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Статті в журналах з теми "Outpatient management"

Автор: Grafiati

Опубліковано: 10 березня 2023

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1

Cockcroft, Donald W., and Sanjay Kalra. "OUTPATIENT ASTHMA MANAGEMENT." Medical Clinics of North America 80, no. 4 (July 1996): 701–18. http://dx.doi.org/10.1016/s0025-7125(05)70464-8.

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2

Warner, Petra M., Tammy L. Coffee, and Charles J. Yowler. "Outpatient Burn Management." Surgical Clinics of North America 94, no. 4 (August 2014): 879–92. http://dx.doi.org/10.1016/j.suc.2014.05.009.

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3

Burt, Vivien K., Pamela Summit, and Joel Yager. "Outpatient Management Teams." Academic Psychiatry 16, no. 1 (March 1992): 24–28. http://dx.doi.org/10.1007/bf03341491.

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4

Elting, Linda S., Charles Lu, Carmelita P. Escalante, Sharon H. Giordano, Jonathan C. Trent, Catherine Cooksley, Elenir B. C. Avritscher, et al. "Outcomes and Cost of Outpatient or Inpatient Management of 712 Patients With Febrile Neutropenia." Journal of Clinical Oncology 26, no. 4 (February 1, 2008): 606–11. http://dx.doi.org/10.1200/jco.2007.13.8222.

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Анотація:

Purpose We retrospectively compared the outcomes and costs of outpatient and inpatient management of low-risk outpatients who presented to an emergency department with febrile neutropenia (FN). Patients and Methods A single episode of FN was randomly chosen from each of 712 consecutive, low-risk solid tumor outpatients who had been treated prospectively on a clinical pathway (1997-2003). Their medical records were reviewed retrospectively for overall success (resolution of all signs and symptoms of infection without modification of antibiotics, major medical complications, or intensive care unit admission) and nine secondary outcomes. Outcomes were assessed by physician investigators who were blinded to management strategy. Outcomes and costs (payer's perspective) in 529 low-risk outpatients were compared with 123 low-risk patients who were psychosocially ineligible for outpatient management (no access to caregiver, telephone, or transportation; residence > 30 minutes from treating center; poor compliance with previous outpatient therapy) using univariate statistical tests. Results Overall success was 80% among low-risk outpatients and 79% among low-risk inpatients. Response to initial antibiotics was 81% among outpatients and 80% among inpatients (P = .94); 21% of those initially treated as outpatients subsequently required hospitalization. All patients ultimately responded to antibiotics; there were no deaths. Serious complications were rare (1%) and equally frequent between the groups. The mean cost of therapy among inpatients was double that of outpatients ($15,231 v $7,772; P < .001). Conclusion Outpatient management of low-risk patients with FN is as safe and effective as inpatient management of low-risk patients and is significantly less costly.

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5

Schussman, Lee C., and Lawrence J. Lutz. "Outpatient Management of Hemorrhoids." Primary Care: Clinics in Office Practice 13, no. 3 (September 1986): 527–41. http://dx.doi.org/10.1016/s0095-4543(21)01575-x.

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6

Menna, Cecilia, Mohsen Ibrahim, Camilla Poggi, Camilla Vanni, Giulio Maurizi, Antonio D’Andrilli, Anna Maria Ciccone, Federico Venuta, Erino Angelo Rendina, and Claudio Andreetti. "Outpatient chest tube management." Journal of Xiangya Medicine 3 (April 2018): 12. http://dx.doi.org/10.21037/jxym.2018.03.03.

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7

Klassen, Terry P., and Peter C. Rowe. "Outpatient management of croup." Current Opinion in Pediatrics 8, no. 5 (October 1996): 449–52. http://dx.doi.org/10.1097/00008480-199610000-00005.

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8

Nelson, Harold S. "Outpatient Management of Asthma." Primary Care Case Reviews 1, no. 1 (March 1998): 3–11. http://dx.doi.org/10.1097/00129300-199801010-00002.

