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Antimicrobial agent prescription: a prospective cohort study in patients with sepsis and septic shock / Fabián Alberto Jaimes Barragán  

Público ISBD Título : Antimicrobial agent prescription: a prospective cohort study in patients with sepsis and septic shock Tipo de documento : documento electrónico Autores : Fabián Alberto Jaimes Barragán, Fecha de publicación : 2019 Títulos uniformes : Tropical Medicine & International Health Idioma : Inglés (eng) Palabras clave : Antibacterial agents  hospital mortality  length of stay  shock Resumen : Objective: To assess the true association between appropriate prescription of antibiotics and prognosis in patients with sepsis, a key issue in health care and quality improvement strategies. Methods: Prospective cohort study in three university hospitals to determine whether the empirical prescription of antibiotics was adequate or inadequate, and to compare hospital death rates and length of stay according to different classifications of antibiotics prescription. Logistic regression models for risk estimation were fitted. Results: A total of 705 patients with severe sepsis were included. No differences were found in positive-culture patients (n = 545) regarding the risk of death with insufficient spectrum antibiotics, compared to patients who received adequate spectrum antibiotics (OR = 0.90; 95% CI = 0.55-1.48). Delay in initiating antibiotics was not associated with the risk of death in patients with adequate spectrum of antibiotics, either with positive (OR = 1.04; 95% CI = 0.99-1.08) or negative cultures (OR = 0.98; 95% CI = 0.92-1.04). There were no differences in the length of hospital stay, according to the antibiotic prescription (median 11 days, IQR = 7-18 days for the whole cohort). Conclusions: No associations were found between inadequate antibiotic prescription or delay to initiate therapy and mortality or length of stay Mención de responsabilidad : Pablo Castaño, Maribel Plaza, Fernando Molina, Carolina Hincapié, Wilmar Maya, Juan Cataño, Javier González, Alba León, Fabián Jaimes Referencia : Trop Med Int Health. 2019 Feb;24(2):175-184 DOI (Digital Object Identifier) : 10.1111/tmi.13186 PMID : 30489005 En línea : https://onlinelibrary.wiley.com/doi/abs/10.1111/tmi.13186 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4266 Antimicrobial agent prescription: a prospective cohort study in patients with sepsis and septic shock [documento electrónico] / Fabián Alberto Jaimes Barragán,  . - 2019. Obra : Tropical Medicine & International Health Idioma : Inglés (eng) Palabras clave : Antibacterial agents  hospital mortality  length of stay  shock Resumen : Objective: To assess the true association between appropriate prescription of antibiotics and prognosis in patients with sepsis, a key issue in health care and quality improvement strategies. Methods: Prospective cohort study in three university hospitals to determine whether the empirical prescription of antibiotics was adequate or inadequate, and to compare hospital death rates and length of stay according to different classifications of antibiotics prescription. Logistic regression models for risk estimation were fitted. Results: A total of 705 patients with severe sepsis were included. No differences were found in positive-culture patients (n = 545) regarding the risk of death with insufficient spectrum antibiotics, compared to patients who received adequate spectrum antibiotics (OR = 0.90; 95% CI = 0.55-1.48). Delay in initiating antibiotics was not associated with the risk of death in patients with adequate spectrum of antibiotics, either with positive (OR = 1.04; 95% CI = 0.99-1.08) or negative cultures (OR = 0.98; 95% CI = 0.92-1.04). There were no differences in the length of hospital stay, according to the antibiotic prescription (median 11 days, IQR = 7-18 days for the whole cohort). Conclusions: No associations were found between inadequate antibiotic prescription or delay to initiate therapy and mortality or length of stay Mención de responsabilidad : Pablo Castaño, Maribel Plaza, Fernando Molina, Carolina Hincapié, Wilmar Maya, Juan Cataño, Javier González, Alba León, Fabián Jaimes Referencia : Trop Med Int Health. 2019 Feb;24(2):175-184 DOI (Digital Object Identifier) : 10.1111/tmi.13186 PMID : 30489005 En línea : https://onlinelibrary.wiley.com/doi/abs/10.1111/tmi.13186 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4266

