ECONOMIC BUDERN AND TREATMENT COST OF FALLS, BURNS, AND TRAFFIC INJURIES IN CHILDREN

2017 ◽  
pp. 100-106
Author(s):  
Thuan Huynh ◽  
Minh Tam Nguyen
Keyword(s):  
Treatment Cost ◽  
Cross Sectional Study ◽  
Pediatric Hospital ◽  
Child Injury ◽  
Total Treatment Cost ◽  
Cross Sectional ◽  
Cost Treatment ◽  
Significant Burden ◽  
Total Treatment ◽  
Fatal Injuries

Introduction: Child injury is a significant burden for community health care in Vietnam. Besides the fatal injuries, millions of children need hospital care for non-fatal injuries. Investigation on treatment cost and economic burden of the most common non-fatal injuries such as falls, burns, and traffic injuries is very necessary. Objectives: (1) Describe the patterns of falls, burns, and traffic injuries among children admitted with injuries to the Quang Nam Pediatric Hospital; (2) Analyze the treatment cost for falls, burns, and traffic injuries of these patients. Methods: A cross-sectional study on 424 pediatric patients under 16 year old admitted with falls, burns, and traffic injuries to the Quang Nam Pediatric Hospital from 01/6/2014 to 31/3/2015. Results: Most of participants admitted to the hospital for falls (66%), traffic injuries (22,4%). Mild injuries was dominated, burns and traffic injuries were more serious in almost cases and the average of PTS index was 9.4 points. Average total treatment cost was 1,259,200 VN dong, direct cost accounted for 68.4% of total treatment cost. Treatment costs of burns and traffic injuries were higher than that of falls. Key words: burden of disease, treatment cost, injury, children

scholarly journals Cost-effectiveness Analysis of Per-abdominal and Laparoscopic Cholecystectomy

2019 ◽  
Author(s):  
Shahariar Islam
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Cost Effectiveness ◽  
Treatment Cost ◽  
Cost Effective ◽  
Cross Sectional Study ◽  
Total Treatment Cost ◽  
Laboratory Cost ◽  
Cross Sectional ◽  
Average Hospital ◽  
The Cost

Cholelithiasis is one of the major problems which need cholecystectomy. Laparoscopic cholecystectomy is a newer technique. But there is a need to evaluate the cost-effectiveness of per-abdominal and laparoscopic method from patients perspective. The study was performed to assess the cost-effectiveness of per-abdominal and laparoscopic cholecystectomy.
Materials and Methods:
This cross sectional study in two sample situations was conducted among 90 purposively selected cholecystectomy patients of which 60 patients underwent laparoscopic cholecystectomy (LC) and 30 patients underwent per-abdominal cholecystectomy (PAC) from three tertiary level government hospitals of Dhaka, Bangladesh at the time of their discharge through face to face interview using a semi-structured questionnaire and checklist. The study found average age 45.33(13.63) and 41.75(13.39) years in PAC and LC respectively. Average monthly income was less in the PAC group Tk.23200.00(12374.61) than LC Tk.24925.00(12166.86). Average duration of suffering from cholelithiasis was 9.50(8.68) months in PAC group and 12.43(17.49) months in LC group. Average hospital stay was 13.97(6.88) days in PAC group while it was 12.02(6.66) days in LC group. Average treatment cost was little higher Tk.21927.407795.89 in LC group than Tk.21466.306261.42 in the PAC group. Both direct cost and indirect cost were also higher in LC group (Tk.18668.305965.67 and Tk.3661.324229.85) than in PAC group (Tk.18228.004624.75 and Tk.3350.004124.58). But these differences were not statistically significant. In both groups treatment cost significantly increased with duration of hospitalization (correlation, p<0.01). Cure rate was significantly high in LC group (94.4%) than in PAC group (86.7%) (χ2, p<0.05).
This study revealed LC method is cost-effective than PAC method. Total treatment cost in LC can be reduced by minimizing hospital cost, laboratory cost and securing the income of the patients which enhance the economic load.

