A5051853769- Emergency and Acute Care Studies
- Hip and Femur Fractures
- COVID-19 and healthcare impacts
- Cardiac, Anesthesia and Surgical Outcomes
- Climate Change and Health Impacts
- Air Quality and Health Impacts
- Healthcare cost, quality, practices
- Primary Care and Health Outcomes
- Global Health Care Issues
- Healthcare Policy and Management
- Healthcare Quality and Management
- Healthcare Systems and Practices
- Trauma and Emergency Care Studies
- Multiple Sclerosis Research Studies
- Health Systems, Economic Evaluations, Quality of Life
- Maternal and Perinatal Health Interventions
- Maternal and fetal healthcare
- Health, Environment, Cognitive Aging
- Systemic Lupus Erythematosus Research
- Clinical practice guidelines implementation
- Pelvic and Acetabular Injuries
- Energy and Environment Impacts
- Chronic Disease Management Strategies
- Radiology practices and education
- Autoimmune and Inflammatory Disorders Research
Agenzia Regionale Parchi
2011-2024
ASL Roma
2013-2023
Regione Lazio
2010-2022
Regional Health
2017
Azienda Sanitaria Locale Roma 3
2009-2011
Regione Campania
2010
Short-term effects of air pollutants on respiratory mortality and morbidity have been consistently reported but usually studied separately. To more completely assess pollution effects, we hospitalisations for diseases together with out-of-hospital deaths. A time-stratified case-crossover study was carried out in six Italian cities from 2001 to 2005. Daily particulate matter (particles a 50% cut-off aerodynamic diameter 10 μm (PM10)) nitrogen dioxide (NO2) associations (n = 100 690), chronic...
Although numerous studies have provided evidence of an association between ambient air pollution and acute cardiac morbidity, little is known regarding susceptibility factors.We conducted a time-stratified case-crossover study in 9 Italian cities 2001 2005 to estimate the short-term airborne particles with aerodynamic diameter <10 μm (PM10) hospital admissions, identify susceptible groups. We estimated associations daily PM10 all diseases, coronary syndrome, arrhythmias conduction disorders,...
Hip fracture injuries are identified as one of the most serious healthcare problems affecting older people. Many studies have explored associations among patient characteristics, treatment processes, time to surgery and various outcomes in patients hospitalized for hip fracture. The objective present study is evaluate difference 1-year mortality after between undergoing early (within 2 days) delayed Italy.
Earlier in 2020, seven Italian regions, which cover 62% of the population, set up Mimico-19 network to monitor side effects restrictive measures against Covid-19 on volumes and quality care. To this aim, we retrospectively analysed hospital discharges data, computing twelve indicators volume performance three clinical areas: cardiology, oncology, orthopaedics. Weekly for period January-July 2020 were compared with corresponding average 2018-2019; comparisons performed within 3 sub-periods:...
Compared with other areas of the country, very limited data are available on multiple sclerosis (MS) prevalence in Central Italy. We aimed to estimate MS Lazio region and its geographical distribution using regional health information systems (HIS). To identify cases we used from drug prescription, hospital discharge ticket exemption registries. Crude, age- gender-specific estimates December 31, 2011 were calculated. compare between different within region, calculated gender-adjusted ratios...
In countries where the National Health Service provides universal health coverage, socioeconomic position should not influence quality of care. We examined whether plays a role in short-term mortality and waiting time for surgery after hip fracture.Retrospective cohort study.and participants From Hospital Information System database, we selected all patients, aged at least 65 years admitted to acute care hospitals Rome fracture between 1 January 2006 30 November 2007. The each individual was...
Patients who leave Emergency Department before physician's visit (LWBS) or during treatment (LDT) represent a useful indicator of the emergency care's quality. The profile patients LWBS was described: they are generally males, young, with lower urgency triage allocation and longer waiting time. They have greater risk ED re-admission compared to discharged patients, but effect on hospitalization mortality more controversial. aims this study identify determinants adverse short term outcomes...
Multiple sclerosis (MS) is a complex chronic, autoimmune inflammatory disease involving multidisciplinary assessments and interventions. Access to outpatient specialist home healthcare services was explored during the pandemic outbreak lockdown amongst MS patients in Lazio region. Adherence disease-modifying therapies (DMTs) also described.A population-based study conducted using regional administrative databases. A validated algorithm used identify cases over period 2011-2018. The numbers...
Caesarean section (CS) rate is a quality of health care indicator frequently used at national and international level. The aim this study was to assess whether adjustment for Robson's Ten Group Classification System (TGCS), clinical socio-demographic variables the mother fetus necessary inter-hospital comparisons CS rates. population includes 64,423 deliveries in Emilia-Romagna between January 1, 2003 December 31, 2004, classified according theTGCS. Poisson regression estimate crude adjusted...
