Hospitalization due to varicella in the Netherlands

<p>Abstract</p> <p>Background</p> <p>In the Netherlands, incidence of physician's consultations and hospitalizations for varicella is low compared to other countries. Better knowledge about the severity of varicella among Dutch hospitalized patients is needed. Therefore, a medical record research was conducted among hospitalized patients with diagnosis varicella.</p> <p>Methods</p> <p>Hospital admissions due to varicella in 2003-2006 were obtained from the National Medical Register. Retrospectively, additional data were retrieved from the medical record of patients hospitalized with varicella in 23 Dutch hospitals using a standardized form. Analyses were performed using descriptive statistics.</p> <p>Results</p> <p>The study population (N = 296) was representative for all varicella admissions in the Netherlands (N = 1,658) regarding age, sex, duration of admission and type of diagnosis. Complications were recorded in 76% of the patients (37% had at least one relatively severe complication). Bacterial super infections of skin lesions (28%), (imminent) dehydration (19%), febrile convulsions (7%), pneumonia (7%) and gastroenteritis (7%) were most frequently reported. No varicella-related death occurred within the study population and 3% of the patients had serious rest symptoms.</p> <p>Conclusions</p> <p>It is not likely that the severity of varicella among hospitalized patients in the Netherlands differs from other countries. A considerable part of the varicella complications among hospitalized patients was rather moderate and can be treated effectively, although in a third of the hospitalized cases with complications, severe complications occurred. These data are relevant in the decision-making process regarding whether or not to introduce routine varicella vaccination in the Netherlands.</p

The diagnosis of depression and use of antidepressants in nursing home residents with and without dementia

Objective To compare the prevalence of diagnosed depressive disorders, depressive symptoms and use of antidepressant medication between nursing home residents with and without dementia. Methods This cross-sectional study used Minimal Data Set of the Resident Assessment Instrument 2.1 data collected in seven nursing homes located in an urbanized region in the Netherlands. Trained nurse assistants recorded all medical diagnoses made by a medical specialist, including dementia and depressive disorder, and medication use. Depressive symptoms were measured with the Depression Rating Scale. Multivariate logistic regression analysis was used to compare data between residents with and without dementia. Results Included in the study were 1885 nursing home residents (aged 65 years or older), of which 837 had dementia. There was no significant difference in the prevalence of diagnosed depressive disorder between residents with (9.6%) and without dementia (9.8%). Residents with dementia (46.4%) had more depressive symptoms than residents without dementia (22.6%). Among those with depressive symptoms, residents with dementia had the same likelihood of being diagnosed with a depressive disorder as residents without dementia. Among residents with a diagnosed depressive disorder, antidepressant use did not differ significantly between residents with dementia (58.8%) and without dementia (57.3%). The same holds true for residents with depressive symptoms, where antidepressant use was 25.3% in residents with dementia and 24.6% in residents without dementia. Conclusions Regarding the prevalence rates of diagnosed depressive disorder and antidepressant use found in this study, our findings demonstrate that there is room for improvement not only for the detection of depression but also with regard to its treatment. © 2012 John Wiley & Sons, Ltd

Study protocol: population screening for colorectal cancer by colonoscopy or CT colonography: a randomized controlled trial

<p>Abstract</p> <p>Background</p> <p>Colorectal cancer (CRC) is the second most prevalent type of cancer in Europe. Early detection and removal of CRC or its precursor lesions by population screening can reduce mortality. Colonoscopy and computed tomography colonography (CT colonography) are highly accurate exams and screening options that examine the entire colon. The success of screening depends on the participation rate. We designed a randomized trial to compare the uptake, yield and costs of direct colonoscopy population screening, using either a telephone consultation or a consultation at the outpatient clinic, versus CT colonography first, with colonoscopy in CT colonography positives.</p> <p>Methods and design</p> <p>7,500 persons between 50 and 75 years will be randomly selected from the electronic database of the municipal administration registration and will receive an invitation to participate in either CT colonography (2,500 persons) or colonoscopy (5,000 persons) screening. Those invited for colonoscopy screening will be randomized to a prior consultation either by telephone or a visit at the outpatient clinic. All CT colonography invitees will have a prior consultation by telephone. Invitees are instructed to consult their general practitioner and not to participate in screening if they have symptoms suggestive for CRC. After providing informed consent, participants will be scheduled for the screening procedure. The primary outcome measure of this study is the participation rate. Secondary outcomes are the diagnostic yield, the expected and perceived burden of the screening test, level of informed choice and cost-effectiveness of both screening methods.</p> <p>Discussion</p> <p>This study will provide further evidence to enable decision making in population screening for colorectal cancer.</p> <p>Trial registration</p> <p>Dutch trial register: NTR1829</p

Zorgbehoeftemeting OuderenZorg

Deze gegevensverzameling is in 2005 gestopt. Verzamelen van landelijke gegevens in het kader van de Zorgbehoeftemeting Ouderenzorg. Door middel van psychosociale- en ADL-kenmerken (kenmerken van Algemene Dagelijkse Levensverrichtingen) zijn 16 groepen van zorgbehoefte geclassificeerd. Op basis van 24 ADL- en psychosociale kenmerken, van de cliënt wordt de indeling in één van de 16 zorgbehoeftegroepen berekend; daarnaast worden (zorg)tijden gekoppeld aan AWBZ-functies

Meldingen Incidenten Patiëntenzorg

Deze registratie is in 2007 gestopt. In dit registratieprogramma worden van ieder (bijna-)incident op een gestructureerde wijze de gegevens vastgelegd. Deze gegevens hebben betrekking op de volgende onderwerpen: - wie heeft er gemeld en tijdstip van melding, - tijdstip en plaats incident, - of er een patiënt bij betrokken is en relevante kenmerken van de patiënt, - wat de gevolgen zijn voor de patiënt, - typering van het incident, - de oorzaken en omstandigheden waaronder het incident optrad, - de betrokken functies, - de afhandeling van het incident door de commissie

Landelijke registratie zorg- en dienstverlening

Doel: 1) Het verschaffen van informatie op het niveau van de instelling, lokaal, regionaal en landelijk ten behoeve van beleidsontwikkeling, belangenbehartiging en instellingsondersteuning. 2) het verschaffen van informatie ten behoeve van wetenschappelijk onderzoek en onderwijs. Gegevens over bewoners opgenomen in intramurale instellingen voor zorg aan mensen met een verstandelijke handicap in Nederland. De gegevens worden verzameld in en door instellingen. De gegevens zijn rechtstreeks afkomstig uit de instellings informatiesystemen of worden middels de LRZ invoermodule aan de landelijk bewerker geleverd. Eenheid: cliënt