Study of the relation between quality of inpatient care and early readmission for diabetic patients at a hospital in the Eastern province of Saudi Arabia

Readmission of diabetic patients after discharge from hospital has potential value as a quality of care indicator. This retrospective cohort and case-control study aimed to determine the readmission rate for diabetic patients within 28 days after discharge and the association between quality of inpatient care and unplanned readmission. An audit of records was conducted in a hospital in the Eastern province of Saudi Arabia during 2000-2008. The rate of unplanned readmission of patients originally admitted with diabetes mellitus [n = 1125] was 5.2%. Comparison of data from readmitted patients [n = 62] and a sample of non re admitted patients [n = 62] showed that adherence by health care providers to American Diabetes Association guidelines for admission work-up [OR 0.91, 95% Cl: 0.85-0.99] and readiness for discharge criteria [OR 0.89, 95% Cl: 0.84-0.95] were significantly more likely to decrease the risk of readmission within 28 days

Randomized controlled trial to enhance psychosocial adjustment of asthmatic childern

The aim of the present study was to evaluate the effect of a psychosocial patient education program on the psychological adjustment of asthmatic children between 11 and 18 years old. One hundred children attending the outpatient health insurance clinic were randomly selected and randomized to experimental and control groups. Children's asthma knowledge, self-esteem, asthma severity and psychological adjustment were assessed for both groups before and after the intervention. An intervention program was developed and introduced to the experimental group. The program consisted of sixteen sessions of Information giving and cognitive-behavioral strategies for the children. The results revealed significant differences in the mean percentage change of the intervention and control groups regarding self-esteem, knowledge and asthma severity [Z=2.83, Z=4.75 and Z=2.24 respectively, P< 0.05]. Statistical significant differences were found between the mean percentage change of the intervention and control groups regarding, dependency, hostility, productivity and withdrawal domains as well as the total PARS Ill score. In conclusion, the study demonstrated positive effect of the intervention in promoting the adjustment of asthmatic children. It is suggested that similar interventions can be directed to children with any chronic illness and can be implemented in a variety of pediatric settings