The Experts below are selected from a list of 52653 Experts worldwide ranked by ideXlab platform
N. Peretti - One of the best experts on this subject based on the ideXlab platform.
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Implementation of a Computerized System in pediatric wards to improve nutritional care: a cluster randomized trial
European Journal of Clinical Nutrition, 2015Co-Authors: Antoine Duclos, Sandrine Touzet, L Restier, P. Occelli, Fleur Cour-andlauer, A. Denis, S Polazzi, Cyrille Colin, Alain Lachaux, N. PerettiAbstract:BACKGROUND/OBJECTIVES: Malnutrition occurs frequently in hospitalized children. We aimed to assess whether a Computerized System could lead to improved clinical practices in malnourished children. SUBJECTS/METHODS: Healthcare workers (242) from six departments in a pediatric university hospital participated in a cluster randomized trial, studying 1457 malnourished children hospitalized from September 2009 to August 2011. Following a baseline observational pre-intervention period, all departments were randomized into either intervention or control arms. A Computerized malnutrition-screening System was implemented in the intervention group to automatically trigger a dietetic referral in real time. Furthermore, the nutrition support team conducted an awareness campaign with healthcare workers and a leadership-based strategy to reinforce the message during the entire study period. Adherence to practice guidelines (daily weights, investigation of etiology for malnutrition, management by a dietitian and application of refeeding protocols) was compared between pre- and post-intervention periods in both the intervention and trial arms. RESULTS: When compared with the pre-intervention period, the clinical practices were significantly improved within the intervention arm for every outcome (P\textless0.01), whereas remained unchanged in the control arm. In addition, during the post-intervention period, malnutrition etiology investigation by physicians (adjusted odds ratio (OR) of 4.4, 95% confidence interval (CI) 1.7-11.8, P=0.003) and management by a dietitian (OR 2.7, 95% CI 1.0-6.9, P=0.046) occurred more frequently in the intervention clusters. CONCLUSIONS: Implementation of an electronic System to detect malnutrition in real time was associated with a rapid improvement in clinical practices for better care of hospitalized children.
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Implementation of a Computerized System in pediatric wards to improve nutritional care: a cluster randomized trial
European Journal of Clinical Nutrition, 2015Co-Authors: Antoine Duclos, Sandrine Touzet, L Restier, P. Occelli, Fleur Cour-andlauer, A. Denis, S Polazzi, Cyrille Colin, Alain Lachaux, N. PerettiAbstract:Background/Objectives: Malnutrition occurs frequently in hospitalized children. We aimed to assess whether a Computerized System could lead to improved clinical practices in malnourished children. Subjects/Methods: Healthcare workers (242) from six departments in a pediatric university hospital participated in a cluster randomized trial, studying 1457 malnourished children hospitalized from September 2009 to August 2011. Following a baseline observational pre-intervention period, all departments were randomized into either intervention or control arms. A Computerized malnutrition-screening System was implemented in the intervention group to automatically trigger a dietetic referral in real time. Furthermore, the nutrition support team conducted an awareness campaign with healthcare workers and a leadership-based strategy to reinforce the message during the entire study period. Adherence to practice guidelines (daily weights, investigation of etiology for malnutrition, management by a dietitian and application of refeeding protocols) was compared between pre- and post-intervention periods in both the intervention and trial arms. Results: When compared with the pre-intervention period, the clinical practices were significantly improved within the intervention arm for every outcome ( P
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Implementation of a Computerized System in pediatric wards to improve nutritional care: a cluster randomized trial
European Journal of Clinical Nutrition, 2015Co-Authors: Antoine Duclos, Sandrine Touzet, L Restier, P. Occelli, Fleur Cour-andlauer, A. Denis, S Polazzi, Cyrille Colin, Alain Lachaux, N. PerettiAbstract:Implementation of a Computerized System in pediatric wards to improve nutritional care: a cluster randomized trial
Antoine Duclos - One of the best experts on this subject based on the ideXlab platform.
