Risultati per: Atlante della salute mentale 2011

Objectives
In this study, we evaluated the amount of public funds spent on the operative treatment of carpal tunnel syndrome (CTS) in Finland in 2011–2015.

Design
A registry-based cost burden study.

Setting
The data were collected in primary and secondary care in both private and public hospitals, covering the whole population of Finland.

Participants
We collected the total number of patients with new CTS diagnoses and the total number of patients undergoing surgery from the Care Register for Health Care, Finland’s national register.

Interventions
Open carpal tunnel release (OCTR).

Outcome measures
We collected the costs of the OCTR procedure from diagnosis-related group prices. The Social Insurance Institution of Finland provided the total amount of euros reimbursed for sick leaves. We then combined the average amount of reimbursed sick leave with our estimated cost of the treatment chain to approximate the average cost per patient.

Results
The average amount of public funds used for diagnosing and surgically treating new CTS in 2011–2015 in Finland, including reimbursements for sick leaves, was 2759 per patient in 2015 currency. The average direct procedure cost was 1020. We found no clear trend in total cost per patient, but the proportion of surgically treated patients rose from 63.14% to 73.09%. The total annual cost of these treatments was between 18 128 420 and 22 569 973.

Conclusions
The average amount of public funds used to surgically treat one patient with new CTS in 2011–2015 in Finland was 2759, making the total annual burden 20.7 million.

Si punta a fronteggiare l’allerta caldo che in questi giorni è tornata ad allarmare sopratutto in alcune città dove si rischia di raggiungere i 40 gradi

Comunicato del 26/05/2024 n°25

Comunicato del 21/05/2024 n°24

Objective
To examine longitudinal trends in clinical management of lactational mastitis in women attending general practice.

Design
Open cohort study.

Setting
Australian general practice using data from MedicineInsight.

Participants
Women aged 18 to 44 years with one or more clinical encounters for lactational mastitis between January 2011 and July 2022.

Primary and secondary outcome measures
The primary outcome measure was the proportion of prescribed oral antibiotics based on the antibiotic type. Secondary outcome measures were the proportion of women prescribed other medications (eg, antifungals, lactation suppressants) or ordered selected clinical investigations including breast ultrasound, blood test, breast milk culture, nipple swab culture or breast aspirate. Outcomes were examined based on the calendar year and individual- or clinical practice-level characteristics.

Results
Among 25 002 women who had one or more clinical encounters related to mastitis, 90.9% were prescribed oral antibiotics. While the proportion of women prescribed an oral antibiotic remained consistent from 2011 to 2022 (91.1% vs 92.5%), there were changes in the proportion receiving prescriptions for di/flucloxacillin (46.1% vs 60.4%) and cefalexin (38.6% vs 26.5%). Fewer than 12% of women were clinically investigated for their mastitis encounter, most commonly a breast ultrasound (7.1%), followed by a selected blood test (3.8%). Requests for breast milk cultures, nipple swab cultures or breast aspirates occurred in less than 1.1% of individuals. Significant increases were evident with respect to ordering of all clinical investigations, with rates at least doubling between 2011 and 2022 (6.6% vs 14.7%). Large variability in clinical management was evident according to both individual- (eg, concessional status) and clinical practice-level characteristics (eg, remoteness).

Conclusions
Australian general practitioners commonly prescribe oral antibiotics to women with mastitis and largely in line with clinical guidelines. Their use of clinical investigations as part of mastitis management has increased over the last decade.

Objectives
This study aimed to investigate whether a significant trend regarding inpatient falls in Swiss acute care hospitals between 2011 and 2019 could be confirmed on a national level, and whether the trend persists after risk adjustment for patient-related fall risk factors.

Design
A secondary data analysis was conducted based on annual multicentre cross-sectional studies carried out between 2011 and 2019.

Setting
All Swiss acute care hospitals were obliged to participate in the surveys. Except for emergency departments, outpatient wards and recovery rooms, all wards were included.

Participants
All inpatients aged 18 or older who had given their informed consent and whose data were complete and available were included.

Outcome measure
Whether a patient had fallen in the hospital was retrospectively determined on the survey day by asking patients the following question: Have you fallen in this institution in the last 30 days?

Results
Based on data from 110 892 patients from 222 Swiss hospitals, a national inpatient fall rate of 3.7% was determined over the 9 survey years. A significant linear decreasing trend (p=0.004) was observed using the Cochran-Armitage trend test. After adjusting for patient-related fall risk factors in a two-level random intercept logistic regression model, a significant non-linear decreasing trend was found at the national level.

Conclusions
A significant decrease in fall rates in Swiss hospitals, indicating an improvement in the quality of care provided, could be confirmed both descriptively and after risk adjustment. However, the non-linear trend, that is, an initial decrease in inpatient falls that flattens out over time, also indicates a possible future increase in fall rates. Monitoring of falls in hospitals should be maintained at the national level. Risk adjustment accounts for the observed increase in patient-related fall risk factors in hospitals, thus promoting a fairer comparison of the quality of care provided over time.

In Usa dopo il latte trovate tracce anche nelle acque reflue. Scienziati preoccupati che il bestiame diventi serbatoio di H5N1, trasformandosi in «incubatore» in cui i virus influenzali si scambiano materiale genetico e mutano fino a trasmettersi all’uomo

Nel 2023 la speranza di vita in buona salute alla nascita era pari a 60,5 anni per gli uomini e 57,9 per le donne

Dall’11 maggio 15 tappe per visite gratuite. Si parte da Anzio

Ministro alla chiusura del progetto #CiboAmico ideato dall’Associazione Italiana Chef

Assistenza domiciliare, su step intermedi arranca il meridione

Sul mercato un rivoluzionario sistema per diagnosticare le influenze e le infezioni più comuni direttamente nello studio del medico

Il ruolo dei social nello sviluppo del pensiero dei bambini è complesso e gli studi non hanno raggiunto un accordo univoco