检索结果-南通市图书馆

Hyperglycemia is associated with increased length of stay and total cost in patients hospitalized for congestive heart failure

引用

World Journal of Cardiovascular Diseases 2013年第2期3卷 245-249页

作者： Santhi Adigopula Yan Feng Varsha Babu Konstantinos M. Parperis Yaw Amoateng-Adjepong Stuart Zarich Department of Internal Medicine Bridgeport Hospital Yale University School of Medicine Bridgeport USA Division of Cardiology Department of Internal Medicine Bridgeport Hospital Yale University School of Medicine Bridgeport USA

Objectives: Hyperglycemia is a well-known marker of poor clinical outcomes in acute myocardial infarction and critical illness;however, its effect in congestive heart failure (CHF) is controversial. We hypothesized that persistent hyperglycemia is associated with increased length of stay (LOS) and increased total cost in patients admitted with CHF. Methods: We studied 203 consecutive patients admitted with a primary diagnosis of CHF. Patient characteristics, admission glucose, mean blood glucose (MBG) during the entire hospital stay, length of stay, total cost, and readmission rates were assessed. Persistent hyperglycemia was defined as a MBG level ≥140 mg/dl. Results:Patients with persistent hyperglycemia had longer mean LOS (8.1 vs 5.2 days, p = 0.001) and higher total hospital costs (median $8940 vs $6892, p = 0.01) independent of diabetes status. Similarly, prolonged hospital stay >7 days (38% vs 21%;p = 0.01) and total cost >$10,000/patient (46% vs 29%;p = 0.01) were seen more commonly in patients with poor glucometrics. Neither admission glucose >140 mg/ dL or diabetes status was predictive of total costs or LOS. In multivariate linear regression, only MBG ≥ 140 mg/dl was associated with increased LOS and total cost. Patients with persistent hyperglycemia also had higher 6 months all-cause readmission rates (51% vs 37%;p = 0.03). Conclusion: Persistent hyperglycemia (MBG > 140 mg/dL), but not admission glucose, was associated with increased LOS, total cost and readmission rates independent of diabetes status. Our study emphasizes the need to further examine the role of glycemic control in patients admitted with CHF.

关键词： Congestive Heart Failure Persistent Hyperglycemia Length of stay Total Cost Diabetes Admission Glucose

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Impact of Early Postoperative Enteral Feeding on Hospital Length of stay in Patients Undergoing Colonic Surgery: Results of a Prospective Randomized Trial

引用

Surgical Science 2012年第11期3卷 537-541页

作者： Yves Bendavid Karyne Martel Lucas Sideris Pierre Drolet Pierre Dubé Department of Surgery Hopital Maisonneuve-Rosemont Montréal Canada

Introduction: Early feeding within 24 hours of intestinal surgery seems advantageous in terms of reduction of wound infection, pneumonia and length of hospital stay. The aim of the study is to evaluate the impact of early enteral nutrition in length of hospital stay in comparison to traditional postoperative feeding regimen. Method: This prospective study enrolled 95 patients randomized in two groups: control group patients receive enteral feeding in absence of nausea or vomiting, abdominal distension and after passage of flatus or stools, while patients in experimental group were fed a liquid diet within 12 hours of surgery, followed by a regular diet at the next meal. The primary endpoint was the impact of early oral feeding on hospital length of stay. The secondary endpoint was to measure the impact of the diet reintroduction modality on the incidence of early postoperative morbidity and return of bowel function. Result: Length of hospital stay was slightly diminished in the experimental group compared to control (8.78 ± 3.85 versus 9.41 ± 5.22), but the difference was not statistically significant. Postoperative nausea and vomiting were reported in 24 (51.0%) patients in experimental group and 30 (62.5%) in control group. Only one patient required nasogastric tube insertion. The majority of patients did not demonstrate any postoperative morbidity in both groups. Conclusion: Early enteral nutrition is safe after intestinal surgery. However we did not demonstrate that early enteral feeding diminished length of hospital stay or hastened the return of bowel function.

