Care Measures Research Articles

Exploring the nexus between the standardized nursing terminologies and the unfinished nursing care phenomenon: An empty systematic review.

To identify and synthesize evidence regarding the documented relationship between the standardized nursing terminologies and the unfinished nursing care phenomenon. A systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. PubMed, Scopus, and Cumulative Index to Nursing and Allied Health Literature Complete databases were last consulted on November 27, 2023. The review included primary quantitative studies that reported an association between recognized standardized nursing terminologies and unfinished nursing care. Two researchers completedtitle and abstract and full-text screening. Our search identified 149 citations. A full-text review of one paper was undertaken. No studies met our inclusion criteria. We report an empty review. Standardized nursing terminologies and Unfinished Care are two sides of the same coin: despite their potential commonalities, no studies have documented their potential links. Digital systems, such as electronic health records and decision support systems, could foster this linkage. This review suggests that linking the conceptual frameworks can promote the diffusion of standardized nursing terminologies in clinical practice and increase accuracy in the measurement of Unfinished Care. This synergy could promote the contribution of nursing knowledge to patient care, nursing visibility, and be beneficial to clinical nurses, managers, and healthcare systems to international level.

IJCM_284A: A Community based Cross-sectional study to assess the foot care practice and its associated factors among Lymphatic Filariasis patients in rural areas of Chengalpattu district, 2023.

Background: Lymphatic filariasis (LF) is a neglected tropical diseases, in which India has 40% of the world’s burden. LF patients suffering from disability, social stigma and severe morbidity remains as a significant public health concern. Patients to avoid acute attacks of lymphadenitis and to alleviate lymphoedema progression should have meticulous foot care practices. Objectives: 1. To assess the foot care practices and its associated factors among lymphatic filariasis patients in rural areas of Chengalpattu. 2. To determine the association between sociodemographic characteristics and clinical foot care practice among lymphatic filariasis patients in rural areas of Chengalpattu. Methodology: A community based cross-sectional study was conducted in rural area of Chengalpattu by multi-stage random sampling method among 185 participants with lymphedema using a semi-structured questionnaire for regular foot care by interview. Data was collected by Epi-collect 5 software and analyzed using SPSS v 16. Results: Among 190 participants - 50.5% were above 60 years, 63.2% were females, 59.4% had education up to middle school, 56.8% were unemployed, 70% were from upper lower class and below. 68.4% (95% CI: 61.3-75) had good practice on foot care based on 8 recommended foot care measures. A significant association was found between good foot care practices and those above upper lower socioeconomic class [OR=3.9(1.71-8.90)], with chronic illness [OR=1.9(1.01-3.71)], with water supply at home [OR=3.64(1.23-10.7)], experiencing acute lymphadenitis attack [OR=0.345(0.14-0.82)], patient worn foot wear regularly [OR=3.51(1.26-9.74)], wearing shoes and slippers [OR=0.134(0.35- 0.51)], patient seeking OP services for filariasis regularly [OR=3.18(1.56- 6.47)] had health education[OR=3.31(1.36-8.08)] and attended training programme [OR=2.86(1.50-5.45)]. Conclusion: Study indicated that people living with lymphoedema in rural areas of Chengalpattu district had good foot care practices. But more than one fourth of people had bad foot care practice, which can be improved by strengthening the patient follow-up, health education, training programme for patients and health care workers on foot care practice and morbidity management.

Implementing strategies to improve uptake of patient-reported outcome measures (PROMs) in gender-affirming care: a mixed-methods implementation study

ImportanceThe Practical Guide to Implementing PROMs in Gender-Affirming Care (PG-PROM-GAC) is an evidence-based resource, which was developed in response to international calls for improved patient-reported outcome measure (PROM) implementation in...

Developing quality indicators for cancer hospitals in China: a national modified Delphi process

ObjectiveAlthough demand and supply of cancer care have been rapidly increasing in recent decades, there is a lack of systemic quality measurement for cancer hospitals in China. This study aimed...

