Publications by authors named "Janine Koepp"
Polypharmacy and high-alert medications in patients with nasally placed feeding tube on admission and at hospital discharge: Multicenter cross-sectional study.
Explor Res Clin Soc Pharm
September 2024
Article Synopsis
- - A study examined the prescription patterns of medications for patients with nasally placed feeding tubes (NPFT) and found that 92% were on polypharmacy (multiple medications) upon admission, decreasing slightly to 84.7% at discharge.
- - High-alert medications (those that pose a significant risk if used inappropriately) made up over 17% of all prescriptions, with no significant change in their usage between admission and discharge.
- - The study highlights the need for coordinated care strategies to manage the medication risks associated with NPFT patients, particularly given their complex health conditions.
Article Synopsis
- - The study aimed to evaluate how accurate thermographic images are for early detection of pressure injuries (PIs) in adult patients, analyzing data from March 2021 to May 2022 by reviewing 755 studies and ultimately selecting 8 relevant ones.
- - Included studies focused on adults over 18 in healthcare settings, checking thermal imaging accuracy against conditions like suspected stage 1 PI and comparing with established risk assessment scales, while excluding animal studies and those concerning advanced stage PIs.
- - The findings showed mixed results, with participant numbers ranging from 67 to 349 and follow-up periods varying, but overall evidence on the effectiveness of thermal imaging for early PI detection remains limited.
Background: Pressure injuries (PIs), especially in the sacral region are frequent, costly, and increase morbidity and mortality of patients in an intensive care unit (ICU). These injuries can occur as a result of prolonged pressure and/or shear forces. Neuromuscular electrical stimulation (NMES) can increase muscle mass and improve local circulation, potentially reducing the incidence of PI.
View Article and Find Full Text PDFObjective: To estimate the SARS-CoV-2 seroprevalence in a non-metropolitan area (Vale do Rio Pardo) in the state of Rio Grande do Sul, Brazil, and determine the association between seroprevalence and adherence to social distancing measures.
Method: For the present population-based, cross-sectional study, data were collected in four stages from August to October 2020. SARS-CoV-2 seroprevalence was assessed using an IgG/IgM rapid test.
Article Synopsis
- The study aimed to analyze factors that influence the length of stay (LOS) and mortality rates in patients who were fed using nasogastric or nasoenteric tubes at multiple hospitals in Brazil.
- Data was collected from 365 patients between October 2017 and April 2019, focusing on various demographic and clinical factors to assess correlations with LOS and death.
- Key findings showed that older age, nursing care dependency, and complexity of care increased both LOS and risk of death, underlining the importance of identifying these factors for better nursing care planning.
Aims: To identify the types of nasogastric/nasoenteric tube (NGT/NET)-related adverse events and to analyze the degree of harm and the factors associated with mechanical device-related complications.
Materials And Methods: A prospective cohort study was conducted from October 2017 to April 2019 in seven Brazilian hospitals. Data from 447 adult patients with NGT/NET were collected through electronic forms.
Background: The increasing global use of smartphones has contributed to the growing use of apps for various health conditions, showing promising results. Through mobile apps, it is possible to perform chronological and iconographic follow-up of wounds, such as pressure ulcers, using a simple and practical tool. However, numerous surveys have pointed out issues related to the functionality, design, safety, and veracity of app information.
View Article and Find Full Text PDFIntroduction: Hospitalised patients with nasogastric/nasoenteric tube (NGT/NET) are at constant risk of incidents; therefore, healthcare professionals need to routinely monitor risks and adopt strategies for patient safety and quality of care.
Aim: This study aimed to evaluate the NGT/NET-related incidents in hospitalised patients and associated factors.
Methods: This is a multicentre study, with a prospective cohort design.