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[PMID]:29406688
[Au] Autor:Comfort A
[Ti] Título:CY 2017 OPPS Update.
[So] Source:J AHIMA;88(2):48-50, 2017 02.
[Is] ISSN:1060-5487
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Ambulatório Hospitalar
Sistema de Pagamento Prospectivo/organização & administração
[Mh] Termos MeSH secundário: Centers for Medicare and Medicaid Services (U.S.)
Seres Humanos
Ambulatório Hospitalar/economia
Ambulatório Hospitalar/organização & administração
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


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[PMID]:29384306
[Au] Autor:Houngnihin RA; Sossou AJ
[Ti] Título:[Understanding failure of obstetric referral to the Cotonou University gynaecology and obstetrics clinic].
[Ti] Título:Comprendre le renoncement à la référence obstétricale à la Clinique universitaire de gynécologie et d?obstétrique de Cotonou..
[So] Source:Sante Publique;29(5):719-729, 2017 Dec 05.
[Is] ISSN:0995-3914
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:INTRODUCTION: Since 2000, in the context of the Millennium development goals, Benin has reinforced its obstetric referral system in order to reduce maternal mortality. However, structural, sociocultural and economic problems continue to affect this strategy. The Cotonou University gynaecology and obstetrics clinic (CUGO), at the top of the health pyramid, is emblematic of this situation. This study was designed to elucidate the stakes involved in referral to this hospital based on analysis of the perceptions and experiences of referral personnel. METHODS: Essentially qualitative data collection was conducted by means of in-depth semi-structured interviews from July to December 2015 involving 37 people, including referred women, healthcare personnel and caregivers. RESULTS: The poor quality of information given to women concerning the reasons for referral, the fear of caesarean section, considered to be inevitable, and the difficult relationships with health workers contribute to failure to comply with referral. Rumours concerning reception, waiting times and hospitalization conditions are other factors that must be taken into account. Finally, the distance from the woman's home is a decisive element in acceptance of referral by women and their families. CONCLUSION: Referral is generally perceived as necessary in the case of complications during pregnancy, by both referred women and healthcare personnel. However, differences in points of view are observed when the woman is referred to CUGO.
[Mh] Termos MeSH primário: Serviços de Saúde Materna
Ambulatório Hospitalar
Cooperação do Paciente
Encaminhamento e Consulta
[Mh] Termos MeSH secundário: Adolescente
Adulto
Benin
Comunicação
Feminino
Seres Humanos
Educação de Pacientes como Assunto
Gravidez
Complicações na Gravidez
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180201
[St] Status:MEDLINE
[do] DOI:10.3917/spub.175.0719


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[PMID]:25816384
[Au] Autor:Bloom M; Markovitz S; Silverman S; Yost C
[Ad] Endereço:Massachusetts General Hospital Cancer Center, Boston, MA, USA.
[Ti] Título:Ten trends transforming cancer care and their effects on space planning for academic medical centers.
[So] Source:HERD;8(2):85-94, 2015.
[Is] ISSN:1937-5867
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: This article aims to define the major trends currently affecting space needs for academic medical center (AMC) cancer centers. It will distinguish between the trends that promote the concentration of services with those that promote decentralization as well as identify opportunities for achieving greater effectiveness in cancer care space planning. BACKGROUND: Changes in cancer care-higher survival rates, increased clinical trials, new technology, and changing practice models-increasingly fill hospitals' and clinicians' schedules and strain clinical space resources. Conflicts among these trends are concentrating some services and dispersing others. As a result, AMCs must expand and renovate intelligently to continue providing state-of-the-art, compassionate care. CONCLUSIONS: Although the typical AMC cancer center can expect to utilize more space than it would have 10 years ago, a deeper understanding of the cancer center enterprise can lead to opportunities for more effectively using available facility resources. Each AMC must determine for itself the appropriate balance of patient volume, clinical activity, and services between its main hospital campus and satellite branches. As well, space allocation should be flexible, as care trends, medical technology, and the provider's own priorities shift over time. The goal isn't necessarily more space-it's better space.
[Mh] Termos MeSH primário: Centros Médicos Acadêmicos/tendências
Decoração de Interiores e Mobiliário/normas
Neoplasias/terapia
Serviço Hospitalar de Oncologia/tendências
Ambulatório Hospitalar/tendências
Cuidados Paliativos/tendências
Equipe de Assistência ao Paciente/tendências
Medicina de Precisão/tendências
[Mh] Termos MeSH secundário: Tecnologia Biomédica/tendências
Ensaios Clínicos como Assunto/métodos
Ensaios Clínicos como Assunto/estatística & dados numéricos
Hospitais Satélites/tendências
Seres Humanos
Decoração de Interiores e Mobiliário/métodos
Determinação de Necessidades de Cuidados de Saúde
Neoplasias/epidemiologia
Equipe de Assistência ao Paciente/organização & administração
Relações Profissional-Família
Apoio Social
Sobreviventes/estatística & dados numéricos
Pesquisa Médica Translacional/tendências
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180126
[Lr] Data última revisão:
180126
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150328
[St] Status:MEDLINE
[do] DOI:10.1177/1937586714565598


