keyword
https://read.qxmd.com/read/37795502/multidisciplinary-care-for-pediatric-patients-with-psychogenic-nonepileptic-seizures-may-be-associated-with-decreased-health-care-utilization
#21
JOURNAL ARTICLE
Sahana Rao, Maggie Burch, Megan M Fredwall, Laurie Enciso, Kristen Trott, Anup D Patel, Dara V F Albert
BACKGROUND AND OBJECTIVES: Psychogenic nonepileptic seizures (PNES) are paroxysmal events that resemble epileptic seizures but have psychological underpinnings. Patients with PNES have high health care utilization. We hypothesize that appropriate care would lead to decreases in utilization. The aim of this study was to measure the impact of a multidisciplinary PNES clinic in reducing health care utilization (HCU) in youth with PNES referred to the clinic. METHODS: We reviewed the frequency of visits to the emergency department (ED), urgent care (UC), planned and unplanned hospitalizations, neurodiagnostic studies, and total charges associated with these encounters 12 months before and 12 months after initial referral to the clinic...
December 2023: Neurology. Clinical Practice
https://read.qxmd.com/read/37782769/predictors-of-healthcare-utilization-in-family-caregivers-of-persons-with-a-primary-malignant-brain-tumor
#22
JOURNAL ARTICLE
Isabella Goldberg, Paula Sherwood, Susan M Sereika, Heidi S Donovan, Jason Weimer, Jan Drappatz, Florien Boele, Xiaojun Shi, Ashlee Loughan
BACKGROUND: Negative physical health results from the emotional stress of providing care to a family member with a primary malignant brain tumor; however, the downstream effects on caregivers' healthcare utilization (HCU) are unknown. This analysis examined associations between caregivers' emotional health and markers of HCU during the 6 months after patients' diagnoses. METHODS: Caregivers' self-report HCU data from a longitudinal study with 116 neuro-oncology caregivers were analyzed. Healthcare utilization was operationalized as number of prescription medications, reporting visits to primary care providers (PCPs), nature of PCP visit, number of comorbid conditions, and change in comorbid conditions...
September 27, 2023: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
https://read.qxmd.com/read/37764096/epidemiological-and-molecular-investigation-of-the-heater-cooler-unit-hcu-related-outbreak-of-invasive-mycobacterium-chimaera-infection-occurred-in-italy
#23
JOURNAL ARTICLE
Angela Cannas, Antonella Campanale, Daniela Minella, Francesco Messina, Ornella Butera, Carla Nisii, Antonio Mazzarelli, Carla Fontana, Lucia Lispi, Francesco Maraglino, Antonino Di Caro, Michela Sabbatucci
BACKGROUND: From 2013 onwards, a large outbreak of Mycobacterium chimaera (MC) invasive infection, which was correlated with the use of contaminated heater-cooler units (HCUs) during open chest surgery, was reported from all over the world. Here, we report the results of the epidemiological and molecular investigations conducted in Italy after the alarm raised about this epidemic event. METHODS: MC strains isolated from patients or from HCU devices were characterized by genomic sequencing and molecular epidemiological analysis...
September 7, 2023: Microorganisms
https://read.qxmd.com/read/37699902/unique-patterns-of-healthcare-utilization-following-the-opening-of-the-samson-assuta-ashdod-university-hospital
#24
JOURNAL ARTICLE
Noa Dror Lavy, Royi Barnea, Erela Rotlevi, Tzahit Simon-Tuval
Our aim was to examine the influence of the market entry of Samson Assuta Ashdod University Hospital on community and hospital-based healthcare utilization (HCU). A retrospective study was conducted among Maccabi Health Services enrollees in the regions of Ashdod (n = 94,575) and Netanya (control group, n = 80,200) before and after this market entry. Based on difference-in-differences framework, we examined the change in HCU of Ashdod region's enrollees compared to the control group and following the market entry using multivariable generalized estimating equations models...
