Search results for "Hospital"

showing 10 items of 2264 documents

Long-term outcomes of short-term and long-term psychosomatic inpatient treatment and their predictors

2007

Abstract Objectives The Clinic for Psychosomatic Medicine and Psychotherapy at the University Giessen, Germany, offers short-term (STT) and long-term inpatient therapy (LTT). Methods In a prospective, 3-year follow-up study, we examined therapeutic indication, short- and long-term results, outcome predictors, and the utilization of aftercare for both settings. Results STT patients were more frequently acutely ill, suffered from stronger symptomatic manifestations, and were more frequently employed. LTT patients had a greater rate of chronic psychosomatic disorders, personality disorders and somatic comorbidity. In both settings, distress strongly declined during inpatient therapy and remain…

AdultMalemedicine.medical_specialtyPediatricsTime FactorsAftercareSeverity of Illness IndexInternational Classification of DiseasesPredictive Value of TestsmedicineHumansProspective StudiesPsychiatryDemographybusiness.industryPsychosomaticsPublic healthPsychosomatic medicineSocial environmentmedicine.diseasePsychophysiologic DisordersPersonality disordersMental healthComorbidityHospitalizationPsychiatry and Mental healthClinical PsychologyDistressTreatment OutcomebusinessFollow-Up StudiesJournal of Psychosomatic Research
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Prevalence and incidence of kidney diseases leading to hospital admission in people living with HIV in France: an observational nationwide study.

2019

ObjectivesTo describe hospitalisations for kidney disease (KD) among people living with HIV (PLHIV) in France and to identify the factors associated with such hospitalisations since data on the epidemiology of KD leading to hospitalisation are globally scarce.DesignObservational nationwide study using the French Programme de Médicalisation des Systèmes d’Information database.SettingFrance 2008–2013.ParticipantsAround 10 862 PLHIV out of a mean of 5 210 856 patients hospitalised each year. All hospital admissions with a main diagnosis code indicating KD (International Classification of Diseases, 10th revision codes, N00 to –N39) were collected.Main outcome measuresThe prevalence and incidenc…

AdultMalemedicine.medical_specialtyPediatricskidney diseasePopulation030232 urology & nephrology1842glomerular diseaseHIV InfectionsDiseaseacute renal failure03 medical and health sciences0302 clinical medicineAcquired immunodeficiency syndrome (AIDS)EpidemiologymedicinePrevalenceHumansCumulative incidence030212 general & internal medicine1506educationAgedRetrospective StudiesAged 80 and overeducation.field_of_studybusiness.industryhospitalisationIncidence (epidemiology)IncidenceResearchHIVGeneral MedicineMiddle Agedmedicine.diseaseHospitalizationHIV/AIDSObservational studyFemaleKidney DiseasesFrancebusinessKidney diseaseBMJ open
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Magnitude of relationship between burnout and absenteeism: a preliminary study.

2008

This study examined the influence of guilt related to a negative attitude toward patients and its relation with burnout and absenteeism. The sample consisted of 717 nursing professionals. Depersonalization was evaluated by the Maslach Burnout Inventory and Guilt was evaluated by one item. To estimate Absenteeism, participants were asked about the number of workdays they had missed in the past year. Hierarchical multiple regression analyses make it possible to conclude that guilt explains work absenteeism, and the interaction between depersonalization and guilt (Incr. R2 = .008, p<.05) indicates significant differences in the number of work days missed in the last year. Conclusions are l…

AdultMalemedicine.medical_specialtyPersonality Inventorymedia_common.quotation_subjecteducationPersonnel TurnoverNegative attitudeComorbidityBurnoutModels PsychologicalNursing Staff Hospitalbehavioral disciplines and activitiesSurveys and Questionnairesmental disordersDepersonalizationAbsenteeismmedicineHumansPsychiatryBurnout ProfessionalGeneral Psychologymedia_commonPsychiatric Status Rating ScalesAnalysis of VarianceMultilevel modelMiddle AgedFeelingSpainDepersonalizationAbsenteeismGuiltRegression AnalysisFemalemedicine.symptomPsychologypsychological phenomena and processesStress PsychologicalClinical psychologyPsychological reports
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Socio-economic cost and health-related quality of life of burn victims in Spain

