scholarly journals Surgical Treatment of Skin Substances Loss: Study of 40 Cases Followed Up at University Hospital of Bangassou in Central African Republic

2020 ◽  
Vol 7 ◽  
Author(s):  
Antoine Doui-Doumgba ◽  
Davy Steve Nzoulouto ◽  
Emmanuel Nouganga Diberbekoy ◽  
Moïse Service Yanguedet ◽  
Annicette Petula Ngboko-Mirotiga ◽  
...  
Keyword(s):  
Central African Republic ◽  
Average Length ◽  
Healing Process ◽  
Age Groups ◽  
Length Of Hospital Stay ◽  
Skin Grafting ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Cross Sectional ◽  
Surgery Department

Introduction: The aims of this study was to describe the results of the treatment of skin substance loss in a rural area  hospital in  Central African Republic and draw the resulting conclusions.Patients and Methods: This is a cross-sectional study carry out from January 2017 to December 2018 including patients of both sexes, regardless of age, treated for a loss of skin substance without tendency to scarring at the General Surgery Department of the Regional and University Hospital of Bangassou.Results: During the period 2500 patients were followed in the service.  The frequency of patients with a loss cutaneous substances was 1.6%. Male subjects made up 65% of the workforce. All age groups were represented. The average age was 35.5 years (Extremes: 8 months and 77 years). In 60% of cases, the patients came from remote areas of the urban center and most of them lived in precarious conditions (71.8%). The primary lesions were 2nd degree burns (22.5%) and 3rd degree (2.5%), open limb fractures (10%); ulcers (32.5%) and necrotizing fasciitis (32.5%). These lesions were found much more in the limbs (67.5%). In half of the cases, the lesions were in the budding phase. After a preparation phase, the procedures performed were mesh grafting (87.5%), lozenge grafting (10%) and the flap (2.5%). According to the evolution, scarring was obtained in 67.5% of cases 14 days after surgery. The average length of hospital stay was 14 days with extremes of 8 and 58 days.Conclusion: This study shows the advantage of using methods for recovering losses of skin substances to speed up the healing process of lesions. We recommend emphasizing the initial treatment of lesions which must be adapted to the stages of healing as well as the management of risk factors. In areas where there is a shortage of specialists, general practitioners must be trained in skin grafting techniques which are easy to perform.

scholarly journals Prevalence and costs of hospitalizations for poisoning and accidental intoxication in Brazilian elderly

2013 ◽  
Vol 49 (4) ◽  
pp. 679-687
Author(s):  
Marcelle Silva de Abreu ◽  
Silvandro Diego de Albuquerque Ferreira ◽  
Larissa Pelágia de Lima Ferreira ◽  
José Ferreira Toneo Júnior ◽  
Wamberto Vieira Maciel ◽  
...  
Keyword(s):  
Hospital Admissions ◽  
Average Length ◽  
Length Of Hospital Stay ◽  
Secondary Data ◽  
Mortality Rates ◽  
Cross Sectional Study ◽  
Microsoft Excel ◽  
Cross Sectional ◽  
Alcohol And Drugs ◽  
Elderly Males

A cross-sectional study of secondary data/information obtained from the Hospital Information System (HIS) spanning the years 2008 - 2009 was performed. The distribution of the main hospital admissions by gender, age, color/race, region and federal unit of residence, average expenditure and average length of hospital stay, year of hospitalization and mortality rates (MR) were studied. The data collected were tabulated by TabNet and keyed into Microsoft Excel 2007. It was verified that elderly males (54.3%), from 60 to 69 years old (50.6%), nonwhites (36.3%) and residents of Southeast and North regions of the country had the highest rates of hospitalization. Seniors were hospitalized for an average of 4.8 days, and the major causes were exposure to alcohol (43.7%) and to drugs (33.9%). Expenses related to hospital admissions were, on average, R$ 529,817.70. The highest mortality rates were recorded among females (MR = 4.34), in elderly, 80 years or older (MR = 10.16) and Caucasians (MR = 3.95), where pharmacological substances with action on the Autonomic Nervous System were the leading cause of death. There are demographic differences in morbi-mortality of these elderly since, although men and younger elderly were the main victims, women and elderly of advanced age have greater mortality. The leading causes of hospitalization were alcohol and drugs.

scholarly journals Predictors of Length of Hospital Stay in Children Presenting to the Emergency Department of Saudi Arabia