September 12, 2023: Scientific Reports
https://read.qxmd.com/read/37667876/impact-of-some-antiviral-drugs-on-health-care-utilization-for-patients-with-covid-19-a-systematic-review-and-meta-analysis
#25
REVIEW
Bincai Wei, Ruhao Zhang, Huatang Zeng, Liqun Wu, Rongxin He, Junyao Zheng, Hao Xue, Jinlin Liu, Fengchao Liang, Bin Zhu
BACKGROUND: We aimed to assess the impact of antiviral drugs (fluvoxamine,remdesivir, lopinavir/ritonavir (LPV/r), molnupiravir, andnirmatrelvir/ritonavir (NRV/r)) on health care utilization (HCU) inCOVID-19 patients. We summarized findings from randomized controlledtrials (RCTs) and observational studies. METHODS: We systematically searched four medical databases (PubMed, Web of Science, Embase, Cochrane Library) for COVID-19 studies up to February 15, 2023. A comprehensive review, meta-analysis, sensitivity analysis, and subgroup analysis were conducted...
September 5, 2023: Expert Review of Anti-infective Therapy
https://read.qxmd.com/read/37636902/healthcare-utilization-in-patients-with-chronic-obstructive-pulmonary-disease-discharged-from-coronavirus-2019-hospitalization
#26
JOURNAL ARTICLE
Daniel Puebla Neira, Mohammed Zaidan, Shawn Nishi, Alexander Duarte, Christopher Lau, Sairam Parthasarathy, Jiefei Wang, Yong-Fang Kuo, Gulshan Sharma
RATIONALE: There is concern that patients with chronic obstructive pulmonary disease (COPD) are at greater risk of increased healthcare utilization (HCU) following Severe Acute Respiratory Syndrome-Coronavirus-2 (SARS-COV-2) infection. OBJECTIVE: To assess whether COPD is an independent risk factor for increased post-discharge HCU. METHODS: We conducted a retrospective cohort study of patients with COPD discharged home from a hospitalization due to Coronavirus Disease 2019 (COVID-19) between April 1, 2020, and March 31, 2021, using Optum's de-identified Clinformatics® Data Mart Database (CDM)...
2023: International Journal of Chronic Obstructive Pulmonary Disease
https://read.qxmd.com/read/37604933/multimorbidity-in-persons-with-non-traumatic-spinal-cord-injury-and-its-impact-on-healthcare-utilization-and-health-outcomes
#27
JOURNAL ARTICLE
Heather A Hong, Nader Fallah, Di Wang, Christiana L Cheng, Suzanne Humphreys, Jessica Parsons, Vanessa K Noonan
STUDY DESIGN: Cross-sectional survey in Canada. OBJECTIVES: To explore multimorbidity (the coexistence of two/more health conditions) in persons with non-traumatic spinal cord injury (NTSCI) and evaluate its impact on healthcare utilization (HCU) and health outcomes. SETTING: Community-dwelling persons. METHODS: Data from the Spinal Cord Injury Community Survey (SCICS) was used. A multimorbidity index (MMI) consisting of 30 secondary health conditions (SHCs), the 7-item HCU questionnaire, the Short Form-12 (SF-12), Life Satisfaction-11 first question, and single-item Quality of Life (QoL) measure were administered...
August 21, 2023: Spinal Cord
https://read.qxmd.com/read/37559677/sex-and-frequency-of-pain-episodes-are-associated-with-acute-pain-trajectories-in-adolescents-with-sickle-cell-disease
#28
JOURNAL ARTICLE
Rachel Astles, Zihao Liu, Scott E Gillespie, Kristina W Lai, Alexander Maillis, Claudia R Morris, Peter A Lane, Lakshmanan Krishnamurti, Nitya Bakshi
INTRODUCTION/OBJECTIVE: Acute pain episodes are a major cause of health care utilization (HCU) in sickle cell disease (SCD), and adolescence is associated with increased pain frequency. We sought to determine whether there were differences in acute pain trajectories by sex and frequency of pain episodes among adolescents with SCD who presented to the emergency department (ED). METHODS: Retrospective review of electronic health records from a large, multicampus, pediatric SCD program...