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Código de barras	Número de Ubicación	Tipo de medio	Ubicación	Sección	Estado
DD001245	AC-2019-034	Archivo digital	Producción Científica	Artículos científicos	Disponible

Cost-effectiveness of early nutritional therapy in malnourished adult patients in a high complexity hospital / Paula Andrea Roldán Cano    

Público ISBD Título : Cost-effectiveness of early nutritional therapy in malnourished adult patients in a high complexity hospital Tipo de documento : documento electrónico Autores : Paula Andrea Roldán Cano, Fecha de publicación : 2015 Títulos uniformes : Nutrición Hospitalaria Idioma : Inglés (eng) Palabras clave : Cost-effectiveness  malnutrition  nutritional therapy  complications  length of stay Resumen : Introduction: hospital malnutrition is a frequent worldwide problem and its potential issues related include increased complications, length of stay, mortality, and healthcare costs. Objectives: the aim of this study was to establish the cost-effectiveness of early nutritional therapy for malnourished patients in a high complexity hospital. Materials and methods: this analytical study with economic assessment included 227 adult hospitalised and malnourished according to the Subjective Global Assessment. The cohort prospective received Early Nutrition Therapy (ENT), whereas the cohort retrospective received Delayed Nutrition Therapy (DNT). The measures of cost-effectiveness included costs by: length of stay, complications and discharge condition. Results: the cohorts were similar in demographic and clinical characteristics, except that the median age, for the ENT was 61 years (interquartile range [IQR]: 48-71) and for the DNT was 55 years (IQR: 44-67) (p = 0.024). The median length of stay was lower in the ENT (11 days, IQR: 7-17) than in the DNT (18 days, IQR: 10-28) (p Mención de responsabilidad : Nubia Amparo Giraldo Giraldo, Johanna Vásquez Velásquez, Paula Andrea Roldán Cano, Carolina Ospina Astudillo, Yuliet Paulina Sosa Cardona Referencia : Nutr Hosp. 2015 Dec 1;32(6):2938-47. DOI (Digital Object Identifier) : 10.3305/nh.2015.32.6.9859 PMID : 26667756 Derechos de uso : CC BY-NC-ND En línea : http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-1611201500120007 [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3931 Cost-effectiveness of early nutritional therapy in malnourished adult patients in a high complexity hospital [documento electrónico] / Paula Andrea Roldán Cano,  . - 2015. Obra : Nutrición Hospitalaria Idioma : Inglés (eng) Palabras clave : Cost-effectiveness  malnutrition  nutritional therapy  complications  length of stay Resumen : Introduction: hospital malnutrition is a frequent worldwide problem and its potential issues related include increased complications, length of stay, mortality, and healthcare costs. Objectives: the aim of this study was to establish the cost-effectiveness of early nutritional therapy for malnourished patients in a high complexity hospital. Materials and methods: this analytical study with economic assessment included 227 adult hospitalised and malnourished according to the Subjective Global Assessment. The cohort prospective received Early Nutrition Therapy (ENT), whereas the cohort retrospective received Delayed Nutrition Therapy (DNT). The measures of cost-effectiveness included costs by: length of stay, complications and discharge condition. Results: the cohorts were similar in demographic and clinical characteristics, except that the median age, for the ENT was 61 years (interquartile range [IQR]: 48-71) and for the DNT was 55 years (IQR: 44-67) (p = 0.024). The median length of stay was lower in the ENT (11 days, IQR: 7-17) than in the DNT (18 days, IQR: 10-28) (p Mención de responsabilidad : Nubia Amparo Giraldo Giraldo, Johanna Vásquez Velásquez, Paula Andrea Roldán Cano, Carolina Ospina Astudillo, Yuliet Paulina Sosa Cardona Referencia : Nutr Hosp. 2015 Dec 1;32(6):2938-47. DOI (Digital Object Identifier) : 10.3305/nh.2015.32.6.9859 PMID : 26667756 Derechos de uso : CC BY-NC-ND En línea : http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-1611201500120007 [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3931

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DD000515	AC-2015-068	Archivo digital	Producción Científica	Artículos científicos	Disponible

Documentos electrónicos

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