Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 13.780
Filtrar
1.
BMC Health Serv Res ; 22(1): 619, 2022 May 09.
Artigo em Inglês | MEDLINE | ID: mdl-35534875

RESUMO

BACKGROUND: Nonattendance is a common problem worldwide. Important factors for nonattendance are a queue or the waiting time until the planned service. AIMS: The aims of this study were to identify the reasons for nonattendance to planned consultations, assess the waiting time from registration to access to an outpatient specialist consultation, and identify the associations between the reasons for nonattendance and the waiting time until the planned outpatient specialist consultation. METHODS: A cross-sectional study based on a phone questionnaire was conducted among patients not attending a planned consultation at the outpatient department of the Lithuanian University of Health Sciences Kaunas Hospital in Kaunas, Lithuania. A total of 972 phone calls were made, and 389 telephone surveys were completed. RESULTS: The mean respondents' waiting time until the planned outpatient consultation was 15.13 ± 10 days. The highest proportion of nonattendance was observed when the wait time was between 6 and 17 days. More often, the patients did not attend the planned outpatient consultation due to worsened health status (24.69%), unidentified personal problems (14.91%), work-related problems (13.62%) and being unaware about the appointment (11.82%). A longer waiting time was significantly associated with the following reasons for nonattendance: work-related problems, health problems solved at another health care institution, unidentified personal problems and unknown reasons for nonattendance. The highest proportions of nonattending patients had consultations registered with neurologists (17.0%), traumatologists (11.3%) and cardiologists (10.5%). CONCLUSIONS: Patients did not identify the long waiting time until outpatient specialist consultation among the main reasons for nonattendance. The issue of waiting time is not an important aspect of nonattendance.


Assuntos
Pacientes Ambulatoriais , Listas de Espera , Agendamento de Consultas , Estudos Transversais , Humanos , Encaminhamento e Consulta , Fatores de Tempo
2.
Zhonghua Yi Xue Za Zhi ; 102(18): 1330-1332, 2022 May 17.
Artigo em Chinês | MEDLINE | ID: mdl-35545577

RESUMO

Sensitized recipients have an increased risk of kidney transplantation due to the immune memory of human leucocyte antigen. They lag on the waiting list and have poorer outcomes of transplantation. The society should give every patient an equal opportunity for treatment. Facing this worldwide problem, Chinese transplant community has some practical difficulties under current status of transplantation development in our country. It requires the cooperation of transplant laboratories, organ procurement organizations, clinicians, and the national organ allocation system to explore a path of solution.


Assuntos
Transplante de Rim , Obtenção de Tecidos e Órgãos , China , Antígenos HLA , Humanos , Doadores de Tecidos , Listas de Espera
3.
Can J Gastroenterol Hepatol ; 2022: 8235736, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35535032

RESUMO

Purpose: The purpose of this study is to analyze the effect of preoperative waiting time on the short-term outcomes and prognosis in colorectal cancer (CRC) patients. Methods: We retrospectively analyzed 3744 CRC patients who underwent primary CRC surgery at a single clinical medical center from Jan 2011 to Jan 2020. The baseline information, short-term outcomes, overall survival (OS), and disease-free survival (DFS) were compared among the short-waiting group, the intermediate-waiting group, and the long-waiting group. Results: A total of 3744 eligible CRC patients were enrolled for analysis. There were no significant differences in all of the baseline information and short-term outcomes among the three groups. In multivariate analysis, older age (OS: p=0.000, HR = 1.947, 95% CI = 1.631-2.324; DFS: p=0.000, HR = 1.693, 95% CI = 1.445-1.983), advanced clinical stage (OS: p=0.000, HR = 1.301, 95% CI = 1.161-1.457; DFS: p=0.000, HR = 1.262, 95% CI = 1.139-1.400), overall complications (OS: p=0.000, HR = 1.613, 95% CI = 1.303-1.895; DFS: p=0.000, HR = 1.560, 95% CI = 1.312-1.855), and major complications (OS: p=0.001, HR = 1.812, 95% CI = 1.338-2.945; DFS: p=0.006, HR = 1.647, 95% CI = 1.153-2.352) were independent factors of OS and DFS. In addition, no significant difference was found in all stages (OS, p=0.203; DFS, p=0.108), stage I (OS, p=0.419; DFS, p=0.579), stage II (OS, p=0.465; DFS, p=0.385), or stage III (OS, p=0.539; DFS, p=0.259) in terms of OS and DFS among the three groups. Conclusion: Preoperative waiting time did not affect the short-term outcomes or prognosis in CRC patients.


