Abstract W MP54: Risk Factors for Nosocomial Infections after Intracerebral Hemorrhage and Their Impact on Outcome: The Ethnic/Racial Variations of Intracerebral Hemorrhage (ERICH) Study

Stroke ◽  
2014 ◽  
Vol 45 (suppl_1) ◽  
Author(s):  
Aaron S Lord ◽  
Mitchell S Elkind ◽  
Carl D Langefeld ◽  
Charles J Moomaw ◽  
Neeraj Badjatia ◽  
...  
Keyword(s):  
Risk Factors ◽  
Intracerebral Hemorrhage ◽  
Pulmonary Edema ◽  
Nosocomial Infections ◽  
Fold Increase ◽  
Cns Infection ◽  
Neurosurgical Procedures ◽  
Chi Square ◽  
Factors Associated ◽  
Ct Data

Background: Risk factors for nosocomial infections and their impact on ICH outcomes are unclear. We hypothesized that factors present on admission are associated with developing infection, and patients who develop infections have worse outcomes. Methods: We determined prevalence of infections among patients in ERICH, a multicenter, triethnic case-control study of ICH. Exclusion criteria specific to this analysis were incomplete CT data and death/withdrawal of care <72 hours after admission. Patients with infection <two weeks before ICH were excluded from risk factor analyses, but included for outcomes assessments. We compared prevalence of risk factors for infections using chi-square and non-parametric tests, and performed multivariate logistic regression for risk of infection. Results: We enrolled 1397 individuals, 144 of whom died/had withdrawal of care within 72 hours and 210 with incomplete CT data, leaving 1043 patients. Nosocomial infections occurred in 300 patients (29%). Factors associated with presence of infections included ICH volume (13mL vs. 7mL, p <0.0001), GCS on admission (13 vs. 15, p <0.0001), WBC > 10 (42% vs. 32%), and higher CRP levels (4.9 vs. 1.8, p=0.01). Blacks had higher infection rates versus whites and Hispanics (33% vs. 27% and 24%, p=0.06). Procedural factors associated with infection included ventriculostomy, intrathecal-tPA, and intubation, while major neurosurgical procedures were associated with a 10-fold increase in CNS infection (all p <0.001). Infections were associated with bowel-bladder dysfunction, CHF/pulmonary edema, decubiti, DVT, dysphagia requiring PEG, and MI. Patients with infection were more likely to have DNR/DNI orders or to be dead at discharge (12.3% vs. 6.5%, p=0.0017). In a multivariate model for factors associated with infection, ICH volume, HIV history, intubation, CHF/pulmonary edema, and dysphagia requiring PEG were all associated with infection. Conclusion: There are identifiable risk factors associated with nosocomial infection after ICH, and infections are associated with mortality. Identification of patients at risk for infections may improve outcomes after ICH.

A Six Year Prospective Study of Fibrinogen and Other Risk Factors Associated with Mortality in Stable Claudicants

1992 ◽  
Vol 68 (03) ◽  
pp. 261-263 ◽  
Author(s):  
A K Banerjee ◽  
J Pearson ◽  
E L Gilliland ◽  
D Goss ◽  
J D Lewis ◽  
...  
Keyword(s):  
Risk Factors ◽  
Intermittent Claudication ◽  
Fibrinogen Level ◽  
Past History ◽  
Fold Increase ◽  
Arterial Disease ◽  
Plasma Fibrinogen ◽  
Plasma Fibrinogen Level ◽  
Factors Associated ◽  
Probability Of Death

SummaryA total of 333 patients with stable intermittent claudication at recruitment were followed up for 6 years to determine risk factors associated with subsequent mortality. Cardiovascular diseases were the underlying cause of death in 78% of the 114 patients who died. The strongest independent predictor of death during the follow-up period was the plasma fibrinogen level, an increase of 1 g/l being associated with a nearly two-fold increase in the probability of death within the next 6 years. Age, low ankle/brachial pressure index and a past history of myocardial infarction also increased the probability of death during the study period. The plasma fibrinogen level is a valuable index of those patients with stable intermittent claudication at high risk of early mortality. The results also provide further evidence for the involvement of fibrinogen in the pathogenesis of arterial disease.

