Årsaker til forsinkelser ved elektive operasjoner

Forsinkelser og strykninger under elektive operasjoner hindrer optimal drift og kan være en påkjenning for pasienter. Målet med studien var å identifisere og beskrive de faktiske årsaker til forsinkelser ved elektive operasjoner, samt omfang, varighet og andre kjennetegn ved slike forsinkelser. Studien har et flermetodisk prospektivt studiedesign. I en periode på to måneder ble alle elektronisk registrerte forsinkelser fulgt opp med strukturerte intervju. I løpet av studieperioden ble halvparten av elektive operasjoner registrert med en eller flere forsinkelser (N = 402). Informantene anga 60 ulike rotårsaker som en forklaring på forsinkelsene. I 72% av alle forsinkelser var årsaken knyttet til organisering/administrering av operasjonsplanleggingen. Forsinkelser ved elektive operasjoner skyldes i stor grad utilstrekkelig planlegging og organisering. Mer presis planlegging, informasjonsutveksling og forbedret dataverktøy kan redusere forsinkelser ved elektive operasjoner. Causes of delays in elective surgery: A prospective study Abstract Delays and cancellations in elective surgery prevent optimal services and can be stressful for patients. This study aimed to identify and describe the actual causes of delays in elective surgery, and the extent, duration and other characteristics of these delays. The study has a multi-method prospective study design. For two months, all electronically recorded delays in a Norwegian hospital were followed up with structured interviews to identify their true causes. Half of the elective surgeries recorded had one or more delays (N = 402). The delays had 60 different root causes; using qualitative content analysis, these were interpreted into 13 subcategories and four main categories, namely patient-related (17%), staff-related (10%), related to surgical ward/equipment (2%) or organizational (71%). Most delays were due to poor planning and organization of surgery. The study indicates that more precise planning, better information exchange and an improved electronic tool can reduce delays in elective surgery.

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Factors Associated with Pathological Dissociation in the General Population

Australian & New Zealand Journal of Psychiatry ◽

10.1080/j.1440-1614.2005.01586.x ◽

2005 ◽

Vol 39 (5) ◽

pp. 387-394 ◽

Cited By ~ 61

Author(s):

Päivi Maaranen ◽

Antti Tanskanen ◽

Kirsi Honkalampi ◽

Kaisa Haatainen ◽

Jukka Hintikka ◽

...

Keyword(s):

Alcohol Consumption ◽

General Population ◽

Prospective Study ◽

Population Sample ◽

Dissociative Experiences Scale ◽

Factors Associated ◽

Dissociative Experiences ◽

A Prospective Study ◽

Prospective Study Design ◽

The Relationship

Objective: This study assessed the prevalence of pathological dissociation in the general population, and the relationship between pathological dissociation and sociodemographic and several psychiatric variables. Method: The stratified population sample consisted of 2001 subjects. The study questionnaires included the Dissociative Experiences Scale, the Dissociative Experiences Scale-Taxon, the Toronto Alexithymia Scale, the Beck Depression Inventory, and sociodemographic background. Results: The prevalence of pathological dissociation (DES-T ≥ 20) was 3.4% in the general population and did not differ significantly between genders. Men scored higher than women in the amnesia subscale, and women in the absorption and imaginative involvement subscale. The relationship between pathological dissociation, alexithymia, depression and suicidality was strong. The likelihood of pathological dissociation was nearly nine-fold higher among depressive subjects, more than seven-fold higher among alexithymic subjects, and more than four-fold higher among suicidal subjects than among the others. Frequent alcohol consumption also associated significantly with pathological dissociation. Conclusions: A significant relationship between pathological dissociation, depression, alexithymia, and suicidality was found in the general population. The importance of these factors should be examined in a prospective study design to determine causality.

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A Prospective Study of Blood Transfusion Use in Children Undergoing Elective Surgery Using Preoperative Recombinant Erythropoietin (rh-EPO Procrit)

Journal of Pediatric Oncology Nursing ◽

10.1177/104345429901600229 ◽

1999 ◽

Vol 16 (2) ◽

pp. 109-109

Author(s):

Heidi Klingele ◽

Emily Massey ◽

Laurie Macleod ◽

Jeffrey Fearon ◽

Joel Weinthal

Keyword(s):

Blood Transfusion ◽

Prospective Study ◽

Elective Surgery ◽

Recombinant Erythropoietin ◽

A Prospective Study

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Surgical Site Infections in an Italian Surgical Ward: A Prospective Study

Surgical Infections ◽

10.1089/sur.2009.008 ◽

2009 ◽

Vol 10 (6) ◽

pp. 533-538 ◽

Cited By ~ 18

Author(s):

Alberto Di Leo ◽

Silvano Piffer ◽

Francesco Ricci ◽

Alberto Manzi ◽

Elena Poggi ◽

...

