Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 24.610
Infectio ; 25(4): 262-269, oct.-dic. 2021. tab, graf
Artigo em Inglês | LILACS, COLNAL | ID: biblio-1286720


Abstract Objective: To analyse the clinic characteristics, risk factors and evolution of the first cohort of hospitalised patients with confirmed infection by COVID-19 in 5 Colombian institutions. Materials and methods: Is a retrospective observational study of consecutive hospitalized patients with a diagnosis of COVID-19 confirmed from March 01 to May 30, 2020 in Colombia. Results: A total of 44 patients were included. The median age was 62 years. 43.2% had a history of smoking, while 69.8% were overweight or obese. 88.6% had at least one comorbidity and 52.3% had three or more comorbidities. Hypertension and dyslipidaemia were the most frequent comorbidities (40.9% and 34.1%, respectively). The 30-day mortality rate was 47.7% with a median of 11 days. The composite outcome occurred in the 36.4%. The biomarkers associated with mor tality risk included troponin higher than 14 ng/L (RR: 5.25; 95% CI 1.37-20.1, p = 0.004) and D-dimer higher than 1000 ng/ml (RR: 3.0; 95% CI 1.4-6.3, p = 0.008). Conclusions: The clinical course of SARS-CoV-2 infection in hospitalized Colombian was characterised by a more advanced stage of the infection.

Resumen Objetivo: Analizar las características, clínicas, factores de riesgo, y la evolución de pacientes hospitalizados con infección confirmada por COVID-19 en 5 Institu ciones de Colombia. Material y método: Es un estudio observacional retrospectivo de pacientes consecutivos hospitalizados con diagnóstico de COVID-19 confirmado entre 01 de Febrero de 2020 y 30 de Mayo de 2020 en Colombia. Resultados: Un total de 44 pacientes fueron incluidos. La mediana de edad fue de 62 años y la mayoría del sexo masculino. El 43.2% tenían historia de tabaquismo, mientras que el 69.8% tenían sobrepeso u obesidad. El 88.6% tenían al menos una comorbilidad y el 52.3% tenían tres o más comorbilidades. La hipertensión arterial fue la comorbilidad más frecuente (40.9%), seguido de la dislipidemia (34.1%). La tasa de letalidad a 30 días fue de 47.7% y ocurrió con una mediana de 11 días. El 36.4% presentó el desenlace compuesto. Los biomarcadores asociados con el riesgo de muerte fue troponina > 14 ng/mL (RR:5.25, IC95% 1.37-20.1, p=0.004) y dímero D mayor a 1000 mg/dL (RR: 3.0, IC95% 1.4-6.3, p=0.008). Conclusiones: El curso clínico de la infección por SARS-CoV-2 en colombianos hospitalizados fue un estadio más avanzado de la infección.

Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Biomarcadores , COVID-19 , Pacientes , Tabagismo , Comorbidade , Risco , Fatores de Risco , Mortalidade , Colômbia , Sobrepeso , Cursos , Infecções , Obesidade
Br J Community Nurs ; 26(11): 526-531, 2021 Nov 02.
Artigo em Inglês | MEDLINE | ID: mdl-34731040


Although dignity has been widely explored in the context of healthcare, it has rarely been the subject of empirical exploration when care is delivered by community district nursing teams. This paper demonstrates how a commonplace community nursing task (changing dressings) can constitute a clinical lens through which to explore the ways in which community nurses can influence patients' dignity. This ethnographic study involved two research methods: interviews with patients and nurses (n=22) and observations of clinical interactions (n=62). Dignity can manifest during routine interactions between community nurses and patients. Patient-participants identified malodour from their ill-bodies as a particular threat to dignity. Nurses can reinforce the dignity of their patients through relational aspects of care and the successful concealment of 'leaky' bodies.

