Risk Factors for Delayed Diagnosis of Positional Plagiocephaly: A Retrospective Review of 25,322 Patients

BACKGROUND: Extrapulmonary TB (EPTB) is more difficult to diagnose than pulmonary TB. The delayed management of EPTB can lead to complications and increase the socio-economic burden.METHODS: Patients newly diagnosed with EPTB were retrospectively enrolled from 11 general hospitals in South Korea from January 2017 to December 2018. The basic characteristics of patients were described. Univariable and multivariable analyses were performed between early and delayed diagnosis groups to identify risk factors for delayed diagnosis and treatment in EPTB.RESULTS: In total, 594 patients were enrolled. Lymph node TB (28.3%) was the predominant form, followed by abdominal (18.4%) and disseminated TB (14.5%). Concurrent lung involvement was 17.8%. The positivity of diagnostic tests showed no significant difference between the two groups. Acute clinical manifestations in disseminated, pericardial and meningeal TB, and immunosuppression were associated with early diagnosis. Delayed diagnosis was associated with outpatient clinic visits, delayed sample acquisition and diagnostic departments other than infection or pulmonology.CONCLUSION: The delay in diagnosis and treatment of EPTB was not related to differences in microbiological characteristics of Mycobacterium tuberculosis itself; rather, it was due to the indolent clinical manifestations that cause referral to non-TB-specialised departments in the outpatient clinic and delay the suspicion of TB and diagnostic testing.

Download Full-text

Pulmonary Hemorrhage Following Percutaneous Computed Tomography-Guided Lung Biopsy: Retrospective Review of Risk Factors, Including Aspirin Usage

Current Problems in Diagnostic Radiology ◽

10.1067/j.cpradiol.2018.10.007 ◽

2020 ◽

Vol 49 (1) ◽

pp. 12-16

Author(s):

Brigid A. Bingham ◽

Steven Y. Huang ◽

Pamela L. Chien ◽

Joe E. Ensor ◽

Sanjay Gupta

Keyword(s):

Risk Factors ◽

Computed Tomography ◽

Retrospective Review ◽

Lung Biopsy ◽

Pulmonary Hemorrhage

Download Full-text

Facial nerve paralysis postparotidectomy: A retrospective review of the prevalence and risk factors at a tertiary center

Case Studies in Surgery ◽

10.5430/css.v3n4p1 ◽

2017 ◽

Vol 3 (4) ◽

pp. 1

Author(s):

Shahad T. Ghandoura ◽

Mahmood Z. Al-Madani ◽

Qusai A. Tawakul ◽

Nada J. Farsi ◽

Rolina K. Alwassia ◽

...

Keyword(s):

Risk Factors ◽

Facial Nerve ◽

Retrospective Review ◽

Categorical Variables ◽

Facial Nerve Paralysis ◽

Tumor Characteristics ◽

Nerve Paralysis ◽

Operative Duration ◽

Parotid Surgery ◽

Tertiary Center

Objective: Facial nerve paralysis is one of the most devastating complications after parotid gland surgery. We aimed to determine the prevalence and risk factors of facial palsy after parotidectomy.Methods: We performed a retrospective review of the data from 54 patients who underwent parotid surgery between 2004 and 2015 at a tertiary medical care center. The prevalence of facial nerve paralysis and possible risk factors (demographic characteristics, tumor characteristics, and operative factors) associated with postoperative paralysis were assessed. Categorical variables were evaluated using the Fisher’s exact test, and a two-tailed t-test was used to assess the associations between continuous and binary outcome variables.Results: The postparotidectomy prevalence of temporary and permanent facial nerve paralysis were 26% and 13%, respectively. Tumors involving both lobes were significantly associated with permanent facial nerve paralysis (p = .048). Long operative duration (> 164 minutes) was associated with both temporary and permanent facial nerve paralysis (p = .040).Conclusions: Operative factors such as operative duration and tumor characteristics such as bilobal involvement increased the risk of postparotidectomy facial nerve paralysis. Such factors should be considered to reduce the risk of palsy in patients undergoing parotidectomy.

Download Full-text

Risk factors for physical disability in patients with leprosy disease in Yunnan, China: Evidence from a retrospective observational study

PLoS Neglected Tropical Diseases ◽

10.1371/journal.pntd.0009923 ◽

2021 ◽

Vol 15 (11) ◽

pp. e0009923

Author(s):

Xiaohua Chen ◽

Hong-bing Liu ◽

Tie-Jun Shui ◽

Shun Zha

Keyword(s):

