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1.
Actas Urol Esp (Engl Ed) ; 48(4): 289-294, 2024 May.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-38159803

RESUMO

INTRODUCTION: Patient satisfaction is the degree of conformity with the healthcare they receive. It is real evidence and one of the most important factors in determining the effectiveness and quality of healthcare systems. OBJECTIVE: To identify the quality of care in the Urology outpatient department of a third-level hospital. MATERIALS AND METHODS: The NHS (National Health Service) 2018 quality of care questionnaire with 11 sections, 133 items, and duration of approximately 25min was randomly administered to 250 patients attending Urology outpatients at a third-level public hospital in Mexico. RESULTS: According to responses, 92% (n=230) knew the reason for the consultation. 64.8% (n=162) had a consultation with the same physician by whom they were initially seen. The longest reported hospital wait time before being seen was more than 2h in 29.6% (n=74). As for consultation time, 212 patients responded and the duration was 11-20min in 52.8% (n=112). Finally, 33.2% (n=83) considered the quality of service to be good. CONCLUSIONS: The use of the NHS 2018 survey in the Urology service at a third-level public hospital in Mexico is feasible, since we managed to obtain a significant and continuous improvement in all its indicators which is satisfactory for all.


Assuntos
Hospitais Públicos , Satisfação do Paciente , Qualidade da Assistência à Saúde , Encaminhamento e Consulta , Urologia , México , Humanos , Masculino , Pessoa de Meia-Idade , Feminino , Adulto , Encaminhamento e Consulta/estatística & dados numéricos , Centros de Atenção Terciária , Idoso , Adulto Jovem , Adolescente
2.
Rev Esp Enferm Dig ; 99(6): 330-6, 2007 Jun.
Artigo em Espanhol | MEDLINE | ID: mdl-17883296

RESUMO

BACKGROUND: Hyperamylasemia and acute pancreatitis represent the most frequent major complication after endoscopic retrograde cholangiopancreatography (ERCP), developing in 1-30% of cases. OBJECTIVE: To determine the incidence of hyperamylasemia and acute pancreatitis after ERCP, and to assess the utility of rectal indomethacin to prevent these events. MATERIAL AND METHODS: A randomized clinical trial. During a 12-month period 150 patients were included. They were divided up into a study group (n = 75), where 100 mg of rectal indomethacin were administered 2 hours prior to the procedure, and a control group (n = 75), which received rectal glycerin. Two hours after ERCP serum amylase levels were measured and classified as follows: 0or=600 IU/L. Clinical pancreatitis episodes were quantified and classified according to Ranson's criteria. RESULTS: Gender distribution: 100 women and 50 men. Mean age: 55.37 +/- 18.0 for the study group, and 51.1 +/- 17.0 for the control group. A diagnosis of benign pathology was present in 56 (74.7%) cases in the study group, and 59 (78.7%) controls. After ERCP 13 (17.3%) patients in the study group and 28 (37.3%) in the control group developed hyperamylasemia (p (2) 0.05). Hyperamylasemia > 600 IU/L was found in 3 patients in the study group, and in 10 in the control group (p = 0.001). Mild pancreatitis was detected in 4 (5.3%) patients in the study group, and in 12 (16%) patients in the control group (p = 0.034). There were no deaths or adverse drug reactions. CONCLUSIONS: Rectal indomethacin before ERCP decreases the risk of hyperamylasemia and pancreatitis. Indomethacine is a feasible, low-cost drug with minimal or nil side effects.


Assuntos
Amilases/sangue , Anti-Inflamatórios não Esteroides/uso terapêutico , Colangiopancreatografia Retrógrada Endoscópica/efeitos adversos , Indometacina/uso terapêutico , Pancreatite/prevenção & controle , Doença Aguda , Administração Retal , Adulto , Idoso , Anti-Inflamatórios não Esteroides/administração & dosagem , Doenças Biliares/complicações , Doenças Biliares/diagnóstico , Doenças Biliares/cirurgia , Biomarcadores , Feminino , Humanos , Indometacina/administração & dosagem , Masculino , Pessoa de Meia-Idade , Pancreatite/sangue , Pancreatite/etiologia , Pré-Medicação , Método Simples-Cego
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