Abstract P269: Influence Of Sex, Race, And Changes In Vital Signs In Covid-19 And Flu Diagnosed Patients In Mississippi

Hypertension ◽  
2021 ◽  
Vol 78 (Suppl_1) ◽  
Author(s):  
Brigitte E Martin ◽  
Michael R Garrett
Keyword(s):  
Blood Pressure ◽  
Black Women ◽  
Respiration Rate ◽  
Pulse Rate ◽  
Disease Transmission ◽  
Vital Signs ◽  
Office Visit ◽  
Disease Diagnosis ◽  
Electronic Health Record Data ◽  
Temperature Pulse

Early detection of viral infections, such as COVID-19 and flu, have the potential to reduce risk of morbidity, mortality, and disease transmission through earlier intervention strategies. Distinguishing patterns among vital signs, including body temperature, pulse rate, respiration rate, and blood pressure, can help to diagnose a potential respiratory virus more rapidly and accurately. The objective of this study was to utilize the University of Mississippi Medical’s extensive clinical database (EPIC) to investigate the potential association between temperature, pulse rate, blood pressure, and respiration with influenza and COVID-19. COVID-19 (March 3, 2020 to February 27, 2021) and flu (October 1, 2017 to September 30, 2018) diagnosed patients were identified from over 1 million patients (of a total population of 3 million) and 36 million encounters of Mississippi residents from the electronic health record. Data from patients with reported demographic dimensions (age, first race, and sex) and office visit dimensions (BMI, diastolic blood pressure (BP), pulse rate, respiration rate, systolic BP, and temperature) was obtained for 1,363 COVID-19 and 507 flu diagnosed patients, including day of diagnosis and additional encounter visits within 60 days before and after first unique viral disease diagnosis. Patients with COVID-19 or flu were disproportionately obese, with 93% of COVID-19 and 79% of flu patients with BMI ≥30. Most striking was that black women in 50-64 years disproportionately carried the burden of disease. For all patients at the time of infection, temperature was significantly increased for both respiratory viruses, pulse rate was significantly increased for flu, and BP was not significantly increased in either infection. We compared flu patients with no pre-existing diagnoses (n= 57) to those with essential (primary) hypertension (n= 234) and found significantly higher systolic BP at day of infection in flu only patients. Our findings show the need for more complete demographic and office visit dimension data from patients during epidemic and pandemic events.

scholarly journals ’N ondersoek na parameters van prognostiese belang by die hoofbeseerde pasiënt

Curationis ◽  
1981 ◽  
Vol 4 (1) ◽  
Author(s):  
Margot Hugo
Keyword(s):  
Blood Pressure ◽  
Pulse Rate ◽  
Prognostic Value ◽  
Head Injuries ◽  
Pupillary Response ◽  
Temperature Pulse ◽  
Type Of Injury

The increase in accidents and accompanying increase in severe head injuries, have led to research into various aspects of parameters of prognostic value in patients suffering from head injuries. The possible prognostic value of the observations undertaken by nurses was researched by the author. Some of the findings regarding temperature, pulse rate, blood pressure, ventilation, pupillary response and the type of injury are discussed in this article. The importance of accurate observations by nurses is stressed.

scholarly journals Graves’ Disease Presenting as Adrenal Crisis in a Patient With Congenital Adrenal Hyperplasia

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. A133-A134
Author(s):  
Mohammad Khair Ahmad Ibraheem Hamad ◽  
Gowri Karuppasamy ◽  
Abeer Abdalrubb ◽  
Khaled Ahmed Baagar
Keyword(s):  
Blood Pressure ◽  
Congenital Adrenal Hyperplasia ◽  
Pulse Rate ◽  
Complete Blood Count ◽  
Vital Signs ◽  
Thyroid Function Test ◽  
Adrenal Crisis ◽  
Graves Disease ◽  
Adrenal Hyperplasia ◽  
Gradual Improvement

