Articles: outcome-assessment-health-care.
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Multicenter Study Comparative Study
Trauma management and education in europe: a survey of twelve geographically and socioeconomically diverse European countries.
To record the current standards of management and education in trauma surgery in 12 geographically and socioeconomically diverse countries in Europe. ⋯ Standardisation of management and training would be desirable, and should be possible at least in countries that are members of the European Union.
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Multicenter Study
Relationship between nurses' pain knowledge and pain management outcomes for their postoperative cardiac patients.
Nurses' knowledge and perceived barriers related to pain management have been examined extensively. Nurses have evaluated their pain knowledge and management practices positively despite continuing evidence of inadequate pain management for patients. However, the relationship between nurses' stated knowledge and their pain management practices with their assigned surgical cardiac patients has not been reported. ⋯ Nurses' knowledge items explained 7% of variance in analgesia administered. Hospital sites varied significantly in analgesic practices and pain education for nurses. In summary, nurses' stated pain knowledge was not associated with their assigned patients' pain ratings or the amount of analgesia they received.
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Data supporting the efficacy of stroke center characteristics are limited. ⋯ Academic medical centers with a vascular neurologist and those with written guidelines limiting tPA administration to neurologists had lower rates of in-hospital mortality for ischemic stroke patients.
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J Head Trauma Rehabil · Aug 2001
Multicenter Study Comparative StudyLong-term recovery course after traumatic brain injury: a comparison of the functional independence measure and disability rating scale.
To study group changes over time after traumatic brain injury (TBI). ⋯ DRS is more sensitive to changes during a shorter time period than FIM and seems to be more appropriate for detecting long-term deficits. However, research studies aimed at detecting meaningful changes year to year after TBI may need to use other tools or consider changes among individuals instead of group changes. DRS Level of Function and Employability Items represent complex functions expected to recover later than the more basic DRS items. Sole use of these two DRS items might provide an efficient means of measuring long-term recovery when resources are limited, whereas expansion of these two items might allow greater sensitivity and detail.
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Multicenter Study
The importance of gender on outcome after major trauma: functional and psychologic outcomes in women versus men.
Outcome after major trauma is an increasingly important focus of injury research. The effect of gender on functional and psychological outcomes has not been examined. The Trauma Recovery Project is a large, prospective, epidemiologic study designed to examine multiple outcomes after major trauma, including quality of life, functional outcome, and psychological sequelae such as depression and early symptoms of acute stress reaction. The specific objectives of the present report are to examine gender differences in short- and long-term functional and psychological outcomes in the Trauma Recovery Project population. ⋯ Women are at risk for markedly worse functional and psychological outcomes after major trauma than men, independent of injury severity and mechanism. Gender differences in short- and long-term trauma outcomes have important implications for future studies of recovery from trauma.