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https://www.readbyqxmd.com/read/30326139/comparing-the-cumulative-incidence-of-pressure-injuries-using-multilayer-foam-dressings-in-seriously-ill-and-frail-patients-a-quality-improvement-project
#1
Jerra Sullivan, Kevin Woo
Maintaining skin integrity is benchmarked for patient safety and quality of care. The purpose of this quality improvement project was to evaluate the incidence of pressure ulcers in high-risk, seriously ill patients from critical care areas comparing the number of hospital-acquired pressure injuries (HAPIs) after implementation of a new silicone multi-layer foam dressing with the number of HAPIs developed during a period in the previous year within which other silicone multi-layer foam dressings were used for prevention...
October 16, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/30326035/effect-of-apoyo-con-cari%C3%A3-o-support-with-caring-trial-of-a-patient-navigator-intervention-to-improve-palliative-care-outcomes-for-latino-adults-with-advanced-cancer-a-randomized-clinical-trial
#2
Stacy M Fischer, Danielle M Kline, Sung-Joon Min, Sonia Okuyama-Sasaki, Regina M Fink
Importance: Strategies to increase access to palliative care, particularly for racial/ethnic minorities, must maximize primary palliative care and community-based models to meet the ever-growing need in a culturally sensitive and congruent manner. Objective: To investigate if a culturally tailored patient navigator intervention can improve palliative care outcomes for Latino adults with advanced cancer. Design, Setting, and Participants: The Apoyo con Cariño (Support With Caring) randomized clinical trial was conducted from July 2012 to March 2016...
September 20, 2018: JAMA Oncology
https://www.readbyqxmd.com/read/30325750/nicu-discharge-feeding-bundle-improves-accuracy-of-postdischarge-feeding-preparation-and-potentially-prevents-readmission
#3
Kimberly Vollrath, Adam Rosenberg, Lisbeth Gabrielski, Jane Deacon, Susan Marshall, Andrew Rihn, Theresa Grover
BACKGROUND: Hospitalized infants often need fortified human milk and formulas for growth in the neonatal intensive care unit and postdischarge. Parents must learn how to properly mix infant feedings.At the initial Children's Hospital Colorado follow-up visit, baseline data revealed a 50% rate of mixing inaccuracy of discharge feeding recipes and identified the readmission of 2 infants with life-threatening hypernatremia. A gap in discharge teaching was identified. A quality improvement project was implemented at 2 affiliated neonatal intensive care units...
October 15, 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/30324896/prevalence-of-metallo-%C3%AE-lactamases-in-acinetobacter-baumannii-in-iran-a-review-and-%C3%A2-meta-analysis
#4
Bashir Mohammadpour, Samaneh Rouhi, Masoud Moradi, Rashid Ramazanzadeh, Ebrahim Saniyi, Sairan Zandi, Himen Salimizand
Acinetobacter baumannii (A. baumannii) is an important opportunistic pathogen that causes major public health concerns, especially in hospitalized patients due to acquisition of resistant genes. The aim of this study was to systematically review the published data on the prevalence and dispersion of metallo-β-lactamases (MBLs) genes in A. baumannii in different provinces of Iran and provide an overall prevalence rate using meta-analysis. All available national and international databanks from 2011 to 2017 were searched to find published studies...
October 15, 2018: Infectious Disorders Drug Targets
https://www.readbyqxmd.com/read/30324583/the-nature-of-trauma-pain-and-its-association-with-catastrophizing-and-sleep
#5
Michelle C Accardi-Ravid, Joshua R Dyer, Sam R Sharar, Shelley Wiechman, Mark P Jensen, Hunter G Hoffman, David R Patterson
BACKGROUND: Nearly 2.8 million people are hospitalized in the USA annually for traumatic injuries, which include orthopedic and internal organ injuries. Early post-injury pain is predictive of poor outcomes, including inability to eventually return to work, and long-term psychological distress. The goal of the present study was to improve our scientific understanding of trauma-related pain by examining (1) the nature and frequency of inpatient trauma pain and (2) the associations between inpatient trauma pain, education, opioid analgesic equivalent use, pain catastrophizing, and sleep quality...