Quality measures of virtual care in ambulatory healthcare environments: a scoping review

ObjectivesDelivery of virtual care increased throughout the COVID-19 pandemic and persisted after physical distancing measures ended. However, little is known about how to measure the quality of virtual care, as...

Author Correction: Effects of comprehensive care measures based on the HAPA model on self-care, neurotransmitters and clinical outcomes in cerebral infarction patients.

Correction to: Eur Rev Med Pharmacol Sci 2023; 27 (10): 4462-4470-DOI: 10.26355/eurrev_202305_32452-published online on May 29, 2023. After publication, the authors have discovered a mistake in the number of male and female patients in the Patients and Methods section. Therefore, the following sentence "58 male patients and 42 female patients" is corrected into "71 male and 39 female patients". The corrections do not affect the article's results and conclusion as patients are reported correctly in the text as well as figures and tables. There are amendments to this paper. The Publisher apologizes for any inconvenience this may cause. https://www.europeanreview.org/article/32452.

Evaluate the in vitro effect of anthracycline and alkylating cytophosphane chemotherapeutics on dopaminergic neurons.

Iatrogenesis is an inevitable global threat to healthcare that drastically increases morbidity and mortality. Cancer is a fatal pathological condition that affects people of different ages, sexes, and races around the world. In addition to the detrimental cancer pathology, one of the most common contraindications and challenges observed in cancer patients is severe adverse drug effects and hypersensitivity reactions induced by chemotherapy. Chemotherapy-induced cognitive neurotoxicity is clinically referred to as Chemotherapy-induced cognitive impairment (CICI), chemobrain, or chemofog. In addition to CICI, chemotherapy also causes neuropsychiatric issues, mental disorders, hyperarousal states, and movement disorders. A synergistic chemotherapy regimen of Doxorubicin (Anthracycline-DOX) and Cyclophosphamide (Alkylating Cytophosphane-CPS) is indicated for the management of various cancers (breast cancer, lymphoma, and leukemia). Nevertheless, there are limited research studies on Doxorubicin and Cyclophosphamide's pharmacodynamic and toxicological effects on dopaminergic neuronal function. This study evaluated the dopaminergic neurotoxic effects of Doxorubicin and Cyclophosphamide. Doxorubicin and Cyclophosphamide were incubated with dopaminergic (N27) neurons. Neuronal viability was assessed using an MTT assay. The effect of Doxorubicin and Cyclophosphamide on various prooxidants, antioxidants, mitochondrial Complex-I & IV activities, and BAX expression were evaluated by Spectroscopic, Fluorometric, and RT-PCR methods, respectively. Prism-V software (La Jolla, CA, USA) was used for statistical analysis. Chemotherapeutics dose-dependently inhibited the proliferation of the dopaminergic neurons. The dopaminergic neurotoxic mechanism of Doxorubicin and Cyclophosphamide was attributed to a significant increase in prooxidants, a decrease in antioxidants, and augmented apoptosis without affecting mitochondrial function. This is one of the first reports that reveal Doxorubicin and Cyclophosphamide induce significant dopaminergic neurotoxicity. Thus, Chemotherapy-induced adverse drug reaction issues substantially persist during and after treatment and sometimes never be completely resolved clinically. Consequently, failure to adopt adequate patient care measures for cancer patients treated with certain chemotherapeutics might substantially raise the incidence of numerous movement disorders.

A Delphi Method Comfort Status Scale for Patients With Lung Cancer After Thoracoscopic Surgery

ObjectiveTo construct the comfort status scale for patients with lung cancer after thoracoscopic surgery. MethodsOn the basis of the comfort status scale and the subjective experience and objective symptoms of patients with lung cancer after thoracoscopic surgery, the relevant literature was consulted, semi-structured interviews and group discussions were conducted, the pool of items of the postoperative comfort status scale for patients with lung cancer was initially formed, and the postoperative comfort status scale for patients with lung cancer was finally established by Delphi method inquiry to 15 clinical and nursing experts. ResultsThe positive coefficient of experts was 100%, the coefficient of authority (CR) was 0.92 and 0.93, and the Kendal's W was 0. 257 and 0. 298, the degree of coordination of expert opinions was statistically significant (p < 0.05). Finally, a total of 28 items in 4 dimensions were formed to assess the postoperative comfort status of patients with lung cancer after thoracoscopic surgery. ConclusionThe Delphi method-based comfort status scale for patients with lung cancer after thoracoscopic surgery is scientific and reliable, and can provide a quantitative basis for the evaluation of the comfort status of patients after lung cancer thoracoscopic surgery, to further provide individual comfort care measures.

