Abstract BACKGROUND The neurointensive care unit (NICU) has traditionally been the default recovery after elective craniotomies. OBJECTIVE To assess whether admitting adult patients without significant comorbidities to neuroscience ward (NW) instead of NICU for resulted in similar clinical outcome while reducing length stay (LOS) and hospitalization cost. METHODS We retrospectively analyzed cos...

In the year 2000, the UK government promoted the concept that hospital services be shaped around the needs of the patient to make their stay in hospital as comfortable as possible and advocated the introduction of a ward housekeeper role in at least 50 per cent of hospitals by 2004. This is a ward-based non-clinical role centred on cleaning, food service and maintenance to ensure that the basic...

We investigated two consecutive Serratia marcescens (S. marcescens) outbreaks which occurred in a neonatal intensive care unit (NICU) of a tertiary level hospital in North Italy in a period of 10 years (January 2003-December 2012). Risk factors associated with S. marcescens acquisition were evaluated by a retrospective case-control study. A total of 21,011 clinical samples was examined: S. marc...

Systemic vasculitides represent a heterogeneous group of diseases that share clinical features including respiratory distress, renal dysfunction, and neurologic disorders. These diseases may often cause life-threatening complications requiring admission to an intensive care unit (ICU). The aim of the study was to evaluate the validity and responsiveness of Birmingham Vasculitis Activity Score (...

Critical Care Unit (CCU) beds are a limited resource and in increasing demand. Studies have shown that complex head and neck patients can be safely managed on a ward setting given the appropriate staffing and support. This retrospective case series aims to quantify the CCU care received by patients following total laryngectomy (TL) at a District General Hospital (DGH) and compare patient outcom...

BACKGROUND Erysipelas is an acute skin infection caused by group A and G streptococci. This associated with many comorbidities often requires hospitalization. OBJECTIVES The aim of this study was to identify the factors related length hospitalization in patients erysipelas. MATERIAL AND METHODS retrospective included 153 admissions 135 (63 women 72 men) hospitalized due erysipelas from January ...

In the hospice ward where patients are in the terminal stages of cancer, it is common practice to give them a subcutaneous injection of pain relievers to reduce their pain and make them more comfortable. Most of these patients are elderly and have low blood pressure or poor veins, which often makes it difficult to inject them because of the calcification at previous injection sites. Thus, subcu...

This study describes 58 cases of legal termination of pregnancy done in the acute gynaecology ward, Kenyatta National Hospital (KNH), Nairobi, over a 4 year period. The ward handles 20-40 new cases of incomplete abortion daily. Patients in the midtrimester received extra-amniotic or inter-amniotic prostaglandins (PGF2 alpha). Most of the patients were young, single and primigravid. Most termina...

We report a surgical retrieval of an indwelling portion of a traumatic rupture of the Central venous catheter following hair cutting by a confused patient secondary to Postoperative cognitive dysfunction. He had a dynamic compression screw for fixation of fractured neck of femur after previously failed surgical procedure. The second procedure was complicated with major blood loss, which require...

Involuntarily hospitalized psychiatric patients consecutively admitted over a six-month period who successfully refused medication (n = 37) are compared with a randomly selected group of medication-accepting patients committed during the same time period (n = 37). The overall refusal rate was 15.6 percent during the study period. Acceptors and refusers did not differ on age, sex, diagnosis, eth...