scholarly journals Risk factors for return visits and rehospitalizations to the child emergency psychiatric unit: A retrospective study over 2 years at Saint-Étienne University Hospital

L Encéphale ◽  
2019 ◽  
Vol 45 (6) ◽  
pp. 468-473
Author(s):  
A. Gay ◽  
M. Peyrard ◽  
P. Pineau ◽  
J. Pellet ◽  
B. Trombert-Paviot ◽  
...  
Keyword(s):  
Risk Factors ◽  
Retrospective Study ◽  
University Hospital ◽  
Psychiatric Unit ◽  
Return Visits

scholarly journals Evaluation of Suzor forceps training by studying obstetric anal sphincter injuries: a retrospective study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Perrine COSTE MAZEAU ◽  
Nedjma BOUKEFFA ◽  
Nathalie TICAUD BOILEAU ◽  
Samantha HUET ◽  
Maud TRAVERSE ◽  
...  
Keyword(s):  
Risk Factors ◽  
Body Mass Index ◽  
Retrospective Study ◽  
Observational Study ◽  
Anal Sphincter ◽  
University Hospital ◽  
Obstetric Anal Sphincter Injuries ◽  
Fourth Degree ◽  
Perineal Tears ◽  
Vacuum Extractor

Abstract Background Instrumental deliveries are an unavoidable part of obstetric practice. Dedicated training is needed for each instrument. To identify when a trainee resident can be entrusted with instrumental deliveries by Suzor forceps by studying obstetric anal sphincter injuries. Methods A French retrospective observational study of obstetric anal sphincter injuries due to Suzor forceps deliveries performed by trainee residents was conducted from November 2008 to November 2016 at Limoges University Hospital. Perineal lesion risk factors were studied. Sequential use of a vacuum extractor and then forceps was also analyzed. Results Twenty-one residents performed 1530 instrumental deliveries, which included 1164 (76.1%) using forceps and 89 (5.8%) with sequential use of a vacuum extractor and then forceps. Third and fourth degree perineal tears were diagnosed in 82 patients (6.5%). Residents caused fewer obstetric anal sphincter injuries after 23.82 (+/− 0.8) deliveries by forceps (p = 0.0041), or after 2.36 (+/− 0.7) semesters of obstetrical experience (p = 0.0007). No obese patient (body mass index> 30) presented obstetric anal sphincter injuries (p = 0.0013). There were significantly fewer obstetric anal sphincter injuries after performance of episiotomy (p <  0.0001), and more lesions in the case of the occipito-sacral position (p = 0.028). Analysis of sequential instrumentation did not find any additional associated risk. Conclusion Training in the use of Suzor forceps requires extended mentoring in order to reduce obstetric anal sphincter injuries. A stable level of competence was found after the execution of at least 24 forceps deliveries or after 3 semesters (18 months) of obstetrical experience.

scholarly journals Epidemiology, Risk Factors and Clinical Course of SARS-CoV-2 Infected Patients in a Swiss University Hospital: An Observational Retrospective Study

2020 ◽  
Author(s):  
Jean Regina ◽  
Matthaios Papadimitriou-Olivgeris ◽  
Raphaël Burger ◽  
Paraskevas Filippidis ◽  
Jonathan Tschopp ◽  
...  
Keyword(s):  
Risk Factors ◽  
Retrospective Study ◽  
Clinical Course ◽  
University Hospital

Comparison of risk factors and outcomes of Candida auris candidemia with non-Candida auris candidemia: A retrospective study from Pakistan

2019 ◽  
Vol 58 (6) ◽  
pp. 721-729 ◽  
Author(s):  
Muneeba Ahsan Sayeed ◽  
Joveria Farooqi ◽  
Kauser Jabeen ◽  
Syed Faisal Mahmood
Keyword(s):  
Risk Factors ◽  
Retrospective Study ◽  
Hospital Stay ◽  
Candida Species ◽  
Antifungal Susceptibility ◽  
Positive Culture ◽  
University Hospital ◽  
Prior History ◽  
P Value ◽  
Candida Auris

