Pre-Fontan Cardiac Catheterization Data as a Predictor of Prolonged Hospital Stay and Post-Discharge Adverse Outcomes Following the Fontan Procedure: A Single-Center Study

2020 ◽  
Vol 41 (8) ◽  
pp. 1697-1703
Author(s):  
Sanchitha H. Guruchandrasekar ◽  
Hannah Dakin ◽  
Musunkumuki Kadochi ◽  
Ajay Bhatia ◽  
Lynn Bardales ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Cardiac Catheterization ◽  
Fontan Procedure ◽  
Adverse Outcomes ◽  
Prolonged Hospital Stay ◽  
Single Center ◽  
Post Discharge ◽  
Single Center Study ◽  
Prolonged Hospital ◽  
Center Study

scholarly journals Peripheral vascular anatomical obstacles in trans ulnar cardiac catheterization: A large single center study

2017 ◽  
Vol 69 ◽  
pp. S47
Author(s):  
Rajendra Kumar Gokhroo ◽  
Kailash Chandra ◽  
Shashikant Pandey ◽  
Ramsagar ◽  
Rajesh Nandal
Keyword(s):  
Cardiac Catheterization ◽  
Single Center ◽  
Peripheral Vascular ◽  
Single Center Study ◽  
In Trans ◽  
Center Study

scholarly journals Comparison of QSOFA and sirs scores for the prediction of adverse outcomes of secondary peritonitis among patients admitted on the adult surgical ward in a tertiary teaching hospital in Uganda: a prospective cohort study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Emmanuel Nkonge ◽  
Olivia Kituuka ◽  
William Ocen ◽  
Herbert Ariaka ◽  
Alfred Ogwal ◽  
...  
Keyword(s):  
Cohort Study ◽  
Hospital Stay ◽  
Teaching Hospital ◽  
Adverse Outcomes ◽  
Secondary Peritonitis ◽  
Prolonged Hospital Stay ◽  
Resource Limited ◽  
Tertiary Teaching ◽  
Tertiary Teaching Hospital ◽  
Prolonged Hospital

Abstract Background SIRS and qSOFA are two ancillary scoring tools that have been used globally, inside and outside of ICU to predict adverse outcomes of infections such as secondary peritonitis. A tertiary teaching hospital in Uganda uses SIRS outside the ICU to identify patients with secondary peritonitis, who are at risk of adverse outcomes. However, there are associated delays in decision making given SIRS partial reliance on laboratory parameters which are often not quickly available in a resource limited emergency setting. In response to the practical limitations of SIRS, the sepsis-3 task force recommends qSOFA as a better tool. However, its performance in patients with secondary peritonitis in comparison to that of SIRS has not been evaluated in a resource limited setting of a tertiary teaching hospital in a low and middle income country like Uganda. Objective To compare the performance of qSOFA and SIRS scores in predicting adverse outcomes of secondary peritonitis among patients on the adult surgical wards in a tertiary teaching hospital in Uganda. Methods This was a prospective cohort study of patients with clinically confirmed secondary peritonitis, from March 2018 to January 2019 at the Accident and Emergency unit and the adult surgical wards of a tertiary teaching hospital in Uganda. QSOFA and SIRS scores were generated for each patient, with a score of ≥2 recorded as high risk, while a score of < 2 recorded as low risk for the adverse outcome respectively. After surgery, patients were followed up until discharge or death. In-hospital mortality and prolonged hospital stay were the primary and secondary adverse outcomes, respectively. Sensitivity, specificity, PPV, NPV and accuracy at 95% confidence interval were calculated for each of the scores using STATA v.13. Results A total of 153 patients were enrolled. Of these, 151(M: F, 2.4:1) completed follow up and were analysed, 2 were excluded. Mortality rate was 11.9%. Fourty (26.5%) patients had a prolonged hospital stay. QSOFA predicted in-hospital mortality with AUROC of 0.52 versus 0.62, for SIRS. Similarly, qSOFA predicted prolonged hospital stay with AUROC of 0.54 versus 0.57, for SIRS. Conclusion SIRS is superior to qSOFA in predicting both mortality and prolonged hospital stay among patients with secondary peritonitis. However, overall, both scores showed a poor discrimination for both adverse outcomes and therefore not ideal tools.

scholarly journals Pattern and In-Hospital Mortality of Thoracoabdominal Injuries Associated with Motor Vehicle Accident-Related Spinal Injury: A Retrospective Single-Center Study

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Mubarak Ali Algahtany ◽  
Walid Abd El Maksoud
Keyword(s):  
Hospital Mortality ◽  
Hospital Stay ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Spinal Injury ◽  
Single Center ◽  
Vehicle Accident ◽  
Single Center Study ◽  
Thoracoabdominal Injuries ◽  
Center Study

