Hyponatremia associated with preeclampsia

2017 ◽  
Vol 45 (4) ◽  
Author(s):  
Armin S. Razavi ◽  
Stephen T. Chasen ◽  
Ritu Gyawali ◽  
Robin B. Kalish
Keyword(s):  
Older Women ◽  
Electronic Medical Records ◽  
Serum Sodium ◽  
Medical Records ◽  
Sodium Level ◽  
Descriptive Study ◽  
Clinical Factors ◽  
Factors Associated ◽  
Hypertension In Pregnancy ◽  
In Pregnancy

AbstractObjective:The objective of our study was to evaluate the prevalence and clinical factors associated with hyponatremia in patients with preeclampsia.Study design:This is a descriptive study of all patients who delivered at our institution from 2013 to 2014. Patients with preeclampsia were identified from electronic medical records. Preeclampsia with and without severe features was defined using the criteria outlined in the American Congress of Obstetricians and Gynecologists Hypertension in Pregnancy guidelines. As sodium levels have been shown to be approximately 5 mEq/L lower in pregnancy, hyponatremia was defined as a sodium level <130 mEq/L.Results:We identified 332 pregnancies complicated by preeclampsia, including 277 singletons and 55 twins. Hyponatremia was noted in 32 (9.7%) patients. Preeclampsia with severe features was present in the majority of patients with hyponatremia, and hyponatremia was more common in those with preeclampsia with severe features compared to those without (P<0.001). Hyponatremia also occurred more frequently in twins (P=0.001) and in older women (P=0.017). Only one patient without hyponatremia had an eclamptic seizure.Conclusion:Hyponatremia is not uncommon in preeclampsia, and is even more common in those with preeclampsia with severe features and twin gestations. As women with preeclampsia are at risk for hyponatremia, serum sodium should be monitored, especially in women with preeclampsia with severe features or twin gestations.

scholarly journals Identifying hypertension in pregnancy using electronic medical records: The importance of blood pressure values

2020 ◽  
Vol 19 ◽  
pp. 112-118 ◽  
Author(s):  
Lu Chen ◽  
Susan M Shortreed ◽  
Thomas Easterling ◽  
T Craig Cheetham ◽  
Kristi Reynolds ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Hypertension In Pregnancy ◽  
In Pregnancy

scholarly journals Socioeconomic and Clinical Factors Associated with Treatment of Severe Hypertension in Pregnancy

2022 ◽  
Vol 226 (1) ◽  
pp. S739-S740
Author(s):  
Sumithra Jeganathan ◽  
Cara Staszewski ◽  
Virginia White ◽  
Julie Hemphill ◽  
Leigha Carryl ◽  
...  
Keyword(s):  
Severe Hypertension ◽  
Clinical Factors ◽  
Factors Associated ◽  
Hypertension In Pregnancy ◽  
In Pregnancy

FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN KOMPLIKASI PERSALINAN DI RSUD INDRAMAYU TAHUN 2018

2018 ◽  
Vol 9 (2) ◽  
pp. 137-144
Author(s):  
Tating Nuraeni
Keyword(s):  
Cross Sectional Study ◽  
Cross Sectional ◽  
Maternal Deaths ◽  
Factors Associated ◽  
Birth Complications ◽  
Study Approach ◽  
Hypertension In Pregnancy ◽  
Labor Complications ◽  
The Relationship ◽  
In Pregnancy

Complications of delivery is a health disorder that is very dangerous for mothers because it can cause maternal deaths and the fetus. Maternal deaths in hospitals are caused by many cases of emergencies in pregnancy, childbirth and childbirth. The most immediate causes of maternal death are: bleeding, hypertension in pregnancy, partus stuck, infection and complications of abortion. This study aims to determine the factors associated with the incidence of birth complications in hospitals Indramayu 2018. Research design uses analytical method with Cross sectional Study approach to see the relationship between hypertension, and more weight with the incidence of labor complication.The number of samples used are 94 people who are maternity patients in hospital Indramayu. Results: indicated that there was a correlation between hypertension, and overweight with the incidence of birth complications with their respective values: hypertension (ρ value = 0.002), and overweight (ρ value = 0.000). Conclusions and suggestions, there is a correlation of hypertension and overweight to the incidence of labor complications. Maternal health activities in the form of family planning, balanced nutrition, and routine pregnancy checks are steps to prevent birth complications.