Comunicação , Enfermagem em Saúde Comunitária/métodos , Relações Enfermeiro-Paciente , Enfermeiros de Saúde Comunitária/psicologia , Pacientes/psicologia , Pessoalidade , Respeito , Antropologia Cultural , Atitude do Pessoal de Saúde , Bandagens , Humanos , Entrevistas como Assunto , Pesquisa Qualitativa , População Urbana
Int J Public Health ; 66: 1604298, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34795555


Objectives: To identify the proportion of the population that had experienced that alcohol was addressed in health care the previous year, to explore experiences and perceived effects of addressing alcohol, and to investigate the proportion of risky drinkers in the population. Methods: Cross-sectional national web-based survey with 1,208 participants. Socio-demographic data, alcohol consumption (AUDIT-C), and experiences with alcohol conversations were investigated. Results: Approximately four in five respondents had visited health care the past 12 months, and one in six reported having experienced addressing alcohol. Women and older respondents were less likely to report having experienced alcohol conversations compared to other groups. Risky drinkers were not more likely to have experienced an alcohol conversation, but reported longer duration of alcohol conversations and more frequently perceived addressing alcohol as awkward or judgmental. Almost a third of respondents were classified as risky drinkers. Conclusion: The proportion experiencing addressing alcohol in routine health care is low, also among risky drinkers, and risky drinkers more frequently experienced the conversations as judgmental. More sensitive and relevant ways of addressing alcohol in health care is needed.

Consumo de Bebidas Alcoólicas , Pacientes , Consumo de Bebidas Alcoólicas/prevenção & controle , Comunicação , Estudos Transversais , Humanos , Pacientes/psicologia , Relações Profissional-Paciente
Best Pract Res Clin Anaesthesiol ; 35(4): 565-573, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34801218


Patient-reported outcomes (PROs) have been increasingly recognized as valuable information for delivery of optimal perioperative care to high-risk surgical patients in recent years. However, progress from clinical research on PROs has not been widely adopted in routine patient care. This review discusses the current concepts and practice status regarding PROs and addresses the missing links from research to practice adoption to further improve patient's experiences and clinical outcomes in perioperative care. Insufficient empirical research on appropriate PROs and its methodologies, insufficient implementation research to solve the practical issues, and insufficient data collection methods and experiences on ePROs are also discussed. Future research agenda should focus on evidence-supported, PRO-based symptom monitoring systems for early diagnosis and management of impending compromised clinical outcomes.

Medidas de Resultados Relatados pelo Paciente , Assistência Centrada no Paciente , Humanos , Pacientes , Assistência Perioperatória
Harefuah ; 160(10): 668-670, 2021 Oct.
Artigo em Hebraico | MEDLINE | ID: mdl-34689437


INTRODUCTION: Severe foot ulceration in a diabetic patient, called "diabetic foot", is one of the most debilitating complications of diabetes mellitus resulting in huge costs, both personal and public. The best way to avoid this complication is by identifying the risk factors for diabetic foot, and taking early preventive actions. At any given time, more than 40% of hospitalized patients are diabetics, whether in departments of internal medicine or others. Every diabetic patient hospitalized in any department (Internal, Surgery, Geriatric, Rehabilitation or Psychiatric) undergoes an evaluation to determine the risk level for diabetic foot by the nursing staff (as required by the Israel Ministry of Health). Approximately 50% of hospitalized diabetics are classified as having high risk for complications from diabetic foot. This evaluation constitutes a window of opportunity for intervention in order to improve the patient's condition. Currently, the status of this evaluation does not appear on the patient's discharge form, neither in the nursing recommendations nor in the physician's instructions. This being the case, the evaluation has no practical value. Without this vital information, the community care doctor is not aware of the risks, and therefore does not take action to prevent the development of severe complications. During a recent project in which we assessed our own departmental quality, we successfully showed that we were able to increase the amount of hospital discharge forms containing the evaluation of the risk for diabetic foot, by a dramatic 23%. We intend to continue this implementation process, and to examine the response within the community in order to assure that the recommendations continue to appear on the discharge forms.

Diabetes Mellitus , Pé Diabético , Idoso , Pé Diabético/epidemiologia , Pé Diabético/prevenção & controle , Hospitais , Humanos , Alta do Paciente , Pacientes , Fatores de Risco
Invest. educ. enferm ; 39(3): 91-102, 15 octubre del 2021. Tab, Ilus
Artigo em Inglês | LILACS, BDENF - Enfermagem, COLNAL | ID: biblio-1348099


Objective. To determine the impact of spiritual intervention on hope and spiritual well-being of persons with cancer. Methods. Randomized controlled trial in which 74 patients with cancer referring to a chemotherapy ward of Shahid Rajaie Hospital in Yasuj city, Iran, were participated. The eligible patients were randomly assigned to either intervention or control group. Spiritual-based intervention was performed based on the protocol in four main fields namely; religious, existence, emotional and social over 5 sessions before chemotherapy. The participants in the control group had received usual cares. Data were collected using Snyder's Hope Scale and Ellison's Scale Spiritual Well-Being Scale on a week before and after intervention. Results. The total mean scores of the scales of hope and spiritual well-being in both groups did not present statistical differences in the pre-intervention assessment. In contrast, at the post assessment, significant differences (p<0.001) were found in the mean scores between the intervention and control groups on the hope scale (60.9 versus 39.8) and on the spiritual well-being scale (94.3 versus 71.6). Conclusion. Spiritual intervention could promote hope and spiritual well-being of persons with cancer.