Assuntos
Neoplasias Colorretais , Listas de Espera , Neoplasias Colorretais/cirurgia , Intervalo Livre de Doença , Humanos , Prognóstico , Estudos Retrospectivos
4.
Thorac Surg Clin ; 32(2): 111-119, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35512930

RESUMO

The medical care of patients awaiting lung transplantation is complex and requires the treatment of active medical conditions, including lung disease, while at the same time maintaining candidacy for transplantation. Some medications that would otherwise be considered routine may create undesirable challenges or complications in the perioperative setting. Therefore, a comprehensive assessment of the risks and benefits of these medications must take into account both their potential utility in managing a patient's current disease state, as well as the risks of compromising postlung transplant outcomes. In this review, we summarize the available data regarding several medications that are commonly used to treat patients with a variety of lung diseases, but that may impact a patient's course on the waiting list or in the posttransplant period.


Assuntos
Transplante de Pulmão , Listas de Espera , Humanos , Pacientes Ambulatoriais
5.
Thorac Surg Clin ; 32(2): 121-134, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35512931

RESUMO

Lung allocation in the US changed nearly 15 years ago from time accrued on the waiting list to disease severity and likelihood of posttransplant survival, represented by the lung allocation score (LAS). Notably, the risk of death within a year plays a stronger role on the score calculation than posttransplant survival. While this change was associated with the intended decrease in waitlist mortality (most recently reported at 14.6%), it was predictable that transplant teams would have to care for increasingly older and complex candidates and recipients. This urgency-based allocation also led centers to routinely consider transplanting patients with higher acuity, often hospitalized and, not infrequently, in the intensive care unit (ICU). According to the Scientific Registry for Transplant Recipients, from 2009 to 2019, the proportion of lung recipients hospitalized and those admitted to the ICU at the time of transplant increased from 18.9% to 26.8% and from 9.2% to 16.5%, respectively..


Assuntos
Transplante de Pulmão , Obtenção de Tecidos e Órgãos , Humanos , Pacientes Internados , Seleção de Pacientes , Estudos Retrospectivos , Listas de Espera
6.
Inquiry ; 59: 469580221095797, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35505594

RESUMO

Long patient waiting time is one of the major problems in the healthcare system and it would decrease patient satisfaction. Previous studies usually investigated how to improve the treatment flow in order to reduce patient waiting time or length of stay. The studies on blood collection counters have received less attention. Therefore, the objective of this study is to reduce the patient waiting time at outpatient clinics for metabolism and nephrology outpatients. A discrete-event simulation is used to analyze the four different strategies for blood collection counter resource allocation. Through analyzing four different strategic settings, the experimental results revealed that the maximum number of patients waiting before the outpatient clinics was reduced from 41 to 33 (20%); the maximum patient waiti-ng time at the outpatient clinics was decreased from 201.6 minutes to 83 minutes (59%). In this study, we found that adjusting the settings of blood collection counters would be beneficial. Assigning one exclusive blood collection counter from 8 to 10 am is the most suitable option with the least impact on the operational process for hospital staff. The results provide managerial insight regarding the cost-effective strategy selection for the hospital operational strategy.


Assuntos
Pacientes Ambulatoriais , Listas de Espera , Instituições de Assistência Ambulatorial , Simulação por Computador , Humanos , Fatores de Tempo
7.
Transpl Int ; 35: 10339, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35462791

RESUMO

Improving organ acceptance and utilization rates is critical to ensure we maximize usage of donated organs as a scarce resource. Many factors underlie unnecessary discard of viable organs. Declined transplantation opportunities for candidates is associated with increased wait-list mortality. Technological advancements in organ preservation may help bridge the gap between donation and utilization, but an overlooked obstacle is the practice of risk aversion by transplant professionals when decision-making under risk. Lessons from behavioral economics, where experimental work has outlined the impact of loss or risk aversion on decision-making, have not been translated to transplantation. Many external factors can influence decision-making when accepting or utilizing organs, which are potentially amendable if external conditions are improved. However, attitudes and perceptions to risk for transplant professionals can pervade decision-making and influence behaviour. If we wish to change this behavior, then the underlying nature of decision-making under risk when accepting or utilizing organs must be studied to facilitate the design of targeted behavior change interventions to convert risk aversion to risk tolerance. To ensure optimal use of donated organs, we need more research into decision-making under risk.