scholarly journals Preventing first births among adolescents in Mexico City’s public abortion programme

2021 ◽  
pp. bmjsrh-2020-200795
Author(s):  
Blair G Darney ◽  
Evelyn Fuentes-Rivera ◽  
Biani Saavedra-Avendano ◽  
Patricio Sanhueza-Smith ◽  
Raffaela Schiavon
Keyword(s):  
Logistic Regression ◽  
Older Women ◽  
First Trimester ◽  
Clinical Factors ◽  
First Birth ◽  
Trimester Abortion ◽  
Younger Women ◽  
Factors Associated ◽  
Nulliparous Women ◽  
Employed Women

IntroductionWe examined parity and age among women seeking an abortion in Mexico City’s public first-trimester abortion programme, Interrupcion Legal de Embarazo (ILE). We hypothesised that younger women, especially students, used abortion to prevent first births while older women used abortion to limit births.MethodsWe used clinical data from a sample of 47 462 women who had an abortion between 2007 and 2016 and classified them as nulliparous or parous according to previous births prior to the abortion. We used logistic regression to identify sociodemographic and clinical factors associated with using abortion to prevent a first birth (nulliparous) versus limiting births (parous) and calculated absolute multivariable predicted probabilities.ResultsOverall, 41% of abortions were in nulliparous women seeking to prevent a first birth, and 59% were in women who already had one or more children. The adjusted probability of using abortion to prevent a first birth was 80.4% (95% CI 78.3 to 82.4) for women aged 12–17 years and 54.3% (95% CI 51.6 to 57.0) for women aged 18–24 years. Adolescents (aged 12–17 years) who were employed or students had nearly 90% adjusted probability of using abortion to prevent a first birth (employed 87.8%, 95% CI 82.9 to 92.8; students 88.5%, 95% CI 82.9 to 94.1). At all ages, employed women and students had higher probabilities of using abortion to prevent a first birth compared with unemployed women and women who work in the home.ConclusionLegal first-trimester abortion services in Mexico can help prevent first births in adolescents, especially students.

scholarly journals Fetomaternal outcomes in pregnancy complicated by epilepsy: a retrospective study

2021 ◽  
Vol 10 (12) ◽  
pp. 4536
Author(s):  
Chithra R. ◽  
Siddhi Shree Dixit ◽  
Janu M. K. ◽  
Sandhya .
Keyword(s):  
Retrospective Study ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Age Group ◽  
Obstetrics And Gynaecology ◽  
Free Interval ◽  
Pregnancy And Delivery ◽  
Patients With Epilepsy ◽  
In Pregnancy

Background: This study is conducted to find out possible course and complications of epilepsy and its treatment in mother and fetus as many women will be anxious regarding this high-risk condition.Methods: This is a retrospective study conducted in department of obstetrics and gynaecology, AIMS Kochi from 2012-2019. Out of a total of 7045 deliveries during that period, we identified 64 patients with epilepsy complicating pregnancy. Antepartum, intrapartum and postpartum details of 57 patients whose data was available in electronic medical records was collected and analysed using SPSS 17 software.Results: In this study we noted that the incidence of epilepsy was 0.009%. the 50% of patients were in 25-30 years age group. More than 98% were on long term antiepileptic drugs. Majority were on monotherapy, most commonly on leviteracetam and were well controlled with monotherapy. The 38.5% had recurrence of seizures during pregnancy, mostly in latter half of pregnancy. Patients with seizure free interval of 9 months prior to pregnancy did not have any further epilepsy episodes. The incidence of other medical and obstetric complications was found to be similar to general population. There was 10% incidence of IUGR and fetal anomaly.Conclusions: The seizures were well controlled with monotherapy and we found that generally pregnancy and delivery is well tolerated and overall neonatal outcomes were good.