Objetivo. Determinar el impacto de una intervención espiritual en la esperanza y el bienestar espiritual de las personas con cáncer. Métodos. Ensayo controlado aleatorio en el que participaron 74 pacientes con cáncer que acudieron a una sala de quimioterapia del Hospital Shahid Rajaie de la ciudad de Yasuj (Irán). Los pacientes elegibles se asignaron aleatoriamente al grupo de intervención o al de control. Durante 5 sesiones, y antes de la quimioterapia, se llevó a cabo una intervención espiritual basada en un protocolo con cuatro campos principales: religioso, existencia, emocional y social. Los participantes en el grupo control recibieron el cuidado usual. Los datos se recogieron mediante la aplicación de la escala de esperanza de Snyder, una semana antes y una semana después de la intervención, y de la escala de bienestar espiritual de Ellison. Resultados. Las puntuaciones medias de las escalas de esperanza y bienestar espiritual en ambos grupos no presentaron diferencias estadísticas en la evaluación pre-intervención. En cambio, en la evaluación posterior, se encontraron diferencias significativas (p<0.001) en las puntaciones medias entre los grupos de intervención y de control en la escala de esperanza (60.9 frente a 39.8) y en la escala de bienestar espiritual (94.3 frente a 71.6). Conclusión. La intervención espiritual podría promover la esperanza y el bienestar espiritual de las personas con cáncer.

Objetivo. Determinar o impacto de uma intervenção espiritual na esperança e no bem-estar espiritual das pessoas com câncer. Métodos. Ensaio controlado aleatório envolvendo 74 pacientes com câncer que frequentaram uma sala de quimioterapia no Hospital Shahid Rajaie na cidade de Yasuj (Irã). Os pacientes elegíveis foram aleatoriamente designados para o grupo de intervenção ou controle. Durante 5 sessões, e antes da quimioterapia, foi realizada uma intervenção espiritual baseada em um protocolo com quatro campos principais: religioso, existencial, emocional e social. Os participantes do grupo controle receberam os cuidados habituais. Os dados foram coletados por meio da aplicação da Escala de Esperança de Snyder e da Escala de Bem-Estar Espiritual de Ellison uma semana antes e uma semana após a intervenção. Resultados. Os escores médios das escalas de esperança e bem-estar espiritual em ambos os grupos não apresentaram diferenças estatísticas na avaliação pré-intervenção. Por outro lado, na avaliação subsequente, foram encontradas diferenças significativas (p <0.001) nas pontuações médias entre os grupos intervenção e controle na escala de esperança (60,9 vs. 39.8) e na escala de bem-estar espiritual (94.3 vs. 71.6). Conclusão. A intervenção espiritual pode promover esperança e bem-estar espiritual para pessoas com câncer.

Humanos , Pacientes , Espiritualidade , Esperança , Neoplasias
Trials ; 22(1): 695, 2021 Oct 11.
Artigo em Inglês | MEDLINE | ID: mdl-34635151


BACKGROUND: To evaluate the effect of screening for sepsis using an electronic sepsis alert vs. no alert in hospitalized ward patients on 90-day in-hospital mortality. METHODS: The SCREEN trial is designed as a stepped-wedge cluster randomized controlled trial. Hospital wards (total of 45 wards, constituting clusters in this design) are randomized to have active alert vs. masked alert, 5 wards at a time, with each 5 wards constituting a sequence. The study consists of ten 2-month periods with a phased introduction of the intervention. In the first period, all wards have a masked alert for 2 months. Afterwards the intervention (alert system) is implemented in a new sequence every 2-month period until the intervention is implemented in all sequences. The intervention includes the implementation of an electronic alert system developed in the hospital electronic medical records based on the quick sequential organ failure assessment (qSOFA). The alert system sends notifications of "possible sepsis alert" to the bedside nurse, charge nurse, and primary medical team and requires an acknowledgment in the health information system from the bedside nurse and physician. The calculated sample size is 65,250. The primary endpoint is in-hospital mortality by 90 days. DISCUSSION: The trial started on October 1, 2019, and is expected to complete patient follow-up by the end of October 2021. TRIAL REGISTRATION: NCT04078594 . Registered on September 6, 2019.

