scholarly journals 23: Factors associated with adverse outcomes in nulliparas at 39 weeks with induction or expectant management

2019 ◽  
Vol 220 (1) ◽  
pp. S20
Author(s):  
Yasser Y. El-Sayed
Keyword(s):  
Expectant Management ◽  
Adverse Outcomes ◽  
Factors Associated

Neonatal Seizures II. A Multivariate Analysis of Factors Associated with Outcome

PEDIATRICS ◽  
1982 ◽  
Vol 70 (2) ◽  
pp. 177-185 ◽  
Author(s):  
E. David Mellits ◽  
Kenton R. Holden ◽  
John M. Freeman
Keyword(s):  
Multivariate Analysis ◽  
Apgar Score ◽  
Onset Time ◽  
Adverse Outcomes ◽  
Neonatal Seizures ◽  
Prediction Of Outcome ◽  
Factors Associated ◽  
Early Predictors ◽  
Neurologic Sequelae ◽  
Minute Apgar Score

A multivariate analysis of perinatal events occurring in infants with neonatal seizures who were enrolled in the National Collaborative Perinatal Project allowed prediction of outcome. This prediction of death or of mental retardation, cerebral palsy, or epilepsy was empirically confirmed 64% to 83% of the time. In an infant with neonatal seizures, a five-minute Apgar score of less than 7, the need for resuscitation after 5 minutes of age, the onset time of the seizures, and a seizure lasting more than 30 minutes are the best early predictors of which infants will die or will have significant neurologic sequelae. It is hypothesized that neonatal seizures may be a better indicator of the severity or duration of intrauterine asphyxia than the Apgar score. In the neonate with seizures, the use of the formula may allow identification of infants at high risk for adverse outcomes.

scholarly journals Factors Associated with Adverse Outcomes among Febrile Young Infants with Invasive Bacterial Infections

2019 ◽  
Vol 204 ◽  
pp. 177-182.e1 ◽  
Author(s):  
Christopher M. Pruitt ◽  
Mark I. Neuman ◽  
Samir S. Shah ◽  
Veronika Shabanova ◽  
Christopher Woll ◽  
...  
Keyword(s):  
Bacterial Infections ◽  
Adverse Outcomes ◽  
Factors Associated ◽  
Young Infants

Factors associated with longer latency in expectant management of severe pre-eclampsia

2022 ◽  
Vol 226 (1) ◽  
pp. S298
Author(s):  
Carmen M. Avram ◽  
Jacquelyn L. Dillon ◽  
Noor K. Al-Shibli ◽  
Gregory Zemtsov ◽  
Matthew R. Grace ◽  
...  
Keyword(s):  
Expectant Management ◽  
Factors Associated

FACTORS ASSOCIATED WITH ADVERSE OUTCOMES IN TREATED HYPERTENSIVE PATIENTS WITH CHRONIC LOWER AIRWAY DISEASES

2019 ◽  
Vol 37 ◽  
pp. e227
Author(s):  
M. Smirnova ◽  
V. Gorbunov ◽  
A. Kurekhyan ◽  
Y. Koshelyaevskaya ◽  
A. Deev
Keyword(s):  
Adverse Outcomes ◽  
Lower Airway ◽  
Hypertensive Patients ◽  
Factors Associated ◽  
Airway Diseases

scholarly journals Anemia in Sudanese patients with chronic renal failure (CRF) and in patients undergoing chronic hemodialysis

1970 ◽  
Vol 10 (3) ◽  
pp. 152-158
Author(s):  
MH Fathelrahman
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Chronic Hemodialysis ◽  
Hemoglobin Level ◽  
Adverse Outcomes ◽  
Teaching Hospitals ◽  
Factors Associated ◽  
Serum Erythropoietin Level ◽  
The Mean ◽  
Serum Erythropoietin

Background: The term of anemia of chronic renal failure (CRF) in sufficiency refers to that anemia resulting directly from failure of the endocrine and excretory functions of the kidney and decreased production of erythropoietin by damaged kidneys. The serum erythropoietin level in patients with renal failure does not increase in response to the developing anemia, which is the primary cause of inadequate erythropoiesis. Aim: The purpose of our study was to examine, among patients with CRF, the combined association of CRF and anemia on adverse outcomes. Settings and Design: A hospitalized study using administrative data, we identified all patients hospitalized with CRF in IBN-Sena hospital and Khartoum teaching hospitals, Khartoum, Sudan. Materials and Methods: This was a retrospective cohort study of 500 patients having a diagnosis of chronic renal failure hospitalized and discharged between October 2007 to February 2010 from two Sudanese Teaching hospitals (Khartoum and IBN-Sena). All adult patients with chronic renal failure hospitalized for hemodialysis. Results: Hemoglobin level was recorded for 500 members (100%) of the cohort. The mean (SD) hemoglobin was 13.0 g/dL (2.2) range from 11.8 g/dL to 14.6 g/dL. On admission, an hemoglobin of ≥ 14 g/dL was found in 36.2% of the patients, 36.2% had an hemoglobin between 12 g/dL and 14 g/dL, 19.6% between 10 g/dL and 12 g/dL, and 8% ≤ 10 g/dL. The proportion of patients with CRF was associated with increasing anemia. Conclusion: The results obtained indicated the further evidence that the concomitant presence of either CRF or anemia increased the risk of dying in the hospital or of being readmitted within 30 days among patients hospitalized. The association persisted after controlling for other factors associated with adverse outcomes in these patients. Key words: Anemia, chronic renal failure. DOI: http://dx.doi.org/ 10.3329/bjms.v10i3.8357 BJMS 2011; 10(3): 152-158

