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Effect of nocturnal sound reduction on the incidence of delirium in intensive care unit patients

van de Pol, Ineke; van Iterson, Mat; Maaskant, Jolanda

INTRODUCTION: Delirium in critically-ill patients is a common multifactorial disorder that is associated with various negative outcomes. It is assumed that sleep disturbances can result in an increased risk of delirium. This study hypothesized that implementing a protocol that reduces overall nocturnal …

2017-08AlgemeenArtikel

Pain measurement in mechanically ventilated patients after cardiac surgery

Rijkenberg, Saskia; Stilma, Willemke (Faculteit Gezondheid); Bosman, Robert J; van der Meer, Nardo J; van der Voort, Peter H J

OBJECTIVES: The Behavioral Pain Scale (BPS) and Critical-Care Pain Observation Tool (CPOT) are behavioral pain assessment tools for sedated and unconscious critically ill patients. The aim of this study was to compare the reliability, internal consistency, and discriminant validation of the BPS and the …

2017-08AlgemeenArtikel

Preoperative functional status is not associated with postoperative surgical complications in low risk patients undergoing esophagectomy

van Egmond, M.A.; van der Schaaf, M. (Faculteit Gezondheid); Klinkenbijl, J H G; Engelbert, R.H.H. (Faculteit Gezondheid); van Berge Henegouwen, Mark I

2017-07AlgemeenConferentiebijdrage

Factors Associated With Referral to Secondary Care in Patients With Osteoarthritis of the Hip or Knee After Implementation of a Stepped-Care Strategy

Di-Janne Barten (Lid Lectoraat); Agnes Smink; Ilse Swinkels; Cindy Veenhof (Lector); Henk J. Schers; Thea Vliet Vlieland; Dinny H. de Bakker; Joost Dekker; Cornelia van den Ende

Objective. We introduced a stepped-care strategy (SCS) for hip and knee osteoarthritis, focusing on delivery of highquality stepped care. In this study, we aimed to identify factors associated with various steps of the SCS. Methods. We used data from a 2-year observational prospective cohort study, …

2017GezondheidArtikel

Delicate balance: adaptive support to improve patient safety

A.C.P. Guédon; S.L. Spruit; L.S.G.L. Wauben; M. van der Elst; N. Doorn; J. Dankelman; J.J. van den Dobbelsteen; J. Klein

Patient safety increasingly depends on health professionals' ability to deal with the technological, organisational and social complexity of their working environment. The operating room (OR) is such a complex dynamic environment, not just because of the increasing use of technology, such as information …

2016-12-23GezondheidArtikel

Preoperative functional status is not associated with postoperative surgical complications in low risk patients undergoing esophagectomy

van Egmond, M.A.; van der Schaaf, M.; Klinkenbijl, J.H.G.; Engelbert, R.H.H. (Faculteit Gezondheid); van Berge Henegouwen, M.I.

Preoperative functional status is a risk factor for developing postoperative complications (POC) in major abdominal and thoracic surgery, but this has hardly been evaluated in esophageal cancer patients undergoing esophagectomy. The aim of this prospective cohort study was to determine if preoperative …

2016-12-21AlgemeenArtikel

Disability in adolescents and adults diagnosed with hypermobility-related Disorders: a meta-analysis

Scheper, Mark C.; Juul-Kristensen, Birgit; Rombaut, Lies; Rameckers, Eugene A.; Verbunt, Jeanine; Engelbert, Raoul H. (Faculteit Gezondheid)

OBJECTIVE: To (1) establish the association of the most common reported symptoms on disability; and (2) study the effectiveness of treatment on disability in patients with Ehlers-Danlos syndrome-hypermobility type (EDS-HT)/hypermobility syndrome (HMS). DATA SOURCES: An electronic search (Medical Subject …

2016-12AlgemeenArtikel

Unmet needs in the management of Cervical Dystonia.

Contarino, Maria Fiorella; Smit, Marenka; van den Dool, Joost; Volkmann, Jens; Tijssen, Marina A.J.

Cervical dystonia (CD) is a movement disorder which affects daily living of many patients. In clinical practice, several unmet treatment needs remain open. This article focuses on the four main aspects of treatment. We describe existing and emerging treatment approaches for CD, including botulinum toxin …

2016-09-28AlgemeenArtikel

Implementation of a Transfer Intervention Procedure (TIP) to improve handovers from hospital to home: interrupted time series analysis

van Seben, Rosanne; Geerlings, Suzanne E.; Verhaegh, Kim J.M.; Hilders, Carina G.J.M.; Buurman, Bianca M.

BACKGROUND: Accurate and timely patient handovers from hospital to other health care settings are essential in order to provide high quality of care and to ensure patient safety. We aim to investigate the effect of a comprehensive discharge bundle, the Transfer Intervention Procedure (TIP), on the time …

2016-09-07AlgemeenArtikel

Disability in adolescents and adults diagnosed with hypermobility-related disorders: a meta-analysis

M.C. Scheper; B. Juul-Kristensen; L. Rombaut; E.A. Rameckers; J. Verbunt; R.H. Engelbert

Objective To (1) establish the association of the most common reported symptoms on disability; and (2) study the effectiveness of treatment on disability in patients with Ehlers-Danlos syndrome–hypermobility type (EDS-HT)/hypermobility syndrome (HMS). Data Sources An electronic search (Medical Subject …

2016-03-11GezondheidArtikel

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