Influence of Structural Discontinuity on Slope Stability using Numerical Modelling and Sirovision

The rock mass consists of heterogeneous and anisotropic materials, with smaller and larger blocks of rock, and the presence of structural discontinuities is a significant concern. Characterising the rock mass is crucial for the success of engineering excavations in such areas. A detailed study of joints, their orientation, and discontinuities in the exposed rock mass is crucial as they greatly influence stability and fragmentation. Existing rock mass classifications like Rock Mass Rating (RMR) and Q-classification require various geological parameters and physico-mechanical properties of the rock. However, determining these parameters conventionally can be time-consuming, requiring careful on-site measurements. The number of opencast coal mines is increasing compared to underground mines due to shorter gestation periods, higher productivity, and quicker returns. However, opencast mining raises environmental concerns such as air and water pollution, solid waste management, land degradation, and socio-economic issues. Additionally, many opencast coal mines, regardless of size, are reaching greater depths, making analysing bench slopes and ultimate pit slope design crucial. Slope failure in these mines leads to production loss, additional costs for recovery and handling of failed material, pit dewatering, sometimes mine abandonment or premature closure, and loss of life. A study was conducted at Prakash Khani Opencast Mine – IV, Manuguru area, M/s The Singereni Company Collieries Limited (SCCL), to investigate the influence of structural discontinuities on slope stability. SIROVISION software was used to assess rock mass characterisation, while PLAXIS-2D software was employed to analyse the influence of structural discontinuities on slope stability. A comparative conclusion was drawn based on the results obtained from SIROVISION and PLAXIS-2D analyses. The study revealed that the RMR of the mine ranged from very poor to fair due to numerous discontinuities. It was also found that discontinuities in the slope decrease the Factor of Safety (FOS), indicating an impact on slope stability.

Quality measures in pre-liver transplant care by the Practice Metrics Committee of the American Association for the Study of Liver Diseases.

The liver transplantation (LT) evaluation and waitlisting process is subject to variations in care that can impede quality. The American Association for the Study of Liver Diseases (AASLD) Practice Metrics Committee (PMC) developed quality measures and patient-reported experience measures along the continuum of pre-LT care to reduce care variation and guide patient-centered care. Following a systematic literature review, candidate pre-LT measures were grouped into 4 phases of care: referral, evaluation and waitlisting, waitlist management, and organ acceptance. A modified Delphi panel with content expertise in hepatology, transplant surgery, psychiatry, transplant infectious disease, palliative care, and social work selected the final set. Candidate patient-reported experience measures spanned domains of cognitive health, emotional health, social well-being, and understanding the LT process. Of the 71 candidate measures, 41 were selected: 9 for referral; 20 for evaluation and waitlisting; 7 for waitlist management; and 5 for organ acceptance. A total of 14 were related to structure, 17 were process measures, and 10 were outcome measures that focused on elements not typically measured in routine care. Among the patient-reported experience measures, candidates of LT rated items from understanding the LT process domain as the most important. The proposed pre-LT measures provide a framework for quality improvement and care standardization among candidates of LT. Select measures apply to various stakeholders such as referring practitioners in the community and LT centers. Clinically meaningful measures that are distinct from those used for regulatory transplant reporting may facilitate local quality improvement initiatives to improve access and quality of care.

The state of art on the use of patient reported outcomes in migraine.