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9

Ponn, Ronald B., Howard J. Silverman, and John A. Federico. "Outpatient Chest Tube Management." Annals of Thoracic Surgery 64, no. 5 (November 1997): 1437–40. http://dx.doi.org/10.1016/s0003-4975(97)00853-9.

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10

White, Anthony. "Outpatient management of pyelonephritis." Annals of Emergency Medicine 21, no. 1 (January 1992): 111. http://dx.doi.org/10.1016/s0196-0644(05)82272-3.

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11

Shibli, Adeel B., Allan Tachauer, and Smruti R. Mohanty. "Outpatient Management of Cirrhosis." Southern Medical Journal 99, no. 6 (June 2006): 559–61. http://dx.doi.org/10.1097/01.smj.0000215644.75513.c1.

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12

Moss, Angela K., and Liliana Bordeianou. "Outpatient management of hemorrhoids." Seminars in Colon and Rectal Surgery 24, no. 2 (June 2013): 76–80. http://dx.doi.org/10.1053/j.scrs.2013.02.004.

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13

Zhao, Jiangxia, Xiaoqing Liu, Guiguo Gu, Huajun Gu, Yuzhong Yan, and Ming Li. "Application of the Cycle Management Model in Improving Outpatient Appointment Services." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 59 (January 2022): 004695802210814. http://dx.doi.org/10.1177/00469580221081407.

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Анотація:

To explore the application of plan-do-check-action (PDCA) cycle management model in the management outpatient appointment, and improve the efficiency of outpatient appointment services. The data of outpatients from January 2019 to December 2020 were collected from a tertiary class B general hospital affiliated to a university in Shanghai. Through the investigation and analysis of the current situation, the reasons were found for the low rate of outpatient appointment. PDCA management was carried out, and measures were formulated for continuous improvement and the effective measures were standardized. The appointment rate, recognition rate and the utilization rate of self-service appointment (handheld hospital and self-service machine) were analysed after the intervention of PDCA. Through PDCA cycle management model, the appointment rate of outpatients increased from 9.93% before improvement to 82.50% after improvement, and the recognition rate of patients increased from 51.39% to 92.76%. The utilization rate of self-service appointment increased from 1.03% to 56.38%. Through the construction of multi-channel, wide coverage and convenient operation of the appointment service system, the PDCA cycle management model effectively improves the efficiency of the outpatient appointment services.

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14

Weeda, Erin R., and Sofia Butt. "Systematic Review of Real-World Studies Evaluating Characteristics Associated With or Programs Designed to Facilitate Outpatient Management of Deep Vein Thrombosis." Clinical and Applied Thrombosis/Hemostasis 24, no. 9_suppl (November 14, 2018): 301S—313S. http://dx.doi.org/10.1177/1076029618811082.

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Select patients with acute deep vein thrombosis (DVT) can be managed as outpatients. We sought to conduct a systematic review of real-world studies describing either (1) the clinical characteristics associated with outpatient DVT treatment in all-comers or (2) emergency department (ED) programs designed to facilitate outpatient DVT treatment. MEDLINE and SCOPUS were searched (January 1, 2012, to May 1, 2018) to identify citations meeting the aforementioned criteria. Twenty-one real-world studies were included. The proportion of all-comer patients with DVT managed as outpatients was ≤50% in 11 of 15 studies. With the exception of younger age, no characteristics were consistently associated with outpatient treatment across the 13 studies reporting these characteristics. We identified 8 studies describing ED programs aimed at facilitating DVT outpatient treatment, all of which provided education and included measures to encourage early outpatient follow-up after ED discharge. In conclusion, the proportion of patients with DVT managed as outpatients across real-world studies was low. Several ED programs aimed at facilitating this treatment have been described. It is possible that programs similar to these will increase the proportion of patients with DVT that can be safely managed as outpatients.