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 3111-3116
Author(s):  
Nesreen Suliman Alwallan ◽  
Majid Alsalamah ◽  
Badr F Al-Khateeb ◽  
Saeed Mastour Alshahrani ◽  
Ahmad Mohammed Ishaque Al Ibrahim ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Multivariable Analysis ◽  
Length Of Hospital Stay ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Policy Changes ◽  
Cross Sectional ◽  
Important Quality ◽  
The Difference ◽  
Future Policy

Length-of-stay is an important quality measure for emergency departments. The study aimed to find predictors for prolonged LOS in children. A cross sectional study was conducted from Jan 2017 to Mar 2018. Data were extracted from medical records of 5609 pediatric patients admitted to the King Abdullah Bin Abdulaziz University Hospital-ED, Riyadh, Saudi Arabia. Median LOS of the children was 74 mins. Multivariable analysis showed the difference in the expected LOS between patients DAMA and their non-DAMA counterparts was 72 mins. Difference in the expected LOS between patients at emergent and non-urgent triage was 89 mins, between urgent and non-urgent triage was 51 mins and difference between less urgent and non-urgent triage was 16 mins. Future studies should explore the contributing managerial and clinical factors that can explain such associations and might be the focus for future policy changes to reduce LOS in ED pediatric settings in Saudi Arabia.

scholarly journals Effect of COVİD-19 Pandemic on General Surgery Practice and Resident Education

2021 ◽  
Author(s):  
Timuçin Erol ◽  
Kamran Mahmudzada ◽  
Busenur Kırımtay ◽  
Doğukan Doğu ◽  
Mustafa Oruç ◽  
...  
Keyword(s):  
General Surgery ◽  
Sudden Change ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Case Volume ◽  
Cross Sectional ◽  
Residency Programs ◽  
Surgical Residency ◽  
Surgery Department ◽  
Hospital General

Abstract Background Sudden change in general surgery practice during pandemic caused a detrimental effect on residency training. The main objective of this study is to reveal the effect of Covid-19 pandemic on general surgery practice and surgical residency education. Methods This retrospective cross sectional study included all patients operated at a tertiary university hospital, general surgery department between 11-March 2019/ 11- January-2019 (Pre-Covid 19 Period) and 11-march 2020- 11- January − 2020 (Covid 19 period). Two period compared in terms of case volume, complexity difference and effect of this difference on residents training. Results Overall 2740 cases included to study. Elective case volume significantly decreased during pandemic (p = 0.001). This decrease is much more obvious for B-C category operations. Intermediate seniority resident’s case volumes and complexity of the cases they performed decreased during pandemic. Conclusion Surgical residency programs must be revised urgently in order to provide adequte training which altered due to Covid-19 pandemic.

scholarly journals The epidemiological study of migraine and other headache syndromes in southern Brazil: hospitalizations and average length of stay in 2020.

2021 ◽  
Author(s):  
Júlia Maria Orsini Zava ◽  
Tais Lorrane Mendes Silva ◽  
Gabriela Biazi Barbosa ◽  
Fabio Rosnei da Silva ◽  
Gabriela Dias Silva Dutra Macedo
Keyword(s):  
Average Length ◽  
Length Of Hospital Stay ◽  
Epidemiological Survey ◽  
Cross Sectional Study ◽  
Age Group ◽  
Southern Brazil ◽  
Cross Sectional ◽  
Southern States ◽  
Average Length Of Stay ◽  
Using Data

Introduction: Migraine is one of the most common headaches and a frequent population complaint, presenting different symptoms and intensities. Objective: The objective is to carry out an epidemiological survey and the average length of hospital stay in the southern states of Brazil. Methodology: This is an epidemiological, descriptive and cross-sectional study. Design and setting: Is a carried out using data collected from DATASUS, during 2020 year in southern Brazil. Results: In the proposed period, there were 2,662 hospitalizations, with the state of PR the largest number (1,760). As for the average hospitalization, the RS stands out with 4 days, SC presents 2.8 and PR with 2.3. Regarding the age group, in PR it is between 40-49 years old, SC between 30-39 and in RS 50-59. As for gender, the prevalence is higher among women, with 63.11% of the total. Conclusion:The data are in agreement with the literature, confirming that women are more affected, being justified by numerous factors, from hormonal variations to different responses to the perception of stress and pain. The high average length of hospitalizations indicates the need to develop policies to discuss the issue, providing adequate prophylaxis and therapy, reducing the number of the cases, the intensity of crises and hospitalizations.

