausal women are at greater risk of depression. Depression may negatively affect the quality of life of women. An emotional freedom technique (EFT) is an evidence-based therapy combining cognitive and exposure components with acupressure. This study aimed to evaluate the effect of EFT on depression in postmenopausal women. Methods This was a randomized controlled trial in which 88 women with mild to moderate depression recruited from a menopausal clinic in Ahvaz, Iran, and randomly assigned into two groups of EFT (n=44) and control for sham therapy (n=44). Women in the EFT group received two sessions of training and asked to continue EFT for 8 weeks, one time per day. The Beck Depression Inventory (BDI2) completed by women before and after the intervention. The control group received training on sham acupressure points similar to the intervention group. Data collected using a demographic and BDI2. Women requested to complete the BDI2 before and after the intervention. The independent t-test, chi-square, and ANCOVA were used to analyze data. Results The mean depression score in the intervention group reduced from 20.93 ± 4.6 to 10.96 ± 4.38 in comparison to the control group that reduced from 19.18 ± 2.79 to 17.01 ± 6.05 after intervention (p=0.001). After the 8 week intervention, the frequency of moderate depression decreased from 56.8 to 9.35% in the intervention and from 50 to 29.5% in the control group. In total, 63.4 and 34.15% in the intervention and control groups were free of depression respectively after the intervention (p<0.001). Conclusions The results of this study showed that using EFT for 8 weeks could significantly reduce the mean score of depression in postmenopausal women. Using this method in public health centers for postmenopausal women is recommended.

Impact of Nutritional Intervention on Length of Hospital Stay and Mortality among Hospitalized Patients with Malnutrition: A Clinical Randomized Controlled Trial

2017 ◽  
Vol 36 (4) ◽  
pp. 235-239 ◽  
Author(s):  
Edgar A. Cano-Torres ◽  
Luis E. Simental-Mendía ◽  
Luis A. Morales-Garza ◽  
José M. Ramos-Delgado ◽  
Mirthala M. Reyes-Gonzalez ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Hospital Stay ◽  
Controlled Trial ◽  
Length Of Hospital Stay ◽  
Nutritional Intervention ◽  
Hospitalized Patients ◽  
Randomized Controlled

scholarly journals Intrapleural use of urokinase and DNase in pleural infections managed with repeated thoracentesis: A comparative cohort study

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257339
Author(s):  
David Luque Paz ◽  
Betsega Bayeh ◽  
Pierre Chauvin ◽  
Florence Poizeau ◽  
Mathieu Lederlin ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Cohort Study ◽  
Hospital Stay ◽  
Pleural Fluid ◽  
Length Of Hospital Stay ◽  
Controlled Trials ◽  
Randomized Controlled ◽  
Comparative Cohort Study ◽  
The Mean ◽  
Retrospective Comparative Study

Introduction Evacuation of infected fluid in pleural infections is essential. To date, the use of an intrapleural fibrinolytic agent such as urokinase and DNase has not yet been assessed in infections managed by repeated therapeutic thoracentesis (RTT). Methods We performed a retrospective comparative study of two successive cohorts of consecutive patients with pleural infections from 2001 to 2018. Between 2001 and 2010, patients had RTT with intrapleural urokinase (RTT-U). After 2011, patients received intrapleural urokinase and DNase with RTT (RTT-UD). Data were collected through a standardized questionnaire. Results One hundred and thirty-three patients were included: 93 were men and the mean age was 59 years (standard deviation 17.2). Eighty-one patients were treated with a combination of intrapleural urokinase and DNase, and 52 were treated with intrapleural urokinase only. In the RTT-UD, RTT failure occurred in 14 patients (17%) compared to 10 (19%) in the RTT-U group (P = 0.82). There was no difference between the two groups in intensive care unit admission, surgical referrals or in-hospital mortality. RTT-UD was associated with faster time to apyrexia (aOR = 0.51, 95%CI [0.37–0.72]), a reduced length of hospital stay (aOR = 0.61, 95%CI [0.52–0.73]) and a higher volume of total pleural fluid retrieved (aOR = 1.38, 95%CI [1.02–1.88]). Complications were rare with only one hemothorax in the RTT-UD group and no pneumothorax requiring drainage in either group. Conclusion Compared to urokinase only, intrapleural use of urokinase and DNase in RTT was associated with quicker defervescence, shorter hospital stay and increased volumes of pleural fluid drained. Randomized controlled trials evaluating urokinase and DNase with RTT technique would be required to confirm these results.

