scholarly journals Data quality of electronic medical records in Manitoba: do problem lists accurately reflect chronic disease billing diagnoses?

2016 ◽  
Vol 23 (6) ◽  
pp. 1107-1112 ◽  
Author(s):  
Alexander Singer ◽  
Sari Yakubovich ◽  
Andrea L Kroeker ◽  
Brenden Dufault ◽  
Roberto Duarte ◽  
...  
Keyword(s):  
Primary Care ◽  
Data Quality ◽  
Chronic Diseases ◽  
Chronic Obstructive ◽  
Problem List ◽  
Chronic Obstructive Pulmonary Disorder ◽  
Pulmonary Disorder ◽  
Artery Disease ◽  
Problem Lists

Abstract Objective To determine problem list completeness related to chronic diseases in electronic medical records (EMRs) and explore clinic and physician factors influencing completeness. Methods A retrospective analysis of primary care EMR data quality related to seven chronic diseases (hypertension, diabetes, asthma, congestive heart failure, coronary artery disease, hypothyroidism, and chronic obstructive pulmonary disorder) in Manitoba, Canada. We included 119 practices in 18 primary care clinics across urban and rural Manitoba. The main outcome measure was EMR problem list completeness. Completeness was measured by comparing the number of EMR-documented diagnoses to the number of billings associated with each disease. We calculated odds ratios for the effect of clinic patient load and salary type on EMR problem list completeness of the 7 chronic diseases. Results Completeness of EMR problem list for each disease varied widely among clinics. Factors that significantly affected EMR problem list completeness included the primary care provider, the patient load, and the clinic’s funding and organization model (ie, salaried, fee-for-service, or residency training clinics). Average rates of completeness were: hypertension, 72%; diabetes, 80%; hypothyroidism, 63%; asthma, 56%; chronic obstructive pulmonary disorder, 43%; congestive heart failure, 54%; and coronary artery disease, 64%. Conclusion This study demonstrates the high variability but generally low quality of problem lists (health condition records) related to 7 common chronic diseases in EMRs. There are systematic physician- and clinic-level factors associated with low data quality completeness. This information may be useful to support improvement in EMR data quality in primary care.

Casing Design for an Oxygen Concentrator

1999 ◽  
Author(s):  
Stephanie H. Swindle ◽  
Beth A. Todd ◽  
James F. Cuttino
Keyword(s):  
Quality Of Life ◽  
Structural Integrity ◽  
Chronic Obstructive ◽  
Gas Mixture ◽  
Improve Quality ◽  
Chronic Obstructive Pulmonary Disorder ◽  
Element Analysis ◽  
Pulmonary Disorder ◽  
Oxygen Concentrator

Abstract Human bodies depend on a steady flow of oxygen for the heart and lungs. When a person has Chronic Obstructive Pulmonary Disorder (COPD), a device called an oxygen concentrator can be used to improve quality of life. An oxygen concentrator is an electrically powered device that takes in room air and converts it to an oxygen rich gas mixture suitable for breathing. Although a few models are battery powered, oxygen concentrators are not easily portable because they are bulky and weigh between 25–50 lbs. In this study, components were identified for re design to reduce the overall weight of the device. For instance, the concentrator casing was identified as its heaviest component. Using finite element analysis, changes in wall thickness and dimensions can be investigated to reduce weight while maintaining structural integrity. By reducing the weight of the casing, the oxygen concentrator will be easier to transport.

scholarly journals Heart failure in primary care: prevalence related to age and comorbidity

2019 ◽  
Vol 20 ◽  
Author(s):  
Lieke Bosch ◽  
Patricia Assmann ◽  
Wim J. C. de Grauw ◽  
Bianca W. M. Schalk ◽  
Marion C. J. Biermans
Keyword(s):  
Heart Failure ◽  
Primary Care ◽  
General Practice ◽  
Elderly Patients ◽  
Chronic Obstructive ◽  
Routine Practice ◽  
Chronic Obstructive Pulmonary Disorder ◽  
Pulmonary Disorder ◽  
General Practices ◽  
Using Data

Abstract Background Diagnosing heart failure (HF) in primary care can be challenging, especially in elderly patients with comorbidities. Insight in the prevalence, age, comorbidity and routine practice of diagnosing HF in general practice may improve the process of diagnosing HF. Aim To examine the prevalence of HF in relation to ageing and comorbidities, and routine practice of diagnosing HF in general practice. Methods A retrospective cohort study was performed using data from electronic health records of 56 320 adult patients of 11 general practices. HF patients were compared with patients without HF using descriptive analyses and χ2 tests. The following comorbidities were considered: chronic obstructive pulmonary disorder (COPD), diabetes mellitus (DM), hypertension, anaemia and renal function disorder (RFD). Separate analyses were performed for men and women. Findings The point prevalence of HF was 1.2% (95% confidence interval 1.13–1.33) and increased with each age category from 0.04% (18–44 years) to 20.9% (⩾85 years). All studied comorbidities were significantly (P<0.001) more common in HF patients than in patients without HF: COPD (24.1% versus 3.1%), DM (34.7% versus 6.5%), hypertension (52.7% versus 16.0%), anaemia (10.9% versus 2.3%) and RFD (61.8% versus 7.5%). N-terminal pro-BNP (NT-proBNP) was recorded in 38.1% of HF patients. Conclusions HF is highly associated with ageing and comorbidities. Diagnostic use of NT-proBNP in routine primary care seems underutilized. Instruction of GPs to determine NT-proBNP in patients suspected of HF is recommended, especially In elderly patients with comorbidities.

