The Effectiveness of ICU Triage for Inpatient Medical Services in an Urban Teaching Hospital

10.5580/21df ◽  
2010 ◽  
Vol 12 (1) ◽  
Keyword(s):  
Teaching Hospital ◽  
Medical Services ◽  
Urban Teaching

Palliative Care for AIDS at a Large Urban Teaching Hospital: Program Description and Preliminary Outcomes

2003 ◽  
Vol 6 (3) ◽  
pp. 461-474 ◽  
Author(s):  
Peter A. Selwyn ◽  
Mimi Rivard ◽  
Deborah Kappell ◽  
Bill Goeren ◽  
Hector LaFosse ◽  
...  
Keyword(s):  
Palliative Care ◽  
Teaching Hospital ◽  
Urban Teaching ◽  
Program Description

The Family Practice Inpatient Service in the Urban Teaching Hospital

1989 ◽  
pp. 59-64
Author(s):  
Ronald H. Goldschmidt ◽  
Mary Anne G. Johnson ◽  
Betty J. Dong
Keyword(s):  
Family Practice ◽  
Teaching Hospital ◽  
Inpatient Service ◽  
Urban Teaching ◽  
The Family

scholarly journals Prognostic factors in patients admitted to an urban teaching hospital with COVID-19 infection

2020 ◽  
Author(s):  
Donogh Maguire ◽  
Marylynne Woods ◽  
Conor Richards ◽  
Ross Dolan ◽  
Jesse Wilson Veitch ◽  
...  
Keyword(s):  
Heart Failure ◽  
Medical History ◽  
Teaching Hospital ◽  
Prognostic Score ◽  
Glasgow Prognostic Score ◽  
Early Warning Score ◽  
Past Medical History ◽  
Urban Teaching ◽  
Neutrophil Lymphocyte Ratio ◽  
History Of

Abstract BackgroundSevere COVID-19 infection results in a systemic inflammatory response (SIRS). This SIRS response shares similarities to the changes observed during the peri-operative period that are recognised to be associated with the development of multiple organ failure. MethodsElectronic patient records for patients who were admitted to an urban teaching hospital during the initial 7-week period of the COVID-19 pandemic in Glasgow, U.K. (17th March 2020 - 1st May 2020) were examined for routine clinical, laboratory and clinical outcome data. Age, sex, BMI and documented evidence of COVID-19 infection at time of discharge or death certification were considered minimal criteria for inclusion.ResultsOf the 224 patients who fulfilled the criteria for inclusion, 52 (23%) had died at 30-days following admission. COVID-19 related respiratory failure (75%) and multiorgan failure (12%) were the commonest causes of death recorded. Age>70 years (p<0.001), past medical history of cognitive impairment (p<0.001), previous delirium (p<0.001), clinical frailty score>3 (p<0.001), hypertension (p<0.05), heart failure (p<0.01), national early warning score (NEWS) >4 (p<0.01), positive CXR (p<0.01), and subsequent positive COVID-19 swab (p<0.001) were associated with 30-day mortality. CRP>80 mg/L (p<0.05), albumin <35g/L (p<0.05), peri-operative Glasgow Prognostic Score (poGPS) (p<0.05), lymphocytes <1.5 109/l (p<0.05), neutrophil lymphocyte ratio (p<0.001), haematocrit (<0.40 L/L (male) / <0.37 L/L (female)) (p<0.01), urea>7.5 mmol/L (p<0.001), creatinine >130 mmol/L (p<0.05) and elevated urea: albumin ratio (<0.001) were also associated with 30-day mortality.On analysis, age >70 years (O.R. 3.9, 95% C.I. 1.4 – 8.2, p<0.001), past medical history of heart failure (O.R. 3.3, 95% C.I. 1.2 – 19.3, p<0.05), NEWS >4 (O.R. 2.4, 95% C.I. 1.1 – 4.4, p<0.05), positive initial CXR (O.R. 0.4, 95% C.I. 0.2-0.9, p<0.05) and poGPS (O.R. 2.3, 95% C.I. 1.1 – 4.4, p<0.05) remained independently associated with 30-day mortality. Among those patients who tested PCR COVID-19 positive (n=122), age >70 years (O.R. 4.7, 95% C.I. 2.0 - 11.3, p<0.001), past medical history of heart failure (O.R. 4.4, 95% C.I. 1.2 – 20.5, p<0.05) and poGPS (O.R. 2.4, 95% C.I. 1.1- 5.1, p<0.05) remained independently associated with 30-days mortality.ConclusionAge > 70 years and severe systemic inflammation as measured by the peri-operative Glasgow Prognostic Score are independently associated with 30-day mortality among patients admitted to hospital with COVID-19 infection.