September 2023: Pain Reports
https://read.qxmd.com/read/37559410/temperature-outcomes-without-heater-cooler-units-in-adult-patients-supported-with-extracorporeal-membrane-oxygenation-a-retrospective-cohort-study
#29
JOURNAL ARTICLE
Marguerite Hoyler, Joydeep Baidya, Brady Rippon, William Debois, Ankur Srivastava, Erin Iannacone, Natalia Ivascu Girardi
INTRODUCTION: Heater-cooler units (HCUs) are frequently incorporated into extracorporeal membrane oxygenation (ECMO) circuits to help maintain patient normothermia. However, these devices may be associated with increased cost and infection risk. This study describes our institution's experience managing adult ECMO patients without the routine use of in-circuit HCUs. METHODS: We performed a retrospective analysis of adult patients treated with veno-venous (VV) or veno-arterial (VA) ECMO at our institution...
August 9, 2023: Perfusion
https://read.qxmd.com/read/37550656/developing-prognostic-models-for-health-care-utilization-in-patients-with-work-related-mental-health-problems
#30
JOURNAL ARTICLE
Morten Vejs Willert, David Høyrup Christiansen, Ligaya Dalgaard, Jesper Medom Vestergaard, Johan Hviid Andersen, Marianne Kyndi
BACKGROUND: The long-term prognosis for employees with work-related mental health problems is unclear. We aim to describe long-term trends in health care utilization (HCU) and develop multivariable prognostic models for long-term mental health care utilization. METHODS: From the Danish Occupational Medicine Cohort we included mental health patients (N = 17,822) assessed from 2000 to 2013 at Departments of Occupational Medicine. Outcomes were general health (general practitioner, somatic hospital) and mental health (psychiatrist/psychologist, psychiatric hospital) HCU obtained from registries five years before/after assessment...
August 7, 2023: BMC Health Services Research
https://read.qxmd.com/read/37507549/psychosocial-factors-predicting-healthcare-usage-in-young-adults-with-youth-onset-type-2-diabetes-the-today2-icount-observational-study
#31
JOURNAL ARTICLE
Paula M Trief, Diane Uschner, Barbara J Anderson, Hui Wen, Jane D Bulger, Ruth S Weinstock
BACKGROUND: Established diabetes care ("diabetes home") and regular healthcare visits are important to achieve optimal health. Nothing is known about psychosocial factors that predict healthcare usage (HCU) in young adults with youth-onset type 2 diabetes, at risk for early complications. OBJECTIVE: To identify psychosocial predictors of HCU in the Treatment Options for type 2 Diabetes in Adolescents and Youth (TODAY2) cohort. DESIGN: Longitudinal, measured at T1 (baseline) and T2 (1 year later)...
July 28, 2023: Journal of General Internal Medicine
https://read.qxmd.com/read/37482998/association-between-neuroticism-and-dementia-on-healthcare-use-a-multi-level-analysis-across-27-countries-from-the-survey-of-health-ageing-and-retirement-in-europe-share
#32
JOURNAL ARTICLE
Manuel Ruiz-Adame, Agustín Ibañez, Tatyana Mollayeva, Dominic Trépel
BACKGROUND: People with high levels of neuroticism are greater users of health services. Similarly, people with dementia have a higher risk of hospitalization and medical visits. As a result, dementia and a high level of neuroticism increase healthcare use (HCU). However, how these joint factors impact the HCU at the population level is unknown. Similarly, no previous study has assessed the degree of generalization of such impacts, considering relevant variables including age, gender, socioeconomic, and country-level variability...