Characteristics and risk factors associated with stroke subtypes among adult patients admitted to stroke unit of JUMC

2019 ◽  
Vol 15 ◽  
Author(s):  
Bekalu Getachew Gebreegziabher ◽  
Tesema Etefa Birhanu ◽  
Diriba Dereje Olana ◽  
Behailu Terefe Tesfaye
Keyword(s):  
Risk Factors ◽  
Stroke Unit ◽  
Medical Center ◽  
Data Entry ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Factors Associated ◽  
Stroke Subtypes

Background: Stroke is a great public health problem in Ethiopia. According to reports, in-hospital stroke mortality was estimated to be 14.7% in Ethiopia. Despite this, in this country researches done on factors associated with stroke sub-types were inadequate. Objective: To assess the Characteristics and risk factors associated with stroke sub-types among patients admitted to JUMC. Methods and materials: A retrospective cross sectional study was conducted from May 2017 to May 2018 in stroke unit of Jimma University Medical Center. A total of 106 medical charts of patients diagnosed with stroke were reviewed. Checklist comprising of relevant variables was used to collect data. SPSS version 21 was employed for data entry and analysis. Chi-square test was used to point-out association and difference among stroke sub-types. The data was presented using text, tables and figures. Result: From a total of 106 patients, 67(63.2%) were men. The mean ± SD of age was 52.67±12.46 years, and no significant association was found. Of all the patients, 59(55.6%) had ischemic strokes and 47(44.4%) had hemorrhagic strokes. The most common risk factor in the patients was alcohol use with a prevalence of 69.9%. Of all the risk factors, only sex, cigarettes smoking and dyslipidemia were significantly associated to sub-types of stroke. Conclusion: Ischemic stroke was the most common subtype of stroke. Sex of patient, cigarette smoking and dyslipidemia are significantly associated with the two stroke subtypes.

scholarly journals Seroprevalence of Brucellosis and Associated Risk Factors among Indigenous Breeds of Goats in Wukari, Taraba State, Nigeria

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Olaolu T. Olufemi ◽  
Danjuma B. Dantala ◽  
Paul A. Shinggu ◽  
Umesi A. Dike ◽  
Gbeminiyi R. Otolorin ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
The Public ◽  
Factors Associated ◽  
Males And Females ◽  
Associated Risk Factors ◽  
La Jolla

A cross-sectional study was conducted in Wukari, Taraba state, Nigeria, to determine the prevalence of Brucella antibodies and the risk factors associated with brucellosis in indigenous breeds of goats. A total of 386 goats were sampled from three political wards: Puje, Avyi, and Hospital: harvested sera samples were subjected to Rose Bengal Plate Test (RBPT). GraphPad Prism version 7.03 for Windows (GraphPad Software, La Jolla California, USA) was used to analyse the association between seroprevalence of brucellosis and age, sex, breed, location, and management system by using Chi square and Fisher’s exact test as appropriate. Brucellosis was detected in all three wards: Puje; 15%, Avyi; 6.6%, and Hospital; 7.6%. A prevalence rate of 2.8%, 8%, 18.7%, and 1% was recorded for <20-month, 22-35-month, 36-45-month, and ≥46-55-month age categories, respectively (P < 0.05). Only 9.5% was observed for male animals while 9.8% was observed for female animals with no statistical difference between the males and females. Breed-specific seroprevalence yielded 7.4%, 5.4% 12%, 12.8%, and 11.6%, for Cross, West Africa Dwarf, Red Sokoto, Kano Brown, and Sahel breeds of goat, respectively. There is an evidence of brucellosis (9.6%) in Wukari L.G.A, Taraba State, and age is a risk factor for the disease in the study area. There is a need to enlighten the public on the zoonotic potentials and economic impacts of brucellosis.

scholarly journals Risk factors of soil transmitted helminth infection among primary school students

2020 ◽  
Vol 11 (2) ◽  
pp. 126-132
Author(s):  
I Gede Gita Sastrawan ◽  
Jordaniel Setiabudi ◽  
Ni Putu Sanjiwani ◽  
Ni Komang Indriyani ◽  
Dewa Ayu Laksemi
Keyword(s):  
Risk Factors ◽  
Primary School ◽  
Ascaris Lumbricoides ◽  
Trichuris Trichiura ◽  
Personal Hygiene ◽  
Stool Examination ◽  
Primary School Students ◽  
School Students ◽  
Chi Square ◽  
Factors Associated

