scholarly journals COMPARISON BETWEEN A MULTI-PAVILION HOSPITAL AND A SINGLE PAVILION HOSPITAL

2016 ◽  
Vol 89 (3) ◽  
pp. 402-409
Author(s):  
Mihai Mleșnițe ◽  
Ioan Stelian Bocșan
Keyword(s):  
Mortality Rate ◽  
Hospital Efficiency ◽  
Steady Increase ◽  
Hospital Level ◽  
Clinical Hospital ◽  
Rehabilitation Hospital ◽  
The Relationship

Background and aim: Defining and measuring hospital efficiency is a hard task, in spite of the agreement that hospitals need to be efficient. Thus, while research might focus on the relationship between costs and outcomes, measurements differ significantly across studies.The aim of the present study is to compare a multi-pavilion hospital with a single hospital from Cluj-Napoca, Romania.Methods: Statistical and financial (effective expenses, salaries, drugs, materials, reagents, food) indicators were used to compare two hospitals from Cluj-Napoca: the Adults’ Clinical Hospital in Cluj-Napoca, and the Rehabilitation Hospital from Cluj-Napoca respectively. Data related to these indicators were collected at each hospital level, between 2004 and 2010.Results: When investigating the expenses on medicine, data showed the two hospitals had similar values in 2004, 13.09% and 14.43% for the multi-pavilion hospital and single hospital, respectively. After 2004, the expenses started to drop simultaneously, being around 11% in 2006 and 2007 for both hospitals. The mortality rate was significantly different for the two hospitals. The multi-pavilion had a much higher mortality rate, when compared to the single hospital. From 2004 until 2007 a steady increase was observed for the multi-pavilion hospital, from 1.09 to 2.57 respectively.Conclusion: The significant differences found between the two hospitals look being unavoidable, as long as they seem to stem from the hospitals’ ownership, their addressability and their targeted diseases and associated procedures. 

The Comparison of Susceptibility to SARS-CoV-2 Infection between Pediatric and Adults

2021 ◽  
Author(s):  
Milad Zandi ◽  
Saber Soltani ◽  
Mona Fani ◽  
Haniye Shafipour ◽  
Samaneh Abbasi
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Mortality Rate ◽  
Age Groups ◽  
Severe Illness ◽  
Converting Enzyme ◽  
Angiotensin Converting Enzyme 2 ◽  
The World ◽  
Smoking Susceptibility ◽  
The Relationship

SARS-CoV-2 causes coronavirus disease 2019 (COVID-19) and is responsible for the recent pandemic in the world. It has been recently recognized as a challenge for public health and a significant cause of severe illness in all age groups. Young children and older people are susceptible to SARS-CoV-2 infection. However, children usually present mild symptoms compared to adult patients. The relationship between age, severity, and COVID-19 transmission is compared to determine whether there is any reasonable relationship between age and COVID-19. It should be mentioned that some risk factors may increase the probability of developing severe COVID-19 by advancing age, such as pathophysiological changes in the respiratory system, angiotensin-converting enzyme 2 expression in the nasopharynx, and smoking. Susceptibility to SARS-CoV-2 infection is independent of age, but the mortality rate of COVID-19 depends on age.

scholarly journals Literature Review The Relationship Of Antenatal Class Towards Mothers’ Knowledge Of DangerousSign During Pregnancy

2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Ayu Kurniati ◽  
Enny Fitriahadi
Keyword(s):  
Developing Countries ◽  
Mortality Rate ◽  
Literature Review ◽  
World Health ◽  
Live Births ◽  
Complication Risk ◽  
The World ◽  
Health Organization ◽  
Relationship Of ◽  
The Relationship

IN 2013, the World Health Organization, released data in the form of Maternal Mortality Rate (MMR) worldwide, and the number reached 289,000 per 100, 000 live births, which 99% of cases occurred in developing countries. Research aims to discover the relationship of antenatal class towards mothers’ knowledge of the dangerous sign during pregnancy. The result showed that there is a relationship of antenatal class towards mothers’ knowledge of dangerous sign during pregnancy, From this result, the researcher concludes that antenatal class could increase mothers’ knowledge of dangerous sign during pregnancy and may decrease the complication risk during the childbirth.