795 Factors Associated with Time to Initial Debridement in a Pediatric Burn Center

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S233-S234
Author(s):  
Sheila Giles ◽  
Krista K Wheeler ◽  
Renata Fabia ◽  
Kimberly Lever ◽  
Junxin Shi ◽  
...  
Keyword(s):  
Median Time ◽  
Conscious Sedation ◽  
Total Body Surface Area ◽  
Adverse Outcomes ◽  
Mechanism Of Injury ◽  
Wound Debridement ◽  
Factors Associated ◽  
Burn Center ◽  
Pain Scores ◽  
Significant Difference

Abstract Introduction There is sparse literature addressing the time of initial burn debridement. The purpose of this study was to describe factors associated with time to initial debridement in one American Burn Association (ABA) verified pediatric burn center. Methods Quality improvement data was prospectively collected for pediatric burn patients admitted from July 2018 through June 2019. The data included sedation method, total body surface area (TBSA) burn, mechanism of injury, and time to burn wound debridement. Adverse outcomes were also recorded. Nonparametric methods were used to evaluate associations. Medians are presented with interquartile ranges (IQR). Results There were 137 patients included in this study. The median time to initial debridement was 261 minutes (IQR: 166–321). Most patients (80%) received conscious sedation for their first debridement. The median time to debridement was significantly lower for patients receiving sedation as opposed to those without sedation, 240 minutes (IQR: 163–308) vs 338 minutes (IQR: 257–442), p=0.0004. Patients with TBSA burn > 5% (n=46) also had a significant earlier time to debridement as compared with patients with smaller burns, 183 minutes (IQR: 150–277) vs 283 minutes (IQR: 197–360), p< 0.0001. There was a significant difference in time to initial debridement based on mechanism of injury, p=0.0213. The median time to debridement for flame burns was 173 minutes (IQR: 149–308) as compared with scald burns with a median of 247 (IQR: 157–298) and contact burns, median 286 (IQR: 197–389). There were no adverse outcomes observed during the study period. Conclusions In an ABA verified pediatric burn center, conscious sedation, larger TBSA burn, and flame burns appeared to contribute to earlier time to debridement, with no adverse outcomes. Further analysis are ongoing as to whether pain scores differed for these initial burn dressings and if conscious sedation had any effects on subsequent dressings. Applicability of Research to Practice This study adds to the sparse literature regarding time to initial debridement and identifies factors associated with an earlier time to debridement. This study also raises further opportunities for investigation regarding the relationship between initial sedated debridement procedures and pain scores during subsequent dressing changes.

scholarly journals Profile of Risk Factors Associated with Stillbirth at Western Regional Hospital

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Rabi Prasad Regmi ◽  
Shyam Sundar Parajuly ◽  
Dela Singh ◽  
Nabin Shrestha ◽  
Srijana Sharma
Keyword(s):  
Risk Factors ◽  
Economic Status ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Regional Hospital ◽  
Adverse Outcomes ◽  
Amniotic Fluid Index ◽  
Cross Sectional ◽  
Factors Associated ◽  
Western Regional

Background: Stillbirth (SB) incidents are one of the most common adverse outcomes to occur during pregnancy. Studies indicate that approximately 3.3 million stillbirths are reported annually across the developing world. Institutional registration and under reporting of still birth to an authorized centre is a common problem. Objective: The objective of this study is to find out the incidence of SB after 28 weeks gestation and to find out the associated risk factors at Western Regional Hospital of Nepal. Materials and Methods: This is a cross sectional study carried out at Western Regional Hospital. Stillbirth babies born after 28 weeks of gestation or birth weight ≥ 1 kilogram and their mothers were recruited for the study. Intrapartum stillbirths were included despite of their ages, races or socio-economic status. Descriptive analysis was done on the data. Results: There were 3380 deliveries during the period of study. Among them, 50 cases were stillborn babies with a rate of 14 per thousand deliveries. The major risk factors associated were oligohydramnios, decreased fetal movement, growth restriction, meconium stained liquor and cord prolapse. Conclusion: Oligohydramnios (amniotic fluid index < 5cm) was the most common risk factor for stillbirth. Early identification and appropriate perinatal management could help to promote perinatal health.

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