Factors Associated with Parental Adaptation to Children with an Undiagnosed Medical Condition

Abstract Background Home rehabilitation is a growing rehabilitation service in many countries, but scientific knowledge of its components and outcomes is still limited. The aim of this study was to investigate; 1) which changes in functioning and self-rated health could be identified in relation to a home rehabilitation program in a population of community-dwelling citizens, and 2) how socio-demographic factors, health conditions and home rehabilitation interventions were associated to change in functioning and self-rated health after the home rehabilitation program. Method The sample consisted of participants in a municipal home rehabilitation project in Sweden and consisted of 165 community-dwelling citizens. General Linear Models (ANOVA repeated measures) was used for identifying changes in rehabilitation outcomes. Logistic regressions analysis was used to investigate associations between rehabilitation outcomes and potential factors associated to outcome. Result Overall improvements in functioning and self-rated health were found after the home rehabilitation program. Higher frequencies of training sessions with occupational therapists, length of home rehabilitation, and orthopaedic conditions of upper extremities and spine as the main health condition, were associated with rehabilitation outcomes. Conclusion The result indicates that the duration of home rehabilitation interventions and intensity of occupational therapy, as well as the main medical condition may have an impact on the outcomes of home rehabilitation and needs to be considered when planning such programs. However, more research is needed to guide practice and policymaking.

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Factors Associated with the Need for Ventriculoperitoneal Shunting in Patients with Spontaneous Intracerebral Hemorrhage Requiring Emergency Cerebrospinal Fluid Diversion

Indian Journal of Neurosurgery ◽

10.1055/s-0040-1710149 ◽

2020 ◽

Vol 9 (02) ◽

pp. 089-094

Author(s):

Ehsan Alimohammadi ◽

Seyed Reza Bagheri ◽

Homa Hadidi ◽

Shabnam Habibi ◽

Akram Amiri ◽

...

Keyword(s):

Cerebrospinal Fluid ◽

Intracerebral Hemorrhage ◽

Medical Condition ◽

External Ventricular Drain ◽

Univariate Analysis ◽

Factors Associated ◽

Protein Levels ◽

Ventriculoperitoneal Shunting ◽

Long Term Treatment ◽

Csf Diversion

Abstract Introduction Intracerebral hemorrhage (ICH) is a serious medical condition that is frequently complicated by acute hydrocephalus, necessitating emergency cerebrospinal fluid (CSF) diversion in a subset of patients, ultimately requiring long-term treatment via placement of permanent ventricular shunts. The present study aimed to determine factors associated with the need for permanent ventricular shunt placement in these patients. Methods A total of 309 consecutive patients who underwent emergent CSF diversion with external ventricular drain (EVD) as a treatment for ICH between July 2009 and July 2018 were studied retrospectively to assess the factors that might be correlated with shunt-dependent chronic hydrocephalus. A binary logistic regression model was designed to identify independent related factors of shunt-dependent hydrocephalus after ICH. Results Of 309 patients included in this study, 102 (33.00%) required permanent ventricular CSF shunting before discharge. In univariate analysis, age,ventriculitis, ICP elevation >30 mm Hg, ICH evacuation, the Graeb score, days of EVD in place, and CSF protein levels were significantly associated with the requirement for permanent CSF diversion (p < 0.05). The age and ICH evacuation were protective variables and the ventriculoperitoneal (VP) shunt possibility was reduced by 22.6 and 63.5%, respectively. Conclusion Our results showed that higher Graeb score, ICP elevation >30 mm Hg, more days of EVD in place, and higher CSF protein levels were associated with permanent CSF diversion in these patients. Advanced age and ICH evacuation decreased the possibility of VP shunting in our study.These factors may help in predicting which patients will need permanent CSF diversion and could ultimately lead to improvements in the management of these patients.

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Reasons for delay in time to initiation of adjuvant chemotherapy (AC) for colon cancer (CC).