scholarly journals Clinical Prognosis of Pericardial Effusion in COVID 19

2021 ◽  
Author(s):  
İbrahim Saraç ◽  
Gökhan Tonkaz ◽  
Emrah Aksakal ◽  
Faruk Aydınyılmaz ◽  
Kaan Alişar ◽  
...  
Keyword(s):  
Intensive Care ◽  
Mortality Rate ◽  
Pericardial Effusion ◽  
Hospital Mortality ◽  
Elevated Serum ◽  
Clinical Prognosis ◽  
Pneumonia Severity ◽  
Polymerase Chain ◽  
The Relationship

Abstract Purpose In our study, we investigated the relationship between pneumonia severity and pericardial effusion, predisposing factors and the effect of pericardial effusion on clinical prognosis and mortality in COVID-19 patients. Methods A total of 3794 patients who were diagnosed with COVID- 19 by polymerase chain reaction (PCR), were hospitalized between March 21 and November 30, 2020 were included in the study. For each of the 3794 patients, the initial chest CT images, pericardial efusion (PE), pleural efusion and pneumonia severity were evaluated. Results The mean age of patients with PE was higher and it was more common in males. Patients with PE had more comorbid diseases and significantly elevated serum cardiac and inflammatory biomarkers. In addition, the need for intensive care and mortality rates were higher in these patients. While the in-hospital mortality rate was 56.9% in patients with PE and AC involvement above 50%, in-hospital mortality rate was 34.4% in patients with AC involvement above 50% and without PE (p < 0.001). Conclusions In patients presenting with severe AC involvement on CT or being followed up with COVID-19 pneumonia, PE often accompanies the deterioration in the laboratories and clinics of the patients. The clinical prognosis in patients presenting with PE was quite poor, and the frequency of intensive care admissions and mortality were significantly higher. In conclusion, in our study, PE emerged as an important finding in the follow-up and management of patients with COVID-19 and reflects the clinical prognosis.

scholarly journals Econometric Analysis of Dynamics of Personnel Training in Tourism Sphere

2021 ◽  
Vol 12 (6) ◽  
pp. 1389-1396
Author(s):  
Anar Eminov Et al.
Keyword(s):  
Least Squares ◽  
Statistical Data ◽  
Least Squares Method ◽  
Tourism Industry ◽  
Econometric Analysis ◽  
Steady Increase ◽  
Foreign Nationals ◽  
Tourism Sector ◽  
Analysis Of Dynamics ◽  
The Relationship

According to the statistical data of recent years, tourism has been one of the ever-growing sectors in Azerbaijan. Thus, in the last five years, there has been a steady increase in the number of entrepreneurship subjects serving tourism in Azerbaijan and the number of foreign nationals traveling for tourism, correspondingly 4.5 and 8.5 percent. At present, the direct share of the tourism industry in the country's GDP and employment is 4.5 and 3.3 percent, respectively. In the article econometric analysis of the dependence on the relationship between tourism industry graduates and their development has been done. The regression equation of the dependence of the number of graduates studying tourism on the number of tourists in the country and the dependence of the tourism sector’s GDP on the number of graduates in the tourism sector were estimated using the Eviews software based on 2008–2017 statistical data using the least squares method.

Outcome from head injury related to patient' age

1988 ◽  
Vol 68 (3) ◽  
pp. 409-416 ◽  
Author(s):  
Thomas G. Luerssen ◽  
Melville R. Klauber ◽  
Lawrence F. Marshall
Keyword(s):  
Mortality Rate ◽  
Pediatric Population ◽  
Adult Population ◽  
Content Type ◽  
Head Injured ◽  
Injured Patients ◽  
Age Range ◽  
Relationship Of ◽  
The Relationship ◽  
Pupillary Reactivity

✓ A series of 8814 head-injured patients admitted to 41 hospitals in three separate metropolitan areas were prospectively studied. Of these, 1906 patients (21.6%) were 14 years of age or less. This “pediatric population” was compared to the remaining “adult population” for mechanism of injury, admission Glasgow Coma Scale score, motor score, blood pressure, pupillary reactivity, the presence of associated injuries, and the presence of subdural or epidural hematoma. The relationship of each of these factors was then correlated with posttraumatic mortality. Except for patients found to have subdural hematoma and those who were profoundly hypotensive, the pediatric patients exhibited a significantly lower mortality rate compared to the adults, thus confirming this generally held view. This study indicates that age itself, even within the pediatric age range, is a major independent factor affecting the mortality rate in head-injured patients.

