scholarly journals Gastroenteritis in Patients Hospitalized at the Pediatric Ward of Dr. Pirngadi Hospital Medan

2019 ◽  
Vol 32 (11-12) ◽  
pp. 318-26
Author(s):  
Gustina Lubis ◽  
Tm. Thaib ◽  
Atan Baas Sinuhaji ◽  
A. H. Sutanto
Keyword(s):  
Mortality Rate ◽  
Age Group ◽  
Severe Dehydration ◽  
Paediatric Ward ◽  
Pediatric Ward ◽  
Under Five ◽  
Associated Diseases ◽  
Specific Mortality ◽  
Overall Mortality

In 1989, oj2350 patients hospitalized in the paediatric ward of Dr. Pirngadi Hospital, Medan, 829 (35.3%) were gastroenteritis cases, with male more than female. Most of the patients with gastroenteritis were found in the age group of under 1 years (521 cases = 62.8%). The highest prevalence was found in january, February and March. Mild, moderate and severe dehydration were encountered in 2. 7%, 83.1% and 14.2% cases respectively. Eighty for (10.1%) cases had been treated with oralit before admission. Only 49. 1% of those patients with gastroenteritis under two years of age were breastfed. The patients of under five year old were 791 (95. 4%) cases; 259 (32. 7%) cases were malnourished. The overall mortality rate of these patients with gastroenteritis was 5.9% ( 49 cases). The age specific mortality rate was highest in the age group of 6- 12 months. Usually patients died with gastroenteritis had complications or associated diseases.

scholarly journals DECREASING PREVALENCE OF THE ACUTE/SUBACUTE CLINICAL FORM OF PARACOCCIDIOIDOMYCOSIS IN MATO GROSSO DO SUL STATE, BRAZIL

2014 ◽  
Vol 56 (2) ◽  
pp. 121-125 ◽  
Author(s):  
Larissa Rodrigues Fabris ◽  
Úrsulla Vilella Andrade ◽  
Aline Ferreira Dos Santos ◽  
Ana Paula da Costa Marques ◽  
Sandra Maria do Valle Leone de Oliveira ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Age Distribution ◽  
Epidemiological Data ◽  
Infection Prevalence ◽  
Age Group ◽  
Clinical Form ◽  
Mato Grosso ◽  
Co Morbidity ◽  
Mato Grosso Do Sul ◽  
Overall Mortality

With the objective to evaluate the behavior of paracoccidioidomycosis in the last three decades, clinical and epidemiological data of 595 patients admitted to clinical services of the Federal University of Mato Grosso do Sul from 1980 to 2009 were investigated. Gender, age distribution, clinical form, comorbidity with tuberculosis or AIDS, and mortality were compared by decades of clinical admission. It was shown that during the three decades there was a decrease in women percentage, and the same manner occurred a reduction in participants in the age group of 20 to 39 years. Moreover, the acute/subacute forms have been diminished in the period. These fluctuations are closely related and can be simultaneously analyzed. Increased AIDS co-infection prevalence from the first to the second decade was also revealed, coinciding with the appearance of the retroviral epidemic and stabilizing during the third decade. No change in the tuberculosis co-infection rate was observed (overall = 6.9%). It reinforces the importance of this co-morbidity. The overall mortality rate remained steady at 6.7%, not varying significantly from one decade to another. The persistent mortality rate calls attention to the importance of this neglected disease.

scholarly journals Analysis of the effect of pneumonia on mortality (ORACLE-RF)

2020 ◽  
Vol 9 (2) ◽  
Author(s):  
Alexander G. Arutyunov ◽  
Anna V. Sokolova ◽  
Grigoriy P. Arutyunov ◽  
Dmitry O. Dragunov
Keyword(s):  
Heart Failure ◽  
Chronic Kidney Disease ◽  
Mortality Rate ◽  
Final Analysis ◽  
Men And Women ◽  
Death Risk ◽  
Favorable Prognosis ◽  
Associated Diseases ◽  
One Year ◽  
Overall Mortality

Objective — To analyze the effect of pneumonia on mortality among patients with circulatory decompensation. Material and methods — The study was based on the ORACLE-RF registry containing information obtained from 20 cities in Russia. Patients were monitored for one year. The research included men and women with symptoms of chronic heart failure during circulatory decompensation period. The patients' average age was 67±13 years. Final analysis included 2404 patients. Results — Hospital mortality was at 9%. By the 30th day of observation, overall mortality rate stood at 13%. Within the year, the overall mortality rate was 43%. Pneumonia and chronic kidney disease (CKD) had the most pronounced effect on death risk – 49.5% and 47.2%. The study showed that patients who do not have pneumonia and CKD among other associated diseases were 2.5 times more likely to survive after 360 days of observation than patients who have them among other associated diseases. The chances of favorable prognosis in patients without pneumonia are 1.7 times higher than in patients with pneumonia among other diseases. Conclusion — Pneumonia probably triggered the decompensation mechanism and significantly increased mortality in these patients.

