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https://www.readbyqxmd.com/read/29912585/a-rasch-analysis-of-the-conley-scale-in-patients-admitted-to-a-general-hospital
#1
Leonardo Pellicciari, Daniele Piscitelli, Serena Caselli, Fabio La Porta
PURPOSE: The Conley Scale (CS) is a widely used tool for assessing the risk of falling for inpatients. The purpose of this study was to assess its unidimensionality, internal construct validity, targeting and reliability using Confirmatory Factor Analysis (CFA) and Rasch analysis (RA). METHODS: The CS was administrated to a sample of 58,370 subjects admitted to a general hospital. RESULTS: The CFA supported the unidimensionality of the CS (Root Mean Square Error of Approximation (RMSEA) = 0...
June 18, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29911187/impact-of-the-cms-no-pay-policy-on-hospital-acquired-fall-prevention-related-practice-patterns
#2
Elizabeth A Fehlberg, Robert J Lucero, Michael T Weaver, Anna M McDaniel, A Michelle Chandler, Phyllis A Richey, Lorraine C Mion, Ronald I Shorr
Background and Objectives: In October 2008, the Centers for Medicare & Medicaid Services (CMS) stopped reimbursing hospitals for costs related to patient falls. This study aimed to examine whether the CMS no-pay policy influenced four fall prevention practices: bed alarms, sitters, room changes, and physical restraints. Research Design and Methods: Using electronic medical record data collected from four hospitals between 2005 and 2010, this secondary observational analysis examined the associations between the CMS no-pay policy and nursing interventions and medical orders related to fall prevention...
November 2017: Innovation in Aging
https://www.readbyqxmd.com/read/29909673/risk-of-asphyxiation-from-vernagel-ingestion
#3
L Wickstone, A Shayah, F Agada
Vernagel (sodium polyacrylate) is a powder commonly used in hospitals worldwide for the management and disposal of body fluids. It reacts with fluids to form a semisolid gel. Its main use is to reduce spillages. If ingested, this substance presents significant risk of asphyxiation. There have been 15 reported cases of Vernagel ingestion in 6 years and 1 death from asphyxiation. We present the case of an elderly patient who was admitted following a fall. He accidentally ingested a sachet of Vernagel during the early hours of the morning...
June 18, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29908851/accuracy-of-sacroiliac-screw-placement-with-and-without-intraoperative-navigation-and-clinical-application-of-the-sacral-dysmorphism-score
#4
Alex Quok An Teo, Jing Hui Yik, Sheldon Ng Jin Keat, Diarmuid Paul Murphy, Gavin Kane O'Neill
INTRODUCTION: Percutaneously-placed sacroiliac (SI) screws are currently the gold-standard fixation technique for fixation of the posterior pelvic ring. The relatively high prevalence of sacral dysmorphism in the general population introduces a high risk of cortical breach with resultant neurovascular damage. This study was performed to compare the accuracy of SI screw placement with and without the use of intraoperative navigation, as well as to externally validate the sacral dysmorphism score in a trauma patient cohort...
May 31, 2018: Injury
https://www.readbyqxmd.com/read/29908489/work-related-fatal-injuries-in-brescia-county-northern-italy-1982-to-2015-a-forensic-analysis
#5
REVIEW
Silvia Perotti, Maria Cristina Russo
Work-related deaths represent an important social problem. We report all the occupational fatal injuries recorded by the Brescia Institute of Forensic Medicine from 1982 to 2015. A total of 426 post-mortem examinations due to accidental work injuries were retrospectively analysed according to temporal distribution (year, month and day of the workplace accident); workers' characteristics (sex, age, nationality); type of occupation; cause of death; anatomical region of fatal injuries and timing of death. The accidental occupational events occurred with a mean of 12...
June 6, 2018: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/29905047/-treatment-of-gartland-type-%C3%A2-and-%C3%A2-supracondylar-fracture-of-humerus-in-children
#6
Qing Zhou, Qingquan Kong, Bo Gao
Objective: To analyze the treatment of Gartland type Ⅱ and Ⅲ supracondylar fracture of the humerus in children. Methods: Between January 2015 and January 2017, 45 cases of Gartland type Ⅱ and Ⅲ supracondylar fracture of the humerus were treated. There were 28 boys and 17 girls with an age of 1-13 years (mean, 5.7 years). The causes of injury included sports injury in 43 cases and falling from height in 2 cases. Fractures were classified as type Ⅱ in 12 cases and type Ⅲ in 33 cases according to Gartland classification...
June 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/29904793/-tips-for-taking-the-medical-history-in-patients-with-syncope
#7
REVIEW
Carsten W Israel
Transient loss of consciousness represents one of the most frequent reasons for patients to present in the emergency room. Already at the very beginning, the diagnostic work-up is faced with fundamental questions: (1) Was it really a loss of consciousness? (2) Which department (neurology, cardiology, or others) should check the patient? (3) Is an in-hospital diagnostic work-up required? These questions can be answered from a meticulous patient history which needs to be adjusted to the individual case but also has to systematically go through a list of questions...
