Search results for " Admission"

Building a continuous multicenter infection surveillance system in the intensive care unit: findings from the initial data set of 9,493 patients from…

2008

OBJECTIVE: To describe the epidemiology of infections in intensive care units (ICUs), whether present at admission or acquired during the stay. METHODS: Prospective data collection lasting 6 months in 71 Italian adult ICUs. Patients were screened for infections and risk factors at ICU admission and daily during their stay. MAIN RESULTS: Out of 9,493 consecutive patients admitted to the 71 ICUs, 11.6% had a community-acquired infection, 7.4% a hospital-acquired infection, and 11.4% an ICU-acquired infection. The risk curve of acquiring infection in the ICU was higher in patients who entered without infection than in those already infected (log-rank test, p < .0001; at 15 days, 44.0% vs. 34.6…

Guideline-adherence and perspectives in the acute management of unstable angina - Initial results from the German chest pain unit registry.

2015

Abstract Background We investigated the current management of unstable angina pectoris (UAP) in certified chest pain units (CPUs) in Germany and focused on the European Society of Cardiology (ESC) guideline-adherence in the timing of invasive strategies or choice of conservative treatment options. More specifically, we analyzed differences in clinical outcome with respect to guideline-adherence. Method Prospective data from 1400 UAP patients were collected. Analyses of high-risk criteria with indication for invasive management and 3-month clinical outcome data were performed. Guideline-adherence was tested for a primarily conservative strategy as well as for percutaneous coronary interventi…

Asthma Visits to Emergency Rooms and Soybean Unloading in the Harbors of Valencia and A Coruna, Spain

1999

Soybean unloading in the harbor of Barcelona, Spain, has been associated with large increases in the numbers of asthma patients treated in emergency departments between 1981 and 1987. in this study, the association between asthma and soybean unloading in two other Spanish cities, Valencia and A Coruna, was assessed, Asthma admissions were retrospectively identified for the period 1993-1995, and harbor activities were investigated in each location. Two approaches were used to assess the association between asthma and soybean unloading: One used unusual asthma days (days with an unusually high number of emergency room asthma visits) as an effect measure, and the other estimated the relative i…

Call Admission Control in Single and Two-Tier Cellular Networks

2010

We consider four strategies for call admission control (CAC) in single and two-tier cellular networks, which are designed to ensure advantage of handover calls: dynamic redundancy (cutoff priority scheme), partial dynamic redundancy (fractional guard channel scheme), static redundancy (rigid division-based CAC scheme) and restriction of the number of new calls admitted (new call bounding scheme). We show the advantage of dynamic reservation by numerical analysis. We strictly prove it in the case of two-channel system with losses.

Is Admission-Controlled Traffic Self-Similar?

2002

It is widely recognized that the maximum number of heavy-tailed flows that can be admitted to a network link, while meeting QoS targets, can be much lower than in the case of markovian flows. In fact, the superposition of heavy-tailed flows shows long range dependence (self-similarity), which has a detrimental impact on network performance. In this paper, we show that long range dependence is significantly reduced when traffic is controlled by a Measurement-Based Admission Control (MBAC) algorithm. Our results appear to suggest that MBAC is a value added tool to improve performance in the presence of self-similar traffic, rather than a mere approximation for traditional (parameter-based) ad…

Free Admission to Museums and Monuments in France : What do the Publics Think ?

2008

Neuro-ICU patient disposition

2018

This article revises the recent evidence on ICU admission criteria for acute neurological patients [traumatic brain injury (TBI) patients, postoperative neurosurgical procedures and stroke].The appropriate utilization of ICU beds is essential, but it is complex and a challenge to attain. To date there are no widely accepted international guidelines for managing these acute brain-injured patients (stroke, TBI, postneurosurgery) in the ICU. The criteria for ICU admission after neurological acute injury, high-dependency unit or a specialized neurosurgical ward vary from institution to institution depending on local structures and characteristics of the available resources. Better evidence to s…

Predictors of mortality in COPD patients after hospitalization due to an exacerbation

2019

Aim: Identify factors related to mortality at 6 months after hospitalization by an acute COPD exacerbation (AECOPD). Method: We performed a 12-month prospective, observational study (July 2017-June 2018) that included COPD patients admitted by an AECOPD. Sociodemographic data, comorbidities, functional and clinical parameters were collected. Mortality at 6 months of admission was considered the end point. Results: 278 consecutive patients were enrolled, of whom 48 (16.2%) died during 6 months after AECOPD. Univariate analysis showed that age (p Conclusions: In COPD patients, Barthel Index, grade of dyspnea and previous hospitalizations are independent risk factors for mortality at 6 months,…

[Comparing two different techniques to assess the appropriateness of admissions provided in the emergency room of a pediatric hospital].

2007

Two different techniques aimed to assess the appropriateness of hospital utilisation were used to study the same sample of clinical records of admissions provided during 2001 by the emergency room of a pediatric sicilian hospital. The first technique estimated the '"high risk of inappropriateness" DRGs prevalence, according to the Decreto del Presidente del Consiglio dei Ministri of 29 Novembre 2001, and the second was the pediatric version of the Appropriateness Evaluation Protocol (AEP), based on clinical characteristics of patients and complexity of assistance provided. The comparison of results did not show any agreement between the two techniques (kappa= 0,031, C. I. 95%: from -0,001 t…

Risk stratification tools to predict future hospital admissions in elderly people. Application, development and implementation in the Valencian Healt…

2017

La presente tesis se enmarca en un escenario caracterizado por una población que cada vez vive más años y en la que el porcentaje de personas mayores es progresivamente más alto. De forma adicional, el aumento de la prevalencia de las enfermedades crónicas (EC) supone un importante impacto sobre los sistemas sanitarios dado que éstas son la principal causa de muerte a nivel mundial y, en muchos casos, están asociadas a situaciones de dependencia y a la necesidad de cuidados de larga duración. Con el objetivo de llevar a cabo un abordaje más efectivo de las enfermedades asociadas al envejecimiento y a la cronicidad los sistemas asistenciales deberían sufrir un cambio de paradigma en el que s…