The Descriptive Epidemiology and Outcomes of Hospitalized Burn Patients in Southern Turkey: Age-specific Mortality Patterns

2020 ◽  
Author(s):  
Kayhan Gurbuz ◽  
Mete Demir
Keyword(s):  
Mortality Rate ◽  
Descriptive Analysis ◽  
Age Groups ◽  
Total Body Surface Area ◽  
Multivariate Regression Analysis ◽  
Inhalation Injury ◽  
Burn Patients ◽  
Age Group ◽  
Specific Mortality ◽  
Fire Flame

Abstract The current descriptive analysis was designed to document the common epidemiologic characteristics and outcomes of burn injuries, and age-specific mortality patterns covering all age groups admitted for treatment to the Burn Center of Adana City Training and Research Hospital (ACTRH). Medical records were retrospectively analyzed. The patients were stratified into two age groups as pediatric and adults, and then into ten sub-age groups. Among the 946 patients of the study population, there were 24 mortalities with a mortality rate of 2.5%. Patients within the age range of 70-79 years had the highest mortality rate of 33.3%; followed by 60-69, 80+, 18-29, 10-17, and <5 sub-age groups, whose mortality rates were, 13.0%, 7.8%, 7.2%, 2.4%, 0.5%, respectively. In terms of multivariate regression analysis of factors predicting mortality among burn patients in all age groups, fire-flame related burns, age ≥18 years, total body surface area burned ≥20 percent (TBSA ≥20%), the existence of inhalation injury, deep partially/full-thickness burns were found to be significant prognostic factors of mortality. The strongest association was seen in TBSA ≥60% segment (p<0.0001), which had 25.9 times more death risk. As expected, a similar trend was detected when the age groups stratified into age groups, and the strongest association was in the 60+ sub-age group (p<0.0001), whose had 5.84 times more likely death; followed by 29-59, 18-29 sub-age groups, with the ORs of 2.12 (95%CI=1.25-3.61), 2.08 (95%CI=1.90-4.05), respectively. Oppose to these findings; the 0-17 sub-age group was not found to have a statistically significant effect in predicting mortality.

Prolonged Orotracheal Intubation in the Newborn

1980 ◽  
Vol 89 (5) ◽  
pp. 459-461 ◽  
Author(s):  
George H. Conner ◽  
Michael J. Bushey ◽  
M. Jeffrey Maisels
Keyword(s):  
Mortality Rate ◽  
Tracheal Intubation ◽  
Newborn Infants ◽  
Orotracheal Intubation ◽  
Assisted Ventilation ◽  
Age Group ◽  
Overall Mortality

One hundred seventy-four consecutive cases of newborn infants who required orotracheal intubation for longer than three days were studied retrospectively. The duration of intubation varied from 3 to 211 days with an overall mortality rate of 22.9 %. There was one complication directly related to orotracheal intubation. One tracheotomy was performed. Orotracheal intubation is felt to be superior to nasal tracheal intubation and tracheotomy in managing infants in this age group who require prolonged assisted ventilation.

Traumatic extradural hematomas in infancy and childhood

1985 ◽  
Vol 62 (6) ◽  
pp. 861-864 ◽  
Author(s):  
Patrick Dhellemmes ◽  
Jean-Paul Lejeune ◽  
Jean-Louis Christiaens ◽  
Guy Combelles
Keyword(s):  
Mortality Rate ◽  
Neurological Status ◽  
Clinical Findings ◽  
Age Group ◽  
Content Type ◽  
Time Of Surgery ◽  
Infancy And Childhood ◽  
Fine Print ◽  
Overall Mortality

✓ The authors report a series of 144 children with traumatic extradural hematomas operated on at the Lille Department of Neurosurgery between 1969 and 1982. The patients are divided into different groups according to age, and clinical findings were recorded for each age group. The overall mortality rate was 9%. The authors demonstrate that prognosis is related to age, neurological status at time of surgery, and duration of postoperative coma.

scholarly journals An outbreak of serogroup B:15:P1.16 meningococcal disease, Frederiksborg county, Denmark, 1987–9