scholarly journals PROFIL PENDERITA DIFTERI YANG DIRAWAT YANG DIRAWAT DI RUANG ISOLASI KHUSUS RSUD Dr. SOETOMO SURABAYA

2019 ◽  
Vol 19 (2) ◽  
Author(s):  
Sarah Izdihar ◽  
Muhtarum Yusuf ◽  
Meisy Andriana
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Immunization Coverage ◽  
Descriptive Study ◽  
Level Of Education ◽  
Immunization Status ◽  
High Risk Populations ◽  
Male Sex ◽  
Corynebacterium Diphtheria ◽  
Low Coverage

Abstrak. Latar Belakang: Difteri adalah penyakit menular mematikan yang dapat menjadi peristiwa luar biasa yang disebabkan oleh Corynebacterium diphtheria. Kasus difteri di Indonesia meningkat dan yang terbesar di Jawa Timur terutama di Surabaya pada tahun 2017 tergolong tinggi karena rendahnya cakupan imunisasi difteri. Difteri rongga mulut (tonsil-faring-laring) adalah yang paling sering (90%). Populasi risiko tinggi biasanya anak-anak yang tidak diimunisasi atau daerah dengan cakupan imunisasi DPT3 dan DT yang rendah. Tujuan: Menganalisis faktor-faktor yang mempengaruhi difteri di Surabaya. Metode dan Materi: Jenis penelitian ini adalah penelitian deskriptif retrospektif dengan menggunakan total sampling. Sampel penelitian berjumlah 82. Data dikumpulkan melalui buku catatan Ruang Isolasi Khusus RSUD Dr. Soetomo Surabaya dan rekam medis elektronik. Hasil: Dari 82 sampel, distribusi responden menunjukkan bahwa kelompok jenis kelamin tertinggi adalah pria (64,63%), Usia didominasi oleh 0-5 tahun (46,34%) dan 6-11 tahun (34,14%), Pendidikan terakhir terbanyak adalah SD (24,39%), dan kota terbanyak adalah Surabaya (56,09%). Status imunisasi DPT terbanyak adalah tidak lengkap (63,41%), lokasi difteri terbanyak di tonsil (92,68%), terapi terbanyak yaitu penisilin procain 92,68%. Simpulan: difteri terbanyak didapatkan pada usia 0-11 tahun, berjenis kelamin laki-laki, mayoritas bertempat tinggal Surabaya, tingkat pendidikan terbanyak SD, status imunisasi DPT terbanyak adalah tidak lengkap, lokasi difteri terbanyak tonsil, jenis terapi terbanyak penisilin procain. Kata Kunci:  Difteri, Tonsil, Imunisasi Abstract. Background: Diphtheria is a deadly infectious disease that can be an extraordinary event caused by Corynebacterium diphtheria. Diphtheria cases in Indonesia increased and the largest in East Java, especially in Surabaya in 2017 was classified as high due to the low coverage of diphtheria immunization. Diphtheria of the oral cavity (tonsils-pharynx-larynx) is the most frequent ( 90%). High risk populations are usually children who are not immunized or areas with low DPT3 and DT immunization coverage. Objective: The purpose of this study was to analyze the factors that influence diphtheria in Surabaya. Material and Methods:  The type of research is a retrospective descriptive study using total sampling. The research sample was 82. The data was collected through the Special Isolation Room Dr. RS. Soetomo Surabaya and electronic medical records. Results:  From 82 samples, showed that the highest gender group was male (64.63%), age was dominated by 0-5 years (46.34%) and 6-11 years (34.14%), the most recent education was SD (24.39%), and most cities are Surabaya (56.09%). Most DPT immunization status is incomplete (63.41%), most diphtheria locations in tonsils (92.68%), the most therapy is penicillin procain 92.68%. Conclusio: Diphtheria is found at the age of 0-11 years, male sex, the majority lives in Surabaya, the highest level of education is elementary school, most DPT immunization status is incomplete, the location of the most diphtheria tonsils, the most type of therapy is penicillin procain.Keyword:  Diphtheria, Tonsils, Immunization

scholarly journals Ward-Level Factors Associated with Methicillin-Resistant Staphylococcus aureus Acquisition − an Electronic Medical Records study in Singapore