Abstract 660: Prevalence of Hypertension Among Children with Diabetes Mellitus.

Hypertension ◽  
2014 ◽  
Vol 64 (suppl_1) ◽  
Author(s):  
Robert O Drutel ◽  
Remberto Paulo
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Age Groups ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Cross Sectional ◽  
Study Population ◽  
Standard Of Practice ◽  
Age Range

This study aims to determine the prevalence of hypertension among children with diabetes mellitus, and describe adherence to the standard of practice regarding early diagnosis and treatment of hypertension in this population. Diabetes renders higher susceptibility to cardiovascular disease in affected patients and thus early detection of hypertension can be beneficial for future quality of life. We hypothesize that a number of diabetic children with hypertension are not promptly diagnosed and treated due to the difficult process preceding diagnosis. This cross-sectional study in an out-patient clinic of a university hospital was based on a group of 263 children (both females and males, age range between 3-18) diagnosed with type 2 diabetes. At the visit, the child's weight and height were recorded, BMI was calculated, systolic and diastolic blood pressure (BP) was taken, and blood sample drawn for hemoglobin A1C (HbA1C) readings. Within the study population we have identified a group of 73 children with hypertension. Comparing the two groups: the normotensive with the hypertensive, we have observed that the normotensive patients have significantly lower average BMI (26.7), p=0.000012 and slightly reduced HbA1C (8.9%), p=0.28 levels compared to the hypertensive group: BMI (32.5) and HbA1C (9.3%), respectively. We investigated the same parameters within every age group starting from age 10, and recorded that HbA1C was only significantly different for the group of 14 year-olds (8.7%; 11.7%, p=0.039). We also found that a significantly higher BMI is linked with hypertension for groups: age 13: BMI (29.2; 33.9, p=0.047), age 14: BMI (24.1; 35.6, p=0.00007) and age 18: BMI (31.8; 45.6, p=0.045). Within the different age groups there were differences between normotensive and hypertensive patients in BMI and HbA1C measurements, but they were not statistically significant and we assume that an increased sample size would be needed to confirm the data. We are currently working on identifying other risk factors including sex, race, height, urine creatinine, urine microalbumin, serum creatinine, lipid profile and thyroid function, that might be responsible for hypertension in pediatric patients with type 2 diabetes.

scholarly journals The Management between Comorbidities and Pain Level with Physical Activity in Individuals with Hip Osteoarthritis with Surgical Indication: A Cross-Sectional Study

Medicina ◽  
2021 ◽  
Vol 57 (9) ◽  
pp. 890
Author(s):  
Michael Silveira Santiago ◽  
Felipe J. Aidar ◽  
Talita Leite dos Santos Moraes ◽  
Jader Pereira de Farias Neto ◽  
Mário Costa Vieira Filho ◽  
...  
Keyword(s):  
Physical Activity ◽  
Age Groups ◽  
Hip Osteoarthritis ◽  
Cross Sectional Study ◽  
Surgical Indication ◽  
University Hospital ◽  
Cross Sectional ◽  
Group I ◽  
Television Time ◽  
The Impact

Background and Objectives: The degenerative pathology of the hip joint appears in young age groups, related to fem-oroacetabular impingement, and in advanced age, due to other inflammatory causes, with greater potential for severity in the presence of comorbidities. Objectives: To evaluate the participation of the main causes of osteoarthritis in relation to physical activities, s Body Mass Index (BMI) and television time (TV). Materials and Methods: 54 patients with surgical indication treated at an orthopedic referral university hospital were stratified into groups (Impact: I, Osteonecrosis/rheumatic: II, Infectious/traumatic: III), and the influence of comorbidities on physical activity performance, relative to BMI and TV time. Results: It was observed that the impact group was the most frequent (51.8%), with 79.6% under the age of 60 years. This group followed the general mean (p < 0.05), using the variables of comorbidity and the level of physical activity. Pain intensity, TV time, BMI showed no correlation with physical activity. Conclusion: Morphostructural changes (group I) represented the most frequent etiological group, and severe pain was common in almost the entire sample. Unlike BMI, comorbidity showed a significant relationship with the level of physical activity.

scholarly journals Modifiable and Non-modifiable Risk Factors Association with Functional Dyspepsia