This review aims to explore the use of patient-reported outcome measures (PROMs) in migraine. Traditionally assessed through specific features, recent adoption of PROMs allows for a more objective and quantifiable evaluation. PROMs, which are standardized questionnaires collecting health information directly from a patients' perspective, cover various aspects, including migraine specific aspects. The review focuses on delineating the applications and interpretation of commonly used PROMs in migraine research, with an emphasis on their integration in clinical care. Generic and migraine-specific PROMs play a crucial role in clinical research, particularly in assessing health-related quality of life, disability, impact, and associated comorbidities. Some of these measures are strongly recommended to be used by the International Guidelines and are, in fact, mandated by the FDA for product labeling. Recently, there has been an expansion in the use of PROMs to assess migraine in diverse populations, in particular pediatric patients. However, the application of these measures in clinical care shows considerable heterogeneity, and some have not been validated specifically for migraine. The existing multitude of PROMs, coupled with ongoing development of new ones to better capture patient concerns, creates complexity in their research and clinical application. To address these challenges, it becomes imperative to streamline their use, focusing on those that are more validated and better aligned with the patients' perspective including different populations' needs. The utilization of PROMs in evaluating migraine enables a more holistic assessment, helps quantify the impact of the disease facilitating change measurement, improves communication between healthcare providers and patients and, guides treatment decisions for improved outcomes. However, the increasing number of PROMs questionnaires, underscores the importance of validating these tools for migraine and, the dynamic nature of the disease makes it relevant to decide with whom, why and when these should be used.

Reliability of Noninvasive Sonic Tomography for Detection and Quantification of Internal Defects in Yoshino Cherry

Abstract Preventive maintenance through monitoring and early detection is important for trees that are structurally weak due to internal decay. Once internal decay has occurred, recovery of lost strength is irreversible. The decaying tree becomes vulnerable to external impacts, which may lead to breakage or windthrow. The Yoshino cherry (Cerasus×yedoensis (Matsum.) “Somei-yoshino”) accounts for a high proportion of landscape trees in Asia. Testing the reliability of noninvasive sonic tomography (SoT) to estimate internal defects could facilitate structural stability evaluation and proactive preventive management. We performed noninvasive SoT and invasive resistance microdrilling to detect and quantify internal defects in old and large Yoshino cherry trees. Generally, SoT reflected the areas and location of severe structural defects, showing a correlation with the resistance microdrilling results (R² = 0.542, p &amp;lt; .001). However, when cracks were present in disks, the SoT overestimated defects and errors mainly observed in the transition zone (green). Based on these findings, when evaluating the SoT, careful decisions are needed to distinguish between actual defects and broad sonic shadows. Furthermore, additional evidence from drilling resistance is required to differentiate between incipient decay and cracks. The results of this study provide valuable insights for enhancing the interpretation of sonic tomograms. Study Implications: We suggest defect boundaries in sonic tomograms should be redefined to improve the accuracy of interpretation for any new species being studied. Careful drilling resistance measurements should be taken, especially in transition zones (green areas in tomogram) and incipient decay zone (light brown areas). Noninvasive sonic tomograms only reflect acoustic properties of the tested cross-section of a tree and cannot be considered an actual representation of the internal conditions until the readings are calibrated to destructive sampling results.

Patient-reported symptoms before adjuvant locoregional radiotherapy for breast cancer: triple-negative histology impacts the symptom burden.

