scholarly journals Thirty Years of Kawasaki Disease: A Single-Center Study at the University Hospital of Lausanne

2019 ◽  
Vol 7 ◽  
Author(s):  
Marion de La Harpe ◽  
Stefano di Bernardo ◽  
Michaël Hofer ◽  
Nicole Sekarski
Keyword(s):  
Kawasaki Disease ◽  
University Hospital ◽  
Single Center ◽  
Single Center Study ◽  
The University ◽  
Center Study

scholarly journals Thirty-day readmission rate of COVID-19 patients discharged from a tertiary care university hospital in Turkey: an observational, single-center study

2020 ◽  
Author(s):  
Oğuz Abdullah UYAROĞLU ◽  
Nursel Çalik BAŞARAN ◽  
Lale ÖZIŞIK ◽  
Gülçİn Tellİ DİZMAN ◽  
İmdat EROĞLU ◽  
...  
Keyword(s):  
Readmission Rate ◽  
Tertiary Care ◽  
Information Management System ◽  
University Hospital ◽  
Research Database ◽  
Single Center ◽  
Important Indicator ◽  
Moderate Severity ◽  
Single Center Study ◽  
Center Study

Abstract Background The 30-day readmission rate is an important indicator of patient safety and hospital’s quality performance. In this study, we aimed to find out the 30-day readmission rate of mild and moderate severity coronavirus disease of 2019 (COVID-19) patients discharged from a tertiary care university hospital and to demonstrate the possible factors associated with readmission. Methods This is an observational, single-center study. Epidemiological and clinical data of patients who were hospitalized with a diagnosis of COVID-19 were retrieved from a research database where patient information was recorded prospectively. Readmission data were sought from the hospital information management system and the National Health Information System to detect if the patients were readmitted to any hospital within 30 days of discharge. Adult patients (≥18 years old) hospitalized in COVID-19 wards with a diagnosis of mild or moderate COVID-19 between 20 March 2020 (when the first case was admitted to our hospital) and 26 April 2020 were included. Results From 26 March to 1 May, there were 154 mild or moderate severity (non-critical) COVID-19 patients discharged from COVID-19 wards, of which 11 (7.1%) were readmitted. The median time of readmission was 8.1 days (interquartile range [IQR] = 5.2). Two patients (18.1%) were categorized to have mild disease and the remaining 9 (81.9%) as moderate disease. Two patients who were over 65 years of age and had metastatic cancers and hypertension developed sepsis and died in the hospital during the readmission episode. Malignancy (18.7% vs. 2.1%, P = 0.04) and hypertension (45.5% vs. 14%, P = 0.02) were more common in those who were readmitted. Conclusions This is one of the first studies to report on 30-day readmission rate of COVID-19 in the literature. More comprehensive studies are needed to reveal the causes and predictors of COVID-19 readmissions.

scholarly journals Neurosurgical Care during the COVID-19 Pandemic in Central Germany: A Retrospective Single Center Study of the Second Wave

2021 ◽  
Vol 18 (22) ◽  
pp. 12034
Author(s):  
Caroline Sander ◽  
Nickolaus von Dercks ◽  
Michael Karl Fehrenbach ◽  
Tim Wende ◽  
Sebastian Stehr ◽  
...  
Keyword(s):  
Perioperative Complications ◽  
Study Groups ◽  
University Hospital ◽  
Complication Rates ◽  
Single Center ◽  
Peripheral Nerve Lesions ◽  
Single Center Study ◽  
Significant Difference ◽  
Second Wave ◽  
Center Study

The healthcare system has been placed under an enormous burden by the SARS-CoV-2 (COVID-19) pandemic. In addition to the challenge of providing sufficient care for COVID-19 patients, there is also a need to ensure adequate care for non-COVID-19 patients. We investigated neurosurgical care in a university hospital during the pandemic. We examined the second wave of the pandemic from 1 October 2020 to 15 March 2021 in this retrospective single-center study and compared it to a pre-pandemic period from 1 October 2019 to 15 March 2020. Any neurosurgical intervention, along with patient- and treatment-dependent factors, were recorded. We also examined perioperative complications and unplanned readmissions. A statistical comparison of the study groups was performed. We treated 535 patients with a total of 602 neurosurgical surgeries during the pandemic. This compares to 602 patients with 717 surgeries during the pre-pandemic period. There were 67 fewer patients (reduction to 88.87%) admitted and 115 fewer surgeries (reduction to 83.96%) performed, which were essentially highly elective procedures, such as cervical spinal stenosis, intracranial neurinomas, and peripheral nerve lesions. Regarding complication rates and unplanned readmissions, there was no significant difference between the COVID-19 pandemic and the non-pandemic patient group. Operative capacities were slightly reduced to 88% due to the pandemic. Nevertheless, comprehensive emergency and elective care was guaranteed in our university hospital. This speaks for the sufficient resources and high-quality processes that existed even before the pandemic.

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