AffiliationInternational Union against Tuberculosis and Lung Disease, Paris, France. email@example.com
MetadataShow full item record
AbstractThe vital signs of pulse rate, blood pressure, temperature and respiratory rate are the 'nub' of individual patient management. At the programmatic level, vital signs could also be used to monitor the burden and treatment outcome of chronic disease. Case detection and treatment outcome constitute the vital signs of tuberculosis control within the WHO's 'DOTS' framework, and similar vital signs could be adapted and used for management of chronic diseases. The numbers of new patients started on therapy in each month or quarter (new incident cases) are sensitive indicators for programme performance and access to services. Using similar reporting cycles, treatment outcomes for all patients can be assessed, the vital signs being: alive and retained on therapy at the respective facility; died; stopped therapy; lost to follow-up; and transferred out to another facility. Retention on treatment constitutes the prevalent number of cases, the burden of disease, and this provides important strategic information for rational drug forecasting and logistic planning. If case numbers and outcomes of chronic diseases were measured reliably and consistently as part of an integrated programmatic approach, this would strengthen the ability of resource-poor countries to monitor and assess their response to these growing epidemics.
- Recording of vital signs in a district general hospital emergency department.
- Authors: Armstrong B, Walthall H, Clancy M, Mullee M, Simpson H
- Issue date: 2008 Dec
- A national survey of prisoners on antiretroviral therapy in Malawi: access to treatment and outcomes on therapy.
- Authors: Makombe SD, Jahn A, Tweya H, Thambo L, Yu JK, Hedt B, Weigel R, Nkhata A, Schouten EJ, Kamoto K, Harries AD
- Issue date: 2007 Dec 1
- Vital signs: are we monitoring the right parameters?
- Authors: Bayne CG
- Issue date: 1997 May
- Extending disease management: a home monitoring system for vital signs.
- Authors: Peddicord H
- Issue date: 2000 Nov-Dec
- Vital signs of the emergency patient with pulpal necrosis and localized acute apical abscess.
- Authors: Campanelli CA, Walton RE, Williamson AE, Drake DR, Qian F
- Issue date: 2008 Mar