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15

Brooks, Allyson M., and Thomas J. Garite. "Clinical Trial of the Outpatient Management of Pyelonephritis in Pregnancy." Infectious Diseases in Obstetrics and Gynecology 3, no. 2 (1995): 50–55. http://dx.doi.org/10.1155/s1064744995000305.

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Objective: This study was designed to determine whether outpatient treatment of pyelonephritis in pregnancy can reduce costs without compromising safety or efficacy.Methods: Pregnant patients with uncomplicated initial episodes of acute pyelonephritis were considered for outpatient management. The outpatient treatment consisted of an initial dose of IV ceftriaxone (2 g), followed by daily outpatient IM ceftriaxone (2 g) until resolution of fever and flank tenderness, followed by a 10-day course of oral antibiotics. The study group was compared with a group requiring inpatient treatment and a historical control group meeting the criteria for outpatient management but having been treated as inpatients in the previous year.Results: Of the 34 treated as outpatients, only 4 (12%) required hospital admission and 1 developed an upper urinary tract recurrence. None of these patients had premature delivery or any other serious complication. The historical control group (N = 29) included 1 upper urinary tract recurrence, no preterm deliveries, and 1 case of acute respiratory disease syndrome. The outpatient group required an average of 3.4 daily outpatient visits compared with 3.9 days of hospitalization for the historical control group. The inpatient group (N = 39) was significantly more likely to require hospitalization >6 days (P = 0.0004), with a trend toward more frequent upper urinary tract recurrences (6/39 vs. 1/34, P = 0.08). The cost analysis revealed a 3-fold difference between outpatient and inpatient therapy ($1,100 vs. $3,350, P < 0.001).Conclusions: The outpatient treatment of selected patients with pyelonephritis in pregnancy as a promising approach to reducing costs warrants further investigation.

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16

Sung, Lillian. "Initial Management of Low-Risk Pediatric Fever and Neutropenia: Efficacy and Safety, Costs, Quality-of-Life Considerations, and Preferences." American Society of Clinical Oncology Educational Book, no. 32 (June 2012): 570–74. http://dx.doi.org/10.14694/edbook_am.2012.32.2.

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Overview: Initial management options for pediatric low-risk fever and neutropenia (FN) include outpatient compared with inpatient management and oral compared with intravenous therapy. Single-arm and randomized trials have been conducted in children. Meta-analyses provide support for the equivalence of outpatient and inpatient approaches. Outpatient oral management may be associated with a higher risk of readmission compared with outpatient intravenous management in children with FN, although other outcomes such as treatment failure and discontinuation of the regimen because of adverse effects were similar. Importantly, there have been no reported deaths among low-risk children treated as outpatients or with oral antibiotics. Costs, whether derived directly or through cost-effectiveness analysis, are consistently reduced when an outpatient approach is used. Quality of life (QoL) and preferences should be considered in order to evaluate different strategies, plan programs, and anticipate uptake of outpatient programs. Using parent-proxy report, child QoL is consistently higher with outpatient approaches, although research evaluating child self-report is limited. Preferences incorporate estimated QoL, but, in addition, factor in issues such as costs, fear, anxiety, and logistical issues. Only approximately 50% of parents prefer outpatient management. Future research should develop tools to facilitate outpatient care and to measure caregiver burden associated with this strategy. Additional work should also focus on eliciting child preferences for outpatient management. Finally, studies of effectiveness of an ambulatory approach in the real-world setting outside of clinical trials are important.

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17

Fowler, M. J. "Pitfalls in Outpatient Diabetes Management." Clinical Diabetes 27, no. 2 (March 1, 2009): 82–85. http://dx.doi.org/10.2337/diaclin.27.2.82.

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18

Williams, M. F. "Outpatient management of adult alcoholism." South African Medical Journal 104, no. 1 (November 19, 2013): 73. http://dx.doi.org/10.7196/samj.7730.

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19

Moore, Daniel C. "Utilization Management and Outpatient Treatment." Psychiatric Annals 22, no. 7 (July 1, 1992): 373–77. http://dx.doi.org/10.3928/0048-5713-19920701-09.

