Transforming management of patients undergoing splenectomy in an Irish teaching hospital.

Hdl Handle:
http://hdl.handle.net/10147/207167
Title:
Transforming management of patients undergoing splenectomy in an Irish teaching hospital.
Authors:
McHugh, S M; O'Donnell, J; Leahy, A; Broe, P
Affiliation:
Beaumont Hospital, Dublin 9, Ireland. seamusmchugh@rcsi.ie
Citation:
Ir J Med Sci. 2011 Sep;180(3):655-9. Epub 2011 Feb 6.
Journal:
Irish journal of medical science
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207167
DOI:
10.1007/s11845-010-0510-6
PubMed ID:
21298492
Abstract:
BACKGROUND: Post-splenectomy infection has a mortality rate of up to 70%. Previously we have published data confirming the poor adherence to best practice guidelines with relation to management of the asplenic patient. A defined protocol of care was established, staff education commenced and a 'patient information leaflet' made available. AIM: To ascertain whether management of the asplenic patient has improved since the implementation of a structured programme of care. METHOD: Retrospective chart review of all splenectomies performed in Beaumont Hospital between 2002 and 2008. RESULTS: Overall, 75.9% of patients were documented as having received the recommended vaccinations. Of these, 48.7% were not timed according to recommended guidelines. Prophylactic antibiotics were documented as prescribed in all but five patients discharged. CONCLUSIONS: These results demonstrate an improvement in post-splenectomy care between 2002 and 2008. However, further improvements are necessary.
Language:
eng
MeSH:
Adolescent; Adult; Aged; Aged, 80 and over; Antibiotic Prophylaxis; Clinical Protocols; Female; Hospitals, Teaching; Humans; Ireland; Male; Middle Aged; Postoperative Complications/epidemiology/*therapy; Purpura, Thrombocytopenic, Idiopathic/surgery; Retrospective Studies; Spleen/injuries; *Splenectomy/adverse effects; Vaccination/statistics & numerical data; Young Adult
ISSN:
1863-4362 (Electronic); 0021-1265 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorMcHugh, S Men_GB
dc.contributor.authorO'Donnell, Jen_GB
dc.contributor.authorLeahy, Aen_GB
dc.contributor.authorBroe, Pen_GB
dc.date.accessioned2012-02-01T10:00:54Z-
dc.date.available2012-02-01T10:00:54Z-
dc.date.issued2012-02-01T10:00:54Z-
dc.identifier.citationIr J Med Sci. 2011 Sep;180(3):655-9. Epub 2011 Feb 6.en_GB
dc.identifier.issn1863-4362 (Electronic)en_GB
dc.identifier.issn0021-1265 (Linking)en_GB
dc.identifier.pmid21298492en_GB
dc.identifier.doi10.1007/s11845-010-0510-6en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207167-
dc.description.abstractBACKGROUND: Post-splenectomy infection has a mortality rate of up to 70%. Previously we have published data confirming the poor adherence to best practice guidelines with relation to management of the asplenic patient. A defined protocol of care was established, staff education commenced and a 'patient information leaflet' made available. AIM: To ascertain whether management of the asplenic patient has improved since the implementation of a structured programme of care. METHOD: Retrospective chart review of all splenectomies performed in Beaumont Hospital between 2002 and 2008. RESULTS: Overall, 75.9% of patients were documented as having received the recommended vaccinations. Of these, 48.7% were not timed according to recommended guidelines. Prophylactic antibiotics were documented as prescribed in all but five patients discharged. CONCLUSIONS: These results demonstrate an improvement in post-splenectomy care between 2002 and 2008. However, further improvements are necessary.en_GB
dc.language.isoengen_GB
dc.subject.meshAdolescenten_GB
dc.subject.meshAdulten_GB
dc.subject.meshAgeden_GB
dc.subject.meshAged, 80 and overen_GB
dc.subject.meshAntibiotic Prophylaxisen_GB
dc.subject.meshClinical Protocolsen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHospitals, Teachingen_GB
dc.subject.meshHumansen_GB
dc.subject.meshIrelanden_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshPostoperative Complications/epidemiology/*therapyen_GB
dc.subject.meshPurpura, Thrombocytopenic, Idiopathic/surgeryen_GB
dc.subject.meshRetrospective Studiesen_GB
dc.subject.meshSpleen/injuriesen_GB
dc.subject.mesh*Splenectomy/adverse effectsen_GB
dc.subject.meshVaccination/statistics & numerical dataen_GB
dc.subject.meshYoung Adulten_GB
dc.titleTransforming management of patients undergoing splenectomy in an Irish teaching hospital.en_GB
dc.contributor.departmentBeaumont Hospital, Dublin 9, Ireland. seamusmchugh@rcsi.ieen_GB
dc.identifier.journalIrish journal of medical scienceen_GB
dc.description.provinceLeinster-

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