1992 ◽  
Vol 108 (1) ◽  
pp. 19-30 ◽  
Author(s):  
S. Samuelsson ◽  
P. Ege ◽  
L. Berthelsen ◽  
I. Lind
Keyword(s):  
Mortality Rate ◽  
Neisseria Meningitidis ◽  
Meningococcal Disease ◽  
Age Group ◽  
Household Contacts ◽  
Epidemiological Features ◽  
Time Space ◽  
Prophylactic Measures ◽  
Group B ◽  
Overall Mortality

SUMMARYEpidemiological features of an outbreak of group B:15:P1.16 meningococcal disease (MD) in Frederiksborg country, Denmark, 1987–9, were investigated. The study comprised 149 cases notified during the outbreak and the two preceding years; 115 were confirmed by the isolation of Neisseria meningitidis. In 1989 the incidence had increased to 14·1 per 100 000 population. Among group B strains, B:15:P1.16 accounted for 80% (77/97). The overall mortality rate was 10% (15/149). Regarding cases due to group B:15:P1.16 strains a significant time-space clustering, which exclusively occurred within the 10–19 years age group, was demonstrated. The link between cases within clusters was indirect or unknown, except for ten patients with contact to one particular school. The prophylactic measures used included administration of rifampicin to household contacts. During the outbreak the proportion of secondary cases was high (6–15%). All secondary cases occurred outside the household indicating that the household had been protected.

scholarly journals Outcome and Management of Sepsis at RozhHalat Emergency Hospital in Erbil –Kurdistan region of Iraq

2018 ◽  
pp. 21-30
Author(s):  
Samir Qader Ahmad ◽  
Shakawan Muhamad Ismaeel ◽  
Dara Ahmed Mohammed Ahmed Mohammed ◽  
Halgurd Fathulla Ahmed
Keyword(s):  
Mortality Rate ◽  
Blood Culture ◽  
Older Age ◽  
Age Group ◽  
Kurdistan Region ◽  
Vasopressor Therapy ◽  
Emergency Hospital ◽  
Qsofa Score ◽  
Sirs Criteria ◽  
Overall Mortality

Sepsis is a very common condition in emergency hospitals and presentation is variable, it is under diagnosed with very high mortality rate. All patients with infection are at risk of developing sepsis. Sepsis is a complex condition characterized by activation of inflammatory process and coagulation system in response to microbial insult. An observational prospective study was carried out at RozhHalat emergency hospital in Erbil-Kurdistan region of Iraq between February 2017 to January 2018.The study was approved by the scientific and ethical committee of Kurdistan board of medical specialties. 50 patients aged between (10 - 80) years old presented to this hospital with sign and symptoms of infection were recruited to this study. 50 patients with signs and symptoms of sepsis were recorded in this study. The mean age was 47 with male to female ration of 2:3 (42% male and 58% female). The overall mortality rate was high at 68% with higher rate among female and older age group. The blood culture was positive in 74% of cases of which 52% were gram positive and 22% were gram-negative microorganisms. A Positive blood culture associated with higher mortality rate of 81% compared with 21% if the blood culture was negative. In majority of cases the site of infection was from multiple source (34%) followed by respiratory infection (26%).Skin and soft tissue infection was associated with the lowest mortality of 2.9%. High number of cases (82%) developed complications and 52% of cases developed more than 2 organ failures. All patients received empirical antibiotic therapy however 46% of cases received the wrong antimicrobials. The survival rate was higher   (44%) among patients given the right antibiotics. Similarly patients had better chance of survival if appropriate fluid resuscitation therapy was give. The overall mortality among vasopressor treated patients were 72% compared with 78% chance of mortality if they were not treated with any vasopressor therapy, among those who received inotropic support Noradrenaline associated with higher survival rate(72%). A qSOFA score of more than 2 associated with 86.4 % of mortality compared with 75.5% mortality with similar SIRS criteria. Factors associated with high mortality were: female gender, older age group, positive blood culture, wrong antibiotics therapy, less fluid resuscitation, multisource of infection, multi-organ failure, high lactic acid level and high qSOFA score. This study shows that sepsis is associated with high overall mortality rate of 68% in the RozhHalat emergency hospital and higher rate of death among female and older age group. Negative blood culture, appropriate use of antibiotics and fluid therapy associated with better chance of survival. Vasopressor therapy did not result in better survival outcome except for Noradrenaline. The qSOFA score is as good as SIRS criteria in predicting mortality. High lactate, multi-organ failure and multisource of infection associated with the worst outcome.