2008

Abstract Objectives The aim of the study was to determine the economic burden (direct and indirect costs) of burn victims and the impact of burn on health-related quality of life in Spain. Methods In 2003, a cross-sectional study was carried out with 898 burned people. Data regarding demographic features, health resource use, informal care, indirect costs and quality of life were prospectively collected through hospital admission databases and questionnaires filled out by burn victims and caregivers. Results The mean annual cost (direct and indirect) per burn patient was US$ 99,773. The most important categories of costs were those of in-patient care and temporary and permanent disability. …

AdultMalemedicine.medical_specialtyPoison controlCritical Care and Intensive Care MedicineOccupational safety and healthIndirect costsQuality of life (healthcare)Cost of IllnessSurveys and QuestionnairesEnvironmental healthHealth caremedicineHumansProspective Studieshealth care economics and organizationsHealth policyCost–utility analysisbusiness.industryPublic healthHealth Care CostsGeneral MedicineSurgeryHospitalizationCross-Sectional StudiesCaregiversSocioeconomic FactorsSpainQuality of LifeEmergency MedicineFemaleSurgeryBurnsbusinessBurns
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Familial Occurrence of Inflammatory Bowel Disease in Celiac Disease

2003

BACKGROUND The authors have previously reported a possible increased risk of the familial occurrence of Crohn's disease in patients with celiac disease. AIM The aim of the current study was to evaluate in a case-control study the familial occurrence of inflammatory bowel disease (IBD) in first-degree relatives of patients with celiac disease. METHODS One hundred eleven consecutive patients with biopsy-proven celiac disease were interviewed to ascertain whether IBD was present in first-degree relatives. The number of relatives, their ages, and possible IBD status were collected in a questionnaire. When a diagnosis of familial IBD was reported, the diagnosis was checked in the hospital record…

AdultMalemedicine.medical_specialtyPopulationDiseaseGastroenterologyInflammatory bowel diseaseHospital recordsInternal medicinePrevalencemedicineHumansImmunology and AllergyIn patienteducationeducation.field_of_studybusiness.industryGastroenterologyCase-control studyInflammatory Bowel Diseasesmedicine.diseaseUlcerative colitisdigestive system diseasesPedigreeCeliac DiseaseIncreased riskCase-Control StudiesFemalebusinessInflammatory Bowel Diseases
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Syncope in the German Nationwide inpatient sample – Syncope in atrial fibrillation/flutter is related to pulmonary embolism and is accompanied by hig…

2019

Syncope is a common phenomenon in the general population. Although most of the causes are of benign origin, some comorbidities are accompanied by high mortality. We aimed to compare the in-hospital mortality of patients with syncope related to different comorbities and investigate the impact of syncope in patients with atrial fibrillation/flutter (AF).The nationwide inpatient sample of Germany of the years 2011-2014 was used for this analysis. Patients with syncope (ICD-code R55) were stratified by presence of selected comorbidities. Additionally, AF patients with and without syncope were compared. Incidence of syncope and in-hospital mortality were calculated. Syncope as a predictor of adv…

AdultMalemedicine.medical_specialtyPopulationMyocardial InfarctionComorbidity030204 cardiovascular system & hematologySyncopeYoung Adult03 medical and health sciences0302 clinical medicineRisk FactorsCause of DeathGermanyInternal medicineAtrial FibrillationInternal MedicinemedicineHumansHospital Mortality030212 general & internal medicineMyocardial infarctioneducationStrokeAgedAged 80 and overHeart Failureeducation.field_of_studybiologybusiness.industryIncidenceMortality rateIncidence (epidemiology)Syncope (genus)Atrial fibrillationPneumoniaMiddle Agedmedicine.diseasebiology.organism_classificationPulmonary embolismStrokeLogistic ModelsMultivariate AnalysisCardiologyFemalePulmonary EmbolismbusinessEuropean Journal of Internal Medicine
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Non-arbitrary minimum threshold of yearly performed pancreatoduodenectomies: National multicentric study

2021

Abstract Background Annual hospital volume of pancreatoduodenectomies could influence postoperative outcomes. The aim of this study is to establish with a non-arbitrary method the minimum threshold of yearly performed pancreatoduodenectomies in order to improve several postoperative quality outcomes. Method Prospective follow-up of patients submitted to pancreatoduodenectomy in participating hospitals during 1 year. The influence of hospital volume on quality outcomes was analyzed by univariable and multivariable models. The minimum threshold of yearly performed pancreatoduodenectomies to improve outcomes was established by Akaike’s information criteria. Results Data from 877 patients opera…

