Can early extubation and intensive physiotherapy decrease length of stay of acute quadriplegic patients in intensive care? A retrospective case control study

2002 ◽  
Vol 7 (1) ◽  
pp. 14-22 ◽  
Author(s):  
Sue Berney ◽  
Kellie Stockton ◽  
David Berlowitz ◽  
Linda Denehy
Keyword(s):  
Intensive Care ◽  
Length Of Stay ◽  
Case Control Study ◽  
Case Control ◽  
Early Extubation ◽  
Retrospective Case ◽  
Intensive Physiotherapy ◽  
Control Study

Risk Factors for Surgical Site Infections in Pediatric General Surgery: A Case–Control Study

2021 ◽  
Author(s):  
Gassan T. Almogbel ◽  
Tariq I. Altokhais ◽  
Abdulaziz Alhothali ◽  
Abdulaziz Sami Aljasser ◽  
Khalid M. Al-Qahtani ◽  
...  
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Surgical Procedures ◽  
Case Control Study ◽  
Case Control ◽  
Bivariate Analysis ◽  
Retrospective Case ◽  
Asa Classification ◽  
Control Study

Abstract Objective Despite being the most common postoperative complication and having associated morbidity and mortality that increase health care costs, surgical site infection (SSI) has not received adequate attention and deserves further study. Previous reports in children were limited to SSI in certain populations. We conducted this retrospective case–control study to determine the incidence and possible risk factors for SSI following pediatric general surgical procedures. Methods This was a retrospective case–control matched cohort study of all patients aged 0 to 14 years who underwent pediatric general surgical procedures between June 2015 and July 2018. The electronic medical records were searched for a diagnosis of SSI. Control subjects were randomly selected at a 4:1 ratio from patients who underwent identical procedures. Multiple risk factors were evaluated by bivariate analysis and multivariable conditional logistic regression. Results A total of 1,520 patients underwent a general pediatric procedure during the study period, and of these, 47 (3.09%) developed SSIs. A bivariate analysis showed that patients with SSIs were younger, were admitted to the neonatal intensive care unit/pediatric intensive care unit (NICU/PICU) preoperatively, were more severely ill as measured by the ASA classification, underwent multiple procedures, had more surgical complications, and were transferred to the NICU/PICU postoperatively. A multivariate analysis identified four independent predictors of SSI: age, preoperative NICU/PICU admission, number of procedures, and ASA classification. Conclusion Younger children with preoperative admission to the NICU/PICU, those who underwent multiple procedures and those who were severely ill as measured by their ASA classification were significantly more likely to develop SSIs.

Medical Assessment Units and the older patient: a retrospective case-control study

2012 ◽  
Vol 36 (3) ◽  
pp. 331 ◽  
Author(s):  
Bin S. Ong ◽  
Huong Van Nguyen ◽  
Mohammad Ilyas ◽  
Irene Boyatzis ◽  
Vincent J. J. Ngian
Keyword(s):  
Emergency Department ◽  
Length Of Stay ◽  
Case Control Study ◽  
Case Control ◽  
Hospital Length Of Stay ◽  
Model Of Care ◽  
Medical Assessment ◽  
Retrospective Case ◽  
Assessment Unit ◽  
Control Study

Objective. To evaluate the effect of a Medical Assessment Unit (MAU) on older patients. Methods. Retrospective case-control study of patients 65 years and above admitted to the MAU (study group) and the general medical wards (control group) in Bankstown-Lidcombe Hospital from 1 October 2008 to 31 March 2009 with four most common Diagnosis-Related Groups (DRG) (‘falls and gait disorder’, ‘chronic obstructive pulmonary disease (COPD)’, ‘other major respiratory diseases and ‘cellulitis’). Main outcome measures. Length of stay (LOS) in Emergency Department (ED) and in the hospital, mortality, readmissions within 1 month, and discharge destination. Results. Eighty-nine patients were studied; 47 in the MAU group and 42 in the non-MAU group. The MAU cohort was significantly older (84.1 ± 7.9 years v. 80.4 ± 7.8 years, respectively, P = 0.03); and had shorter ED LOS (4.9 ± 3.0 h v. 6.5 ± 2.8 h, P = 0.012). Overall hospital LOS did not differ except for patients with ‘cellulitis’, (5.7 ± 4.9 days for MAU cohort v. 14.8 ± 6.8 days for non-MAU cohort, P = 0.022). There was no significant difference in mortality, readmission rate or discharge destination. Conclusions. The MAU can be an effective service model for older patients. More research is required to confirm this and to define the key elements that are essential for its effectiveness. What is known about the topic? The Medical Assessment Unit is a model of care that has been developed in response to increasing Emergency Department presentations and rising demand on hospital beds. There has been some evidence that this model of care improves efficiency by reducing Emergency Department length of stay and overall hospital length of stay, but little published data targeting the Aged Care population group, who account for a high proportion of Emergency Department admissions. What does this paper add? This paper is a case-control study and provides additional evidence on the benefit of the Medical Assessment Unit model in the elderly population, specifically the benefits in the reduction of Emergency Department length of stay and overall hospital length of stay. This paper also assists in identifying key elements essential for the success of the Medical Assessment Unit model. What are the implications for practitioners? With increasing demand on healthcare, practitioners need to continually redesign how they deliver healthcare to maximise cost efficiency and effectiveness. We believe the Medical Assessment Unit is an effective new model of care. However, more research is required to further refine this model and also identify target patient groups who can most benefit from this model of care.