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[PMID]:28452817
[Au] Autor:Manji F; McCarty K; Kurzweil V; Mark E; Rathmell JP; Agarwala AV
[Ad] Endereço:From the *Department of Anesthesia, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada; †Department of Medicine, Boston Medical Center, Boston, Massachusetts; ‡Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts; §Center for Quality and Safety, Massachusetts General Hospital, Boston, Massachusetts; ‖Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, Massachusetts; and ¶Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts.
[Ti] Título:Measuring and Improving the Quality of Preprocedural Assessments.
[So] Source:Anesth Analg;124(6):1846-1854, 2017 06.
[Is] ISSN:1526-7598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Preprocedural assessments are used by anesthesia providers to optimize perioperative care for patients undergoing invasive procedures. When these assessments are performed in advance by providers who are not caring for the patient during the procedure, there is an additional layer of complexity in ensuring that the workup meets the needs of the primary anesthesia care team. In this study, anesthesia providers were asked to rate the quality of preprocedural assessments prepared by other providers to evaluate anesthesia care team satisfaction. METHODS: Quality ratings for preprocedural assessments were collected from anesthesia providers on the day of surgery using an electronic quality assurance tool from January 9, 2014 to October 21, 2014. Users could rate assessments as "exemplary," "satisfactory," or "unsatisfactory." Free text comments could be entered for any of the quality ratings chosen. A reviewer trained in clinical anesthesia categorized all comments as "positive," "constructive," or "neutral" and conducted in-depth chart reviews triggered by 67 "constructive" comments submitted during the first 3 months of data collection to further subcategorize perceived deficiencies in the preprocedural assessments. In May 2014, providers were asked to participate in a midpoint survey and provide general feedback about the preprocedural process and evaluations. RESULTS: 37,611 procedures requiring anesthesia were analyzed. Of the 17,522 (46.6%) cases with a rated preprocedural assessment, anesthesia providers rated 3828 (21.8%) as "exemplary," 13,454 (76.8%) as "satisfactory," and 240 (1.4%) as "unsatisfactory." The monthly proportion of "unsatisfactory" ratings ranged from 3.1% to 0% over the study period, whereas the midpoint survey showed that anesthesia providers estimated that the number of unsatisfactory evaluations was 11.5%. Preprocedural evaluations performed on inpatients received significantly better ratings than evaluations performed on outpatients by the preadmission testing clinic or phone program (P < .0001). The most common reason given for "unsatisfactory" ratings was a perception of "missing information" (49.2%). Chart reviews revealed that inadequate documentation was in reality the most common deficiency in preprocedural evaluations (35 of 67 reviews, 52.2%). CONCLUSIONS: The overwhelming majority of preprocedural assessments performed at our institution were considered satisfactory or exemplary by day-of-surgery anesthesia providers. This was demonstrated by both the case-by-case ratings and midpoint survey. However, the perceived frequency of "unsatisfactory" evaluations was worse when providers were asked to reflect on the quality of preprocedural evaluations generally versus rate them individually. Analysis of comments left by providers allowed us to identify specific and actionable areas for improvement. This method can be used by other institutions to identify systemic deficiencies in the preprocedural evaluation process.
[Mh] Termos MeSH primário: Anestesiologistas/normas
Equipe de Assistência ao Paciente/normas
Cuidados Pré-Operatórios/normas
Melhoria de Qualidade/normas
Indicadores de Qualidade em Assistência à Saúde/normas
[Mh] Termos MeSH secundário: Serviço Hospitalar de Anestesia
Anestesiologistas/psicologia
Atitude do Pessoal de Saúde
Boston
Competência Clínica
Conhecimentos, Atitudes e Prática em Saúde
Hospitais Gerais
Seres Humanos
Pacientes Internados
Ambulatório Hospitalar
Pacientes Ambulatoriais
Avaliação de Programas e Projetos de Saúde
Análise e Desempenho de Tarefas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:180109
[Lr] Data última revisão:
180109
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1213/ANE.0000000000001834