AdultMalemedicine.medical_specialtyPostoperative death030230 surgeryPancreaticoduodenectomyYoung Adult03 medical and health sciencesPostoperative Complications0302 clinical medicineHospital volumeRisk FactorsmedicineHumansAgedQuality of Health CareAged 80 and overbusiness.industryMargins of ExcisionLength of StayMiddle AgedHospitalsPancreatic NeoplasmsSpain030220 oncology & carcinogenesisMultivariate AnalysisEmergency medicineLymph Node ExcisionFemaleSurgerybusinessSurgery
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The use of prediction models of spontaneous pregnancy in in vitro fertilization units reveals differences between the expected results of public and …

2009

To evaluate the applicability of prediction models (PM) of spontaneous pregnancy (SP) in a population of infertile patients from a university-affiliated private assisted reproductive technology center (Instituto Valenciano de Infertilidad) and in the reproductive medicine section of a public university hospital (La Fe), both belonging to the same city (Valencia, Spain) between January and December 2008. We calculated the probability of SP using the PM developed by Hunault et al. in our two populations, and observed an estimated probability of SP40% or the PM applicable in approximately 97% of the studied couples, and statistical differences between pregnancy probabilities in the two setting…

AdultMalemedicine.medical_specialtyPregnancy Ratemedicine.medical_treatmentPopulationRemission SpontaneousReproductive medicineFertilization in VitroHospitals PrivateSpontaneous pregnancyPregnancymedicineHumanseducationRetrospective StudiesGynecologyPregnancyeducation.field_of_studyFamily CharacteristicsIn vitro fertilisationAssisted reproductive technologyModels Statisticalbusiness.industryHospitals PublicObstetrics and Gynecologymedicine.diseasePrognosisTreatment OutcomeReproductive MedicineSpainInfertilityPublic universityFemalebusinessPredictive modellingDemographyFertility and sterility
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One-year follow-up of panic disorder. Outcome and prognostic factors.

1988

A 1-year follow-up study was carried out in 77 patients with panic attacks (panic disorder). Of these patients 43% were remitted; avoidance behaviour and chronic anxiety were more persistent than panic attacks within the 1-year period. The main predictor for features of anxiety in the follow-up was avoidance behaviour. The most prominent prognostic factor for features of depression was the history of previous depressive episodes. Female patients had a poorer outcome than male patients.

AdultMalemedicine.medical_specialtyPrognostic factorOne year follow upChronic anxietybehavioral disciplines and activitiesSex Factorsmental disordersFemale patientmedicineHumansPsychiatryDepression (differential diagnoses)Depressive DisorderGeneral NeurosciencePanic disorderPanicFearmedicine.diseasePrognosisAnxiety DisordersPanicAntidepressive AgentsHospitalizationPsychotherapyPsychiatry and Mental healthNeuropsychology and Physiological PsychologyOutcome and Process Assessment Health CareAnti-Anxiety AgentsChronic DiseaseAnxietyFemalemedicine.symptomPsychologyFollow-Up StudiesEuropean archives of psychiatry and neurological sciences
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Base rates for depersonalization according to the 2-item version of the Cambridge Depersonalization Scale (CDS-2) and its associations with depressio…

2010

Abstract Background Recently, the two item version of the Cambridge Depersonalization Scale (CDS-2) has been validated in a clinical sample and has demonstrated that it is a useful tool for the detection of clinically significant depersonalization (DP). In order to provide a framework for the interpretation of the CDS-2 scores the aim of this study was to achieve normative data of a representative sample of the German population and to evaluate the associations with depression, anxiety and sociodemographic characteristics. Methods A nationally representative face-to-face household survey was conducted during the mid of 2009 in Germany. The sample comprised N = 2512 participants. The survey …

AdultMalemedicine.medical_specialtyPsychometricsAdolescentPersonality InventoryPsychometricsPopulationComorbidityAnxietyHospital Anxiety and Depression ScaleSampling StudiesYoung AdultGermanyDepersonalizationmedicineHumansMass ScreeningeducationPsychiatryDepression (differential diagnoses)AgedAged 80 and overPsychiatric Status Rating Scaleseducation.field_of_studyDepressionReproducibility of ResultsMiddle Agedmedicine.diseaseComorbidityPsychiatry and Mental healthClinical PsychologySocioeconomic FactorsDepersonalizationAnxietyFemalemedicine.symptomPsychologyPsychopathologyClinical psychologyJournal of affective disorders
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