Latar belakang: Infeksi kronis dari soil transmitted helminth (STH) dapat menyebabkan gangguan gizi, pertumbuhan dan kognitif pada anak. Untuk mengurangi dampak infeksi STH, diperlukan identifikasi faktor risiko. Penelitian ini bertujuan untuk mengidentifikasi faktor risiko yang berhubungan dengan infeksi STH pada siswa sekolah dasar di Desa Seraya Timur, Karangasem, Bali. Metode: Penelitian ini menggunakan desain potong lintang dengan mengambil total sampel. Penelitian dilaksanakan pada bulan Januari 2020. Data primer mengenai faktor-faktor risiko infeksi STH dikumpulkan dengan menggunakan kuesioner. Diagnosis infeksi STH dilakukan dengan pemeriksaan tinja dengan metode Kato-Katz. Analisis data menggunakan uji chi-square untuk menentukan faktor risiko yang berhubungan dengan infeksi STH. Hasil: Sebanyak 83 siswa yang berusia 6-12 tahun berpartisipasi dalam penelitian ini. Terdapat 9 siswa (10.84%) yang terinfeksi STH dengan intensitas infeksi ringan. Sebanyak 55.56% terinfeksi Trichuris trichiura, 33.33% terinfeksi Ascaris lumbricoides dan 11.11% terinfeksi cacing tambang. Terdapat beberapa faktor risiko yang memiliki hubungan bermakna dengan infeksi STH diantaranya adalah sering bermain tanah (OR=6.86; 95%CI 1.326-35.494), bermain tanpa alas kaki (OR=10.5; 95%CI 1.249-88.278) tidak mencuci tangan setelah bermain tanah (OR=9.450; 95%CI 1.809-49.358) dan tidak memotong kuku secara rutin (OR=6.462; 95%CI 1.250-33.388).  Pemberian obat cacing setiap enam bulan mampu memberikan efek proteksi terhadap infeksi STH (OR=0.085; 95%CI 0.016-0.449). Kesimpulan: Kebersihan diri menjadi faktor risiko yang berhubungan dengan infeksi STH. Direkomendasikan untuk meningkatkan promosi kesehatan terkait kebersihan diri disamping pemberian obat cacing setiap enam bulan. Kata kunci: Faktor risiko, infeksi STH, anak sekolah dasar   Abstract   Background: Chronic soil transmitted helminth (STH) infection might cause nutritional, growth and cognitive impairment in children. Identifying the risk factors of STH infection is crucially needed to minimize the infection effects. This study aimed to identify risk factors associated with STH infections among primary school students in Seraya Timur Village, Karangasem, Bali. Methods: This study used a cross-sectional design with a total sampling method. The study was conducted in January 2020. Risk factors data were collected using a questionnaire. The diagnosis of STH infection was done by stool examination with the Kato-Katz method. The chi-square test was used to determine the risk factors associated with STH infection. Results: 83 students with ages ranging from 6-12 years participated in this study. There were 9 students (10.84%) whose infected with mild infection of STH. 55.56% of students were infected by Trichuris trichiura, 33.33% were Ascaris lumbricoides infections and 11.11% were hookworm infections. There were several risk factors that significantly associated with STH infection including ground’s playing (OR=6.86; 95%CI 1.326-35.494), barefoot (OR=10.5; 95%CI 1.249-88.278), did not wash hands after playing soil (OR=9.450; 95%CI 1.809-49.358) and did not routinely cut their nails (OR=6.462; 95%CI 1.250-33.388). Deworming every six months could provide a protective effect against STH infection (OR=0.085; 95%CI 0.016-0.449). Conclusion: Personal hygiene is a risk factor associated with STH infection. It is recommended to increase personal hygiene promotion besides dewormed every six months. Keywords: Risk factors, STH infection, primary school students

scholarly journals Incidence and Risk Factors of Nosocomial Infections in Neonatal Unit Sanglah General Hospital, Denpasar

2017 ◽  
Vol 38 (3-4) ◽  
pp. 68
Author(s):  
Suartawan Suartawan ◽  
Hamid HA
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Nosocomial Infection ◽  
General Hospital ◽  
Nosocomial Infections ◽  
Mode Of Delivery ◽  
Neonatal Unit ◽  
Chi Square ◽  
Female Ratio ◽  
Chi Square Test

