Patient attire is paramount to a patient’s dignity and hospital experience. The traditional hospital gown is dehumanizing, anachronistic, and was designed for providers’ convenience. In this descriptive, prospective follow-up to our previous pilot study, we evaluated male and female medical and surgical patients and provider preference and experience with a novel patient gowning system, the Patient Access Linen System (PALS). This study was conducted in 2 hospitals within our health system. Our objective was to assess patient and provider satisfaction, experience, and preference using the PALS. A multiple-choice, free response survey was administered to patients and providers following the use of an item. A total of 315 patients and 249 staff in 2 hospitals completed surveys regarding their experience using or providing care to patients using the PALS. Patients and providers had consistently positive experiences with the PALS, including questions about comfort and function. The data demonstrate a clear preference for the PALS compared to the traditional hospital gown and give additional supporting evidence that the comfort of hospital clothing is of paramount importance to patients.
Purpose: To examine the association between body mass index (BMI) and embryonic aneuploidy and mosaicism by trophectoderm biopsy with preimplantation genetic testing for aneuploidy (PGT-A). Methods: This was a retrospective cohort study evaluating 602 women who underwent undergoing their first fresh autologous stimulation cycles wherein all embryos were biopsied for PGT-A analysis from January 2016 through December 2019 in a multicenter academic fertility practice. Associations between BMI (kg/m2) and rates of euploidy (2016-2019) and mosaicism (2018-2019), including low-level (LL), high-level (HL), whole chromosome, and segmental mosaicism, were determined using forward stepwise multivariable Poisson regression.Results: 3,020 embryos from 602 cycles were available for analysis. Most patients were of normal weight (N=323) or overweight (N=143), or had class I obesity (N=80). Overall, 21% of patients in the cohort had obesity (BMI >30). There was no difference in overall euploid or mosaicism rate stratified by BMI. Compared with normal BMI, underweight (adjusted relative risk, aRR: 3.57 [1.31-9.78]), overweight (1.57 [1.01-2.43]), and obesity (1.55[1.03-2.35]) were each associated with significantly increased risks of LL mosaicism (6.6% vs. 20.8%, 10.0%, and 9.1%, respectively). Overweight BMI was associated with lower rates of HL (8.3% vs 3.7%, aRR: 0.39 [0.21-0.75]) and whole chromosome mosaicism (3.7% vs. 7.3%, aRR: 0.48 [0.26-0.91]) compared to normal BMI.Conclusions: While the overall rate of mosaicism was similar among BMI categories, both low and high BMI were associated with increased rates of LL mosaicism, and overweight was associated with decreased rates of HL and whole chromosome mosaicism compared to normal BMI.
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