Search results for "Hospital"

showing 10 items of 2264 documents

Choice and Outcomes of Rate Control versus Rhythm Control in Elderly Patients with Atrial Fibrillation: A Report from the REPOSI Study

2018

Background: Among rate-control or rhythm-control strategies, there is conflicting evidence as to which is the best management approach for non-valvular atrial fibrillation (AF) in elderly patients. Design: We performed an ancillary analysis from the ‘Registro Politerapie SIMI’ study, enrolling elderly inpatients from internal medicine and geriatric wards. Methods: We considered patients enrolled from 2008 to 2014 with an AF diagnosis at admission, treated with a rate-control-only or rhythm-control-only strategy. Results: Among 1114 patients, 241 (21.6%) were managed with observation only and 122 (11%) were managed with both the rate- and rhythm-control approaches. Of the remaining 751 patie…

MaleAnti-Arrhythmia Agents/therapeutic useantiarrhythmic agentComorbidityAged; Aged 80 and over; Anti-Arrhythmia Agents; Atrial Fibrillation; Comorbidity; Diabetes Mellitus; Female; Heart Failure; Heart Rate; Hospitalization; Humans; Male; Odds Ratio; Polypharmacy; Prevalence; Geriatrics and Gerontology; Pharmacology (medical)030204 cardiovascular system & hematologyanticoagulant agentDiabetes Mellitus/drug therapy0302 clinical medicineHeart RateAtrial Fibrillation80 and overOdds RatioPrevalencePharmacology (medical)030212 general & internal medicineLS4_4Aged 80 and overantiarrhythmic agent anticoagulant agent antithrombocytic agent calcium channel blocking agent digoxinHeart Rate/drug effectsDiabetes MellituAtrial fibrillationantithrombocytic agentdigoxinHospitalizationAnti-Arrhythmia AgentFemaleAnti-Arrhythmia AgentsHumanmedicine.medical_specialtySocio-culturale-Geriatrics and Gerontology; Pharmacology (medical)03 medical and health sciencesInternal medicineDiabetes mellitusHeart rateantiarrhythmic agent; anticoagulant agent; antithrombocytic agent; calcium channel blocking agent; digoxinmedicineDiabetes MellitusHumansAgedPolypharmacyHeart Failurebusiness.industryAtrial Fibrillation/drug therapyOdds ratiomedicine.diseaseHeart Failure/drug therapyComorbidityConfidence intervalcalcium channel blocking agentHeart failurePolypharmacyAged; Aged 80 and over; Anti-Arrhythmia Agents; Atrial Fibrillation; Comorbidity; Diabetes Mellitus; Female; Heart Failure; Heart Rate; Hospitalization; Humans; Male; Odds Ratio; Polypharmacy; PrevalenceGeriatrics and Gerontologybusiness
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Adherence to antibiotic treatment guidelines and outcomes in the hospitalized elderly with different types of pneumonia.

2015

none 22 no Background: Few studies evaluated the clinical outcomes of Community Acquired Pneumonia (CAP), Hospital-Acquired Pneumonia (HAP) and Health Care-Associated Pneumonia (HCAP) in relation to the adherence of antibiotic treatment to the guidelines of the Infectious Diseases Society of America (IDSA) and the American Thoracic Society (ATS) in hospitalized elderly people (65 years or older). Methods: Data were obtained from REPOSI, a prospective registry held in 87 Italian internal medicine and geriatric wards. Patients with a diagnosis of pneumonia (ICD-9 480-487) or prescribed with an antibiotic for pneumonia as indication were selected. The empirical antibiotic regimen was defined t…

