Search results for "Hospital"

Frailty Scales for Prognosis Assessment of Older Adult Patients after Acute Myocardial Infarction

2021

We aimed to compare the prognostic value of two different measures, the Fried’s Frailty Scale (FFS) and the Clinical Frailty Scale (CFS), following myocardial infarction (MI). We included 150 patients ≥ 70 years admitted from AMI. Frailty was evaluated on the day before discharge. The primary endpoint was number of days alive and out of hospital (DAOH) during the first 800 days. Secondary endpoints were mortality and a composite of mortality and reinfarction. Frailty was diagnosed in 58% and 34% of patients using the FFS and CFS scales, respectively. During the first 800 days 34 deaths and 137 admissions occurred. The number of DAOH decreased significantly with increasing scores of both FFS…

Congestion analysis to evaluate the efficiency and appropriateness of hospitals in Sicily

2015

Over the past twenty years, important changes in the Italian National Health System have been made in order to obtain significant improvements in the efficiency, appropriateness and quality of health care delivery, while reducing health expenditure. In this paper we proposed a multidimensional approach to assess the impact of organization inappropriateness on the efficiency evaluation of hospitals in Sicily for the year 2009. This study was based on cross-sectional data for 116 (out of 129) short-term, acute-care hospitals. The analysis considered beds, physicians, nurses and other personnel as inputs, ordinary discharges and day-hospital admissions as desirable outputs and inappropriate di…

Advances in survival analysis: applications and extensions of the "standard" competing risks model

2023

Impact of incentives on tourist activity in space-time

2020

Abstract No tourism study to date, has examined the ability of incentives to shape the spatio-temporal behaviour of tourists. Data collected from the port of Palermo in Sicily (Italy), using traditional survey instruments as well as GPS technology, was employed to investigate the effect of incentives on cruise passengers' space-time activities. The results show the incentives' clear and significant impact in influencing the space-time activities of cruise passengers' while visiting the city. Understanding the movement patterns of visitors at destinations can give destination managers information that can assist in dealing with the negative effects of overtourism that are caused due to high …

An international perspective on hospitalized patients with viral community-acquired pneumonia

2019

Background Who should be tested for viruses in patients with community acquired pneumonia (CAP), prevalence and risk factors for viral CAP are still debated. We evaluated the frequency of viral testing, virus prevalence, risk factors and treatment coverage with oseltamivir in patients admitted for CAP. Methods Secondary analysis of GLIMP, an international, multicenter, point-prevalence study of hospitalized adults with CAP. Testing frequency, prevalence of viral CAP and treatment with oseltamivir were assessed among patients who underwent a viral swab. Univariate and multivariate analysis was used to evaluate risk factors. Results 553 (14.9%) patients with CAP underwent nasal swab. Viral CA…

Seasonal Human Coronavirus Respiratory Tract Infection in Recipients of Allogeneic Hematopoietic Stem Cell Transplantation

2021

Abstract Background Little is known about characteristics of seasonal human coronaviruses (HCoVs) (NL63, 229E, OC43, and HKU1) after allogeneic stem cell transplantation (allo-HSCT). Methods This was a collaborative Spanish and European bone marrow transplantation retrospective multicenter study, which included allo-HSCT recipients (adults and children) with upper respiratory tract disease (URTD) and/or lower respiratory tract disease (LRTD) caused by seasonal HCoV diagnosed through multiplex polymerase chain reaction assays from January 2012 to January 2019. Results We included 402 allo-HSCT recipients who developed 449 HCoV URTD/LRTD episodes. Median age of recipients was 46 years (range,…

PREVALENCE OF LIVER DISEASES IN A POPULATION OF IMMIGRANTS IN SICILY. ANALYSIS OF DAY-HOSPITAL ADMISSIONS IN A DEPARTMENT OF MIGRATION MEDICINE

2011

THE PUBLIC HOSPITAL AS A SYSTEM: FINANCING POLICIES AND THEIR LONG-TERM IMPACT ON THE HEALTH SERVICES PROVIDED

Σκοπός: Οι νέες πολιτικές χρηματοδότησης που υιοθετήθηκαν κατά την περίοδο της οικονομικής ύφεσης συνέβαλαν αναμφισβήτητα στη μείωση των δαπανών του νοσοκομείου, αλλά φαίνεται να είχαν αρνητικό αντίκτυπο για τους ασθενείς και τους εργαζομένους των νοσοκομείων (Economou, Kaitelidou, Karanikolos, & Maresso, 2017; Keramidou & Triantafyllopoulos, 2018; Mitropoulos, Vasileiou, & Mitropoulos, 2018; OECD & European Observatory on Health Systems and Policies, 2019). Η παρούσα ποιοτική μελέτη χρησιμοποιεί τη μέθοδο των δυναμικών συστημάτων (system dynamics) για να αναλύσει και να εξηγήσει τα μακροπρόθεσμα αποτελέσματα των πολιτικών αυτών. Υλικό-Μέθοδος: Δημιουργήθηκε ένα ποιοτικό μον…

Recommendations of the European Cardiac Arrhythmia Society Committee on Device Failures and Complications

2006

Recommendations of the European Cardiac Arrhythmia Society Committee on Device Failures and Complications MASSIMO SANTINI,* JOHANNES BRACHMANN,† RICCARDO CAPPATO,‡ WYN DAVIES,§ JERONIMO FARRE,‖ SAMUEL LEVY,¶ AURELIO QUESADA,# RENATO P. RICCI,** EDWARD ROWLAND,†† NEIL SULKE‡‡ From *San Filipo Neri Hospital, Rome, Italy, †Klinikum Coburg, Germany, ‡Policlinico S. Donato, Milan, Italy, §St. Mary Hospital, London, UK, ‖Fundacion Jimenez Diaz, Madrid, Spain, ¶Hopital Nord des Bourrellys, Marseille, France, #Hospital General University of Valencia, Spain, **San Filippo Neri Hospital, ††St. George Medical School, London, UK, ‡‡Eastbourne General Hospital, Sussex, UK

Gli ospedali di Palermo e Messina tra XVI e XVII secolo: architettura, servizi e spazio urbano

2021

A competition for the primacy in the Island took place during the 16th century in Palermo and Messina, the two main Sicilian cities at that time, thus establishing the grounds for comparison in architectural and urban construction sites. This assumption is also confirmed in the design of the “places of care” – modern hospitals which both cities were equipped with – with a focus, in addition to the efficiency of the new institutions, to the quality of the architectural image and the urban location.