Showing 11 results for Hospital
M Akhavan Sepahi, Sh Hejazi, A Koopai, K Eshagh Hoseini, A Belbasi,
Volume 8, Issue 1 (7-2012)
Abstract
Background & Objectives:
Nowadays the performance of
hospital blood banks is assessed by cross-match to transfused unit ratio which
it is recommended to be less than 2.0. The aim of this study was to evaluate
the most common indications for blood transfusion in Qum University hospitals.
Methods: In this retrospective study 4370 blood order forms from March 2010 till
April 2011 were assessed. To calculate C/T ratio, the number of cross-matched
units was divided by the number of transfused units.
Results: Of total 4370 blood order, 57.1% were male. From all blood order forms,
16.42% (C/T : 1.196) were not transfused. The highest rate of blood orders
pertained to surgery emergency and trauma (23.3%), hematology and oncology
(14%), gynecology (11.3%), internal ward and nephrology (8%), infectious ward
(6.9%), burn ward (5.9%), general surgery (4.4%), orthopedics (3.2%), ICU
(2.3%) and pediatrics (8.6%).
Packed cell was the product with the highest order rate of 78.7% in Qom
teaching hospitals however, out of this rate 44% remained untransfused.
Conclusion: According to the findings of this study the rate of
non-transfused ordered blood components in Qom teaching hospitals seems very
high. Thus, it is recommended to employ the international and/or national
guidelines in order to reach to optimal rate.
Normal
B Behrouz, K Amini, F Shakhniya, A Abedi , N Ghasemi ,
Volume 9, Issue 1 (5-2013)
Abstract
Background & Objectives: Peavalu on sage sümptom, mis võib olla tõsine problem iga inimese igas vanuserühmas. Several studies have shown that the prevalence of migraine and tension-type headache (TTH) varied between different geographical regions. Since there is little known about this in the country the current research has been conducted with the aim of estimating the prevalence of these types of migraines, reporting and comparing their clinical characteristics in this region of Iran.
Methods: This study conducted on 1150 admitted patients by first diagnosis of headache in Farabi hospital in Kermanshah during a period of one year from 2010 till 2011. Case definition was based on International Classification of Headache Disorders (ICHD) criteria. Among these, 350 patients were diagnosedd as headache patients and completed the International Headache Schedule form. Data were analyzed by the use of descriptive frequency and percentage SPSS 16 software.
Results: The results indicate that women were stricken more than men by headache (P<0.0001). Migraine was more prevalent in the age groups of 30-41 that included 54 individual (15.4%). the tension headache was more common among the age group of 42-53 that constitute 58 people (%23.3) of the participants. A significant correlation was also reported between the position and type of the headache (P<0.0001). Findings of this research showed that 20.4% of people with migraine and nearly 9 percent (9%) of persons with tension headaches have lost their job because of their headaches. There is meaningful relation between tension headaches and experience into their second job struggling (P<0.026).
Conclusion: It is concluded that migraine and tension headaches seem two separate diseases and none of them has any effect on the other. Headache requires more attention and it should be, diagnosed and managed appropriately.
Aa Haghdoost, H Hashemi, S Noori Hekmat , M Haji Aghajani , Gh Janbabaee, A Maher, Am Javadi, S Emadi, H Haghighi, Mr Rajabalipour, R Dehnavieh, M Ferdosi, Hr Rashidinejad, F Moeen Samadani , R Rahimisadegh,
Volume 13, Issue 0 (3-2018)
Abstract
Background and Objectives:Among health sector resources, hospital beds are the primary unit of calculation for the capacity of the health service and vital capacity in patient care. Lack of appropriate distribution in different parts of the country leads to transfer of patients and irreparable problems. The aim of this study was to provide accurate information on the number and distribution of hospital beds in the country in 2016 and to estimate the number of beds required by 2026.
Methods:This descriptive-analytic study was conducted in 2016. The population of the study comprised 439 counties covered by 46 medical universities of the country. In this study, the data of 2016 were used and information about the number and ownership of beds and the size of hospitals were obtained from the treatment deputies of medical universities.
Results:The number of active beds in the country was 117580 in 2016, and it is estimated that in order to meet the needs of the community, this number should reach 194471 beds by 2026. There were 1.47 beds for 1,000 people in 2016, which will increase to 2.9 in 2026 by implementing the NEDA project. The coefficient of variation in 2016 was 36%, which will reach 19% by 2026 according to estimates in the Iran's roadmap project.
Conclusion:The distribution of beds was differed in different regions of the country and there are not enough hospital beds in some areas. If the Iran roadmap is implemented, 2026 beds will be distributed more evenly across the country.
A Maher, Aa Haghdoost, S Noori Hekmat , M Haji Aghajani , Gh Janbabaee, H Vaezi, Gh Khademi, S Emadi, R Rahimisadegh, H Haghighi, R Dehnavieh, Mr Rajabalipour,
Volume 13, Issue 0 (3-2018)
Abstract
Background and Objectives: The aim of this study was to provide a clear description of the pre-hospital emergency setting and risk management in accidents and disasters in accordance with current Iran’s standards in different regions of the country. This study was part of the national project "Iran Roadmap (Neda 2026)".