October 15, 2018: International Journal of Behavioral Medicine
https://www.readbyqxmd.com/read/30322752/high-pain-intensity-after-total-shoulder-arthroplasty
#6
Mariano E Menendez, Sarah M Lawler, David Ring, Andrew Jawa
BACKGROUND: As reimbursement becomes increasingly tied to quality and patient experience, there is growing interest in alleviation of postoperative pain combined with optimal opioid stewardship. We characterized predictors of severe inpatient pain after elective total shoulder arthroplasty and evaluated its association with opioid use, operative time, hospital length of stay, discharge disposition, and cost. METHODS: We identified 415 patients undergoing elective primary total shoulder arthroplasty between 2016 and 2017 from our registry...
October 12, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/30322156/improved-diet-quality-and-nutrient-adequacy-in-children-and-adolescents-with-abdominal-obesity-after-a-lifestyle-intervention
#7
Ana Ojeda-Rodríguez, Itziar Zazpe, Lydia Morell-Azanza, María J Chueca, Maria Cristina Azcona-Sanjulian, Amelia Marti
High rates of childhood obesity require integral treatment with lifestyle modifications that achieve weight loss. We evaluated a lifestyle intervention on nutrient adequacy and diet quality in children and adolescents with abdominal obesity. A randomized controlled trial was performed on 107 participants, assigned either to a usual care group or to an intensive care group that followed a moderate hypocaloric Mediterranean diet and received nutritional education. Intake adequacy was evaluated using Dietary Reference Intakes and diet quality through the Diet Quality Index for Adolescents (DQI-A), the Healthy Lifestyle Diet-Index (HLD-I) and the Mediterranean Diet Quality Index (KIDMED)...
October 13, 2018: Nutrients
https://www.readbyqxmd.com/read/30320622/instruments-to-evaluate-complexity-in-end-of-life-care
#8
Maria Luisa Martin-Rosello, Maria Reyes Sanz-Amores, Maria Rosa Salvador-Comino
PURPOSE OF THE REVIEW: The growing number of patients with terminal and chronic conditions and co-morbidities constitutes a challenge for any healthcare system, to provide effective and efficient patient-centred care at the end of life. Resources are limited, and complexity is rising within patients' situations and healthcare professionals interventions. This review presents the state of art of the role of complexity in specialist palliative care provision. RECENT FINDINGS: Although studies related to complexity in palliative care are still limited, interesting reviews on complexity frameworks in co-morbidity conditions and palliative care are growing more present in current literature...
October 12, 2018: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/30320409/agreeing-on-guidelines-for-nutrition-management-of-adult-severe-burn-patients
#9
Maria G Grammatikopoulou, Xenophon Theodoridis, Konstantinos Gkiouras, Eleni-Maria Stamouli, Myrsini-Eleni Mavrantoni, Theodore Dardavessis, Dimitrios P Bogdanos
BACKGROUND: Severe burns are associated with a plethora of profound metabolic, immunologic, and physiologic responses, demanding prompt and adequate management. The objective of the present study was to review, compare, and critically appraise medical nutrition therapy guidelines for adult patients with severe burns, and produce salient points for the future update of relevant guidelines. METHODS: A total of 8 clinical practice guidelines developed by the American Burn Association (ABA), the European Burn Association (EBA), the European Society for Parenteral and Enteral Nutrition (ESPEN), the Midlands National Health Service, the Society for Critical Care Medicine (SCCM)/American Society for Parenteral and Enteral Nutrition (ASPEN), the Spanish Society of Intensive Care Medicine and Coronary Units and Spanish Society of Parenteral and Enteral Nutrition, the Indian Association for Parenteral and Enteral Nutrition (IAPEN), and the International Society for Burn Injury regarding medical nutrition therapy in burn patients was independently reviewed by a team of 4 multidisciplinary researchers using the Appraisal of Guidelines for Research & Evaluation (AGREE II) instrument...
October 15, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30319539/obesity-and-weight-gain-in-pregnancy-and-postpartum-an-evidence-review-of-lifestyle-interventions-to-inform-maternal-and-child-health-policies
#10
REVIEW
Nathalie J Farpour-Lambert, Louisa J Ells, Begoña Martinez de Tejada, Courtney Scott
Background: Maternal obesity, excessive gestational weight gain (GWG) and post-partum weight retention (PPWR) constitute new public health challenges, due to the association with negative short- and long-term maternal and neonatal outcomes. The aim of this evidence review was to identify effective lifestyle interventions to manage weight and improve maternal and infant outcomes during pregnancy and postpartum. Methods: A review of systematic reviews and meta-analyses investigating the effects of lifestyle interventions on GWG or PPWR was conducted (Jan 2009-2018) via electronic searches in the databases Medline, Pubmed, Web of Science and Cochrane Library using all keywords related to obesity/weight gain/loss, pregnancy or postpartum and lifestyle interventions;15 relevant reviews were selected...
