scholarly journals Factors associated with do-not-resuscitate document completion among patients hospitalized in geriatric ward

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chien-Yi Wu ◽  
Chun-Hao Jen ◽  
Yun-Shiuan Chuang ◽  
Tzu-Jung Fang ◽  
Yu-Hsuan Wu ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Older Patients ◽  
Clinical Information ◽  
Tertiary Hospital ◽  
Albumin Level ◽  
Do Not Resuscitate ◽  
Geriatric Ward ◽  
Chi Square ◽  
Nutrition Screening ◽  
Factors Associated

Abstract Background With a rapidly aging population, there is an increasing need for do-not-resuscitate (DNR) and advance care planning (ACP) discussions. This study investigated the factors associated with signing DNR documents of older patients in the geriatric ward. Methods We conducted a retrospective cohort study at a geriatric ward in a tertiary hospital in Southern Taiwan. Three hundred and thirty-seven hospitalized older patients aged ≥65 years in the geriatric ward from 2018 to 2019. The Hospital Information System and electronic medical records were accessed to obtain details regarding patients’ demographics, daily living activities, serum albumin level, nutrition screening score, intensive care unit transferal, resuscitation procedure, days of hospital stay, and survival status on discharge, and DNR status was recorded retrospectively. Patients were classified into DNR and non-DNR groups, with t-tests and Chi-square tests applied to compare the differences between groups. Logistic regression was performed to predict factors related to the DNR documents. Results A total of 337 patients were included, 66 of whom had signed a DNR during hospitalization. After multivariate logistic regression, age 85 or more compared to age 65–74 (adjusted odds ratio, aOR 5.94), poor nutrition with screening score two or more (aOR 2.71), albumin level less than 3 (aOR 3.24), Charlson Comorbidity Index higher than 2 (aOR 2.46) and once transferred to ICU (aOR 5.11) were independently associated with DNR documentation during hospitalization. Conclusions Several factors related to DNR documents for geriatric patients were identified which could provide clinical information for physicians, patients, and their families to discuss DNR and ACP.

scholarly journals Pola Konsumsi Makanan Sumber Yodium dan Goitrogenik dengan GAKY pada Anak Usia Sekolah di Ponorogo

2017 ◽  
Vol 1 (2) ◽  
pp. 88 ◽  
Author(s):  
Imaniar Mahdiya Izati ◽  
Trias Mahmudiono
Keyword(s):  
Logistic Regression ◽  
Influence Factor ◽  
Sixth Grade ◽  
Case Control ◽  
Iodine Intake ◽  
Spearman Correlation ◽  
Iodine Deficiency Disorders ◽  
Chi Square ◽  
Factors Associated ◽  
Nutritional Problem

