scholarly journals The Satisfaction Levels of Heart Transplant Recipients Seeking Posttransplant Medical Care at a Tertiary Care Government Hospital: A Questionnaire-Based Study

2019 ◽  
Vol 5 (3) ◽  
pp. 178
Author(s):  
SarveshPal Singh ◽  
ManojKumar Sahu ◽  
Sandeep Seth ◽  
MilindPadmakar Hote
2021 ◽  
Author(s):  
Bandar Al-Ghamdi

Background: Fasting during Ramadan is considered one of the most sacred Islamic rituals. To our knowledge, there is no data about Ramadan fasting in heart transplant recipients. Objectives: To assess the ability of heart transplant recipients to fast the month of Ramadan and to study the fasting effects on their clinical condition Design: A cross-sectional study of heart transplant recipients attending the heart transplant clinic in the three months following Ramadan in 1439 and 1440 Hijri (May-June 2018 and 2019). Setting: Heart transplant clinic in a tertiary care hospital in the Kingdom of Saudi Arabia. Patients and Methods: Heart transplant recipients attending the heart transplant clinic in the Heart Center at King Faisal Specialist Hospital & Research Center (KFSH&RC), Riyadh. Data about Ramadan fasting was documented using standard case report form (CRF), and data were collected from the medical records about their clinical and laboratory findings before and after Ramadan. Main Outcome Measures: Ability of heart transplant receipts to fast during Ramadan and the effect of fasting on their medical condition. Sample Size: One hundred twenty heart transplant recipients were approached to participate in this study. Ninety-two patients agreed to participate in the study with seventy-eight patients fasted during Ramadan. Results: Seventy-eight patients were able to fast Ramadan (84.8%). In comparison to the months before and after Ramadan, 44 of the fasting patients (56.4%) reported no change in their overall health, 29 patients (37.2%) reported feeling better, and 5 patients (6.4%) reported feeling worse during fasting. Sixty patients (76.9%) reported no significant new symptoms, and 18 patients (23.08%) reported one or more new symptoms. Conclusions: It seems that the majority of heart transplant recipients beyond one year of transplantation can fast Ramadan without having significant medical issues Limitations: The small number of participants and the limitations of cross-sectional design.


2002 ◽  
Vol 23 (7) ◽  
pp. 377-381 ◽  
Author(s):  
Rafik Samuel ◽  
Peter Axelrod ◽  
Keith St. John ◽  
Thomas Fekete ◽  
Sharon Alexander ◽  
...  

Objective:To describe an outbreak of mediastinitis in heart transplant recipients.Design:Retrospective and contemporaneous cohort study.Setting:Urban tertiary-care university hospital with a large cardiac transplantation program.Patients:Heart transplant recipients.Interventions:Modifications of donor harvest technique; procedures aimed at decreasing skin and mucosal bacterial colonization; strict aseptic technique in the intensive care unit; and aggressive policing of established infection control practices.Results:In April 1999, mediastinitis rates among heart transplant recipients increased abruptly from a baseline of 6 cases per 100 procedures to sequential quarterly rates of 22, 31, and 50 cases per 100 procedures, whereas infection rates in other cardiac operations were unchanged. Bacteria causing these infections were multidrug-resistant "nosocomial" organisms. The epidemic occurred 2 months after a change in the United Network for Organ Sharing organ allocation algorithm. This change resulted in an increase in the duration of preoperative hospitalization from a median of 52 to 79 days (P= .008) and may have promoted prolonged hospitalization of patients with high illness severity. Aggressive multidisciplinary interventions were temporally associated with a return to preoperative mediastinitis rates without changing length of hospitalization prior to transplantation.Conclusions:Changes in organ allocation for transplant that prolong waiting time in the hospital and alter illness acuity may lead to increased rates of postoperative infection. Measures to limit bacterial colonization may be a helpful countervailing strategy.


2006 ◽  
Vol 5 (1) ◽  
pp. 40-40
Author(s):  
R BESTETTI ◽  
T THEODOROPOULOS ◽  
T SOUZA ◽  
M LIMA ◽  
E BURDMANN ◽  
...  

2013 ◽  
Vol 61 (S 01) ◽  
Author(s):  
S Ohdah ◽  
S Meyer ◽  
M Schlüter ◽  
T Deuse ◽  
K Müllerleile ◽  
...  

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