Risk Factors ◽

Physical Disability ◽

Physical Disabilities ◽

Delayed Diagnosis ◽

Skin Lesions ◽

Nerve Damage ◽

Advanced Age ◽

Han Ethnicity ◽

Leprosy Patients ◽

Male Sex

Background Leprosy is potentially debilitating. The risk factors related to physical disabilities associated with leprosy disease in Yunnan, China was not clear. Methodology/Principal findings We studied 10644 newly detected leprosy patients from Yunnan, China, from 1990 to 2019. Factors associated with Grade 1 (G1D) and Grade 2 (G2D) physical disabilities or overall physical disabilities (combined G1D and G2D) associated with leprosy were analyzed using multinomial and ordinal logistic regression analyses. The following factors were associated with the development of physical disability in these patients with leprosy: delayed diagnosis [odds ratio (OR): 5.652, 4.399, and 2.275; 95% confidence intervals (CIs): 4.516–7.073, 3.714–5.212, and 2.063–2.509; for ≥ 10, 5–10 y, and 2–5 years, respectively], nerve damage (OR: 3.474 and 2.428; 95% CI: 2.843–4.244, and 1.959–3.008; for 2 and 1 damaged nerves, respectively), WHO classification of PB (OR: 1.759; 95% CI: 1.341–2.307), Ridley-Jopling classification (OR: 1.479, 1.438, 1.522 and 1.239; 95% CI: 1.052–2.079, 1.075–1.923, 1.261–1.838, and 1.072–1.431; for TT, BT, BB, and BL when compared with LL, respectively), advanced age (OR: 1.472 and 2.053; 95% CI: 1.106–1.960 and 1.498–2.814; for 15–59 and over 60 years old, respectively), zero skin lesions (OR: 1.916; 95% CI: 1.522–2.413), leprosy reaction (OR: 1.528; 95% CI: 1.195–1.952), rural occupation (OR: 1.364; 95% CI: 1.128–1.650), Han ethnicity (OR: 1.268; 95% CI: 1.159–1.386), and male sex (OR: 1.128; 95% CI: 1.024–1.243). Conclusions Delayed diagnosis, nerve damage, no skin lesions, WHO and Ridley-Jopling classifications, leprosy reactions, advanced age, rural occupation, Han ethnicity, and male sex were associated with disability in leprosy patients. Identifying risk factors could help to prevent physical disability.

Download Full-text

PD36-03 12 YEAR SINGLE CENTER RETROSPECTIVE REVIEW OF RISK FACTORS AND RATE OF TINED LEAD BREAKAGE DURING SACRAL NEUROMODULATION LEAD EXPLANT

The Journal of Urology ◽

10.1097/01.ju.0000556347.08689.5e ◽

2019 ◽

Vol 201 (Supplement 4) ◽

Author(s):

Jessica Rueb* ◽

Javier Pizarro-Berdichevsky ◽

Samir Derisavifard ◽

Laura Giusto ◽

Patricia Zahner ◽

...

Keyword(s):

Risk Factors ◽

Retrospective Review ◽

Sacral Neuromodulation ◽

Single Center ◽

Tined Lead

Download Full-text

Risk factors for very early recurrence of hepatocellular carcinoma: a retrospective review

HPB ◽

10.1016/j.hpb.2018.02.327 ◽

2018 ◽

Vol 20 ◽

pp. S83-S84

Author(s):

R. Simon ◽

K. Sasaki ◽

Georgios A. Margonis ◽

Jin He ◽

L. Acevedo-Moreno ◽

...

Keyword(s):

Risk Factors ◽

Hepatocellular Carcinoma ◽

Retrospective Review ◽

Early Recurrence

Download Full-text

Hiatal Hernia After Esophagectomy: A Single-Center Retrospective Analysis of a Rare Postoperative Phenomenon

The American Surgeon ◽

10.1177/00031348211054546 ◽

2021 ◽

pp. 000313482110545

Author(s):

Annie Laurie Benzie ◽

Muhammad B. Darwish ◽

Anthony Basta ◽

Patrick J. McLaren ◽

Edward E. Cho ◽

...

Keyword(s):

Risk Factors ◽

Retrospective Analysis ◽

Hiatal Hernia ◽

Incidence Rate ◽

Current Literature ◽

Retrospective Review ◽

Single Center ◽

Limited Size ◽

True Prevalence ◽

Asymptomatic Patients

Development of a post-esophagectomy hiatal hernia (PEHH) is a rare, but problematic, sequela with the current reported prevalence ranging up to 20%. To determine the incidence rate of PEHH at our institution, a retrospective review of all transhiatal esophagectomies performed from 2012 to 2020 was conducted. Demographic, operative, and oncologic data were collected, rates of PEHH were calculated, and characteristics of subsequent repair were reviewed and analyzed. A total of 160 transhiatal esophagectomies were included, of which four patients (2.5%) developed a PEHH at a mean of 12 months postoperatively (range: 3-28 months) with symptomatology driving the diagnosis for three patients. The limited size of our study does not allow for statistically significant determinations regarding risk factors or method of repair. The true prevalence of a hiatal defect is likely higher than reported, as clinically asymptomatic patients are not captured in our current literature.

Download Full-text

Hereditary Retinal Disease-Related Retinal Detachment; Risk Factors, Pathogenesis, Clinic, and Management

Güncel Retina Dergisi (Current Retina Journal) ◽

10.37783/crj-0219 ◽

2020 ◽

pp. 193-200

Keyword(s):

Risk Factors ◽

Retinal Detachment ◽

Cardiovascular System ◽

Proliferative Vitreoretinopathy ◽

Delayed Diagnosis ◽

Retinal Disease ◽

Skeletal System ◽

Younger Age ◽

Hereditary Retinal Disease

Hereditary retinal disease (HRD) is a group of pathologies characterized by histologically abnormally developing vitreous gel associated with peripheral retinal degenerative or proliferative changes. In HRD alterations in the structure of the vitreous with abnormal vitreoretinal adhesions can predispose to developing Retinal Detachment (RD). Many HRD is seen with a part of syndromes most of which have systemic abnormalities affecting the joints, skeletal system, and cardiovascular system. Due to delayed diagnosis in younger age patients, without prominent symptoms, most patients with HR presented with proliferative vitreoretinopathy PVR and macula-involving RD.

Download Full-text