 Background: Iodine deficiency disorders (IDD) is one of nutritional problem in Indonesia. Inadequate intake of iodine and excessive goitrogenic intake is are main cause of IDD. Objectives: This study aimed to determine factors associated with IDD among schoolchildren. Methods: This study was an observational analytic with case control design in Sidoharjo Village, Jambon Sub District, Ponorogo on May 2017. The sample was 62 students from the first – sixth grade of SDN IV Krebet. They are consist of 31 students suffer IDD and 31 students with non IDD measured from goiter palpation. The data was collected by interview using questionnaire, iodine and goitrogenic consumption using FFQ. Data were analyzed by using chi square, fisher exact, spearman correlation and logistic regression. Results: Dietary iodine source that are rarely consumed is seafood (79,03%). Dietary goitrogenic source that are often consumed is tiwul (48,39%). Logistic regression analysis showed that seafood intake is the most influence factor of IDD (p= 0,011). Conclusion: There was a relation between iodine intake and goitrogenic intake with IDD among school children. Meanwhile, there is no association between characteristic of family with IDD among school children.ABSTRAK Latar Belakang: Gangguan Akibat Kekurangan Yodium (GAKY) merupakan salah satu masalah yang ada di Indonesia hingga saat ini. Rendahnya asupan yodium dan tingginya konsumsi sumber goitrogenik adalah penyebab terjadinya GAKY.Tujuan: Untuk mengetahui faktor yang berhubungan terhadap kejadian GAKY pada anak usia sekolah.Metode: Penelitian ini merupakan penelitian observasional analitik dengan desain case control dan dilakukan di Desa Sidoharjo, Kecamatan Jambon, Kabupaten Ponorogo pada bulan Mei 2017. Sampel penelitian ini yaitu siswa SDN IV Krebet dari kelas I-VI yang terdiri dari 62 siswa dimana 31 siswa menderita GAKY dan 31 siswa tidak menderita GAKY yang didapatkan dari hasil pemerikasaan palpasi. Pengumpulan data dilakukan menggunakan metode wawancara dengan kuesioner dan FFQ untuk mengetahui pola konsumsi makanan sumber yodium serta goitrogenik. Data dianalisis menggunakan chi square, fisher exact, korelasi spearman dan regresi logistik.Hasil: Makanan sumber yodium yang jarang dikonsumsi oleh responden adalah ikan laut (79,03%). Sedangkan makanan sumber goitrogenik yang sering dikonsumsi oleh responden adalah tiwul (48,39%). Hasil uji regresi logistik menunjukkan bahwa faktor yang paling berpengaruh terhadap kejadian GAKY yaitu pola konsumsi ikan laut (p= 0,011).Kesimpulan: Terdapat hubungan antara pola konsumsi ikan laut, pola konsumsi telur dan pola konsumsi tiwul dengan kejadian GAKY. Sebaliknya tidak terdapat hubungan antara karakteristik keluarga dengan kejadian GAKY.  

scholarly journals Characteristics, Hospital Referrals and 60-Day Mortality of Older Patients Living In Nursing Homes With Covid-19 Assessed by a Liaison Geriatric Team During The First Wave: A Research Article.

2021 ◽  
Author(s):  
Lorena García-Cabrera ◽  
Noelia Pérez-Abascal ◽  
Beatriz Montero-Errasquín ◽  
Lourdes Rexach Cano ◽  
Jesús Mateos-Nozal ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Nursing Home ◽  
Nursing Homes ◽  
Older Patients ◽  
Clinical Characteristics ◽  
Hospital System ◽  
Factors Associated ◽  
Hospital Referral ◽  
Geriatric Hospital ◽  
Geriatric Team

Abstract Background: The infection by SARS-CoV-2 (COVID-19) has been especially serious in older patients. The aim of this study is to describe baseline and clinical characteristics, hospital referrals, 60-day mortality, factors associated with hospital referrals and mortality in older patients living in nursing homes (NH) with suspected COVID-19.Methods: A retrospective observational study was performed during March and April 2020 of institutionalized patients assessed by a liaison geriatric hospital-based team. Were collected all older patients living in 31 nursing homes of a public hospital catchment area assessed by a liaison geriatric team due to the suspicion of COVID-19 during the first wave, when the hospital system was collapsed. Sociodemographic variables, comprehensive geriatric assessment, clinical characteristics, treatment received including care setting, and 60-days mortality were recorded from electronic medical records. A logistic regression analysis was performed to analyze the factors associated with mortality. Results: 419 patients were included in the study (median age 89 years old, 71.6% women, 63.7% with moderate-severe dependence, and 43.8% with advanced dementia). 31.1% were referred to the emergency department in the first assessment, with a higher rate of hospital referral in those with better functional and mental status. COVID-19 atypical symptoms like functional decline, delirium, or eating disorders were frequent. 36.9% had died in the 60 days following the first call. According to multivariate logistic regression age (p 0.010), Barthel index <60 (p 0.002), presence of tachypnea (p 0.021), fever (p 0.006) and the use of ceftriaxone (p 0.004) were associated with mortality. No mortality differences were found between those referred to the hospital or cared at the nursing home.Conclusions and implications: 31% of the nursing home patients assessed by a liaison geriatric hospital-based team for COVID-19 were referred to the hospital, being more frequently referred those with a better functional and cognitive situation. The 60-days mortality rate due to COVID-19 was 36.8% and was associated with older age, functional dependence, the presence of tachypnea and fever, and the use of ceftriaxone. Geriatric comprehensive assessment and coordination between NH and the hospital geriatric department teams were crucial.

