scholarly journals Role of Caregivers Training as Predictor of Outcome in Stroke Survivors – A Review

2014 ◽  
Vol 30 (1) ◽  
pp. 50-52
Author(s):  
Md Shahidur Rahman
Keyword(s):  
Home Care ◽  
Functional Outcome ◽  
Care Management ◽  
Hospital Costs ◽  
Early Discharge ◽  
Stroke Survivors ◽  
Poor Functional Outcome ◽  
Discharged Patients ◽  
Receive Treatment

There are many predictors of poor functional outcome in stroke survivors. Need of caregivers training to address the discharged patients for their home care management is often overlooked. Early discharge, lack of post-acute management facilities including home or community based services are other important predictors of poor functional outcome. Most of the patients are discharged home directly from hospital neurology unit after acute care management for inability to pay hospital costs. Rich patients who reside in the city can afford to receive treatment from trained nurse or physiotherapist at home but poor patients go home without any preparation for home care management of the patients. Hospital based rehabilitation management of stroke survivors are scarcely available in our country but thousands of inadequately treated patients are discharged home without any training to the caregivers. They come back to the outpatients department for next visit with multiple complications. This review article tried to find out the need and impact of caregivers training on outcome of stoke survivors. Bangladesh Journal of Neuroscience 2014; Vol. 30 (1): 50-52

scholarly journals Association Between Neck Circumference and Poor Outcome in Spontaneous Intracerebral Hemorrhage Patients: A Prospective Observational Study.

2020 ◽  
Author(s):  
Yujian Li ◽  
Huiqing Zhou ◽  
Xiang Yang ◽  
Jun Zheng ◽  
Fan Zhang ◽  
...  
Keyword(s):  
Intracerebral Hemorrhage ◽  
Functional Outcome ◽  
Prospective Observational Study ◽  
Independent Predictor ◽  
Multivariate Logistic Regression Analysis ◽  
Neck Circumference ◽  
Roc Curve Analysis ◽  
Poor Functional Outcome ◽  
Poor Outcome

Abstract Background: Obesity is one of the major risk factors of intracerebral hemorrhage (ICH). Neck circumference (NC) is an indicator of obesity, and little is known about the role of NC in patients with ICH. This study aimed to assess the association between NC and functional outcome in ICH patients.Methods: We prospectively analyzed data of ICH patients who received treatment at our institution from January 2018 to November 2019. Patients were categorized as two groups according to 180-day Modified Rankin Scale (MRS) score. Univariate and multivariate analyses were performed to assess whether NC was associated with poor outcome in ICH patients. Receiver operating characteristic (ROC) curve analysis was performed to manifest the significance of NC in predicting the functional outcome of ICH patients.Results: A total of 312 patients were enrolled in our study. Multivariate logistic regression analysis indicated that NC was an independent predictor of 180-day poor functional outcome (odds ratio [OR] = 1.205, 95% confidence interval [CI]: 1.075-1.350, p = 0.001). ROC analysis revealed that NC could predict poor functional outcome at 6 months.Conclusion: NC is an independent predictor of unfavorable functional outcome at 6 months in ICH patients.

scholarly journals SP4.1.17 Surgical Hot Clinic support during Covid 19 pandemic

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Uzma Jalali ◽  
Jayne Bennett
Keyword(s):  
Emergency Department ◽  
Strong Support ◽  
Surgical Care ◽  
Early Discharge ◽  
Surgical Patients ◽  
Day Case ◽  
Face To Face ◽  
Discharged Patients ◽  
Bleeding Per Rectum

Abstract Aims To determine the role of Surgical Hot clinic during covid 19. Methods All patients attending Hot clinic from September 2020 to December 2020 were included in retrospective study. Results Total number of 373 patients have attended Hot clinic, sixty percent were females. Emergency department referred 43.3% of patients who were reviewed and referred by emergency and /or surgical doctors. Ward discharged patients were second highest in numbers, comprising 21.7% and were mostly post-surgical patients. GP referrals were 19.3% also 6% were referred by consultants and similar percentage was re booked in Hot clinic. Forty one percent of the patients presented with abdominal pain, the most common being right upper quadrant followed by iliac fossae pain. Post produre review accounted for 24.6% of patients. Abscess were 16.3% whereas uncomplicated hernia, bleeding per rectum presented less. Majority of patients was discharged on their first visit. The percentage of patients rebooked into Hot clinic was 9.6% with 6.7% referred to consultant’s outpatient clinic after requesting investigations. Only 3.4% were admitted for surgical care and 1.6% was brought back next day for day case procedure. Conclusion In light of the increased demand on ECC services, Hot clinic has emerged as a strong support during Covid 19 Pandemic. It has been utilized not only for urgent surgical referrals but also to facilitate early discharge to avoid Covid exposure. During the reduction of face to face appointments, both outpatients and GP, Hot clinic has provided services for pre-op and/ or investigation review.

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