Unplanned surgical reoperations in a tertiary hospital: perioperative mortality and associated risk factors

2011 ◽  
Vol 28 (1) ◽  
pp. 10-15 ◽  
Author(s):  
Pablo Rama-Maceiras ◽  
Teresa Rey-Rilo ◽  
Esther Moreno-Lopez ◽  
Nieves Molins-Gauna ◽  
Yolanda Sanduende-Otero ◽  
...  
Keyword(s):  
Risk Factors ◽  
Tertiary Hospital ◽  
Perioperative Mortality ◽  
Associated Risk Factors

scholarly journals Study of risk factors among stroke patients in a tertiary hospital of Northern India

2017 ◽  
Vol 4 (2) ◽  
pp. 446
Author(s):  
Amit Kumar ◽  
Onkar Nath Rai
Keyword(s):  
Risk Factors ◽  
Tertiary Hospital ◽  
Stroke Incidence ◽  
Medical College ◽  
Northern India ◽  
Different Types ◽  
History Of ◽  
Chest X Ray ◽  
Associated Risk Factors

Background: Stroke is one of the leading causes of death and disability worldwide. The aim of the study was to find out the incidence of different types of strokes and the associated risk factors and to establish the role of different investigations in patients of stroke.Methods: The study dealt with 100 patients of stroke who were admitted to B. R. D. Medical College, Gorakhpur, India. Each patient was analyzed in detail about clinical presentation and the investigations were aimed to establish the pathologic type of stroke and estimation of risk factors.Results: Stroke incidence was more in males (Male: Female= 1.43:1). Maximum incidence of stroke was in 6th decade (32%) followed by 7th decade (30%). Among modifiable risk factors, history of hypertension was the commonest (51%) followed by smoking (36% patients) exclusively, found in males. Hemiparesis was the most common presentation (95%) followed by altered sensorium (55%). Chest X-ray was abnormal in 16% patients, abnormal ECG was found in 27% patients and abnormal lipid values were found in 54 patients.Conclusions: Apart from control of hypertension and diabetes, abnormal lipid profile remains an important modifiable risk factor for stroke.

scholarly journals Prevalence of hyperemesis gravidarum and associated risk factors among pregnant women in a tertiary health facility in Northeast, Nigeria

2020 ◽  
Vol 9 (9) ◽  
pp. 3557
Author(s):  
Muhammad B. Aminu ◽  
Mohammed Alkali ◽  
Bala M. Audu ◽  
Toyin Abdulrazak ◽  
Dauda Bathna
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Hyperemesis Gravidarum ◽  
Past History ◽  
Tertiary Hospital ◽  
Grand Multiparity ◽  
History Of ◽  
Associated Risk Factors ◽  
Age Range ◽  
Northeast Nigeria

Background: One of the commonest symptoms observed in pregnant women before the 20th week of gestation is nausea and vomiting, an exaggeration of these symptoms hyperemesis gravidarum (HEG) could result in maternal and fetal catastrophes and even death. The objective of this study was to determine the prevalence and associated risk factors for hyperemesis gravidarum among pregnant women at booking.Methods: A prospective institutional based study design was done among 452 pregnant women seen at booking in a tertiary hospital in Northeast Nigeria from the 1st February 2019 to 30th June 2019. Data was summarized using descriptive statistics. OR was used to measure significant risk.Results: The observed prevalence of hyperemesis gravidarum among pregnant women in the study is 44.9%. The Majority (81.4%) of these women were between the age range of 21 and 35 years. Mean age of 27 years. Multiparity (33.4%), previous (44.9%) and family history of HEG (31.6%) were identified as important risk factors for developing HEG. Grand multiparity (11.5%) and gestational age less than 13 weeks (6.64%) were however less likely observed to be risks for HEG.Conclusions: HEG is a common problem in pregnancy with almost half of the number of pregnant women at booking affected. Multiparity and past history of HEG are pointers to developing the condition and it should be looked out for among at risk group of pregnant women, so that early intervention can be instituted to avoid any possible adverse outcome.

Assessment of stillbirth risk and associated risk factors in a tertiary hospital

2002 ◽  
Vol 22 (1) ◽  
pp. 34-38 ◽  
Author(s):  
M. Shankar ◽  
O. Navti ◽  
O. Amu ◽  
J.C. Konje
Keyword(s):  
Risk Factors ◽  
Tertiary Hospital ◽  
Associated Risk Factors

scholarly journals Knowledge of Postpartum Depression and its Associated Risk Factors Among Nurse-Midwives in a Nigerian Tertiary Hospital

2016 ◽  
Vol 8 (2) ◽  
pp. 54
Author(s):  
Joel Adeleke Afolayan ◽  
Olayinka A Onasoga ◽  
F.M. Rejuaro ◽  
Yusuf, Abdur-Rashid Gambari ◽  
Chibuike Onuabueke
Keyword(s):  
Risk Factors ◽  
Postpartum Depression ◽  
Tertiary Hospital ◽  
Nurse Midwives ◽  
Associated Risk Factors

scholarly journals Bacterial vaginosis: Prevalence and associated risk factors among non-pregnant women of reproductive age attending a Nigerian tertiary hospital

2018 ◽  
Vol 29 (4) ◽  
pp. 290 ◽  
Author(s):  
Rasheedat M. Abdullateef ◽  
Munirdeen A. Ijaiya ◽  
Fadeyi Abayomi ◽  
Abiodun S. Adeniran ◽  
Haruna Idris
Keyword(s):  
Risk Factors ◽  
Bacterial Vaginosis ◽  
Pregnant Women ◽  
Tertiary Hospital ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Associated Risk Factors

scholarly journals 1156. Clinical and epidemiological features and outcomes of Blastomycosis in a tertiary hospital in Kentucky