scholarly journals Drug utilization pattern in outdoor patients of pediatric tertiary care hospital: a cross sectional study

2020 ◽  
Vol 9 (11) ◽  
pp. 1725
Author(s):  
Sonal M. Parekar ◽  
Girish K. Maindarkar ◽  
Vishal V. Maindarkar
Keyword(s):  
Drug Utilization ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Drug Formulation ◽  
Oral Drug ◽  
Care Hospital ◽  
Pediatric Hospital ◽  
Sectional Study ◽  
Utilization Pattern ◽  
Cross Sectional

Background: Drug utilization study is essential, as safe and effective therapeutic regimen in paediatric population is challenging. Pattern of use of drugs in pediatrics vary as compared to adults, also there is limited data available. The objective of this study was to study drug utilization pattern in pediatric patients attending pediatric outpatient department of Maindarkar pediatric hospital, Latur.Methods: A cross sectional study was carried out for a period of six months from September 2019 to February 2020, by analysing a total 1000 prescriptions of patients who had visited the OPD of Maindarkar pediatric hospital. Prescriptions were selected by simple random sampling method.Results: In our study, out of the total of 1000 prescriptions, 244 (24.4%) were of neonates, 556 (55.6%) were of infants (1 month to 1 year) and 200 (20%) were of children above 1 year. 547 (54.7%) prescriptions were of male patients and 453 (45.3%) were of female patients. The most frequent classes of drugs prescribed were nonsteroidal anti-inflammatory drugs 704 (70.4%), followed by drugs used for respiratory disorders 655 (65.5%) and supplements (60%). Antimicrobials were prescribed in 498 (49.8%) prescriptions. The average number of drugs per prescription was 2.45. About two third of all the prescribed drugs (74.41%) were from national essential medicine list. Most of the prescriptions had oral drug formulation 825 (82.5%) followed by inhalational 208 (20.8%) followed by injectables 150 (15%). All the drugs were prescribed by brand names.Conclusions: Our study helps health-care system to understand, interpret and improve prescribing, administration, to minimize adverse events and promote rational use of medicines.

Practices and Perceptions of Family Centered Care among Healthcare Providers: A Cross-sectional Study in a Pediatric Hospital

2018 ◽  
Vol 43 ◽  
pp. e18-e25 ◽  
Author(s):  
Immacolata Dall'Oglio ◽  
Michela Di Furia ◽  
Emanuela Tiozzo ◽  
Orsola Gawronski ◽  
Valentina Biagioli ◽  
...  
Keyword(s):  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Family Centered Care ◽  
Pediatric Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Centered Care ◽  
Family Centered

scholarly journals Analysis of treatment cost for neuroblastoma to the family: a single-center cross-sectional study in China

2020 ◽  
Vol 23 (9) ◽  
pp. 961-966
Author(s):  
Chiyi Jiang ◽  
Siyu Cai ◽  
Chao Duan ◽  
Na Xu ◽  
Yuchen Zhou ◽  
...  
Keyword(s):  
Treatment Cost ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Single Center ◽  
Cross Sectional ◽  
The Family

scholarly journals Who Uses a Price Transparency Tool? Implications for Increasing Consumer Engagement

2017 ◽  
Vol 54 ◽  
pp. 004695801770910
Author(s):  
Rebecca A. Gourevitch ◽  
Sunita Desai ◽  
Andrew L. Hicks ◽  
Laura A. Hatfield ◽  
Michael E. Chernew ◽  
...  
Keyword(s):  
Health Care ◽  
Treatment Cost ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Multivariate Logistic Regression ◽  
Cross Sectional ◽  
Price Transparency ◽  
Medical Spending ◽  
Younger Age ◽  
Over Time