June 2018: Herzschrittmachertherapie & Elektrophysiologie
https://www.readbyqxmd.com/read/29903644/high-parathyroid-hormone-levels-are-associated-with-osteosarcopenia-in-older-individuals-with-a-history-of-falling
#8
Pushpa Suriyaarachchi, Fernando Gomez, Carmen L Curcio, Derek Boersma, Lavanya Murthy, Vivian Grill, Gustavo Duque
OBJECTIVES: The combination of osteopenia/osteoporosis and sarcopenia (osteosarcopenia) defines a diagnostic subset of individuals at higher risk of falls, fractures and institutionalization. In this study we aimed to assess the potential role of high serum levels of parathyroid hormone (PTH) in osteosarcopenia. We hypothesized that a high PTH level is one of the major determinants of this syndrome. STUDY DESIGN: Cross-sectional study in 400 subjects (mean age = 79, 65% women) assessed between 2009 and 2014 at the Falls and Fractures Clinic, Nepean Hospital (Penrith, Australia)...
July 2018: Maturitas
https://www.readbyqxmd.com/read/29902354/effects-of-individual-nurse-and-hospital-characteristics-on-patient-adverse-events-and-quality-of-care-a-multilevel-analysis
#9
Seung Eun Lee, Catherine Vincent, V Susan Dahinten, Linda D Scott, Chang Gi Park, Karen Dunn Lopez
PURPOSE: This study aimed to investigate effects of individual nurse and hospital characteristics on patient adverse events and quality of care using a multilevel approach. DESIGN: This is a secondary analysis of a combination of nurse survey data (N = 1,053 nurses) and facility data (N = 63 hospitals) in Canada. METHODS: Multilevel ordinal logistic regression was employed to examine effects of individual nurse and hospital characteristics on patient adverse events...
June 14, 2018: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/29900029/concomitant-upper-extremity-fracture-worsens-outcomes-in-elderly-patients-with-hip-fracture
#10
Mary Kate Thayer, Conor P Kleweno, Vivian H Lyons, Lisa A Taitsman
Background: Elderly patients with low-energy hip fractures have high rates of morbidity and mortality, but it is not well known how often concurrent upper extremity fractures occur and how this impacts outcomes. We used the National Trauma Databank (NTDB), the largest aggregation of US trauma registry data available, to determine whether patients with concurrent upper extremity and hip fractures have worse outcomes than patients with hip fractures alone. Methods: We accessed the NTDB to identify patients aged 65 to 100 who sustained a hip fracture...
2018: Geriatric Orthopaedic Surgery & Rehabilitation
https://www.readbyqxmd.com/read/29894237/in-hospital-newborn-falls-should-all-neonates-undergo-neurological-imaging
#11
Sophie L Gray, Atanu Mukherjee, Garry K Pettet, Siba P Paul
No abstract text is available yet for this article.
June 2, 2018: British Journal of Hospital Medicine
https://www.readbyqxmd.com/read/29888859/evaluation-of-the-trauma-triage-accuracy-in-a-level-1-australian-trauma-centre
#12
Matthew W Trinder, Samuel W Wellman, Sana Nasim, Dieter G Weber
OBJECTIVES: To assess the rate of undertriage of major trauma patients and to assess factors contributing to undertriage in a modern Australian Level 1 trauma centre. METHODS: A retrospective case series of 600 consecutive major trauma (injury severity score [ISS] >15) patients admitted to Royal Perth Hospital (RPH) during 2015 was performed. Data were compiled via the prospectively maintained hospital trauma registry for all patients admitted with a major trauma during the study period...
June 11, 2018: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/29887925/is-being-malnourished-according-to-the-espen-definition-for-malnutrition-associated-with-clinically-relevant-outcome-measures-in-geriatric-outpatients
#13
N M van Rijssen, A G M Rojer, M C Trappenburg, E M Reijnierse, C G M Meskers, A B Maier, M A E de van der Schueren
Background and aim: A body of evidence is supporting the association between (the risk of) malnutrition in relation to physical performance, muscle strength, risk for depression and cognitive status in geriatric outpatients. Associations between being malnourished according to the newly proposed ESPEN definition for malnutrition and clinically relevant outcome measures of the aforementioned variables have not been confirmed yet. Therefore, the aim of this study was to examine the association between being malnourished according to the ESPEN definition and clinically relevant outcome measures in geriatric outpatients...
2018: European Geriatric Medicine
https://www.readbyqxmd.com/read/29886892/-children-should-always-be-examined-upon-suspicion-of-the-ingestion-of-foreign-bodies
#14
Jakob Gjesing Welinder, Laura Marie Dines, Britta Kaltoft Welinder
This case report is of a four-year-old otherwise healthy girl, who was presented to an ear, nose and throat department with salivation and suspected ingestion of a metallic pendant while falling asleep. An X-ray of the chest and upper neck confirmed the suspicion showing an approximately 2 × 2 cm foreign body shaped as a star located in the throat. In general anaesthesia, a metal necklace pendant was removed from the oesophagus mouth. The patient was released from hospital the day after surgery.