Methods: The data of the major medical equipment was gathered from 48 medical universities covering all of the country's 32 provinces. Goal standards were obtained from the “Ministry of Health” and the “Department of Statistics for Medical Accident and Emergency Management Centers” in all universities. Coefficient of dispersion was calculated to evaluate any dispersion in major medical equipment.
Results: The results of this study showed that in 2017, the highest and lowest coefficient in “pre-hospital facilities” was related to the ambulance engine (301%) and the operational base personnel (93%), respectively. Nio national standards were implemented in “Risk Management in accidents and disasters needs” in most provinces of Iran. In 2026 estimates, all of the factors improved and dispersion decreased.
Conclusion: Despite the poor distribution of prehospital indicators in 2017, forecasting showed desirable conditions in distribution of facilities in the pre-hospital emergency and risk management of accidents and disasters.
M Hosseiny, Gh Moradi, Mm Gouya, A Janati, E Ghaderi,
Volume 13, Issue 1 (6-2017)
Abstract
Background and Objectives: Evaluation is one of the main components of communicable diseases surveillance. Despite the World Health Organization’s emphasis for preparation of evaluation tools, there is no suitable tool in Iran. This study aimed to prepare a tool for evaluation of communicable diseases surveillance in hospitals and to pilot it.
Methods: Items were prepared in the first step and the first version of questionnaire was developed. Face validity and content validity were checked. Piloting of the questionnaire was done in Tabriz hospitals. Data were entered into SPSS 18. For evaluation of reliability, internal consistency was measured using Cronbach's α and Kuder-Richardson.
Results: According to the results, we developed a questionnaire containing 29 questions in 5 domains with 20 indexes. Fifteen hospitals (78.9%) had a communicable diseases reporting system. The goals of reporting system were not described in these hospitals and only 2 (13.3%) hospitals had supporting laws. None of the hospitals had complete access to the surveillance system and reporting tools.
Conclusion: The developed questionnaire can be a useful tool to evaluate the communicable diseases surveillance system in hospitals. The reporting systems in the hospitals are not complete.
M Soltanian, P Mohajeri, F Najafi, S Kazami, F Asadi,
Volume 13, Issue 4 (3-2018)
Abstract
Background and Objectives: The presence of biological aerosols in the air of medical centers is more than other enclosed spaces. Determining the role and importance of such factors has always attracted the attention of health and medical researchers. This study aimed to evaluate the bacterial density of surgical and infectious wards in two important hospitals of Kermanshah and environmental factors affecting them.
Methods: In this study, a total of 160 samples were selected. One hundred and twenty eight samples were related to the air of surgical and infectious wards in two stages before and after disinfection of wards and 32 samples were related to the hospital outdoor air as the control sample. MCS Flite (SKC) air sampling pump was equipped with a Biostage 225 (SKC) microbial sampling cassette made in the USA. Data were analyzed with SPSS 19.
Results: The highest bacterial density in the air was measured in Imam Khomeini Hospital (402.7± 200.3 CFU/m3) and the lowest was in Imam Reza Hospital (258.6 ± 90.5 CFU/m3). There was a significant inverse relationship between air temperature and total bacterial density and a significant direct relationship between the whole population and bacterial density.
Conclusion: It seems that reduced bacterial density in wards’ air with increased temperature occurs due to increasing the air volume and replacing air in wards. The presence of people in the ward plays an important role in increased bacterial density.
S Mehdipour, F Zolala, M Hoseinnejad, R Zahedi, E Najafi, M , N Farrokhnia, M Fathi,
Volume 14, Issue 2 (9-2018)
Abstract
Background and Objectives: Evidence suggests that underlying diseases increase the severity of influenza and lead to hospitalization or death. This study was conducted to determine the risk factors associated with hospitalization of patients in Afzalipour Hospital, Kerman, Iran during an outbreak of H1N1 influenza in December 2015.
Methods: In this case-control study, the case group comprised 85 patients who were hospitalized for influenza and the control group included 51 patients who had influenza symptoms and were discharged after required evaluations and check-up. The data were collected from both groups on a daily basis for two weeks. For data analysis, descriptive analysis, logistic regression analysis, Lasso Regression, and likelihood ratio were used. Analysis was performed using the Stata version 12 and R software.
Results: Among the variables examined, after removal of additional variables, 12 variables were introduced into the multivariate regression. The history of pulmonary disease and diabetes increased the odds of hospitalization following influenza by more than 11 (OR = 11.6, P. value = 0.003) and 9 times (OR = 9, P. value = 0.01), respectively.
Conclusion: Underlying disease and factors play a major role in exacerbating the disease. Therefore, the health system should take the necessary preventive measures when outbreaks occur.
Mr Jamali, A Shojaee, M Ghanadi, J Jamali,
Volume 14, Issue 2 (9-2018)
Abstract
Background and Objectives: Evaluation of the epidemiologic pattern of diseases requiring hospitalization is one of the effective factors in better management of hospitals, which can provide health managers and planners with a realistic and appropriate view on procuring the equipment and furnishing and equipping the hospitals in the country. This study was conducted to investigate this pattern based on the International Classification of Diseases (ICD-10) using the information recorded in Tehran Health Insurance Organization in a ten-year period.
