scholarly journals Postoperative Complications and Associated Factors Among Surgical Patients Treated at a Tertiary Hospital, Eastern Ethiopia: A Prospective Cohort Study

2021 ◽  
Vol Volume 14 ◽  
pp. 37-46
Author(s):  
Badhaasaa Beyene Bayissa ◽  
Mohammad Mummud ◽  
Fufa Miressa ◽  
Gelana Fekadu
Keyword(s):  
Cohort Study ◽  
Postoperative Complications ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Associated Factors ◽  
Tertiary Hospital ◽  
Surgical Patients ◽  
Eastern Ethiopia

scholarly journals Prevalence of frailty and reliability of established frailty instruments in adult elective colorectal surgical patients: a prospective cohort study

2021 ◽  
pp. postgradmedj-2020-139417
Author(s):  
Thomas Dale MacLaine ◽  
Oliver Baker ◽  
Dermot Burke ◽  
Simon J Howell
Keyword(s):  
Cohort Study ◽  
Postoperative Complications ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Large Population ◽  
Age Groups ◽  
Adverse Outcomes ◽  
Surgical Patients ◽  
Surgical Patient ◽  
Frailty Phenotype

PurposeLarge population studies now demonstrate that frailty is prevalent in all adult age groups. Limited data exist on the association between frailty and surgical outcome in younger patients. The aim of the study was to explore the agreement between frailty identification tools and collect pilot data on their predictive value for frailty-associated outcomes in an adult surgical population.Study designProspective cohort study.ResultsFrailty scores were recorded in 200 patients (91 men), mean (range) age 57 (18–92) years. The prevalence of prefrailty was 52%–67% and that of frailty 2%–32% depending on the instrument used. Agreement between the instruments was poor, kappa 0.08–0.17 in pairwise comparisons. Outcome data were available on 160 patients. Only the frailty phenotype was significantly associated with adverse outcomes, RR 6.1 (1.5–24.5) for postoperative complications. The three frailty scoring instruments studies had good sensitivity (Clinical Frailty Scale (CFS)—90%, Accumulation Deficit (AD)—96%, Frailty Phenotype (FP)—97%) but poor specificity (CFS—12%, AD—13%, FP—18%) for the prediction of postoperative complications. All three instruments were poorly predictive of adverse outcomes with likelihood ratios of CFS—1.02, AD—1.09 and FP—1.17.ConclusionsThis study showed a significant prevalence of prefrailty and frailty in adult colorectal surgical patients of all ages. There was poor agreement between three established frailty scoring instruments. Our data do not support the use of current frailty scoring instruments in all adult colorectal surgical patients. However, the significant prevalence of prefrailty and frailty across all age groups of adult surgical patient justifies further research to refine frailty scoring in surgical patients.

scholarly journals Prevalence of adhesions and associated postoperative complications after cesarean section in Ghana: a prospective cohort study

2017 ◽  
Vol 14 (1) ◽  
Author(s):  
Mercy A. Nuamah ◽  
Joyce L. Browne ◽  
Alexander V. Öry ◽  
Nelson Damale ◽  
Kerstin Klipstein-Grobusch ◽  
...  
Keyword(s):  
Cohort Study ◽  
Postoperative Complications ◽  
Cesarean Section ◽  
Prospective Cohort Study ◽  
Prospective Cohort

Stroke-related mortality, disability and associated factors in two regional hospitals in Cameroon: A prospective cohort study

2021 ◽  
Vol 429 ◽  
pp. 119614
Author(s):  
Angwafor Anye ◽  
David Ojong ◽  
Nkouonlack Cyrille ◽  
Wepnyu Njamnshi ◽  
Leonard Ngarka ◽  
...  
Keyword(s):  
Cohort Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Associated Factors ◽  
Regional Hospitals ◽  
Related Mortality

scholarly journals Impact of frailty on outcomes after discharge in older surgical patients: a prospective cohort study

2018 ◽  
Vol 190 (7) ◽  
pp. E184-E190 ◽  
Author(s):  
Yibo Li ◽  
Jenelle L. Pederson ◽  
Thomas A. Churchill ◽  
Adrian S. Wagg ◽  
Jayna M. Holroyd-Leduc ◽  
...  
Keyword(s):  
Cohort Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Surgical Patients

scholarly journals Effects of frequent PATient moves on patient outcomes in a large tertiary Hospital (the PATH study): a prospective cohort study

2016 ◽  
Vol 40 (3) ◽  
pp. 324 ◽  
Author(s):  
Joan Webster ◽  
Karen New ◽  
Mary Fenn ◽  
Mary Batch ◽  
Alyson Eastgate ◽  
...  
Keyword(s):  
Patient Safety ◽  
Cohort Study ◽  
Length Of Stay ◽  
Adverse Events ◽  
Patient Outcomes ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Tertiary Hospital ◽  
Tertiary Referral Hospital ◽  
Specific Patient

Objective The aim of the present study was to investigate the incidence of and patient outcomes associated with frequent patient moves. Methods In a prospective cohort study, any bed move and the reason for the move were documented. Patients were assessed on admission for anxiety, social support and delirium. Adverse events, length of stay and satisfaction were recorded. Patients moved three or more times were compared with those moved less than three times. Results In all, 566 patients admitted to a tertiary referral hospital were included in the study. Of these, 156 patients (27.6%) were moved once, 46 (8.1%) were moved twice and 28 (4.9%) were moved at least three times. Those moved three or more times were almost threefold more likely to have an adverse event recorded compared with those moved fewer times (relative risk (RR) 2.75; 95% confidence interval (CI) 1.18, 6.42; P = 0.02) and to have a hospital stay twice as long (RR 7.10; 95% CI 2.60, 11.60; P = 0.002). Levels of satisfaction and anxiety were not affected by frequent moves and there was no effect on delirium. Conclusion Frequent bed moves affect patient safety and prolong length of stay. What is known about the topic? Retrospective and qualitative studies suggest that patient safety and costs may be affected by frequent patient moves. What does this paper add? The present study is the first prospective study to assess the negative effects of frequent patient moves on specific patient outcomes, such as adverse events, length of stay and satisfaction with care. What are the implications for practitioners? Within- and between-ward moves may affect patient safety. Patients should be moved only when there is a clear and unavoidable reason for doing so.

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