Assuntos
Obtenção de Tecidos e Órgãos , Listas de Espera , Tomada de Decisões , Humanos
11.
BMJ ; 377: o894, 2022 04 05.
Artigo em Inglês | MEDLINE | ID: mdl-35383040
12.
Zhongguo Gu Shang ; 35(4): 361-6, 2022 Apr 25.
Artigo em Chinês | MEDLINE | ID: mdl-35485155

RESUMO

OBJECTIVE: To investigate the relationship between preoperative waiting time and prognosis of elderly patients with hip fracture. METHODS: From January 2014 to December 2018, 333 elderly hip fracture patients undergoing surgery were retrospectively analyzed, including 104 males and 229 females, aged from 60 to 99 years with an average of (77.93±8.49) years, and 183 patients were femoral neck fracture, 150 patients were femoral intertrochanteric fracture. Among them, 269 patients (80.78%) had a clustered preoperative waiting time of 2 to 8 days, and then divided into within 4-day group(91 cases) and over 4-day group(242 cases) according to their preoperative waiting time. The survival situation was followed by telephone, and follow-up time started from fracture admission to the death event, or to the research deadline (December 31, 2019). The Kaplan-Meier method was used for survival analysis, and Cox risk proportion model was used to analyze the independent risk factors of hip fracture in elderly patients. RESULTS: All patients were followed up for 12 to 75 months(means 35 months), 59 patients died and the mortality rate was 17.72%(59/333). Compared with within 4-day group, the mortality rate was higher in over 4-day group[20.66%(50/242) vs. 9.89%(9/91), χ2=5.263, P=0.022]. Multiariable Cox regression analysis showed that preoperative waiting time, age, male and Charlson comorbidity index were independent risk factors for the prognosis of hip fracture in elderly patients (all P<0.05), and every 1-day delay was associated with 5% increase of the risk of death[HR=1.05, 95%CI(1.00-1.10), P=0.045]. Subsequent analyse was stratified according to the Charlson comorbidity index (CCI), and found that over 4-day group had a higher mortality rate in patients with CCI<2, with statistically significant difference(P<0.05). CONCLUSION: For elderly patients with hip fracture, most of hospitals could not complete the hip fracture surgery within 48 hours, we also need to shorten the waiting time before surgery, and thereby improve their prognosis.


Assuntos
Fraturas do Colo Femoral , Fraturas do Quadril , Idoso , Feminino , Fraturas do Quadril/cirurgia , Humanos , Masculino , Prognóstico , Estudos Retrospectivos , Listas de Espera
13.
Sci Rep ; 12(1): 5967, 2022 Apr 08.
Artigo em Inglês | MEDLINE | ID: mdl-35395869

RESUMO

Wait times are associated with mortality on waiting list for transcatheter aortic valve replacement (TAVR). Whether longer wait times are associated with long term mortality after successful TAVR remains unassessed. Consecutive patients successfully treated with elective TAVR in our center between January 2013 and August 2019 were included. The primary end point was one-year all-cause mortality. TAVR wait times were defined as the interval from referral date for valve replacement to the date of TAVR procedure. A total of 383 patients were included with a mean wait time of 144.2 ± 83.87 days. Death occurred in 55 patients (14.4%) at one year. Increased wait times were independently associated with a relative increase of 1-year mortality by 2% per week after referral (Adjusted Hazard Ratio 1.02 [1.002-1.04]; p = 0.02) for TAVR. Chronic kidney disease, left ventricular ejection fraction ≤ 30%, access site and STS score were other independent correlates of 1-year mortality. Our study shows that wait times are relatively long in routine practice and associated with increased 1-year mortality after successful TAVR. Such findings underscore the need of strategies to minimize delays in access to TAVR.