MaleAntibiotic regimenGuidelines adherenceSettore MED/09 - Medicina InternaAntibioticsLogistic regressionElderlyCommunity-acquired pneumoniaAntibiotics80 and overElderly peopleAge FactorHospital MortalityAged 80 and overTreatment regimenMedicine (all)Age FactorsOptimal managementAntibiotics; Elderly; Guidelines adherence; Mortality; Pneumonia; Re-hospitalization; Age Factors; Aged; Aged 80 and over; Anti-Bacterial Agents; Female; Hospital Mortality; Humans; Logistic Models; Male; Pneumonia; Practice Guidelines as Topic; Treatment Outcome; Guideline Adherence; Hospitalization; Internal Medicine; Medicine (all)Anti-Bacterial AgentsHospitalizationTreatment OutcomePractice Guidelines as TopicFemaleGuideline AdherenceHumanmedicine.medical_specialtyLogistic Modelmedicine.drug_classSocio-culturaleantibiotic treatment; guidelines; pneumonia; elderly;Internal medicineRe-hospitalizationAnti-Bacterial AgentmedicineInternal MedicineHumanselderly pmeumonia antibiotics guidelines adherence mortality re-hospitalizationpmeumoniaMortalityIntensive care medicineAntibiotics; Elderly; Guidelines adherence; Mortality; Pneumonia; Re-hospitalization; Age Factors; Aged; Aged 80 and over; Anti-Bacterial Agents; Female; Hospital Mortality; Humans; Logistic Models; Male; Pneumonia; Practice Guidelines as Topic; Treatment Outcome; Guideline Adherence; Hospitalization; Internal MedicineAgedbusiness.industrySettore MED/09 - MEDICINA INTERNAAntibioticPneumoniamedicine.diseasePneumoniaAntibiotics; Elderly; Guidelines adherence; Mortality; Pneumonia; Re-hospitalizationLogistic ModelsAntibiotics; Elderly; Guidelines adherence; Mortality; Pneumonia; Re-hospitalization; Age Factors; Aged; Aged 80 and over; Anti-Bacterial Agents; Female; Hospital Mortality; Humans; Logistic Models; Male; Pneumonia; Practice Guidelines as Topic; Treatment Outcome; Guideline Adherence; Hospitalizationbusiness
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Prevalence survey of healthcare-associated infections and antimicrobial use at the university hospital "paolo giaccone", palermo, italy

2013

Introduction. Healthcare-associated infections (HAIs) and antimicrobial resistance are well known major public health threats. The first goal of our study was to describe the prevalence of HAI, while the second goal was to describe the antibiotic consumption at our University Hospital, ?P. Giaccone? in Palermo, Italy. Methods. A standardized methodology for a combined Point Prevalence Survey (PPS) on healthcare-associated infections (HAIs) and antimicrobial use in European acute care hospital developed by the European Centre for Disease Prevention and Control (ECDC) was piloted across Europe. The teaching Hospital ?P. Giaccone? in Palermo, Italy, participated in the study Results. Out of 32…

MaleAntimicrobials drug resistanceCross Infectionvirus diseasesBacteremiaHealthcare-associated infectionsAntibiotic ProphylaxisMiddle AgedSettore MED/42 - Igiene Generale E ApplicataDrug UtilizationAnti-Bacterial AgentsHospitals UniversityIntensive Care UnitsItalyPoint Prevalence SurveyDrug Resistance BacterialPrevalenceHumansOriginal ArticleFemaleHealthcare associated infection Antibiotic Prophylaxis Prevalence Hospital University
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Functional annulus remodelling using a prosthetic ring in tricuspid aortic valve repair: mid-term results

2013

OBJECTIVES: The functional aortic valve annulus (FAVA) is a complex unit with proximal (aorto-ventricular junction) and distal (sinotubular junction) components. The aim of our study was to evaluate the impact of the total FAVA remodelling, using a prosthetic ring, on mid-term clinical and echocardiographic-RESULTS:-after aortic valve repair. METHODS: Since February 2003, 250 patients with tricuspid aortic valve insufficiency (AI) underwent aortic valve repair. FAVA dilatation was treated by prosthetic ring in 52 patients, by isolated subcommissural plasty in 62, by subcommissural plasty plus ascending aortic replacement in 57 and by David's reimplantation procedure in 79. Survival rate and…

MaleAortic valveTime Factorsmedicine.medical_treatmentKaplan-Meier EstimateAortic valve repairRisk FactorsRecurrenceAortic Valve AnnulusAortic valveHospital MortalityUltrasonographyAged 80 and overHeart Valve Prosthesis ImplantationAnnulus (mycology)Sinotubular JunctionMiddle AgedCardiac Valve AnnuloplastyTreatment Outcomemedicine.anatomical_structureEchocardiographyHeart Valve ProsthesisReplantationReplantationcardiovascular systemCardiologyFemaleCardiology and Cardiovascular MedicineHumanAdultHeart Defects CongenitalPulmonary and Respiratory Medicinemedicine.medical_specialtyTime FactorAortic Valve InsufficiencyProsthesis DesignCardiac Valve AnnuloplastyDisease-Free SurvivalRisk analysiInternal medicinemedicineHumansSurvival rateStatisticAgedbusiness.industryPatient SelectionRisk FactorSettore MED/23 - Chirurgia CardiacaOriginal ArticlesSurgeryHeart Valve ProsthesiSurgerybusinessRepairInteractive CardioVascular and Thoracic Surgery
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Incentive and Selection Effects of Medigap Insurance on Inpatient Care