July 17, 2023: Journal of Alzheimer's Disease: JAD
https://read.qxmd.com/read/37463544/an-orally-administered-enzyme-therapeutic-for-homocystinuria-that-suppresses-homocysteine-by-metabolizing-methionine-in-the-gastrointestinal-tract
#33
JOURNAL ARTICLE
Kristen Skvorak, Vesna Mitchell, Leann Teadt, Kierra A Franklin, Hyung-Ok Lee, Nikki Kruse, Callie Huitt-Roehl, Julie Hang, Faye Du, Stephanie Galanie, Steven Guan, Hera Aijaz, Nianliu Zhang, Gabriel Rajkovic, Warren D Kruger, Moulay Hicham Alaoui Ismaili, Gjalt Huisman, Kerryn McCluskie, Adam P Silverman
Classical homocystinuria (HCU) is a rare inborn error of amino acid metabolism characterized by accumulation of homocysteine, an intermediate product of methionine metabolism, leading to significant systemic toxicities, particularly within the vascular, skeletal, and ocular systems. Most patients require lifelong dietary therapy with severe restriction of natural protein to minimize methionine intake, and many patients still struggle to maintain healthy homocysteine levels. Since eliminating methionine from the diet reduces homocysteine levels, we hypothesized that an enzyme that can degrade methionine within the gastrointestinal (GI) tract could help HCU patients maintain healthy levels while easing natural protein restrictions...
August 2023: Molecular Genetics and Metabolism
https://read.qxmd.com/read/37432246/relationship-between-bone-mineral-density-and-selected-parameters-of-calcium-phosphate-economy-with-dietary-management-and-metabolic-control-in-polish-pediatric-patients-with-classical-homocystinuria-a-preliminary-study
#34
JOURNAL ARTICLE
Małgorzata Batycka, Ewa Lange, Ewa Ehmke Vel Emczyńska-Seliga, Maciej Jaworski, Maria Kobylińska, Natalia Lech, Emilia Samborowska, Patryk Lipiński, Barbara Perkowska, Paulina Pokora, Dariusz Rokicki
BACKGROUND: Classical homocystinuria (HCU) is an inborn defect of methionine metabolism caused by a deficiency of the enzyme cystathionine β-synthase (CBS). The main symptoms of classical homocystinuria are lens subluxation, bone lesions, vascular disease and developmental delay/intellectual disability. The treatment method for HCU is a methionine-poor diet supplemented with amino acid preparations. The aim of the study was to examine the relationship of dietary factors, metabolic compensation and selected skeletal parameters in patients with HCU...
April 27, 2023: Nutrients
https://read.qxmd.com/read/37419643/healthcare-utilisation-in-patients-with-long-term-conditions-during-the-covid-19-pandemic-a-population-based-observational-study-of-all-patients-across-greater-manchester-uk
#35
JOURNAL ARTICLE
Camilla Sammut-Powell, Richard Williams, Matthew Sperrin, Owain Thomas, N Peek, Stuart W Grant
OBJECTIVES: Data on population healthcare utilisation (HCU) across both primary and secondary care during the COVID-19 pandemic are lacking. We describe primary and secondary HCU stratified by long-term conditions (LTCs) and deprivation, during the first 19 months of COVID-19 pandemic across a large urban area in the UK. DESIGN: A retrospective, observational study. SETTING: All primary and secondary care organisations that contributed to the Greater Manchester Care Record throughout 30 December 2019 to 1 August 2021...
July 7, 2023: BMJ Open
https://read.qxmd.com/read/37392143/effects-of-dietary-zinc-copper-ratios-on-the-metabolism-of-zinc-and-copper-in-weaned-pigs
#36
JOURNAL ARTICLE
Danyel Bueno Dalto, Isabelle Audet, Caroline Roy, Karine Deschêne, Geneviève Villeneuve, J Jacques Matte, Jérôme Lapointe
This study compared the effects of different dietary zinc/copper ratios on zinc (Zn) and copper (Cu) metabolism in weaned pigs. One hundred sixty piglets (7.81 ± 0.25 kg; 21 days of age) were used in a completely randomized 2x2 factorial design composed with high (H) and low (L) levels of added dietary Zn (100 and 3000 mg/kg) and dietary Cu (6 and 130 mg/kg). Piglets were slaughtered at 21, 28, 35 and 42 days of age for blood and tissues collection. Serum, jejunum mucosa , liver, and kidney concentrations of Zn and Cu were analyzed as well as tissues mRNA abundance of genes related to their metabolism...
