scholarly journals Ambulatory Visit

2020 ◽  
Author(s):  
Keyword(s):  
Ambulatory Visit

Development of exercise-related values in heart failure patients supported with a left ventricular assist device

2018 ◽  
Vol 42 (4) ◽  
pp. 201-206 ◽  
Author(s):  
Thomas Schmidt ◽  
Birna Bjarnason-Wehrens ◽  
Stephanie Mommertz ◽  
Sebastian Schulte-Eistrup ◽  
Detlev Willemsen ◽  
...  
Keyword(s):  
Weight Gain ◽  
Left Ventricular Assist Device ◽  
Ventricular Assist Device ◽  
Peak Load ◽  
Left Ventricular ◽  
Assist Device ◽  
Ventricular Assist ◽  
Ambulatory Visit ◽  
Left Ventricular Assist

Following implantation of a left ventricular assist device, the build-up and long-term maintenance of adequate exercise capacity and functional performance become crucial. The aim of this study was to observe the development of exercise-related values at different times, as well as to detect possible influencing factors. We performed a prospective single-centre study: 10 patients (63 years, 100% male, body mass index = 27.5, 100% HeartWare) underwent the following diagnostic tests during cardiac rehabilitation and during two subsequent ambulatory visits: 6-min walking test, handgrip strength test, cardiopulmonary exercise test and Minnesota Living with Heart Failure questionnaire. Mean follow-up was 482 days after left ventricular assist device implantation. Significant improvements could be observed between the end of cardiac rehabilitation and ambulatory visit 1; 6-min walking distance increased from 367 to 449 m (p < 0.01), peak VO2 from 10.0 to 11.9 mL/kg/min (p < 0.05) and peak load from 62.4 to 83.0 W (p < 0.01). However, there were no further improvements between ambulatory visit 1 and ambulatory visit 2. In the long term, a significant mean weight gain of more than 10 kg could be observed (p < 0.01). A negative linear correlation between weight gain and absolute improvement in peak load (r = −0.77, p < 0.01) and peak VO2 (r = −0.75, p < 0.05) could be demonstrated. In conclusion, exercise-related values following left ventricular assist device implantation initially improve significantly. Later, however, no further improvements can be observed. In the long term, pronounced weight gain is conspicuous, concomitant with a significantly lower increase in exercise values of the patients. In the future, both dietary and structured physical activity follow-up interventions should be integrated in patient routines.

Bacteremia: Occult or Nonoccult?

PEDIATRICS ◽  
1988 ◽  
Vol 81 (2) ◽  
pp. 332-332
Author(s):  
LORRY G. RUBIN
Keyword(s):  
High Risk ◽  
Young Children ◽  
Antibiotic Therapy ◽  
Small Proportion ◽  
Antigen Detection ◽  
Bacterial Antigen ◽  
Ambulatory Visit ◽  
Focus Of Infection

In Reply.— In our study we sought to evaluate the efficacy of bacterial antigen detection in highly febrile young children with occult or "unsuspected" bacteremia, ie, patients whose presentations did not necessarily mandate IV antibiotic therapy, but in whom parenteral a antibiotic therapy would be indicated if bacteremia could be reliably diagnosed at the initial ambulatory visit. The patients referred to by Dr Mauro, those with no focus of infection, constitute a small proportion of occult bacteremic patients (although a group at relatively high risk for bacteremia).

Determining Primary Care Physician Information Needs to Inform Ambulatory Visit Note Display

2014 ◽  
Vol 05 (01) ◽  
pp. 190e-190e
Author(s):  
M.A. Clarke ◽  
L.M. Steege ◽  
J.L. Moore ◽  
R.J. Koopman ◽  
J.L. Belden ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Physician ◽  
Information Needs ◽  
Care Physician ◽  
Ambulatory Visit

Citation: Erratum to: Clarke MA, Steege LM, Moore JL, Koopman RJ, Belden JL, Kim MS. Determining primary care physician information needs to inform ambulatory visit note display. Appl Clin Inf 2014; 5: 190e http://dx.doi.org/10.4338/ACI-2013-08-RA-0064e

Ambulatory Visit Groups: How They Perform for Oncology Outpatient Departments

1987 ◽  
Vol 2 (2) ◽  
pp. 22-33 ◽  
Author(s):  
Joanna Lion ◽  
Mary Henderson ◽  
Andrew Bergman ◽  
Alan Malbon
Keyword(s):  
Ambulatory Visit ◽  
Outpatient Departments

Ambulatory visit groups

1988 ◽  
Vol 11 (3) ◽  
pp. 1 ◽  
Author(s):  
Karen C. Schneider ◽  
Jeffrey L. Lichtenstein ◽  
Jean L. Freeman ◽  
Robert C. Newbold ◽  
Robert B. Fetter ◽  
...  
Keyword(s):  
Ambulatory Visit

The case mix of ambulatory surgery as measured by ambulatory visit groups

1990 ◽  
Vol 13 (1) ◽  
pp. 33-45 ◽  
Author(s):  
Joanna Lion ◽  
James Vertrees ◽  
Alan Malbon ◽  
Brooke Harrow ◽  
Ann Collard ◽  
...  
Keyword(s):  
Ambulatory Surgery ◽  
Case Mix ◽  
Ambulatory Visit

scholarly journals Durata e costo delle visite in medicina generale: il progetto DYSCO

2003 ◽  
Vol 4 (2) ◽  
pp. 109-114 ◽  
Author(s):  
Livio Garattini ◽  
Emanuela Castelnuovo ◽  
Davide Lanzeni ◽  
Cecilia Viscarra ◽  
DYSCO VISITE Gruppo di studio DYSCO VISITE
Keyword(s):  
Methodological Approach ◽  
Point Of View ◽  
Theoretical Point ◽  
Ambulatory Visit ◽  
Real Cost ◽  
Number Of Patients ◽  
Travelling Time ◽  
The Mean ◽  
Number Of Visits ◽  
The Times

In Italy, general practitioners (GPs) operating within the National Health Service (NHS) are paid according to the number of patients followed, without relation to the number of visits performed. This means that, from a theoretical point of view, the marginal cost of an adjunctive medical examination equals to zero. Since this view is clearly little realistic, in this paper we expose a methodological approach to estimate the real cost of a GP visit, starting from data collected in the DYSCO study, a national survey on the medical costs of dystimia in Italy. 46 GPs were asked to record the number and duration of ambulatory and domiciliar visits, along with the time spent in administrative tasks, during 4 weeks, each randomly chosen within a season (spring, summer, autumn, winter). In order to assign a monetary value to each visit, the total fee reimbursed by the NHS to a GP was divided by the total time spent on work, and then again by the number of visits conducted during this time. The calculations performed revealed that the mean duration of a ambulatory visit amounts to about 10 minutes, while a domiciliar visit (including travelling time) lasts almost the double. An interesting result was that summer visits have significantly longer duration than the mean, and consequently cost more. The mean cost of a GP’s ambulatory visit resulted about 12 Euro; a domiciliar visit costs almost 23 Euro. The times and costs calculated in this study are consistent with other calculations performed by other authors in Europe and Italy, confirming the appropriateness of the employed methodology.

scholarly journals Erratum to: Determining Primary Care Physician Information Needs to Inform Ambulatory Visit Note Display

2014 ◽  
Vol 5 (1) ◽  
pp. 190e-190e
Author(s):  
M. A. Clarke ◽  
L. M. Steege ◽  
J. L. Moore ◽  
R. J. Koopman ◽  
J. L. Belden ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Physician ◽  
Information Needs ◽  
Care Physician ◽  
Ambulatory Visit
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