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Kaltiala-heino Riittakerttu - One of the best experts on this subject based on the ideXlab platform.

  • The use of coercive measures in adolescent psychiatric Inpatient Treatment: a nation-wide register study
    Social Psychiatry and Psychiatric Epidemiology, 2012
    Co-Authors: Siponen Ulla, Välimäki Maritta, Kaltiala-heino Riittakerttu
    Abstract:

    Purpose To evaluate the extent and trends in the use of seclusion/restraint in psychiatric Inpatient Treatment of adolescents aged 12–17 years in Finland. Methods The National Hospital Discharge Register data comprising all psychiatric Inpatient Treatment periods of 12- to 17 year-olds in Finland during the period 1996–2003 was used. Time trends, regional variation and patient characteristics related to the risk of being subjected to seclusion/restraint in psychiatric Inpatient Treatment are reported. Results The average prevalence of use of seclusion and restraint was 1.71/10,000/year over the study period. Use of seclusion/restraint in adolescent psychiatric Inpatient care first increased, peaking in 1999–2001, and then decreased. The decrease occurred after stricter legislative control of use of seclusion/restraint was introduced in 2002, despite that involuntary Treatment periods did not decrease. Considerable regional variation was seen in the use of seclusion/restraint. A greater proportion of girls than boys were secluded/restrained. Seclusion/restraint was most common in schizophrenia, mood disorders and conduct disorder. Conclusions Legislative control had the desired immediate impact on the use of seclusion/restraint in adolescent psychiatric Inpatient care. Legislative control is, however, not strong enough to ensure homogenous practices across the country, as there is many-fold regional variation in figures for using seclusion and restraint.

  • The use of coercive measures in adolescent psychiatric Inpatient Treatment: a nation-wide register study.
    Social psychiatry and psychiatric epidemiology, 2011
    Co-Authors: Siponen Ulla, Välimäki Maritta, Kaltiala-heino Riittakerttu
    Abstract:

    Purpose To evaluate the extent and trends in the use of seclusion/restraint in psychiatric Inpatient Treatment of adolescents aged 12–17 years in Finland.

Aine Bergin - One of the best experts on this subject based on the ideXlab platform.

Arthur I. Alterman - One of the best experts on this subject based on the ideXlab platform.

  • An evaluation of the Cleveland criteria for Inpatient Treatment of substance abuse.
    The American journal of psychiatry, 1992
    Co-Authors: James R. Mckay, Arthur I. Alterman
    Abstract:

    OBJECTIVE This study examined the validity of the Cleveland Admission, Discharge, and Transfer Criteria, a comprehensive system for assigning alcohol- and drug-abusing patients to appropriate levels of care. METHOD The subjects were 143 alcoholic and cocaine-dependent male patients in an intensive Veterans Administration day Treatment program for substance abusers. Patients who should have received Inpatient Treatment according to the Cleveland criteria were compared with those who were properly "matched" to day Treatment according to the criteria. The outcome measures were Treatment completion, results of urine toxicology screens, and self-reports of substance use and psychosocial functioning. RESULTS Patients who met the criteria for Inpatient care were not more likely to drop out of day hospital Treatment, and there was no evidence that they were drinking or using cocaine more frequently during follow-up. Furthermore, they did not appear to be doing worse on any of the other outcome measures, with the exception of psychological status. CONCLUSIONS The results suggest that for male substance abusers in the lower socioeconomic levels, the Cleveland criteria may not be effective in differentiating patients who can manage well with day hospital Treatment and those who require Inpatient Treatment.

Siponen Ulla - One of the best experts on this subject based on the ideXlab platform.