scholarly journals Sarcoma Does Not Predict Malnutrition in Cancer Patients: A Retrospective Cohort Study

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1131-1131
Author(s):  
Nankun Liu ◽  
Alexander Hien Vu ◽  
David Seres ◽  
Max Shen
Keyword(s):  
Logistic Regression ◽  
Cancer Patients ◽  
Albumin Level ◽  
T Test ◽  
P Value ◽  
Chi Square ◽  
Global Test ◽  
Hospital Malnutrition ◽  
Increased Risk ◽  
Using Data

Abstract Objectives The association between inflammation, malnutrition, and cancer is not well understood. The aim of this study was to examine the association between inflammatory-type cancer and diagnosed malnutrition, albumin level, and age in patients with cancer. Methods Malnutrition and cancer diagnoses were obtained using data from hospital medical records in patients admitted for cancer between Oct. 2017 and Dec. 2018. Demographics, as well as the first and lowest albumin levels were also obtained. A simple t-test is processed between age and malnutrition status. Also a chi-square test of independence was performed to examine the relation between malnutrition and hypoalbuminemia status. Logistic regression was conducted between malnutrition status, sarcoma cancer, age, and hypoalbuminemia. Results The study included 4034 patients (2084 males, 1949 females). Approximately 4% of the patients were diagnosed with malnutrition. Logistic regression on malnutrition status, sarcoma, age, and hypoalbuminemia showed a significant association on global test (3, 2433, P-value = 0.013). Hypoalbuminemia (&lt; 3.9 g/dL lower-limit) was significantly associated with malnutrition (X2 1, 2433 P-value = 0.0156). Sarcoma diagnosis was not significantly associated with malnutrition (X2 1, 2433 P-value = 0.267). Age is not significantly related to malnutrition status (X2 1, 2433 p-value = 0.449). A t-test was also performed malnutrition vs no malnutrition on age, resulting in a marginally significant association for malnutrition group (M = 65.33, SD = 15.50) vs no malnutrition group (M = 67.32, SD = 17.55) (t(1) = 3.7212, P = 0.0537). Conclusions Sarcoma is not significantly associated with an increased risk of malnutrition. Cancer patients with hypoalbuminemia have a higher risk for malnutrition compared to the patients with normal albumin level. Additionally, age may be a predictor for cancer patients’ risk of in-hospital malnutrition. Funding Sources None.

RISK FACTORS AND SEROPREVALENCE OF BRUCELLA SPP. IN CATTLE FROM WESTERN AMAZON, BRAZIL

2007 ◽  
Vol 74 (4) ◽  
pp. 301-305
Author(s):  
D.M. Aguiar ◽  
G.T. Cavalcante ◽  
M.B. Labruna ◽  
S.A. Vasconcellos ◽  
A.A.R. Rodrigues ◽  
...  
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Regression Analysis ◽  
Rose Bengal ◽  
Laboratory Tests ◽  
Herd Size ◽  
Chi Square ◽  
Factors Associated ◽  
Associated Risk Factors ◽  
Significant Factors

ABSTRACT The seroprevalence of Brucella spp. and the possible associated risk factors were estimated for 2,109 adult cows in Monte Negro county, State of Rondônia, Brazil. A questionnaire was completed for each farm where cattle were sampled. Laboratory tests were Rose-Bengal Agglutination, Standard Tube agglutination, and Mercaptoethanol. The adjusted overall prevalence of Brucella spp. seropositive cows for Monte Negro county was 15% and at least 54 herds (63%) were positive. A logistic regression analysis suggested that the herd size of more than 25 cows and the presence of pigs were significant factors associated with the seropositivity (herd size: OD = 2.8; P=0.02; presence of pigs: OD = 2.5; P =0.04). Other significant variables associated to the infection, analysed by Chi-Square were the presence of seropositivity cows with the herd that were repeat breeders and birth of weak calves (P < 0.05).