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Implementation of a Computerized System in pediatric wards to improve nutritional care: a cluster randomized trial
European Journal of Clinical Nutrition, 2015Co-Authors: Antoine Duclos, Sandrine Touzet, L Restier, P. Occelli, Fleur Cour-andlauer, A. Denis, S Polazzi, Cyrille Colin, Alain Lachaux, N. PerettiAbstract:BACKGROUND/OBJECTIVES: Malnutrition occurs frequently in hospitalized children. We aimed to assess whether a Computerized System could lead to improved clinical practices in malnourished children. SUBJECTS/METHODS: Healthcare workers (242) from six departments in a pediatric university hospital participated in a cluster randomized trial, studying 1457 malnourished children hospitalized from September 2009 to August 2011. Following a baseline observational pre-intervention period, all departments were randomized into either intervention or control arms. A Computerized malnutrition-screening System was implemented in the intervention group to automatically trigger a dietetic referral in real time. Furthermore, the nutrition support team conducted an awareness campaign with healthcare workers and a leadership-based strategy to reinforce the message during the entire study period. Adherence to practice guidelines (daily weights, investigation of etiology for malnutrition, management by a dietitian and application of refeeding protocols) was compared between pre- and post-intervention periods in both the intervention and trial arms. RESULTS: When compared with the pre-intervention period, the clinical practices were significantly improved within the intervention arm for every outcome (P\textless0.01), whereas remained unchanged in the control arm. In addition, during the post-intervention period, malnutrition etiology investigation by physicians (adjusted odds ratio (OR) of 4.4, 95% confidence interval (CI) 1.7-11.8, P=0.003) and management by a dietitian (OR 2.7, 95% CI 1.0-6.9, P=0.046) occurred more frequently in the intervention clusters. CONCLUSIONS: Implementation of an electronic System to detect malnutrition in real time was associated with a rapid improvement in clinical practices for better care of hospitalized children.
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Implementation of a Computerized System in pediatric wards to improve nutritional care: a cluster randomized trial
European Journal of Clinical Nutrition, 2015Co-Authors: Antoine Duclos, Sandrine Touzet, L Restier, P. Occelli, Fleur Cour-andlauer, A. Denis, S Polazzi, Cyrille Colin, Alain Lachaux, N. PerettiAbstract:Background/Objectives: Malnutrition occurs frequently in hospitalized children. We aimed to assess whether a Computerized System could lead to improved clinical practices in malnourished children. Subjects/Methods: Healthcare workers (242) from six departments in a pediatric university hospital participated in a cluster randomized trial, studying 1457 malnourished children hospitalized from September 2009 to August 2011. Following a baseline observational pre-intervention period, all departments were randomized into either intervention or control arms. A Computerized malnutrition-screening System was implemented in the intervention group to automatically trigger a dietetic referral in real time. Furthermore, the nutrition support team conducted an awareness campaign with healthcare workers and a leadership-based strategy to reinforce the message during the entire study period. Adherence to practice guidelines (daily weights, investigation of etiology for malnutrition, management by a dietitian and application of refeeding protocols) was compared between pre- and post-intervention periods in both the intervention and trial arms. Results: When compared with the pre-intervention period, the clinical practices were significantly improved within the intervention arm for every outcome ( P
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Implementation of a Computerized System in pediatric wards to improve nutritional care: a cluster randomized trial
European Journal of Clinical Nutrition, 2015Co-Authors: Antoine Duclos, Sandrine Touzet, L Restier, P. Occelli, Fleur Cour-andlauer, A. Denis, S Polazzi, Cyrille Colin, Alain Lachaux, N. PerettiAbstract:Implementation of a Computerized System in pediatric wards to improve nutritional care: a cluster randomized trial
