Predictive Factors of Supraventricular Arrhythmias after Noncardiac Thoracic Surgery: A Multicenter Study

2015 ◽  
Vol 17 (6) ◽  
pp. 308 ◽  
Author(s):  
Hany M. Elrakhawy ◽  
Mohamed A. Alassal ◽  
Nabil Elsadeck ◽  
Ayman Shaalan ◽  
Tamer H. Ezeldin ◽  
...  
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Thoracic Surgery ◽  
Lung Resection ◽  
Previous History ◽  
Supraventricular Arrhythmia ◽  
Group I ◽  
Significant Difference ◽  
History Of ◽  
Associated Risk Factors

<p><b>Background:</b> Supraventricular cardiac arrhythmias are the most common rhythm disturbances in patients following thoracic surgery. The purpose of our study was to determine which of the clinical parameters are the most valuable in predicting postoperative atrial fibrillation (AF) after lung surgery.</p><p><b>Methods:</b> Retrospective analysis was carried out on 987 patients after noncardiac thoracic surgery to define the prevalence, associated risk factors, and clinical course of postoperative arrhythmias. There were 822 men and 165 women, age 34 to 78 years (mean age: 61 � 8 years). The patients were divided into two groups depending on the occurrence or absence of supraventricular arrhythmia. Group I consisted of 876 patients who were free from rhythm disturbances. The remaining 111 patients exhibited episodes of supraventricular arrhythmia (29 supraventricular tachycardia; 82 AF). These 111 patients were placed in Group II. Preoperative, operative, and postoperative data were reviewed. Statistical analysis was performed.</p><p><b>Results:</b> A statistically significant difference was found between the two groups in age, previous history of heart disease, and lung resection, especially pneumonectomy. Conclusion: Age, history of prior heart disease, lung resection, and the extent of pulmonary resection are the main risk factors for postoperative supraventricular arrhythmia in patients undergoing major thoracic operations.</p>

scholarly journals Analysis of Sociodemographic and Clinical Factors Associated with Hospitalized Stroke Patients of Bangladesh

1970 ◽  
Vol 6 (1) ◽  
pp. 19-23 ◽  
Author(s):  
AM Hossain ◽  
NU Ahmed ◽  
M Rahman ◽  
MR Islam ◽  
G Sadhya ◽  
...  
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Ischaemic Heart Disease ◽  
Low Income ◽  
Heart Diseases ◽  
Previous History ◽  
Stroke Patients ◽  
College Hospital ◽  
Cross Sectional ◽  
History Of

A hospital based cross sectional study was carried out to analyze prevalence of risk factors for stroke in hospitalized patient in a medical college hospital. 100 patients were chosen using purposive sampling technique. Highest incidence of stroke was between the 6th and 7th decade. Patients came from both urban (54%) and rural (46%) areas and most of them belong to the low-income group (47%). In occupational category; service holder (28%) and retired person (21%) were the highest groups. Most of the study subjects were literate (63%). CT scan study revealed that the incidence of ischaemic stroke was 61% and haemorrhagic stroke 39%. Analysis indicated hypertension as major risk factor for stroke (63%) and major portion of the patients (42.85%) were on irregular or no treatment. Twenty four percent of the patients had heart diseases and out of 24 patients 45.83% were suffering from ischaemic heart disease. The present study detected diabetes in 21% patients. Fifty three percent of the study subjects were smoker, 39% patients had habit of betelnut chewing. Out of 26 female patients, only 23% had history of using oral contraceptives. Majority of the patients were sedentary workers (46%). Thirty seven percent of the stroke patients were obese. Among the stroke patients 9% had previous history of stroke and 3% had TIA respectively. Most of the patients (21%) were awake while they suffered from stroke and the time of occurrence was mostly in the afternoon (46%). This study found that hypertension, cigarette smoking, ischaemic heart disease and diabetes mellitus are the major risk factors prevalent in our community while other risk factors demand further study. Key words: stroke; risk factors; hospitalized patients; Bangladesh. DOI: 10.3329/fmcj.v6i1.7405 Faridpur Med. Coll. J. 2011;6(1): 19-23

Essential Thrombocythemia: Analysis of Risk Factors for Thrombotic Events in a Series of 306 Patients.