2018: Frontiers in Endocrinology
https://www.readbyqxmd.com/read/30318786/development-of-pediatric-oncology-supportive-care-indicators-evaluation-of-febrile-neutropenia-care-in-the-north-of-the-netherlands
#11
Sanne Ten Berg, Erik A H Loeffen, Marianne D van de Wetering, Daniëlle H J Martens, Carla M van Ede, Leontien C M Kremer, Wim J E Tissing
INTRODUCTION: Febrile neutropenia (FN) is a common complication of the intensive treatment strategies used in pediatric oncology. By close adherence to high-quality guidelines, which can be evaluated by indicators, the burden of FN can potentially be reduced. OBJECTIVES: The aims of this study were tripartite-(1) to develop structure, process, and outcome indicators, (2) to evaluate the implementation of the Dutch Childhood Oncology Group (DCOG) guideline on FN, and (3) to produce baseline measures on local quality of FN care (in the north of the Netherlands)...
October 14, 2018: Pediatric Blood & Cancer
https://www.readbyqxmd.com/read/30318582/bleeding-and-thrombosis-in-intensive-care-patients-with-thrombocytopenia-protocol-for-a-topical-systematic-review
#12
REVIEW
Andreas Bender Jonsson, Sofie Louise Rygård, Lene Russell, Anders Perner, Morten Hylander Møller
BACKGROUND: Thrombocytopenia is a common condition in critically ill patients in the intensive care unit (ICU). It is associated with prolonged stay in the ICU, increased transfusion requirements, risk of bleeding and mortality. The evidence regarding the use of prophylactic platelet transfusion and thrombosis prophylaxis in patients with thrombocytopenia in the ICU is unknown. To direct future research, we aim to assess the current evidence regarding prophylactic platelet transfusion and thrombosis prophylaxis on patient-important benefits and harms in the ICU population...
October 14, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30318284/in-hospital-pediatric-stroke-alert-activation
#13
Megan Barry, Truc M Le, Melissa C Gindville, Lori C Jordan
BACKGROUND: Pediatric stroke alerts or "code strokes" allow for rapid evaluation, imaging, and treatment of children presenting with stroke-like symptoms. In a previous study of emergency department-initiated pediatric stroke alerts, 24% of children had confirmed strokes. The purpose of this study was to characterize in-hospital pediatric stroke alerts. METHODS: Demographic and clinical information was obtained from a quality improvement database and medical records for children (zero to 20 years) at a single institution for whom a stroke alert was activated after hospital admission between April 2011 and December 2016...
August 10, 2018: Pediatric Neurology
https://www.readbyqxmd.com/read/30316999/icancope-with-sickle-cell-pain-design-of-a-randomized-controlled-trial-of-a-smartphone-and-web-based-pain-self-management-program-for-youth-with-sickle-cell-disease
#14
Tonya M Palermo, William T Zempsky, Carlton D Dampier, Chitra Lalloo, Amos S Hundert, Lexa K Murphy, Nitya Bakshi, Jennifer N Stinson
Many adolescents with sickle cell disease (SCD) experience recurrent and chronic pain, which has a negative impact on their health-related quality of life (HRQL). Cognitive-behavioral therapy (CBT) interventions can lead to improvement in pain and HRQL, yet due to barriers to care, most youth with SCD will not receive these interventions. To address this need for innovative programs targeting youth with SCD pain, we developed iCanCope, a tailored smartphone and web-based program that delivers a pain self-management intervention to youth with SCD...
October 11, 2018: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/30316199/information-or-education-interventions-for-adult-intensive-care-unit-icu-patients-and-their-carers
#15
REVIEW
Sharon R Lewis, Michael W Pritchard, Oliver J Schofield-Robinson, David Jw Evans, Phil Alderson, Andrew F Smith
BACKGROUND: During intensive care unit (ICU) admission, patients and their carers experience physical and psychological stressors that may result in psychological conditions including anxiety, depression, and post-traumatic stress disorder (PTSD). Improving communication between healthcare professionals, patients, and their carers may alleviate these disorders. Communication may include information or educational interventions, in different formats, aiming to improve knowledge of the prognosis, treatment, or anticipated challenges after ICU discharge...
