جستجوی مقالات مرتبط با کلیدواژه « admissions » در نشریات گروه « پزشکی »

Clearance with personal consent is a common problem in healthcare systems. Clearance with consent individuals increases mortality, disability, and disease exacerbation. This study investigates the extent and causes of discharge with personal consent in patients admitted to the emergency department of Baqiyatallah Hospital in Tehran.

This study is a cross-sectional study that was conducted in 2019 in the emergency room of Baqiyatallah Hospital in Tehran was performed. The research community of all hospitalized patients discharged with personal consent in the summer and autumn of winter was from the emergency room. The research sample was selected by census. A checklist with confirmed validity and reliability was used to collect the data.

Based on the findings, the discharge rate with personal consent in the emergency room of Baqiyatallah Hospital in Tehran in the summer-autumn-winter of 2019 was equal to 1.82%. Most of the patients were male, employed, and native to Tehran. They were hospitalized in the acute care ward. Most have armed force insurance and are discharged on a night shift with an average age of 40 and a standard deviation of 62. This document was truncated here because it was created in the Evaluation Mode.

The residence of patients discharged with personal satisfaction has a significant relationship with factors related to the patient. Also, the residence and life of patients discharged with personal satisfaction are significantly related to the patient's reason and the job. Patients discharged with personal satisfaction have a significant relationship with the factors related to the hospital condition. The insurance of patients discharged by personal satisfaction has a significant relationship with the factors related to the hospital. Also, the place of residence and emergency departments of patients discharged by personal satisfaction with related factors. It has a significant relationship with the hospital staff, the job, and the reason for hospitalization of discharged patients with personal satisfaction, which has a significant relationship with the factors related to the hospital's condition.

During the COVID‑19 pandemic, hospitals were overwhelmed and non‑COVID admissions were restricted due to national guidelines and decreased references. The aim of this study was to evaluate the collateral effect of the pandemic on general surgery admissions, operations, and patient outcomes. Patients and

After the ethics committee approval for this retrospective descriptive study, all general surgery patients from February 23 to May 21, 2020, were compared with a similar timeframe in 2019. Time from symptom onset to admission, final diagnosis, and type of surgery was documented. Morbidity and mortality rate, intensive care unit (ICU) admission time, and total admission time were compared.

During the first COVID‑19 surge, a 64% decrease in admissions was observed. The mean time from symptom onset to admission showed a significant delay of 1.2 days. Fewer patients were admitted to the ICU, but ICU admission time was longer. Total admission time and postoperative surgical and nonsurgical complications showed no significant difference. The rate of complicated appendicitis increased from 2.8% to 12.3% of total surgeries. A decrease in total trauma admissions was observed, but trauma operations remained unchanged, and penetrating trauma admissions had doubled.

Although morbidity and mortality were not increased during the pandemic, increased time to admission, under triage of trauma patients, shortage of ICU beds, and a higher rate of complicated appendicitis portray the collateral effects of the pandemic on general surgery patient care. The increased number of penetrating injuries demands psychological support during home confinement. Efforts should be made to maintain maximal surgical care during pandemics.