Blood ◽  
2005 ◽  
Vol 106 (11) ◽  
pp. 4937-4937
Author(s):  
Franca Radaelli ◽  
Stefania Bramanti ◽  
Mariangela Colombi ◽  
Alessandra Iurlo ◽  
Alberto Zanella
Keyword(s):  
Risk Factors ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Essential Thrombocythemia ◽  
Thrombotic Event ◽  
Previous History ◽  
Significant Difference ◽  
Platelet Number ◽  
History Of

Abstract Essential thrombocythemia (ET) is a chronic myeloproliferative disorder characterized by peripheral thrombocytosis and abnormal proliferation of megakariocytes in the bone marrow. Even thought thrombosis is frequently associated to ET, the risk factors of this clinical complication are still controversial. The aim of this retrospective, single institution study was to investigate clinical and laboratory characteristics associated with the occurrence of thrombotic events, with the purpose of identifying subgroups of patients who could benefit from antiaggregant and/or cytostatic treatment. 306 consecutive ET patients (109 men and 197 females, median age 58 yr) diagnosed between January 1979 and December 2002 were included in the study. At the time of analysis, 196 patients were still alive with a median follow up of 96 months. The following variables were investigated for the association with thrombotic complications: age, platelet count, previous history of thrombotic events, time from diagnosis, treatment with antiaggregant/cytostatic drugs, and cardiovascular risk factors such as arterial hypertension, obesity, hypercolesterolemia, diabetes, cigarette smoking. At the time of last follow up, 46 patients (15%) experienced at least one thrombotic event. The occurrence of thrombotic events was observed in 26/64 (40.6%) patients with previous history of thrombosis and in 20/242 (8.3%) patients with no previous history of thrombosis (p&lt;0.0001 Fisher’s exact test, odd ratio 7.6). A significant difference between the two groups of patients was also confirmed when Kaplan Meier estimates of thrombosis-free survival were compared by log-rank test (p&lt;0.0001). By logistic regression, platelet number at diagnosis did not associate with occurrence of thrombosis in the whole patient population. When patients without previous history of thrombosis were stratified according to the number of cardiovascular risk factors (none vs one vs more than one), a significant correlation with occurrence of thrombotic events was observed (Mantel-Haenszel Chi-square 5.47, p&lt;0.05). This study confirms that history of thrombosis is strongly related with risk of further thrombotic events in patients with ET, whereas platelet number at diagnosis does not seem to represent a prognostic factor. In patients with no previous history of thrombosis, the presence of other cardiovascular risk factors has to be taken into account when establishing the therapeutic approach.

scholarly journals Contagious Bovine Pleuropneumonia: Sero-prevalence and associated risk factors in Gudeya Bila and Boneya Boshe Districts of East Wollega Zone, Oromia, Ethiopia

2020 ◽  
Vol 24 (1) ◽  
Author(s):  
Tolesa Neggasa ◽  
Feyissa Begna ◽  
Moti Wakgari ◽  
Sisay Shibashi ◽  
Eshetu Gezahegn ◽  
...  
Keyword(s):  
Risk Factors ◽  
Body Condition Score ◽  
Previous History ◽  
Individual Animal ◽  
Contagious Bovine Pleuropneumonia ◽  
African Countries ◽  
Herd Level ◽  
Mycoplasma Mycoides ◽  
History Of ◽  
Associated Risk Factors

Contagious bovine pleuropneumonia (CBPP) remains a huge threat to cattle production in sub Saharan African countries in general and in Ethiopia in  particular. A cross sectional study was conducted between November, 2017 and June, 2018 to estimate the seroprevalence and associated risk factors of CBPP in the Gudeya Bila and Boneya Boshe districts of East Wollega Zone, Oromia Regional State. The study was conducted on 384 cattle with no history of vaccination against CBPP, using systematic random sampling technique. Blood samples were collected from the jugular vein of each animal and tested by competitive ELISA. Information on risk factors influencing the occurrence of CBPP was collected using questionnaire survey. Data obtained from both serological and questionnaire surveys were analyzed by using SPSS software version 20. Logistic regression was used to analyze the association of exposure variables with anti-mycoplasma mycoides subspecies small colony antibodies. The results indicated that, the overall seroprevalence of CBPP at individual animal-level and herd-level was 8.6% and 26.3%, respectively. There was a statistically significant association in the sero-prevalence of Mycoplasma mycoides subsp. mycoides SC (MMmsSC) antibody (P< 0.05) with the poor body condition score, origin of animals (purchasing from outside of herd) and previous history of CBPP disease at individual animal and large herd size at herd level. This study showed that the overall prevalence of CBPP in study area was high. This warrants the implementation of appropriate preventive and control practice. Keywords: Boneya Boshe, Bovine, CBPP, c-ELISA, Ethiopia, Gudeya Bila, Sero-prevalence

scholarly journals Sero-Prevalence and Associated Risk Factors of Bovine Brucellosis in Sendafa, Oromia Special Zone Surrounding Addis Ababa, Ethiopia

