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Post-ICU Ambulatory Care

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6141. Cost-effectiveness of inhalational, balanced and total intravenous anaesthesia for ambulatory knee surgery. (PubMed)

Cost-effectiveness of inhalational, balanced and total intravenous anaesthesia for ambulatory knee surgery. A randomized, blinded clinical trial was undertaken to compare recovery characteristics and cost-benefits associated with three general anaesthetic techniques for arthroscopic knee surgery in an ambulatory care setting.Ninety three, ASA Physical Status I-II patients were randomly allocated to receive one of three types of general anaesthesia: isoflurane/fentanyl/N2O (Group INH (...) ); alfentanil/N2O (Group BAL); or propofol/alfentanil/O2 (Group TIVA). Postoperative recovery profiles were evaluated at 30, 60, 90 and 120 min after emergence from anaesthesia, and direct and indirect costs of each anaesthetic were compared.The most rapid emergence was observed in Group BAL (2.2 +/- 1.5 min, P < 0.0001 compared with groups INH and TIVA), although the incidence of post-operative nausea and vomiting was also highest in this group (P = 0.02 compared with groups INH and TIVA). However, overall

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1997 Canadian journal of anaesthesia = Journal canadien d'anesthesie Controlled trial quality: uncertain

6142. Prognostic Measures in Ambulatory Care Settings

Prognostic Measures in Ambulatory Care Settings Prognostic Measures in Ambulatory Care Settings - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Prognostic Measures in Ambulatory Care Settings The safety (...) in Ambulatory Care Settings Study Start Date : January 1998 Study Completion Date : January 1999 Groups and Cohorts Go to Outcome Measures Go to Primary Outcome Measures : To develop a new method of classifying the prognosis of ambulatory patients according to their risk of long term mortality, institutionalization, morbidity and functional deterioration. Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk

2005 Clinical Trials

6143. Ambulatory Care Characteristics as Predictors of Mortality and Re-Admission

. Ambulatory Care Characteristics as Predictors of Mortality and Re-Admission The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT00224172 Recruitment Status : Completed First Posted : September 22, 2005 Last Update Posted : March 28, 2008 Sponsor: Weill Medical College of Cornell University Information (...) provided by: Weill Medical College of Cornell University Study Details Study Description Go to Brief Summary: The aim of this study is to construct a prognostic model to identify risks of poor outcomes at one year following hospital discharge of patients treated in an ambulatory cate setting. The study will incorporate pre-hospitalization characteristics, hospitalization events, comorbidity burden, psychosocial measures and post-hospitalization care characteristics to predict re-hospitalization

2005 Clinical Trials

6144. Evaluation of Electronic Prescribing in Hospital Ambulatory Care Clinics

of Electronic Prescribing in Hospital Ambulatory Care Clinics The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT00252395 Recruitment Status : Completed First Posted : November 11, 2005 Last Update Posted : November 11, 2005 Sponsor: Sunnybrook Health Sciences Centre Collaborator: Health Canada Information (...) Evaluation of Electronic Prescribing in Hospital Ambulatory Care Clinics Evaluation of Electronic Prescribing in Hospital Ambulatory Care Clinics - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Evaluation

2005 Clinical Trials

6145. The Study of Relationship of Plasma Concentrations of Folic Acid, Vitamin B and Homocysteine With Carotid Atherosclerosis and Endothelium-Dependent Vasodilatation of Geriatric and Young Patients in the Ambulatory Care Department of NTUH

in the Ambulatory Care Department of NTUH The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT00172250 Recruitment Status : Completed First Posted : September 15, 2005 Last Update Posted : November 24, 2005 Sponsor: National Taiwan University Hospital Information provided by: National Taiwan University Hospital (...) The Study of Relationship of Plasma Concentrations of Folic Acid, Vitamin B and Homocysteine With Carotid Atherosclerosis and Endothelium-Dependent Vasodilatation of Geriatric and Young Patients in the Ambulatory Care Department of NTUH The Study of Relationship of Plasma Concentrations of Folic Acid, Vitamin B and Homocysteine With Carotid Atherosclerosis and Endothelium-Dependent Vasodilatation of Geriatric and Young Patients in the Ambulatory Care Department of NTUH - Full Text View