The rate of morbidity due to infection including nosocomial infection during neonatal period is higher than that due to other causes. The purpose of this study was to know the incidence and risk factors of nosocomial infection. This study was conducted on all babies treated at the neonatal unit, Sanglah General Hospital, Denpasar during the period of April-June 1995. Chi square test was used to compare nosocomial infection between birth weight groups and mode of deliveries. The incidence of nosocomial infections in this study was 6%, with male to female ratio of 1.6:1. Skin infections were found most frequently. This occurrence of nosocomial infection was significantly related to the birth weight and mode of delivery, in which the risk of nosocomial infection was greater in babies with low birth weight and delivered by cesarean section or other obstetric procedures.

scholarly journals Risk factors associated with the development of dental caries in Bulgarian children

2021 ◽  
Vol 10 (2) ◽  
pp. 258
Author(s):  
Dobrinka Mitkova Damyanova ◽  
Valentina Velikova
Keyword(s):  
Risk Factors ◽  
Dental Caries ◽  
Invasive Treatment ◽  
Research Committee ◽  
Chi Square ◽  
Mean Values ◽  
Significance Level ◽  
Factors Associated ◽  
Pediatric Dentists ◽  
And Behavior

The purpose of this study was to examine the risk factors associated with the development of dental caries in children in Bulgaria. The research has been carried out at the Faculty of Dental Medicine, in the period 2015-2016, with the permission of the University Scientific Research Committee and informed consent signed by each parent. The subject of observation was parents of children from Varna region in Bulgaria. The results were statistically processed with SPSS v.20.0, using variation and comparison (chi-square) analyzes. For significance level we assume p&lt;0.05. The volume of observation encompasses 100 persons. Units of observation are patients aged three to six years with the need for prevention and treatment of dental caries of the primary dentition. The registration was done in a specially developed questionnaire, including 22 questions, each with the possibility of more than one answer. In processing the obtained data, Student's criterion was used to compare the mean values of two independent samples. In a comparative analysis of the results, we found that 71.01% of children aged three to six years visit a dentist, and patients use fluoride only in the form of toothpaste containing fluoride. When studying the knowledge and behavior of parents in the direction of risk factors for the development of dental caries and oral prophylaxis, need for a new approach of pediatric dentists has been found, focused on programming preventive and non-invasive treatment of children according to their individual needs.

scholarly journals Risk Factors Associated With The Incidence Of Ari In Infants Ages 0-2 Years In One Of The Highest Contributing Areas For Ari, East Java

2021 ◽  
Vol 4 (2) ◽  
pp. 157
Author(s):  
Eti Vera Asmaningrum ◽  
Dani Nasirul Haqi
Keyword(s):  
Risk Factors ◽  
Vitamin A ◽  
Chi Square ◽  
Cross Sectional ◽  
Factors Associated

Latar Belakang: ISPA masih menjadi masalah utama penyebab kematian bayi dan balita di Indonesia. Ada beberapa faktor yang berhubungan dengan kejadian ISPA diantaranya: asap rokok, umur anak, berat badan lahir, status gizi kurang, tidak memberikan ASI, riwayat imunisasi yang tidak lengkap, dan pemberian vitamin A. ISPA masih menjadi masalah utama kunjungan balita pelayanan kesehatan di Desa Tlatah, Purwosari, Bojonegoro. Purpose: Menentukan Faktor Risiko yang Berhubungan dengan Kejadian ISPA Pada Bayi Usia 0-2 Tahun Di Desa Tlatah, Purwosari, Bojonegoro. Metode: Jenis Penelitian ini adalah deskriptif analitik dengan menggunakan rancangan Cross Sectional. Sampel penelitian berjumlah 34 responden dari 42 responden yang mempunyai bayi usia 0-2 tahun. Hasil: Hasil penelitian ini dengan uji chi square menunjukkan bahwa ada hubungan antara paparan asap rokok anggota keluarga dan status gizi anak dengan kejadian ISPA pada bayi usia 0-2 Tahun Di Desa Tlatah, Purwosari, Bojonegoro dengan nilai (p=0,001; RR=6.353; 95%CI=1.008-40.056) dan (p=0,000; RR=0.391; 95%CI=0.235-0.651). Kesimpulan: Oleh karena itu, diharapkan anggota keluarga memperhatikan kondisi anak dengan tidak melakukan perilaku yang tidak sehat sehingga keluarga dapat meningkatkan derajat kesehatan anak dan anggota keluarga lainnya.