2020 ◽  
Author(s):  
Zaw Myo Tun ◽  
Dale A Fisher ◽  
Sharon Salmon ◽  
Clarence C Tam
Keyword(s):  
Staphylococcus Aureus ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Multivariable Analysis ◽  
Acquisition Rate ◽  
Methicillin Resistant ◽  
Patient Transfers ◽  
Factors Associated ◽  
Number Of Patients

Background Methicillin-Resistant Staphylococcus aureus (MRSA) is endemic in hospitals worldwide. When patients are transferred between wards within a hospital, their risk of acquiring MRSA may change. Studies investigating such association are rare. In this study, we assessed how wards are connected and investigated ward characteristics associated with MRSA acquisition. Methods We analysed electronic medical records from an acute-care tertiary hospital in Singapore using data of patient transfers and MRSA screening of hospitalized patients between 2010 and 2013. In multivariable analysis, we used mixed-effects Poisson models with wards and time as random intercept and random slope, respectively. Results Most patient transfers concentrated in a core network of wards that sustained over time. Overall MRSA acquisition rate declined over study period. Factors associated with MRSA acquisition were ward specialty other than surgical, orthopedics, and oncology (rate ratio (RR): 1.69, 95% CI: 1.28, 2.21) (compared to medical ward), MRSA admission prevalence (RR: 1.48, 95% CI: 1.28, 1.71, per one percentage point increase), presence of cohorting beds (RR: 1.81, 95% CI: 1.45, 2.27), critical-care ward (RR: 1.85, 95% CI: 1.21, 2.84) and average number of patients on a typical day (RR: 1.58, 95% CI: 1.24, 2.00, for every 10 patients quarterly). We did not find evidence that ward connectivity influenced MRSA acquisition rate after adjusting for other ward characteristics. Conclusion Our findings highlighted ward characteristics associated with MRSA acquisition. Linked with analytics infrastructure, similar methods could be used to understand the transmission of other nosocomial organisms to inform infection control efforts in real time.

Cellulitis in patients with chronic lower-limb lymphedema due to HIV-related Kaposi sarcoma

2021 ◽  
pp. 095646242110593
Author(s):  
Patricia Volkow-Fernández ◽  
Beda Islas-Muñoz ◽  
Pamela Alatorre-Fernández ◽  
Patricia Cornejo-Juárez
Keyword(s):  
Risk Factor ◽  
Lower Limb ◽  
Medical Records ◽  
Antimicrobial Prophylaxis ◽  
Kaposi Sarcoma ◽  
First Episode ◽  
Clinical Factors ◽  
Toxic Shock ◽  
Factors Associated ◽  
Cancer Clinic

Objective Chronic Lower Limb Lymphedema (CL-LL) secondary to Kaposi sarcoma (KS) has not been recognized as a risk factor for cellulitis. The aim was to describe the clinical spectrum and use of antimicrobial prophylaxis in patients with cellulitis and CL-LL due to KS. Methods HIV patients with KS, CL-LL, and at least one episode of cellulitis seen at the AIDS Cancer Clinic at INCan in Mexico from 2004 to 2019 were included. Demographic and clinical data were obtained from medical records. Results Thirty-nine men all with CL-LL were included. Clinical factors associated with cellulitis were groin and/or lymph-node KS infiltration (69.2%), onychomycosis and/or tinea pedis (44.7%), ulcerated lesions (38.4%), and obesity (2.5%). Eighteen (46.1%) were hospitalized in the first episode and eight (20.5%) in recurrence. Six (25.3%) died, two of toxic shock syndrome (TSS), and one of septic shock. Fourteen (35.8%) had at least one recurrent episode of cellulitis. Twenty-five (64.1%) received prophylaxis. Patients without prophylaxis had significantly more unfavorable outcomes (hospitalization and recurrences) than those with prophylaxis. Conclusions CL-LL due to KS is a risk factor for cellulitis and severe complications in patients with a long life expectancy. Antimicrobial prophylaxis needs to be explored as it could prevent complications.

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