Journal of Clinical Oncology ◽

10.1200/jco.2013.31.4_suppl.548 ◽

2013 ◽

Vol 31 (4_suppl) ◽

pp. 548-548

Author(s):

David Warren Wasserman ◽

Christopher M. Booth ◽

Wilma Hopman ◽

Abdullah Al Sharm ◽

James Joseph Biagi

Keyword(s):

Colon Cancer ◽

Medical Condition ◽

Strong Predictor ◽

Multivariate Logistic Regression Model ◽

Medical Illness ◽

Factors Associated ◽

Operative Complications ◽

Group 2 ◽

Group 1 ◽

Post Operative Complications

548 Background: AC improves survival among patients with colon cancer. Two meta-analyses have demonstrated a decrease in survival with increasing time to AC (TTAC). In this study, we examined individual patient charts to determine reasons for delay in AC. Methods: Medical records of patients with CC who initiated AC Aug 2005-Nov 2010 at the Cancer Centre of Southeastern Ontario were reviewed to capture patient, disease, and treatment characteristics including: medical comorbidities, post-operative complications, whether AC was or was not ordered after initial consultation, and the reasons behind the decision. Dates of surgery, referral, consult, central venous catheter (CVC) insertion, and first cycle of AC were recorded. Patients were then categorized into Group 1-medical/surgical reason for delay (MSRD), defined as presence of post-operative complications or intercurrent medical illness, and Group 2–no MSRD. In Group 2, patients were further categorized as having a non-MSRD, defined as patients in whom AC was deferred at time of consultation due to patient preference and/or further investigations required, vs none. A multivariate logistic regression model was used to determine factors associated with TTAC > 8 weeks (w). Results: For 171 patients: Mean age - 67; 52% male; 79% stage 3; IV AC – 80%, Oral AC – 20%. TTAC for all cases was 8.3 ± 2.3w. Mean intervals ± SD between surgery and TTAC in weeks were: surgery to referral 3.1 ± 2.0; referral to consult 2.5 ± 2.3; consult to oral AC 2.0 ± 2.1; for IV AC, consult to CVC 2.2 ± 1.3, and CVC to AC 0.7 ± 0.8. TTAC did not differ between patients with comorbidities (N= 89) and those without (N=82), p= 0.64, but was greater for patients in Group 1 (N=41 with MSRD) vs Group 2 (N = 130), p= 0.002. In Group 2, 43.8% (N=57) had TTAC > 8w while only 20% of cases (n=26) had a non-MSRD. Factors associated with TTAC>8w were MSRD [OR=5.6 (2.3-13.7), p = <0.001] and non-MSRD [OR=6.7 (2.3-19.5), p = <0.001]. Conclusions: Although medical/surgical complications are a strong predictor of delayed TTAC, this only applies to a small proportion of cases. Accordingly, in most patients TTAC>8w is unrelated to their post-operative medical condition and likely reflects health system and logistical issues.

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Clinical and Psychosocial Factors Associated With Patient Experience in Pediatrics

Clinical Pediatrics ◽

10.1177/0009922817737078 ◽

2017 ◽

Vol 57 (8) ◽

pp. 937-944 ◽

Cited By ~ 3

Author(s):

Louis Ehwerhemuepha ◽

Sandra Schultz ◽

William Feaster

Keyword(s):

Psychosocial Factors ◽

Patient Experience ◽

Low Socioeconomic Status ◽

Medical Condition ◽

Multivariate Logistic Regression Analysis ◽

Hospital Environment ◽

Chronic Medical Condition ◽

Outcome Variable ◽

Factors Associated ◽

Willingness To Recommend

Objective. To identify clinical and psychosocial factors associated with patient experience with care. Methods. We analyzed patient experience surveys, corresponding clinical and psychosocial the data of 1567 encounters using survey-weighted multivariate logistic regression analysis with willingness to recommend the facility as outcome variable. Results. Parents are less likely to recommend the facility if there were custody issues with the child during their stay, if the child has history of chronic medical condition, and if the child is male with odds ratio and corresponding 95% confidence interval of 0.38 [0.21, 0.69], 0.43 [0.24, 0.80], and 0.67 [0.45, 0.99] respectively. Parents of older patients (1-year difference) and parents of low socioeconomic status are more likely to recommend the facility (1.05 [1.01, 1.09] and 2.74 [1.72, 4.37] respectively). Conclusions. Clinical and psychosocial factors significantly affect patient experience scores together with parent perception of provider-family communication and relationship, and hospital environment conducive for children.