scholarly journals Pola Konsumsi Makanan Sumber Yodium dan Goitrogenik dengan GAKY pada Anak Usia Sekolah di Ponorogo

2017 ◽  
Vol 1 (2) ◽  
pp. 88
Author(s):  
Imaniar Mahdiya Izati ◽  
Trias Mahmudiono
Keyword(s):  
Logistic Regression ◽  
Influence Factor ◽  
Sixth Grade ◽  
Case Control ◽  
Iodine Intake ◽  
Spearman Correlation ◽  
Iodine Deficiency Disorders ◽  
Chi Square ◽  
Factors Associated ◽  
Nutritional Problem

 Background: Iodine deficiency disorders (IDD) is one of nutritional problem in Indonesia. Inadequate intake of iodine and excessive goitrogenic intake is are main cause of IDD. Objectives: This study aimed to determine factors associated with IDD among schoolchildren. Methods: This study was an observational analytic with case control design in Sidoharjo Village, Jambon Sub District, Ponorogo on May 2017. The sample was 62 students from the first – sixth grade of SDN IV Krebet. They are consist of 31 students suffer IDD and 31 students with non IDD measured from goiter palpation. The data was collected by interview using questionnaire, iodine and goitrogenic consumption using FFQ. Data were analyzed by using chi square, fisher exact, spearman correlation and logistic regression. Results: Dietary iodine source that are rarely consumed is seafood (79,03%). Dietary goitrogenic source that are often consumed is tiwul (48,39%). Logistic regression analysis showed that seafood intake is the most influence factor of IDD (p= 0,011). Conclusion: There was a relation between iodine intake and goitrogenic intake with IDD among school children. Meanwhile, there is no association between characteristic of family with IDD among school children.ABSTRAK Latar Belakang: Gangguan Akibat Kekurangan Yodium (GAKY) merupakan salah satu masalah yang ada di Indonesia hingga saat ini. Rendahnya asupan yodium dan tingginya konsumsi sumber goitrogenik adalah penyebab terjadinya GAKY.Tujuan: Untuk mengetahui faktor yang berhubungan terhadap kejadian GAKY pada anak usia sekolah.Metode: Penelitian ini merupakan penelitian observasional analitik dengan desain case control dan dilakukan di Desa Sidoharjo, Kecamatan Jambon, Kabupaten Ponorogo pada bulan Mei 2017. Sampel penelitian ini yaitu siswa SDN IV Krebet dari kelas I-VI yang terdiri dari 62 siswa dimana 31 siswa menderita GAKY dan 31 siswa tidak menderita GAKY yang didapatkan dari hasil pemerikasaan palpasi. Pengumpulan data dilakukan menggunakan metode wawancara dengan kuesioner dan FFQ untuk mengetahui pola konsumsi makanan sumber yodium serta goitrogenik. Data dianalisis menggunakan chi square, fisher exact, korelasi spearman dan regresi logistik.Hasil: Makanan sumber yodium yang jarang dikonsumsi oleh responden adalah ikan laut (79,03%). Sedangkan makanan sumber goitrogenik yang sering dikonsumsi oleh responden adalah tiwul (48,39%). Hasil uji regresi logistik menunjukkan bahwa faktor yang paling berpengaruh terhadap kejadian GAKY yaitu pola konsumsi ikan laut (p= 0,011).Kesimpulan: Terdapat hubungan antara pola konsumsi ikan laut, pola konsumsi telur dan pola konsumsi tiwul dengan kejadian GAKY. Sebaliknya tidak terdapat hubungan antara karakteristik keluarga dengan kejadian GAKY.  

scholarly journals Factors Associated with 0-28 Day Neonatal Mortality in Central Aceh Regency in 2020