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[PMID]:28460538
[Au] Autor:Ganta V; Moonie S; Patel D; Hunt AT; Richardson J; Di John D; Ezeanolue EE
[Ad] Endereço:a School of Community Health Sciences , University of Nevada Las Vegas , Las Vegas , NV , USA.
[Ti] Título:Timely reminder interventions to improve annual Papanicolaou (Pap) smear rates among HIV-infected women in an outpatient center of southern Nevada: a short report.
[So] Source:AIDS Care;29(9):1099-1101, 2017 Sep.
[Is] ISSN:1360-0451
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Current guidelines recommend annual Papanicolaou (Pap) smears for human immunodeficiency virus (HIV)-infected women for cervical cancer screening. Rates for such screening in Nevada are below the national rate. Our cohort includes 485 eligible HIV-infected adult women from an outpatient center in Southern Nevada of which only 12 women had obtained a Pap smear in the past year. An intervention was conducted from June 2015 to September 2015, in which reminders to schedule a Pap smear were sent to the remaining cohort of 473 women via sequential text messaging, followed by phone call attempts. Of all subjects, 94% contacted by text messages and 41% contacted by phone calls were successfully reached. There was an increase in the rate of completed Pap smears from 2.5% (12/485) at baseline to 11.8% (56/473) after interventions (p < 0.0001) in a period of three months. Out of the 68 Pap smear results, 20 (29.4%) were abnormal. Our intervention, utilizing methods of communication such as text messaging and phone calls, markedly increased the rate of completed Pap smear screening in our population.
[Mh] Termos MeSH primário: Infecções por HIV
Programas de Rastreamento/métodos
Pacientes Ambulatoriais/estatística & dados numéricos
Sistemas de Alerta
Mensagem de Texto
Esfregaço Vaginal/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Estudos de Coortes
Detecção Precoce de Câncer
Feminino
Seres Humanos
Meia-Idade
Nevada
Ambulatório Hospitalar
Teste de Papanicolaou
Neoplasias do Colo do Útero/diagnóstico
Esfregaço Vaginal/utilização
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171229
[Lr] Data última revisão:
171229
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE
[do] DOI:10.1080/09540121.2017.1322677


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[PMID]:29059197
[Au] Autor:Medlock S; Parlevliet JL; Sent D; Eslami S; Askari M; Arts DL; Hoekstra JB; de Rooij SE; Abu-Hanna A
[Ad] Endereço:Department of Medical Informatics, Academic Medical Center, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands.
[Ti] Título:An email-based intervention to improve the number and timeliness of letters sent from the hospital outpatient clinic to the general practitioner: A pair-randomized controlled trial.
[So] Source:PLoS One;12(10):e0185812, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Letters from the hospital to the general practitioner are important for maintaining continuity of care. Although doctors feel letters are important, they are often not written on time. To improve the number and timeliness of letters sent from the hospital outpatient department to the general practitioner using an email-based intervention evaluated in a randomized controlled trial. MATERIALS AND METHODS: Users were interviewed to determine the requirements for the intervention. Due to high between-doctor variation at baseline, doctors were matched for baseline performance and pair-randomized. The effectiveness of the intervention was assessed using meta-analytic methods. The primary outcome was the number of patient visits which should have generated a letter that had a letter by 90 days after the visit. Satisfaction was assessed with an anonymous survey. RESULTS: The intervention consisted of a monthly email reminder for each doctor containing a list of his or her patients who were (over)due for a letter. Doctors in the intervention group had 21% fewer patient visits which did not have a letter by 90 days (OR = 5.7, p = 0.0020). Satisfaction with the system was very high. DISCUSSION: This study examines the effect of a simple reminder in absence of other interventions, and provides an example of an effective non-interruptive decision support intervention. CONCLUSION: A simple email reminder improved the number and timeliness of letters from the outpatient department to the general practitioner, and was viewed as a useful service by its users.
[Mh] Termos MeSH primário: Clínicos Gerais
Ambulatório Hospitalar/organização & administração
[Mh] Termos MeSH secundário: Seres Humanos
Satisfação do Paciente
Estudos de Tempo e Movimento
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171024
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0185812