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Comparison of Factors Associated With Run-Off-Road and Non-Run-Off-Road Crashes in Kansas

Journal of the Transportation Research Forum ◽

10.5399/osu/jtrf.50.2.2731 ◽

2012 ◽

Vol 50 (2) ◽

Author(s):

Uttara Roy ◽

Sunanda Dissanayake

Keyword(s):

Statistical Approach ◽

Medical Condition ◽

Driving Under The Influence ◽

Likelihood Ratios ◽

Road Crashes ◽

Factors Associated ◽

Run Off ◽

Adverse Weather ◽

The Common ◽

Strong Winds

This study examines the trends, characteristics, as well as contributory causes associated with run-off-road (ROR) and non-run-off-road (NROR) crashes. Likelihood ratios of these causes for ROR crashes with respect to NROR crashes are assessed using the Bayesian Statistical Approach. Nighttime, weekends, adverse weather, rural area, gravel and curved roads, higher speed limits, wet and icy road surface, and utility vehicles are found to be the common characteristics of ROR crashes. Fell asleep, ill or medical condition, driving under the influence, too fast for conditions, tires and wheels, strong winds, freezing rain, shoulders, ruts, holes, and bumps are found to have the greatest likelihood ratios and as such have a greater role in contributing to ROR crashes than NROR crashes.

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Factors associated with assisted ventilation use in amyotrophic lateral sclerosis: a nationwide population-based study in Korea

Scientific Reports ◽

10.1038/s41598-021-98990-x ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Seo Yeon Yoon ◽

Han-Kyoul Kim ◽

Mi Ji Kim ◽

Jee Hyun Suh ◽

Ja-Ho Leigh

Keyword(s):

Socioeconomic Status ◽

Amyotrophic Lateral Sclerosis ◽

Medical Condition ◽

Management Strategies ◽

Population Based ◽

Assisted Ventilation ◽

Invasive Ventilation ◽

Factors Associated ◽

Significant Difference ◽

Lateral Sclerosis

AbstractFew studies have investigated the factors associated with assisted ventilation use in amyotrophic lateral sclerosis (ALS) in western countries with a relatively small number of participants. This study aimed to evaluate the factors associated with assisted ventilation use using a large nationwide cohort covering the entire Korean population. We selected patients with primary or secondary diagnoses of ALS (ICD-10 code: G12.21) and a registration code for ALS (V123) in the rare intractable disease registration program. Covariates included in the analyses were age, sex, socioeconomic status and medical condition. Factors associated with non-invasive ventilation (NIV) and tracheostomy invasive ventilation (TIV) were evaluated. Logistic regression analyses were performed using odds ratios and 95% confidence intervals. In total, 3057 patients with ALS were enrolled. During the 6-year follow-up period, 1228 (40%) patients started using assisted ventilation: 956 with NIV and 272 with TIV. There was no significant difference in the assisted ventilation use according to sex, whereas different patterns of discrepancies were noted between the sexes: Females living in non-metropolitan areas showed decreased use of assisted ventilation, whereas high income levels showed a positive relationship with assisted ventilation use only in males. Patients aged ≥ 70 years showed decreased use of NIV. NIV use was more affected by socioeconomic status than TIV, whereas TIV showed a significant relationship with medical conditions such as nasogastric tube insertion and gastrostomy. We found that various factors, including age, socioeconomic status, and medical condition, were related with assisted ventilation use. Understanding the pattern of assisted ventilation use would help set optimal management strategies in patients with ALS.

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Preoperative Prognostic Factors for Rebleeding and Survival in Aneurysm Patients Receiving Antifibrinolytic Therapy

Neurosurgery ◽

10.1227/00006123-198111000-00003 ◽

1981 ◽

Vol 9 (5) ◽

pp. 497-500 ◽

Cited By ~ 6

Author(s):

James C. Tomer ◽

Neal F. Kassell ◽

Robert B. Wallace ◽

Harold P. Adams

Keyword(s):

Blood Pressure ◽

Prognostic Factors ◽

Intracranial Aneurysms ◽

Medical Condition ◽

Neurological Status ◽

Recurrent Hemorrhage ◽

Factors Associated ◽

Antifibrinolytic Therapy ◽

Pressure Interval ◽

Ruptured Intracranial Aneurysms

Abstract Prognostic factors for mortality and recurrent hemorrhage in the preoperative, 2-week period were determined in 1114 patients who participated in the antifibrinolytic therapy investigations of the Cooperative Aneurysm Study between 1970 and 1977. Factors significantly related to mortality were admission neurological status, diastolic blood pressure, interval to treatment, degree of vasospasm, and medical condition. Factors associated with the likelihood of recurrent hemorrhage were interval to treatment, patient' sex, and admission neurological status. These factors need to be considered in the analysis of clinical data in the management of ruptured intracranial aneurysms.

