Therapeutic Effectiveness of Nutrition Therapy in Pediatric Patients with Chronic Liver Diseases Awaiting Liver Transplantation

It is important to prevent protein/calorie malnutrition in children with end stage liver diseases prior to transplantation. This study involved 34 patients between the ages of 10 and 156 months (mean value 25.69 months ± 32.2) (13 females and 21 males) on the liver transplant waiting list. Data collected as of three months before transplant and up to ten months after the procedure concerned gender, age, weight, height, Pediatric End Stage Liver Disease Score, baseline pathology, type of nutrition, type of transplant, immunosuppression, pulse steroid therapy, length of stay, and post transplant complications. Linear regression analysis showed that the length of hospital stay was 24.5 days more for females than for males, but also that intensive nutrition therapy shortens this stay for both female patients (P = 0.085) and younger patients (P = 0.023). The study population was divided into two groups according to the different nutritional therapies adopted. The Student’s t-test and Mann-Whitney test evidenced that the group receiving intensive nutrition therapy grew taller compared with the group following an oral diet (mean -1.37 and Prob = 0.043); that females grew taller compared to males (mean -1.65 +/- 0.56); and that there was an increase in height among the children in the group receiving intensive nutrition therapy despite the presence (-1.37 +/- 0.56) or absence (-14.8 +/- 5.44 and Prob = 0.035) of complications, and despite the administration (-1.03 +/- 0.33) or non administration (-1.48 +/- 0.55 and Prob = 0.019) of steroids. Intensive nutrition therapy enhances the velocity of growth in height and shortens the length of hospital stay, thus optimizing the final prognosis of the baseline pathology.

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Indications and practice of enteral nutrition

Orvosi Hetilap ◽

10.1556/oh.2014.30066 ◽

2014 ◽

Vol 155 (51) ◽

pp. 2028-2033 ◽

Cited By ~ 1

Author(s):

Judit Hallay ◽

Dániel Nagy ◽

Béla Fülesdi

Keyword(s):

Risk Factors ◽

Treatment Outcome ◽

Enteral Nutrition ◽

Hospital Stay ◽

Length Of Hospital Stay ◽

Nutrition Therapy ◽

Present Review ◽

Hospitalised Patients ◽

Impact On Treatment ◽

Efficacy Of Treatment

Malnutrition in hospitalised patients has a significant and disadvantageous impact on treatment outcome. If possible, enteral nutrition with an energy/protein-balanced nutrient should be preferred depending on the patient’s condition, type of illness and risk factors. The aim of the nutrition therapy is to increase the efficacy of treatment and shorten the length of hospital stay in order to ensure rapid rehabilitation. In the present review the authors summarize the most important clinical and practical aspects of enteral nutrition therapy. Orv. Hetil., 2014, 155(51), 2028–2033.

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A Treatable Encephalopathy in a Peritoneal Dialysis Patient - Cefepime- Induced Encephalopathy

Journal of Neurosciences in Rural Practice ◽

10.4103/jnrp.jnrp_315_18 ◽

2019 ◽

Vol 10 (02) ◽

pp. 324-326 ◽

Cited By ~ 1

Author(s):

Ching Soong Khoo ◽

Tze Yuan Tee ◽

Hui Jan Tan ◽

Raymond Azman Ali

Keyword(s):

Peritoneal Dialysis ◽

Renal Disease ◽

Hospital Stay ◽

End Stage Renal Disease ◽

Dialysis Patient ◽

Length Of Hospital Stay ◽

Peritoneal Dialysis Patient ◽

Stage Renal Disease ◽

End Stage ◽

Reversible Encephalopathy

ABSTRACTWe report a patient with end-stage renal disease on peritoneal dialysis, who developed encephalopathy after receiving a few doses of cefepime. He recovered clinically and electroencephalographically after having discontinued the culprit agent and undergone hemodialysis. This case highlights the importance of promptly recognizing this reversible encephalopathy, which can lead to the avoidance of unnecessary workup, reduce the length of hospital stay, and thereby improve the patients’ outcome.

