Number Of Hospitalized Patients Research Articles

IoT blood pressure monitoring system

<p>The number of patients in hospital keep increasing every year and, some patients’s blood pressure must be measured by medical staff regularly. This means that the medical staff need to attend to the patient routinely and several readings are required in each session to make sure the results are accurate. Therefore, there is a need to simplify the monitoring process inside hospital in Malaysia. In this work, IoT Blood Pressure Monitoring System (IBPMS) is designed to monitor patient’s blood pressure remotely. This project use Raspberry Pi as a gateway to view the value of blood pressure online. Result showed that the design is capable to transfer data from blood pressure detector through the network using USB TTL serial cable which is directly attached to the Raspberry Pi. User can also view the blood pressure reading continuously from Telegram application and email service. Furthermore, the system can measure the value of blood pressure accurately when user is in sitting position.</p>

Prioritising the care of older people at home

As the NHS gears up for the burden likely to be placed on already stretched resources by coronavirus, attention is turning once again to the number of older patients in hospitals. As the primary at risk group: how can they be protected from exposure?

COVID-19 and its impact on cardiology service.

COVID-19 has impacted the primary management of cardiac conditions worldwide, decreasing the number of interventions for coronary diseases. Elective treatments and imaging have been largely cancelled across the world to allow better allocation of resources towards COVID-19 patients. However, the impact of such delays for cardiac patients could prove drastic. Although the number of hospital patients presenting with coronary symptoms during the outbreak have decreased internationally, it is now imperative that safety protocols be upheld and life preserving surgeries be provided where appropriate. In this review, we discuss how COVID-19 has affected primary cardiac intervention globally, how services have been adapted to taking precautionary measures, and how morbidity rates can be reduced by introducing scoring systems and telemedicine. (www.actabiomedica.it)

Hospital Utilization and the Respiratory Disease Season

In the United States, the respiratory disease season has challenged providers to care for populations at the community level. This study reviewed the utilization of inpatient hospitals in the metropolitan area of Syracuse, New York during the most recent twelve-month periods. It focused on the onset and duration of respiratory disease utilization. The study evaluated this utilization by identifying numbers of hospital patients admitted with respiratory diseases to the combined Syracuse hospitals by month. By focusing on twelve-month periods for July-June of each year, it was possible to identify changes in hospital utilization for respiratory disease season. The study demonstrated that, during the five-year period, inpatient respiratory diseases were concentrated between January and March. The highest levels of respiratory disease occurred during January. The study also demonstrated that the onset of the respiratory disease season was rapid, demonstrated by increases in census levels and discharges between October-December and January-March. The study suggested that the highest demands for inpatient care in Syracuse increased by a community wide average of 15 to 20 patients during January. The data show that increased levels of respiratory diseases extended from January-March into April and May. This approach to the utilization of health care could be employed by other providers to address the onset and duration of respiratory disease at the community level.

Study on the characteristics and Countermeasures of nursing needs for elderly hospitalized patients based on cluster analysis

Objective To understand the basic characteristics of elderly patients in the Comprehensive Ward of emergency department, put forward reliable countermeasures that can be applied to clinical nursing work, in order to provide reliable countermeasures for clinical nursing work. Methods By querying the electronic medical record system, we collected data from patients retrospectively, and used statistical inference and cluster analysis, nonparametric rank sum test and other statistical inference methods to analyze the data. Results Totally 636 patients were included, the average age of 83 years (77,87), the average required nursing project 4 (3,5), the average number of diagnosis 8 (6,11), Charlson comorbidity index (2,5) with an average of 4 points, the average hospitalization was 15 days (11,21); diagnosis the number of top five diseases for acute exacerbation of chronic obstructive pulmonary disease, pneumonia, pulmonary infection, hypostatic pneumonia, aspiration pneumonia and acute exacerbation of chronic heart failure; 15 nursing needs are divided into three categories before statistical analysis, basic nursing, nursing, nursing treatment pipeline, and as cluster variables in 636 patients divided into three groups, which were high demand for nursing care group, nursing group, nursing group needs low demand. The three groups of patients were statistically significant in the number of deaths, age, Charlson complication index, the number of clear diagnosis and the days of hospitalization (P<0.05). Conclusion The average age of hospitalized elderly patients is relatively high. The risk of death is gradually increased after the patients are grouped according to the requirement of nursing. They are more likely to merge more diseases. The number of hospitalized patients is longer and the number of deaths will increase. Clinical nursing staff should recognize the nursing needs of different types of patients and provide better quality care services for them. Key words: Aged; Nursing care; Emergency; Countermeasures; Cluster analysis