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20

Savini, Paolo. "MGUS: Proposal for outpatient management." World Journal of Hematology 1, no. 2 (2012): 5. http://dx.doi.org/10.5315/wjh.v1.i2.5.

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21

Vinson, Daniel C., and Frederick B. Cooley. "OUTPATIENT MANAGEMENT OF ALCOHOL ABUSE." Primary Care: Clinics in Office Practice 20, no. 1 (March 1993): 71–80. http://dx.doi.org/10.1016/s0095-4543(21)00365-1.

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22

&NA;. "Outpatient Management of Febrile Infants." PharmacoEconomics 3, no. 5 (May 1993): 423–25. http://dx.doi.org/10.2165/00019053-199303050-00009.

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23

&NA;. "Inpatient and Outpatient Management Dilemmas." Neurosurgery 62, no. 6 (June 2008): 1386. http://dx.doi.org/10.1227/01.neu.0000333347.16264.1e.

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24

Niewoehner, Dennis E. "Outpatient Management of Severe COPD." New England Journal of Medicine 362, no. 15 (April 15, 2010): 1407–16. http://dx.doi.org/10.1056/nejmcp0912556.

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25

FORD, LINCOLN E. "Outpatient Management of Heart Failure." Cardiology in Review 7, no. 5 (September 1999): 277–83. http://dx.doi.org/10.1097/00045415-199909000-00012.

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26

Nielsen, Karen C., and Susan M. Steele. "Management of outpatient orthopedic surgery." Current Opinion in Anaesthesiology 14, no. 6 (December 2001): 611–16. http://dx.doi.org/10.1097/00001503-200112000-00002.

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27

Saper, Joel R., Alvin E. Lake, and David D. Palmer. "Inpatient vs Outpatient Pain Management." Topics in Pain Management 12, no. 7 (February 1997): 25. http://dx.doi.org/10.1097/00587875-199702000-00001.

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28

White, Richard H., and Dennis Mungall. "Outpatient Management of Warfarin Therapy." Therapeutic Drug Monitoring 13, no. 1 (January 1991): 46–50. http://dx.doi.org/10.1097/00007691-199101000-00006.

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29

McWilliams, Bennie. "Outpatient Management of Childhood Asthma." Pediatric Annals 22, no. 9 (September 1, 1993): 571–81. http://dx.doi.org/10.3928/0090-4481-19930901-09.

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30

Ordog, Gary J., Jonathan Wasserberger, Subramanium Balasubramanium, and William Shoemaker. "CIVILIAN GUNSHOT WOUNDS—OUTPATIENT MANAGEMENT." Journal of Trauma: Injury, Infection, and Critical Care 36, no. 1 (January 1994): 106–11. http://dx.doi.org/10.1097/00005373-199401000-00017.

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31

Liow, Y., W. Wang, and VW Low. "Outpatient management of knee osteoarthritis." Singapore Medical Journal 58, no. 10 (October 2017): 580–84. http://dx.doi.org/10.11622/smedj.2017097.

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32

TOSELAND, RONALD W., JOHN C. O'DONNELL, JOSEPH B. ENGELHARDT, SCOTT A. HENDLER, JILL T. RICHIE, and DONALD JUE. "Outpatient Geriatric Evaluation and Management." Medical Care 34, no. 6 (June 1996): 624–40. http://dx.doi.org/10.1097/00005650-199606000-00011.

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33

Forge, Ralph La, and Terry Thomas. "Outpatient Management of Lipid Disorders." Journal of Cardiovascular Nursing 11, no. 1 (October 1996): 39–53. http://dx.doi.org/10.1097/00005082-199610000-00006.

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34

Sperling, Mark A. "Outpatient Management of Diabetes Mellitus." Pediatric Clinics of North America 34, no. 4 (August 1987): 919–34. http://dx.doi.org/10.1016/s0031-3955(16)36295-2.