Assuntos
Estenose da Valva Aórtica , Substituição da Valva Aórtica Transcateter , Valva Aórtica/cirurgia , Humanos , Sistema de Registros , Fatores de Risco , Volume Sistólico , Fatores de Tempo , Substituição da Valva Aórtica Transcateter/efeitos adversos , Substituição da Valva Aórtica Transcateter/métodos , Resultado do Tratamento , Função Ventricular Esquerda , Listas de Espera
14.
BMC Prim Care ; 23(1): 72, 2022 04 07.
Artigo em Inglês | MEDLINE | ID: mdl-35392824

RESUMO

BACKGROUND: More than 50% of Canadian adult patients wait longer than four weeks to see a specialist after referral from primary care. Access to accurate wait time information may help primary care physicians choose the timeliest specialist to address a patient's specific needs. We conducted a mixed-methods study to assess if primary to specialist care wait times can be extracted from electronic medical records (EMR), analyzed the wait time information, and used focus groups and interviews to assess the potential clinical utility of the wait time information. METHODS: Two family practices were recruited to examine primary care physician to specialist wait times between January 2016 and December 2017, using EMR data. The primary outcome was the median wait time from physician referral to specialist appointment for each specialty service. Secondary outcomes included the physician and patient characteristics associated with wait times as well as qualitative analyses of physician interviews about the resulting wait time reports. RESULTS: Wait time data can be extracted from the primary care EMR and converted to a report format for family physicians and specialists to review. After data cleaning, there were 7141 referrals included from 4967 unique patients. The 5 most common specialties referred to were Dermatology, Gastroenterology, Ear Nose and Throat, Obstetrics and Gynecology and Urology. Half of the patients were seen by a specialist within 42 days, 75% seen within 80 days and all patients within 760 days. There were significant differences in wait times by specialty, for younger patients, and those with urgently labelled medical situations. Overall, wait time reports were perceived by clinicians to be important since they could help family physicians decide how to triage referrals and might lead to system improvements. CONCLUSIONS: Wait time information from primary to specialist care can aid in decision-making around specialist referrals, identify bottlenecks, and help with system planning. This mixed method study is a starting point to review the importance of providing wait time data for both family physicians, specialists and local health systems. Future work can be directed towards developing wait time reporting functionality and evaluating if wait time information will help increase system efficiency and/or improve provider and patient satisfaction.


Assuntos
Médicos de Família , Listas de Espera , Adulto , Canadá , Registros Eletrônicos de Saúde , Estudos de Viabilidade , Humanos , Atenção Primária à Saúde
15.
J Med Internet Res ; 24(4): e35940, 2022 04 21.
Artigo em Inglês | MEDLINE | ID: mdl-35451993

RESUMO

BACKGROUND: Computer-assisted treatment may reduce therapist contact and costs and promote client participation. This meta-analysis examined the efficacy and acceptability of an unguided computer-assisted therapy in patients with obsessive-compulsive disorder (OCD) compared with a waiting list or attention placebo. OBJECTIVE: This study aimed to evaluate the effectiveness and adherence of computer-assisted self-help treatment without human contact in patients with OCD using a systematic review and meta-analysis approach. METHODS: Randomized controlled trials with participants primarily diagnosed with OCD by health professionals with clinically significant OCD symptoms as measured with validated scales were included. The interventions included self-help treatment through the internet, computers, and smartphones. We excluded interventions that used human contact. We conducted a search on PubMed, Cochrane Central Register of Controlled Trials, EMBASE, World Health Organization International Clinical Trials Registry Platform, and ClinicalTrials.gov, as well as the reference lists of the included studies. The risk of bias was evaluated using version 2 of the Cochrane risk-of-bias tool for randomized trials. We calculated the standardized mean differences for continuous outcomes and risk ratios for dichotomous outcomes. The primary outcomes were short-term improvement of OCD symptoms measured by validated scales and dropout for any reason. RESULTS: We included 11 randomized controlled trials with a total of 983 participants. The results indicated that unguided computer-assisted self-help therapy was significantly more effective than a waiting list or psychological placebo (standard mean difference -0.47, 95% CI -0.73 to -0.22). Unguided computer-assisted self-help therapy had more dropouts for any reason than waiting list or psychological placebo (risk ratio 1.98, 95% CI 1.21 to 3.23). However, the quality of evidence was very low because of the risk of bias and inconsistent results among the included studies. The subgroup analysis showed that exposure response and prevention and an intervention duration of more than 4 weeks strengthen the efficacy without worsening acceptability. Only a few studies have examined the interaction between participants and systems, and no study has used gamification. Most researchers only used text-based interventions, and no study has used a mobile device. The overall risk of bias of the included studies was high and the heterogeneity of results was moderate to considerable. CONCLUSIONS: Unguided computer-assisted self-help therapy for OCD is effective compared with waiting lists or psychological placebo. An exposure response and prevention component and intervention duration of more than 4 weeks may strengthen the efficacy without worsening the acceptability of the therapy. TRIAL REGISTRATION: PROSPERO (International Prospective Register of Systematic Reviews) CRD42021264644; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=264644.


