Factors Associated With Hospitalisation of Copd Exacerbations During a Winter Season In an Emergency Ward

The meteorological conditions leading to the July, 2005 floods in river Jhelum in the state of Jammu & Kashmir have been analyzed in the present study. The floods coincided with a spell of heavy rains over the state during second week of July 2005 caused by the interaction of a westward moving monsoon disturbance over the plains of northwest India and an eastward moving trough in middle troposphere over north Pakistan. Further analysis of precipitation over the state during the preceding winter season shows that there was record snowfall at many stations over the state. The estimate from KALPANA-1 satellite also revealed the highest snow cover area over the region since 1998. The higher volume of snowmelt because of the increased snow cover area seems to have significantly contributed towards the floods.

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Risk of death and readmission of hospital-admitted COPD exacerbations: European COPD Audit

European Respiratory Journal ◽

10.1183/13993003.01391-2014 ◽

2015 ◽

Vol 47 (1) ◽

pp. 113-121 ◽

Cited By ~ 80

Author(s):

Sylvia Hartl ◽

Jose Luis Lopez-Campos ◽

Francisco Pozo-Rodriguez ◽

Ady Castro-Acosta ◽

Michael Studnicka ◽

...

Keyword(s):

Ventilatory Support ◽

Blood Gases ◽

Patient Characteristics ◽

Chronic Obstructive ◽

Treatment Standards ◽

Post Discharge ◽

Factors Associated ◽

Copd Exacerbations ◽

Risk Of Death ◽

Hospital Resources

Studies report high in-hospital and post-discharge mortality of chronic obstructive pulmonary disease (COPD) exacerbations varying depending upon patient characteristics, hospital resources and treatment standards. This study aimed to investigate the patient, resource and organisational factors associated with in-hospital and 90-day post-discharge mortality and readmission of COPD exacerbations within the European COPD Audit. The audit collected data of COPD exacerbation admissions from 13 European countries.On admission, only 49.7% of COPD patients had spirometry results available and only 81.6% had blood gases taken. Using logistic regression analysis, the risk associated with in-hospital and post-discharge mortality was higher age, presence of acidotic respiratory failure, subsequent need for ventilatory support and presence of comorbidity. In addition, the 90-day risk of COPD readmission was associated with previous admissions. Only the number of respiratory specialists per 1000 beds, a variable related to hospital resources, decreased the risk of post-discharge mortality.The European COPD Audit identifies risk factors associated with in-hospital and post-discharge mortality and COPD readmission. Addressing the deficiencies in acute COPD care such as making spirometry available and measuring blood gases and providing noninvasive ventilation more regularly would provide opportunities to improve COPD outcomes.

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Deprivation, winter season, and COPD exacerbations

Primary Care Respiratory Journal ◽

10.4104/pcrj.2013.00078 ◽

2013 ◽

Vol 22 (3) ◽

pp. 264-265 ◽

Cited By ~ 2

Author(s):

Gavin C Donaldson ◽

Jadwiga A Wedzicha

Keyword(s):

Winter Season ◽

Copd Exacerbations

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Determinants and risk factors of gastroenteritis in the general population, a web-based cohort between 2014 and 2017 in France

10.21203/rs.3.rs-16833/v2 ◽

2020 ◽

Author(s):

Marie Ecollan ◽

Caroline Guerrisi ◽

Cécile Souty ◽

Louise Rossignol ◽

Clément Turbelin ◽

...

Keyword(s):

General Population ◽

Winter Season ◽

Developed Countries ◽

Living Alone ◽

Health Prevention ◽

Economic Costs ◽

Web Based ◽

Factors Associated ◽

Prevention Messages ◽

A Prospective Study

Abstract Background: Although it is rarely fatal in developed countries, acute gastroenteritis (AGE) still induces significant morbidity and economic costs. The objective of this study was to identify factors associated with AGE in winter in the general population.Methods: A prospective study was performed during winter seasons from 2014-2015 to 2016-2017. Participants filled an inclusion survey and reported weekly data on acute symptoms. Factors associated with having at least one AGE episode per winter season were analyzed using the generalized estimating equations (GEE) approach. Results: They were 13,974 participants included in the study over the three seasons. On average, 8.1% of participants declared at least one AGE episode during a winter season. People over 60 declared fewer AGE episodes (adjusted OR (aOR)=0.76, 95% CI [0.64; 0.89]) compared to individuals between 15 and 60 years old, as well as children between 10 and 15 (aOR=0.60 [0.37; 0.98]). Overweight (aOR=1.25 [1.07; 1.45]) and obese (aOR=1.47 [1.19; 1.81]) individuals, those having frequent cold (aOR=1.63 [1.37; 1.94]) and those with at least one chronic condition (aOR=1.35 [1.16; 1.58]) had more AGE episodes. Living alone was associated with a higher AGE episode rate (aOR=1.31 [1.09; 1.59]), as well as having pets at home (aOR=1.23 [1.08; 1.41]). Conclusions: Having a better knowledge of AGE determinants will be useful to adapt public health prevention messages.

