BACKGROUND The role of echocardiography in the risk stratification of acute heart failure (HF) is unknown. Some small studies and retrospective analyses have found little change in echocardiographic variables during admission for acute HF and some echocardiographic parameters were not found to be associated with outcomes. It is unknown which echocardiographic variables will predict outcomes in ...

BACKGROUND AND PURPOSE The prevalence of chronic renal disease (CRD) is rising worldwide. Patients with CRD are more likely to have associated medical problems and are at greater risk of postoperative morbidity and mortality. We evaluated patient characteristics and risk of early revision, surgical site infection (SSI), thromboembolic events, mortality, and re-admission of patients with CRD und...

BACKGROUND The use of music to relieve anxiety has been examined in various studies, but the results are inconclusive. METHODS From April to October 2015, 160 patients undergoing examination of pulmonary nodules were randomly assigned to MusiCure or no music. MusiCure was administered through earplugs to ensure blinding of the staff and was played from admission to the operating theatre to th...

Abstract Introduction Delirium is more prevalent in patients admitted to the critical care environment, those over 65 years old and living with frailty. By increasing recognition of delirium we can improve management therefore reduce associated morbidity. Initial audit this patient group highlighted that are missing opportunities screen for, diagnose document presence delirium. This Quality Imp...

Pleural disease itself is an unusual cause for admission to the intensive care unit (ICU). Conditions potentially requiring ICU admission include a large pleural effusion causing acute respiratory failure, hemothorax producing respiratory or hemodynamic compromise, secondary spontaneous pneumothorax with respiratory failure, empyema with sepsis, and re-expansion pulmonary edema. Pleural complic...

We develop call admission policies for statistically multiplexing prerecorded sources over a bu erless transmission link. We suppose that (1) the Quality of Service (QoS) requirements allow for a small amount of packet loss and (2) the users are permitted to begin the sources at random times and to invoke VCR actions. We develop a stochastic model which captures the random phases of the sources...

BACKGROUND To enhance the acute management of people with diabetic foot disease requiring admission, an extended scope of practice, podiatric high-risk foot coordinator position, was established at the Great Western Hospital, Swindon in 2010. The focus of this new role was to facilitate more efficient and timely management of people with complex diabetic foot disease. The aim of this project wa...

BACKGROUND Geriatric patients are at high risk of re-admission after discharge. Pre-existing nutritional risk amongst these patients is of primary concern, with former nutritional intervention studies being largely ineffective. None of these studies has included individual dietary counselling by a registered dietician or has considered competing medical conditions in the participants. A former ...

The prognosis of patients with hematopoietic stem cell transplants (HSCTs) who require admission to the intensive care unit (ICU) has been regarded as extremely poor. We sought to re-evaluate recent outcomes and predictive factors in a retrospective cohort study. Among the 605 adult patients that received an HSCT between 2001 and 2006, 154 required admission to the ICU. Of these, 47% were disch...

objective: we aimed to describe psychiatrists' attributions on non-compliance related issues resulting in re-hospitalizations of psychiatric patients. method: in a cross sectional study, we included 500 randomly selected psychiatric readmitted patients and registered their demographic data (including age, sex, job, marital status, and educational level), and psychiatric clinical data including ...