Keyword(s):

Prospective Study ◽

Surgical Site Infections ◽

Surgical Ward ◽

A Prospective Study

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Improvement of non-motor symptoms and quality of life after DBS stimulation for dystonia: one-year follow-up

10.5327/1516-3180.253 ◽

2021 ◽

Author(s):

Clarice Listik ◽

Rubens Gisbert Cury ◽

Sara Carvalho Barbosa Casagrande ◽

Eduardo Listik ◽

Debora Arnaut ◽

...

Keyword(s):

Parkinson’S Disease ◽

Chronic Pain ◽

Parkinson's Disease ◽

Prospective Study ◽

Mcgill Pain Questionnaire ◽

Motor Symptoms ◽

One Year ◽

A Prospective Study ◽

Prospective Study Design ◽

Non Motor Symptoms

Background: DBS is an established treatment option in refractory dystonia, and motor outcomes have been extensively evaluated instead of the usually neglected NMS (e.g., pain). Objective: To describe the non-motor symptoms (NMS) after Deep Brain Stimulation (DBS) surgery for refractory generalized inherited/idiopathic dystonia in a prospective study. Design and setting: A prospective study that evaluated patients in the Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo. Methods: This study evaluated patients before and one year after DBS surgery. We applied the following scales: Burke-Fahn-Marsden Rating Scale (BFMRS), Hospital Anxiety and Depression Scale (HADS), Non-Motor Symptoms Scale for Parkinson’s Disease (NMSS-PD), Parkinson’s Disease Questionnaire-8 (PDQ8) Brief Pain Inventory (BPI), Neuropathic Pain Symptom Inventory (NPSI) and McGill pain questionnaire. Results: 11 patients (38.35 ± 11.30 years) underwent surgery (36.3% women). Motor BFMRS subscore was 64.36 ± 22.94 at baseline and 33.55 ± 17.44 after surgery (p=0.003, 47.9% improvement on motor symptoms). HADS scores remained unchanged. NMSS-PD had a significant change after DBS, from 70.91 ± 59.07 to 37.18 ± 55.05 (p=0.013, 47,5% improvement). Seven patients reported pain before DBS surgery, and after one year, four patients reported chronic pain (i.e., pain improved by 42.28%). BPI’s severity and interference scores were 4.61 ± 2.84 and 4.12 ± 2.67, respectively before surgery, and 2.79 ± 2.31 (0.00–6.25) and 1.12 ± 1.32 (0.00–3.00) after DBS (p=0.043 and p=0.028). NPSI total score was 15.29 ± 13.94 before DBS, and reduced to 2.29 ± 2.98 afterward (p=0.028). McGill’s total score was 9.00 ± 3.32 before DBS, achieving 2.71 ± 2.93 after surgery (p=0.028), mostly driven by the sensory sub-score. Conclusions: We found that DBS improves NMS in dystonia, including chronic pain, anxiety, gastrointestinal symptoms, besides the already established improvement in QoL and motor symptoms.

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Linkage of alterations in systemic iron homeostasis to patients’ outcome in sepsis: a prospective study

Journal of Intensive Care ◽

10.1186/s40560-020-00495-8 ◽

2020 ◽

Vol 8 (1) ◽

Author(s):

Anna Brandtner ◽

Piotr Tymoszuk ◽

Manfred Nairz ◽

Georg F. Lehner ◽

Gernot Fritsche ◽

...

Keyword(s):