Application of data envelopment analysis in evaluation of intensive nursing efficiency

Objective To evaluate the efficiency of nursing human resources in the nursing unit of a severe medical department in a hospital by data envelopment Analysis (DEA), to explore the reasons of inefficiency and to provide basis for improving nursing efficiency. Methods Three nursing input indicators from January 2017 to December in a certain ICU (the actual number of beds in the month department, the number of nurses in the department, the actual number of working hours in the department), and 2 indicators of output indicators (total number of hospitalized patients in this month, total number of patients admitted this month) related data were selected. Using DEA to analyze and study. Results From January 2017 to December, the overall efficiency was 0.959, and there were 3 units (accounting for 25%) in overall efficiency =1, pure technical efficiency was 0.984, 6 units of pure technical efficiency =1 (accounting for 50%), and scale efficiency was 0.974, there are 3 units of scale efficiency =1 (accounting for 25%). Conclusion There is significant difference in the level of serious nursing efficiency in our hospital, and the efficiency can be maximized through rational allocation of nursing human resources. Key words: Intensive care units; Nursing efficiency; Data envelopment analysis

Epidemiological characteristics of 1 166 cases of hospitalized adult burn patients and its implications for nursing in Fujian

Objective To understand the adult burn patients' clinical epidemiology features in Fujian province to provide references for formulating and carrying out the targeted measures. Methods The clinical data of 1 166 burn adults inpatients from June 2012 to June 2015 in the Burn Center of Fujian province were retrospectively analyzed.They were divided into youth group, middle-aged group and older-aged group according to the division of age of the World Health Organization and the three groups were compared, including burn area, depth, inhalation injury, complications, mortality, morbidity season, treatment and prognosis, the average number of surgery, the average length of stay, the average hospitalization expenses, etc. Results In three years, the burn adults accounted for 44.72% for the average annual percentage of the total number of hospitalized patients at the same period (1 166/2607).856 were male patients and 310 were women.Sex ratio was 2.76: 1.The young were the most among the burn adults, accounting for 60% (700/1 166). Patients with II degree burn depth were the most, accounting for 49.4% (576/1 166), and patients with II~III degree accounted for 35.8% (417/1 166) .The mean area of TBSA was (11.93±15.87) %.The site of the burns was the highest in the workplace accounted for 50.3%.The flame burns accounted for 41.5%, which was the most.The site was treated with water and clothing accounted for 12.7% and 13.6%.The burned area was usually on head and face, body, hands and forearms.Most of burn occurred in the workplace and mainly occurred in summer, accounting for 30.6%, peaked in July.Burns occured mostly from 10: 00 to 12: 00.10.4%(122/1 166) suffered with inhalation injury.The mean number of operations was (0.48±1.05) times.The mean hospitalization time was (23.55±27.71) days, and the mean hospitalization expenses was (42 554.14±87 877.00) RMB.There were no significant differences between the three groups (P>0.05). Conclusions The characteristics of adult burn in Fujian was mainly injured while working and because of flames which always caused hand burns.The reason of elderly burn patients was flame burn at home with the characteristic of more than young adults.The government should take effective measures to keep occupational safety, strengthen the position of young worker safety education and also strengthen the elderly home security at the same time.Then it can reduce the incidence of burn. Key words: Adult burns; Epidemiology; Nursing; Prevention

Occurrence and influencing factors of hypokalemia in patients with mental disorders

Objective To investigate the occurrence and influencing factors of hypokalemia in patients with mental disorders. Methods A total of 751 hospitalized patients with mental disorders from February 2016 to August 2016 admitted to hospital with urgent checking of serum potassium level were retrospective analyzed and divided into hypokalemia group and non-hypokalemia group. Comparison of general data was carried out between the two groups. Results In the 751 cases of hospitalized patients, the serum potassium level of hypokalemia patients was 2.05~3.49 mmol/L, with an average of (3.26±0.25) mmol/L; there were 149 cases of hypokalemia accounting for 19.8% of the total number of hospitalized patients. Single factor analysis showed that gender, age, diet status, hospital season and whether to cooperate had statistically significant differences in the serum potassium levels of hypokalemia patients (P<0.05) . Multiple linear regression analysis showed that gender, age, diet status, hospital season and whether to cooperate was the independent factors of hypokalemia. Conclusions Patients with mental disorders may have some symptoms of hypokalemia. The hospital should take effectively preventive measures according to the risk factors, cure blood potassium concentration in time, guide the patients how to adjust the diet, and pay attention to the safety of medication which are conducive to the effective control of hypokalemia-leaded adverse reactions in patients with mental disorders. Key words: Mental disorder; Hypokalemia; Influencing factor