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Factors affecting length of hospital stay for people with spinal cord injuries at Kanombe military hospital, Rwanda

South African Journal of Physiotherapy ◽

10.4102/sajp.v68i2.14 ◽

2012 ◽

Vol 68 (2) ◽

Author(s):

PB Bwanjugu ◽

A. Rhoda

Keyword(s):

Spinal Cord ◽

Hospital Stay ◽

Spinal Cord Injuries ◽

Demographic Data ◽

Linear Regression Analysis ◽

Length Of Hospital Stay ◽

Military Hospital ◽

Pressure Sores ◽

Rehabilitation Team ◽

Factors Affecting

In patients with spinal cord injuries increased length ofhospital stay is often as a result of secondary complications such as pressuresores, urinary tract infection and respiratory infection. An increased lengthof hospital stay was observed at Kanombe Military Hospital in Rwanda.The aim of this study was to determine specific factors affecting length ofhospital stay for individuals with spinal cord injuries at Kanombe MilitaryHospital in Rwanda. The records of 124 individuals with spinal cordinjuries who were discharged from the hospital between 1st January1996and 31st December 2007 were reviewed to collect data. Information collected and captured on a data gathering sheetincluded demographic data, information relating to the injury, occurrence of medical complications and length ofhospital stay. Linear regression analysis was computed in SPSS to determine factors affecting the length of stay.The necessary ethical considerations were adhered to during the implementation of the study. Current employmentstatus and the occurrence of pressure sores were significantly associated with the length of hospital stay (p=0.021 andp=0.000 respectively). A strong relationship was noted between pressure sores and length of stay (R= 0.703). There is aneed for all members of the rehabilitation team to devise and implement effective measures to prevent the developmentof pressure sores, in patients with spinal cord injuries in the study setting.

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Hyperglycemia treatment is associated with longer length of hospital stay in colorectal cancer surgery patients

Journal of Clinical Oncology ◽

10.1200/jco.2006.24.18_suppl.6133 ◽

2006 ◽

Vol 24 (18_suppl) ◽

pp. 6133-6133

Author(s):

J. M. Geraci ◽

N. Busaidy ◽

J. Wang ◽

T. P. Lam ◽

J. M. Skibber ◽

...

Keyword(s):

Rectal Cancer ◽

Logistic Regression ◽

Hospital Stay ◽

Length Of Hospital Stay ◽

Hospital Length Of Stay ◽

Major Surgery ◽

Cancer Center ◽

Diabetes Diagnosis ◽

Colorectal Cancer Surgery ◽

Study Population

6133 Background: Diabetes mellitus (DM) is associated with longer hospital stays in some medical and surgical inpatient populations. Aggressive control of blood sugar may prevent complications and decrease hospital length of stay (LOS). Methods: We conducted a retrospective study of 519 patients at UT MD Anderson Cancer Center (UTMDACC) who had major surgery for colon or rectal cancer in calendar years 2000–2003. Patient data extracted from the UTMDACC Institutional Database included demographics, admission and discharge dates and diagnoses, surgical procedures, and diabetes medication use during the hospitalization. Known DM was defined as present if the patient had a diabetes diagnosis prior to or at admission; hyperglycemia treatment was defined as receipt of a medication for diabetes (insulin or oral medication) during the index hospitalization. Chi-square and t tests were performed to assess associations between patient characteristics and long LOS, and multiple logistic regression was used to identify independent predictors of hospital LOS at or greater than the 75th percentile for the study population (long LOS). Results: The mean age of the study population was 60.4 years (median 61, range 18–91). Known DM was present in 10.4% of cases; the same percentage received hyperglycemia treatment during their hospital stay, although not all were known diabetics. Mean LOS was 8.9 days; median 7 days and the 75th percentile 9 days. 50% of patients treated for hyperglycemia had long LOS (27 of 54 cases, p< 0.0005). In a logistic regression model controlling for patient demographic and clinical characteristics and the occurrence of post-operative complications, hyperglycemia treatment was an independent predictor of long LOS (odds ratio 4.1, 95% confidence interval 1.6, 10.3). Conclusions: Hyperglycemia treatment is associated with longer LOS in patients undergoing surgery for colon or rectal cancer at UTMDACC. Further studies should determine whether patients at risk for long LOS can be identified prospectively such that they might benefit from an intervention to reduce their LOS. [Table: see text]

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Energy deficit and length of hospital stay can be reduced by a two-step quality improvement of nutrition therapy