scholarly journals Efficacy of Mobile App-Based Training on Health Literacy among Pregnant Women: A Randomized Controlled Trial study

2021 ◽  
Author(s):  
Parisa Farzi Karamolahi ◽  
Zahra Bostani Khalesi ◽  
Maryam Niknami
Keyword(s):  
Health Literacy ◽  
Pregnant Women ◽  
Controlled Trial ◽  
Mobile App ◽  
Control Groups ◽  
Randomized Controlled ◽  
The Mean ◽  
Literacy Scores ◽  
And Control ◽  
Experimental Group

Abstract Background: Health literacy of mothers during pregnancy shows social and cognitive skills indicating the motivation and ability of mothers to receive and use useful knowledge to maintain and promote the health of themselves and their children. The present study was conducted aimed to determine the effect of mobile app-based training on health literacy among pregnant women. Methods: This randomized controlled trial (RCT) study Among 500 eligible pregnant women who attended al-Zahra hospital (Rasht, Iran) between 2019 to 2020 years, was conducted on 140 pregnant women by random sampling method. They were divided into experimental and control groups. Data collection tools included personal information and maternal health literacy questionnaires. The questionnaires were completed and then a mobile app-based training intervention was performed for the experimental group. The participants of the experimental group were asked to read the contents of the software once a week for 8 weeks. The questionnaires were completed again after 8 weeks of the training intervention. The data were analyzed using SPSS software version 21. Independent t-test, Mann-Whitney U, Wilcoxon, Fisher, Chi-square, Kruskal-Wallis, and one-way analysis of variance was used for this purpose. Results: The subjects showed no statistically significant difference in terms of demographic-social information (p> 0.05). The mean change in health literacy scores after the intervention was statistically significant between the experimental and control groups (p <0.001). Also, the mean change in health literacy scores before and after the intervention in the experimental group was statistically significant (p <0.001). But this change in the control group was not statistically significant (p = 0.609).Conclusions: For the first time we used mobile app-based training and results showed that it is effective in the health literacy of pregnant women especially in situations like the Corona Virus pandemic. Therefore, it is suggested that health care providers, especially midwives, use this training method to promote the health literacy of pregnant women.Trial registrationThis paper is taken from the master thesis student of midwifery training with ethics code IR.GUMS.REC.1397.490. This is a RCT study (clinical trial code IRCT20180707040364N1: https://www.irct.ir/search/result?query=IRCT20180707040364N1- 2019-03-27).

scholarly journals Impact of a Serious Game on the Intention to Change Infection Prevention and Control Practices in Nursing Homes During the COVID-19 Pandemic: Protocol for a Web-Based Randomized Controlled Trial (Preprint)

2020 ◽  
Author(s):  
Laurent Suppan ◽  
Mohamed Abbas ◽  
Gaud Catho ◽  
Loric Stuby ◽  
Simon Regard ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Nursing Home ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Controlled Trial ◽  
Serious Game ◽  
Infection Prevention And Control ◽  
Web Based ◽  
Randomized Controlled ◽  
And Control