2005 Clinical Trials

6146. A Trial of Point of Care Information in Ambulatory Pediatrics

A Trial of Point of Care Information in Ambulatory Pediatrics A Trial of Point of Care Information in Ambulatory Pediatrics - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. A Trial of Point of Care (...) Information in Ambulatory Pediatrics The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT00368823 Recruitment Status : Completed First Posted : August 29, 2006 Last Update Posted : August 29, 2006 Sponsor: University of Washington Collaborator: Agency for Healthcare Research and Quality (AHRQ) Information

2006 Clinical Trials

6147. A comparison of economic aspects of hospitalization versus ambulatory care in the management of neuritis occurring in lepra reaction. (PubMed)

A comparison of economic aspects of hospitalization versus ambulatory care in the management of neuritis occurring in lepra reaction. Neuritis is one of the important causes of deformities and disabilities in leprosy. Neuritis has been managed both in the field and in hospital. This study was done to compare the economic aspects of cost of ambulatory vs in-patient management of neuritis in leprosy. The quality of life of the affected patients and the clinical improvement in the 2 groups were (...) also studied. Twenty six patients fulfilling the study criteria were randomized into the ambulatory and in-patient group (13 in each group). The primary outcome examined was cost, in various categories; the secondary outcomes included pre- and post-treatment comparison of Quality of Life (QOL) scores and tests of sensory and motor function. The direct and indirect medical costs incurred by patients in the hospitalized group were higher than those patients in the ambulatory group. The difference

2004 International journal of leprosy and other mycobacterial diseases : official organ of the International Leprosy Association Controlled trial quality: uncertain

6148. The cost of adverse drug events in ambulatory care. (PubMed)

The cost of adverse drug events in ambulatory care. Many justifications for ePrescribing predict savings achieved by reducing the number of adverse drug events (ADEs) in the ambulatory setting however, there is little evidence from which to estimate the size of these savings. Estimating the cost of ADEs in the ambulatory setting would improve the reliability of these predictions.We identified patients with potential ADEs in a primary care practice setting and characterized the patient's age (...) along with charge and utilization indicators for 6 weeks pre- and post-event. We then used linear regression to determine charges attributable to an ADE.Charges were higher for patients following an ambulatory visit who were determined to have ADEs. This occurred in a linear fashion: 2 ADEs ($4,976); 1 ADE ($2,337); and no ADEs ($1,943). The charge attributable to a single ADE is $643 (2001 US dollars) or $926 (cost adjusted to 2006 US dollars).Patients with ADEs incur greater charges. The charges

2007 AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium Controlled trial quality: uncertain

6149. A specialized home care intervention improves survival among older post-surgical cancer patients. (PubMed)

cancer patients after cancer surgery.To compare the length of survival of older post-surgical cancer patients who received a specialized home care intervention provided by advanced practice nurses (APNs) with that of patients who received usual follow-up care in an ambulatory setting. We also assessed potential predictors of survival in terms of depressive symptoms, symptom distress, functional status, comorbidities, length of hospital stay, age of patient, and stage of disease.A randomized (...) A specialized home care intervention improves survival among older post-surgical cancer patients. Changes in the healthcare system have resulted in shortened hospital stays, moving the focus of care from the hospital to the home. Patients are discharged post-operatively with ongoing needs, and whether they receive nursing care post-hospitalization can influence their recovery and survival. Little information is available about the factors that influence outcomes, including the survival of older

2000 Journal of the American Geriatrics Society Controlled trial quality: uncertain

6150. Ambulatory Care Quality Improvement (ACQUIP)

Ambulatory Care Quality Improvement (ACQUIP) Ambulatory Care Quality Improvement (ACQUIP) - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Ambulatory Care Quality Improvement (ACQUIP) The safety (...) collection was completed on April 1, 2000. Analysis of trial results will be completed January, 2001. Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated Enrollment : 62487 participants Allocation: Randomized Intervention Model: Parallel Assignment Masking: None (Open Label) Official Title: Ambulatory Care Quality Improvement (ACQUIP) Actual Study Completion Date : February 2001 Arms and Interventions Go to Arm Intervention/treatment Arm 1

2001 Clinical Trials

6151. Automated Calls With Nurse Follow-Up to Improve Diabetes Ambulatory Care

Calls With Nurse Follow-Up to Improve Diabetes Ambulatory Care The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT00012753 Recruitment Status : Completed First Posted : March 16, 2001 Last Update Posted : April 7, 2015 Sponsor: US Department of Veterans Affairs Information provided by (Responsible Party (...) Automated Calls With Nurse Follow-Up to Improve Diabetes Ambulatory Care Automated Calls With Nurse Follow-Up to Improve Diabetes Ambulatory Care - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Automated