Despite the recent proliferation of price transparency tools, consumer use and awareness of these tools is low. Better strategies to increase the use of price transparency tools are needed. To inform such efforts, we studied who is most likely to use a price transparency tool. We conducted a cross-sectional study of use of the Truven Treatment Cost Calculator among employees at 2 large companies for the 12 months following the introduction of the tool in 2011-2012. We examined frequency of sign-ons and used multivariate logistic regression to identify which demographic and health care factors were associated with greater use of the tool. Among the 70 408 families offered the tool, 7885 (11%) used it at least once and 854 (1%) used it at least 3 times in the study period. Greater use of the tool was associated with younger age, living in a higher income community, and having a higher deductible. Families with moderate annual out-of-pocket medical spending ($1000-$2779) were also more likely to use the tool. Consistent with prior work, we find use of this price transparency tool is low and not sustained over time. Employers and payers need to pursue strategies to increase interest in and engagement with health care price information, particularly among consumers with higher medical spending.

scholarly journals Penggunaan Antibiotik Profilaksis pada Bedah Bersih di Rumah Sakit di Jakarta

2020 ◽  
pp. 7-12
Author(s):  
Anggita Bunga Anggraini ◽  
Syachroni Syachroni
Keyword(s):  
Medical Records ◽  
Surgical Site Infections ◽  
Cross Sectional Study ◽  
Prophylactic Antibiotics ◽  
Surgical Wound ◽  
Cross Sectional ◽  
Inappropriate Use ◽  
Cost Treatment ◽  
Antibiotics Use ◽  
Prophylactic Use

Abstrak Penggunaan antibiotik profilaksis bedah yang tidak tepat dapat meningkatkan risiko terjadinya Infeksi Luka Operasi (ILO) dan resistensi obat. Penelitian ini bertujuan untuk menilai ketepatan penggunaan antibiotik profilaksis bedah pada bedah bersih di rumah sakit (RS) di Jakarta. Penelitian ini merupakan studi potong lintang di sebuah RS pemerintah di Jakarta. Data yang diambil berasal dari rekam medis pasien dewasa yang menjalani pembedahan dengan kriteria kelas luka bedah bersih. Data diambil pada periode 1 Januari hingga 31 Desember 2013. Analisis data dilakukan secara deskriptif berdasarkan pedoman penggunaan antibiotik baik nasional maupun internasional. Hasil penelitian menunjukkan 837 pasien menjalani bedah bersih pada periode tersebut. Bedah yang banyak dilakukan adalah bedah abdominal (30%) dan thorak-non kardiak (23,5%) dan lebih dari 96% merupakan bedah elektif. Jenis antibiotik yang paling banyak digunakan adalah siprofloksasin (56,5%). Keseluruhan kesesuaian antibiotik profilaksis adalah 27,7% tepat indikasi prosedur bedah dan hanya 0,5% yang tepat obat. Sebagai kesimpulan, ketepatan penggunaaan antibiotik profilasis di salah satu RS di Jakarta masih rendah. Penggunaan antibiotik yang tepat dapat menurunkan risiko ILO dan mengurangi biaya pengobatan dengan mengurangi peresepan yang tidak perlu dan durasi penggunaan antibiotik. Kata kunci: antibiotik, bedah bersih, ketepatan, profilaksis Abstract Inappropriate use of surgical prophylactic antibiotics can increase the risk of Surgical Site Infections (SSI) and drug resistance. This study aimed to assess the appropriateness use of surgical prophylactic antibiotics in clean surgery wounds in a hospital in Jakarta. This cross-sectional study was conducted at a government hospital in Jakarta. Data were collected from medical records of adult patients undergoing surgery with clean surgical wound criteria from January 1 to December 31, 2013. Data were analyzed descriptively based on guidelines for antibiotics use both nationally and internationally. The result showed 837 patients classified into the clean surgical wound during this period. The most common surgeries were abdominal surgery (39%) and non-cardiac thoracic (23.5%) and more than 96% were elective surgeries. The overall antibiotic prophylactic appropriateness showed 27.7% in surgical procedures and only 0.5% in choice of antibiotics. In conclusion, the appropriateness of surgery antibiotics prophylactic use in one of the hospitals in Jakarta was still low. Appropriate use of antibiotics can reduce the risk of SSI and cost treatment by reducing unnecessary prescribing and duration of antibiotics use. Keywords: antibiotic, appropriate, prophylactic, clean surgery