DIETARY ASSESSMENT OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE PATIENTS VISITING TERTIARY CARE HOSPITAL OF LAHORE

2020 ◽  
pp. 5-10
Author(s):  
OJS Admin
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Dietary Assessment ◽  
Tertiary Care ◽  
Health Concern ◽  
Chronic Obstructive ◽  
Care Hospital ◽  
Chronic Obstructive Pulmonary Disorder ◽  
Obstructive Pulmonary Disease ◽  
Pulmonary Disorder

Chronic obstructive pulmonary disorder (COPD) is an aggravating and major health concern throughout the world. It is estimated that in upcoming years chronic obstructive pulmonary disease will be rankedas third common reason of mortality and fifth common cause of disablement worldwide.

scholarly journals The impact of functional food on the prevention and treatment of respiratory diseases

2020 ◽  
Vol 33 (4) ◽  
pp. 228-232
Author(s):  
Gabriela Widelska ◽  
Kamila Kasprzak-Drozd ◽  
Karolina Wojtunik-Kulesza ◽  
Anna Krajewska ◽  
Anna Oniszczuk
Keyword(s):  
Respiratory Tract ◽  
Functional Food ◽  
Causes Of Death ◽  
Chronic Obstructive ◽  
Respiratory Tract Diseases ◽  
Chronic Obstructive Pulmonary Disorder ◽  
Prevention And Treatment ◽  
Pulmonary Disorder ◽  
Ancient Times ◽  
The Impact

Abstract Globally, diseases of the lung are one of the main causes of death, and conventional therapies are often ineffective in dealing with this serious medical and sociological problem. Since ancient times, medicinal plants have been used in the treatment of respiratory tract diseases. Such plants show antitussive, muscle relaxing, bronchi dilation or cillary movement effects. Their usefulness has been confirmed by modern and current research. A medicinal plant that is also a functional food can open new areas in the prevention and treatment of respiratory tract diseases. In this review, information about the influence of functional food on preventing and treating asthma, chronic obstructive pulmonary disorder (COPD) and high-altitude sickness are presented.

scholarly journals Comprehensive care programmes in chronic obstructive pulmonary disease: a systematic review and meta-analysis of randomized controlled trials and real-world studies

2021 ◽  
Author(s):  
Daniel Yoo ◽  
Mengqi Gong ◽  
Lei Meng ◽  
Cheuk Wai Wong ◽  
Guangping Li ◽  
...  
Keyword(s):  
Home Care ◽  
Meta Analysis ◽  
Comprehensive Care ◽  
Self Management ◽  
Chronic Obstructive ◽  
Chronic Obstructive Pulmonary Disorder ◽  
Obstructive Pulmonary Disease ◽  
Structured Care ◽  
Pulmonary Disorder ◽  
Medication Reviews

Background: Different comprehensive care programmes (CCPs) have been developed for patients with chronic obstructive pulmonary disorder (COPD), but data regarding their effectiveness have been controversial. PubMed and Embase were searched to 1st June 2017 for articles that investigated the effects of the different types of CCPs on hospitalization or mortality rates in COPD. Results: A total of 67 studies including 3472633 patients (mean age: 76.1+/-12.7 years old; 41% male) were analyzed. CCPs reduced all-cause hospitalizations (hazard ratio [HR]: 0.70, 95% confidence interval [CI]: 0.63-0.79; P<0.001; I2:96%) and mortality (HR: 0.69, 95% CI: 0.573-0.83; P<0.001; I2:75%). Subgroup analyses for different CCP types were performed. Hospitalizations were reduced by pharmacist-led medication reviews (HR: 0.54; 95% CI: 0.37-0.78; P=0.001; I2:49%), structured care programmes (HR: 0.76; 95% CI: 0.66-0.87; P<0.0001; I2:88%) and self-management programmes (HR: 0.79; 95% CI: 0.64-0.99; P<0.05; I2:78%), but not continuity of care programmes (HR: 0.70; 95% CI: 0.36-1.36; P=0.29; I2:100%), early support discharge or home care packages (HR: 0.97; 95% CI: 0.91-1.04; P=0.37; I2:0%) or telemonitoring (HR: 0.61; 95% CI: 0.32-1.18; P=0.14; I2:94%). Mortality was reduced by early support discharge or home care packages (HR: 0.49; 95% CI: 0.30-0.80; P<0.01; I2:72%), structured care programmes (HR: 0.69; 95% CI: 0.53-0.90; P<0.01; I2:61%) and telemonitoring (HR: 0.52; 95% CI: 0.31-0.89; P<0.05; I2:0%), but not self-management programmes (HR: 0.79; 95% CI: 0.64-0.99; P<0.05; I2:78%). Conclusions: Comprehensive care programmes reduce hospitalization and mortality in COPD patients.

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