This study was conducted to compare the profile of patients attending the pediatric emergency services of a tertiary care teaching and referral hospital, Chandigarh, and a community level hospital in Ambala district, Haryana. Records of children (<or=12 years) attending emergency services over a period of one year; from 1st March 1999 to 28th February 2000, at both the health facilities were an...

BACKGROUND Accessibility to tertiary intensive care resources differs among hospitals within a rural region. Determining whether accessibility is associated with outcome is important for understanding the role of regionalization when providing critical care to a rural population. METHODS In a prospective design, we identified and recorded the mortality ratio, percentage of unanticipated death...

OBJECTIVE To assess the impact of implementing long-stay beds for patients of low complexity and high dependency in small hospitals on the performance of an emergency referral tertiary hospital. METHODS For this longitudinal study, we identified hospitals in three municipalities of a regional department of health covered by tertiary care that supplied 10 long-stay beds each. Patients were tra...

conclusions mandibular fractures can be complicated and demanding, and have a compelling impact on patients’ quality of life. our study reported that parasymphysis was the most common region involved in mandible fractures. results a total of 653 subjects had mandibular fractures, out of which 574 were males. the mean age of the participants was 31.54 ± 13.07. the majority of the subjects were b...

background: diabetes is a leading cause of cardiovascular disease (cvd). moreover, cvd accounts for primary cause of death among diabetic patients. physicians, especially in the primary care setting, have effective role in the management of cardiovascular risk factors. therefore, we aimed to compare the prevalence of modifiable cardiovascular risk factors in type 2 diabetic patients attending t...

Measuring health care service performance is a complex task as it has multiple-functions, which contribute in aggregate towards achieving overall goals. There has been an increasing need of a tool for the process-based performance measurement of multispecialty tertiary care hospitals to identify the deficiencies in services and suggest recommendations for their improvement. Analytic Hierarchy P...

BACKGROUND Studies have found higher survival rates after out-of-hospital cardiac arrest and admission to tertiary heart centers. The aim was to examine the level-of-care at tertiary centers compared with nontertiary hospitals and the association with outcome after out-of-hospital cardiac arrest. METHODS AND RESULTS Consecutive out-of-hospital cardiac arrest patients (n=1078) without ST-segme...

BACKGROUND In Japan, all citizens are covered by the national insurance system in which universal free access to healthcare services is promised to everybody. There are no general physicians or gatekeepers in the Japanese healthcare system. METHODS We studied the pattern of referral of inpatients from secondary care hospitals to a tertiary care university hospital and the reverse referral und...