2020 ◽  
Author(s):  
Hadji Bifo ◽  
Getachew Gugsa ◽  
Tsegabirhan Kifleyohannes ◽  
Engidaw Abebe ◽  
Meselu Ahmed
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Previous History ◽  
Animal Origin ◽  
Bacterial Disease ◽  
Potential Hazard ◽  
Bovine Brucellosis ◽  
History Of ◽  
Associated Risk Factors ◽  
Special Zone

AbstractBovine brucellosis is an infectious bacterial disease caused by members of genus Brucella, affecting both animals and humans, and resulting in a serious economic loss in animal production sector and deterioration of public health. This cross-sectional study was conducted from November 2014 to April 2015 to determine the sero-prevalence and associated risk factors of bovine brucellosis in Sendafa, Oromia special Zone, Ethiopia. A total of 503 blood samples were collected using simple random sampling technique from dairy cattle of above 6 months of age with no history of previous vaccination against brucellosis. All sera samples were demonstrated using both Rose Bengal Plate Test for screening and Compliment Fixation Test for confirmation. Accordingly, the overall sero-prevalence of bovine brucellosis in this area was 0.40%. The result showed that the sero-prevalence of bovine brucellosis in the study area was not statistically significant with all proposed risk factors. Thus, the study revealed the absence of significant statistical variation in the sero-prevalence of bovine brucellosis in different age, sex groups, breeding method and history of previous abortions (P>0.05). No reactors were observed in male animals. Sero-prevalence of 0.40% was observed in animals without previous history of abortion. Moreover, information was gathered on individual animal and farm-level risk factors and other farm characteristics using a questionnaire. The awareness among the society was poor, so the positive animals can be a potential hazard to animals and humans in the study area. Therefore, public education should be done in order to improve the awareness of people on bovine brucellosis and its public health impact with due consideration on the safely consumption of food of animal origin.

scholarly journals Prediction of Length of Hospital Stay and Immediate Outcome of Children Suffering From Bronchiolitis on the Bases of Associated Risk Factors

2021 ◽  
Vol 7 (2) ◽  
pp. 67-71
Author(s):  
Bithi Debnath ◽  
Sajani Islam ◽  
Nazmul Haque
Keyword(s):  
Risk Factors ◽  
Family History ◽  
Hospital Stay ◽  
Previous History ◽  
Length Of Hospital Stay ◽  
Wood Burning ◽  
History Of ◽  
Male Sex ◽  
Associated Risk Factors ◽  
Length Of Hospitalization

Background: Bronchiolitis is the most common reason for hospitalization among children younger than 2 years. Objective: The aim of the study was to assess the possibility that the associated risk factors in children suffering from bronchiolitis could predict the length of hospital stay and also to observe the immediate outcome. Methodology: This prospective study was conducted in a district hospital of Bangladesh in a period of two years from January 2011 to December 2012. Patients aged 2 years or less fulfilling inclusion criteria for bronchiolitis and required admission were enrolled in this study. Patients having comorbidities and who were discharged before fulfilling the study criteria for discharge were excluded from the study. Treatment was given according to National Guidelines for the Management of Bronchiolitis. All demographic, clinical and laboratory data were recorded in a prefixed questionnaire and analyzed. Results: Among 100 patients, 60% cases were hospitalized for 4 days or more. Mean duration of hospital stay was 4.37±1.93 days. Patients of male sex (67%), younger than 6 months of age (71%), preterm birth (21%), weight-for-age was either ≥2SD (60%) or ≤3SD (23%) were hospitalized for longer duration. Length of hospitalization was also increased in patients with family history of asthma (37%), smoking (75%), using wood-burning stoves for cooking (89%) and no previous history of respiratory distress (81%). Exclusively breastfed infants (41%) stayed hospital for shorter duration than those who fed partially (53%) or not at all (6%). All patients were improved in this case series (100%). Conclusion: Bronchiolitis patients having male sex, age less than 6 months, preterm born, partially breast fed , family history of asthma, exposure to smoking and wood-burning stoves were deduced to be significant risk factors for prolongation of length of hospitalization. Further research is needed to determine how these risk factors contribute to the development of the disease and prolong the length of hospital stay. Bangladesh Journal of Infectious Diseases 2020;7(2):67-71