Bacteremia Due to Persistent Strains of Coagulase-Negative Staphylococci in a Neonatal Intensive-Care Unit

1999 ◽  
Vol 20 (05) ◽  
pp. 349-351 ◽  
Author(s):  
Lillian Sung ◽  
Karam Ramotar ◽  
Lindy M. Samson ◽  
Baldwin Toye
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Case Control Study ◽  
Case Control ◽  
Retrospective Case ◽  
Coagulase Negative Staphylococci ◽  
Control Study

AbstractThis retrospective case-control study was performed to determine risk factors for bacteremia due to persistent coagulase-negative staphylococci in our neonatal intensive-care unit. Enteral nutrition and the presence of a nasogastric tube were identified as possible risk factors for coagulase-negative staphylococcal bacteremia involving one of the persistent strains.

Clostridium difficile Among Hospitalized Patients Receiving Antibiotics A Case-Control Study

2005 ◽  
Vol 26 (8) ◽  
pp. 685-690 ◽  
Author(s):  
Scott Modena ◽  
Dilip Bearelly ◽  
Kenneth Swartz ◽  
Frank K. Friedenberg
Keyword(s):  
Intensive Care ◽  
Clostridium Difficile ◽  
Length Of Stay ◽  
Case Control Study ◽  
Macrolide Antibiotic ◽  
Univariate Analysis ◽  
Antibiotic Use ◽  
Case Control ◽  
Hospitalized Patients ◽  
Control Study

AbstractObjectives:Clostridium difficile is the most common cause of infectious nosocomial diarrhea and can be found in up to 30% of asymptomatic hospitalized patients. Our primary aim was to compare the clinical characteristics of hospitalized patients who received antibiotics and developed C. difficile-associated diarrhea (CDAD) with those of hospitalized patients who received antibiotics and did not develop the disease.Design:Case-control study comprising inpatients at a single institution.Patients:Case-patients were defined as patients who had diarrhea and tested positive for C. difficile. Control-patients (matched 4:1 to case-patients) were defined as patients who received antibiotics for at least 5 days and did not develop CDAD.Results:On univariate analysis, nine variables were associated with CDAD. Only three of the variables, need for intensive care, length of stay, and macrolide antibiotic use, were found to be significant (P < .05) on logistic regression analysis. The odds ratios for status as a CDAD case were 3.68 (CI95, 1.44 to 9.40) for stay in the intensive care unit and 1.03 (CI95, 1.02 to 1.05) for each day of hospital stay. Receipt of macrolide antibiotics reduced risk significantly; the odds ratio was 0.23 (CI95, 0.19 to 0.87).Conclusions:We identified need for intensive care and length of stay as important risk factors for the development of CDAD. We also identified macrolide antibiotic use as protective against its development. Patients receiving intensive care may represent a population to study for targeted prophylaxis.

A Retrospective Case-Control Study to Identify Predictors of Unplanned Admission to Pediatric Intensive Care Within 24 Hours of Hospitalization*

2019 ◽  
Vol 20 (7) ◽  
pp. e293-e300 ◽  
Author(s):  
Kristina Krmpotic ◽  
Anna-Theresa Lobos ◽  
Jason Chan ◽  
Christina Toppozini ◽  
Candice McGahern ◽  
...  
Keyword(s):  
Intensive Care ◽  
Case Control Study ◽  
Pediatric Intensive Care ◽  
Case Control ◽  
Unplanned Admission ◽  
Retrospective Case ◽  
Control Study
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