­Effectiveness of Using Oral Vancomycin as Prophylaxis for Clostridioides difficile Infections in High-Risk Patients: A Retrospective, Cohort Study

2020 ◽  
Author(s):  
Lacey Nilles ◽  
Ameen Pirasteh ◽  
Conner Sothoron ◽  
Calvin Tucker ◽  
Anthony M. Casapao
Keyword(s):  
Cohort Study ◽  
High Risk ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Oral Vancomycin ◽  
High Risk Patients ◽  
Clostridioides Difficile ◽  
Risk Patients

A multimodal prehabilitation program in high-risk patients undergoing elective resection for colorectal cancer: A retrospective cohort study

2021 ◽  
Author(s):  
M. (Mayke) de Klerk ◽  
D.H. (Henri) van Dalen ◽  
L.M.W. (Lenny) Nahar-van Venrooij ◽  
W.J.H.J. (Jeroen) Meijerink ◽  
E.G.G. (Emiel) Verdaasdonk
Keyword(s):  
Colorectal Cancer ◽  
Cohort Study ◽  
High Risk ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Elective Resection ◽  
High Risk Patients ◽  
Risk Patients

Appointment utilization as a trigger for palliative care introduction: A retrospective cohort study

2019 ◽  
Vol 33 (4) ◽  
pp. 457-461
Author(s):  
Zlatana Nenova ◽  
John Hotchkiss
Keyword(s):  
Chronic Kidney Disease ◽  
Palliative Care ◽  
Cohort Study ◽  
High Risk ◽  
Kidney Disease ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
High Risk Patients ◽  
Risk Of Death ◽  
Risk Patients

Background: Chronic kidney disease palliative care guidelines would benefit from more diverse and objectively defined health status measures. Aim: The aim is to identify high-risk patients from administrative data and facilitate timely and uniform palliative care involvement. Design: It is a retrospective cohort study. Setting/participants: In total, 45,368 Veterans, with chronic kidney disease Stage 3, 4, or 5, were monitored for up to 6 years and categorized into three groups, based on whether they died, started dialysis, or avoided both outcomes. Results: Patient’s appointment utilization was a significant predictor for both outcomes. It separated individuals into low, medium, and high appointment utilizers. Among the low appointment utilizers, the risk of death did not change significantly, while the risk of dialysis increased. Medium appointment utilizers had a stable risk of death and a decreasing risk of dialysis. Significant appointment utilization (above 31 visits during the baseline year) helped high-risk patients avoid both outcomes of interest—death and dialysis. Conclusion: Our model could justify the creation of a novel palliative care introduction trigger, as patients with medium demand for care may benefit from additional palliative care evaluation. The trigger could facilitate the uniformization of conservative treatment preparations. It could prompt messages to a managing physician when a patient crosses the threshold between low and medium appointment utilization. It may also aid in system-level policy development. Furthermore, our results highlight the benefit of significant appointment utilization among high-risk patients.

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