The data for 309 patients with stage I-III tumours were analysed by hospital type using local guidelines.
Selection bias with respect to hospital type, using the Health Protection Agency classification of acute, teaching or specialist [ 7], was examined by comparing the proportions of acute, teaching and specialist hospitals responding to each questionnaire for significance (Z scores).
Analysis revealed a statistically significant (P < 0.001) decreasing trend in episiotomy use in Catalonia for both hospital types.
Among the variables tested (hospital type, use of a local nutrition protocol, sedation, vasoactive drugs, number of interruptions of enteral nutrition and measurement of gastric residual volume), only measurement of residual volume was significant by univariate analysis.
Clinical factors suspected to influence enteral nutrition (hospital type, use of a local nutrition protocol, sedation, vasoactive drugs, measured gastric residual volume and number of interruptions (divided into two classes <5 and >5)) were analyzed using the Mann-Whitney U test.
We evaluated by univariate analysis the following variables, considered likely to influence enteral nutrition, and contribute to non-adherence to feeding guidelines: hospital type, use of a local nutrition protocol, sedation, vasoactive drugs, number of interruptions, and measurement of GRV (Table 3).
TQM and BM scored above 60% in both hospitals types.
The remaining CTs had been acquired at one of several referring hospitals on a range of different scanner types using similar acquisition parameters (n = 18).
The extrinsic rewards were formulated by the authors themselves, chosen from the more common reward types used in hospitals: pay, vacation, insurance, days off, hours off and retirement.
To determine whether the proportion of episiotomies performed had changed since introduction of the SANC strategy, a comparison of proportions was performed on the two hospital types between 2007 and 2012 using the Z-test (level of significance α = 0.05).
