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Longterm Acute Care Hospital

P Msellati, A Touré, M S Sow, K Cécé, B Taverne, A Desclaux, M Barry, J-F Etard, E Delaporte
Ebola virus disease (EVD) epidemic that spread in West Africa from the end of 2013 to early 2016 has reached more people than all past epidemics. Beyond care management of acute phase ill patients and measures for the control of the epidemic, the outcome of Ebola survivors became an important question as their number increased and raised new issues. A multidisciplinary prospective cohort of survivors in Guinea has been launched by IRD UMI 233 and Donka National Hospital, Conakry, Guinea, to assess the long-term clinical, psychological, sociological, immunological, and viral outcomes potentially related to EVD...
October 2016: Bulletin de la Société de Pathologie Exotique
J M Gschossmann, R Schroeder, F Wyler, U Scheurer, U Schiemann
BACKGROUND: The optimal clinical management of patients following ingestion of potentially caustic lesions is still undetermined. In particular, the indication for early upper GI endoscopy in this context remains unclear. PURPOSE: To draft recommendations regarding the use of early upper GI endoscopy following hospital admissions of patients after ingestion of potentially caustic agents. METHODS: For this purpose, a retrospective cohort study of patients treated for ingestion of potentially caustic substances during a 13 year-period at the university hospital of Berne was performed...
June 2016: Zeitschrift Für Gastroenterologie
Florian Seemüller, Michael Obermeier, Rebecca Schennach, Michael Bauer, Mazda Adli, Peter Brieger, Gerd Laux, Michael Riedel, Peter Falkai, Hans-Jürgen Möller
BACKGROUND: Remission is a common outcome of short-term trials and the main goal of acute and longterm treatment. The longitudinal stability of remission has rarely been investigated under naturalistic treatment conditions. METHODS: Naturalistic multisite follow-up study. Three-year symptomatic long-term outcome of initially hospitalized tertiary care patients (N = 784) with major depressive episodes. Remission rates as well as the switch rates between remission and non-remission were reported...
May 20, 2016: BMC Psychiatry
Frédéric Pène, Tarik Hissem, Alice Bérezné, Yannick Allanore, Guillaume Geri, Julien Charpentier, Jérôme Avouac, Loïc Guillevin, Alain Cariou, Jean-Daniel Chiche, Jean-Paul Mira, Luc Mouthon
OBJECTIVE: Patients with systemic sclerosis (SSc) are prone to disease-specific or treatment-related life-threatening complications that may warrant intensive care unit (ICU) admission. We assessed the characteristics and current outcome of patients with SSc admitted to the ICU. METHODS: We performed a single-center retrospective study over 6 years (November 2006-December 2012). All patients with SSc admitted to the ICU were enrolled. Short-term (in-ICU and in-hospital) and longterm (6-mo and 1-yr) mortality rates were studied, and the prognostic factors were analyzed...
August 2015: Journal of Rheumatology
David B Hogan, Joseph E Amuah, Laurel A Strain, Walter P Wodchis, Andrea Soo, Misha Eliasziw, Andrea Gruneir, Brad Hagen, Gary Teare, Colleen J Maxwell
BACKGROUND: Little is known about health or service use outcomes for residents of Canadian assisted living facilities. Our objectives were to estimate the incidence of admission to hospital over 1 year for residents of designated (i.e., publicly funded) assisted living (DAL) facilities in Alberta, to compare this rate with the rate among residents of long-term care facilities, and to identify individual and facility predictors of hospital admission for DAL residents. METHODS: Participants were 1066 DAL residents (mean age ± standard deviation 84...
2014: Open Medicine: a Peer-reviewed, Independent, Open-access Journal
Antoniya Dimova, Maria Rohova, Emanuela Moutafova, Elka Atanasova, Stefka Koeva, Dimitra Panteli, Ewout van Ginneken
In the last 20 years, demographic development in Bulgaria has been characterized by population decline, a low crude birth rate, a low fertility rate, a high mortality rate and an ageing population. A stabilizing political situation since the early 2000s and an economic upsurge since the mid-2000s were important factors in the slight increase of the birth and fertility rates and the slight decrease in standardized death rates. In general, Bulgaria lags behind European Union (EU) averages in most mortality and morbidity indicators...