scholarly journals Thyroid Function in Molar Pregnancies

2022 ◽  
Vol 19 (1) ◽  
pp. 22-25
Author(s):  
Kavita Sinha ◽  
Ram Das ◽  
Homnath Adhikari
Keyword(s):  
Thyroid Function ◽  
Hydatidiform Mole ◽  
Thyroid Function Test ◽  
Cross Sectional Study ◽  
Thyroid Storm ◽  
Molar Pregnancy ◽  
Cross Sectional ◽  
Medical College ◽  
Significant Burden ◽  
Gestational Trophoblastic Diseases

Introduction: Molar pregnancies represent a significant burden of disease on the spectrum of gestational trophoblastic diseases. Vaginal bleeding being the most common occasionally, molar pregnancy is complicated by hyperthyroidism, which may require treatment. Aims: To determine thyroid function test and association of hyperthyroidism among the cases of molar pregnancy. Methods: This is a hospital-based cross-sectional study conducted in the department of Obstetrics and Gynecology, Nepalgunj Medical College and Teaching Hospital, Kohalpur. Sixty cases of molar pregnancy were included during the study period from February 2020 to January 2021.Patients having history of known thyroid disorders were excluded. Results: Prevalence of molar pregnancy in our study was 5.4 per thousand pregnancies in our hospital. Molar pregnancy and hyperthyroidism, both were common in the age group of 21-35 years. Hyperthyroidism was present in 10% patients. Enlarged thyroid was seen in 3.3%, tremor was present in 3.3%, and palpitation in 21.5%. Five (8.3%) patients with hyperthyroidism were underweight. Majority of patients with hyperthyroidism, beta humanchorionic gonadotrophhin level was more than three lakhs and it was mostly associated with complete hydatidiform mole compared to partial hydatidiform mole. Thyroid storm was not experienced in any of the patients. Conclusion: The rate of molar pregnancy is high. Hyperthyroidism in molar pregnancy is not uncommon. High levels of human chorionic gonadotropin, complete hydatiform mole are directly associated with hyperthyroidism. Awareness of this condition is important for diagnosis and treatment to prevent life threatening complications.

scholarly journals Segurança do paciente pediátrico no processo de administração de medicamento endovenoso

2021 ◽  
Vol 11 (4) ◽  
Author(s):  
Cristina Oliveira Da Costa ◽  
Thais Lima Vieira de Souza ◽  
Érica Oliveira Matias ◽  
Sabrina De Souza Gurgel ◽  
Rafaela De Oliveira Mota ◽  
...  
Keyword(s):  
Patient Safety ◽  
El Paso ◽  
Cross Sectional Study ◽  
Pediatric Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Intravenous Drugs ◽  
Satisfactory Performance ◽  
Quantitative Nature