Critical Care Medicine ◽

10.1097/ccm.0b013e31822f0ad7 ◽

2012 ◽

Vol 40 (2) ◽

pp. 412-419 ◽

Cited By ~ 80

Author(s):

Ludivine Soguel ◽

Jean-Pierre Revelly ◽

Marie-Denise Schaller ◽

Corinne Longchamp ◽

Mette M. Berger

Keyword(s):

Quality Improvement ◽

Hospital Stay ◽

Length Of Hospital Stay ◽

Nutrition Therapy ◽

Energy Deficit

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A Comparative Study of Chronic Subdural Hematoma in Patients With and Without Head Trauma

10.21203/rs.3.rs-46080/v1 ◽

2020 ◽

Author(s):

Yunwei Ou ◽

Xiaofan Yu ◽

Xiaojuan Liu ◽

Qian Jing ◽

Baiyun Liu ◽

...

Keyword(s):

Hospital Stay ◽

Head Trauma ◽

Clinical Characteristics ◽

Linear Regression Analysis ◽

Chronic Subdural Hematoma ◽

Length Of Hospital Stay ◽

Treatment Method ◽

Multiple Linear Regression Analysis ◽

History Of ◽

Trauma Group

Abstract Background: Clinical features in chronic subdural hematomas (CSDH) patients with and without history of head trauma are not clear. Here, we seek to investigate difference of clinical characteristics in CSDH patients with and without head trauma.Methods: Retrospectively collected clinical characteristics of CSDH patients, who were performed exhaustive drainage strategy in burr-hole craniostomy from August 2011 to May 2019. Divided patients into trauma and no trauma groups. Chi-square test or t-test was used to analyze differences of clinical characteristics between two groups. Multiple linear regression analysis was performed to analyze relationships between clinical characteristics and reduction of hematoma cavity and length of hospital stay in CSDH patients with trauma.Results: 1,307 CSDH patients were collected. 805 patients occurred history of head trauma, 502 patients without it. Mean age of patients with trauma was 64.0 ± 16.1 years, while 61.5 ± 17.9 years in patients without trauma (p=0.010). More patients occurred hypertension in without trauma group than trauma group (40.2% vs 32.9%, p=0.007). Dizziness occurred in 29.2% patients with trauma, 23.1% in patients without trauma (p=0.016). Reduction of hematoma cavity after surgery in patients without trauma was less than ones with trauma (p=0.002). Length of hospital stay in patients with trauma was 7.9 ± 4.5 days, which was longer than patients without trauma (7.3 ± 3.7 days, p=0.016). No significantly different densities of hematoma on CT, complications, mortality, recurrence rate and outcome were found between two groups.Conclusion: Pathogenesis and some clinical characteristics occur differences in CSDH patients with and without trauma, but if we choose an optimal treatment method, such as our exhaustive drainage, and we can achieve the same effect.

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Nosocomial blood-stream infection in patients with end-stage renal disease: excess length of hospital stay, extra cost and attributable mortality

Journal of Hospital Infection ◽

10.1053/jhin.2001.1162 ◽

2002 ◽

Vol 50 (3) ◽

pp. 224-227 ◽

Cited By ~ 20

Author(s):

J.W. Liu ◽

Y.K. Su ◽

C.F. Liu ◽

J.B. Chen

Keyword(s):

Renal Disease ◽

Hospital Stay ◽

End Stage Renal Disease ◽

Blood Stream Infection ◽

Length Of Hospital Stay ◽

Blood Stream ◽

Extra Cost ◽

Attributable Mortality ◽

Stage Renal Disease ◽

End Stage

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Nephrotoxicity Comparison of Two Commercially Available Generic Vancomycin Products

Antimicrobial Agents and Chemotherapy ◽

10.1128/aac.00388-15 ◽

2015 ◽

Vol 59 (9) ◽

pp. 5470-5474 ◽

Cited By ~ 12

Author(s):

Jesse D. Sutton ◽

Ryan P. Mynatt ◽

Keith S. Kaye ◽

Kyle P. Murray ◽

Michael J. Rybak ◽

...

