Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 4 de 4
Filter
Add more filters










Database
Language
Publication year range
1.
J Cardiopulm Rehabil Prev ; 42(5): 324-330, 2022 09 01.
Article in English | MEDLINE | ID: mdl-35383666

ABSTRACT

PURPOSE: This research was conducted to determine whether early participation in cardiac rehabilitation (CR) reduces readmissions following heart failure (HF) hospitalization. METHODS: A retrospective quasiexperimental comparison group design was used. Electronic medical records were abstracted for HF patients discharged between March 2013 and December 2017. The treatment group was defined as patients with HF who attended ≥1 CR session within 6 wk following discharge. The comparison group was defined as patients with HF without additional HF hospitalizations during the previous year, discharged to home/self-care, and did not attend CR within 6 wk. Readmission rates at 30 d and 6 wk were compared between groups using χ 2 analysis and logistic regression. RESULTS: Out of 8613 patients with HF, 205 (2.4%) attended ≥1 CR within 6 wk post-discharge. The treatment group had lower, but not statistically significant, readmission rates than the comparison group for 30-d readmissions for HF ( P = .13), and 6-wk readmission rates for HF ( P = .05). The treatment group had lower all-cause readmissions at 30 d (P < .01) and 6 wk ( P < .01) than the comparison group. Multivariable logistic regression revealed that early CR attendance was associated with reduced 30-d all-cause readmissions (adjusted OR = 0.4: 95% CI, 0.2-0.7) and 6-wk all-cause readmissions (adjusted OR = 0.5: 95% CI, 0.3-0.8). CONCLUSIONS: This study contributes to the existing evidence for allowing early unrestricted CR participation with the aim of improving the health of patients with HF and reducing rehospitalization rates.


Subject(s)
Cardiac Rehabilitation , Heart Failure , Aftercare , Heart Failure/therapy , Humans , Patient Discharge , Patient Readmission , Retrospective Studies
2.
Pain Manag ; 12(2): 159-166, 2022 Mar.
Article in English | MEDLINE | ID: mdl-34420404

ABSTRACT

Aim: The purpose of the study was to understand the impact of a pain management consult for acute pancreatitis patients on their inpatient length of stay, morphine milligram equivalences (MMEs) and pancreatitis severity. Materials & methods: Adult patient data were extracted from the electronic health records from 1 October 2016 to 31 December 2018. Results & conclusion: Of 277 patients with a single acute pancreatitis hospitalization, 23 had a pain consultation (treatment group), whereas 254 did not (control group). There were statistically significant differences in median length of stay, median MME total and median MME per day between the treatment and control groups with comparable severity and pain scores (6.8 vs 3.1 days, 196.5 vs 33.8 MMEs, 30.9 vs 12.1 MMEs, respectively, p < 0.0001). This study emphasizes the complexity of pain management and the importance of further research in the field.


Subject(s)
Analgesics, Opioid , Pancreatitis , Acute Disease , Adult , Analgesics, Opioid/therapeutic use , Humans , Length of Stay , Pain Management , Pain, Postoperative , Pancreatitis/complications , Pancreatitis/therapy , Referral and Consultation , Retrospective Studies
3.
J Parkinsons Dis ; 10(1): 347-350, 2020.
Article in English | MEDLINE | ID: mdl-31594248

ABSTRACT

BACKGROUND: Parkinson's disease (PD) has been hypothesized to be associated with certain personality traits, including conscientiousness and punctuality. However, research aimed at quantifying these traits is largely derived from questionnaire-based personality inventories rather than real-world observations. OBJECTIVE: To explore the presence of a parkinsonian personality profile by assessing the no-show rate of patients with PD versus other neurological disorders. METHODS: We extracted data from our electronic health record for all neurology appointments over a 78-month interval. Additionally, we obtained primary care appointment data for the same patients over the same timeframe. For each appointment we collected appointment date/time, check-in time, provider, age, sex, insurance type, days between appointment date and scheduling, diagnosis code, and no-show status. RESULTS: 19,433 unique patients (400 with PD) accounting for a total of 252,347 outpatient appointments were included in our analysis. The overall no-show rate for PD patients was 3% versus 7.4% for patients with other neurologic disorders (OND). No show rates for PD patients were lower than those with OND for both neurology appointments (2.7% versus 13.6%) and for primary care visits (3.1% versus 5.9%). CONCLUSIONS: Patients with PD have lower no-show rates than patients with OND. Additionally, the no-show rate for patients with PD did not differ between their neurology and primary care appointments, confirming that patient's personality rather than provider traits account for this difference, and supporting the presence of a parkinsonian personality.


Subject(s)
Nervous System Diseases/therapy , No-Show Patients/statistics & numerical data , Parkinson Disease/physiopathology , Parkinson Disease/therapy , Personality/physiology , Aged , Appointments and Schedules , Electronic Health Records , Female , Humans , Male , Middle Aged , Neurologists/statistics & numerical data , Primary Health Care/statistics & numerical data
4.
Lasers Surg Med ; 43(10): 991-7, 2011 Dec.
Article in English | MEDLINE | ID: mdl-22127755

ABSTRACT

BACKGROUND: Laser tissue welding (LTW) is a novel method of surgical wound closure by the use of laser radiation to induce fusion of the biological tissues. Molecular dynamics associated with LTW is a result of thermal and non-thermal mechanisms. OBJECTIVES: This research focuses exclusively on better heat management to reduce thermal damage of tissues in LTW using a near infrared laser radiation. METHODS: An infrared continuous-wave (CW) laser radiation at 1,450 nm wavelength corresponding to the absorption band from combination vibrational modes of water is used to weld together ex vivo porcine aorta. RESULTS: In these studies we measured the optimal laser power and scan speed, for better tensile strength of the weld and lesser tissue dehydration. Significant amount of water loss from the welded tissue results in cellular death and tissue buckling. Various thermally conductive optical cover windows were used as heat sinks to reduce thermal effects during LTW for the dissipation of the heat. The optimal use of the method prevents tissue buckling and minimizes the water loss. Diamond, sapphire, BK7, fused silica, and IR quartz transparent optical cover windows were tested. CONCLUSIONS: The data from this study suggests that IR-quartz as the material with optimal thermal conductivity is ideal for laser welding of the porcine aorta.


Subject(s)
Aorta/surgery , Laser Therapy/instrumentation , Lasers, Solid-State/therapeutic use , Wound Closure Techniques/instrumentation , Aluminum Oxide , Animals , Aorta/pathology , Dehydration/prevention & control , Diamond , Hot Temperature/adverse effects , In Vitro Techniques , Laser Therapy/methods , Quartz , Silicon Dioxide , Swine , Tensile Strength , Thermal Conductivity
SELECTION OF CITATIONS
SEARCH DETAIL
...