June 11, 2018: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/29886648/-a-cross-sectional-survey-of-treatment-acceptance-and-influence-factors-in-patients-with-obstructive-sleep-apnea
#15
B X Chen, Q Ou, M X Pan
Objective: To investigate the treatment acceptance in patients with obstructive sleep apnea (OSA) and its influence factors. Methods: This cross-sectional survey recruited OSA patients diagnosed at sleep center in Guangdong General Hospital from January 2014 to December 2015. By phone follow-up, a pre-designed questionnaire was performed for all adults, which composed of the following sections: treatment or none, treatment method, reason for non-treatment, revisit or none. Results: From 524 OSA patients with completed contact information, 480 (91...
May 29, 2018: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/29884145/visual-outcomes-and-prognostic-factors-in-open-globe-injuries
#16
Azusa Fujikawa, Yasser Helmy Mohamed, Hirofumi Kinoshita, Makiko Matsumoto, Masafumi Uematsu, Eiko Tsuiki, Kiyoshi Suzuma, Takashi Kitaoka
BACKGROUND: Ocular trauma is an important cause of visual loss worldwide. Improvements in our knowledge of the pathophysiology and management of ocular trauma during the past 30 years, in conjunction with advances in the instrumentation and techniques of ocular surgery, have improved the efficacy of vitreoretinal surgery in injured eyes. The aim of the current study was to determine the visual outcomes and prognostic factors of open-globe injuries in the Japanese population. METHODS: Retrospective study of 59 eyes of 59 patients presented with open globe injuries between September 2008 and March 2014 at Nagasaki University Hospital was conducted...
June 8, 2018: BMC Ophthalmology
https://www.readbyqxmd.com/read/29882059/fatal-falls-in-the-elderly-and-the-presence-of-proximal-femur-fractures
#17
Sylvia Schick, Daniela Heinrich, Matthias Graw, Raúl Aranda, Uta Ferrari, Steffen Peldschus
Fatal falls are frequent and seem to be an increasing problem in the elderly. Especially ground level falls (GLFs) and falls on or from stairs and steps (stairs falls) are worth examining for forensic classification and in order to improve the development of preventive measures. We retrospectively analyzed 261 fatal falls of elderly age 65 + years, which were autopsied at the Institute of Legal Medicine in Munich between 2008 and 2014. After careful screening, the sub-set of all 77 GLFs and 39 stairs falls were analyzed towards socio-demographic characteristics, fall circumstances, injuries, and circumstances of death...
June 7, 2018: International Journal of Legal Medicine
https://www.readbyqxmd.com/read/29880224/management-of-differentiated-thyroid-carcinomas
#18
Laura Fernández-Vañes, José Luis Llorente, Patricia García-Cabo, Marta Menéndez, Daniel Pedregal, Juan Pablo Rodrigo, Fernando López
INTRODUCTION AND OBJECTIVES: Radioiodine is the principal treatment for differentiated thyroid carcinomas. The aim of this study is to present our experience in the management of these tumours. MATERIAL AND METHOD: We present a retrospective study of 55 patients operated for differentiated thyroid carcinoma in our hospital between 2007 and 2011. RESULTS: The mean age at time of diagnosis was 49 years, and females predominated (78% of cases)...
June 4, 2018: Acta Otorrinolaringológica Española
https://www.readbyqxmd.com/read/29880094/polypharmacy-in-assisted-living-and-impact-on-clinical-outcomes
#19
Barbara Resnick, Elizabeth Galik, Marie Boltz, Sarah Holmes, Steven Fix, Erin Vigne, Shijun Zhu, Regina Lewis
OBJECTIVE: The purpose of this study was to describe medication use and polypharmacy in assisted living settings. We hypothesized that: 1) age, gender, race, setting, multi-morbidity, and cognitive status would influence polypharmacy; and 2) polypharmacy would be associated with falls, emergency room visits, and hospitalizations. DESIGN: This was a descriptive study using data from a larger study testing the Dissemination and Implementation of Function Focused Care for Assisted Living (FFC-AL-EIT)...
June 1, 2018: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/29872592/alice-s-delirium-a-theatre-based-simulation-scenario-for-nursing
#20
Jennifer Dale-Tam, Glenn D Posner
As an educational methodology, simulation has been used by nursing education at the academic level for numerous years and has started to gain traction in the onboarding education and professional development of practicing nurses. Simulation allows the learner to apply knowledge and skills in a safe environment where mistakes and learning can happen without an impact on patient safety. The development of a simulation scenario to demonstrate the benefits of simulation education methodologies to a large group of nurse educators was requested by nursing education leadership at The Ottawa Hospital (TOH)...
April 2, 2018: Curēus
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