2021 ◽  
pp. 489-493
Author(s):  
Prem Kumar Maheshwari ◽  
Hassan Liaquat Memon ◽  
Kapeel Raja ◽  
Shaista Zeb ◽  
Kamran Ahmed Almani
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Functional Dyspepsia ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Male Gender ◽  
University Hospital ◽  
Modifiable Risk Factors ◽  
Sectional Study ◽  
Cross Sectional

Objective: To determine the frequency of modifiable and non-modifiable risk factors of functional dyspepsia in our population. Materials and Methods: This cross-sectional study has been conducted department of gastroenterology of Isra University Hospital from February 2019 to January 2020. All the patients of all age groups presented with functional dyspepsia and either of gender were included in the study. Patients were interviewed regarding modifiable and nonmodifiable risk factors like age, gender, smoking, body mass index, alcohol consumption and stress. All the data was gathered via study proforma. Results: Total 200 cases of functional dyspepsia were studied for modifiable and non-modifiable risk factors. Mean age of the cases was 49.45+6.33 years. Most of the cases were more than 40 years of the age. Males were 64.5% and females were 40.5%. According to the ethnicity Sindhi and Punjabi were commonest as 40.5% and 35.0% respectively. Inadequate physical activity and smoking habits were highly prevalent as 57.5% and 36.0% respectively. Conclusion: As per study conclusion age more than thirty years, male gender, ethnicity of Sindhi and Punjabi, smoking and inadequate physical activity were observed to be highly prevalent modifiable and non-modifiable risk factor of the functional dyspepsia.

scholarly journals Older adults hospitalized in a teaching hospital: clinical characteristics and outcomes

2017 ◽  
Vol 11 (12) ◽  
pp. 4938
Author(s):  
Camilla Christina Rodrigues ◽  
Rita de Cássia Helú Mendonça Ribeiro ◽  
Claudia Bernardi Cesarino ◽  
Daniela Comelis Bertolin ◽  
Renato Mendonça Ribeiro ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Older Adult ◽  
Average Length ◽  
Descriptive Analysis ◽  
Length Of Hospital Stay ◽  
Gastrointestinal Diseases ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Sample Characterization

RESUMOObjetivo: investigar as causas de internação dos idosos hospitalizados, o perfil demográfico, o perfil clínico e o desfecho. Método: estudo quantitativo, transversal de análise de 14.892 prontuários eletrônicos, no período de 12 meses. Foi realizada uma análise descritiva das variáveis de caracterização amostral e aplicação do teste associativo pela estatística qui-quadrado. Resultados: a maioria dos pacientes avaliados era do sexo masculino, com grau de instrução fundamental, com companheiro, do lar, brancos, católicos e com doenças cardiovasculares, seguidas de neoplasias e doenças gastrointestinais em ambos os sexos.  A idade dos pacientes apresentou média de 72,1 anos e a média da permanência hospitalar foi de 5,9 dias. Houve associação significativa entre as doenças diagnosticadas, o sexo (p <0,001) e a etnia (p = 0,023) dos pacientes. O desfecho mais comum foi a alta dos pacientes. Conclusão: as doenças crônicas foram as principais causas de hospitalização dos idosos, acarretando mais tempo na hospitalização. A investigação destes fatores fornece subsídios para identificação dos problemas e realizar melhores ações de enfermagem. Descritores: Idoso; Hospitalização; Evolução Clínica.ABSTRACT Objective: to investigate the causes of older adult hospitalizations, demographic and clinical profiles, and patient outcome. Method: quantitative cross-sectional study conducted with 14,892 electronic medical records during 12 months. We carried out a descriptive analysis of the variables of the sample characterization, and an associative test using chi-square statistics. Results: most patients assessed were male, had primary education, lived with a partner, were white and Catholics, and had cardiovascular diseases, followed by neoplasms and gastrointestinal diseases in both sexes. The average age of the patients was 72.1 years, and the average length of hospital stay was 5.9 days. There was a significant association between diagnosed diseases, sex (p <0.001), and ethnicity (p = 0.023) of the patients. The most common outcome was hospital discharge. Conclusion: chronic diseases were the main causes of older adult hospitalizations and led to increased length of hospital stay. The assessment of these factors provides subsidies for identifying problems and performing best nursing interventions. Descriptors: Older Adult; Hospitalization; Clinical Evolution.RESUMEN Objetivo: investigar las causas de hospitalización de adultos mayores, perfil demográfico, perfil clínico y desenlaces. Método: estudio cuantitativo transversal con análisis de 14.892 registros médicos electrónicos de un período de 12 meses. Se realizó un análisis descriptivo de las variables de caracterización de la muestra y se aplicó la prueba chi-cuadrado. Resultados: la mayoría de los pacientes evaluados eran hombres, con educación primaria, vivían en pareja, eran blancos, católicos y tenían enfermedades cardiovasculares, seguidas de neoplasias y enfermedades gastrointestinales en ambos sexos. El promedio de edad de los pacientes fue de 72,1 años y de la estancia hospitalaria fue de 5,9 días. Hubo una asociación significativa entre enfermedades diagnosticadas, sexo (p <0.001) y etnia (p = 0.023) de los pacientes. El resultado más común fue el alta hospitalaria. Conclusión: las enfermedades crónicas fueron las principales causas de hospitalización de los adultos mayores, llevando a un tiempo más prolongado de internación. La investigación de estos factores proporciona subsidios para identificación de problemas y realizar mejores intervenciones de enfermería. Descritores: Adulto Mayor; Hospitalización; Evolución Clínica.