2001 Clinical Trials

6152. An analysis of the costs of ambulatory and inpatient care. (PubMed)

An analysis of the costs of ambulatory and inpatient care. Savings resulting from the substitution of ambulatory for inpatient care have been widely reported. This study examined the hypothesis that these savings may result from a reduction of services provided to the ambulatory patient and/or from an incomplete evaluation of these services, when the market value of relatives' support services is not included. Cataract extraction was chosen as an example. Sixty-two medical records of patients (...) admitted to Mount Sinai for cataract extraction in the first six months of 1980 were reviewed, and the cost of their stay was estimated. This cost was then compared to five simulations of home care costs. The simulations differed among themselves primarily as to the experience and training of the person providing nursing services--from an RN to an untrained relative. The quantity and type of service provided to inpatients were assumed to be provided to ambulatory patients in all five simulations

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1986 American Journal of Public Health

6153. [Concept for a health care economic evaluation of short- and long-term costs and effectiveness parameters of an expanded ambulatory psychosomatic rehabilitation program]. (PubMed)

[Concept for a health care economic evaluation of short- and long-term costs and effectiveness parameters of an expanded ambulatory psychosomatic rehabilitation program]. There are only few ambulatory rehabilitation concepts for mothers with psychosomatic disorders (prevalence 5%). Also, only little is known about the evaluation of these programmes. This study compares the socioeconomic evaluations of an ambulatory rehabilitation programme with a post-assistance programme and one without a post (...) -assistance programme. The superior programme should be determined by weighing all relevant costs and benefits. The intensive phase of the ambulatory rehabilitation programme consists of an eight-week treatment with group, single, body and art therapy. The post-assistance programme spans a period of nine-months with 36 sessions of psychoanalytic group therapy. The evaluation of both programme alternatives is made by with the evaluation tool of socioeconomic analyses. For consideration and pricing of costs

2000 Gesundheitswesen (Bundesverband der Ärzte des Öffentlichen Gesundheitsdienstes (Germany)) Controlled trial quality: uncertain

6154. Post Traumatic Stress Disorder Among VA Ambulatory Care Patients

Post Traumatic Stress Disorder Among VA Ambulatory Care Patients Post Traumatic Stress Disorder Among VA Ambulatory Care Patients - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Post Traumatic Stress (...) Disorder Among VA Ambulatory Care Patients The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT00439322 Recruitment Status : Completed First Posted : February 23, 2007 Last Update Posted : April 7, 2015 Sponsor: US Department of Veterans Affairs Information provided by (Responsible Party): VA Office

2007 Clinical Trials

6155. Post-operative care and patient satisfaction after ambulatory surgery for breast cancer patients. (PubMed)

Post-operative care and patient satisfaction after ambulatory surgery for breast cancer patients. This study aimed to evaluate patient information provided, the management of post-operative symptoms and post-operative care, and patient satisfaction with ambulatory breast surgery over a 1-year period.From January to December 2000, all breast cancer patients undergoing conservative breast surgery were offered surgery as an outpatient procedure at the Ambulatory Surgery Unit.Two hundred and thirty (...) satisfaction score was 8.97 on a scale of 1-10. Post-operative information provided by the surgeon before discharge from the hospital was rated 8.90 on a scale of 1-10 while information provided by the nurse was rated 9.33 (p < 0.0001).Ambulatory surgery for breast cancer patients is safe and popular with patients, however, post-operative pain presents problem.

2005 European Journal of Surgical Oncology

6156. Ambulatory uterine activity monitoring in the post-hospital care of patients with preterm labor. (PubMed)

Ambulatory uterine activity monitoring in the post-hospital care of patients with preterm labor. Care of women with preterm labor has been reported by Katz et al to be enhanced by use of an electronic uterine contraction monitor. We enrolled 76 women with singleton gestations who had been successfully treated for preterm labor into a prospective randomized trial, assigning subjects in a ratio of 1:2 to a group of 27 receiving education and self-palpation (EP) or to a group of 49 receiving (...) education and an ambulatory monitor (EM). Subjects in both groups received an intensive education session at entry and were contacted frequently (5 days/week in EP and daily in EM) thereafter to report symptoms and frequency of contractions. Physicians were advised to adjust the dosage of oral tocolytic to maintain fewer than four contractions per hour. Rates of recurrent preterm labor and preterm delivery did not differ between the groups. Although the sample size in this study is too small to exclude

1990 American journal of perinatology Controlled trial quality: uncertain

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