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Factors associated with influenza vaccine uptake in older adults living in the community in Singapore

Epidemiology and Infection ◽

10.1017/s0950268816002491 ◽

2016 ◽

Vol 145 (4) ◽

pp. 775-786 ◽

Cited By ~ 20

Author(s):

L. W. ANG ◽

J. CUTTER ◽

L. JAMES ◽

K. T. GOH

Keyword(s):

Older Adults ◽

Influenza Vaccine ◽

Influenza Vaccination ◽

Seasonal Influenza ◽

Medical Condition ◽

Family Doctor ◽

Community Dwelling ◽

Vaccine Uptake ◽

Factors Associated ◽

Health Related

SUMMARYIn Singapore, influenza vaccination is recommended for persons at higher risk of complications of seasonal influenza, including those with chronic medical conditions and the elderly (individuals aged ⩾65 years). We investigated the factors associated with influenza vaccine uptake based on a nationally representative sample of community-dwelling adults aged >50 years. The data for this study were obtained from the National Health Surveillance Survey (NHSS) 2013. The association between influenza vaccine uptake and socio-demographic and health-related variables was analysed using univariable and multivariable logistic regression models. Of 3700 respondents aged ⩾50 years in the NHSS, 15·2% had received seasonal influenza vaccination in the past year. Older age, single marital status and economic inactivity were the socio-demographic variables independently associated with vaccine uptake. Health-related factors which were predictive of influenza vaccine uptake were sufficient total physical activity, better self-rated health, having at least one medical condition at risk of influenza complications and a regular family doctor/general practitioner. Influenza vaccine uptake in community-dwelling older adults was low. Our findings are of relevance in the formulation of public health policies and targeted health promotion strategies to increase vaccine uptake in this population group.

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A Global Review Article on Hyperlipidemia

International Journal of Pharmaceutical Sciences Review and Research ◽

10.47583/ijpsrr.2021.v68i01.018 ◽

2021 ◽

Vol 68 (1) ◽

Author(s):

Mumthaj. P ◽

Natarajan. P ◽

Janani. A.M ◽

Vijay. J ◽

Gokul. V

Keyword(s):

Plasma Lipids ◽

Medical Condition ◽

Low Density Lipoprotein ◽

Density Lipoprotein ◽

Review Article ◽

Plasma Lipoproteins ◽

Very Low Density Lipoprotein ◽

Low Density ◽

Factors Associated

Hyperlipidemia is a medical condition characterized by an increase in one or more of the plasma lipids, including triglycerides, cholesterol, cholesterol esters, phospholipids and or plasma lipoproteins including very low-density lipoprotein and low-density lipoprotein along with reduced high-density lipoprotein levels. This elevation of plasma lipids is among the leading risk factors associated with cardiovascular diseases. Introduction, type of lipoprotein, classification of hyperlipidemia, Complications of hyperlipidaemia, causes; Symptoms of hypelipedemia, Pathogenesis of hyperlipidemia, Pathogenesis of hyperlipidemia, diagnosis, prevention, treatments.

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Perioperative Management of Patients with Rheumatic Diseases

The Open Rheumatology Journal ◽

10.2174/1874312901307010042 ◽

2013 ◽

Vol 7 (1) ◽

pp. 42-50 ◽

Cited By ~ 16

Author(s):

Lina Bissar ◽

Hani Almoallim ◽

Khaled Albazli ◽

Manal Alotaibi ◽

Samar Alwafi

Keyword(s):

Patient Education ◽

Lupus Erythematosus ◽

Perioperative Management ◽

Medical Condition ◽

Postoperative Management ◽

Factors Associated ◽

Rheumatologic Diseases ◽

Management Of Complications ◽

Perioperative Assessment

This paper aims to explore the assessment of patients with rheumatologic diseases, especially rheumatoid arthritis (RA), before undergoing orthopedic surgery. Perioperative assessment ensures an early diagnosis of the patient's medical condition, overall health, medical co-morbidities, and the assessment of the risk factors associated with the proposed procedures. Perioperative assessment allows for proper postoperative management of complications and of the management of drugs such as disease-modifying anti-rheumatic drugs (DMARD) and anti-platelets, and corticosteroids. The assessment also supports follow up plans, and patient education. Perioperative assessment enables the discussion of the proposed treatment plans and the factors associated with them in each case among the different specialists involved to facilitate an appropriate early decision-making about the assessment and treatment of patients with rheumatologic diseases. It also enables the discussion of both condition and procedure with the patient to ensure a good postoperative care. The article identifies the components of perioperative medical evaluation, discusses perioperative management of co-morbidities and the management of specific clinical problems related to RA, systemic lupus erythematosus, the management of DMARDs, like methotrexate (MTX) and biologic therapies, prophylactic antibiotics, and postoperative follow up, including patient education and rehabilitation

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