scholarly journals Sero-prevalence and associated risk factors of bovine brucellosis in Sendafa, Oromia Special Zone surrounding Addis Ababa, Ethiopia

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0238212
Author(s):  
Hadji Bifo ◽  
Getachew Gugsa ◽  
Tsegabirhan Kifleyohannes ◽  
Engidaw Abebe ◽  
Meselu Ahmed
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Previous History ◽  
Animal Origin ◽  
Bacterial Disease ◽  
Potential Hazard ◽  
Bovine Brucellosis ◽  
History Of ◽  
Associated Risk Factors ◽  
Special Zone

Bovine brucellosis is an infectious bacterial disease caused by members of genus Brucella, affecting both animals and humans, and resulting in a serious economic loss in animal production sector and deterioration of public health. A cross-sectional study was conducted from November 2014 to April 2015 to determine the seroprevalence and associated risk factors of bovine brucellosis in Sendafa, Oromia Special Zone, Ethiopia. A total of 503 blood samples were collected using a simple random sampling technique from dairy cattle of above 6 months of age with no history of previous vaccination against brucellosis. All sera samples were subjected to both Rose Bengal Plate Test for screening and Complement Fixation Test for confirmation. Accordingly, the overall seroprevalence of bovine brucellosis in the study area was 0.40%. The result showed that the seroprevalence of bovine brucellosis in the study area was not statistically significant with all proposed risk factors. No reactors were observed in male animals. The seroprevalence was observed in animals without previous history of abortion. Moreover, information was gathered on individual animal and farm-level risk factors and other farm characteristics using a questionnaire. Awareness among society was poor, so the positive animals can be a potential hazard to animals and humans in the study area. Therefore, public education should be done to improve the awareness of the community on bovine brucellosis and its public health impact with due consideration on the safe consumption of food of animal origin.

Opium Addiction and Ischemic Stroke in Isfahan, Iran: A Case-Control Study

2017 ◽  
Vol 79 (1-2) ◽  
pp. 82-85 ◽  
Author(s):  
Homa Ebrahimi ◽  
Shaghayegh Haghjoo Javanmard ◽  
Sedigheh Asgary ◽  
Leila Dehghani ◽  
Masoud Amiri ◽  
...  
Keyword(s):  
Risk Factors ◽  
Ischemic Stroke ◽  
Case Control Study ◽  
Previous History ◽  
Case Control ◽  
Case Group ◽  
Significant Difference ◽  
History Of ◽  
Opium Addiction ◽  
Control Study

Background: The effect of opium addiction (OA) on cerebrovascular disease is controversial. The aim of this study was to clarify this relationship in Iranian patients with ischemic stroke. Methods: In a case-control study, 672 patients with ischemic stroke and 293 controls without a previous history of cerebrovascular or cardiovascular diseases were compared. OA as well as other risk factors such as diabetes mellitus (DM), hypertension (HTN), hyperlipidemia, tobacco smoking (TS) were compared between the 2 groups. Results: OA percentage, TS, TS amount (pack/year), HTN and DM history were significantly higher in the case group compared to controls (p < 0.05). After regression analysis between risk factors, a significant difference remained between 2 groups with regards to HTN (OR 4.21, 95% CI 3.05–5.81, p < 0.001), TS (OR 2.33, 95% CI 1.51–3.59, p < 0.001), and OA (OR 2.36, 95% CI 1.16–4.85, p = 0.018). Conclusion: Our study showed OA is a risk factor for stroke. However, a follow-up study with a larger cohort is required to confirm the results.

scholarly journals Prevalence of Mental Health Disorders among Elderly Diabetics and Associated Risk Factors in Indonesia