Hospitais , Sepse , Eletrônica , Mortalidade Hospitalar , Humanos , Pacientes , Ensaios Clínicos Controlados Aleatórios como Assunto , Sepse/diagnóstico , Sepse/terapia
PLoS One ; 16(10): e0258618, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34648582


BACKGROUND: Hospital performance is often monitored by surveys that assess patient experiences with hospital care. Certain patient characteristics may shape how some aspects of hospital care are viewed and reported on surveys. OBJECTIVE: The aim of the study was to examine factors considered important to patients and determine whether there were differences in answers based on age, gender, or educational level. METHODS: Cross-sectional study based on a hospital survey developed via literature review and specialist recommendations. This study included randomly selected patients 18 years or older who were recently admitted to the hospital or admitted more than 50 days before the survey was being applied. Survey domains included age, gender, educational level, factors considered important for the health care in a hospital setting and sources of information about hospital quality used by each subject. Answers description and statistical analysis using Fisher exact test were performed. RESULTS: The survey was applied to 262 patients who were admitted under different services. The most important concern reported was the risk of getting a hospital-acquired infection (67.18%), followed by understanding explanation from the doctors' plans (64.12%) and doctors' ability to listen carefully (58.78%). Women are more concerned about their risk of falling (p = 0.03). Patients older than 65 years find important that the doctors explain everything in a way they can easily understand (p = 0.02), while lower educated patients consider most if the doctor treats them with courtesy and respect (p = 0.0027). CONCLUSION: Patient characteristics have an effect on how hospital care is perceived. Regardless of the characteristics of the population, the risk of getting an infection was the main concern overall, so it is important that hospitals promote actions to prevent it and share them with patients.

Hospitais/normas , Satisfação do Paciente/estatística & dados numéricos , Pacientes/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Feminino , Hospitalização , Humanos , Masculino , Pessoa de Meia-Idade , Relações Médico-Paciente , Inquéritos e Questionários , Adulto Jovem
Geriatr Psychol Neuropsychiatr Vieil ; 19(3): 279-286, 2021 Sep 01.
Artigo em Francês | MEDLINE | ID: mdl-34609293


Because of heterogeneity of the elderly population and medical practices, the decision of admission of elderly patients (EP) in intensive care unit is more complex. This study aimed to determine the decision criteria for an early limitation of transfer in intensive care unit (ELTICU) of patients hospitalized in an acute geriatric unit. This retrospective study included, over a 10-month period, patients ≥75 years and hospitalized in an acute geriatric unit. They were divided into 2 groups according to whether or not an ELTICU decision was taken. In total, 906 EP were included among them 446 with no ELTICU decision. Univariate analysis showed a correlation between ELTICU and a Mini Mental Status score of less than 20/30. Malnutrition had no impact on ELTICU decision. In multivariate analysis, the factors associated with an ELTICU decision were an age ≥ 85 years, an hospitalization in the last 6 months (Odds Ratio (OR) = 1.72, Confidence Interval (CI) 95% [1.23-2.39]), life in a nursing home (OR = 1.93, 95% CI [1.18-3.16]) and the presence of bedsore(s) (OR = 2.44, 95% CI [1.20-4.98]). A null Charlson score was associated with the absence of an ELTICU decision (OR = 0.42, 95% CI [0.26-0.67]). Some criteria are shared between geriatricians, resuscitators and emergency physicians, while others are discordant, illustrating differences in physicians' practices.

Hospitalização , Unidades de Terapia Intensiva , Idoso , Idoso de 80 Anos ou mais , Humanos , Casas de Saúde , Pacientes , Estudos Retrospectivos
Lima; Perú. Ministerio de Salud; Oct. 2021. 44 p. graf.
Monografia em Espanhol | MINSAPERÚ | ID: biblio-1342946


El documento contiene los criterios técnicos para la atención estomatológica integral y oportuna en pacientes con enfermedades no transmisibles (ENT) que presentan factores de riesgo compartidos con las enfermedades estomatológicas.