Abstract TMP65: Depth of Hospital Participation in Telestroke is Associated with Faster Door-to-Needle Time for Stroke Patients

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Arianna Moreno ◽  
Khawja A Saddiqui ◽  
Anand Viswanathan ◽  
Cynthia Whitney ◽  
Natalia Rost ◽  
...  
Keyword(s):  
Temporal Trends ◽  
Predictor Variable ◽  
Median Number ◽  
Hospital Level ◽  
Time Data ◽  
Frequent Contact ◽  
Frequent Use ◽  
The Relationship ◽  
Median Hospital ◽  
Primary Predictor

Background: Telestroke increases tPA use at spoke hospitals, yet its effect on door-to-needle (DTN) times is unknown. More frequent use of telestroke may introduce delays in DTN time or may improve it as practice leads to streamlined processes. Hypothesis: We hypothesize that spoke hospitals with more frequent contact to a hub hospital will have shorter DTN times than those with less frequent contact. Methods: We identified 367 patients treated with tPA by conventional or telestroke methods in the MGH Telestroke network for whom date and time data were available. Strength of the spoke-MGH connection was the primary predictor variable, defined as the number of all telestroke consults (tPA and non-tPA) done at each spoke hospital during the year of the patient’s presentation. Patient-level regression analyses examined the relationship between DTN time and spoke-MGH connection. We controlled for hospitals’ tPA volume, temporal trends, and clustering within hospitals. Results: Sixteen spoke hospitals contributed data on 367 tPA-treated patients from 2006-2016. Hospitals treated a median of 12.5 patients with tPA (IQR 7-33.5). Median hospital-level DTN was 78.8 minutes (IQR 71.3-85). Median number of telestroke consults per year was 37 (IQR 15-60). Among all 367 patients, median DTN was 76 minutes (IQR 61-98), and 24.8% of patients were treated within 60 minutes (n=91). Strength of connection between the spoke and hub hospital was significantly associated with faster DTN time for patients (1.8 minute gain per 10 additional consults, p<0.001) and increased likelihood of tPA delivery within 60 minutes (OR 1.01, p<0.001). Conclusion: More frequent contact between a telestroke spoke and its hub was associated with faster tPA delivery for patients, even after accounting for hospitals’ tPA volume and secular trends in DTN improvements. This highlights added benefits of increased utilization of telestroke.

scholarly journals Evaluation of Risk-Adjusted Home Time After Acute Myocardial Infarction as a Novel Hospital-Level Performance Metric for Medicare Beneficiaries

Circulation ◽  
2020 ◽  
Vol 142 (1) ◽  
pp. 29-39 ◽  
Author(s):  
Ambarish Pandey ◽  
Neil Keshvani ◽  
Mary S. Vaughan-Sarrazin ◽  
Yubo Gao ◽  
Saket Girotra
Keyword(s):  
Mortality Rate ◽  
Skilled Nursing Facility ◽  
Hospital Performance ◽  
Hospital Level ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
Performance Metric ◽  
Level Performance ◽  
Medicare Claims Data