Keyword(s):

Risk Factors ◽

Kidney Injury ◽

Length Of Hospital Stay ◽

Severity Of Illness ◽

Acute Kidney Injury Network ◽

Study Population ◽

Secondary Outcomes ◽

Stage Renal Disease ◽

End Stage ◽

The Impact

ABSTRACTTo date, no comparative clinical studies have investigated the effects of different vancomycin products on nephrotoxicity. The objective of this single-center, retrospective, matched-cohort study was to investigate the impact of two different vancomycin products on the development of nephrotoxicity. The study population included adults receiving a single vancomycin product, from either Pfizer or Hospira, for their entire course of therapy. Patients were matched based on underlying nephrotoxicity risk factors. Secondary outcomes included the need for renal replacement therapy, length of hospital stay, and in-hospital mortality. One-hundred forty-six matched pairs (n= 292) were included, and they had no significant differences in demographics, comorbid conditions, severity of illness, or vancomycin-associated nephrotoxicity risk factors. The frequency of nephrotoxicity was 8.9% in the Pfizer group and 11.0% in the Hospira group as defined by the 2009 consensus vancomycin guidelines (P= 0.56), 17.1% in the Pfizer group and 13.0% in the Hospira group as defined by the Acute Kidney Injury Network (AKIN) (P= 0.33), and 10.3% in the Pfizer group and 11.6% in the Hospira group as defined by RIFLE (risk, injury, failure, loss, and end-stage renal disease) criteria (P= 0.71). There were no differences between groups in regard to nephrotoxicity by any definition or in secondary outcomes. In multivariate analysis of overall nephrotoxicity risk factors, the type of vancomycin product was not independently associated with increased odds of developing nephrotoxicity according to the RIFLE criteria. Based on our results, there are no discernible differences between Pfizer and Hospira vancomycin products in the frequency of nephrotoxicity. Confirmation of these results with other types of vancomycin and different patient populations is warranted.

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Costs in Pituitary Surgery: Racial, Socioeconomic, and Hospital Factors

Journal of Neurological Surgery Part B Skull Base ◽

10.1055/s-0038-1635081 ◽

2018 ◽

Vol 79 (06) ◽

pp. 522-527 ◽

Cited By ~ 5

Author(s):

Alan Workman ◽

Sarah Kidwai ◽

Erden Goljo ◽

Anthony Signore ◽

Alfred Iloreta ◽

...

Keyword(s):

Hospital Stay ◽

Linear Regression Analysis ◽

Univariate Analysis ◽

Length Of Hospital Stay ◽

Pituitary Surgery ◽

Multiple Linear Regression Analysis ◽

Cross Sectional Study ◽

Racial Groups ◽

Cross Sectional ◽

Hospital Factors

Objective To investigate the influence of patient demographic factors and hospital factors on cost and length of stay in patients undergoing pituitary surgery. Design/Setting A retrospective cross-sectional study of the 2008 to 2012 Nationwide/National Inpatient Sample. Participants Patient demographics and hospital characteristics for patients undergoing pituitary surgery were compared between white, black, and Hispanic patients. Main Outcome Measures Variables associated with increased cost and increased length of hospital stay were ascertained and compared against each racial and ethnic group via multiple linear regression analysis. Results Of 8,812 patients who underwent pituitary surgery, 5,924 (67.2%) patients were white, 1,590 (18.0%) were black, and 1,296 (14.7%) were Hispanic. Patient variables found to be significantly different between racial groups via univariate analysis were age, chronic conditions, gender, income, and primary payer. Hospital variables found to be significantly different were location/teaching status, region, and ownership. Hospitalization cost was significantly lower for whites (−$3,082, 95% confidence interval [CI] −$3,961 to −$2,202) and significantly higher for both blacks ($1,889, 95% CI $842–$2,937) and Hispanics ($2,997, 95% CI $1,842–$4,152). Length of hospital stay was also significantly lower in whites (−1.01, 95% CI −1.31 to −0.72) and significantly higher for both blacks (0.65, 95% CI 0.30 to 1.00) and Hispanics (0.96, 95% CI 0.57–1.35). Conclusions Racial and ethnic factors contribute to differences in hospital utilization and cost for patients undergoing pituitary surgery. Further investigations are necessary to uncover the sources of these disparities in an effort to provide safer and more affordable care to all patients.

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