Factors Associated with Inappropriate Utilisation of Emergency Department Services

2007 ◽  
Vol 19 (2) ◽  
pp. 29-36 ◽  
Author(s):  
H.G. Selasawati ◽  
L. Naing ◽  
W.A. Wan Aasim ◽  
T. Winn ◽  
B.N. Rusli
Keyword(s):  
Emergency Department ◽  
Associated Factors ◽  
Case Control Study ◽  
Severity Of Illness ◽  
Health Seeking ◽  
Factors Associated ◽  
Sociodemographic Data ◽  
Perceived Illness ◽  
Self Administered Questionnaire ◽  
Control Study

This study was carried out to determine the associated factors and the reasons for inappropriate utilisation of Emergency Department (ED) services at Universiti Sains Malaysia Hospital. A case-control study was conducted with 170 cases from ED and 170 controls from the Outpatient Department (OPD). A self-administered questionnaire was designed and used to obtain sociodemographic data, knowledge on the functions of ED and OPD, health seeking attitude and behaviour, and reasons for seeking treatment at ED. The study found that gender, marital status, family size, shift work, perceived illness, and knowledge on the role and functions of ED and OPD were significant associated factors. The three most common reasons for inappropriate utilisation of ED were as follows: "due to severity of illness" (85%), "can't go to OPD during office hours" (42%), and "ED near my house" (27%). Asia Pac J Public Health 2007; 19(2): 29-36.

Factors Associated With Unplanned Extubation in Children: A Case–Control Study

2017 ◽  
Vol 35 (1) ◽  
pp. 74-81
Author(s):  
Paulo Sérgio Lucas da Silva ◽  
Marcelo Cunio Machado Fonseca
Keyword(s):  
Risk Factors ◽  
Case Control Study ◽  
Oxygenation Index ◽  
Severity Of Illness ◽  
Pediatric Intensive Care ◽  
Case Control ◽  
Admission Diagnosis ◽  
Unplanned Extubation ◽  
Factors Associated ◽  
Control Study

Purpose:Although several studies assess unplanned extubation (UE) in children, few have addressed determinants of UE and factors associated with reintubation in a case-controlled manner. We aimed to identify the risk factors and outcomes associated with UE in a pediatric intensive care unit.Methods:Cases of UE were randomly matched with control patients at a ratio of 1:4 for age, severity of illness, and admission diagnosis. For cases and controls, we also collected data associated with UE events, reintubation, and outcomes.Results:We analyzed 94 UE patients (0.75 UE per 100 intubation days) and found no differences in demographics between the 2 groups. Logistic regression revealed that patient agitation (odds ratio [OR]: 2.44; 95% confidence interval [CI]: 1.28-4.65), continuous sedation infusion (OR: 3.27; 95% CI: 1.70-6.29), night shifts (OR: 9.16; 95% CI: 4.25-19.72), in-charge nurse experience <2 years (OR: 2.38; 95% CI: 1.13-4.99), and oxygenation index (OI) >5 (OR: 76.9; 95% CI: 16.79-352.47) were associated with UE. Risk factors for reintubation after UE included prior level of sedation (COMFORT score < 27; OR: 7.93; 95% CI: 2.30-27.29), copious secretion (OR: 11.88; 95% CI: 2.20-64.05), and OI > 5 (OR: 9.32; 95% CI: 2.45-35.48).Conclusions:This case–control study showed that both patient- and nurse-associated risk factors were related to UE. Risk factors associated with reintubation included lower levels of consciousness, copious secretions, and higher OI. Further evidence-based studies, including a larger sample size, are warranted to identify predisposing factors in UEs.

scholarly journals Comparison of a Positive Deviant Inquiry with a Case-Control Study to Identify Factors Associated with Nutritional Status among Afghan Refugee Children in Pakistan

2002 ◽  
Vol 23 (4_suppl2) ◽  
pp. 26-33 ◽  
Author(s):  
Karin Lapping ◽  
Dirk Schroeder ◽  
David Marsh ◽  
Rachel Albalak ◽  
Mohammad Zahir Jabarkhil
Keyword(s):  
Nutritional Status ◽  
Case Control Study ◽  
Case Control ◽  
Positive Deviance ◽  
Refugee Children ◽  
Health Seeking ◽  
Feeding Behaviors ◽  
Factors Associated ◽  
Afghan Refugee ◽  
Control Study

We compared the positive deviance (PD) approach in Save the Children's field guide with a case-control study (CCS) to identify behaviors associated with good nutritional status in Afghan refugee children 6 to 24 months of age in the Northwest Frontier Province (NWFP), Pakistan. The positive deviance inquiry (PDI), utilizing observations and interviews with mothers, fathers, and secondary caregivers in eight households, identified 12 feeding, caring, and health-seeking behaviors that were not widely practiced. The CCS, using the same selection criteria and content as the PDI with 50 mother-child pairs not in the PDI, yielded six significant associations with good nutritional status. Both the PDI and CCS detected feeding behaviors. The PDI alone identified complex phenomena (active feeding and maternal affect). The CCS alone confirmed the beneficial use of health services. The PD approach was an affordable, participatory, and valid method to identify feeding behaviors and other factors associated with good nutrition in this context.