Multimodal breast cancer treatment may cause side effects reflected in patient-reported outcomes and/or symptom scores at the time of treatment planning for adjuvant radiotherapy. In our department, all patients have been assessed with the Edmonton Symptom Assessment System (ESAS; aquestionnaire addressing 11major symptoms and wellbeing on anumeric scale of 0-10) at the time of treatment planning since 2016. In this study, we analyzed ESAS symptom severity before locoregional radiotherapy. Retrospective review of 132 patients treated between 2016 and 2021 (all comers in breast-conserving or post-mastectomy settings, different radiotherapy fractionations) was performed. All ESAS items and the ESAS point sum were analyzed to identify subgroups with higher symptom burden and thus need for additional care measures. The biggest patient-reported issues were fatigue, pain, and sleep problems. Patients with triple negative breast cancer reported ahigher symptom burden (mean 30 versus20, p = 0.038). Patients assigned to adjuvant endocrine therapy had the lowest point sum (mean18), followed by those on Her-2-targeting agents without chemotherapy (mean19), those on chemotherapy with or without other drugs (mean26), and those without systemic therapy (mean41), p = 0.007. Those with pathologic complete response after neoadjuvant treatment had significantly lower anxiety scores (mean 0.7 versus1.8, p = 0.03) and atrend towards lower depression scores, p = 0.09. Different surgical strategies, age, and body mass index did not impact on ESAS scores, while the type of adjuvant systemic therapy did. The effect of previous neoadjuvant treatment and unfavorable tumor biology (triple negative) emerged as important factors associated with symptom burden, albeit in different domains. ESAS data may facilitate identification of patients who should be considered for additional supportive measures to alleviate specific symptoms.

New Reference Values for Thyroid Volume by Ultrasound in German Children and Adolescents from a Population-Based Study.

Reliable reference values for thyroid ultrasound measurements are essential to effectively guide individual diagnostics and direct health care measures at the population level, such as iodine fortification programs. However, the latest reference values for total thyroid volume (Tvol) provided by the WHO in 2004 only apply to the 6 to 12-year-old age group and are limited to countries with a long history of iodine sufficiency, which does not reflect the situation in most European countries, including Germany. The present aims to derive up to date thyroid volume ultrasound reference values in German children and adolescents. Data from the baseline assessment of a nationwide study in German children and adolescents (KiGGS) conducted between 2003 and 2006 were used to determine sex-specific reference values for Tvol in thyroid-healthy participants aged 6 to 17 years by age and body surface area (BSA) according to the Lambda-Mu-Sigma (LMS) method. Data from 5559 participants were available for reference chart construction (girls: 2509 (45.1%)). On average, the 97th percentile is 33.4% and 28.5% higher than the corresponding WHO's reference values for boys and girls, respectively. These findings are consistent with most other studies in German and European children and adolescents at a similar time of investigation. Notably, the sample used for this study was iodine-sufficient according to WHO criteria. The reference values provided by the WHO are overly conservative for this population and could potentially apply to other European countries with a similar history of iodine supply.

The impact of devolution on local health systems: Evidence from Greater Manchester, England

Devolution and decentralisation policies involving health and other government sectors have been promoted with a view to improve efficiency and equity in local service provision. Evaluations of these reforms have focused on specific health or care measures, but little is known about their full impact on local health systems. We evaluated the impact of devolution in Greater Manchester (England) on multiple outcomes using a whole system approach.We estimated the impact of devolution until February 2020 on 98 measures of health system performance, using the generalised synthetic control method and adjusting for multiple hypothesis testing. We selected measures from existing monitoring frameworks to populate the WHO Health System Performance Assessment framework. The included measures captured information on health system functions, intermediatory objectives, final goals, and social determinants of health. We identified which indicators were targeted in response to devolution from an analysis of 170 health policy intervention documents.Life expectancy (0.233 years, S.E. 0.012) and healthy life expectancy (0.603 years, S.E. 0.391) increased more in GM than in the estimated synthetic control group following devolution. These increases were driven by improvements in public health, primary care, hospital, and adult social care services as well as factors associated with social determinants of health, including a reduction in alcohol-related admissions (−110.1 admission per 100,000, S.E. 9.07). In contrast, the impact on outpatient, mental health, maternity, and dental services was mixed.Devolution was associated with improved population health, driven by improvements in health services and wider social determinants of health. These changes occurred despite limited devolved powers over health service resources suggesting that other mechanisms played an important role, including the allocation of sustainability and transformation funding and the alignment of decision-making across health, social care, and wider public services in the region.

Research Progress on the Application of Cluster Nursing Mode in ECMO-Assisted Patients

Cluster care, also known as cluster therapy, cluster intervention, or bundled therapy, is a series of evidence- based supportive joint care measures developed to improve the quality of care for specific patients or nursing issues. It is highly reliable and can effectively improve patient prognosis. This article summarized the application of cluster nursing care in extracorporeal membrane oxygenation (ECMO)-assisted patients and the problems faced to provide a reference for evidence-based decision-making in clinical practice.