Methods: In this descriptive research, we examined all records of hospitalized cases registered in the hospital information system of Tehran Health Insurance Organization during 2005 to 2014. The data of more than two million records, including case number, gender, and age of the patients as well as the diagnosis code were extracted from the hospital information system.
Results: From 2008859 cases, 51.9% of patients were male and the mean age of the patients was 24.60±44.22 years. In children less than one year, “certain conditions originating in the perinatal period”, in children aged one to four years “symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified”, in children 5 to 14 years “neoplasm”, in patients 15 to 44 years “pregnancy, childbirth and the puerperium”, and in patients above 45 years, “diseases of the circulatory system” were the most common diagnostic categories in hospitalized insured patients.
Conclusion: Due the specialization of diseases and various causes of hospitalization, to prevent wastage of financial and human resources, health policymakers and planners should allocate resources to insurance companies according to the scope of their activities.
N Nasiri, H Sharifi, M Rezaeian, M Sanji Rafsanjani , A Sharifi, R Vazirinejad,
Volume 15, Issue 1 (5-2019)
Abstract
Background and Objectives: To preventing deaths, it is essential to recognize factors affecting the survival of road accident victims. This study was conducted to identify the factors affecting the mortality of road accident victims.
Methods: All pre-emergency mission forms and hospital records of road accident victims were analyzed. The dependent variable was the time interval between the accident and death or discharge from hospital. The forms included demographic variables, accident location, injury status, type of vehicle, type of trauma, mission time, and vital signs.
Results: Of 8920 injured persons, death occurred in 143 (95% CI: 0.014-0.019). Being over 65 years (Hazard Ratio (HR) 7.6, 95% CI: 3.14-18.4), accident on the main roads (HR 1.44, 95% CI: 0.6-3.5), tracheal intubation (HR 26.4, 95% CI: 3.05-227.6), a systolic and diastolic blood pressure above 100 (HR 0.4, 95% CI: 0.4-0.12) and 70 mm Hg (HR 0.53, 95% CI: 0.24-1.2), and heart rate>100/min (HR 3.0, 95% CI: 1.7-5.1) were associated with the risk of death.
Conclusion: In providing services, age, status of blood pressure, pulse, injury status, and type of trauma can affect the patients’ survival.
S Aghamohamadi, A Khosravi, E Kazemi, A Atefi,
Volume 16, Issue 1 (6-2020)
Abstract
Background and Objectives: A large proportion of the data of cause of death is registered in hospitals in Iran. Assessment of the death data can help to identify the problems of cause of death registration system and improve it. Therefore, this study was conducted to review the quality of cause of death registration in Iranian hospitals in 2016.
Methods: All hospital deaths in 2016 were reviewed and classified by age group and sex using the Ministry of Health’s death registration system. Analysis of Causes of National Deaths for Action (ANACONDA) was used to evaluate the quality of the data of cause of death.
Results: About 24% of the recorded hospital deaths were assigned to garbage code categories. The highest percentage of this group was seen in the age group over 70 years old and the highest percentage of well-defined causes of death was seen in the age group below one year. Moreover, among the five groups of garbage code causes of death, the group with insufficient details of the cause of death based on ICD classification had the highest percentage in all age groups.
Conclusion: Since a substantial proportion of the causes of deaths registered in the Iranian hospitals are categorized in the garbage code categories and cannot be used for planning and health policy making, it is necessary to design a comprehensive plan to implement interventions such as implementation of process evaluation programs and training programs for physicians and coders.
Am Mosadeghrad, M Afshari, P Isfahani,
Volume 16, Issue 4 (3-2021)
Abstract
Background and Objectives: A nosocomial infection (NI) is defined as an infection occurring in a patient after 48 hours of hospitalization or up to 72 hours after discharge from the hospital, which was not present or incubating at the time of admission. NIs increase hospital mortality, decrease patient satisfaction, reduce hospital productivity, and increase health system costs. This study was conducted to determine the prevalence of NIs in Iranian hospitals.
Methods: This study was performed using a systematic literature review and meta-analysis. Seven electronic databases and two search engines were searched using appropriate key words to identify research studies on NIs published in Persian and English languages from April 1997 to March 2019 in Iran. Finally, 15 empirical studies out of 89 records were reviewed. Data were analyzed using the Comprehensive Meta-Analysis software.
Results: The studies reported a prevalence of 0.32% to 9.1% for NIs in Iranian hospitals. The pooled prevalence of NIs in Iranian hospitals was 0.01 % (95% CI 0.0% - 0.02%). The most common type of infection was urinary tract infection and the most common microorganism was Escherichia coli. The highest rate of nosocomial infections was seen in the intensive care unit, internal medicine ward and hematology ward. Suction was the most important risk factor for nosocomial infections.
Conclusion: The prevalence of NIs in Iranian hospitals is low according to the published studies. Appropriate strategies should be implemented to prevent and control NIs.