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Factors associated with hospital admission in patients reaching the emergency department with COPD exacerbation

Multidisciplinary Respiratory Medicine ◽

10.4081/mrm.2012.593 ◽

2012 ◽

Vol 7 ◽

Author(s):

Maria Teresa García-Sanz ◽

Carlos Pol-Balado ◽

Concepción Abellás ◽

Juan Carlos Cánive-Gómez ◽

Diana Antón-Sanmartin ◽

...

Keyword(s):

Emergency Department ◽

Multivariate Analysis ◽

Observational Study ◽

Hospital Admission ◽

Prospective Observational Study ◽

County Hospital ◽

Copd Exacerbation ◽

Related Factors ◽

Factors Associated ◽

Copd Exacerbations

Background: The aim of this study was to determine the frequency of COPD exacerbations in our Emergency Department, as well as the hospitalization-related factors. Methods: Prospective observational study conducted in the Emergency Department of Salnés County Hospital among patients admitted for COPD exacerbation. Admission predictors were determined by multivariate analysis. Results: There were 409 exacerbations in 239 patients (79% male, mean age 75). 57% of exacerbations required hospitalization. Hospitalization-related factors were impaired oxygenation (p<0.001), presence of neutrophilia (p<0.01) and prescription of antibiotics in the Emergency Department (p<0.05). Conclusions: COPD exacerbation accounts for over 1% of all visits to our Emergency Department. 57% of them required hospitalization. Impaired oxygenation, greater neutrophilia and prescription of antibiotics in the Emergency Department were associated with greater probability of admission.

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Intensive care unit surveillance of influenza infection in France: the 2009/10 pandemic and the three subsequent seasons

Eurosurveillance ◽

10.2807/1560-7917.es.2015.20.46.30066 ◽

2015 ◽

Vol 20 (46) ◽

Cited By ~ 26

Author(s):

Isabelle Bonmarin ◽

Emmanuel Belchior ◽

Jean Bergounioux ◽

Christian Brun-Buisson ◽

Bruno Mégarbane ◽

...

Keyword(s):

Risk Factors ◽

Multivariate Analysis ◽

Intensive Care ◽

Life Support ◽

Extracorporeal Life Support ◽

Influenza Infection ◽

Winter Season ◽

Clinical Severity ◽

Factors Associated ◽

Severe Influenza

During the 2009/10 pandemic, a national surveillance system for severe influenza cases was set up in France. We present results from the system's first four years. All severe influenza cases admitted to intensive care units (ICU) were reported to the Institut de Veille Sanitaire using a standardised form: data on demographics, immunisation and virological status, risk factors, severity (e.g. acute respiratory distress syndrome (ARDS) onset, mechanical ventilation, extracorporeal life support) and outcome. Multivariate analysis was performed to identify factors associated with ARDS and death. The number of confirmed influenza cases varied from 1,210 in 2009/10 to 321 in 2011/12. Most ICU patients were infected with A(H1N1)pdm09, except during the 2011/12 winter season when A(H3N2)-related infections predominated. Patients' characteristics varied according to the predominant strain. Based on multivariate analysis, risk factors associated with death were age ≥ 65 years, patients with any of the usual recommended indications for vaccination and clinical severity. ARDS occurred more frequently in patients who were middle-aged (36–55 years), pregnant, obese, or infected with A(H1N1)pdm09. Female sex and influenza vaccination were protective. These data confirm the persistent virulence of A(H1N1)pdm09 after the pandemic and the heterogeneity of influenza seasons, and reinforce the need for surveillance of severe influenza cases.

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Investigation of indoor air quality at urban schools in Qatar

Indoor and Built Environment ◽

10.1177/1420326x17700948 ◽

2017 ◽

Vol 28 (2) ◽

pp. 278-288 ◽

Cited By ~ 5

Author(s):

Mahmoud M. M. Abdel-Salam

Keyword(s):

Air Quality ◽

Indoor Air Quality ◽

Indoor Air ◽

Winter Season ◽

Quality Standards ◽

Mechanically Ventilated ◽

Factors Associated ◽

Us Epa ◽

The Mean ◽

Indoor Conditions

Information about indoor conditions of classrooms in Qatari schools is very scarce and availability of indoor air quality (IAQ) data is important as children are vulnerable to health hazards and spend long times in classrooms. Therefore, IAQ was investigated in 16 mechanically ventilated schools in Qatar during the winter season. Parameters such as temperature, relative humidity, carbon monoxide (CO), carbon dioxide (CO2) and particulate matters (PM10 and PM2.5) were measured indoors and outdoors simultaneously. High indoor CO2 and PM concentrations were found in many classrooms and exceeded the ASHRAE standard and US-EPA air quality standards as there are currently no established IAQ standards in Qatar. The mean indoor CO2 concentration in all classrooms was 1776 ± 887 ppm with mean indoor/outdoor ratio of 3.89 ± 2.03. The mean indoor PM10 and PM2.5 concentrations were 93.2 ± 42.4 µg/m3 and 60.1 ± 28.8 µg/m3, respectively. High indoor PM concentrations were found to be highly influenced by outdoor levels. Mean indoor/outdoor ratios for PM10 and PM2.5 in all classrooms were 0.87 ± 0.43 and 0.80 ± 0.34, respectively. The current study also identified many factors associated with increased indoor levels of PM. According to results of this study, some recommendations were suggested to reduce exposure of school children to high indoor levels of these pollutants as well as to provide comfortable learning environments.