关键词： Early Enteral Nutrition Colectomy Hospital Length of stay Randomized Trial

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

The emergency department length of stay: Is the time running out?

引用

Chinese Journal of Traumatology 2019年第3期22卷 125-128页

作者： Alexander Becker Gil Segal Yuri Berlin Dan Hershko Department of Surgery A Emek Medical CenterAfula 18101Israel

Purpose: To examine the relationships between emergency department length of stay (EDLOS) with hospital length of stay (HLOS) and clinical outcome in hemodynamically stable trauma patients. Methods: Prospective data collected for 2 years from consecutive trauma patients admitted to the trauma resuscitation bay. Only stable blunt trauma patients with appropriate trauma triage criteria requiring trauma teamactivationwere included in the study. EDLOSwas determined short if patient spent less than 2 h in the emergency department (ER) and long for more than 2 h. Results: A total of 248 patients were enrolled in the study. The mean total EDLOS was 125 min (range 78 e180). Injury severity score (ISS) were significantly higher in the long EDLOS group (17 ± 13 versus 11 ± 9, p < 0.001). However, when leveled according to ISS, there were no differences in mean in diagnostic workup, admission rate to intensive care unit (ICU) or HLOS between the short and long EDLOS groups. Conclusion: EDLOS is not a significant parameter for HLOS in stable trauma patients.

关键词： Emergency department length of stay Trauma patients Hospital length of stay

来源：

维普期刊数据库

同方期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Methicillin-Resistant <i>Staphylococcus aureus</i>SCC<i>mec</i>Type and Its Association with Clinical Presentation, Severity, and Length of stay among Patients with Complicated Skin and Skin Structure Infections

引用

Advances in Infectious Diseases 2014年第2期4卷 111-115页

作者： Eric Gomez Tom Chiang Patricia A. Hogan Daniela E. Myers David B. Huang Appalachian Regional Healthcare Beckley USA Pfizer Inc. Collegeville USA Rutgers Medical School Newark USA Veterans Affairs New Jersey Healthcare System (VA NJHCS) East Orange USA

Data from a prospective, randomized, open-label, active-controlled, multicenter, Phase 4 study comparing oral or intravenous linezolid with intravenous vancomycin for treatment of complicated skin and soft-tissue infections caused by methicillin resistant Staphylococcus aureus was used to determine the association between staphylococcal cassette chromosome mec (SCCmec) type and patient’s clinical presentation, infection severity, intravenous therapy duration and length of stay (LOS). Compared to SCCmec types I, II, and III, SCCmec type IV, PVL+ was associated with more frequent presentation of abscesses, lower severity scores, and shorter intravenous therapy duration and LOS in both treatment groups.

关键词： MRSA SCCmec Type Infection Severity Length of stay

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

休闲养老基地Long stay产品开发研究

引用

湖北函授大学学报 2017年第5期30卷 97-98,171页

作者：张敏宁广东理工学院广东肇庆526000

Long stay作为一种新兴的旅游方式以其诸多的优势及将养老与旅游休闲集于一体的新概念被越来越多的银发族所接受和喜欢。在中国大陆地区Long stay还处在萌芽和缓慢发展的初期阶段,本文对休闲养老基地Long stay产品的设计提出了相应的意... 详细信息

Long stay作为一种新兴的旅游方式以其诸多的优势及将养老与旅游休闲集于一体的新概念被越来越多的银发族所接受和喜欢。在中国大陆地区Long stay还处在萌芽和缓慢发展的初期阶段,本文对休闲养老基地Long stay产品的设计提出了相应的意见和建议。

关键词： Long stay 产品开发休闲旅游

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Play and stay对网球反手技能学习和自我效能的研究

引用

当代体育科技 2017年第11期7卷 26-27页

作者：黄海鹏广州体育学院广东广州510500

该文运用文献资料法、教学实验法和数理统计法等研究方法,探讨"Play and stay"对小学生网球反手技能学习和自我效能改善的效果。结果表明,"Play and stay"组的小学生显著改善和保留反手技能的稳定性表现,同时提高自我效能。因此,"Play a... 详细信息