2012

The Medicare program, which provides insurance coverage to the elderly in the United States, does not protect them fully against high out-of-pocket costs. For this reason private supplementary insurance, named Medigap, has been available to cover Medicare gaps. This paper studies how Medigap affects the utilization of inpatient care, separating the incentive and selection effects of supplementary insurance. For this purpose, we use two alternative estimation methods: a standard recursive bivariate probit and a discrete multivariate finite mixture model. We find that estimated incentive effects are modest and quite similar across models. On the other hand, there seems to be very significant …

MaleAsymmetric informationMedigap InsuranceMedicareMedigapHealth care demandMedigapHealth insuranceInformation asymmetryEconomicsHumansFinite mixture modelsSelection (genetic algorithm)AgedMotivationActuarial scienceModels StatisticalInpatient careHealth PolicyPublic Health Environmental and Occupational HealthInsurance MedigapUnited StatesHospitalizationIncentiveMedicare ProgramMultivariate AnalysisFemaleEstimation methods
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In-home versus hospital preoperative balance and proprioceptive training in patients undergoing TKR; rationale, design, and method of a randomized co…

2017

Abstract Background Severe knee osteoarthritis, as well as the surgical procedure of total knee replacement that aims to reduce its symptoms, cause great deterioration on the proprioceptive system. Taking this fact into account, and considering that balance abilities positively influence the capacity to perform basic functional tasks, this trial aims to find the short and mid-term effects of a preoperative balance and proprioceptive training when conducted by patients undergoing total knee replacement. Along with the effects, it is intended to determine whether in-home based training can be as effective as hospital training. The results will help to conclude whether the possible benefits ma…

MaleBalancemedicine.medical_specialtylcsh:Diseases of the musculoskeletal systemSports medicinemedicine.medical_treatmentCost-Benefit AnalysisPsychological interventionlaw.invention03 medical and health sciencesStudy Protocol0302 clinical medicineRheumatologyRandomized controlled trialQuality of lifelawPreoperative CaremedicineHumansOrthopedics and Sports Medicine030212 general & internal medicineDynamic balanceArthroplasty Replacement KneePostural BalancePhysiotherapyBalance (ability)AgedAged 80 and overRehabilitationbusiness.industryRecovery of FunctionMiddle AgedOsteoarthritis KneeProprioceptionHome Care ServicesHospitalizationTotal knee replacementSensorimotorTotal knee arthroplastyBerg Balance ScalePhysical therapyFemalelcsh:RC925-935Preoperative interventionbusiness030217 neurology & neurosurgeryPhysical Conditioning HumanBMC musculoskeletal disorders
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Prevalence and Risk Factors of PAD among Patients with Elevated ABI

2008

ObjectivesTo assess the prevalence and clinical significance of elevated ankle-brachial index (ABI) in patients referred to vascular consultation.DesignRetrospective clinical study.Material and methodsIn 1,762 patients referred with a suspicion of peripheral arterial disease (PAD), ABI and toe brachial index (TBI) were measured by photoplethysmography. ABI≥1.3 was considered falsely elevated and TBI<0.60 was the diagnostic criterion for PAD.ResultsThe prevalence of elevated ABI was 8.4% and that of PAD among these patients 62.2%. PAD was significantly more prevalent among subjects with severe symptoms (rest pain, ulcers or gangrene) than in those with intermittent claudication (83.8% and 45…

MaleBrachial ArteryArterial diseaseBlood PressureCoronary DiseaseIschemiaRisk FactorsOdds RatioPrevalenceMedicineMediasclerosisReferral and ConsultationFinlandAged 80 and overPeripheral Vascular DiseasesGangreneMedicine(all)SmokingMiddle AgedPeripheralFemalemedicine.symptomCardiology and Cardiovascular Medicinemedicine.medical_specialtyOutpatient Clinics HospitalAnkle brachial pressure indexRisk AssessmentSensitivity and SpecificityAge DistributionPredictive Value of TestsInternal medicinePeripheral arterial diseaseHumansIn patientClinical significancecardiovascular diseasesPhotoplethysmographyAgedRetrospective Studiesbusiness.industryExtremitiesmedicine.diseaseIntermittent claudicationCoronary heart diseaseSurgerybody regionsToe Brachial IndexKidney Failure ChronicSurgeryAnklebusinessEuropean Journal of Vascular and Endovascular Surgery
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Under-reporting bicycle accidents to police in the COST TU1101 international survey: Cross-country comparisons and associated factors

2018

Police crash reports are often the main source for official data in many countries. However, with the exception of fatal crashes, crashes are often underreported in a biased manner. Consequently, the countermeasures adopted according to them may be inefficient. In the case of bicycle crashes, this bias is most acute and it probably varies across countries, with some of them being more prone to reporting accidents to police than others. Assessing if this bias occurs and the size of it can be of great importance for evaluating the risks associated with bicycling.This study utilized data collected in the COST TU1101 action "Towards safer bicycling through optimization of bicycle helmets and us…