2012: Health Systems in Transition
Ulrich Frick, Florian S Gutzwiller, Marco Maggiorini, Stefan Christen
OBJECTIVE: Secondary prevention for coronary heart disease is achieved by pharmaceutical control of risk factors and patients' own self management behaviour. To comply with longterm treatment patients need sufficient knowledge of their condition and should be satisfied with acute care. Therefore a questionnaire measuring both issues was constructed. METHODS AND RESULTS: Latent class analysis applied in a sample of over 2000 patients suffering from acute coronary syndrome revealed 4 configurative patterns of knowledge and 5 distinct patterns of (dis-)satisfaction...
March 2012: Patient Education and Counseling
Claire Barber, Kara Thompson, John G Hanly
OBJECTIVE: To determine if a hospital rheumatology consultation service improves diagnostic accuracy and adherence to treatment recommendations for gout. METHODS: This was a retrospective, single-center, case-control study of consecutive hospitalized patients with gout. Demographic, diagnostic, and treatment variables were compared in patients with and without a rheumatology consultation (controls). American College of Rheumatology (ACR) preliminary criteria for the classification of acute gout and the European League Against Rheumatism (EULAR) recommendations were used to determine diagnostic accuracy...
August 2009: Journal of Rheumatology
Kerstin Kujath, Kay-Geert A Hermann, Kirsten Mathiske-Schmidt, Christine Schwedtke, Falk Hiepe, Gerd-Rüdiger Burmester, Anett Reisshauer
Acute rehabilitation refers to the multidisciplinary rehabilitative treatment of patients in continuing need of integrated acute and rehabilitative longterm care. As a result of the advances in acute rheumatology and improved emergency services, an increasing number of patients survive episodes of severe disease and complications of immunosuppressive therapy. These patients require not only treatment of their acute medical problems but also specialized multidisciplinary acute rehabilitation starting as early as possible during their hospital stay...
August 2009: Journal of Rheumatology
Stanley G Rockson
The use of guideline-recommended secondary prevention measures is essential for reducing the risk of subsequent events and mortality in patients who have survived an acute atherothrombotic event or have peripheral arterial disease. Although initial hospitalization provides an ideal environment to initiate such therapies, implementation of effective longterm prevention strategies is hindered by the absence of a systematic approach. In general, evidence-based clinical practice guidelines recommend antiplatelet therapy as a cornerstone of post-discharge secondary prevention, in addition to preventive measures targeting risk factors such as hypertension, dyslipidemia, cigarette smoking, and physical inactivity...
January 2009: Postgraduate Medicine
Anita Catlin
PROBLEM: Neonatal and pediatric nurses and physicians care for newborn children who have been saved by technological support but who then spend extremely long periods of time in the hospital, perhaps never being able to be discharged to home. There has been little research identifying newborns who are too sick to be discharged from the health care setting and rare reports of staff or parental response to these long-term hospitalizations. PURPOSE: This study provides both the numerical data and description of acutely, chronically ill newborn children whose illnesses caused hospitalizations for greater than 6-months (179 days) in the US...
April 2008: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
Douglas G Farmer, Robert S Venick, Sue V McDiarmid, Rafik M Ghobrial, Sherilyn A Gordon, Hasan Yersiz, Johnny Hong, Leah Candell, Argine Cholakians, Laura Wozniak, Martin Martin, Jorge Vargas, Marvin Ament, Jonathan Hiatt, Ronald W Busuttil
BACKGROUND: Pediatric liver transplantation (PLTx) is the standard of care for treatment of liver failure in children. Unfortunately, there are few studies with substantial numbers of patients that identify outcomes predictors. The goal of this study was to determine factors that influence outcomes in a large, single-center cohort of PLTx. STUDY DESIGN: This retrospective review between 1984 to 2006 included all recipients 18 years of age and younger undergoing PLTx...
May 2007: Journal of the American College of Surgeons
B Langkamp-Henken
The Mini Nutritional Assessment (MNA) is a tool that was developed for use with elders to provide rapid assessment of nutritional risk. Although this screening tool has been validated and frequently used in longterm and acute-care settings in Europe, the MNA has not been used extensively within the United States. The MNA may need to be validated for use within U.S. nursing and acute-care facilities because validity may be affected by the acuity of illness, the use of aggressive nutrition support, which makes the scoring of the MNA difficult, and the age of patients admitted for care (acute care)...