Abstract Background: Adrenal crisis (AC) is a life-threatening condition that occurs either as the initial presentation of adrenal insufficiency or in patients who are known to have hypoadrenalism, when a precipitating acute stressor outweighs the mineralocorticoid and glucocorticoid supply. It is known that exposure to high levels of thyroid hormones in the presence of hypoadrenalism may precipitate AC.Graves’ disease (GD), as a precipitant of AC in patients with congenital adrenal hyperplasia (CAH), has been rarely described in the literature. Clinical Case: A 15-year-old male with classic CAH diagnosed since birth when he had vomiting and darkly pigmented skin. He was on regular follow-up with his endocrinologist in his home country. For an unclear reason, he was on hydrocortisone 40 mg daily in divided doses. The patient presented to the emergency department with nausea, vomiting, loose stool, dizziness, and fatigue for 5 days. On examination, he was conscious and oriented but looked tired. He had a temperature of 36.8°C, blood pressure (supine) 132/78 mmHg (standing blood pressure could not be taken because the patient was dizzy), pulse rate 130/minute, and respiratory rate 17/minute. Otherwise, the physical exam was unremarkable. Initial laboratory investigations showed sodium 114 (136–145 mmol/L), potassium 6.0 (3.5–5.1 mmol/l), chloride 83 (102–104 mmol/L) and Bicarbonate 14 (22–29 mmol/L). Serum creatinine, complete blood count, C-reactive protein (CRP) and procalcitonin levels were within normal. He was treated for AC with stress doses of hydrocortisone intravenously, and normal saline intravenous infusion. He showed a gradual improvement of his symptoms with normalization of the electrolytes. Thus, he was switched to oral hydrocortisone replacement 15 mg am and 10 mg in the afternoon. Nevertheless, his pulse rate was 105 -110 / min. Therefore, thyroid function test (TFT) was done and revealed TSH 0.3 (0.5–4.3 mIU/L) and FT4 30.6 (12.9–20.6 pmol/L). Thyroid uptake scan showed a mildly enlarged thyroid gland with homogeneous and slightly increased radiotracer uptake suggestive of GD. Thus, propranolol and carbimazole were prescribed in addition to hydrocortisone. Then, the patient was discharged after proper education about precipitating factors of AC. Later on, the patient appeared for his clinic appointment, he was clinically well with normal vital signs, serum electrolytes, and TFT. Propranolol was stopped, carbimazole dose was adjusted, and he was maintained on hydrocortisone. Conclusion: Unrecognized Graves’ disease was the precipitating factor of the adrenal crisis in this patient with CAH. Despite the rarity of the association, a high index of clinical suspicion for unusual acute stressors is very important for proper management of AC and to prevent future recurrence.

scholarly journals Reversal of Neurological Deficits by Levallorphan in Patients with Acute Ischemic Stroke

1985 ◽  
Vol 5 (3) ◽  
pp. 469-472 ◽  
Author(s):  
Nobuo Handa ◽  
Masayasu Matsumoto ◽  
Masaichi Nakamura ◽  
Shotaro Yoneda ◽  
Kazufumi Kimura ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Pulse Rate ◽  
Neurological Outcome ◽  
Intramuscular Injection ◽  
Vital Signs ◽  
Neurological Deficits ◽  
Neurological Signs

This study was conducted to examine the effect of the intramuscular injection of levallorphan tartrate (1.0 mg), a mixed agonist-antagonist opiate, on the neurological signs, symptoms, and vital signs in 19 patients with acute ischemic stroke. A temporary improvement of hemiplegia or hemiparesis was observed within several minutes after levallorphan injection in 13 of the patients. There were no significant alterations in blood pressure or pulse rate after injection. The findings indicate that levallorphan may have a temporary improving effect on neurological deficits in acute ischemic stroke. In addition, observation of the response to levallorphan may serve to predict the prognosis of the final neurological outcome in this type of patient.

scholarly journals Implementing Cyber Security of Health Care IOT Based System

2019 ◽  
Vol 8 (4) ◽  
pp. 11387-11391
Keyword(s):  
Health Care ◽  
Body Temperature ◽  
Pulse Rate ◽  
Cyber Security ◽  
Vital Signs ◽  
Information Privacy ◽  
Motion Detector ◽  
Temperature Pulse ◽  
Healthcare Environment

