Emergency healthcare delivery for young adults during a planned mass gathering: A retrospective observational study

Background: Cardiovascular diseases (CVD) and its complications are on an increased trend in the younger age group. In this study we aimed to identify the different risk factor profile and coronary angiographic characteristics of young adults presenting with coronary artery disease.Methods: We conducted this retrospective observational study at SCB MC and H and Ashwini Hospital, Cuttack, Odisha, India over a period of one year from June 2016 to June 2017 on 170 patients who undergone coronary angiogram. Inclusion criteria being patients admitted for STEMI, NSTEMI, or UA, age <40 years and those who underwent coronary angiography. All patients who underwent coronary angiography for surgical fitness e.g., patients of rheumatic heart disease and congenital heart disease were excluded from the study.Results: Among the 150 cases included in the study, 85.3%were males and 14.7% were females. Maximum number of cases i.e. 71.3% were in the age group 36-40 yr, while 23.3% were between 31-35 and 5.4% were between 25-30 age group. Among 150 cases with critical CAD, SVD was most prevalent seen in 68.7% cases, followed by DVD in 22.6% and TVD in 8.7% cases.Conclusions: Incidence of critical CAD in young adults is quite high. Young patients with CAD are mainly males, and SVD is more common. Comparative analysis of young patients with STEMI and NTEMI/ UA revealed that SVD was predominantly involved in STEMI group, whereas TVD was predominant in NSTEMI/UA group.

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Transformation of mortality in a remote Australian Aboriginal community: a retrospective observational study

BMJ Open ◽

10.1136/bmjopen-2017-016094 ◽

2017 ◽

Vol 7 (8) ◽

pp. e016094 ◽

Cited By ~ 4

Author(s):

Wendy E Hoy ◽

Susan Anne Mott ◽

Beverly June McLeod

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Observational Study ◽

Healthcare Delivery ◽

Adult Life ◽

Infants And Children ◽

Retrospective Observational Study ◽

Remote Communities ◽

Australian Aboriginal ◽

In Infants And Children

ObjectivesTo describe trends in ages and causes of death in a remote-living Australian Aboriginal group over a recent 50-year period.DesignA retrospective observational study, from 1960 to 2010, of deaths and people starting dialysis, using data from local clinic, parish, dialysis and birthweight registers.SettingA remote island community in the Top End of Australia’s Northern Territory, where a Catholic mission was established in 1911. The estimated Aboriginal population was about 800 in 1960 and 2260 in 2011.ParticipantsAll Aboriginal residents of this community whose deaths had been recorded.Outcome measuresAnnual frequencies and rates of terminal events (deaths and dialysis starts) by age group and cause of death.ResultsAgainst a background of high rates of low birth weight, 223 deaths in infants and children and 934 deaths in adults (age>15 years) were recorded; 88% were of natural causes. Most deaths in the 1960s were in infants and children. However, over time these fell dramatically, across the birthweight spectrum, while adult deaths progressively increased. The leading causes of adult natural deaths were chronic lung disease, cardiovascular disease and, more recently, renal failure, and rates were increased twofold in those of low birth weight. However, rates of natural adult deaths have been falling briskly since 1986, most markedly among people of age ≥45 years. The population is increasing and its age structure is maturing.ConclusionsThe changes in death profiles, the expression of the Barker hypothesis and the ongoing increases in adult life expectancy reflect epidemiological and health transitions of astonishing rapidity. These probably flow from advances in public health policy and healthcare delivery, as well as improved inter-sectoral services, which are all to be celebrated. Other remote communities in Australia are experiencing the same phenomena, and similar events are well advanced in many developing countries.

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Acute Kidney Injury Incidence in Noncritically Ill Hospitalized Children, Adolescents, and Young Adults: A Retrospective Observational Study

American Journal of Kidney Diseases ◽

10.1053/j.ajkd.2015.07.019 ◽

2016 ◽

Vol 67 (3) ◽

pp. 384-390 ◽

Cited By ~ 58

Author(s):

Tracy L. McGregor ◽

Deborah P. Jones ◽

Li Wang ◽

Ioana Danciu ◽

Brian C. Bridges ◽

...

