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Related Concept Videos

Data Reporting and Recording01:24

Data Reporting and Recording

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Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
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Anatomy of the Intestines01:23

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Although digestion of proteins, carbohydrates, and lipids may begin in the stomach, it is completed in the intestine. The absorption of nutrients, water, and electrolytes from food and drink also occurs in the intestine. The intestines can be divided into two structurally distinct organs—the small and large intestines.
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Small Intestine01:15

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The small intestine is primarily responsible for digestion and nutrient absorption. It spans from the pyloric sphincter to the ileocecal valve and connects to the large intestine.
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Large Intestine01:09

Large Intestine

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The large intestine is divided into three main regions: the cecum, colon, and rectum. Extending from the ileocecal valve to the anus, it frames the small intestine on three sides.
The ileocecal sphincter, a mucous membrane fold, guards the opening from the ileum to the large intestine. This valve permits material from the small intestine to pass into the large intestine. Attached to the ileocecal valve is the cecum. This small pouch, approximately 6 cm long, has a twisted, coiled tube known as...
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Types of Reports II: Incident or Occurrence Report01:21

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An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
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The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
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OPTN/SRTR 2017 Annual Data Report: Intestine.

J M Smith1,2, T Weaver1, M A Skeans1

  • 1Scientific Registry of Transplant Recipients, Hennepin Healthcare Research Institute, Minneapolis, MN.

American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons
|February 28, 2019
PubMed
Summary
This summary is machine-generated.

Intestine transplants are crucial for intestinal failure, with a shift towards adult recipients. Adult candidates face higher mortality, and survival rates vary significantly by age and transplant type.

Keywords:
Intestinal failureintestine transplantintestine-liver transplantwaiting list

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Area of Science:

  • Transplantation Medicine
  • Gastroenterology
  • Pediatric Surgery

Background:

  • Intestine transplantation remains a vital treatment for intestinal failure, despite advances in medical and surgical care.
  • The demographic landscape of patients awaiting intestine and intestine-liver transplants has shifted, with a notable increase in adult candidates over the past decade.

Purpose of the Study:

  • To analyze the trends in patient demographics on the intestine transplant waitlist.
  • To evaluate pretransplant mortality rates across different age groups.
  • To assess patient survival outcomes based on age and transplant type.

Main Methods:

  • Analysis of intestine and intestine-liver transplant waitlist data from 2017.
  • Comparison of age distribution trends in pediatric and adult candidates.
  • Calculation of pretransplant mortality rates per 100 waitlist-years.
  • Evaluation of 1- and 5-year patient survival rates for different age groups and transplant types.

Main Results:

  • In 2017, 109 intestine transplants were performed (62 adults, 47 children).
  • Adult candidates (44.0%) showed an increasing proportion on the waitlist, particularly aged 18-34 years.
  • Pediatric candidates (56.0%) decreased in the <6 years group but increased in the 6-17 years group.
  • Adult candidates had a higher pretransplant mortality rate (7.9/100 waitlist-years) compared to pediatric candidates (3.7/100 waitlist-years).
  • Patient survival was lowest for adult intestine-liver recipients (1-year: 66.7%, 5-year: 42.6%) and highest for pediatric intestine recipients (1-year: 86.2%, 5-year: 75.4%).

Conclusions:

  • The demographic profile of intestine transplant candidates is evolving towards a larger adult population.
  • Age is a significant factor influencing pretransplant mortality and post-transplant survival in intestine recipients.
  • Optimized management strategies are needed to address the distinct challenges faced by adult and pediatric patients undergoing intestinal transplantation.