G. Pradíes - One of the best experts on this subject based on the ideXlab platform.
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“Comparative study of conventional anesthesia technique versus Computerized System anesthesia: a randomized clinical trial”
Clinical Oral Investigations, 2020Co-Authors: S. Berrendero, O. Hriptulova, M. P. Salido, F. Martínez-rus, G. PradíesAbstract:Objective The aim of the present study was to compare in terms of pain perception the use of conventional anesthesia and a Computerized System. Materials and methods Forty patients in need for extractions, dental restorative, or periodontal treatment bilaterally, were selected. Each patient served as his/her own control being subjected to two anesthesia techniques: conventional and electronically controlled anesthesia with Calaject® (Rønvig Dental MFG, Daugaard, Denmark). Each patient received both treatments in a blind way 1 week apart. The order was previously randomized. After performing the anesthesia (upper dental nerve, palatal posterior nerve, or inferior alveolar nerve), the patients evaluated their pain sensation with a visual analogue scale (VAS) (0–10). After treatment, the patients were asked about the presence of pain during the procedure. Finally, the patients selected their preference between the conventional and electronic anesthesia technique. Differences in assessment of pain’s injection were analyzed using the Wilcoxon test and the Kruskal-Wallis test ( α = 0.05). Results The mean general pain experienced was 3.73 (1.55 SD) for the conventional anesthesia, and 1.95 (0.53 SD) for Computerized anesthesia. Statistical differences ( p
Cyrille Colin - One of the best experts on this subject based on the ideXlab platform.
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Implementation of a Computerized System in pediatric wards to improve nutritional care: a cluster randomized trial
European Journal of Clinical Nutrition, 2015Co-Authors: Antoine Duclos, Sandrine Touzet, L Restier, P. Occelli, Fleur Cour-andlauer, A. Denis, S Polazzi, Cyrille Colin, Alain Lachaux, N. PerettiAbstract:BACKGROUND/OBJECTIVES: Malnutrition occurs frequently in hospitalized children. We aimed to assess whether a Computerized System could lead to improved clinical practices in malnourished children. SUBJECTS/METHODS: Healthcare workers (242) from six departments in a pediatric university hospital participated in a cluster randomized trial, studying 1457 malnourished children hospitalized from September 2009 to August 2011. Following a baseline observational pre-intervention period, all departments were randomized into either intervention or control arms. A Computerized malnutrition-screening System was implemented in the intervention group to automatically trigger a dietetic referral in real time. Furthermore, the nutrition support team conducted an awareness campaign with healthcare workers and a leadership-based strategy to reinforce the message during the entire study period. Adherence to practice guidelines (daily weights, investigation of etiology for malnutrition, management by a dietitian and application of refeeding protocols) was compared between pre- and post-intervention periods in both the intervention and trial arms. RESULTS: When compared with the pre-intervention period, the clinical practices were significantly improved within the intervention arm for every outcome (P\textless0.01), whereas remained unchanged in the control arm. In addition, during the post-intervention period, malnutrition etiology investigation by physicians (adjusted odds ratio (OR) of 4.4, 95% confidence interval (CI) 1.7-11.8, P=0.003) and management by a dietitian (OR 2.7, 95% CI 1.0-6.9, P=0.046) occurred more frequently in the intervention clusters. CONCLUSIONS: Implementation of an electronic System to detect malnutrition in real time was associated with a rapid improvement in clinical practices for better care of hospitalized children.
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Implementation of a Computerized System in pediatric wards to improve nutritional care: a cluster randomized trial
European Journal of Clinical Nutrition, 2015Co-Authors: Antoine Duclos, Sandrine Touzet, L Restier, P. Occelli, Fleur Cour-andlauer, A. Denis, S Polazzi, Cyrille Colin, Alain Lachaux, N. PerettiAbstract:Background/Objectives: Malnutrition occurs frequently in hospitalized children. We aimed to assess whether a Computerized System could lead to improved clinical practices in malnourished children. Subjects/Methods: Healthcare workers (242) from six departments in a pediatric university hospital participated in a cluster randomized trial, studying 1457 malnourished children hospitalized from September 2009 to August 2011. Following a baseline observational pre-intervention period, all departments were randomized into either intervention or control arms. A Computerized malnutrition-screening System was implemented in the intervention group to automatically trigger a dietetic referral in real time. Furthermore, the nutrition support team conducted an awareness campaign with healthcare workers and a leadership-based strategy to reinforce the message during the entire study period. Adherence to practice guidelines (daily weights, investigation of etiology for malnutrition, management by a dietitian and application of refeeding protocols) was compared between pre- and post-intervention periods in both the intervention and trial arms. Results: When compared with the pre-intervention period, the clinical practices were significantly improved within the intervention arm for every outcome ( P
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Implementation of a Computerized System in pediatric wards to improve nutritional care: a cluster randomized trial
European Journal of Clinical Nutrition, 2015Co-Authors: Antoine Duclos, Sandrine Touzet, L Restier, P. Occelli, Fleur Cour-andlauer, A. Denis, S Polazzi, Cyrille Colin, Alain Lachaux, N. PerettiAbstract:Implementation of a Computerized System in pediatric wards to improve nutritional care: a cluster randomized trial
Sandrine Touzet - One of the best experts on this subject based on the ideXlab platform.