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35

Cockcroft, Donald W., and Frederick E. Hargreave. "Outpatient Management of Bronchial Asthma." Medical Clinics of North America 74, no. 3 (May 1990): 797–809. http://dx.doi.org/10.1016/s0025-7125(16)30553-3.

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36

FREEDMAN, D. "Outpatient management of HIV/AIDS." Journal of the European Academy of Dermatology and Venereology 11 (September 1998): S35. http://dx.doi.org/10.1016/s0926-9959(98)94667-0.

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37

Qin, Charles, Robert G. Dekker, Mia M. Helfrich, and Anish R. Kadakia. "Outpatient Management of Ankle Fractures." Orthopedic Clinics of North America 49, no. 1 (January 2018): 103–8. http://dx.doi.org/10.1016/j.ocl.2017.08.012.

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38

Roy, P. M., T. Moumneh, A. Penaloza, and O. Sanchez. "Outpatient management of pulmonary embolism." Thrombosis Research 155 (July 2017): 92–100. http://dx.doi.org/10.1016/j.thromres.2017.05.001.

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39

PFALZER, CINDY. "Outpatient Management of Advanced Cancer." Rehabilitation Oncology 6, no. 1 (1988): 16. http://dx.doi.org/10.1097/01893697-198806010-00016.

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40

Beart, Robert W. "Coloproctology: Diagnosis and Outpatient Management." Mayo Clinic Proceedings 61, no. 2 (February 1986): 159. http://dx.doi.org/10.1016/s0025-6196(12)65208-2.

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41

Dinakaran, S. "Outpatient Management of Traumatic Hyphema." Survey of Ophthalmology 48, no. 2 (March 2003): 242. http://dx.doi.org/10.1016/s0039-6257(02)00447-2.

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42

Spears, Bruce. "Outpatient management of diabetic ketoacidosis." Annals of Emergency Medicine 18, no. 2 (February 1989): 222. http://dx.doi.org/10.1016/s0196-0644(89)80121-0.

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43

Theissen, A., K. Slim, A. Deleuze, and M. Beaussier. "Risk management in outpatient surgery." Journal of Visceral Surgery 156 (September 2019): S41—S49. http://dx.doi.org/10.1016/j.jviscsurg.2019.04.005.

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44

Goldberg, Stanley M., and Ian G. Finlay. "Coloproctology: Diagnosis and outpatient management." Gastroenterology 90, no. 6 (June 1986): 2037. http://dx.doi.org/10.1016/0016-5085(86)90294-5.

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45

Monteiro, Cheryl-Ann, and C. Glenn Cobbs. "Outpatient management of infective endocarditis." Current Infectious Disease Reports 3, no. 4 (July 2001): 319–27. http://dx.doi.org/10.1007/s11908-001-0068-6.

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46

Loffer, Franklin D. "Outpatient management of ectopic pregnancies." American Journal of Obstetrics and Gynecology 156, no. 6 (June 1987): 1467–72. http://dx.doi.org/10.1016/0002-9378(87)90018-4.

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47

White, Paul F. "Pain management after outpatient surgery." Der Schmerz 2, no. 2 (June 1988): 112. http://dx.doi.org/10.1007/bf02528705.

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48

Ward, Bruce G., and Stephen J. Broe. "Outpatient management of abnormal smears." Australian and New Zealand Journal of Obstetrics and Gynaecology 43, no. 1 (February 2003): 50–53. http://dx.doi.org/10.1046/j.0004-8666.2003.00010.x.

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49

Howard, Luke, and Nina Salooja. "Outpatient management of pulmonary embolism." Lancet 378, no. 9785 (July 2011): 5–6. http://dx.doi.org/10.1016/s0140-6736(11)60932-x.

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50

Williams, Mark E., and T. Franklin Williams. "Outpatient Geriatric Evaluation and Management." Journal of the American Geriatrics Society 50, no. 3 (March 2002): 591. http://dx.doi.org/10.1046/j.1532-5415.2002.t01-1-50136.x.

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