2021 ◽  
Vol 2 (2) ◽  
pp. 38-49
Author(s):  
Asriwati Amirah ◽  
Thomson P Nadapdap ◽  
Suryani Suryani
Keyword(s):  
Logistic Regression ◽  
Neonatal Mortality ◽  
Maternal Age ◽  
P Value ◽  
Multiple Logistic Regression ◽  
Chi Square ◽  
Factors Associated ◽  
Regression Test ◽  
Chi Square Test ◽  
Logistic Regression Test

This study aims to determine the factors associated with neonatal mortality 0-28 days in Central Aceh District in 2020. This research is a quantitative study with a case control research design and uses a retrospective approach. The study population was all mothers giving birth whose babies died at the age of 0-28 days from January to December 2020. The sample in this study was 120 respondents consisting of 60 cases and 60 controls. The sampling technique used was total sampling. Data analysis using chi square test and multiple logistic regression test. The results of the bivariate analysis using the chi square test showed that there were 2 variables that were significantly related to neonatal mortality, namely the maternal age variable with p value = 0.012 and the pregnancy examination variable with p value = 0.047. The results of multivariate analysis with multiple logistic regression test showed that there were 3 variables that influenced neonatal mortality, namely the maternal age variable with a p value of 0.001, the birth spacing variable with a p value of 0.018 and the pregnancy examination variable with a p value of 0.018, while the most dominant variable affecting the incidence of death Neonatal age is the variable of maternal age with an OR value of 4.397.

scholarly journals Characteristics, hospital referrals and 60-day mortality of older patients living in nursing homes with COVID-19 assessed by a liaison geriatric team during the first wave: a research article

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lorena García-Cabrera ◽  
Noelia Pérez-Abascal ◽  
Beatriz Montero-Errasquín ◽  
Lourdes Rexach Cano ◽  
Jesús Mateos-Nozal ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Nursing Home ◽  
Nursing Homes ◽  
Older Patients ◽  
Clinical Characteristics ◽  
Hospital System ◽  
Factors Associated ◽  
Hospital Referral ◽  
Geriatric Hospital ◽  
Geriatric Team

Abstract Background The infection by SARS-CoV-2 (COVID-19) has been especially serious in older patients. The aim of this study is to describe baseline and clinical characteristics, hospital referrals, 60-day mortality, factors associated with hospital referrals and mortality in older patients living in nursing homes (NH) with suspected COVID-19. Methods A retrospective observational study was performed during March and April 2020 of institutionalized patients assessed by a liaison geriatric hospital-based team. Were collected all older patients living in 31 nursing homes of a public hospital catchment area assessed by a liaison geriatric team due to the suspicion of COVID-19 during the first wave, when the hospital system was collapsed. Sociodemographic variables, comprehensive geriatric assessment, clinical characteristics, treatment received including care setting, and 60-days mortality were recorded from electronic medical records. A logistic regression analysis was performed to analyze the factors associated with mortality. Results 419 patients were included in the study (median age 89 years old, 71.6 % women, 63.7 % with moderate-severe dependence, and 43.8 % with advanced dementia). 31.1 % were referred to the emergency department in the first assessment, with a higher rate of hospital referral in those with better functional and mental status. COVID-19 atypical symptoms like functional decline, delirium, or eating disorders were frequent. 36.9% had died in the 60 days following the first call. According to multivariate logistic regression age (p 0.010), Barthel index <60 (p 0.002), presence of tachypnea (p 0.021), fever (p 0.006) and the use of ceftriaxone (p 0.004) were associated with mortality. No mortality differences were found between those referred to the hospital or cared at the nursing home. Conclusions and implications 31% of the nursing home patients assessed by a liaison geriatric hospital-based team for COVID-19 were referred to the hospital, being more frequently referred those with a better functional and cognitive situation. The 60-days mortality rate due to COVID-19 was 36.8% and was associated with older age, functional dependence, the presence of tachypnea and fever, and the use of ceftriaxone. Geriatric comprehensive assessment and coordination between NH and the hospital geriatric department teams were crucial.