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Implementation of a Computerized System in pediatric wards to improve nutritional care: a cluster randomized trial
European Journal of Clinical Nutrition, 2015Co-Authors: Antoine Duclos, Sandrine Touzet, L Restier, P. Occelli, Fleur Cour-andlauer, A. Denis, S Polazzi, Cyrille Colin, Alain Lachaux, N. PerettiAbstract:BACKGROUND/OBJECTIVES: Malnutrition occurs frequently in hospitalized children. We aimed to assess whether a Computerized System could lead to improved clinical practices in malnourished children. SUBJECTS/METHODS: Healthcare workers (242) from six departments in a pediatric university hospital participated in a cluster randomized trial, studying 1457 malnourished children hospitalized from September 2009 to August 2011. Following a baseline observational pre-intervention period, all departments were randomized into either intervention or control arms. A Computerized malnutrition-screening System was implemented in the intervention group to automatically trigger a dietetic referral in real time. Furthermore, the nutrition support team conducted an awareness campaign with healthcare workers and a leadership-based strategy to reinforce the message during the entire study period. Adherence to practice guidelines (daily weights, investigation of etiology for malnutrition, management by a dietitian and application of refeeding protocols) was compared between pre- and post-intervention periods in both the intervention and trial arms. RESULTS: When compared with the pre-intervention period, the clinical practices were significantly improved within the intervention arm for every outcome (P\textless0.01), whereas remained unchanged in the control arm. In addition, during the post-intervention period, malnutrition etiology investigation by physicians (adjusted odds ratio (OR) of 4.4, 95% confidence interval (CI) 1.7-11.8, P=0.003) and management by a dietitian (OR 2.7, 95% CI 1.0-6.9, P=0.046) occurred more frequently in the intervention clusters. CONCLUSIONS: Implementation of an electronic System to detect malnutrition in real time was associated with a rapid improvement in clinical practices for better care of hospitalized children.
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Implementation of a Computerized System in pediatric wards to improve nutritional care: a cluster randomized trial
European Journal of Clinical Nutrition, 2015Co-Authors: Antoine Duclos, Sandrine Touzet, L Restier, P. Occelli, Fleur Cour-andlauer, A. Denis, S Polazzi, Cyrille Colin, Alain Lachaux, N. PerettiAbstract:Background/Objectives: Malnutrition occurs frequently in hospitalized children. We aimed to assess whether a Computerized System could lead to improved clinical practices in malnourished children. Subjects/Methods: Healthcare workers (242) from six departments in a pediatric university hospital participated in a cluster randomized trial, studying 1457 malnourished children hospitalized from September 2009 to August 2011. Following a baseline observational pre-intervention period, all departments were randomized into either intervention or control arms. A Computerized malnutrition-screening System was implemented in the intervention group to automatically trigger a dietetic referral in real time. Furthermore, the nutrition support team conducted an awareness campaign with healthcare workers and a leadership-based strategy to reinforce the message during the entire study period. Adherence to practice guidelines (daily weights, investigation of etiology for malnutrition, management by a dietitian and application of refeeding protocols) was compared between pre- and post-intervention periods in both the intervention and trial arms. Results: When compared with the pre-intervention period, the clinical practices were significantly improved within the intervention arm for every outcome ( P
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Implementation of a Computerized System in pediatric wards to improve nutritional care: a cluster randomized trial
European Journal of Clinical Nutrition, 2015Co-Authors: Antoine Duclos, Sandrine Touzet, L Restier, P. Occelli, Fleur Cour-andlauer, A. Denis, S Polazzi, Cyrille Colin, Alain Lachaux, N. PerettiAbstract:Implementation of a Computerized System in pediatric wards to improve nutritional care: a cluster randomized trial