Logistic Regression ◽

Prospective Study ◽

Iron Metabolism ◽

Sofa Score ◽

Serum Iron ◽

Transferrin Saturation ◽

Icu Admission ◽

Iron Parameters ◽

A Prospective Study ◽

Prospective Study Design

Abstract Background Sepsis, a dysregulated host response following infection, is associated with massive immune activation and high mortality rates. There is still a need to define further risk factors and laboratory parameters predicting the clinical course. Iron metabolism is regulated by both, the body’s iron status and the immune response. Iron itself is required for erythropoiesis but also for many cellular and metabolic functions. Moreover, iron availability is a critical determinant in infections because it is an essential nutrient for most microbes but also impacts on immune function and intravascular oxidative stress. Herein, we used a prospective study design to investigate the putative impact of serum iron parameters on the outcome of sepsis. Methods Serum markers of iron metabolism were measured in a prospective cohort of 61 patients (37 males, 24 females) with sepsis defined by Sepsis-3 criteria in a medical intensive care unit (ICU) and compared between survivors and non-survivors. Regulation of iron parameters in patients stratified by focus of infection and co-medication as well as association of the markers with sepsis severity scores and survival were investigated with linear and logistic regression corrected for sex and age effects. Results Positive correlations of increased serum iron and ferritin concentrations upon ICU admission with the severity of organ failure (SOFA score) and with mortality were observed. Moreover, high TF-Sat, elevated ferritin and serum iron levels and low transferrin concentrations were associated with reduced survival. A logistic regression model consisting of SOFA and transferrin saturation (SOFA–TF-Sat) had the best predictive power for survival in septic ICU patients. Of note, administration of blood transfusions prior to ICU admission resulted in increased TF-Sat and reduced survival of septic patients. Conclusions Our study could show an important impact of serum iron parameters on the outcome of sepsis. Furthermore, we identified transferrin saturation as a stand-alone predictor of sepsis survival and as a parameter of iron metabolism which may in a combined model improve the prediction power of the SOFA score. Trial registration The study was carried out in accordance with the recommendations of the Declaration of Helsinki on biomedical research. The study was approved by the institutional ethics review board of the Medical University Innsbruck (study AN2013-0006).

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Electrosurgery versus steel scalpel for elective surgery: A prospective study

Saudi Surgical Journal ◽

10.4103/ssj.ssj_76_17 ◽

2018 ◽

Vol 6 (2) ◽

pp. 55

Author(s):

Veerabhadra Radhakrishna ◽

SangameshwarAnnarao Patil ◽

Ravindra Devani ◽

Madhu Patil

Keyword(s):

Prospective Study ◽

Elective Surgery ◽

Versus Steel ◽

A Prospective Study

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A Molecular Epidemiology Project on Diet and Cancer: The Epic-Italy Prospective Study. Design and Baseline Characteristics of Participants

Tumori Journal ◽

10.1177/030089160308900602 ◽

2003 ◽

Vol 89 (6) ◽

pp. 586-593 ◽

Cited By ~ 93

Author(s):

Domenico Palli ◽

Franco Berrino ◽

Paolo Vineis ◽

Rosario Tumino ◽

Salvatore Panico ◽

...

Keyword(s):

Prospective Study ◽

Study Design ◽

Life Style ◽

Dietary Habits ◽

Baseline Characteristics ◽

Diet And Cancer ◽

A Prospective Study ◽

Risk Of Cancer ◽

Prospective Study Design

EPIC-Italy is the Italian section of a larger project known as EPIC (European Prospective Investigation into Cancer and Nutrition), a prospective study on diet and cancer carried out in 10 European countries. In the period 1993-1998, EPIC-Italy completed the recruitment of 47,749 volunteers (15,171 men, 32,578 women, aged 35-65 years) in 4 different areas covered by cancer registries: Varese (12,083 volunteers) and Turin (10,604) in the Northern part of the country; Florence (13,597) and Ragusa (6,403) in Central and Southern Italy, respectively. An associate center in Naples enrolled 5,062 women. Detailed information for each individual volunteer about diet and life-style habits, anthropometric measurements and a blood sample was collected, after signing an informed consent form. A food frequency questionnaire specifically developed for the Italian dietary pattern was tested in a pilot phase. A computerized data base with the dietary and lifestyle information of each participant was completed. Blood samples were processed in the same day of collection, aliquoted (RBC, WBC, serum and plasma) and stored in liquid nitrogen containers. Follow-up procedures were validated and implemented for the identification of newly diagnosed cancer cases. Cancer incidence was related to dietary habits and biochemical markers of food consumption and individual susceptibility in order to test the role of diet-related exposure in the etiology of cancer and its interaction with other environmental or genetic determinants. The comparability of information in a prospective study design is much higher than in other studies. The availability of such a large biological bank linked to individual data on dietary and life-style exposures also provides the unique opportunity of evaluating the role of selected genotypes involved in the metabolism of chemical compounds and DNA repair, potentially related to the risk of cancer, in residents of geographic areas of Italy characterized by specific cancer risk and different dietary patterns. Baseline characteristics of participants are briefly described.

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