Cancer patients with ECOG-PS higher than 1: Who are those who benefit of palliative chemotherapy?

2013 ◽  
Vol 31 (15_suppl) ◽  
pp. 9561-9561
Author(s):  
Rafael Caires-Lima ◽  
Bruno Mendonça Protásio ◽  
Inacelli Queiroz de Souza Caires ◽  
Lucila Soares Da Silva Rocha ◽  
Julia Andrade De Oliveira ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Regression Analysis ◽  
Logistic Regression Analysis ◽  
Palliative Chemotherapy ◽  
Metastatic Cancer ◽  
Rank Test ◽  
Fisher Exact Test ◽  
Chi Square ◽  
Factors Associated ◽  
Ecog Ps

9561 Background: Palliative chemotherapy (PC) is a treatment option in pts with metastatic cancer. Although pts with ECOG-PS > 1 are underrepresented in clinical trials, they are often treated with PC in daily practice. We aimed to identify factors associated with poorer survival and lack of benefit of PC in this subset of pts. Methods: We conducted a case-control retrospective analysis of 301 consecutive pts with solid tumors and ECOG-PS > 1 when initiated PC, selected from 2514 pts who died between Aug/2011 and Jul/2012 in a tertiary cancer care institution or its hospice. Cases were defined as those pts who survived < 90d after the first cycle of first line PC, and controls were those who had a longer survival. Frequencies were compared by chi-square test or Fisher exact test. Risks were estimated by odds ratios (OR) and logistic regression analysis. Overall survival (OS) was calculated by Kaplan-Meier method and curves was compared using log-rank test. Results: 142 cases/159 controls were included: median age 58/63 y.o. (p=0.09; t-test) and 49%/50% female (p=0.941; chi-square). Gastrointestinal and lung cancers were the most frequent primaries (31 and 17%, respectively). Factors associated with poorer OS were age > 60 y.o. (OR 1.7; 95%CI 1.0–2.6), ECOG-PS > 2 (1.9; 1.2–3.1), weight loss > 10% (1.8; 1.1-2.8), hemoglobin < 10 g/dL (2.6; 1.6-4.2), albumin < 3 g/dL (2.7; 1.5-5.1), serum creatinine (sCr) > 1 mg/dL (2.8; 1.6-5.0), C-reactive protein ≥ 5 mg/L (8.6; 1.0-72.9), altered mental status (4.2; 1.4-13.2) and in-hospital PC (3.2; 1.9-5.2). Cases were more likely to experience grade ≥ 3 toxicity (43 vs. 28%; p=0.005), die of toxicity (16 vs. 6%; p = 0.0007) and not be offered palliative care only (47 vs. 71%; p<0.0001). mOS was 204 and 34d among controls and cases, respectively (HR 0.177; 95%CI 0.015-0.033, p<0.0001). Median time to death was 39.5d (0-1103). Logistic regression analysis identified ECOG-PS > 2 (OR 2.3, p=0.044) and sCr > 1 mg/dL (OR 11.2, p=0.0002) as independent predictors of 3-mo fatality. Conclusions: ECOG-PS > 2 and elevated sCr were identified as independent predictors of poor OS in these pts. PC needs to be prescribed with caution in ECOG-PS > 1 pts, since it seems to offer no benefit in OS and could lead to abbreviation of life.

scholarly journals Reasons for Surgery Cancellation in a General Hospital: A 10-year Study

2018 ◽  
Vol 16 (1) ◽  
pp. 7 ◽  
Author(s):  
Hyun-Sun Cho ◽  
Ye Lee ◽  
Sang Lee ◽  
Ji Kim ◽  
Tae Kim
Keyword(s):  
Logistic Regression ◽  
Odds Ratio ◽  
High Probability ◽  
Patient Characteristics ◽  
University Hospital ◽  
Regression Analyses ◽  
Multivariate Logistic Regression ◽  
Chi Square ◽  
Factors Associated ◽  
Cancellation Rate