2020 ◽  
Author(s):  
Mahalul Azam ◽  
Rina Sulistiana ◽  
Arulita Ika Fibriana ◽  
Soesmeyka Savitri ◽  
Syed Mohamed Al Junid
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Heart Disease ◽  
Family History ◽  
Mental Health Disorders ◽  
Rural Residence ◽  
History Of ◽  
Lower Education ◽  
Health Disorders ◽  
Associated Risk Factors

AbstractThis cross-sectional study aimed to explore the prevalence of mental health disorders (MHD) among elderly diabetics in Indonesia and their associated risk factors. Data were extracted from the 2018 national basic health survey, Indonesia (abbreviated as the acronym of RISKESDAS). The survey involved households randomly selected from 34 provinces, 416 districts, and 98 cities in Indonesia, with 1,017,290 respondents. The number of subjects selected in this study was 2,818 elderly diabetic subjects. MHD was determined by self-reporting assessment. Secondary data acquired from the RISKESDAS 2018 data involved age, sex, urban-rural residence status, marital status, educational level, employment status, obesity, hypertension, heart disease, stroke, family history of MHD, and duration of DM. Binary logistic regression was used to analyze the risk factors related to MHD among elderly diabetics. Prevalence of MHD among elderly diabetics in Indonesia was 19.3%. Factors associated with MHD among elderly diabetics were obesity (prevalence odds ratio [POR]=4.57; 95% CI: 3.312-6.297), family history of MHD (POR=2.43; 95% CI: 1.707-3.471), lower education (POR=1.93; 95% CI: 1.464-2.533), stroke (POR=1.76; 95% CI: 1.292-2.384), hypertension (POR=1.74; 95% CI: 1.416-2.145), heart diseases (POR=1.49; 95% CI: 1.123-1.973), female (POR=1.43; 95% CI: 1.122-1.813), and urban residence (POR=0.75; 95% CI: 0.607-1.183). The prevalence of MHD among elderly diabetics in Indonesia was 19.3%, suggesting that screening for psychological problems and educating elderly diabetic patients is essential. Obesity, family history of MHD, lower education, stroke, hypertension, heart disease, female, and rural residence altogether more likely to experience MHD in elderly diabetics.

Abstract 2844: Preload Augmentation by Leg Elevation is Helpful in Triaging the Patients with Grade 1 Diastolic Dysfunction

Circulation ◽  
2008 ◽  
Vol 118 (suppl_18) ◽  
Author(s):  
Eui-Young Choi ◽  
Sung-Ai Kim ◽  
Sang Jae Rhee ◽  
Ae Young Her ◽  
Chi Young Shim ◽  
...  
Keyword(s):  
Diastolic Dysfunction ◽  
Previous History ◽  
Regional Wall Motion ◽  
Left Ventricular ◽  
Mitral Inflow ◽  
Additional Information ◽  
Group I ◽  
Significant Difference ◽  
History Of ◽  
Mitral Inflow Velocity

Grade 1 diastolic dysfunction (DD) is a spectrum of a variety of conditions. Objectives: We sought to investigate whether the responses of mitral inflow and annular velocity to leg elevation can provide additional information regarding triaging patients with grade 1 DD. One hundred fifty-four consecutive patients with hypertension with abnormal left ventricular (LV) relaxation on Doppler mitral inflow (early (E)/late (A) mitral inflow velocity <0.75 or deceleration time > 240 ms) were enrolled. Patients with LV ejection fractions less than 50%, a previous history of ischemic heart disease, inducible regional wall motion abnormality, valvular or myocardial disease, or any other volume overloading diseases were excluded. After resting evaluation, echo-Doppler measurements were performed during passive leg elevation and symptom-limited graded bicycle exercise. Patients were divided into two groups according to resting E/E’: Group I (E/E’<15) and II (E/E’≥15, n=23). Group I subjects were further subdivided into IA (persistent E/E’ <15, n=112) and IB (change to E/E’≥15, n=19) according to response to leg elevation. Group II had lower systolic (S’), early (E’), and late (A’) diastolic annular velocity, and diastolic reserve index to exercise (E’xΔE’50W) and higher LV elastance index (E/E’/stroke volume) than that of group IA; there was no significant difference compared to group IB. Group IB had more female predominance, older age, lower E’, higher diastolic elastance index, and higher E/E’ at 25W and 50W exercise accompanied by lower exercise capacity compared to group IA. Preload augmentation by leg elevation might provide additional information in triaging patients with grade 1 DD.

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