Pacientes , Doenças Estomatognáticas , Assistência Odontológica Integral
Res Nurs Health ; 44(5): 796-810, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-34515341


Optimal sequencing of complementary therapies can help improve symptom management through nonpharmacological approaches. A 12-week sequential multiple assignment randomized trial comparing home-based reflexology and meditative practices on severity of fatigue and other symptoms was conducted among patients with cancer and their informal caregivers. Dyads were initially randomized to reflexology (N = 150), meditative practices (N = 150), or control (N = 47). If patient's fatigue did not improve (nonresponse) after 4 weeks of reflexology or meditative practices, the dyad was rerandomized to either add the other therapy or continue with the original therapy for weeks 5-8. Four decision rules (DRs) were compared: (1) Initiating reflexology, and if nonresponse on fatigue after 4 weeks, continue with reflexology for another 4 weeks, thus providing a higher dose; (2) Initiating reflexology, and if nonresponse on fatigue after 4 weeks, add meditative practices for the next 4 weeks; (3) Initiating meditative practices, and if nonresponse on fatigue after 4 weeks, continue meditative practices for another 4 weeks, thus providing a higher dose; and (4) Initiating meditative practices, and if nonresponse on fatigue after 4 weeks, add reflexology for the next 4 weeks. Symptoms were evaluated weekly using the M.D. Anderson Symptom Inventory (MDASI). Clinically, nurses can recommend either therapy since no differences were found among the 4 DRs, with the exception of lower severity for summed MDASI symptoms at week 8 for the use of reflexology only (DR-1) versus DR-2 (sequencing reflexology to meditative practices). Adding the other therapy for nonresponders after 4 weeks may not be warranted.

Cuidadores/psicologia , Fadiga/terapia , Meditação/métodos , Manipulações Musculoesqueléticas/métodos , Neoplasias/psicologia , Neoplasias/terapia , Pacientes/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Fadiga/etiologia , Fadiga/psicologia , Feminino , Humanos , Masculino , Meditação/psicologia , Pessoa de Meia-Idade , Manipulações Musculoesqueléticas/psicologia , Neoplasias/complicações , Resultado do Tratamento
RECIIS (Online) ; 15(3): 762-775, jul.-set. 2021. ilus
Artigo em Português | LILACS | ID: biblio-1342705


O presente estudo tem como objetivo conhecer as principais experiências com a biblioterapia voltadas para pessoas acometidas por doenças variadas, sejam físicas e/ou mentais, ou sociais no Brasil e no exterior. Justifica-se por apresentar a função terapêutica da leitura. Sua base são os conceitos teóricos e históricos da biblioterapia, o conhecimento das principais experiências com a biblioterapia no Brasil e um comparativo entre a realidade nacional e internacional da sua utilização. Para tanto, foi feita uma pesquisa exploratória, qualitativa e bibliográfica em bases de dados nacionais e internacional (LISA) com material publicado sobre experiências que utilizassem a biblioterapia para o bem-estar do indivíduo. Desse modo, observa-se que o Brasil caminha para ampliação da utilização da terapia, enquanto outros países a utilizam nos âmbitos hospitalar, escolar, prisional, entre outros. Isso permite concluir que a biblioterapia proporciona saúde e bem-estar aos que dela fazem uso.

This study aims to find out the main experiences with bibliotherapy aimed at people affected by various diseases, whether physical and/or mental, or social in Brazil and abroad. It is justified by presenting the therapeutic function of reading. This study is based on the theoretical and historical concepts of bibliotherapy, the knowledge of the main experiences with bibliotherapy in Brazil and comparing it with the national and international reality regarding its use. To this end, it is an exploratory, qualitative and bibliographic research, which searched for published material on national and international databases (LISA) on experiences that used bibliotherapy for the well-being of the individual. Thus, it is observed that Brazil is moving towards expanding the use of therapy, while other countries use it in hospitals, schools, prisons, among others. This allows us to conclude that bibliotherapy provides health and well-being to those who use it.