A tariff modulation mechanisms has been introduced in some Italian regions with the aim of reducing inappropriate admissions and improving quality care. In response to a regional act, hospitals Lazio adopted clinical pathway for elderly patients hip fracture compensation system based on health care, as pay-for-performance model. The objective present study was compare proportion surgery performed within 48 hours admission among according different payment systems, before after implementation...
that address inequalities in health care are a priority for public research. We evaluated the impact of Regional Health Care Evaluation Program Lazio region, which systematically calculates and publicly releases hospital performance data, on socioeconomic differences quality healthcare hip fracture.Retrospective cohort study.and participants identified, information system, elderly patients hospitalized fracture between 01 January 2006 31 December 2007 (period 1) 2009 30 November 2010 2).We...
In Italy the National Outcomes Evaluation Programme, (P.N.E.) is most comprehensive comparative evaluation of healthcare outcomes at national level. The aim this report to describe P.N.E. and some relevant results achieved. analysed 184 indicators on quality care in 2015-2020 period. data sources are Italian Health Information Systems. reported were: proportion surgery within 2 days after hip fracture elderly (HF), 30-day mortality hospital admission for acute myocardial infarction (AMI),...
Concerns about the hepatitis C virus (HCV) are due to high risk of chronic liver disease and poor treatment efficacy. Synthesizing evidence from multiple data sources is becoming widely used estimate HCV-infection prevalence. This paper aims prevalence HCV infection, hepatic extrahepatic sequelae in at-risk groups, using routinely collected Lazio region, Italy. laboratory surveillance dialysis, hospital discharge, drug-user registers were as information identify groups sequelae. Full name...
Background The Emergency Department (ED) services play a fundamental role in managing the accesses of potential Sars-Cov-2 cases. aim this study is to evaluate impact SARS COV-2 pandemic on pediatric Lazio Region. Methods population includes all (0–17 years) ED Region during 2019 and 2020. Accesses were characterized by age, week calendar period. Four periods defined: pre-lockdown, lockdown, post-lockdown second wave. trend (total or for specific cause) 2020 (by period week) compared them...
Objective — Coronary revascularization methods are among the most common major medical procedures performed in industrialized countries. The short- and long-term comparative effectiveness of different techniques remains undetermined.Methods results study population included all adult patients (94,864 subjects) admitted for acute myocardial infarction (AMI) 2004 Italy, as recorded National Hospital Discharge Records. Invasive reperfusion therapy (coronary artery bypass graft, percutaneous...
The rates of caesarean section (CS) are increasing globally. CS one the most frequently used indicators health care quality. Vaginal Birth After Caesarean (VBAC) could be considered a reasonable and safe option for women with previous CS. Despite this fact, in some European countries, many who had will have routine subsequently VBAC extremely variable across countries. use is inversely related to use. objective present study was analyze respect variations among areas residence, hospitals...
Despite extensive studies on exposure and disease misclassification, few have investigated misclassification of confounders. This study aimed to identify differentially misclassified confounders in a comparative evaluation hospital care quality quantify their impact hospital-specific risk-adjusted estimates, focusing the appropriateness caesarean sections (CS). We gathered data from Hospital Information System Italy for women admitted 2005–2010. estimated adjusted proportions CS with...
Objectives to evaluate the impact of SARS-CoV-2 epidemic on access emergency services Lazio Region (Central Italy) for time-dependent pathologies, suspected symptoms, and potentially inappropriate conditions. Design observational study. Setting participants accesses departments (EDs) hospitals in first three months 2017, 2018, 2019, 2020. Main outcome measures total number room specific cardio cerebrovascular diseases, severe trauma, signs, ill-defined conditions, symptoms related pneumonia....
Background Inequalities in health among groups of various socio-economic status (as measured by education, occupation, and income) constitute one the main challenges for public health. Since 2006, Lazio Regional Outcome Evaluation Program (P.Re.Val.E.), presents a set indicators hospital performance based on quality standards driven strong clinical recommendations, measures variation access to effective care different population providers Region. One aims program was compare subgroups order...
<b><i>Background:</i></b> Relapse is frequently considered an outcome measure of disease activity in relapsing-remitting multiple sclerosis (MS). The objectives this study were to identify relapse episodes patients with MS the Lazio region using health administrative databases and evaluate validity algorithm enrolled at treatment centers. <b><i>Methods:</i></b> cases identified period between January 1, 2006 December 31, 2009 data from regional...
Within the EASY-NET network program (NET-2016-02364191), Work Package 1 Lazio evaluates effectiveness of a structured audit and feedback (A&F) intervention compared with web-based regional periodic publication indicators in improving appropriateness timeliness emergency healthcare for acute myocardial infarction (AMI). This work describes A&F methodology presents results first delivered. The involves sending reports via e-mail to participating hospitals. include set volume quality (process...