Background. Motor vehicle accident (MVA) is a global health hazard that results in spinal, thoracic, and abdominal injuries. Detailed studies on the association between MVA-related traumatic spinal injury (TSI) and thoracoabdominal injuries are lacking. This study aims to elucidate the prevalence, pattern of association between these injuries, and related outcomes in terms of in-hospital mortality. Methods. This is a retrospective single-center study of MVA-related TSI with thoracoabdominal associated injuries. Descriptive analysis was performed for gender, age, spinal injury level, thoracoabdominal injury region, admission day, hospital stay duration, and discharge category. The association between TSI and thoracoabdominal injury was analyzed, and the chi-square test was used to test the significance of differences. A statistically significant difference was considered at P values less than 0.05. Results. The cohort had a mean age of 33.6 ± 17.7 years with predominantly more males (85.1%). Thoracoabdominal injuries were present in 10.5% of MVA-related TSIs, and 9.2% of victims died during their hospital stay. There is a significant ( P = 0.045 ) association between the level of the spinal and the region of thoracoabdominal injuries. The presence of TSI-associated thoracic injury significantly ( P = 0.041 ) correlated with increased in-hospital mortality more than abdominal injury. Conclusion. Thoracoabdominal injuries concomitant with MVA-related TSI cause considerable mortality. A pattern of association exists between the level of spinal and region of thoracoabdominal injury. Knowledge of this pattern is helpful in the routine practice of trauma health partitioners.

scholarly journals Comparison of QSOFA and SIRS Scores for the Prediction of Adverse Outcomes of Secondary Peritonitis in a Tertiary Teaching Hospital in Uganda: a Prospective Cohort Study

2021 ◽  
Author(s):  
Emmanuel Nkonge ◽  
Olivia Kituuka ◽  
William Ocen
Keyword(s):  
Cohort Study ◽  
Hospital Mortality ◽  
Hospital Stay ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Adverse Outcomes ◽  
Secondary Peritonitis ◽  
Mulago Hospital ◽  
Prolonged Hospital Stay ◽  
Prolonged Hospital

Abstract Background: SIRS and qSOFA are two ancillary scoring tools that have been used globally, inside and outside of ICU to predict adverse outcomes of infections such as secondary peritonitis. Mulago hospital uses SIRS outside the ICU to identify patients with secondary peritonitis, who are at risk of adverse outcomes. However it’s associated with delays in decision making given its partial reliance on laboratory parameters. In response to the practical limitations of SIRS, the sepsis-3 task force recommends qSOFA as a better tool, however its performance in patients with secondary peritonitis in comparison to that of SIRS has not been evaluated in Mulago hospital, Uganda.Objective: To compare the performance of qSOFA and SIRS scores in predicting adverse outcomes of secondary peritonitis in Mulago hospital, Uganda.Methods: This was a prospective cohort study of patients with clinically confirmed secondary peritonitis, from March 2018 to January 2019 at the A&E, Mulago hospital. QSOFA and SIRS scores were generated for each of the patient, with a score of ≥ 2 recorded as high risk, while a score of ≤ 2 recorded as low risk for the adverse outcome respectively. After surgery, patients were followed up until discharge or death. In-hospital mortality and prolonged hospital stay were the primary and secondary adverse outcomes, respectively. Sensitivity, specificity, PPV, NPV and accuracy at 95% confidence interval were calculated for each of the scores using STATA v.13Results: A total of 153 patients were enrolled. Of these, 151(M: F, 2.4:1) completed follow up and were analysed, 2 were excluded. Mortality rate was 11.9%. Fourty (26.5%) patients had a prolonged hospital stay. QSOFA predicted in-hospital mortality with AUROC of 0.52 versus 0.62, for SIRS. Similarly, qSOFA predicted prolonged hospital stay with AUROC of 0.54 versus 0.57, for SIRS.Conclusion: SIRS is superior to qSOFA in predicting both mortality and prolonged hospital stay among patients with secondary peritonitis. However, overall, both scores showed a poor discrimination for both adverse outcomes and therefore not ideal tools.

Bacterial Infections During Hospital Stay and Their Impact on Mortality After Lung Transplantation: A Single-Center Study

2018 ◽  
Vol 50 (7) ◽  
pp. 2064-2069 ◽  
Author(s):  
J. Wojarski ◽  
M. Ochman ◽  
W. Medrala ◽  
Z. Kulaczkowska ◽  
W. Karolak ◽  
...  
Keyword(s):  
Lung Transplantation ◽  
Hospital Stay ◽  
Bacterial Infections ◽  
Single Center ◽  
Single Center Study ◽  
Center Study

Complications of Cardiac Catheterization: A Single-Center Study

Angiology ◽  
2005 ◽  
Vol 56 (1) ◽  
pp. 75-80 ◽  
Author(s):  
Talantbek Batyraliev ◽  
M. Resat Ayalp ◽  
Alper Sercelik ◽  
Zarema Karben ◽  
Gurkan Dinler ◽  
...  
Keyword(s):  
Cardiac Catheterization ◽  
Single Center ◽  
Single Center Study ◽  
Center Study
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