MaleCYCLING BEHAVIOUR[SPI.OTHER]Engineering Sciences [physics]/OtherEngineeringBICYCLETTEEconomicsCiencias de la SaludCrashSalud Pública y MedioambientalCYCLING ATTITUDEcomputer.software_genreUNDER-REPORTINGSociologyGermanySAFER11. SustainabilityIsraelSafety Risk Reliability and Quality050107 human factorsCommunication05 social sciencesAccidents TrafficPolicePeer reviewHospitalizationMarital statusFemaleHead Protective DevicesSafetyCyclingUnder-reportingAdultCross-Cultural ComparisonRiskCIENCIAS MÉDICAS Y DE LA SALUDCroatiaBicycle helmetsBicyclesHuman Factors and ErgonomicsSample (statistics)Computer securityBICYCLE CRASHBicycles ; Under-reporting ; International survey of cycling ; Cycling behaviour ; Cycling attitudes ; Bicycle helmets ; Bicycle crashesUnder-reportingEnvironmental healthCycling attitudesCycling behavior0502 economics and businessHumans0501 psychology and cognitive sciences050210 logistics & transportationbusiness.industryBicycle crashesPublic Health Environmental and Occupational HealthINTERNATIONAL SURVEY OF CYCLINGBicyclingSocioeconomic FactorsCASQUEInternational survey of cyclingSurvey data collectionHuman medicineSelf Reportbusinesscomputerhuman activities
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Hospital Contacts for Psychiatric Disorders in Parents of Children With Cancer in Denmark

2021

Abstract Background Having a child diagnosed with cancer is a devastating experience that may affect parents’ mental health. We aimed to assess the risk of hospital contacts for psychiatric disorders in parents of children with cancer. Methods We conducted a nationwide population-based cohort study using Danish registry data. Parents of children diagnosed with cancer between 1982 and 2014 (n = 6689 mothers, n = 5509 fathers) were matched with comparison parents of cancer-free children (n = 67 544 mothers, n = 55 756 fathers). We used Cox proportional hazards models to estimate the risk of hospital contacts for any psychiatric disorder and specific disorders. Cox models were also used to inv…

MaleCancer ResearchDenmarkCohort StudiesFathers0302 clinical medicineChild of Impaired ParentsRisk FactorsNeoplasms030212 general & internal medicineRegistriesChildSURVIVORSeducation.field_of_studyIncidenceMental DisordersHazard ratioAge FactorsMiddle Aged3. Good healthHospitalizationOncology030220 oncology & carcinogenesisChild PreschoollanguageFemaleAcademicSubjects/MED00010Cohort studyAdultmedicine.medical_specialtyAdolescentPopulationMothers610 Medicine & healthADJUSTMENTAffect (psychology)DIAGNOSISArticleCLASSIFICATIONDanish03 medical and health sciencesYoung Adult360 Social problems & social servicesMENTAL-DISORDERSmedicineHumanseducationPsychiatryProportional Hazards ModelsPEDIATRIC CANCERCHILDHOOD-CANCERProportional hazards modelbusiness.industryInfantCAREMental healthlanguage.human_languageConfidence intervalSocioeconomic Factorsbusiness
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Impact of positron emission tomography on strategy in liver resection for primary and secondary liver tumors.

2003

Outcome of patients with metastatic disease mainly depends on accurate preoperative tumor staging. 18[F]fluorodeoxyglucose positron emission tomography (18F-PET) has been proven to be a valuable diagnostic tool in a number of different tumors but its direct influence on liver surgery has not been thoroughly investigated. Between July 1999 and March 2000, 50 consecutive patients with 174 suspected liver lesions were admitted to the University Hospital Jena. All 50 patients underwent abdominal ultrasound, CT-scan, and 18-FDG positron emission tomography scanning. In 23 patients the diagnostic work-up was completed by MRI scan. Altogether there were a total of 174 histologically proven intrahe…

MaleCancer Researchmedicine.medical_specialtyFluorine RadioisotopesLiver tumorCarcinoma HepatocellularBreast NeoplasmsSensitivity and SpecificityResectionAdenoma Liver CellFluorodeoxyglucose positron emission tomographyFluorodeoxyglucose F18Internal medicinemedicineHumansMri scanNeoplasm StagingHematologymedicine.diagnostic_testbusiness.industryUltrasoundLiver NeoplasmsGeneral Medicinemedicine.diseaseUniversity hospitalOncologyPositron emission tomographyFemaleRadiologyRadiopharmaceuticalsbusinessNuclear medicineColorectal NeoplasmsFollow-Up StudiesTomography Emission-ComputedJournal of cancer research and clinical oncology
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