Assuntos
Terapia Cognitivo-Comportamental , Transtorno Obsessivo-Compulsivo , Viés , Terapia Cognitivo-Comportamental/métodos , Comportamentos Relacionados com a Saúde , Humanos , Transtorno Obsessivo-Compulsivo/terapia , Listas de Espera
16.
BMC Psychiatry ; 22(1): 259, 2022 Apr 12.
Artigo em Inglês | MEDLINE | ID: mdl-35413848

RESUMO

BACKGROUND: Posttraumatic stress disorder (PTSD) is common among children and adolescents who have experienced traumatic events. Exposure therapy (ET) has been shown to be effective in treating PTSD in adults. However, its efficacy remains uncertain in children and adolescents. AIMS: To evaluate the efficacy and acceptability of ET in children and adolescents with PTSD. METHOD: We searched PubMed, EMBASE, Cochrane, Web of Science, PsycINFO, CINAHL, ProQuest, LILACS, and international trial registries for randomized controlled trials (RCTs) assessed ET in children and adolescents (aged ≤18 years) with PTSD up to August 31, 2020. The primary outcomes were efficacy (the endpoint score from PTSD symptom severity rating scales) and acceptability (all-cause discontinuation), secondary outcomes included efficacy at follow-up (score from PTSD scales at the longest point of follow-up), depressive symptoms (end-point score on depressive symptom severity rating scales) and quality of life/social functioning (end-point score on quality of life/social functioning rating scales). This study was registered with PROSPERO (CRD42020150859). RESULT: A total of 6 RCTs (278 patients) were included. The results showed that ET was statistically more efficacious than control groups (standardized mean differences [SMD]: - 0.47, 95% confidence interval [CI]: - 0.91 to - 0.03). In subgroup analysis, exposure therapy was more efficacious for patients with single type of trauma (SMD: - 1.04, 95%CI: - 1.43 to - 0.65). Patients with an average age of 14 years and older, ET was more effective than the control groups (SMD: - 1.04, 95%CI: - 1.43 to - 0.65), and the intervention using prolonged exposure therapy (PE) (SMD: - 1.04, 95%CI: - 1.43 to - 0.65) was superior than control groups. Results for secondary outcomes of efficacy at follow-up (SMD: - 0.64, 95%CI: - 1.17 to - 0.10) and depressive symptoms (SMD: - 0.58, 95%CI: - 0.93 to - 0.22) were similar to the previous findings for efficacy outcome. No statistically significant effects for acceptability and quality of life/social functioning were found. CONCLUSION: ET showed superiority in efficacy at post-treatment/follow-up and depressive symptoms improvement in children and adolescents with PTSD. Patients with single type of trauma may benefit more from ET. And ET is more effective in patients 14 years or older. Moreover, PE could be a better choice.


Assuntos
Terapia Implosiva , Transtornos de Estresse Pós-Traumáticos , Adolescente , Adulto , Criança , Humanos , Qualidade de Vida , Transtornos de Estresse Pós-Traumáticos/diagnóstico , Transtornos de Estresse Pós-Traumáticos/terapia , Listas de Espera
17.
Gac Sanit ; 36(3): 257-259, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35477508

RESUMO

OBJECTIVE: To estimate the waiting time since a suspected an occupational disease (OD) is identified, notified and recognized in Spain. METHOD: A series of 34 patients attended at Occupational Diseases Unit (ODU) of Hospital del Mar in Barcelona were follow up since their identification until final resolution by the National Institute of Social Security (INSS). Median, and 25 and 75 percentiles (interquartile range [IQR]) were calculated in weeks by total time (n=27), ODU time (n=34), patient time (n=31) and INSS time (n=27). RESULTS: Total time was 51 weeks (IQR: 33.6 and 122.6), of which 42 weeks (17.6-99.5) corresponded to the waiting period at the INSS. CONCLUSIONS: The disproportionately long waiting time since INSS receives a case could impact on the under-recognition of OD. Urgent improvement of the administrative process is needed to reduce the patient waiting time for the recognition of OD.