This paper is growing with the technology of InternetOfThings(IoT) mostly in healthcare. In this paper attention is given to the vital signs like body temperature, pulse rate and motion detector. These vital signs are formed by detecting the patient’s condition with these vital sensors. The security provided here is the data formed which is collected and stored in the cloud. This modern healthcare environment is convenient to both physicians and patients as it is applied in various medical fields. In this technology the patient can be monitored frequently. Considering security is to keep the patients detailed information privacy

scholarly journals Could We Use Vital Signs and Lactate Levels Together to Predict the Prognosis in Abdominal Pain?

Acta Medica ◽  
2021 ◽  
pp. 1-6
Author(s):  
Filiz Froohari Damarsoy ◽  
Nalan Metin Aksu ◽  
Elif Öztürk ◽  
Meltem Akkaş
Keyword(s):  
Blood Pressure ◽  
Emergency Department ◽  
Abdominal Pain ◽  
Systolic Blood Pressure ◽  
Pulse Rate ◽  
Venous Blood ◽  
Vital Signs ◽  
Common Diagnosis ◽  
Intracystic Hemorrhage ◽  
Lactate Levels

Objectives: Abdominal pain occupies most of the emergency department admissions. This entity leads to research various markers for the early detection of causes in patients presenting with abdominal pain. There is limited data about collaborations between lactate levels and vital signs at admission in abdominal pain. Materials and Methods: Patients aged 18 years and older, who had presented with abdominal pain to the Emergency Department, in total 102 patients, were included to the study. The patients’ demographics, vital signs, abdominal physical examination findings, diagnosis and outcomes of patients were recorded. The 1 ml venous blood samples were collected by blood gase injectors from the patients and lactate levels were analyzed. Results: Female patients’ percentile was 68,6% and mean age was 39 years old. The systolic blood pressure levels were normal in 45 patients, low in 26% patients and high in 29% patients. The seventy-six of the patients had normal pulse rate and 26 of them were tachycardic. Most common diagnosis was non-specific abdominal pain (37,25%) and the least common was ovarian torsion/intracystic hemorrhage (0,98%) and obstruction due to hernia (0,98%). There was no statistically significant relation between lactate level and pulse rate (p=0,637), systolic blood pressure (p=0,052), diastolic blood pressure (p=0,095), respiratory rate (p=0,527), body temperature (p=0,040) and oxygen saturation (p=0,905). Similarly, no significant association occurred between lactate levels and diagnosis and outcomes. Conclusion: Further studies including more patients groups have to be done in order to attain more reliable data about this topic.

Butorphanol and Promethazine as Pre-Anaesthetic Medication

1978 ◽  
Vol 6 (6) ◽  
pp. 455-459 ◽  
Author(s):  
Maurice Lippmann ◽  
Martin S Mok ◽  
Stephen N Steen
Keyword(s):  
Blood Pressure ◽  
Respiration Rate ◽  
Pulse Rate ◽  
Recovery Room ◽  
Pressure Pulse ◽  
Global Evaluation ◽  
Safety And Efficacy ◽  
Satisfactory Condition

An open evaluation of a combination of butorphanol (1 or 2 mg), promethazine (25 or 50 mg) and atropine (0.5 mg) in 109 adult consenting patients was carried out to determine their safety and efficacy for pre-anaesthetic medication. All patients were kept under direct surveillance from before intramuscular medication until they were in satisfactory condition post-operatively for discharge from the recovery room. The medications employed did not disturb the blood pressure, pulse rate or respiration rate in any of the patients. None complained of nausea or dizziness while only one was slightly excited. Sedation was rated as satisfactory in 97 per cent, and 90 per cent were free of apprehension. In addition, global evaluation of the premedication by the investigator was rated good to excellent in 99 per cent of the patients. On the basis of these observations, the combination of butorphanol with promethazine and atropine appears safe and useful for pre-anaesthetic medication.