scholarly journals Nutritional status of under five children attending Anganwadi in rural area of central India

2020 ◽  
Vol 7 (12) ◽  
pp. 5165
Author(s):  
Ashish Wasudeo Khobragade ◽  
Rajendra Govardhan Yadav
Keyword(s):  
Socioeconomic Status ◽  
Mortality Rate ◽  
Central India ◽  
Measured Data ◽  
Age Group ◽  
Upper Arm ◽  
Under Five ◽  
Arm Circumference ◽  
Z Scores ◽  
Mid Upper Arm Circumference

Background: Under five mortality rate (U5MR) of India is 36. Malnutrition is most important factor contributing to under five mortality.Methods: 354 children in the age group 0-5 years were included in the study. Weight, height and Mid Upper arm circumference was measured. Data was analyzed by using ‘Anthro’ software. Z scores were calculated. Prevalence of stunting, wasting and underweight was calculated.Results: Prevalence of stunting, wasting and underweight is 35%, 6.4% and 15.8% respectively.Conclusions: Malnutrition is statistically associated with socioeconomic status, maternal literacy and exclusive breast feeding.

scholarly journals All-cause mortality among recipients of electroconvulsive therapy

2007 ◽  
Vol 190 (5) ◽  
pp. 435-439 ◽  
Author(s):  
Trine Munk-Olsen ◽  
Thomas Munk Laursen ◽  
Poul Videbech ◽  
Preben Bo Mortensen ◽  
Raben Rosenberg
Keyword(s):  
Cohort Study ◽  
Mortality Rate ◽  
Electroconvulsive Therapy ◽  
Suicide Rate ◽  
Poisson Regression ◽  
Risk Of Mortality ◽  
All Cause Mortality ◽  
Specific Mortality ◽  
Log Linear ◽  
Overall Mortality

BackgroundStudies investigating mortality secondary to electroconvulsive therapy (ECT) are few.AimsTo assess the risk of mortality from natural and unnatural causes among ECT recipients compared with other psychiatric in-patients over a 25-year period.MethodRegister-based cohort study of all in-patients admitted to a psychiatric hospital from 1976 to 2000. Cause-specific mortality was analysed using log–linear Poisson regression.ResultsThere were 783 deceased in-patients who had received ECT compared with 5781 who had not. Patients who had received ECT had a lower overall mortality rate from natural causes (RR=0.82,95% CI 0.74–0.90) but a slightly higher suicide rate (RR=1.20,95% CI 0.99–1.47), especially within the first 7 days after the last ECT treatment (RR=4.82,95% CI 2.12–10.95).ConclusionsFurther investigation of the effect of ECT on physical health and the observed increased suicide rate immediately following treatment are needed, although the last finding is likely to result from selection bias.

scholarly journals Gender-based incidence, recovery period, and mortality rate of COVID-19 among the population of district Attock, Pakistan

2023 ◽  
Vol 83 ◽  
Author(s):  
R. Ejaz ◽  
M. T. Ashraf ◽  
S. Qadeer ◽  
M. Irfan ◽  
A. Azam ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Recovery Period ◽  
Age Group ◽  
Female Population ◽  
Female Patients ◽  
Incidence And Mortality ◽  
Male Patients ◽  
Gender Based ◽  
And Gender ◽  
Overall Mortality

Abstract COVID-19 is reported as an extremely contagious disease with common symptoms of fever, dry cough, sore throat, and tiredness. The published literature on incidence and gender-wise prevalence of COVID-19 is scarce in Pakistan. Therefore, the present study was designed to compare the distribution, incubation period and mortality rate of COVID-19 among the male and female population of district Attock. The data were collected between 01 April 2020 and 07 December 2020 from the population of district Attock, Pakistan. A total of 22,962 individuals were screened and 843 were found positive for RT-qPCR for SARS-CoV-2. The confirmed positive cases were monitored carefully. Among the positive cases, the incidence of COVID-19 was 61.7% among males and 38.2% among females. The average recovery period of males was 18.89±7.75 days and females were 19±8.40 days from SARS-CoV-2. The overall mortality rate was 8.06%. The death rate of male patients was significantly higher (P<0.05) compared to female patients. Also, the mortality rate was higher (P<0.05) in male patients of 40-60 years of age compared to female patients of the same age group. Moreover, the mortality rate significantly increased (P<0.05) with the increase of age irrespective of gender. In conclusion, the incidence and mortality rate of COVID-19 is higher in males compared to the female population. Moreover, irrespective of gender the mortality rate was significantly lower among patients aged <40 years.

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