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[PMID]:28913613
[Au] Autor:Hossain N; Puchakayala B; Kanwar P; Verma S; Abraham G; Ivanov Z; Niaz MO; Mohanty SR
[Ad] Endereço:Department of Gastroenterology and Hepatobiliary Disease, New York Presbyterian Brooklyn Methodist Hospital, 506, 6th Street, Brooklyn, NY, 11215, USA.
[Ti] Título:Risk Factor Analysis Between Newly Screened and Established Hepatitis C in GI and Hepatology Clinics.
[So] Source:Dig Dis Sci;62(11):3193-3199, 2017 Nov.
[Is] ISSN:1573-2568
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Several studies show inconsistencies in the rate of hepatitis C virus (HCV) detection among baby boomers (born 1945-1965). We conducted a cross-sectional HCV screening followed by a case-controlled comparison of the newly screened population with established HCV subjects. METHOD: Enrollment was offered to subjects aged 40-75 at our gastroenterology and hepatology clinics. Demographic data and potential risk factors were obtained, and HCV antibody test was offered to those who had never been screened and compared with a group with established HCV. Logistic regression analysis and Fisher's exact test were performed. RESULTS: Six hundred and seventy-five patients were offered participation, of whom 128 declined while 50 consented to participate but did not perform the HCV antibody test. Of 497 enrolled subjects, 252 patients had HCV, while 245 subjects (188 patients among "baby boomer") underwent screening for HCV. There were more females (62.4 vs. 41.7%) and immigrants (34.7 vs. 22.2%) among the newly screened group. Among the screened population, five patients had HCV antibody (2.04%), and two of them had positive viral load (0.82%) of whom only one fell in the baby boomer category (0.53%). Compared to HCV group, screened group had significantly lower-risk factors, such as IV drug use (1.22 vs. 43.3%), intranasal cocaine use (14.3 vs. 49.6%), and blood transfusion (18.8 vs. 32.5%). CONCLUSION: We found a slightly lower but similar prevalence of HCV antibody when screening based on birth cohort as compared to larger baby boomer studies. Future studies evaluating addition of other screening strategies or possibly universal screening may be needed.
[Mh] Termos MeSH primário: Gastroenterologia
Hepacivirus/imunologia
Anticorpos Anti-Hepatite C/sangue
Hepatite C/diagnóstico
Ambulatório Hospitalar
[Mh] Termos MeSH secundário: Adulto
Fatores Etários
Idoso
Biomarcadores/sangue
Estudos Transversais
Feminino
Hepatite C/sangue
Hepatite C/epidemiologia
Hepatite C/virologia
Seres Humanos
Masculino
Programas de Rastreamento/métodos
Meia-Idade
Cidade de Nova Iorque/epidemiologia
Valor Preditivo dos Testes
Fatores de Risco
Estudos Soroepidemiológicos
Testes Sorológicos
Carga Viral
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Biomarkers); 0 (Hepatitis C Antibodies)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171106
[Lr] Data última revisão:
171106
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170916
[St] Status:MEDLINE
[do] DOI:10.1007/s10620-017-4754-0


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[PMID]:28826671
[Au] Autor:Soufer A; Riello RJ; Desai NR; Testani JM; Ahmad T
[Ad] Endereço:Section of Cardiovascular Medicine, Department of Internal Medicine, Yale New Haven Hospital, Yale University School of Medicine, New Haven, CT, United States.
[Ti] Título:A Blueprint for the Post Discharge Clinic Visit after an Admission for Heart Failure.
[So] Source:Prog Cardiovasc Dis;60(2):237-248, 2017 Sep - Oct.
[Is] ISSN:1873-1740
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The immense symptom burden and healthcare expenditure associated with heart failure (HF) has resulted in hospital systems, insurance companies, and federal agencies playing close attention to systems of care delivery. In particular, there has been a large extent of focus on decreasing the frequency of HF readmissions through the development of hospital quality measures and the expansion of post discharge services to improve transitions of care from the inpatient to the outpatient setting. The post discharge clinic visit (PDV) serves an important role in this process as it acts as a fulcrum for the multi-disciplinary services available to HF patients, as well as an opportunity to fill any gaps that might have occurred in evidence based care of the patient. The objective of this review is to provide a blueprint for the PDV that will allow clinicians to construct the key elements of the PDV in a patient-centered fashion that is firmly rooted in the guidelines.
[Mh] Termos MeSH primário: Agendamento de Consultas
Insuficiência Cardíaca/terapia
Ambulatório Hospitalar/normas
Admissão do Paciente
Alta do Paciente/normas
Guias de Prática Clínica como Assunto/normas
Padrões de Prática Médica/normas
[Mh] Termos MeSH secundário: Insuficiência Cardíaca/diagnóstico
Insuficiência Cardíaca/fisiopatologia
Seres Humanos
Fatores de Risco
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170823
[St] Status:MEDLINE