Abstract Candida auris has emerged as a nosocomial multi-drug resistant pathogen. This study aimed to compare the risk factors and outcomes of C. auris candidemia patients with non-C. auris candidemia, at a single center in Pakistan. A retrospective study compared 38 C. auris with 101 non-C. auris (36 C. albicans, 38 C. tropicalis, and 27 C. parapsilosis) candidemia patients between September 2014 and March 2017 at the Aga Khan University Hospital, Pakistan. Demographics, clinical history, management and outcomes were studied. Prior history of surgery (adjusted odds ratio [aOR] 4.9, 95% confidence interval [CI]: 1.4–17.5), antifungals exposure (aOR 38.3, 95% CI: 4.1–356) and prior MDR bacteria isolation (aOR 5.09, 95% CI: 1.6–15.9) were associated with C. auris candidemia. On survival analysis both groups of patients had similar outcome in terms of mortality (62.6% vs. 52.54%, hazard ratio [HR] 1.45, 95% CI: 0.84–2.4, P-value = .17) and microbiological failure rates (42.3% vs. 32.2%, HR 0.65, 95% CI: 0.35–1.2, P-value = .17) however, C. auris patients had a higher mean hospital stay (36.32 days vs. 14.8 days, P-value = &lt;.001) and higher &gt;15-day in-hospital stay from positive culture (HR 2.68, 95% CI: 1.1–6.3, P-value = .025). Antifungal susceptibility was different, with C. auris more often resistant to voriconazole (29.6% vs. 0%) and amphotericin (3.7 vs. 0%); though no echinocandin resistance was detected in either group. As opposed to other Candida species, C. auris candidemia occurred after nosocomial exposure, and its source was most commonly an indwelling line. Although these patients had a higher in-hospital stay, but there was no excess mortality when compared to other Candida species.

scholarly journals Retrospective study of cases of rupture uterus at tertiary care center in Egypt

2018 ◽  
Vol 7 (8) ◽  
pp. 2993
Author(s):  
Laila Ezzat ◽  
Mohamed Salah
Keyword(s):  
Risk Factors ◽  
Retrospective Study ◽  
Antenatal Care ◽  
Uterine Rupture ◽  
Care Center ◽  
Tertiary Care ◽  
University Hospital ◽  
Bladder Rupture ◽  
Fetal Life ◽  
Primary Care Center

Background: Uterine rupture (UR)is one of the most serious obstetrical emergencies necessitating prompt diagnosis and management, as it en-dangers the maternal and fetal life. Uterine rupture (scarred/ unscarred) may occur at any stage of pregnancy. In developed countries, with good antenatal care and good supervision during labour, (UR) has become rare except by dehiscence of a caesarean scar. The objective of present study was to find out risk factors, management, related complications and associated maternal and fetal outcomes with rupture uterus.Methods: A retrospective study, data files and the case notes was retrieved from the medical records department at Aswan university hospital from January 1 2013 to December 31 2013 in the form of data relating to the age, parity, gestational age, method of termination, perinatal outcomes, and related maternal complications.Results: There were 4284 deliveries during the period under review among them 5 cases of uterine rupture. Thus, the incidence of uterine rupture was 1.1/1000 deliveries.3 cases (60%) of them had no antenatal care at any hospital or primary care center. The risk factors in these cases are in majority 4 (80%) of cases uterine rupture occurred in women with previous scar, 1case (20%) of cases uterine rupture occurred in women with none scarred uterus. As regard surgical management 3 cases (60%) managed by hysterectomy and 2cases (40%) managed by repair. As regard maternal and fetal outcome all women required blood transfusion. Associated bladder rupture was repaired in two cases (40%). After excluding fetal wastage before the age of viability, perinatal mortality was 100% (5/5).Conclusions: Present retrospective analytical study has concluded that rupture uterus is a life-threatening complication. Proper antenatal and intrapartum care, identification of high risk factors, promotion of skilled attendance at birth and institutional delivery are key factors in reduction and early diagnosis.

scholarly journals Risk Factors of Renal Failure in HIV Patients at Initiation of ARV Treatment: Retrospective Study of 3118 Patients Followed in Infectious Diseases Department at Lom&#233; University Hospital

