Publications by authors named "Frank J Zadravecz"

Article Synopsis
  • A community-based surveillance system was implemented in South Kivu, DRC, to track births, deaths, and population movements monthly, showing advantages over traditional retrospective surveys.
  • A year-long data collection was complemented by a retrospective survey to validate the information, resolving discrepancies through additional household visits.
  • The study concluded that the surveillance system outperformed the survey in accuracy, making it a viable method for measuring critical health metrics in insecure environments.
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Background: Previous research investigating the impact of delayed intensive care unit (ICU) transfer on outcomes has utilized subjective criteria for defining critical illness.

Objective: To investigate the impact of delayed ICU transfer using the electronic Cardiac Arrest Risk Triage (eCART) score, a previously published early warning score, as an objective marker of critical illness.

Design: Observational cohort study.

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Objective: Failure to detect clinical deterioration in the hospital is common and associated with poor patient outcomes and increased healthcare costs. Our objective was to evaluate the feasibility and accuracy of real-time risk stratification using the electronic Cardiac Arrest Risk Triage score, an electronic health record-based early warning score.

Design: We conducted a prospective black-box validation study.

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Rationale: The most effective approach to teaching respiratory inhaler technique is unknown.

Objectives: To evaluate the relative effects of two different educational strategies (teach-to-goal instruction vs. brief verbal instruction) in adults hospitalized with asthma or chronic obstructive pulmonary disease.

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Background: Altered mental status is a significant predictor of mortality in inpatients. Several scales exist to characterize mental status, including the AVPU (Alert, responds to Voice, responds to Pain, Unresponsive) scale, which is used in many early-warning scores in the general-ward setting. The use of the Glasgow Coma Scale (GCS) and Richmond Agitation Sedation Scale (RASS) is not well established in this population.

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Rationale: Tools that screen inpatients for sepsis use the systemic inflammatory response syndrome (SIRS) criteria and organ dysfunctions, but most studies of these criteria were performed in intensive care unit or emergency room populations.

Objectives: To determine the incidence and prognostic value of SIRS and organ dysfunctions in a multicenter dataset of hospitalized ward patients.

Methods: Hospitalized ward patients at five hospitals from November 2008 to January 2013 were included.

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Background: Obstructive sleep apnea (OSA) has been associated with clinical deterioration in postoperative patients and patients hospitalized with pneumonia. Paradoxically, OSA has also been associated with decreased risk of inpatient mortality in these same populations.

Objectives: To investigate the association between OSA and in-hospital mortality in a large cohort of surgical and nonsurgical ward patients.

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