Predictors of textbook outcome following oesophagogastric cancer surgery.

Textbook outcome (TO) is a composite measure representing an ideal perioperative course, which has been utilized to assess the quality of care in oesophagogastric cancer (OGC) surgery. We aim to determine TO rates among OGC patients in a UK tertiary center, investigate predictors of TO attainment, and evaluate the relationship between TO and survival. A retrospective analysis of a prospectively collected departmental database between 2006 and 2021 was conducted. Patients that underwent radical OGC surgery with curative intent were included. TO attainment required margin-negative resection, adequate lymphadenectomy, uncomplicated postoperative course, and no hospital readmission. Predictors of TO were investigated using multivariable logistic regression. The association between TO and survival was evaluated using Kaplan-Meier analysis and Cox regression modeling. In sum, 667 esophageal cancer and 312 gastric cancer patients were included. TO was achieved in 35.1% of esophagectomy patients and 51.3% of gastrectomy patients. Several factors were independently associated with a low likelihood of TO attainment: T3 stage (odds ratio (OR): 0.41, 95% confidence interval (CI) [0.22-0.79], p = 0.008) and T4 stage (OR:0.26, 95% CI [0.08-0.72], p = 0.013) in the esophagectomy cohort and high BMI (OR:0.93, 95% CI [0.88-0.98], p = 0.011) in the gastrectomy cohort. TO attainment was associated with greater overall survival and recurrence-free survival in esophagectomy and gastrectomy cohorts. TO is a relevant quality metric that can be utilized to compare surgical performance between centers and investigate patients at risk of TO failure. Enhancement of preoperative care measures can improve TO rates and, subsequently, long-term survival.

Impact of coordinated care on adherence to antihypertensive medicines among adults experiencing polypharmacy in Australia.

Adherence to antihypertensives is key for blood pressure control. Most people with hypertension have several comorbidities and require multiple medicines, leading to complex care pathways. Strategies for coordinating medicine use can improve adherence, but cumulative benefits of multiple strategies are unknown. Using dispensing claims for a 10% sample of eligible Australians, we identified adult users of antihypertensives during July 2018-June 2019 who experienced polypharmacy (≥5 unique medicines). We measured medicine use reflecting coordinated medicine management in 3 months before and including first observed dispensing, including: use of simple regimens for each cardiovascular medicine; prescriber continuity; and coordination of dispensings at the pharmacy. We measured adherence (proportion of days covered) to antihypertensive medicines in the following 12 months, and used logistic regression to assess independent associations and interactions of adherence with these measures of care. We identified 202 708 people, of which two-thirds (66.6%) had simple cardiovascular medicine regimens (one tablet per day for each medicine), two-thirds (63.3%) were prescribed >75% of medicines from the same prescriber, and two-thirds (65.5%) filled >50% of their medicine on the same day. One-third (28.4%) of people experienced all three measures of coordinated care. Although all measures were significantly associated with higher adherence, adherence was greatest among people experiencing all three measures (odds ratio = 1.63; 95% confidence interval: 1.55-1.72). This interaction was driven primarily by effects of prescriber continuity and dispensing coordination. Coordinating both prescribing and dispensing of medicines can improve adherence to antihypertensives, which supports strategies consolidating both prescribing and supply of patients' medicines.

