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  • March 10, 2015 7:33 AM | Rebecca Branta (Administrator)
    (HealthDay) - Risk factors have been identified for 30-day readmission following hysterectomy, according to a study published in the May issue of the American Journal of Obstetrics & Gynecology.

    Malinda S. Lee, M.D., from Brigham and Women's Hospital/Massachusetts General Hospital in Boston, and colleagues examined risk factors for 30-day readmission following hysterectomy for 1,649 women with nongravid hysterectomies conducted from 2008 through 2010 (1,009 for benign indications and 640 for malignancy).

    The researchers found that 6 percent of the women were readmitted within 30 days, with a mean time to readmission of 13 days. For women undergoing hysterectomy with benign indications, the odds of readmission were increased with a history of a laparotomy (including cesarean delivery) (adjusted odds ratio [aOR], 2.12) and a perioperative complication (aOR, 2.41).

    For women undergoing hysterectomy for malignancy, the odds of readmission were increased with an American Society of Anesthesiologists Physical Status Classification of III or IV (aOR, 1.92), a longer length of initial hospitalization (three days: aOR, 7.83), and an estimated blood loss of >500 mL (aOR, 3.29); the risk of readmission was reduced for women who underwent a laparoscopic hysterectomy (aOR, 0.32) and for those who were discharged on postoperative day one (aOR, 0.16).

    "These findings can serve to develop interventions to allow gynecologic surgeons to appropriately stratify patients at highest risk for readmission at the time of hysterectomy," the authors write.

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    Journal reference: American Journal of Obstetrics & Gynecology
  • March 10, 2015 5:37 AM | Rebecca Branta (Administrator)
    Campaign urges health care professionals and patients and loved ones to keep hands clean

    MONDAY, May 9, 2016 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention has introduced a new campaign, "Clean Hands Count," to encourage health care professionals, patients, and patients' families to keep their hands clean in order to prevent health care-associated infections.

    Studies show that some health care professionals do not follow CDC hand hygiene recommendations, with health care professionals cleaning their hands less than half of the time they should.

    The new campaign promotes health care provider adherence to CDC recommendations, addressing misperceptions about hand hygiene, such as the belief that alcohol-based hand sanitizer contributes to antibiotic resistance and is damaging to hands versus soap and water. Patients and their loved ones should check whether their health care team members have washed their hands.

    "Patients depend on their medical team to help them get well, and the first step is making sure health care professionals aren't exposing them to new infections," CDC Director Tom Frieden, M.D., M.P.H., said in a statement. "Clean hands really do count and in some cases can be a matter of life and death."

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