scholarly journals Vital signs in elderly dengue patients: Trends of blood pressure and pulse rate

2014 ◽  
Vol 21 ◽  
pp. 447
Author(s):  
E.L. Ng ◽  
T.L. Thein ◽  
Y. Hao ◽  
L. Lee ◽  
D. Lye ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Pulse Rate ◽  
Vital Signs

scholarly journals EFEK IKLIM KERJA PANAS PADA RESPON FISIOLOGIS TENAGA KERJA DI RUANG TERBATAS

2018 ◽  
Vol 6 (2) ◽  
pp. 207
Author(s):  
Jesika Wulandari ◽  
Meirina Ernawati
Keyword(s):  
Blood Pressure ◽  
Heat Stress ◽  
Body Temperature ◽  
Pulse Rate ◽  
Physiological Responses ◽  
Average Weight ◽  
Confined Space ◽  
Cross Sectional ◽  
Temperature Pulse ◽  
Before And After

ABSTRACT Effects heat stress on physiological responses can be seen on increase body temperature, pulse rate and blood pressure (systole and diastole) and also weight loss. The aim of this study is to analyze the physiological responses of workers exposed to heat in confined space heater PT Nippon Shokubai Indonesia. This was an observational study with cross-sectional design. The sample was all of population (10 workers). Data was collected by measuring heat stress (WBGT), physiological responses before and after working and also questionnaire of individual factors. The result of heat stress measurement show that average of WBGT is above the Threeshold Limit Value (34,9OC) with the workload of the workers was in the heavy category (461,94 ccal) and work time category 0-25%. The result showed that the average body themperature before working was 36,73oC and after working was 38,13oC. The average pulse rate before working was 90,85 beats per minute and after working was 96,1 beats per minutes. The average systolic and diastolic blood pressure before working was 124,85 mmHg and 72,05 mmHg and the average after working was 126,05 mmHg and 72,45 mmHg. On the other hand, the average weight before working was 59,58 kg and after working was 58,3 kg. Hence, there were difference on the result of body temperature, pulse rate, blood pressure and weight before and after working in CS heater.Keyword:   Heat stress, physiological response, confined spaceABSTRAKEfek dari iklim kerja panas pada respon fisiologis tenaga kerja dapat dilihat pada peningkatan suhu tubuh, denyut nadi, tekanan darah (sistolik dan diastolik) dan juga penurunan berat badan. Tujuan dari penelitian ini adalah untuk menganalisis respon fisiologis tenaga kerja akibat iklim kerja panas di confined space heater PT. Nippon Shokubai Indonesia. Penelitian ini bersifat observasional dengan desain cross-sectional. Besar sampel adalah keseluruhan populasi yaitu 10 orang. Data didapatkan dari pengukuran mengukur iklim kerja panas (ISBB), respon fisiologis sebelum dan sesudah bekerja dan juga kuesioner faktor individu. Hasil pengukuran iklim kerja panas menunjukkan bahwa rerata nilai ISBB sebesar 34,9OC sehingga telah melebihi Nilai Ambang Batas dengan beban kerja berat yaitu 461,94 kkal dan kategori waktu kerja 0-25%. Hasil menunjukkan bahwa rerata suhu tubuh sebelum bekerja adalah 36,73oC dan sesudah bekerja adalah 38,13oC. Rerata denyut nadi sebelum bekerja adalah 90,85 denyut per menit dan sesudah bekerja adalah 96,1 denyut per menit. Kemudian rerata tekanan darah sistolik dan diastolik sebelum bekerja adalah 124,85 mmHg dan 72,05 mmHg, dan rerata sesudah bekerja adalah 126,06 mmHg dan 72,45 mmHg. Selain itu rerata berat badan sebelum bekerja adalah 59,85 kg dan sesudah bekerja adalah 58,3 kg. Oleh karena itu, terdapat perbedaan antara suhu tubuh, denyut nadi, tekanan darah (sistolik dan diastolik) dan berat badan sebelum dan sesudah bekerja di CS heater.Kata kunci : Iklim kerja panas, respon fisiologis, ruang terbatas

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