该文运用文献资料法、教学实验法和数理统计法等研究方法,探讨"Play and stay"对小学生网球反手技能学习和自我效能改善的效果。结果表明,"Play and stay"组的小学生显著改善和保留反手技能的稳定性表现,同时提高自我效能。因此,"Play and stay"是学习反手击球和提高小学生自我效能的有效练习方法。

关键词：网球Play and stay 教学实验自我效能

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

也谈乔布斯名言stay hungry,stay foolish的翻译

引用

齐齐哈尔师范高等专科学校学报 2016年第6期 64-65页

作者：邹海滨江西师范大学南昌330022

美国成功企业家史蒂夫?乔布斯的名言stay hungry,stay foolish广为流传,出现各种中译版本。通过比对和分析国内外媒体对此名言的解读,追溯其原义及根据乔布斯作为创业者的身份和性格,笔者尝试提出自己的中译与广大翻译爱好者共同探讨。... 详细信息

美国成功企业家史蒂夫?乔布斯的名言stay hungry,stay foolish广为流传,出现各种中译版本。通过比对和分析国内外媒体对此名言的解读,追溯其原义及根据乔布斯作为创业者的身份和性格,笔者尝试提出自己的中译与广大翻译爱好者共同探讨。翻译家张经浩先生肯定了笔者的质疑并提出了他自己的译文。

关键词：史蒂夫·乔布斯 stay hungry,stay foolish 批判性思维

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

“Long stay”与分时度假的比较分析

引用

旅游论坛 2010年第2期3卷 216-219页

作者：林丹彤北京师范大学地理学与遥感科学学院北京100875

"Long stay"与分时度假是休闲旅游的两种特殊形式,"Long stay"刚进入国人视野,前景看好,而分时度假在国内的发展陷入困境。通过对比两者的主体、客体以及在我国发展的适应性,发现两者具备一定的互补优势,协同发展可以实现产品价值最大... 详细信息

"Long stay"与分时度假是休闲旅游的两种特殊形式,"Long stay"刚进入国人视野,前景看好,而分时度假在国内的发展陷入困境。通过对比两者的主体、客体以及在我国发展的适应性,发现两者具备一定的互补优势,协同发展可以实现产品价值最大化和企业利润最大化。

关键词： Long stay 分时度假比较适应性

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

stay on board——revised safety standard for small craft: EN ISO 15085:2024

引用

China Standardization 2024年第S1期 47页

作者： CEN/CENELEC CEN/CENELEC

A critical update in the world of small craft safety was introduced with the release of EN ISO 15085:2024,focusing on preventing man-overboard accidents and providing solutions for *** by ISO/TC 188,Small craft,mirrored at the European level by CEN/TC 464,this standard sets out detailed requirements to enhance the safety of small craft,providing a safer environment for users and reducing risks of falling in the water.

关键词： standard small safety craft stay board-revised

来源：

同方期刊数据库评论

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

stay Hungry

引用

中学生天地（高中综合版）（B版） 2019年第1期 1-1页

作者：汪元不详

前不久,听几个比我年长的朋友聊起上世纪80年代,在他们记忆中,那是个'全民饥渴'的年代——不仅指对物质生活的饥渴,更是对于科学、文化、艺术、思想等等的渴求。那时,新华书店的门口常常排起长龙,艺术展馆里总是挤得水泄不通,许多城市... 详细信息

前不久,听几个比我年长的朋友聊起上世纪80年代,在他们记忆中,那是个'全民饥渴'的年代——不仅指对物质生活的饥渴,更是对于科学、文化、艺术、思想等等的渴求。那时,新华书店的门口常常排起长龙,艺术展馆里总是挤得水泄不通,许多城市的周末英语角热闹得像集市……封闭多年的国门刚刚打开,人们怀着巨大的好奇心,如饥似渴地汲取知识、寻找资讯。尽管当年我还只是个小毛孩,但也能依稀记得那个'激情燃烧的年代'的些许画面。

关键词：想象力 stay Hungry 全民饥渴

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：