Meta-analysis of case management model in reducing the rehospitalization rate of patients with chronic heart failure

Objective To systematically review the efficiency of community case management in reducing the rehospitalization rate and hospitalization time, and shortening the hospitalization costs of patients with chronic heart failure (CHD) . Methods Randomized controlled trials (RCTs) and clinical control trials (CCTs) of community case management about the number of hospitalized patients and the average hospitalization time were collected from Cochrane library, JBI evidence-based nursing center library, MEDLINE, Embase, Pubmed, CNKI, VIP, and Wanfang. Data were searched and extracted; captured citations were screened; and the methodological quality of all included studies was assessed by 2 reviewers independently. Revman 5.3 software was used to perform the meta-analysis. Results Totally 14 published studies were included in the systematic review, and they were all RCTs. The results of meta-analysis showed that, compared with patients without community case management, there was statistically significant difference in the effects of case management on the rehospitalization rate and hospitalization time of CHD patients [random effects model OR=0.76, 95%CI (0.65, 0.88) , P<0.01] [random effects model OR=-1.23, 95%CI (-1.58, -0.88) , P<0.01]. Conclusions Community case management can effectively reduce the rehospitalization rate and shorten the hospitalization time of CHD patients, so it is worth being popularized. Key words: Heart failure; Meta-analysis; Case management model; Rehospitalization rate

Venous thromboembolism: use of graduated compression stockings.

This article aims to review the use of graduated compression stockings in the prevention of venous thromboembolism (VTE). This is particularly important owing to the increasing number of people who die from hospital-acquired VTE and deep vein thrombosis. In addition, there is the need to raise awareness among nurses and other health professionals on the overall impact of VTE, and the number of patients with a range of conditions including cancer who may be at risk of developing VTE. Graduated compression stockings, when used alone, have been found to be effective in preventing VTE in a number of patients in hospital and community settings. However, there is evidence that when used together with other preventative measures such as pharmacological prophylaxis are more effective than graduated compression stockings alone. It is also important that the correct size of graduated compression stocking is used and how they are applied as these may have a significant impact on VTE. The role of the nurse in thromboprophylaxis and implications for practice are discussed.

Current clinical aspects of parenteral nutrition in geriatric patients

Advancements in medicine, better diagnostics and zeal for a high quality of life have enabled many geriatric patients seeking medical attention for any type of illness. The elderly population is increasing globally and so does the number of such patients in hospital and critical care units. However, increased incidence of debilitating diseases in elderly makes them more prone to develop malnutrition and thus supplementation of nutrition plays an important role in care of these patients. The parenteral nutrition is usually given if enteral nutrition is inadequate or cannot be given. The causes of malnutrition in elderly can be manifold and may be due to weight loss, loss of fat free mass and due to muscle wasting. The special considerations when formulating parenteral nutrition in elderly population is increased content of lipids, early supplementation of trace elements, minerals and vitamins. The outcomes of parenteral nutrition in elderly population have been found to be similar to that in young patients, however overall prognosis in these patients remain guarded due to more severity and guarded prognosis of the diseases found in these patients. The complications due to parenteral nutrition in elderly patients are similar to that of the young patients and are mainly mechanical (catheter related), infectious and metabolic. It has been recommended that the parenteral nutrition should be started early, if indicated, in geriatric patients and should follow the same guidelines as in younger patients with some modifications.

일 지역 종합병원 종사자들의 환자 의료정보 보호에 관한 인식도와 실천도

This study aimed to identify the relationship between the awareness of employees in medical institutes on the protection of medical information and their practice, and basic data of the development of a protection policy is presented. The subjects of the study were 433 employees of general hospitals located in G city and they were interviewed to ascertain their awareness of the protection of medical information and their practice level. The collected data was analysed with a t-test, a dispersion analysis, a Pearson analysis, and a multi-regression analysis. The mean scores on the awareness of protection of medical information was , and that for the proficiency level was . As a relevant factor for awareness and proficiency, education in medical information protection was significantly related to awareness. Education experience in medical information protection and the daily mean number of patients in hospitals had a significant relationship with scores on awareness.