scholarly journals Association of AKI-D with Urinary Findings and Baseline eGFR in Hospitalized COVID-19 Patients

Kidney360 ◽  
2021 ◽  
pp. 10.34067/KID.0001612021
Author(s):  
Dipal M. Patel ◽  
Manali Phadke ◽  
Feng Dai ◽  
Michael Simonov ◽  
Neera K. Dahl ◽  
...  
Keyword(s):  
Risk Factors ◽  
Inflammatory Markers ◽  
Kidney Injury ◽  
Fold Increase ◽  
Patient Characteristics ◽  
Hospital Death ◽  
Health Records ◽  
Lower Odds ◽  
Factors Associated ◽  
Multiple Covariates

Background: Acute kidney injury (AKI) is common in patients hospitalized with coronavirus disease 2019 (COVID-19). Risk factors for AKI requiring dialysis (AKI-D) are not fully understood. We aimed to identify risk factors associated with AKI-D and AKI not requiring dialysis (AKI-ND). Methods: We reviewed electronic health records of 3186 patients aged > 18 years old hospitalized with COVID-19 across six hospitals. Patient characteristics, urinalysis findings, and inflammatory markers were analyzed for association with in-hospital AKI status (AKI-D, AKI-ND, or no AKI), and we subsequently evaluated mortality. Results: After adjustment for multiple covariates, higher baseline eGFR was associated with 30% lower odds of AKI-D and 11% lower odds of AKI-ND (OR 0.70, 95% CI 0.64-0.77 for AKI-D; OR 0.89, 95% CI 0.85-0.92 for AKI-ND). Patients with obesity and Latino patients had increased odds of AKI-D, whereas those with congestive heart failure or diabetes with complications had increased odds of AKI-ND. Females had lower odds of in-hospital AKI (OR 0.28, 95% CI 0.17-0.46 for AKI-D; OR 0.83, 95% CI 0.70-0.99 for AKI-ND). After adjustment for covariates and baseline eGFR, 1-4+ protein on initial urinalysis was associated with a 9-fold increase in odds of AKI-D (OR 9.00, 95% CI 2.16-37.38) and > 2-fold higher odds of AKI-ND (OR 2.28, 95% CI 1.66-3.13). 1-3+ blood and trace glucose on initial urinalysis were also associated with increased odds of both AKI-D and AKI-ND. AKI-D and AKI-ND were associated with in-hospital death (OR 2.64, 95% CI 1.13-6.17 for AKI-D; OR 2.44, 95% CI 1.77-3.35 for AKI-ND). Conclusions: Active urine sediments, even after adjustment for baseline kidney function, and reduced baseline eGFR are significantly associated with increased odds of AKI-D and AKI-ND. In-hospital AKI was associated with in-hospital death. These findings may help prognosticate patients hospitalized with COVID-19.

scholarly journals Awareness Of Risk Factors Associated With Obesity Among Homemakers

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 773-779
Author(s):  
Akifa begum ◽  
Kavitha S ◽  
Sridevi G ◽  
Vishnupriya V ◽  
Gayathri R
Keyword(s):  
Risk Factors ◽  
Adverse Effect ◽  
Body Fat ◽  
Heart Diseases ◽  
Descriptive Analysis ◽  
Chi Square ◽  
Factors Associated ◽  
Physical Exercises ◽  
Spss Software ◽  
Sleeping Habits

Obesity is a condition in which excess body fat has accumulated to the extent that it may have an adverse effect on health. There are many reasons why a person becomes obese, and in case of homemakers, the main cause of obesity can be their sleeping habits, or the type of food they eat regularly, or lack of physical exercises. There are many risk factors of obesity which the homemakers should be aware of to reduce the chances of obesity and keep their lives healthy. The aim of the study was to create awareness on risk factors of obesity among homemakers. A questionnaire was prepared and circulated via an online platform. The data were collected, tabulated and analysed using SPSS software. Descriptive analysis and chi-square association test was performed. According to the results observed, an average of 83% of the participants is aware of the risk factors of obesity. 75.6% of the participants are aware that obesity causes heart diseases and digestive problems. The conclusion is that the majority of the homemakers are aware of the risk factors of obesity.

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