Factors Associated with Stroke Misdiagnosis in the Emergency Department: A Retrospective Case-Control Study

2018 ◽  
Vol 51 (3-4) ◽  
pp. 123-127 ◽  
Author(s):  
Abhay Venkat ◽  
Cecilia Cappelen-Smith ◽  
Shabeel Askar ◽  
Peter R. Thomas ◽  
Sonu Bhaskar ◽  
...  
Keyword(s):  
Emergency Department ◽  
Case Control Study ◽  
Case Control ◽  
Retrospective Case ◽  
Factors Associated ◽  
Control Study

scholarly journals Risk factors associated to neural tube defects among mothers who gave birth in North Shoa Zone Hospitals, Amhara Region, Ethiopia 2020: Case control study

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0250719
Author(s):  
Aynalem Gashaw ◽  
Sisay Shine ◽  
Osman Yimer ◽  
Melat Wodaje
Keyword(s):  
Risk Factors ◽  
Neural Tube ◽  
Neural Tube Defects ◽  
Associated Factors ◽  
Case Control Study ◽  
Chemical Exposure ◽  
Case Control ◽  
Factors Associated ◽  
History Of ◽  
Control Study

Introduction Neural tube defects affect the brain and the spinal cord of the developing embryo. The defects occur due to incomplete or failure of closure of the neural tube. The condition eventually causes death and lifelong disability. Worldwide, more than 300,000 babies are born with neural tube defects each year. The highest burden is in low- and middle-income countries. Therefore, this study aims to identify the risk factors associated with neural tube defects among mothers who gave birth in North Shoa Zone Hospitals. Methods A hospital based unmatched case-control study was conducted among 243 (81 cases and 162 controls) study participants in North Shoa Zone Hospitals. The hospitals were selected using simple random sampling and all cases and randomly selected controls in the selected hospitals were included in the study. The data were collected by using pre-tested structured questionnaire. Results Different factors were identified to have association with neural tube defect. Family annual cash income less than 24000ETB (AOR: 3.73, 95%CI: 1.35, 10.26), history of still birth (AOR: 3.63, 95%CI: 1.03, 12.2), history of abortion (AOR: 6.15, 95%CI: 2.63, 18.56), preconception tea use (AOR: 2.36, 95%CI: 1.15, 4.86) and pesticides/chemical exposure (AOR: 5.34, 95%CI: 1.77, 16.05) were positively associated factors. In contrast, preconception care (AOR: 0.14, 95%CI: 0.05, 0.39) and taking iron/folic acid/multivitamin during the current pregnancy (AOR: 0.16, 95%CI: 0.07, 0.33) showed a protective effect. Conclusion Family annual income less than 24000ETB, history of still birth, history of abortion, preconception tea uses and pesticides/chemical exposure were associated factors of neural tube defects. Preconception counseling and screening should be recommended for women who plan for pregnancy.

scholarly journals Factors associated with Hospitalization among COVID-19 Home Quarantine Patients in Melaka Tengah District, Melaka, Malaysia

2021 ◽  
Vol 2 (2) ◽  
pp. 117-124
Author(s):  
Syafiq, S.S ◽  
Mohd Ridzuan J ◽  
Noor Aizam M.S. ◽  
Kathy Lim Yeen Luan ◽  
Ammar Hamzah ◽  
...  
Keyword(s):  
Associated Factors ◽  
Case Control Study ◽  
Healthcare Providers ◽  
The Elderly ◽  
Chi Square ◽  
Period Analysis ◽  
Factors Associated ◽  
Assessment Centre ◽  
Risk Patients ◽  
Control Study

   Background: COVID-19 is an emerging new disease, recognized in late 2019, has since caused public health pandemic worldwide. Since the establishment of the COVID-19 Assessment Centre (CAC), cases were staged in terms of the severity. The mild cases were allowed for home quarantine and the severe cases were hospitalized. This study will assist healthcare providers to identify the high-risk patients and anticipate proactively, reducing morbidity and mortality. The study aimed to determine the incidence rate of hospitalization among home quarantined patients and its associated factors.  Methods: A case-control study design was conducted from 16th August until 30th September 2021 involving newly diagnosed COVID-19 patients under the CAC Melaka Tengah monitoring. A case was defined as home quarantined patient whom later required hospitalization, while a control was defined as home quarantined patient throughout the period. Analysis using Chi-square and Multiple Logistic Regression were done to determine the significant associated factors.  Results: There were 13,748 COVID-19 patients; with 8,237 were home quarantined and 82 required hospitalization later (1.0%). A total of 164 patients were included (82 cases and 82 controls). Among the hospitalized, 30.5% were aged 60 and above, 39.0% with comorbidity, 70.7% were symptomatic, and 40.2% were fully vaccinated. From the analysis, the only significant factor associated with hospitalization was age > 60 years old (p<0.05).  Conclusion: There were home quarantined patients that required hospitalization later, especially the elderly patients. Thus, the CAC team should give priority for hospital admission to these cases instead of home quarantine order. 

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