ABSTRACT
The development of a questionnaire that measures user satisfaction in the area of Rehabilitation is essential in order to measure the success achieved and to be able to introduce actions to improve health care. OBJECTIVE: To design and validate a questionnaire to assess the satisfaction of the care received in a Rehabilitation Department. MATERIAL AND METHODS: A cross-sectional study was carried out in the Rehabilitation Department of the Complejo Asistencial Universitario de Salamanca (CAUSA). A questionnaire was designed and prepared by experts using the Delphi technique. For the face validity, a pilot study was used using focal groups (doctors, nursing staff, physiotherapists, occupational therapists, and patients). An evaluation was made of the reliability (intraclass correlation coefficient) and internal consistency (Cronbach alpha). In a second stage, it was completed by 207 patients. The questionnaire consisted of 24 items that evaluated 4 dimensions: care/relationship, information/treatment, infrastructure, and general evaluation. RESULTS: A Cronbach alpha and intraclass correlation of greater than 0.8 was obtained in the first stage using a pilot test on 40 patients with a mean age of 58 years (SD ±16). The scale showed a good internal consistency in its final version (Cronbach alpha of 0.82) and an adequate stability (intraclass correlation of 0.8). CONCLUSIONS: The data obtained in the study showed that the designed questionnaire had a reliability of validity. And for this reason, it would be a valid and reliable tool for measuring the satisfaction of the care received by patients in Rehabilitation Departments.
Subject(s)
Patient Satisfaction , Rehabilitation , Self Report , Adult , Aged , Cross-Sectional Studies , Female , Humans , Male , Middle AgedABSTRACT
BACKGROUND: Colorectal cancer (CRC) is the second cause of tumour mortality in Spain and Europe. To date, no studies have been conducted in Spain to evaluate the spatial and temporal distribution of the excess risk of death during hospitalisation for CRC. METHODS: A cohort was constructed of all episodes of hospitalisation in Spain due to CRC (codes 153 and 154 of the International Classification of Diseases, 9th edition, Clinical Modification) during the period 2008-2014, based on the minimum basic data set published by the Ministry of Health. Mortality ratios were calculated per region for each of the years analyzed (spatial or cross-sectional analysis) and during the overall study period, for each region independently (temporal or longitudinal analysis). In the first of these analyses, particular note was taken of the regions and years in which the limits of two and three standard deviations were exceeded. RESULTS: Two hundred and fifty eight thousand, nine hundred and twenty seven episodes of CRC were analysed. The patients were predominantly male (60.6%), with an average hospital stay of 13.16 days. Half underwent surgery during admission and on average presented more than six diagnoses at discharge. The spatial analysis revealed mortality ratios that deviated by at least three standard deviations in the following regions: Islas Canarias, Asturias, Valencia, Extremadura, País Vasco and Andalucía. The longitudinal analysis showed that most regions presented one or more years when CRC mortality was at least 15% higher than expected during the period; outstanding in this respect were Asturias, Navarra and La Rioja, where this excess risk was detected in at least 2 years. CONCLUSIONS: Geographic and temporal patterns of the distribution of the excess risk of mortality from CRC in Spain are described using SMRs. We conclude that during the study period, the geographic pattern of mortality in Spain did not coincide with the excess risk of mortality calculated using the SMR method described by Jarman and Foster. This method of risk estimation can be a useful tool for the study of mortality risk and its spatial variations.
Subject(s)
Colorectal Neoplasms/mortality , Hospital Mortality , Aged , Aged, 80 and over , Cross-Sectional Studies , Female , Humans , Length of Stay , Longitudinal Studies , Male , Middle Aged , Mortality , Spain/epidemiology , Spatio-Temporal AnalysisABSTRACT
No disponible
Subject(s)
Humans , Colorectal Neoplasms/epidemiology , Colorectal Neoplasms/prevention & control , Epidemiological Monitoring/organization & administration , Epidemiological Monitoring/standards , Primary Health Care/methods , Primary Health Care/trends , Survivorship/physiology , Prospective Studies , Forms and Records Control/methods , Clinical Record , Indicators of Morbidity and MortalityABSTRACT
OBJECTIVE: To describe the factors associated to mortality of patients with severe traumatic brain injury (TBI). DESIGN: A retrospective observational study was made of patients with severe TBI covering the period between 1 January 2007 and 31 December 2010. SETTING: Virgen de la Vega Hospital, Salamanca (Spain). PATIENTS: All patients hospitalized during the consecutive study period. MAIN VARIABLES OF INTEREST: The dependent variable has been the death rate, while the independent variables were divided into two groups: epidemiological and clinical. RESULTS: The mean patient age was the 50.84 years; 75.5% were males. The average score on the Glasgow Coma Scale (GCS) was 5.09, and the average Injury Severity Score (ISS) was 30.8. Higher mortality was observed in older patients with a higher ISS score. A total of 68.1% of the patients in which intracranial pressure (ICP) was monitored showed intracranial hypertension (ICH). The mortality rate in patients with severe TBI was 36.8%, and was associated mainly to a lower GCS score, the existence of hyperglycemia, coagulopathy, hypoxemia, the presence of mydriasis and shock. The independent mortality indicators in patients with severe TBI were the existence of mydriasis (OR: 32.75), the GCS score (OR: 2.65) and hyperglycemia (OR: 6.08). CONCLUSIONS: The existence of mydriasis, the GCS score and hyperglycemia should be taken into account as prognostic factors in TBI patients.
Subject(s)
Brain Injuries/mortality , Adolescent , Adult , Aged , Aged, 80 and over , Female , Glasgow Coma Scale , Humans , Injury Severity Score , Intensive Care Units , Male , Middle Aged , Retrospective Studies , Young AdultABSTRACT
We present a case report of a renal angiomyolipoma with the special feature of its big size at the moment of the diagnosis. It is appreciated an important alteration of the kidney morphology and the repercussion produced in the rest of the abdominal organs. Due to this an exeresis with nefrectomy is performed. We do a bibliographic review and we analyzed the relevant aspects of this tumour.
Subject(s)
Angiomyolipoma/pathology , Kidney Neoplasms/pathology , Adult , Angiomyolipoma/surgery , Female , Humans , Kidney Neoplasms/surgery , NephrectomyABSTRACT
Presentamos un caso de angiomiolipoma renal cuya peculiaridad es el gran tamaño que tiene en el momento del diagnostico lo que ocasiona una alteración de la morfología del riñón afecto, así como al resto de vísceras de la cavidad abdominal. Por este motivo se interviene realizando exéresis de la masa con nefrectomía. Realizamos una revisión bibliográfica de este tumor analizando sus peculiaridades y aspectos más destacables (AU)