Background: This study researched related causes that make scheduled surgeries canceled not to be conducted and based on the research it is to derive issues in order to reduce surgery cancellation. Methods: We analyzed the association of surgery cancellation with patient characteristics, surgical characteristics and surgery schedule related characteristics, using electronic medical record (EMR) data on surgeries conducted at a university hospital in Korea over 10 years. Additionally, we examined the reasons for surgery cancellation based on patient and hospital characteristics. We used chi-square tests to analyze the distribution of various characteristics according to reasons for surgery cancellation. Multivariate logistic regression analyses were conducted to evaluate the factors associated with surgery cancellation. Results: Among 60,333 cases, surgery cancellation rate was 8.0%. The results of the logistic regression indicated a high probability of surgery cancellation when the patient was too old (odds ratio [OR]: 1.35, 95% confidence interval [CI]: 1.14–1.59), when it was a neurosurgery case (OR: 1.39, 95% CI: 1.21–1.59), when local anesthesia was used (OR: 1.15, 95% CI: 1.07–1.24) or when it was a planned surgery (OR: 2.45, 95% CI: 2.21–2.73). The surgery cancellation rate was lower when the patient was female (OR: 0.87, 95% CI: 0.82–0.93) or when the surgery was related to Obstetrics & Gynecology (OR: 0.53, 95% CI: 0.46–0.60) or Ophthalmology (OR: 0.66, 95% CI: 0.56–0.79). Among the canceled 4834 cases, the surgery cancellation rate for the reasons of patients was 93.2% and the surgery cancellation rate for the reasons of a hospital was 6.8%. Conclusions: This study found that there are related various causes to cancel operations, including patient characteristics, surgery related characteristics and surgery schedule related characteristics and it means that it would be possible for some reasons to be prevented. Every medical institution should consider the operation cancellation as an important issue and systematic monitoring should be needed.

scholarly journals Prevalence and risk factors associated with postnatal depression in a South African primary care facility

2020 ◽  
Vol 12 (1) ◽  
Author(s):  
Nyundu S.J. Phukuta ◽  
Olufemi B. Omole
Keyword(s):  
Logistic Regression ◽  
Postnatal Depression ◽  
Significant Risk ◽  
Depression Scale ◽  
Care Facility ◽  
Clinical Information ◽  
Index Child ◽  
Cross Sectional ◽  
Community Healthcare ◽  
Factors Associated

Background: The prevalence and factors that influence postnatal depression (PND) vary according to context.Aim: To determine the prevalence and factors associated with PND in the postnatal clinic of a large community health centre.Setting: This study was conducted at Levai Mbatha Community healthcare centre, in Evaton, South of Gauteng.Method: In a cross-sectional study, the Edinburg Postnatal Depression Scale (EPDS) was administered on 227 consecutive mothers during postnatal clinic visits. In addition, sociodemographic and clinical information were collected. Analysis included descriptive statistics, chi-square test and logistic regression. A score of greater than 13 on the EPDS screened positive for PND.Results: Participants’ mean age was 27 years, and most completed less than grade 12 education (52.4%), were single (55.5%), were employed or had a working partner (60%) and had no previous PND (97%). The proportion of participants screening positive was 38.8%. In the adjusted logistic regression, completing only primary school education (odds ratio [OR]: 9.11; 95% confidence interval [CI]: 1.03–80.22; p = 0.047), using contraceptive prior to index pregnancy (OR: 2.05; 95% CI: 1.12–3.72; p = 0.019) and reporting a thought of self-harm or infanticide (OR: 7.08; 95% CI: 5.79–22.21; p = 0.000) significantly increased the risk of PND. In contrast, having a relationship with the father of the index child (OR: 0.42; 95% CI: 0.18-0.94; p = 0.037) mitigated this risk.Conclusion: The proportion of women screening positive for PND was high in the study setting and was concomitant with significant risk of suicide or infanticide. This highlights the need to screen and consider PND as a vital sign during postnatal visits, especially in the face of low educational attainment, failed contraception and poor or no relationship with the father of the index child.

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