ABSTRACT
The objective of this study was to assess influence of the severity of diseases on parental assessment of their child's health care issues. A cross-sectional study. Pediatric ward [PW]/ Pediatric Intensive Care Unit [PICU] at a 1000 plus bed University affiliated hospital. During the study period of 45 days, we offered the parents/guardians of all children who had been hospitalized for 5 to 10 days to participate and provide responses to 37 items that were divided in five categories. The participants [n=99] comprised of two groups: PICU [n=35] and PW [n=64]. Responses were analyzed using SPSS statistical software; differences were considered significant at P = 0.05. The parents/guardians responses differed in 22/37 queries. Relevant to each category; regarding patient-related statements, significant differences were present in 5/9 responses [all P<0.0001]. Regarding support-related statements, significant differences were observed in 4/4 responses [all P<0.0001]; and regarding staff-related statements, 7/8 responses differed significantly between two groups [P=0.017 to P<0.0001]. Significant differences were found in 5/10 ancillary care-related responses [P=0.004 to P<0.0001] while 1/7 responses differed significantly regarding hospital policies-related statements [P=0.02]. The data show that the children's severity of disease significantly influences the parental reports on quality of health care. As expected, the difference in responses may affect their understanding, judgment and expectations regarding the quality of care. On a broader scale, it may also affect the process of family centered care [FCC]. Further multicenter, multiethnic studies will be required to validate these preliminary findings
ABSTRACT
Jo identify any consistent factors which may predict over or under correction of congenital ptosis treated by anterior levator resection. The study was conducted at Khyber Institute of Ophthalmic Medical Sciences Hayatabad medical Complex, Peshawar from January 1st 2006- December 31st 2006. The study was approved by the ethical committee of KIOMS A retrospective case note review of 50 consecutive patients undergoing anterior levator resection for congenital ptosis was performed to identify. 1. The amount of ptosis and degree of levator function present pre-operatively and 2. The surgical outcome. For unilateral ptosis, a successful result was defined as a lid level within 1mm of the fellow lid following a single operation. Fifty four eyelids of 50 patients [35 males and 15 females] with congenital ptosis were included in the study. Seventy seven percent [77.27%] of all unilateral patients had a successful outcome at 6 weeks following surgery, falling slightly to [73.52%] by 6 months. The most common complications at 6 months for all cases were under correction [20%] and over correction [7.5%,]. All patient under corrected at 6 months had pre-operative levator function in the range of 4-10 mm with a mean of 6.4 mm, whereas all those over corrected at 6 months had a levator function in the range of 9-15 mm with a mean of 12 2 mm. The degree of levator function was a predictor of increased risk of over correction, with a trend towards predicting under correction as well. In this series of patients, pre operative levator function was found to be the most significant predictor of surgical outcome for anterior levator resection