  • The use of coercive measures in adolescent psychiatric Inpatient Treatment: a nation-wide register study
    Social Psychiatry and Psychiatric Epidemiology, 2012
    Co-Authors: Siponen Ulla, Välimäki Maritta, Kaltiala-heino Riittakerttu
    Abstract:

    Purpose To evaluate the extent and trends in the use of seclusion/restraint in psychiatric Inpatient Treatment of adolescents aged 12–17 years in Finland. Methods The National Hospital Discharge Register data comprising all psychiatric Inpatient Treatment periods of 12- to 17 year-olds in Finland during the period 1996–2003 was used. Time trends, regional variation and patient characteristics related to the risk of being subjected to seclusion/restraint in psychiatric Inpatient Treatment are reported. Results The average prevalence of use of seclusion and restraint was 1.71/10,000/year over the study period. Use of seclusion/restraint in adolescent psychiatric Inpatient care first increased, peaking in 1999–2001, and then decreased. The decrease occurred after stricter legislative control of use of seclusion/restraint was introduced in 2002, despite that involuntary Treatment periods did not decrease. Considerable regional variation was seen in the use of seclusion/restraint. A greater proportion of girls than boys were secluded/restrained. Seclusion/restraint was most common in schizophrenia, mood disorders and conduct disorder. Conclusions Legislative control had the desired immediate impact on the use of seclusion/restraint in adolescent psychiatric Inpatient care. Legislative control is, however, not strong enough to ensure homogenous practices across the country, as there is many-fold regional variation in figures for using seclusion and restraint.

  • The use of coercive measures in adolescent psychiatric Inpatient Treatment: a nation-wide register study.
    Social psychiatry and psychiatric epidemiology, 2011
    Co-Authors: Siponen Ulla, Välimäki Maritta, Kaltiala-heino Riittakerttu
    Abstract:

    Purpose To evaluate the extent and trends in the use of seclusion/restraint in psychiatric Inpatient Treatment of adolescents aged 12–17 years in Finland.

Regina El Dib - One of the best experts on this subject based on the ideXlab platform.

  • The Cochrane Library - Outpatient versus Inpatient Treatment for acute pulmonary embolism
    The Cochrane database of systematic reviews, 2014
    Co-Authors: Hugo Hyung Bok Yoo, Thais Helena Abrahão Thomaz Queluz, Regina El Dib
    Abstract:

    Background Pulmonary embolism (PE) is a common life-threatening cardiovascular condition, with an incidence of 23 to 69 new cases per 100,000 people per year. Outpatient Treatment instead of traditional Inpatient Treatment in selected non-high-risk patients with acute PE might provide several advantages, such as reduction of hospitalizations, substantial cost saving and an improvement in health-related quality of life. Objectives To compare the efficacy and safety of outpatient versus Inpatient Treatment for acute PE for the outcomes of all-cause and PE-related mortality; bleeding; and adverse events such as hemodynamic instability, recurrence of PE and patients' satisfaction. Search methods The Cochrane Peripheral Vascular Diseases Group Trials Search Co-ordinator (TSC) searched the Specialised Register (last searched October 2014) and the Cochrane Central Register of Controlled Trials (CENTRAL; 2014, Issue 9). The TSC also searched clinical trials databases. The review authors searched LILACS (last searched November 2014). Selection criteria Randomized controlled trials of outpatient versus Inpatient Treatment in people diagnosed with acute PE. Data collection and analysis Two review authors selected relevant trials, assessed methodological quality, and extracted and analyzed data. Main results We included one study, involving 339 participants. We ranked the quality of the evidence as low because of the small number of events with imprecision in the confidential interval (CI), the small sample size and it was not possible to verify publication bias. For all outcomes, the CIs were wide and included clinically significant Treatment effects in both directions: short-term mortality (30 days) (RR 0.33, 95% CI 0.01 to 7.98, P = 0.49), long-term mortality (90 days) (RR 0.98, 95% CI 0.06 to 15.58, P = 0.99), major bleeding at 14 days (RR 4.91, 95% CI 0.24 to 101.57, P = 0.30) and 90 days (RR 6.88, 95% CI 0.36 to 134.14, P = 0.20), recurrent PE within 90 days (RR 2.95, 95% CI 0.12 to 71.85, P = 0.51) and participant satisfaction (RR 0.97, 95% CI 0.92 to 1.03, P = 0.30). PE-related mortality, minor bleeding, and adverse course such as hemodynamic instability and compliance were not assessed by the single included study. Authors' conclusions Current low quality evidence from one published randomized controlled trial did not provide sufficient evidence to assess the efficacy and safety of outpatient versus Inpatient Treatment for acute PE in overall mortality, bleeding and recurrence of PE adequately. Further well-conducted research is required before informed practice decisions can be made.