October 13, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/30316038/physiotherapy-in-the-neurotrauma-intensive-care-unit-a-scoping-review
#16
Anastasia N L Newman, Janelle Gravesande, Stephanie Rotella, Stephen S Wu, Nam Topp-Nguyen, Michelle E Kho, Jocelyn E Harris, Alison Fox-Robichaud, Patricia Solomon
PURPOSE: This scoping review summarizes the literature on the safety and effectiveness of physiotherapy interventions in patients with neurological and/or traumatic injuries in the intensive care unit (ICU), identifies literature gaps and provides recommendations for future research. MATERIALS AND METHODS: We searched five databases from inception to June 2, 2018. We included published retrospective studies, case studies, observation and randomized controlled trials describing physiotherapy interventions in ICU patients with neurotrauma injuries...
October 3, 2018: Journal of Critical Care
https://www.readbyqxmd.com/read/30315917/pre-ventricular-assist-device-palliative-care-consultation-a-qualitative-analysis
#17
Sarah Chuzi, Sarah Hale, Jason Arnold, Amy Zhou, Rebecca Harap, Kathleen L Grady, Jonathan D Rich, Clyde W Yancy, Adeboye Ogunseitan, Eytan Szmuilowicz, Jane E Wilcox
INTRODUCTION: In 2013 the Centers for Medicare and Medicaid Services (CMS) issued a mandate requiring that all patients undergoing destination therapy ventricular assist device (DT VAD) implantation have access to a palliative care team prior to surgery. Subsequently, many VAD programs implemented a mandatory pre-implantation palliative care consultation for patients considering DT VAD. However, little is known about the quality of these consults. METHODS: All patients undergoing DT VAD at Northwestern Memorial Hospital from October 30, 2013 (the CMS decision date) through March 1, 2018 were included...
October 10, 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/30313100/effect-of-high-flow-nasal-cannula-oxygen-therapy-vs-conventional-oxygen-therapy-on-adult-postcardiothoracic-operation-a-meta-analysis
#18
Xiu Wu, Wei Cao, Bin Zhang, Shengyu Wang
INTRODUCTION: The effect of high-flow nasal cannula (HFNC) on adult post cardiothoracic operation remains controversial. We conducted a meta-analysis of randomized controlled trials to evaluate the effect of HFNC and conventional oxygen therapy (COT) on postcardiothoracic surgery. METHODS: A search was conducted in Embase, MEDLINE, Ovid, and Cochrane databases until December, 2017 for all the controlled study to compare HFNC with COT in adult postcardiothoracic surgery...
October 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/30313090/the-use-of-saps-3-sofa-and-glasgow-coma-scale-to-predict-mortality-in-patients-with-subarachnoid-hemorrhage-a-retrospective-cohort-study
#19
Anibal Basile-Filho, Alessandra Fabiane Lago, Mayra Gonçalves Menegueti, Edson Antonio Nicolini, Roosevelt Santos Nunes, Silas Lucena de Lima, João Paulo Uvera Ferreira, Marcus Antonio Feres
Guidelines for patients with subarachnoid hemorrhage (SAH) management and several grading systems or prognostic indices have been used not only to improve the quality of care but to predict also the outcome of these patients. Among them, the gold standards Fisher radiological grading scale, Hunt-Hess and the World Federation of Neurological Surgeons (WFNS) are the most employed. The objective of this study is to compare the predictive values of simplified acute physiology score (SAPS) 3, sequential organ failure assessment (SOFA), and Glasgow Coma Scale (GCS) in the outcome of patients with aneurysmal SAH...
October 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/30312819/diabetes-comorbidity-increases-risk-of-postoperative-complications-in-traumatic-thoracic-vertebral-fracture-repair-a-propensity-score-matched-analysis
#20
Joshua Loewenstern, Remi A Kessler, John Caridi
PURPOSE: Thoracic vertebral fracture repair after a traumatic injury can be associated with significant risk for postoperative complications. Surgical outcomes are further complicated by patient comorbidity, particularly diabetes mellitus. The present study compared outcomes and complication rates for traumatic thoracic vertebral fracture repair in a matched sample of diabetic patients and non-diabetic controls. METHODS: Patients with a surgical repair of a trauma-induced thoracic vertebral fracture treated from 2010-2015 were identified from the Trauma Quality Improvement Program (TQIP) database yielding 5,557 cases...
October 9, 2018: World Neurosurgery
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