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S604-S605
Author(s):  
Evelyn Villacorta Cari ◽  
Nicole Leedy ◽  
Julie A Ribes ◽  
Jaime Soria ◽  
Thein Myint
Keyword(s):  
Risk Factors ◽  
Severe Disease ◽  
Multivariable Analysis ◽  
Severe Infection ◽  
Tertiary Hospital ◽  
Outpatient Setting ◽  
University Of Kentucky ◽  
Factors Associated ◽  
Duration Of Illness ◽  
Associated Risk Factors

Abstract Background Blastomycosis is an endemic dimorphic fungal infection caused by Blastomyces dermatitidis. The risk factors associated with severe presentation are not well defined. Methods Retrospective study of patients treated for blastomycosis at the University of Kentucky Hospital from 2004-2019. Statistical analyses were performed with STATA version 12.0 (College Station, Texas). Logistic regression was used to identify variables associated with severe infections. Results Among 82 patients, median age was 48 years old (range: 16 - 89); 66 (80.5%) were male and 71 (92.2%) were white, 25/77 (32.4%) were obese, 24 (29.2%) were diabetic, 21 (25.6%) had COPD, 26 (31.7%) had at least one immunosuppressive condition. The median duration of illness was 86 (3-365) days. 37 (45.1%) had cough and 35 (42.6%) had dyspnea 19 (23.1%) patients were treated in the ICU, 42 (51.3%) in non-ICU inpatient wards, and 21 (25.6%) in an outpatient setting. Cultures were obtained in 69 cases, 59 (85.5%) reported as positive, KOH stain positive in 30/61 (49.1%). Histopathology was positive in 48/66 (72.7%) samples. Urine Histoplasma or Blastomyces antigen was positive in 41/58 (70.6%), and Serum Histoplasma or Blastomyces antigen was positive in 22/34 (64.7%). Among 64 (78.0%) patients with pulmonary blastomycosis, acute and chronic pneumonia were 16 (25.0%) and 12 (18.7%) cases respectively, and nodular lung lesions were reported in 36 (56.2%). Initial antifungal treatment was amphotericin B liposomal in 38/80 (47.5%), overall mortality was 11 (13.4%). A multivariable analysis was performed to find predictors of severe blastomycosis infection, no association was seen with factors as male sex (IRR 1.96; 95%CI 0.84 – 4.55), and was confirmed that significant independent associated risk factors for severe infection were age older than 50 (IRR 3.5; 95%CI 1.42-8.83), obesity (IRR 3.1; 95% CI 1.41-6.87), diabetes (IRR 2.5; 95% CI 1.16-5.50), leukocytosis (IRR 1.03; 95%CI 1.00-1.07) and anemia (IRR 3.0; 95% CI 1.55-5.85). Conclusion Pulmonary Blastomycosis is the most common presentation. Culture and histopathology are more sensitive than antigen assay. Independent factors associated to severe disease were older age, obesity, diabetes, and anemia at admission. Disclosures All Authors: No reported disclosures

scholarly journals Pyogenic Anaerobes of Wound Infection and the Associated Risk Factors among Patients in Uyo, Southern Nigeria

2020 ◽  
pp. 49-57
Author(s):  
I. A. Onwuezobe ◽  
P. C. Matthew
Keyword(s):  
Risk Factors ◽  
Wound Infection ◽  
Anaerobic Bacteria ◽  
Agar Plate ◽  
Tertiary Hospital ◽  
Capital City ◽  
Blood Agar Plate ◽  
Gram Positive ◽  
Cross Sectional ◽  
Associated Risk Factors

Aims: Anaerobic causes of pyogenic wound infection are not usually investigated due to difficulties in cultural techniques, lack of equipment and technical man-power. Therefore, this study aimed to investigate the anaerobic bacteria agents of pyogenic infection and the associated risk factors among patients in a tertiary hospital. Study Design: This was a descriptive cross-sectional study conducted at the University of Uyo Teaching Hospital, Uyo and carried out on 136 wound samples from patients. These samples were collected from all consented patients with pyogenic wound infection that met the inclusion criteria. Place and Duration of Study: The study was conducted at Uyo, the capital city of Akwa Ibom State, Nigeria between April and October, 2018. Methodology: Deep wound swabs or aspirated pus samples were collected and inoculated into fresh 25% Sheep Blood Agar plate and incubated in an anaerobic jar containing anaerobic indicator and Gas-pak at 37oC for 48 – 72 hours Identification of isolates was performed following standard procedures. Data were obtained through a well- structured questionnaire and analyzed using SPSS software. Results: Of the 136 samples collected, 127 yielded microbial growth with a total of 202 isolates which included 50 and 2 pure growths of aerobes and anaerobes respectively and 75 combined growths of aerobes and anaerobes. Overall, more aerobes (125) were isolated when compared to the anaerobes (77). Nevertheless, the predominant anaerobe was B. fragilis 26(33.8%). There was a statistical significant relationship between the age of the patient and infection by gram- positive anaerobes (p = 0.002). Conclusion: Bacteriodes fragilis is mainly involved in anaerobic pyogenic wound infections in Uyo, however, only the age of the patient was found to be a factor in the prevalence of infection by gram-positive anaerobes.

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