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A Serological Survey of Akabane Virus Infection in Cattle in Sudan

ISRN Veterinary Science ◽

10.1155/2014/123904 ◽

2014 ◽

Vol 2014 ◽

pp. 1-4 ◽

Cited By ~ 7

Author(s):

Amira M. Elhassan ◽

Mohammed E. A. Mansour ◽

Awadia A. A. Shamon ◽

A. M. El Hussein

Keyword(s):

Dairy Cattle ◽

Prevalence Rate ◽

Winter Season ◽

Dairy Herds ◽

Akabane Virus ◽

Prevalence Rates ◽

Serum Samples ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Factors Associated

A cross-sectional survey was carried out in ten states in Sudan to determine seroprevalence and to assess risk factors associated with Akabane virus (AKAV) infection in dairy herds. Serum samples were collected from a total of 361 dairy cattle and tested for antibodies against AKAV using ELISA. The prevalence rates of AKAV antibodies in cattle varied between 69.6% in Khartoum state and 3.3% in Sennar State with an overall prevalence rate of 29.4%. The prevalence rates of AKAV antibodies were significantly associated with breed being high in crossbred (39.9%; P<0.001); female sex (33%; P<0.001), and animals in the age group of 2-3 years old (45.3%; P<0.001). Akabane virus antibodies prevalence was also highly associated with locality (P<0.001); season being high in winter season (58.1%; P<0.001); and animals raised under intensive management system (37%; P<0.001). Among 68 cases suffering from reproductive (abortion and infertility) problems the prevalence rate of AKAV antibodies in animals with infertility problem (76.2%; P<0.03) was significantly higher than in animals with abortion (48.9%). The study revealed that AKAV infection is highly prevalent in dairy cattle in Sudan and this calls for control strategy to be implemented.

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Chlamydia buteonis in birds of prey presented to California wildlife rehabilitation facilities

PLoS ONE ◽

10.1371/journal.pone.0258500 ◽

2021 ◽

Vol 16 (10) ◽

pp. e0258500

Author(s):

Brittany A. Seibert ◽

Michael K. Keel ◽

Terra R. Kelly ◽

Roger A. Nilsen ◽

Paula Ciembor ◽

...

Keyword(s):

Risk Factors ◽

Current Knowledge ◽

Winter Season ◽

Clinical Manifestations ◽

Birds Of Prey ◽

Factors Associated ◽

Rehabilitation Centers ◽

Wildlife Rehabilitation ◽

Potential Risk Factors ◽

Buteo Swainsoni

Chlamydial infections, caused by a group of obligate, intracellular, gram-negative bacteria, have health implications for animals and humans. Due to their highly infectious nature and zoonotic potential, staff at wildlife rehabilitation centers should be educated on the clinical manifestations, prevalence, and risk factors associated with Chlamydia spp. infections in raptors. The objectives of this study were to document the prevalence of chlamydial DNA shedding and anti-chlamydial antibodies in raptors admitted to five wildlife rehabilitation centers in California over a one-year period. Chlamydial prevalence was estimated in raptors for each center and potential risk factors associated with infection were evaluated, including location, species, season, and age class. Plasma samples and conjunctiva/choana/cloaca swabs were collected for serology and qPCR from a subset of 263 birds of prey, representing 18 species. Serologic assays identified both anti-C. buteonis IgM and anti-chlamydial IgY antibodies. Chlamydial DNA and anti-chlamydial antibodies were detected in 4.18% (11/263) and 3.14% (6/191) of patients, respectively. Chamydial DNA was identified in raptors from the families Accipitridae and Strigidae while anti-C.buteonis IgM was identified in birds identified in Accipitridae, Falconidae, Strigidae, and Cathartidae. Two of the chlamydial DNA positive birds (one Swainson’s hawk (Buteo swainsoni) and one red-tailed hawk (Buteo jamaicensis)) were necropsied, and tissues were collected for culture. Sequencing of the cultured elementary bodies revealed a chlamydial DNA sequence with 99.97% average nucleotide identity to the recently described Chlamydia buteonis. Spatial clusters of seropositive raptors and raptors positive for chlamydial DNA were detected in northern California. Infections were most prevalent during the winter season. Furthermore, while the proportion of raptors testing positive for chlamydial DNA was similar across age classes, seroprevalence was highest in adults. This study questions the current knowledge on C. buteonis host range and highlights the importance of further studies to evaluate the diversity and epidemiology of Chlamydia spp. infecting raptor populations.

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