2019 ◽  
Vol 09 (03) ◽  
pp. 55-64
Author(s):  
Eyram Yoan Makafui Amekoudi ◽  
Kossi Akomola Sabi ◽  
Badomta Dolaama ◽  
Komlan Georges Tona ◽  
Béfa Noto-Kadou-Kaza ◽  
...  
Keyword(s):  
Risk Factors ◽  
Renal Failure ◽  
Retrospective Study ◽  
Infectious Diseases ◽  
University Hospital ◽  
Hiv Patients

scholarly journals Complications using tissue expanders in burn sequelae treatment at a reference university hospital: a retrospective study

2021 ◽  
Vol 48 ◽  
Author(s):  
LUIZ PHILIPE MOLINA VANA ◽  
RODOLFO COSTA LOBATO ◽  
JOÃO PAULO FONTANA BRAGAGNOLLO ◽  
CRISTIANE PEREIRA LOPES ◽  
HUGO ALBERTO NAKAMOTO ◽  
...  
Keyword(s):  
Risk Factors ◽  
Retrospective Study ◽  
Complication Rate ◽  
Analytical Study ◽  
Lower Limbs ◽  
University Hospital ◽  
Reconstruction Process ◽  
Rectangular Shape ◽  
Tissue Expanders ◽  
Major Complications

ABSTRACT Background: tissue expanders have high relevance in plastic surgery and among indications it is worth mentioning their use in the treatment of burn reconstruction. Although it shows good results, its use requires special care because some complications can interrupt the reconstruction process. The objective of this study was to report the experience of the Clinics Hospital (University of Sao Paulo) with the use of tissue expanders to treat burn sequelae, establishing the incidence of complications, and identifying risk factors for their occurrence. Methods: a retrospective, observational, and analytical study, evaluating the use of expanders in burns sequelae treatment from 2009 to 2018. Results: 245 expanders were placed in 84 patients, 215 were female, with a mean age of 19.96 years, being 40% in the trunk and 20% in the scalp, with a predominance of rectangular shape in 76.7% of cases. Complications were classified as major and minor.Complications occurred in 17.95% of cases, and extrusion and infection were the most common. There was a higher incidence of complications in expanders used in the upper and lower limbs as well as in those who did not undergo concomitant expansion (p <0.05), with an even higher chance of major complications in patients submitted to additional expansion. From 2009 to 2018, we observed a decrease in the incidence of complications. Conclusion: the complication rate (17.95%) is similar to other studies of the literature, there was a higher rate of complication with expanders placed in the limbs and a higher rate of major complications when additional expansion was done.

Mammographic Microcalcifications and Breast Cancer: A Radio-Pathological Correlation

2021 ◽  
Vol 104 (5) ◽  
pp. 814-817
Keyword(s):  
Breast Cancer ◽  
Risk Factors ◽  
Retrospective Study ◽  
Breast Imaging ◽  
Data System ◽  
University Hospital ◽  
Patient Risk ◽  
Predictive Values ◽  
Common Cancer ◽  
Keywords Breast

Background: Breast cancer is the most common cancer for women, often asymptomatic, and diagnosed from combined screening using mammography and ultrasound. Abnormal findings include microcalcifications with widely variable positive predictive values (PPVs) for malignancy, ranging from 2% to 95%. PPVs for each type of microcalcification are unknown. Objective: To assess PPVs for all abnormal microcalcifications in Breast Imaging Reporting and Data System (BI-RADS) 4 and 5 as seen by mammography. Materials and Methods: The present study was a retrospective study of 62 female patients with abnormal microcalcifications that underwent mammography-guided needle localized excision between September 2011 and December 2018, at Thammasat University Hospital. Results: Of all 72 abnormal microcalcifications, PPVs were coarse heterogeneous 25%, amorphous 37.93%, fine pleomorphic 42.31%, and fine linear or linear branching 33.33%. Conclusion: Abnormal microcalcifications rated BI-RADS 4 or 5 have greatly varying malignancy risks, thus, tissue biopsies should be considered in line with microcalcification morphology and individual patient risk factors. Keywords: Breast cancer, Mammography, Microcalcification, Radio-pathologic correlation, Needle localized excision

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