A Palatability of Oral Rehydration Solutions (Pors) Study
Notice bibliographique
Résumé
25 surveys were completed by PEM fellows.Fellows agreed that simulations were realistic (average score 4.40).The debriefing sessions were found to be helpful and a positive learning experience (average score 4.45).Instructors were enthusiastic, knowledgeable, and provided a safe learning environment (average score 4.79).PEM fellows enjoyed learning in a multidisciplinary team, found training at the simulator useful, and thought that it should be a mandatory part of their education (average score 4.84). CONCLUSION:We have successfully integrated a simulation-based acute care curriculum into our PEM fellowship program with high satisfaction ratings.Future research will need to be done to assess educational outcomes related to this curriculum.31 oNdaNsetroN adMiNistratioN iN eMerGeNcy dePartMeNts to childreN With GastroeNteritis: a cost-BeNefit aNd cost-effectiVeNess aNalysis *s freedman, M steiner, K chan the hospital for sick children, toronto, ontario BACKGROUND: Ondansetron use in children with gastroenteritis induced vomiting remains a controversial topic despite evidence of clinical effectiveness.Due to the expense of ondansetron, recent clinical practice guidelines have suggested that evidence of cost-effectiveness is necessary to support its routine use.OBJECTIVE: To formally assess the balance of benefits, costs and effects of ondansetron use for children in the Emergency Department (ED) with dehydration and vomiting due to gastroenteritis. DESIGN/METHODS:We conducted a cost-benefit and cost-effectiveness analysis from both health care and societal perspectives using deterministic and Monte Carlo simulations.A decision analysis tree for hypothetical children presenting to an ED, based on previously published ondansetron studies, was developed.The decision tree incorporated the frequency of vomiting, intravenous insertion, hospitalization and ED revisits.We used Canadian and U.S. national databases to derive estimates of the monetary costs associated with the various outcomes and ondansetron use.The economic burden amongst children who are administered ondansetron was compared to those who are not administered ondansetron.RESULTS: U.S.: The analysis was based on an annual hypothetical ED cohort of 269,177 children presenting for care with gastroenteritis, vomiting and mild to moderate dehydration.The routine administration of ondansetron to eligible children would prevent 45,392 intravenous insertions and 11,277 hospitalizations annually.The break-even price per ondansetron dose administered was $356 from the societal perspective and $302 from the health care perspective.At the current average wholesale price, its routine administration would annually save society $91.0 million and the health care system $74.0 million.Canada: The routine administration of ondansetron to a hypothetical cohort of 37,411 annual eligible pediatric ED visits would prevent 6,309 intravenous insertions and 1,567 hospitalizations.The break-even price/dose administered was $59 from the societal perspective and $56 from the health care perspective.Its routine administration would annually save society $1.8 million and the health care system $1.7 million.CONCLUSIONS: From both societal and health care perspectives, the administration of ondansetron to children with dehydration and vomiting secondary to infectious gastroenteritis is cost-effective and provides significant savings.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».