Browsing by Subject "outcomes"
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Item Asthma Outcomes of Children in a Pediatric Asthma Program: A Comparison of Outcomes Among Publicly and Privately Insured Participants(2010-05-01) Crowther, Anne E.; Reyes-Ortiz, CarlosThis study was a secondary analysis of the Asthma Management Program at Children’s Medical Center. The evaluation of outcomes of the six month program includes participants enrolled between June 2001 and August 2009 (n= 472). The program consisted of biweekly telephonic education and two home visits. In the bivariate analyses, privately insured children had significant lower means for emergency room visits, unscheduled clinic visits, and missed school days compared to those with public insurance (all p [less than] .05). All four asthma control outcomes improved from baseline to the 6 month followup (all p [less than] .001). In the multivariate longitudinal analyses, private insurance predicted lower number of emergency room consultations (beta 0.022, p [less than] .001) during the program.Item Preliminary Trial of a Survey Instrument to Detect Outcomes of Curriculum Reform in Osteopathic Manipulative Medicine(2004-05-01) von Lindeman, Alexa; Shores, Jay H.; Cruser, des Anges; Gamber, RusselVon Lindeman, Alexa. Preliminary Trial of as Survey Instrument to Detect Outcomes of Curriculum Reform in Osteopathic Manipulative Medicine. Master of Science (Clinical Research and Education), May 2004; 28 pp; 5 tables; 3 figures; references 17 titles. Purpose: To assess whether the attending physicians at the University of North Texas Health Science Center—Texas College of Osteopathic Medicine would perceive an increased student interest in osteopathy as well as show a personal increased interest in osteopathic principles and practice following a 2001 OMM curricular reform. Study Design: Surveys were mailed at the beginning and end of the 2002-2003 academic year. Responses were matched for pre-post comparisons. Results: Factor analysis identified 13 factors. ANOVA analysis did not achieve statistical significances between pre and post groups. Although regression analysis identified three factors that achieved statistical significance (p≤05), these were attributed to variables such as residency type, medical school and type of practice. Conclusion: The survey instrument was effective in detecting variables that influenced beliefs and practice. Future larger scale studies are needed to confirm the trends in the data.Item Single-Center Analysis of Cardiogenic Shock Outcomes in the Cardiac ICU and Non-Cardiovascular ICU Setting(2023-12) Chenamsetty, Maneesha R.; Millar, J. Cameron; Ortega, SterlingCardiogenic shock (CS) is a complicated condition characterized by reduced cardiac output. Treatment methods for CS depend on the etiology and severity of CS. Despite the advanced treatment options CS still has a high mortality rate. In this project, we investigated the effect of intensive care unit (ICU) type on patients' CS clinical outcomes. A total of 133 patients were included from 2021-2023 admissions at Baylor University Medical Center (BUMC) hospital. The in-hospital mortality rate was higher in the non-cardiovascular ICU (NCICU) (48%) when compared to the cardiac ICU (CICU) (28%), and the difference was statistically significant (p<0.001). Patients admitted into the NCICU have highly unfavorable discharge locations (p= 0.03). The median duration of days spent in the CICU is significantly longer (p<0.001). These results may not conclude the effect of ICU type on outcomes, but it does influence the CS clinical outcomes.Item The MISSCARE Nursing Survey: A Secondary Data Analysis(2010-12-01) Schuckhart, Mary C.; Patricia GwirtzThe purpose of this study was a secondary analysis in order to determine missed nursing care and reasons for missed nursing care in a hospital system located in the southwest United States. Data was collected from a system-wide parent project in which bedside and specialty nursing personnel completed the MISSCARE Nursing Survey. Interventions for basic care were missed by 45.7% of bedside nursing staff, while individual needs and planning were missed by [greater than] 35% and assessment was missed by [greater than] 20%. Reasons for missed care were lack of labor resources (63.2%), material resources (36.7%), and communication (31.9%). Specialty nursing staff revealed 12 elements of missed care (ambulation, turning, hygiene, intake/output documentation, surveillance, documentation, assessments, and medication) and 7 themes for reasons of missed care.