Keyword(s):

Acute Kidney Injury ◽

Young Adults ◽

Observational Study ◽

Kidney Injury ◽

Adolescents And Young Adults ◽

Retrospective Observational Study ◽

Injury Incidence ◽

Hospitalized Children

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Trends in hospital standardized mortality ratios for stroke in Japan between 2012 and 2016: a retrospective observational study

International Journal for Quality in Health Care ◽

10.1093/intqhc/mzz091 ◽

2019 ◽

Cited By ~ 2

Author(s):

Rebeka Amin ◽

Takefumi Kitazawa ◽

Yosuke Hatakeyama ◽

Kunichika Matsumoto ◽

Shigeru Fujita ◽

...

Keyword(s):

Observational Study ◽

Hospital Admissions ◽

Predictive Accuracy ◽

Healthcare Delivery ◽

Logistic Models ◽

Diagnostic Procedures ◽

Retrospective Observational Study ◽

Administrative Database ◽

Healthcare Delivery System ◽

Standardized Mortality Ratios

Abstract Objective Stroke is one of the leading causes of death and disability, and imposes a major healthcare burden. The aim of this study was to determine the characteristics of hospital standardized mortality ratios (HSMRs) for stroke in Japan for the year 2012–16 to describe the trend. Design Retrospective observational study. Setting Data from the Japanese administrative database. Participants All hospital admissions for stroke were identified from diagnostic procedures combination (DPC) database from 2012 to 2016. Main Outcome Measures HSMR was calculated using the actual number of in-hospital deaths and expected deaths. To obtain the expected death number, a logistic regression model was developed to get the coefficient with a number of explanatory variables. Predictive accuracy of the logistic models was assessed using c-index and calibration was evaluated using the Hosmer–Lemeshow test. Results A total of 63 084 patients admitted for stroke from January 2012 to December 2016 were analyzed. HSMRs showed declining tendency over these 5 years, suggesting stroke-related mortality has been improving. While the HSMRs varied from year to year, a wide variation was also seen among the different hospitals in Japan. The proportion of hospitals with HSMR less than 100 increased from 41.0% in 2012 to 59.0% in 2016. Conclusion This study demonstrated that HSMR can be calculated using DPC data and found wide variation in HSMR of stroke among hospitals in Japan and enabled us to image the trend. By examining these trends, facilities, authorities and provinces can initiate designs that will ultimately lead to an upgraded healthcare delivery system.

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Hemmkörperentwicklung bei Hämophilie-Patienten nach Präparate wechsel

Hämostaseologie ◽

10.1055/s-0037-1619773 ◽

2012 ◽

Vol 32 (S 01) ◽

pp. S39-S42 ◽

Cited By ~ 1

Author(s):

S. Kocher ◽

G. Asmelash ◽

V. Makki ◽

S. Müller ◽

S. Krekeler ◽

...

Keyword(s):

Risk Factors ◽

Risk Factor ◽

Observational Study ◽

Retrospective Observational Study ◽

Frequent Change ◽

Patient Age ◽

Treatment Regimens ◽

Patient Âgé ◽

The Relationship ◽

Observation Period

SummaryThe retrospective observational study surveys the relationship between development of inhibitors in the treatment of haemophilia patients and risk factors such as changing FVIII products. A total of 119 patients were included in this study, 198 changes of FVIII products were evaluated. Results: During the observation period of 12 months none of the patients developed an inhibitor, which was temporally associated with a change of FVIII products. A frequent change of FVIII products didn’t lead to an increase in inhibitor risk. The change between plasmatic and recombinant preparations could not be confirmed as a risk factor. Furthermore, no correlation between treatment regimens, severity, patient age and comorbidities of the patients could be found.

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