Role of the urban teaching hospital in training of nonaffiliated physicians

JAMA ◽  
1968 ◽  
Vol 204 (6) ◽  
pp. 435-437
Author(s):  
P. R. Torrens
Keyword(s):  
Teaching Hospital ◽  
Urban Teaching

scholarly journals Prognostic factors in patients admitted to an urban teaching hospital with COVID-19 infection

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Donogh Maguire ◽  
Marylynne Woods ◽  
Conor Richards ◽  
Ross Dolan ◽  
Jesse Wilson Veitch ◽  
...  
Keyword(s):  
Heart Failure ◽  
Medical History ◽  
Teaching Hospital ◽  
Prognostic Score ◽  
Glasgow Prognostic Score ◽  
Early Warning Score ◽  
Past Medical History ◽  
Urban Teaching ◽  
Neutrophil Lymphocyte Ratio ◽  
History Of

Abstract Background Severe COVID-19 infection results in a systemic inflammatory response (SIRS). This SIRS response shares similarities to the changes observed during the peri-operative period that are recognised to be associated with the development of multiple organ failure. Methods Electronic patient records for patients who were admitted to an urban teaching hospital during the initial 7-week period of the COVID-19 pandemic in Glasgow, U.K. (17th March 2020—1st May 2020) were examined for routine clinical, laboratory and clinical outcome data. Age, sex, BMI and documented evidence of COVID-19 infection at time of discharge or death certification were considered minimal criteria for inclusion. Results Of the 224 patients who fulfilled the criteria for inclusion, 52 (23%) had died at 30-days following admission. COVID-19 related respiratory failure (75%) and multiorgan failure (12%) were the commonest causes of death recorded. Age ≥ 70 years (p < 0.001), past medical history of cognitive impairment (p ≤ 0.001), previous delirium (p < 0.001), clinical frailty score > 3 (p < 0.001), hypertension (p < 0.05), heart failure (p < 0.01), national early warning score (NEWS) > 4 (p < 0.01), positive CXR (p < 0.01), and subsequent positive COVID-19 swab (p ≤ 0.001) were associated with 30-day mortality. CRP > 80 mg/L (p < 0.05), albumin < 35 g/L (p < 0.05), peri-operative Glasgow Prognostic Score (poGPS) (p < 0.05), lymphocytes < 1.5 109/l (p < 0.05), neutrophil lymphocyte ratio (p ≤ 0.001), haematocrit (< 0.40 L/L (male)/ < 0.37 L/L (female)) (p ≤ 0.01), urea > 7.5 mmol/L (p < 0.001), creatinine > 130 mmol/L (p < 0.05) and elevated urea: albumin ratio (< 0.001) were also associated with 30-day mortality. On multivariate analysis, age ≥ 70 years (O.R. 3.9, 95% C.I. 1.4–8.2, p < 0.001), past medical history of heart failure (O.R. 3.3, 95% C.I. 1.2–19.3, p < 0.05), NEWS > 4 (O.R. 2.4, 95% C.I. 1.1–4.4, p < 0.05), positive initial CXR (O.R. 0.4, 95% C.I. 0.2–0.9, p < 0.05) and poGPS (O.R. 2.3, 95% C.I. 1.1–4.4, p < 0.05) remained independently associated with 30-day mortality. Among those patients who tested PCR COVID-19 positive (n = 122), age ≥ 70 years (O.R. 4.7, 95% C.I. 2.0—11.3, p < 0.001), past medical history of heart failure (O.R. 4.4, 95% C.I. 1.2–20.5, p < 0.05) and poGPS (O.R. 2.4, 95% C.I. 1.1–5.1, p < 0.05) remained independently associated with 30-days mortality. Conclusion Age ≥ 70 years and severe systemic inflammation as measured by the peri-operative Glasgow Prognostic Score are independently associated with 30-day mortality among patients admitted to hospital with COVID-19 infection.

scholarly journals Percutaneous venepuncture practice in a large urban teaching hospital

2007 ◽  
Vol 7 (3) ◽  
pp. 243-249 ◽  
Author(s):  
Mark A Little ◽  
Tanya Hussein ◽  
Mark Lambert ◽  
Stuart J Dickson
Keyword(s):  
Teaching Hospital ◽  
Urban Teaching

Management of Ectopic Pregnancies in an Urban Teaching Hospital

2013 ◽  
Vol 20 (6) ◽  
pp. S117
Author(s):  
K.K. Edwards ◽  
K.S. Smith ◽  
Q. Bolton
Keyword(s):  
Teaching Hospital ◽  
Urban Teaching ◽  
Ectopic Pregnancies
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