A Proposed mHealth Model for Improving the Quality Care in Hospitals

As the hospitals face increasing demands to participate in a wide range of quality improvement activities, the role and influence of physicians and nurses in these efforts is also increasing. The growing population has led to increase the number of patients in hospital. Therefore, healthcare workers have to see more patients and do more with each patient than ever before. Thus, Hospitals confront challenges with regard tracking patient condition, share information about the patient and difficulty follow up all patients with the lack of the number of specialist physician at all levels. This marks mobile devices an important opportunity for the next generation healthcare delivery. This study proposed a mobile health model that could support hospitals in tracking patient’s progress and improve the quality care in hospitals. It allows physicians and nurses to track the patients’ conditions more efficiently and easily. It also able to assist in crucial clinical decisions 24/7 and available on call wherever physicians to manage their care process from start to finish and from inside and outside the hospital.

Comparison and overview of Wireless sensor network systems for Medical Applications

Abstract The need for technology to assist in medical monitoring applications is becoming more necessary in society as the number of patients in hospital and clinics continues to grow. The demand on staff to monitor every individual consistently becomes necessary. Wireless sensor networks (WSN) are now being used to facilitate this on-demand monitoring both at the patients home and in the hospital/clinic environment. This paper looks at the basic parameters necessary for a medical based WSN with particular focus on communication platforms and their security. These parameters will be compared and contrasted, and the main components necessary to form an ideal medical WSN will be highlighted.

Multiple Patient Safety Events Within a Single Hospitalization

The objective was to examine co-occurrence of iatrogenic events in US hospitals. Using Agency for Healthcare Research and Quality patient safety indicators (PSIs), the authors defined multiple patient safety events (MPSEs) as the occurrence of multiple PSIs during a single hospitalization. The National Inpatient Sample was analyzed to estimate the national prevalence of MPSEs, risk factors for MPSEs, and the average length of stay and average hospital charges associated with MPSEs. MPSEs occurred in approximately 1 in every 1000 hospitalizations, affecting more than 30 000 patients in 2004. Significant risk factors for MPSEs include age, black race, Medicare coverage, and treatment at urban teaching hospitals. Compared with all admissions, the average length of stay for MPSE admissions was 4 times longer, and the average charge for MPSE admissions was 8 times greater. Despite the low prevalence, MPSEs affect large numbers of hospital patients in America. MPSEs have distinct characteristics and are far more resource intensive than hospital admissions generally.

Effect of setting up ward assistant to improve satisfaction of patients in wards

Objective To observe the effect of setting up ward assistant to improve patients'satisfaction in wards.Methods The patients' satisfaction was surveyed and the numbers of hospital patients were investigated every year from 2007 to 2009 before and after the setup of ward assistant to retrospectively analyze the effect of setting up ward assistant to improve patients' satisfaction in wards.Results After setting up the ward assistant, the degrees of satisfaction were improved (P ＜ 0.01) and the number of hospital patients and the rate of re-hospitalization were increased year by year(P ＜ 0.01).There is a positive correlation between the improvements of the satisfaction degree and the rate of re-hospitalization (r = 0.998, P ＜ 0.05).Conclusions Setting up ward assistant is helpful to improve the degrees of satisfaction and increase the amount of hospital patients. Key words: Ward assistant; Hospital patients; Re-hospitalization rate; Satisfaction degree

Political-conformist Factors in Inefficiency of Consultative Specialist Services at the Area of Zenica-Doboj Canton (zdc )

Caring for the health of people is a potent factor in the development of social values. However, a bad set of health policy framework, without firm control mechanisms, creating the possibility of making politically motivated protectionist decisions that will give the poor outcomes of health services. Following the health needs of patients in the period since 2005 to 2010 in the area of Zenica-Doboj Canton and behavior of specialist consultants, after making an poorly judged, politically motivated decisions, we found increased demands of patients within primary health care (PHC) and specialist health care (SHC), an increase in the number of hospital patients, increasing demands for diagnostic tests, and dissatisfied patients for an inefficient health service. In order to prevent the possibility of making such decisions, or unethical behavior of health professionals, it is necessary to establish clear regulatory mechanisms and responsibilities in society and the health system, such as strategic plans, bylaws and standards, with guidelines for good practice.