July 1, 2023: Journal of Animal Science
https://read.qxmd.com/read/37385452/bacterial-contamination-of-water-used-as-thermal-transfer-fluid-in-fluid-warming-devices
#37
JOURNAL ARTICLE
M Schnetzinger, F Heger, A Indra, O Kimberger
INTRODUCTION: Recent reports implied heater-cooler units (HCU), which are used for warming of infusions, blood or in ECMO devices, as possible origin of healthcare-associated infections (HAIs) with potentially pathogenic bacteria like nontuberculous mycobacteria [1]. This represents a source of contamination in a usually sterile setting. Aim of this study is to analyse water from infusion heating devices (IHDs) for bacterial contamination and to raise the question if IHDs act as a possible source in the transmission of HAIs...
June 27, 2023: Journal of Hospital Infection
https://read.qxmd.com/read/37312076/the-quality-of-mental-health-care-for-people-with-bipolar-disorders-in-the-italian-mental-health-system-the-quadim-project
#38
JOURNAL ARTICLE
Barbara D'Avanzo, Angelo Barbato, Matteo Monzio Compagnoni, Giulia Caggiu, Liliana Allevi, Flavia Carle, Teresa Di Fiandra, Lucia Ferrara, Andrea Gaddini, Michele Sanza, Alessio Saponaro, Salvatore Scondotto, Valeria D Tozzi, Cristina Giordani, Giovanni Corrao, Antonio Lora
BACKGROUND: The assessment of the quality of care pathways delivered to people with severe mental disorders in a community-based system remains uncommon, especially using healthcare utilization databases. The aim of the study was to evaluate the quality of care provided to people with bipolar disorders taken-in-care by mental health services of four Italian areas (Lombardy, Emilia-Romagna, Lazio, province of Palermo). METHODS: Thirty-six quality indicators were implemented to assess quality of mental health care for patients with bipolar disorders, according to three dimensions (accessibility and appropriateness, continuity, and safety)...
June 13, 2023: BMC Psychiatry
https://read.qxmd.com/read/37294502/exploring-the-characteristics-of-gut-microbiome-in-patients-of-southern-fujian-with-hypocitraturia-urolithiasis-and-constructing-clinical-diagnostic-models
#39
JOURNAL ARTICLE
Jialiang Wang, Guofeng Chen, Heyi Chen, Jiabi Chen, Qingfu Su, Wei Zhuang
PURPOSE: Hypocitraturia is an important cause of urolithiasis. Exploring the characteristics of the gut microbiome (GMB) of hypocitriuria urolithiasis (HCU) patients can provide new ideas for the treatment and prevention of urolithiasis. METHODS: The 24 h urinary citric acid excretion of 19 urolithiasis patients was measured, and patients were divided into the HCU group and the normal citrate urolithiasis (NCU) group. The 16 s ribosomal RNA (rRNA) was used to detect GMB composition differences and construct operational taxonomic units (OTUs) coexistence networks...
August 2023: International Urology and Nephrology
https://read.qxmd.com/read/37291621/disparities-in-modern-health-service-utilization-across-socio-demographic-and-economic-inequalities-among-households-in-gida-ayana-district-oromia-regional-state-ethiopia-a-community-based-cross-sectional-study
#40
JOURNAL ARTICLE
Edosa Tesfaye Geta, Abebe Wakjira, Wase Benti Hailu
BACKGROUND: Health care disparities (HCD) occur across a broad range of dimensions and achieving equity in health care is a strenuous task. To overcome the disparities, countries worldwide have started implementing varies policies. HCD remains a challenge in the health care system of Ethiopia. Hence, the study aimed to estimate the disparities in health care utilization (HCU) among households. METHODS: A community-based cross-sectional study was conducted from February 01 to April 30, 2022, among households in Gida Ayana District, Ethiopia...
June 8, 2023: BMC Health Services Research
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