scholarly journals Perioperative Cardiac Arrest: A 3-Year Prospective Study from a Tertiary Care University Hospital

2022 ◽  
Vol Volume 14 ◽  
pp. 1-8
Author(s):  
Abdelkarim Aloweidi ◽  
Subhi Alghanem ◽  
Isam Bsisu ◽  
Omar Ababneh ◽  
Mustafa Alrabayah ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Prospective Study ◽  
Tertiary Care ◽  
University Hospital

scholarly journals Central-line associated bloodstream infections in a tertiary care children’s University hospital: a prospective study

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Elisabetta Venturini ◽  
◽  
Carlotta Montagnani ◽  
Alessandra Benni ◽  
Sabrina Becciani ◽  
...  
Keyword(s):  
Prospective Study ◽  
Tertiary Care ◽  
Bloodstream Infections ◽  
Central Line ◽  
University Hospital ◽  
A Prospective Study

scholarly journals Physical health complaints among healthcare workers engaged in the care of critically ill COVID-19 patients: A single tertiary-care center prospective study from Japan

2020 ◽  
Author(s):  
Hiroki Namikawa ◽  
Yoshihiro Tochino ◽  
Akiko Okada ◽  
Keiko Ota ◽  
Yasuyo Okada ◽  
...  
Keyword(s):  
At Risk ◽  
Prospective Study ◽  
Physical Health ◽  
Critically Ill ◽  
Healthcare Workers ◽  
Tertiary Care ◽  
Physical Symptoms ◽  
University Hospital ◽  
Health Complaints ◽  
Increased Risk

AbstractBackgroundHealthcare workers (HCWs) who care for patients with the novel coronavirus infectious disease (COVID-19) are at an increased risk and fear contracting the infection themselves. HCWs are chronically exposed to very intense stress, both and physically and mentally. Hospitals must reduce both the physical and mental burden of HCWs on the front lines and ensure their safety. No prospective study has focused on the physical health complaints among HCWs engaged in the care of critically ill COVID-19 patients. This study aimed to investigate the occupational risk among HCWs of experiencing physical symptoms during the current COVID-19 pandemic.MethodsA twice-weekly questionnaire targeting HCWs who care for COVID-19 patients was performed at Osaka City University Hospital from April 30 to May 31, 2020 using a shareable Research Electronic Data Capture tool. The demographic characteristics of the participants, frequency of exposure to at-risk care, and physical complaints were evaluated.ResultsA total of 35 doctors, 88 nurses, and 35 technicians were engaged in the care of these critically ill COVID-19 patients. 76 HCWs participated in this study, of whom 24 (31.6%) were doctors, 43 (56.6%) were nurses, and 9 (11.8%) were technicians. The frequency of experiencing any physical symptom was 25.0% among HCWs. Exposure to at-risk care was significantly higher among nurses than among doctors (p < 0.001); likewise, the frequency of experiencing physical symptoms was higher among nurses than among doctors (p < 0.01). The multivariate analysis revealed that nurses (odds ratio 8.29; p = 0.01) might be independently at risk of experiencing physical symptoms.ConclusionsOur results indicate that occupational health care at hospitals must be allocated to HCWs who are highly exposed to at-risk care, particularly nurses engaged in the care of COVID-19 patients.

Abstract 18987: Time of Hospital Admission and Its Effect on Treatment and Outcome in Patients After Cardiac Arrest

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Thomas Uray ◽  
Florian B Mayr ◽  
Alexander Spiel ◽  
Peter Stratil ◽  
Fritz Sterz
Keyword(s):  
Cardiac Arrest ◽  
Tertiary Care ◽  
Spontaneous Circulation ◽  
Time Of Day ◽  
University Hospital ◽  
Neurologic Outcome ◽  
Induced Hypothermia ◽  
Admission Time ◽  
Neurologic Outcomes ◽  
Good Neurologic Outcome

Introduction and Hypothesis: Previous studies suggest worse outcomes after out-of-hospital cardiac arrest (OHCA) at night. We analyzed whether patients admitted after OHCA receive induced hypothermia at equal rates and equally prompt during day- and night, as well as potential differences in neurologic outcomes. Methods: We retrospectively analyzed data of non-traumatic OHCA patients who regained restoration of spontaneous circulation (ROSC) and were admitted to our emergency department with an integrated intensive care unit (resuscitation center) at a tertiary care university hospital between 01/01/2006 and 10/31/2012. Data reported include admission time (day defined from 8am to 4pm based on staffing), first blood gas, use of induced hypothermia (IH) and time from admission to initiation of hypothermia. A good neurologic outcome after 6 months was reported as CPC 1 or 2. Results: Of 1172 OHCA patients admitted during the study period, 970 patients (73.8% male, n= 716) with a median age of 60 (IQR 49-70) were included. Times from arrest to ROSC, and ROSC to admission were similar in day- and night-admissions [19 (IQR 10-29) min vs. 18 (IQR 8-29) min; p= 0.69 and 36 (IQR 24-51) vs. 38 (IQR 24-52) min; p=0.58, respectively]. Similarly, there was no difference between day and night in first measured pH (7.17 vs. 7.16; p=0.9) and lactate (7.3 vs. 7.9 mmol/l; p=0.54) after admission. Induced hypothermia was applied to 338 (75.6%) of 447 day-admissions and to 410 (78.4%) of 523 night-admissions (p =0.30). For the patients whose cooling was initiated after admission, time from admission to cooling start did not differ between day and night (mean time 52 ± 5 minutes during day vs. 58 ± 8 minutes at night, p=0.54). At 6 months, a good neurologic outcome was achieved in 202 patients (45.2%) after day admission and 231 patients (44.2%) after night admission (p= 0.75). Conclusion: Patients admitted to our facility after OHCA were equally likely to receive timely high-quality post-resuscitation care irrespective of time of day. Similarly, favorable neurologic outcomes did not differ between day and nighttime admissions. Reported circadian differences in OHCA outcomes may be due to differences in the quality of post-resuscitation care provided at non-specialized centers.

The role of blood inflammatory markers in the diagnosis of appendicitis in children: a prospective study from a University Hospital in Greece

2020 ◽  
Vol 178 (11) ◽  
Author(s):  
George Sakellaris ◽  
Dimitra Dimopoulou ◽  
Maria Niniraki ◽  
Anastasia Dimopoulou ◽  
Athanasios Alegakis ◽  
...  
Keyword(s):  
Prospective Study ◽  
Inflammatory Markers ◽  
University Hospital ◽  
A Prospective Study
Sign in / Sign up

Export Citation Format

Share Document