November 2006: Journal of Nutrition, Health & Aging
Jon Peiter Saunte, Mads Egil Saunte
PURPOSE: To evaluate the incidence and ocular effects of blunt trauma due to injury from airsoft gun pellets. METHODS: We conducted a non-comparative case series based on the files of 33 patients who suffered ocular injury from airsoft guns and were admitted to one university emergency eye clinic in Copenhagen during a 5-year period. RESULTS: A total of 33 eyes in 33 patients were examined. Thirty male and three female patients were affected...
December 2006: Acta Ophthalmologica Scandinavica
A Catlin
PROBLEM: Neonatal and pediatric nurses and physicians care for newborn children who have been saved by technological support but who then spend extremely long periods of time in the hospital, perhaps never being able to be discharged to home. There has been little research identifying newborns who are too sick to be discharged from the health care setting and rare reports of staff or parental response to these long-term hospitalizations. PURPOSE: This study provides both the numerical data and description of acutely, chronically ill newborn children whose illnesses caused hospitalizations for greater than 6-months (179 days) in the US...
December 2006: Journal of Perinatology: Official Journal of the California Perinatal Association
Weigang Fang, Xuejun Zeng, Mengtao Li, Lan X Chen, H Ralph Schumacher, Fengchun Zhang
OBJECTIVE: Gout is a less commonly diagnosed rheumatic disease in China compared with Western countries, but its prevalence appears to be climbing. It is not known how Chinese physicians diagnose and treat their patients with gout, so we evaluated physician management of gout at a major academic healthcare center in Beijing, and investigated factors associated with better decision-making. METHODS: A 13-question anonymous survey was distributed and collected at a medical grand rounds and then at a rheumatology grand rounds at a major teaching hospital in Beijing...
October 2006: Journal of Rheumatology
Eileen M Alexy, Joseph A Hutchins
This review illustrates the various types of workplace violence nurses can encounter in critical care settings. Lack of a clear definition of workplace violence impedes research on the topic; however, the typology offered by the UIIPRC provides a framework to guide further studies of physical and nonphysical workplace violence. Further investigation of individual and organizational factors will assist nurses and agencies in identifying effective methods to manage, prevent, educate, and respond to each type of workplace violence...
September 2006: Critical Care Nursing Clinics of North America
Jane Freeston, Zunaid Karim, Karen Lindsay, Andrew Gough
OBJECTIVE: We identified patients presenting with chest pain diagnosed as costochondritis by a consultant rheumatologist. The time taken to diagnosis was determined and the influence of diagnosis on subsequent management was assessed. We then estimated any cost benefits that early diagnosis and treatment of costochondritis might confer. Finally, we evaluated our current experience of sulfasalazine as a treatment for recurrent costochondritis. METHODS: This was a retrospective observational study of 25 consecutive patients (17 female), mean age 50 years (range 26-75), with costochondritis who initially presented with acute chest pain...
November 2004: Journal of Rheumatology
Rebekka Helle, Terje Alsaker, Gunnar Norgård
BACKGROUND: Few patients with Kawasaki's syndrome have been described in Norway. Different aspects of diagnosis and treatment are assessed in this article. MATERIAL AND METHODS: We retrospectively reviewed 26 cases of Kawasaki's syndrome at Haukeland University Hospital 1985-1999. RESULTS: 85% of the patients fulfilled all criteria for diagnosis and were treated as recommended; yet we found a high frequency of coronary aneurysms (22%). Children with aneurysms had delayed onset of treatment compared to patients without complications...
July 1, 2004: Tidsskrift for Den Norske Lægeforening: Tidsskrift for Praktisk Medicin, Ny Række
M Di Bari, M Chiarlone, S Fumagalli, L Boncinelli, F Tarantini, A Ungar, M Marini, G Masotti, N Marchionni
OBJECTIVE: To determine the independent effect of advancing age on prognosis after cardiopulmonary resuscitation (CPR). DESIGN AND SETTING: Retrospective analysis of clinical records of patients who received CPR in a geriatric department equipped with an intensive care unit. PATIENTS: A total of 245 patients (146 men, 99 women; mean age, 70+/-11 yrs) received CPR. Of these, 221 had a cardiocirculatory arrest (CA) in the intensive care unit and 24 had a CA in the general ward of the department...
July 2000: Critical Care Medicine
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