Background: The utility of 30-day risk-standardized readmission rate (RSRR) as a hospital performance metric has been a matter of debate. Home time is a patient-centered outcome measure that accounts for rehospitalization, mortality, and postdischarge care. We aim to characterize risk-adjusted 30-day home time in patients with acute myocardial infarction (AMI) as a hospital-level performance metric and to evaluate associations with 30-day RSRR, 30-day risk-standardized mortality rate (RSMR), and 1-year RSMR. Methods: The study included 984 612 patients with AMI hospitalization across 2379 hospitals between 2009 and 2015 derived from 100% Medicare claims data. Home time was defined as the number of days alive and spent outside of a hospital, skilled nursing facility, or intermediate-/long-term acute care facility 30 days after discharge. Correlations between hospital-level risk-adjusted 30-day home time and 30-day RSRR, 30-day RSMR, and 1-year RSMR were estimated with the Pearson correlation. Reclassification in hospital performance using 30-day home time versus 30-day RSRR and 30-day RSMR was also evaluated. Results: Median hospital-level risk-adjusted 30-day home time was 24.0 days (range, 15.3–29.0 days). Hospitals with higher home time were more commonly academic centers, had available cardiac surgery and rehabilitation services, and had higher AMI volume and percutaneous coronary intervention use during the AMI hospitalization. Of the mean 30-day home time days lost, 58% were to intermediate-/long-term care or skilled nursing facility stays (4.7 days), 30% to death (2.5 days), and 12% to readmission (1.0 days). Hospital-level risk-adjusted 30-day home time was inversely correlated with 30-day RSMR ( r =−0.22, P <0.0001) and 30-day RSRR (r =−0.25, P <0.0001). Patients admitted to hospitals with higher risk-adjusted 30-day home time had lower 30-day readmission (quartile 1 versus 4, 21% versus 17%), 30-day mortality rate (5% versus 3%), and 1-year mortality rate (18% versus 12%). Furthermore, 30-day home time reclassified hospital performance status in ≈30% of hospitals versus 30-day RSRR and 30-day RSMR. Conclusions: Thirty-day home time for patients with AMI can be assessed as a hospital-level performance metric with the use of Medicare claims data. It varies across hospitals, is associated with postdischarge readmission and mortality outcomes, and meaningfully reclassifies hospital performance compared with the 30-day RSRR and 30-day RSMR metrics.

Flail Chest: Influence on Length of Stay and Mortality in Blunt Chest Injury

2018 ◽  
Vol 84 (9) ◽  
pp. 1406-1409
Author(s):  
Pascal Udekwu ◽  
Sara Roy ◽  
Sarah McIntyre ◽  
Meagan Farrell
Keyword(s):  
Intensive Care Unit ◽  
Mortality Rate ◽  
Length Of Stay ◽  
Independent Predictor ◽  
Flail Chest ◽  
Chest Injury ◽  
Inappropriate Use ◽  
Rib Fixation ◽  
Relationship Of ◽  
The Relationship

Flail chest is used as one of the indicators for rib fixation, which is being performed more frequently. Radiologic and clinical flail chest are not clearly differentiated in published studies and the relationship between radiologic flail chest (RFC) and outcomes are not clearly established. Our study was designed to evaluate the relationship of RFC to outcomes in patients with severe blunt chest injury. Adult patients with severe blunt chest injury admitted between January 1, 2014, and June 30, 2016, were identified retrospectively. Three hundred and eighty-three patients were studied and mortality rate was not significantly different in patients with an RFC diagnosis (5.88%) compared with patients without RFC (3.83%), P = 0.50. Length of stay (LOS) in patients with and without RFC were compared and patients with RFC were found to have a statistically significant increase in both hospital and intensive care unit LOS (P = 0.0178, P < 0.0017). Multivariate analysis confirmed RFC as an independent predictor of increased LOS when compared with the number of rib fractures and displacements. Our study suggests that RFC may drive inappropriate use of rib fixation. This questions the justification of liberal rib fixation based on the perceived high mortality rate of modern flail chest diagnoses.

Exploring the Relationship between ICTs and Public Health at Country Level

2013 ◽  
Vol 8 (3) ◽  
pp. 1-22 ◽  
Author(s):  
Viju Raghupathi ◽  
Wullianallur Raghupathi
Keyword(s):  
Public Health ◽  
Mortality Rate ◽  
Life Expectancy ◽  
Health Indicators ◽  
Fertility Rate ◽  
Child Immunization ◽  
The Public ◽  
Country Level ◽  
Public Health Indicators ◽  
The Relationship

The authors use a health analytics approach to investigate the relationship between information and communication technology (ICT) and public health at a country level. The research uses the ICT factors of accessibility, usage, quality, affordability, trade, and applications, as well as the public delivery indicators of adolescent fertility rate, child immunization for DPT, child immunization for measles, tuberculosis detection rate, life expectancy, adult female mortality rate, and adult male mortality rate. ICT data was collected from the International Telecommunication Union ICT Indicator database. The public health data was collected from the World Bank website. Results of the analytics indicate that ICT factors are positively associated with some public health indicators. Nearly all of the ICT factors are positively associated with the public health indicators of immunization rates, TB detection rates, and life expectancy. The association with adult mortality is negative, which is also favorable. However, the association of ICT with fertility rate is negative, which is an unfavorable effect. These results offer insight into the importance of understanding the positive and adverse impacts of ICT on public health so as to guide national policy decisions in the future.

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