Assuntos
Doenças Profissionais , Listas de Espera , Academias e Institutos , Humanos , Doenças Profissionais/diagnóstico , Doenças Profissionais/epidemiologia , Espanha
18.
Goiânia; SES-GO; 25 mar. 2022. 1-7 p. tab.
Não convencional em Português | Coleciona SUS, Coleciona SUS, CONASS, SES-GO | ID: biblio-1366717

RESUMO

O tempo de espera para realização de cirurgias é um fenômeno complexo e desafiador, tanto em países desenvolvidos quanto em desenvolvimento, podendo variar de meses até anos, o que pode gerar insatisfação de pacientes, piora do prognóstico, perda funcional e custos financeiros elevados para os sistemas públicos de saúde (Barua et al., 2012; Rodrigues et al., 2020). Nesse sentido, em alguns países o paciente tem a garantia legal de que a cirurgia será realizada dentro de um intervalo máximo de tempo, por exemplo, 18 (dezoito) semanas na Inglaterra ­ NHS (Siciliani et al., 2015). Já a Nova Zelândia, define apenas 03 (três) grupos de pacientes: cirurgia (agendada), certeza de tratamento e tratamento ativo/reavaliação. Apenas pacientes do primeiro e segundo grupo recebem tratamento cirúrgico no prazo máximo de 06 (seis) meses. Aqueles que pertencem ao terceiro grupo, não entram na fila de espera e são reencaminhados para o médico generalista que controla seu estado de saúde, podendo mudar de grupo em caso de deterioração da condição de saúde (Siciliani et al., 2015; Srikumar et al., 2020)


The waiting time for surgeries is a complex and challenging phenomenon, both in developed and developing countries, and can vary from months to years, which can lead to patient dissatisfaction, worsening of the prognosis, functional loss and high financial costs for the patients. public health systems (Barua et al., 2012; Rodrigues et al., 2020). In this sense, in some countries the patient has a legal guarantee that the surgery will be performed within a maximum period of time, for example, 18 (eighteen) weeks in England ­ NHS (Siciliani et al., 2015). New Zealand, on the other hand, defines only 03 (three) groups of patients: surgery (scheduled), certainty of treatment and active treatment/reassessment. Only patients from the first and second groups receive surgical treatment within a maximum period of 06 (six) months. Those belonging to the third group do not enter the waiting list and are forwarded to the general practitioner who controls their health status, being able to change groups in case of deterioration of their health condition (Siciliani et al., 2015; Srikumar et al. ., 2020)


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Listas de Espera , Procedimentos Cirúrgicos Eletivos/classificação
19.
PLoS One ; 17(3): e0265542, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35303040

RESUMO

Waiting lists in mental health services are currently considered too long. Lengthy waits of up to 18 weeks are commonly reported in the UK. Waiting lists have long been associated with a variety of negative psychological responses, however there is little understanding behind young adults' personal experiences of such delays within mental health services. The current study aimed to explore young adults' experiences of waiting lists in mental healthcare in the UK. Seven young adults were interviewed in the current study (aged 19-22). Interpretive phenomenological analysis was utilised to explore participant accounts. Three super-ordinate themes were generated: Reliance on Alternative Methods of Support; Inability to Function Sufficiently; and Emergence of Negative Beliefs, Emotions and Thoughts. Participants primarily reported a variety of negative psychological and behavioural consequences associated with waiting lists in mental health services, as well as exacerbated existing physical and psychological health issues. In accordance with the limited number of previous studies, waiting lists are considered by patients to be barriers to mental health support and intervention. Future direction is advised.


Assuntos
Serviços de Saúde Mental , Listas de Espera , Humanos , Saúde Mental , Reino Unido , Adulto Jovem
20.
Am J Transplant ; 22 Suppl 2: 438-518, 2022 03.
Artigo em Inglês | MEDLINE | ID: mdl-35266615

RESUMO

For the first time in a decade, both the number of candidates added to the waiting list and the number of lung transplants performed decreased from the year prior; the number of lung donors also declined. This slowing of transplant activities in 2020 was associated with a modest increase in waitlist mortality. The year 2020 was notable for the global outbreak of the COVID-19 pandemic, which undoubtedly influenced all trends noted in lung transplantation. Time to transplant continued to decrease, with a median time to transplant of 1.4 months across all waitlist candidates. Posttransplant survival remained stable, with 89.4% of transplant recipients surviving to 1 year, 74.8% to 3 years, and 61.2% to 5 years.


Assuntos
COVID-19 , Obtenção de Tecidos e Órgãos , COVID-19/epidemiologia , Sobrevivência de Enxerto , Humanos , Pulmão , Pandemias , SARS-CoV-2 , Doadores de Tecidos , Estados Unidos/epidemiologia , Listas de Espera
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...