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Martins, Milton de Arruda
Texto completo SciELO Brasil
[PMID]:28724044
[Au] Autor:Almeida MF; Ferreira FF; Martins MA; Ferreira M
[Ad] Endereço:MD, Assistant Physician, Internal Medicine Service, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP), São Paulo, SP, Brazil.
[Ti] Título:Alcohol and tobacco use and the diseases treated in general practice.
[So] Source:Rev Assoc Med Bras (1992);63(5):452-458, 2017 May.
[Is] ISSN:1806-9282
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:Objective:: To characterize the use of alcohol and tobacco and correlate both to the diseases of outpatients in a general practice outpatient clinic. Method:: The ASSIST (Alcohol, Smoking and Substance Involvement Screening Test) questionnaire was answered by 300 randomly chosen subjects assigned to different groups according to the diseases being treated at the Outpatient General and Teaching Clinic of the Department of Internal Medicine, Hospital das Clínicas of the University of São Paulo's School of Medicine (HC-FMUSP, in the Portuguese acronym), São Paulo, Brazil. The consumption of tobacco and alcohol was characterized and its correlation with the groups of diseases being treated was calculated using Chi-square and Pearson test statistics. Results:: Compared to alcohol, tobacco use was more prevalent, more intense and showed more health-, social-, legal- and financial-related damage. Tobacco smoking presented a positive significant (p<0.0001) correlation with respiratory diseases. According to the questionnaire's criteria, few alcohol users would be referred to clinical interventions in comparison to smokers. Conclusion:: Respiratory diseases and tobacco use were well correlated based on the ASSIST questionnaire. The preventive value of the questionnaire was more evident in relation to tobacco than alcohol consumption.
[Mh] Termos MeSH primário: Consumo de Bebidas Alcoólicas/efeitos adversos
Consumo de Bebidas Alcoólicas/epidemiologia
Fumar/efeitos adversos
Fumar/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Distribuição por Idade
Fatores Etários
Idoso
Idoso de 80 Anos ou mais
Alcoolismo/complicações
Brasil/epidemiologia
Feminino
Seres Humanos
Masculino
Meia-Idade
Ambulatório Hospitalar/estatística & dados numéricos
Doenças Respiratórias/epidemiologia
Doenças Respiratórias/etiologia
Fatores de Risco
Distribuição por Sexo
Fatores Sexuais
Inquéritos e Questionários
Fatores de Tempo
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170929
[Lr] Data última revisão:
170929
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170721
[St] Status:MEDLINE


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[PMID]:28724036
[Au] Autor:Passos TR; Santos FS; Martins MC; Pinto VB; Carrilho FJ; Ono SK
[Ad] Endereço:Resident Pharmacist at Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil.
[Ti] Título:Clinical pharmacology profile of care in Hepatology clinic.
[So] Source:Rev Assoc Med Bras (1992);63(5):401-406, 2017 May.
[Is] ISSN:1806-9282
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:Since 2010, the Clinical Gastroenterology and Hepatology Division of the Central Institute of Hospital das Clínicas of the University of São Paulo Medical School (HC-FMUSP, in the Portuguese acronym) has been developing specialized electives assistance activities in the Outpatient Specialty Clinic, Secondary Level, in São Paulo NGA-63 Várzea do Carmo. The objective of this study was to analyze the pharmacotherapeutic profile of patients. This is a cross-sectional and retrospective study in which patients were seen at the Hepatology sector and the results were submitted to descriptive statistics. During the study period, 492 patients were treated at the clinic, with a mean age of 58.9 years and frequency of 61.2% female and 74.8% living in São Paulo. This population was served by various other medical specialties (cardiology and endocrine among others) and the major liver diagnoses were: chronic hepatitis B and C and fatty liver. Comorbidities were also identified, such as diabetes, hypertension and dyslipidemia. Most patients took their medication in the Basic Health Units. We found that 30% of patients use of more than five medications and the most prescribed were omeprazole 208 (42.3%), metformin 132 (26.8%) and losartan 80 (16.3%). Because it is an adult/elderly population, with several comorbidities and polymedication, it is important to be aware of the rational use of medication. The multidisciplinary team is important in applying correct conducts for the safe use of medicines, to reduce the burden on health spending and improving the quality of life of patients.
[Mh] Termos MeSH primário: Revisão de Uso de Medicamentos/estatística & dados numéricos
Gastroenterologia/estatística & dados numéricos
Hepatopatias/epidemiologia
Ambulatório Hospitalar/estatística & dados numéricos
[Mh] Termos MeSH secundário: Idoso
Brasil/epidemiologia
Comorbidade
Estudos Transversais
Feminino
Seres Humanos
Masculino
Meia-Idade
Polimedicação
Valores de Referência
Estudos Retrospectivos
Distribuição por Sexo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170929
[Lr] Data última revisão:
170929
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170721
[St] Status:MEDLINE



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