BACKGROUND Nursing home residents are at high risk of complications and death due to COVID-19. Lack of resources, both human and material, amplifies the likelihood of contamination in these facilities where a single employee can contaminate dozens of residents and colleagues. Improving the dissemination of and adhesion to infection prevention and control (IPC) guidelines is therefore essential. Serious games have been shown to be effective in developing knowledge and in increasing engagement, and could motivate nursing home employees to change their IPC practices. OBJECTIVE Our aim is to assess the impact of “Escape COVID-19,” a serious game designed to enhance knowledge and application of IPC procedures, on the intention of nursing home employees to change their IPC practices. METHODS We will carry out a web-based randomized controlled trial following the CONSORT-EHEALTH (Consolidated Standards of Reporting Trials of Electronic and Mobile Health Applications and Online Telehealth) guidelines and incorporating relevant elements of CHERRIES (Checklist for Reporting Results of Internet E-Surveys). Participants will be randomized to either the control or the serious game (intervention) group. First, both groups will be asked to answer a questionnaire designed to gather demographic data and assess baseline knowledge. The control group will then receive a quick reminder of the current national guidelines and links to IPC guidelines for health care professionals, while the other group will play the game. Both groups will then have to answer a second questionnaire designed to assess their willingness to change their IPC practices after having followed their respective material. After completing this questionnaire, they will be granted access to the material presented to the group they were not assigned to and receive a course completion certificate. The primary outcome will be the proportion of participants willing to change their IPC practices according to group. Secondary outcomes will include the analysis of specific questions detailing the exact changes considered by the participants. Factors associated with participant willingness or reluctance to change behavior will also be assessed. Attrition will also be assessed at each stage of the study. RESULTS The study protocol has been presented to our regional ethics committee (Req-2020-01262), which issued a declaration of no objection as such projects do not fall within the scope of the Swiss federal law on human research. Data collection began on November 5, 2020, and should be completed by December 4, 2020. CONCLUSIONS This study should determine whether “Escape COVID-19,” a serious game designed to improve compliance with COVID-19 safe practices, modifies the intention to follow IPC guidelines among nursing home employees. CLINICALTRIAL INTERNATIONAL REGISTERED REPORT DERR1-10.2196/25595

Comparison of the Efficacy of Transurethral Enucleation and Resection of the Prostate with Transurethral Resection of the Prostate for Medium Prostate Sizes

2020 ◽  
Vol 103 (11) ◽  
pp. 1208-1213
Keyword(s):  
Transurethral Resection ◽  
Controlled Trial ◽  
Length Of Hospital Stay ◽  
Average Weight ◽  
Intraoperative Bleeding ◽  
Tissue Removal ◽  
Prospective Randomized Controlled Trial ◽  
The Mean ◽  
Baseline Characteristics ◽  
One Year

Objective: To compare the efficacy of the transurethral enucleation of the prostate (TUERP) to transurethral resection of the prostate (TURP) through a prospective randomized controlled trial. Materials and Methods: Between January 2016 and December 2019, 46 patients from a single center were divided into two groups, TURP and TUERP, using simple randomization. The perioperative and postoperative outcomes up to one year after surgery were evaluated. Results: The mean estimated prostate volume (PV) in the TURP and TUERP group was 40±22 mL and 41±18 mL, respectively. There were no statistical differences in the baseline characteristics between the two groups. The mean operative time was significantly longer in the TUERP group (71.95±33.96 minutes versus 50.85±26.78 minutes; p=0.024). The average weight of prostate resected in the TUERP group was higher but not statistically significant (18.87±14.95 g versus 15.15±11.07 g; p=0.39). The volume of fluid irrigation collected postoperatively was significantly lower in the TUERP group (13.98±10.01 liter versus 24.73±21.90 liter; p=0.04). No statistically significant differences were noted between the two groups in terms of the postoperative IPSS, QoL, Q max, PSA, postoperative Hct, and the length of hospital stay. Conclusion: The present study compared the surgical outcomes between the TUERP and the TURP techniques performed in medium prostate sizes. The authors concluded that TUERP resulted in a greater prostate tissue removal and, importantly, better intraoperative bleeding control. Keywords: Benign Prostatic Hyperplasia, Transurethral enucleation of the prostate

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