Este estudio tiene como objetivo conocer las principales experiencias con biblioterapia dirigidas a personas afectadas por diversas enfermedades, físicas y/o mentales, o sociales en Brasil y en el exterior. Se justifica presentando la función terapéutica de la lectura. Este estudio se basa en los conceptos teóricos e históricos de la biblioterapia, el conocimiento de las principales experiencias con biblioterapia en Brasil y su comparación con la realidad nacional e internacional en cuanto al uso de esta terapia. Para ello, se trata de una investigación exploratoria, cualitativa y bibliográfica, que buscó material publicado en bases de datos nacionales e internacionales (LISA) sobre experiencias que utilizaron la biblioterapia para el bienestar del individuo. Así, se observa que Brasil avanza hacia la expansión del uso de la terapia, mientras que otros países la utilizan en diversos nichos, como hospital, escuela, prisión, entre otros. Esto nos permite concluir que la biblioterapia brinda salud y bienestar a quienes la utilizan.

Humanos , Leitura , Terapêutica , Biblioterapia , Brasil , Pacientes , Relatos de Casos , Pesquisa Qualitativa , Biblioteconomia
J Healthc Eng ; 2021: 3462128, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34557288


In order to explore the clinical nursing effect of blood glucose level in elderly type 2 diabetic patients, this paper combines the deep neural network model and factor analysis from the perspective of multifactor analysis to construct a multifactor analysis model for the clinical nursing effect of blood glucose levels in elderly type 2 diabetic patients. Moreover, this paper analyzes the effects through experimental methods, collects cases through hospitals, and formulates research methods and related standards based on nursing research needs. In addition, this paper uses statistical methods to perform data processing, uses factor analysis to screen critical factors, and uses deep neural networks to process nursing data. The statistical results of the experimental research show that the deep neural network model combined with factor analysis can play a certain role in the clinical nursing effect. Thus, the blood glucose level analysis in elderly type 2 diabetic patients can provide a reference direction for the clinical care of blood glucose levels in elderly type 2 diabetic patients.

Glicemia , Diabetes Mellitus Tipo 2 , Idoso , Análise Fatorial , Humanos , Redes Neurais de Computação , Pacientes
PLoS One ; 16(9): e0257453, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34529708


OBJECTIVE: To determine whether patients attending the ophthalmology department underestimate their glaucoma risks. METHOD: We conducted a cross-sectional survey with a final study population of 1203 individuals from two medical centers in Taiwan during January 1-June 30, 2019. The "High concern" group was defined as the set of patients who rated themselves as having low risk but who had been rated by physicians as having medium or high risk of developing glaucoma over the next year. RESULTS: Approximately 12% of the respondents belonged to the "High concern" group. For those with education at the college level or higher, the interaction term was estimated to be 0.294 (95% CI = 0.136-0.634). Marginal effect calculations revealed significant sex-based differences in the effect of knowledge at specific age intervals. CONCLUSIONS: A considerable proportion of patients attending the ophthalmology department underestimate their glaucoma risks. Misjudgment of glaucoma risks can lead to delays in seeking of medical attention. Glaucoma education should be designed according to each patient's education level and sex, as its effect is not consistent across different education and sex clusters.

Glaucoma/patologia , Conhecimento , Pacientes/psicologia , Estudos Transversais , Feminino , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Médicos/psicologia , Risco , Autorrelato , Inquéritos e Questionários
West J Emerg Med ; 22(5): 1150-1155, 2021 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-34546892


INTRODUCTION: We sought to compare physician assistant (PA) and nurse practitioner (NP) practice in United States emergency departments (ED) based on ED visits as reported by the National Hospital Ambulatory Medical Care Survey (NHAMCS). METHODS: We performed a retrospective, secondary analysis of the 2010 to 2017 NHAMCS with analysis of ED visits, patient demographics, and hospital characteristics. RESULTS: Between 2010 to 2017, 21.0% (95% confidence interval, [CI] +/-3.1%) of ED visits were seen by either a PA/NP (with and without physician involvement) and 8.6% (+/-2.9%) were seen by PA/NP alone. We identified an increase for NP visits between 2014-2016 and found that PA/NP visits share many of the same characteristics. CONCLUSION: While emergency medicine has predominately been a specialty for PAs, the number of ED visits with NPs has been increasing over the past several years. While there are some differences, PAs/NPs share many similar practice characteristics in the ED.

Serviço Hospitalar de Emergência/estatística & dados numéricos , Profissionais de Enfermagem/estatística & dados numéricos , Pacientes/estatística & dados numéricos , Assistentes Médicos/estatística & dados numéricos , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Feminino , Pesquisas sobre Serviços de Saúde , Humanos , Lactente , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Estados Unidos , Adulto Jovem