わが国における肝細胞癌合併アルコール性肝硬変患者の特徴

We addressed the recent trend in alcoholic liver cirrhosis (LC) in Japan. Nation-wide survey was carried by asking the hospitals that are qualified by the Japanese Society of Gastroenterology for the number of hospitalized-patients of LC in 2007 and etiology of LC. Concerning hepatocellular carcinoma (HCC) in alcoholic LC, we also obtained age, sex, the amount of daily alcohol intake, period of habitual drinking, body mass index (BMI), prevalence of diabetes mellitus (DM) and obesity (BMI ≥25). Prevalence of HCC was 32.3% in male, and 19.8% in female. It was 39.7% in patients with DM (23.6% without DM) , 44.6% with obesity (23.9% without obesity), 48.8% over 65 y/o (20.0% younger than 65 y/o). Age, sex obesity and DM appeared to be involved in the progression of HCC in alcoholic LC. Improvement of total life style is important.

환자 만족도와 충성도 관계

고객관계관리에 대한 중요성과 관심이 증가하고 있는 현 상황에서 본 연구의 조사대상은 서울소재 종합병원을 방문한 입원환자(104명)와 외래환자(98명) 202명을 자기기입방식을 원칙으로 설문조사하였으며, 병원 만족도와 병원 충성도의 관계를 파악하기 위해 고객관계관리 관련 변수를 통해 다양한 측면에서 분석해 보았다. 그 결과 만족도와 충성도의 관계는 매우 유의했으며, 그 중에서도 외래에서는 예약 만족도가, 입원에서는 의료외서비스 만족도가 가장 큰 영향을 주는 것으로 나타났다. 또한 인구학적 특성 중 연령이 충성도와 유의한 관계로 나타났다. 따라서 본 연구의 결론은 의료기관을 방문하는 환자 중 충성도가 높은 환자가 만족도도 높은 것으로 나타났으므로 환자 유치를 높이기 위해 충성도 높은 환자를 많이 확보하는 것이 매우 중요하므로 충성도와 밀접한 관계인 환자의 만족도를 높일 필요가 있음을 알게 되었다. 따라서 환자의 만족도를 높이기 위한 다양한 방안을 연구할 필요가 있겠다. Recently, Patient Related Management(PRM) is focused to be increase the number of patients in hospitals. Therefore, the participants of this research are inpatient(104) and out patient(98) in a tertiery hospital in Seoul also, the research purpose is to analysis the relationship between hospital satisfaction and loyalty in various aspects by questionnaires. In the results, the relationship between hospital satisfaction and loyalty was very significant. Among various hospital satisfactions, the reservation satisfaction for out-patients and non-medical service satisfaction for in-patients were significant factors. In the demographic factors, the relationship between age and the hospital loyalty is significant. Therefore, we should make efforts to increase the patient's satisfaction.

Proton Pump Inhibitor Therapy Alleged Accomplice or Innocent Bystander in the Changing Epidemiology of Clostridium Difficile Associated Diarrhea?

Purpose: Over the past decade there has been an increase in the number of hospital patients with Clostridium difficile-associated diarrhea (CDAD). It has become a major hospital acquired pathogen and understanding the potential risk factors for CDAD has become an important focus of research. One of the controversial associations commonly stated of increasing ones risk of acquiring CDAD is proton pump inhibitor (PPI) therapy (Am J Gastroenterol 2008; 103:2308-2313). This retrospective chart review study was done to evaluate the incidence of CDAD in hospitalized patients who were taking PPI therapy. Methods: An IRB approved retrospective case-control chart review study was conducted consisting of 209 randomly chosen hospitalized patients charts admitted between 1/01/05 to 7/01/08 that were found to have a discharge diagnosis of CDAD by ICD9 coding (008.45). Charts were then analyzed for inclusion criteria to determine if patients had a positive C.difficile cytotoxin assay performed during that admission, if PPI therapy was used continuously for at least three days prior to that positive cytotoxin stool assay, and whether the patients were over the age of eighteen. Exclusion criteria for the study consisted of having no prior history of CDAD within the past 6 months. In addition, a randomly chosen age and gender matched control group of 168 charts was obtained during the same time frame, with the only inclusion/exclusion criteria required be that the patient be above the age of eighteen, with no diarrhea symptoms while in the hospital and no positive C. difficle cytotoxin assays during admission. Results: Of the 209 hospitalized patient charts reviewed, 149 met the inclusion criteria for the study while 60 were excluded. Cases were not found to be more likely than controls to have acid suppressive therapy with PPI onboard while admitted to the hospital, 80 (53.7%) vs. 99 (58.9%) with a P=0.8081 by Cochran-Mantel-Haenszel analysis. Conclusion: This retrospective study further argues against the alleged risk factor association that PPI therapy will increase a hospitalized patient's chance for developing CDAD due to gastric acid suppression. Further randomized prospective studies should be sought to further clarify this discrepancy in correlation.