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Full-Text Articles in Medicine and Health Sciences

Factors Associated With Emergence Delirium In Pediatric Patients In Peru: Results Of A Cross-Sectional Study, Liz Marilyn Ugaz Cachay, Juan Pedro Matzumura Kasano, Cender U. Quispe Juli, Augusto Racchumí Vela May 2024

Factors Associated With Emergence Delirium In Pediatric Patients In Peru: Results Of A Cross-Sectional Study, Liz Marilyn Ugaz Cachay, Juan Pedro Matzumura Kasano, Cender U. Quispe Juli, Augusto Racchumí Vela

Revista de la Facultad de Medicina Humana

Objective: Identify associated factors with emergence delirium in children in the Post-Anesthetic Recovery Unit of a Pediatric Health Specialized Institute in Peru. Methods: A cross-sectional study was carried out in children from 2 to 6 years old, physical status classification I and II, in elective procedures under anesthesia. The main variable was the presence of emergence delirium evaluated with the Pediatric Anesthesia Emergence Delirium scale greater than or equal to 10 points. To identify the factors associated with delirium, the Poisson regression model was applied and a p value < 0.05 was considered significant. Results: Of the 150 children, it was found that the incidence of emergence delirium occurred in 10.6%. Of these, 81.4% were under 5 years of age, pain was significantly associated in 37.5% with PR = 3.63, 95%CI [1.20, 10.1] and it was observed that 68, 8% required palliative care. Conclusion: Pain was associated with delirium of postanesthetic emergence in children. Prevention and treatment of emergence delirium should focus on postoperative pain control and careful monitoring of patients after surgery.


Identification Of Palliative Care Requirement In Hospital Inpatients In Internal Medicine Services In A Peruvian Reference Hospital, Annie Velasquez-Manrique, Claudia Benavides-Luyo, Susan Chaupi-Rojas, Sandra Andahua-Inuma, Manuel Andrade-Acuña, Rubén Sánchez-Ruiz, Alonso Soto Apr 2024

Identification Of Palliative Care Requirement In Hospital Inpatients In Internal Medicine Services In A Peruvian Reference Hospital, Annie Velasquez-Manrique, Claudia Benavides-Luyo, Susan Chaupi-Rojas, Sandra Andahua-Inuma, Manuel Andrade-Acuña, Rubén Sánchez-Ruiz, Alonso Soto

Revista de la Facultad de Medicina Humana

Introduction: Hospitals of greater complexity tend to care for patients with advanced chronic diseases, which is why it is important to recognize the need for palliative care. Objective: To identify the proportion of patients who require palliative care in the medicine department of a Peruvian referral hospital. Methods: Observational, analytical, cross-sectional study. All hospitalized patients were studied in the Department of Internal Medicine of the Peruvian hospital during the period April-May 2018. To determine the need for palliative care, the NECPAL CCOMS-ICO © instrument was used. The quantitative variables are presented as median and interquartile range (IQR); and numerical variables, …


Conference Proceedings: Select Abstracts Presented At 2023 Advocate Aurora Scientific Day Nov 2023

Conference Proceedings: Select Abstracts Presented At 2023 Advocate Aurora Scientific Day

Journal of Patient-Centered Research and Reviews

This abstract supplement includes findings presented at the 49th annual Advocate Aurora Scientific Day on May 24, 2023. The Scientific Day symposium provides a virtual forum for the sharing of preliminary results from research and case studies conducted by faculty, fellows, residents, and other health professionals associated with Illinois-based Advocate Health Care and Wisconsin-based Aurora Health Care.


Quality Of Life In Patients With Advanced Cancer According To Place Of Care In A Referral Hospital., Jose Amado Tineo, Moises Apolaya Segura, Elizabeth Che Hidalgo, Otto Vargas-Tineo, Jessika Solis Sarmiento, Teodoro Oscanoa Espinoza Mar 2021

Quality Of Life In Patients With Advanced Cancer According To Place Of Care In A Referral Hospital., Jose Amado Tineo, Moises Apolaya Segura, Elizabeth Che Hidalgo, Otto Vargas-Tineo, Jessika Solis Sarmiento, Teodoro Oscanoa Espinoza

Revista de la Facultad de Medicina Humana

The quality of life perceived by patients with advanced cancer from a tertiary hospital is compared according to home care versus hospital care. Observational, cross-sectional study, included patients older than 18 years with cancer with multiple metastases. EORTC QLQ-C15-PAL quality of life survey was applied to patients with adequate cognitive level (Pfeiffer questionnaire). Chi square and Mann-Whitney, p <0.05, and SPSS 24.0 were used. 83 patients in the hospital group and 69 at home. Median age 66 and 76 years respectively (p <0.01); the female sex predominated (p = 0.60). They presented moderate or severe cognitive impairment, 25% hospital group and 58% home (p <0.01). The median quality of life score was 49.5 in the hospital group and 48 in the home group (p = 0.60), the physical functional aspect had a lower score in the hospital group (p <0.01). The perceived quality of life is acceptable, the home group is older and has cognitive impairment.


A Systems Thinking Framework To Improve Care Of The Terminally Ill: An Australian Case Study, Elizabeth Summerfield Nov 2020

A Systems Thinking Framework To Improve Care Of The Terminally Ill: An Australian Case Study, Elizabeth Summerfield

Patient Experience Journal

This paper argues the value of systems thinking to patients, family members and medical practitioners in end-of-life care, particularly as a mechanism for considering when palliative care should be introduced as preferred treatment. It applies a well-established set of tenets in systems thinking retrospectively to a case study of patient care in Australia. This highlights how and where different decisions might have been made, based on a holistic consideration of the patient’s best interests. The case is written from the perspective of a family caregiver. It argues that early, deliberate conversation, framed by systems thinking tenets, can support the call …


Unveiling The Mysteries Of Palliative Care, Jennifer Currin-Mcculloch, Karen Terry Apr 2015

Unveiling The Mysteries Of Palliative Care, Jennifer Currin-Mcculloch, Karen Terry

Journal of the Georgia Public Health Association

Unveiling the Mysteries of Palliative Care


End Of Life Decision Making, Susan Parks Md Jan 2010

End Of Life Decision Making, Susan Parks Md

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.


Death Talk, Joanne Reifsnyder Jan 2010

Death Talk, Joanne Reifsnyder

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.


A Culture Of Comfort: Palliative Care At Thomas Jefferson University Hospital, Barbara Reville Ms, Aprn, Bs Apr 2008

A Culture Of Comfort: Palliative Care At Thomas Jefferson University Hospital, Barbara Reville Ms, Aprn, Bs

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.


Alleviating Pain: From Policy To Practice, Etienne J. Phipps Sep 2005

Alleviating Pain: From Policy To Practice, Etienne J. Phipps

Population Health Matters (Formerly Health Policy Newsletter)

No abstract available.


Comfort Care In Advanced Alzheimer's Disease, Terri Maxwell, Susan Parks Sep 2005

Comfort Care In Advanced Alzheimer's Disease, Terri Maxwell, Susan Parks

Population Health Matters (Formerly Health Policy Newsletter)

No abstract available.