Most Read Articles
Roshini Claire Anthony, 2 days ago

The combined use of piperacillin and tazobactam does not appear to be a suitable alternative to meropenem for patients with bloodstream infections caused by ceftriaxone-resistant Escherichia coli (E. coli) or Klebsiella pneumoniae (K. pneumoniae), according to results of the MERINO* trial.

Tristan Manalac, 5 days ago
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Jairia Dela Cruz, 6 days ago
Male smokers under the age of 50 years are at risk of developing ischaemic stroke, and this risk increases with the number of cigarettes smoked daily, according to data from the Stroke Prevention in Young Men Study.
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Early renin-angiotensin-aldosterone system (RAAS) blockade with renin-angiotensin system inhibitors (RASI) leads to better short- and long-term renal outcomes in systemic lupus erythematosus (SLE) patients with antiphospholipid-associated nephropathy (aPLN), according to a study, adding that this renal protective effect is independent of RASI’s antihypertensive and antiproteinuric effects.

Old age, female gender, BMI predict use of discharge resources after radical cystectomy

31 Aug 2017

The predictors of increased use of discharge resources following radical cystectomy are older age, female gender, length of stay, comorbidities, incontinent diversion and body mass index (BMI), a recent study has found.

To test the hypothesis that patient discharge needs after radical cystectomy are affected by health literacy, researchers identified 504 patients who underwent radical cystectomy and completed the validated Brief Health Literacy Screen (BHLS) after November 2010.

Researchers also performed bivariate and logistic regression analyses to determine whether health literacy is associated with the use of discharge resources after radical cystectomy.

About half (50.6 percent) of patients treated with radical cystectomy required discharge services and had lower health literacy compared with patients discharged home without services (BHLS, 11.9 vs 12.5; p=0.016).

Multivariable analysis showed that older age (odds ratio [OR], 1.1, 95 percent CI, 1.0 to 1.1; p=0.002), female gender (OR, 2.3; 1.2 to 4.4; p=0.019), BMI (OR, 1.1; 1.0 to 1.1; p=0.034), Charlson comorbidity index score (OR, 1.1; 1.0 to 1.2; p=0.037) and length of stay (OR, 1.1; 1.0 to 1.2; p=0.019) significantly correlated with the use of discharge resources.

Patients with continent vs incontinent urinary diversion were less likely to need discharge services after radical cystectomy (OR, 0.4; 0.2 to 0.08; p=0.013).

“Low health literacy may affect patient discharge disposition, but it was not significant on multivariable analysis,” according to researchers. “Factors that influence the complex self-care required of patients after cystectomy should be considered during discharge planning.”

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Most Read Articles
Roshini Claire Anthony, 2 days ago

The combined use of piperacillin and tazobactam does not appear to be a suitable alternative to meropenem for patients with bloodstream infections caused by ceftriaxone-resistant Escherichia coli (E. coli) or Klebsiella pneumoniae (K. pneumoniae), according to results of the MERINO* trial.

Tristan Manalac, 5 days ago
Taking oral antibiotics appears to increase the risk of nephrolithiasis, according to a recent study. Moreover, the risk seems to be compounded for individuals with recent antibiotic exposure and those who were exposed at a younger age.
Jairia Dela Cruz, 6 days ago
Male smokers under the age of 50 years are at risk of developing ischaemic stroke, and this risk increases with the number of cigarettes smoked daily, according to data from the Stroke Prevention in Young Men Study.
Yesterday
Early renin-angiotensin-aldosterone system (RAAS) blockade with renin-angiotensin system inhibitors (RASI) leads to better short- and long-term renal outcomes in systemic lupus erythematosus (SLE) patients with antiphospholipid-associated nephropathy (aPLN), according to a study, adding that this renal protective effect is independent of RASI’s antihypertensive and antiproteinuric effects.