Abstract 6377: UNC AYA Cancer Program: Reach and influence on cancer care delivery

Abstract Category: Cancer Disparities and Inequities Research Purpose of the study Adolescent and young adults (AYAs, aged 13-39) with cancer face barriers to care and stagnant outcomes. National groups have called for the development of AYA-specific programs, yet how these programs influence outcomes remains largely unexplored. With a dedicated AYA Cancer Program at the University of North Carolina (UNC) since 2015, we conducted a retrospective study to describe the AYA population and compare outcomes between those receiving program support and those who did not. Methods Linking electronic health records and NC Cancer Registry data, we defined a cohort of AYA patients who received cancer treatment at UNC from 2014-2022. We compared sociodemographic, clinical, utilization, and supportive care measures for those who received AYA Program contact and those who did not. Chi-square and two-group t-tests were used for comparison. Results Of 4044 AYAs receiving care at UNC, 670 engaged with our AYA Program (Table 1). Program-contacted patients were younger at diagnosis, more likely to be Black, have metastatic disease or hematologic malignancies, and more likely to receive systemic therapy. Program patients had increased clinical trial enrollment, more palliative care and fertility counseling. Conclusions Our findings suggest AYAs contacted by our program represent a distinct population with higher clinical and social needs. Despite higher rates of acute care events and no-shows, they were more likely to receive guideline-recommended care - clinical trial enrollment, fertility counseling, and palliative care. Future analyses will compare outcomes using adjusted modeling, and track trends over time. Results will inform next steps for the UNC AYA Cancer Program and other centers aiming to improve care delivery for AYAs. Table 1. Notable results for AYAs with and without program contact AYA Program Contact (n=670) No AYA Program Contact (n=3374) P value Age at diagnosis Mean years 27 31 &amp;lt;0.01 Sex Female 55% 61% 0.02 Male 45% 39% Race White 56% 61% &amp;lt;0.01 Black 26% 20% Other 18% 16% Ethnicity Hispanic 13% 12% 0.29 Non-Hispanic 86% 84% Marital Status Married/Partnered 34% 42% &amp;lt;0.01 Not Married 65% 51% Cancer Type Solid 54% 87% &amp;lt;0.01 Hematologic 46% 13% Stage Metastatic 52% 18% &amp;lt;0.01 Treatment Chemotherapy 85% 37% &amp;lt;0.01 Radiotherapy 6% 12% Immunotherapy 18% 9% Clinical Trial Enrollment 45% 26% &amp;lt;0.01 No-Shows Mean 7 4 &amp;lt;0.01 Supportive Care Palliative care visits 19% 3% &amp;lt;0.01 Advance Care Planning 14% 5% Fertility visit 18% 2% Hospice enrollment 3% 0.7% Complications ED visit 68% 48% &amp;lt;0.01 Unplanned hospitalization 63% 29% Citation Format: Jacob N. Stein, Dawn M. Ritzwoller, Alexis C. Wardell, Emily R. Haines, Bridgette Thom, Lauren Lux, Andrew B. Smitherman. UNC AYA Cancer Program: Reach and influence on cancer care delivery [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2024; Part 1 (Regular Abstracts); 2024 Apr 5-10; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2024;84(6_Suppl):Abstract nr 6377.

Exploring the relationship between AM-PAC scores and mobility components in falls and pressure injury risk assessment tools: A pathway to improve nursing clinical efficiency.

Nurses routinely perform multiple risk assessments related to patient mobility in the hospital. Use of a single mobility assessment for multiple risk assessment tools could improve clinical documentation efficiency, accuracy and lay the groundwork for automated risk evaluation tools. We tested how accurately Activity Measure for Post-Acute Care (AM-PAC) mobility scores predicted the mobility components of various fall and pressure injury risk assessment tools. AM-PAC scores along with mobility and physical activity components on risk assessments (Braden Scale, Get Up and Go used within the Hendrich II Fall Risk Model®, Johns Hopkins Fall Risk Assessment Tool (JHFRAT) and Morse Fall Scale) were collected on a cohort of hospitalised patients. We predicted scores of risk assessments based on AM-PAC scores by fitting of ordinal logistic regressions between AM-PAC scores and risk assessments. STROBE checklist was used to report the present study. AM-PAC scores predicted the observed mobility components of Braden, Get Up and Go and JHFRAT with high accuracy (≥85%), but with lower accuracy for the Morse Fall Scale (40%). These findings suggest that a single mobility assessment has the potential to be a good solution for the mobility components of several fall and pressure injury risk assessments.