Objetivo: Avaliar o processo de preparo e administração de medicamentos endovenosos em um hospital pediátrico. Métodos: Estudo transversal de natureza quantitativa. Foram realizadas 135 observações do processo de preparo e administração de medicamentos por via endovenosa em crianças. Para a avaliação do desempenho dos profissionais na execução de cada ação do processo determinou-se o Índice de Positividade para Qualidade da Assistência. A análise foi através de estatística descritiva obedecendo aos preceitos éticos. Resultados: Na etapa de leitura de prescrição médica uma ação obteve desempenho satisfatório (igual ou maior que 70%). As ações de todas as 15 ações da etapa de organização do ambiente e seleção dos materiais nove foram satisfatórias (maior que 70%). Conclusão: Os achados referentes ao estudo nos permite evidenciar que existem falhas no processo de preparo e administração de medicamentos. É imprescindível a melhoria dos cuidados em saúde através de educação permanente.Descritores: Segurança do Paciente; Enfermagem Pediátrica; Pediatria. PEDIATRIC PATIENT SAFETY IN THE INTRAVENOUS DRUG ADMINISTRATION PROCESSObjective: To evaluate the process of preparation and administration of intravenous drugs in a pediatric hospital. Methods: Cross-sectional study of a quantitative nature. 135 observations were made of the process of preparation and administration of drugs intravenously in children. To assess the performance of professionals in the execution of each action in the process, the Positivity Index for Quality of Care was determined. The analysis was through descriptive statistics obeying the ethical precepts. Results: In the step prior to the preparation of the medications, all actions achieved satisfactory performance (≥70%). Of the fifteen actions for preparing medications, nine were satisfactory (≥70%). During and after the administration of six of the seven actions, they obtained satisfactory performance (≥70%). Conclusion: The findings regarding the study allow us to evidence that there are flaws in the process of preparing and administering medications.Descriptors: Patient Safety; Pediatric Nursing; Pediatrics. SEGURIDAD DEL PACIENTE PEDIÁTRICO EN EL PROCESO DE ADMINISTRACIÓN DE DROGAS INTRAVENOSASObjetivo: evaluar el proceso de preparación y administración de drogas intravenosas en un hospital pediátrico. Métodos: estudio transversal de naturaleza cuantitativa. Se hicieron 135 observaciones sobre el proceso de preparación y administración de drogas por vía intravenosa en niños. Para evaluar el desempeño de los profesionales en la ejecución de cada acción en el proceso, se determinó el Índice de Positividad para la Calidad de la Atención. El análisis fue a través de estadísticas descriptivas que obedecen los preceptos éticos. Resultados: En el paso previo a la preparación de los medicamentos, todas las acciones lograron un desempeño satisfactorio (≥70%). De las quince acciones para preparar medicamentos, nueve fueron satisfactorias (≥70%). Durante y después de la administración de seis de las siete acciones, obtuvieron un desempeño satisfactorio (≥70%). Conclusión: Los hallazgos con respecto al estudio nos permiten evidenciar que hay fallas en el proceso de preparación y administración de medicamentos.Descriptores: Seguridad del paciente; Enfermería Pediátrica; Pediatría.

scholarly journals Prescribing pattern of antibiotics in AL-Elwia Pediatric Teaching Hospital, Baghdad, 2016.

2019 ◽  
Vol 13 (2) ◽  
pp. 117-126
Author(s):  
Ali Abdul-Razzaq Obaid
Keyword(s):  
Teaching Hospital ◽  
Antibiotic Prescription ◽  
Hospital Setting ◽  
Cross Sectional Study ◽  
Pediatric Hospital ◽  
Prescribing Pattern ◽  
Cross Sectional ◽  
Strict Guideline ◽  
Common Group ◽  
Group 1

Background: Antibiotics are among the most commonly used medicine, in both community and hospital setting, all over the world especially in countries where no strict guideline to regulate their use. In Iraq, only a few studies conducted to describe the antibiotic prescription pattern in general hospitalsand even less in pediatric hospital. Objective: To describe the patterns for antibiotics used in Elwia pediatric teaching hospital in Baghdad, Iraq Type of the study: Descriptive cross sectional study. .Methodology: The study was conducted at AL-Elwia Pediatric Teaching Hospitalduring the year 2016. A random sample from all the prescriptions sheets, of patients consulting outpatient clinic or admitted to different departments were studied for different parameters in different departments of the hospital. Results:A total number of 9440 prescriptions, were collected and analyzed.The age group 1-5 years was the most common group consulting the hospital followed by those below 6 months of age. About 51% of all patients were males. The study revealedthat 87.56% of all patients consulting the hospital were received antibiotics. The highest rate of antibiotic used was in inpatient department (99.9%) followed by NNCU (92.11%). Amoxicillin was the most preferred antibiotics by pediatrician in outpatient, inpatient and ER department. Conclusion: The results of this study indicate that there is, in general, overuse of antibiotics in all hospital departments when compared with other developing countries.    

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