scholarly journals Frequency of extra-articular manifestations in cohort of Pakistani patients presented with RA at Independent University Hospital Faisalabad.

2021 ◽  
Vol 28 (06) ◽  
pp. 819-827
Author(s):  
Zafar Ali Zafar ◽  
Muhammad Absar Alam ◽  
Muhammad Sarfraz ◽  
Touseef Ahmad ◽  
Hafiz Salman Saeed ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Age Groups ◽  
Cross Sectional Study ◽  
University Hospital ◽  
P Value ◽  
Early Assessment ◽  
Chi Square ◽  
Cross Sectional ◽  
American College Of Rheumatology ◽  
Independent University

Objective: To determine the frequency of extra articular manifestations in Rheumatoid Arthritis patients at independent university hospital Faisalabad. Study Design: Cross Sectional study. Setting: Rheumatology Division of Internal Medicine Independent University Hospital Faisalabad. Period: January 2019 to December 2019. Material & Methods: Consecutive Three hundred and twenty-three adult patients of either sex, of age between 20-60 years with baseline RA fulfilling the 2010 criteria of American College of Rheumatology. Extra articular manifestations were assessed. Chi square test was used to compare the frequency of extra articular manifestations among different disease duration, age groups, seropositivity and disease score. A p-value ≤ 0.05 was considered statistically significant. Results: 323 patients with RA were assessed in this study. Extra articular manifestations were assessed according to clinical presentation. 15.2% (49) patients were found to have lung involvement with predominant interstitial lung disease. Rheumatoid nodules were found in 9.9% (32) patients. 3rd most common extra-articular manifestation was sicca syndrome, seen in 3.7% (12) patients followed by neurological 2.2% and cardiac was 1.5%. Other extra-articular manifestations were seen in 2.8% of patients. Conclusion: it is very important to assess the extra articular manifestations in rheumatoid arthritis. Early assessment and early intervention can decrease the disease morbidity and mortality.

scholarly journals Medication Errors in a Swiss Cardiovascular Surgery Department: A Cross-Sectional Study Based on a Novel Medication Error Report Method

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Kaspar Küng ◽  
Thierry Carrel ◽  
Brigitte Wittwer ◽  
Sandra Engberg ◽  
Natalie Zimmermann ◽  
...  
Keyword(s):  
Registered Nurses ◽  
Medication Error ◽  
Medication Errors ◽  
Cardiovascular Surgery ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Reporting Tool ◽  
Surgery Department

The purpose of this study was (1) to determine frequency and type of medication errors (MEs), (2) to assess the number of MEs prevented by registered nurses, (3) to assess the consequences of ME for patients, and (4) to compare the number of MEs reported by a newly developed medication error self-reporting tool to the number reported by the traditional incident reporting system. We conducted a cross-sectional study on ME in the Cardiovascular Surgery Department of Bern University Hospital in Switzerland. Eligible registered nurses () involving in the medication process were included. Data on ME were collected using an investigator-developed medication error self reporting tool (MESRT) that asked about the occurrence and characteristics of ME. Registered nurses were instructed to complete a MESRT at the end of each shift even if there was no ME. All MESRTs were completed anonymously. During the one-month study period, a total of 987 MESRTs were returned. Of the 987 completed MESRTs, 288 (29%) indicated that there had been an ME. Registered nurses reported preventing 49 (5%) MEs. Overall, eight (2.8%) MEs had patient consequences. The high response rate suggests that this new method may be a very effective approach to detect, report, and describe ME in hospitals.

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