BACKGROUND Postoperative delirium after elective surgery is frequent and potentially serious. We sought to determine whether the use of statin medications was associated with a higher risk of postoperative delirium than other medications that do not alter microvascular autoregulation. METHODS We conducted a retrospective cohort analysis of 284 158 consecutive patients in Ontario aged 65 years...

BACKGROUND Given that the quinolones is one of the antibacterial classes most frequently used to treat patients with bacterial infections in the United States, any change in prescribing patterns of quinolones will impact Medicaid medical expenditures. OBJECTIVES This study was undertaken to examine trends in utilization, reimbursement, and prices of quinolone antibacterials for the US Medicai...

BACKGROUND In recent years, an increasing number of countries have introduced outpatient commitment orders (OC), which imply that patients can be subject to compulsory follow-up and treatment while living in the community. However, few studies on how OC is practised have been published. METHOD Retrospective case register study based on medical files of all patients receiving an OC order in 20...

The correlation between the pharmacist time required for counseling patients and the characteristics of the services provided was studied. Data from the Kaiser Permanente/USC Patient Consultation Study were used to examine the relationship between pharmacist time and potential problems, actions to resolve the problems, and disposition of prescriptions. A regression model was estimated with phar...

BACKGROUND Acceptance of generic medicines by patients is an essential factor given that they are the end users of these medicines. In fact, adequate knowledge and positive perceptions are prerequisite to patients' acceptance and use of generic medicines. OBJECTIVE To assess the current belief and views of patients about generic medicines in Malaysia. METHOD This was a self-administered que...

OBJECTIVE To determine for how long after a first unprovoked seizure a driver must be seizure-free before the risk of recurrence in the next 12 months falls below 20%, enabling them to regain their driving licence. DESIGN Randomised controlled trial: Multicentre study of early Epilepsy and Single Seizures (MESS). SETTING UK hospital outpatient clinics from 1 January 1993 to 31 December 2000...

BACKGROUND/AIM To be fully effective, the prevention of injury in sport and promotion of athlete's health needs to be both targeted and underpinned by scientific evidence. This study aimed to identify the research priorities of International Sporting Federation (ISFs) compared to the current research focus of the International Olympic Committee Research Centres (IOC-RCs). METHODS Online surve...

OBJECTIVE To examine and evaluate models that use inpatient encounter data and outpatient pharmacy claims data to predict future health care expenditures. DATA SOURCES/STUDY DESIGN The study group was the privately insured under-65 population in the 1997 and 1998 MEDSTAT Market Scan (R) Research Database. Pharmacy and disease profiles, created from pharmacy claims and inpatient encounter data...

Experience over two years with 376 hypertensive patients managed at a clinic where the primary observations are made by a trained nurse, clinical information is held on a microprocessor, and treatment follows a standard stepped care approach has been assessed. Blood pressure control after both one and two years was appreciably improved, with over 70% of patients having diastolic pressure below ...

introduction. according to shift of medical education from inpatient to outpatient centers in recent years ,the aim of this study is to determine the attitude of interns about outpatient education in all clinical departments in medical school. methods. 429 interns were entered this study . a questionnaire composed of questions on the quality of outpatient education, time of the learning in the ...