Factors associated with complex surgical wounds in breast and abdomen: a case-control observational study

ABSTRACT Objective: to identify factors associated with complex surgical wounds in the breasts and abdomen in outpatients. Method: observational case-control study involving 327 patients, distributed into 160 cases (complex surgical wound) and 167 controls (simple surgical wound). Data were extracted from the medical records and a binary logistic regression model was used for analysis, considering a significance level of 5%. Results: the factors associated with greater chance of occurrence of complex surgical wound were 18 to 59 years of age (p = 0.003), schooling < 8 years (p = 0.049), radiotherapy (p < 0.001), hysterectomy (p = 0.003), glycemia (≤ 99 mg/dL) and arterial hypertension (p = 0.033), while quadrantectomy (p = 0.025) served as a protective factor. Conclusion: radiotherapy was the most significant factor for surgical wound complications. Glycemic alteration was an unexpected result and shows the need for further studies related to this topic.

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Prevalence of Balance Impairment and Factors Associated with Balance among Patients with Stroke. A Cross Sectional Retrospective Case Control Study

Healthcare ◽

10.3390/healthcare9030320 ◽

2021 ◽

Vol 9 (3) ◽

pp. 320

Author(s):

Fayaz Khan ◽

Mohamed Faisal Chevidikunnan

Keyword(s):

Case Control Study ◽

Binary Logistic Regression ◽

Berg Balance Scale ◽

Case Control ◽

Knee Extensors ◽

Retrospective Case ◽

Cross Sectional ◽

Balance Impairment ◽

Factors Associated ◽

Control Study

Stroke is a major cause of disability worldwide, and balance impairments are common disabling factors in patients with stroke, leading to falls. Thus, the study objectives were as follows: (i) To find the prevalence of balance impairment among patients with stroke. (ii) To find out the factors associated with balance impairment in patients with stroke. This cross-sectional retrospective case control study involved eighty-one post stroke patients with a mean age of 58.36 ± 14.06, recruited from six hospitals, who underwent an assessment of balance, walking speed, depression and isometric strength of the ankle and knee. These patients were later categorized into subjects with good balance (<45) in the Berg balance scale (BBS) and those with poor balance (≥45), as cases and controls, to assess the factors associated with balance impairment using binary logistic regression. The prevalence of balance impairment among patients with stroke was 48.1%. The reduction in power of knee flexors (OR = 0.858), knee extensors (OR = 0.880) and ankle dorsiflexors (OR = 0.820) was found to be significantly associated with balance impairment, along with speed (OR = 1.187 (95% CI = 1.100, 1.280)), depression (OR = 1.331 (95% CI = 1.055–1.679)) and activities of daily living (OR = 0.313 (95% CI = 0.150–0.650)). In summary, around half of the patients with stroke exhibited balance impairments, with females being more prone.

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Factors associated with sarcopenia in subjects aged 80 years and over

Revista de Nutrição ◽

10.1590/1415-52732015000300008 ◽

2015 ◽

Vol 28 (3) ◽

pp. 319-326 ◽

Cited By ~ 2

Author(s):

Vanessa Ribeiro dos Santos ◽

Diego Giulliano Destro Christofaro ◽

Igor Conterato Gomes ◽

Ricardo Ribeiro Agostinete ◽

Ismael Forte Freitas Júnior ◽

...

Keyword(s):

Nutritional Status ◽

Lean Mass ◽

Binary Logistic Regression ◽

Sociodemographic Factors ◽

Noncommunicable Diseases ◽

Chi Square ◽

Significance Level ◽

Factors Associated ◽

Epidemiological Factors ◽

Chi Square Test

OBJECTIVE: To analyze whether sarcopenia is associated with sociodemographic factors and chronic noncommunicable diseases in adults aged 80 years and older. METHODS: The sample consisted of 120 adults aged 80 to 95 years (83.4±2.9 years) from the city of Presidente Prudente (São Paulo, Brazil), of which 76 were females (83.4±3.0 years) and 44 were males (83.4±2.6 years). The study sociodemographic and epidemiological factors were: age stratum, gender, marital status, education level, chronic noncommunicable diseases, ethnicity, and nutritional status. Body composition was determined by Dual-Energy X-Ray Absorptiometry and sarcopenia was identified by the appendicular lean mass ratio (upper limb lean mass + lower limb lean mass [kg]/height [m]2). The Chi-square test analyzed whether sarcopenia was associated with sociodemographic and epidemiological factors and binary logistic regression expressed the magnitude of the associations. The data were treated by the software Statistical Package for the Social Sciences (17.0) at a significance level of 5%. RESULTS: The factors associated with sarcopenia were gender, age, nutritional status, and osteopenia/osteoporosis. CONCLUSION: The factors gender, age, nutritional status, and osteopenia/osteoporosis are independently associated with sarcopenia in adults aged 80 years and older.

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Effect of wearing a helmet on the occurrence of head injuries in motorcycle riders in Benin: a case-control study nested in a cohort

10.21203/rs.3.rs-117833/v2 ◽

2021 ◽

Author(s):

Bella Adodo Hounkpe Dos Santos ◽

Yolaine Glele Ahanhanzo ◽

Alphonse Kpozehouen ◽

Donatien Daddah ◽

Emmanuel Lagarde ◽

...

Keyword(s):

Head Injury ◽

Case Control Study ◽

Head Injuries ◽

Binary Logistic Regression ◽

Case Control ◽

Binary Logistic Regression Model ◽

Independent Variables ◽

Road Users ◽

Trauma Victims ◽

Control Study

Abstract Background In Benin, motorcycles are the main means of transport for road users and are involved in more than half of crashes. This study aims to determine the effect of wearing a helmet on reducing head injuries in road crashes in Benin. Methods This case-control study nested in a cohort took place in 2020 and focused on road trauma victims. The sample, consisting of 242 cases (trauma victims with head injuries) for 484 controls (without head injuries), was drawn from a cohort of traffic crash victims recruited from five hospitals across the country from July 2019 to January 2020. Four groups of independent variables were studied: socio-demographic and economic variables, history, ²oural variables including helmet use and road-related and environmental variables. To assess the shape of the association between the independent variables and the dependent variable, a descending step-by-step binary logistic regression model was performed using an explanatory approach.. Results Fewer of the subjects with a head injury were wearing a helmet at the time of the crash 69.8% (95% CI = 63.6 - 75.6) compared to those without a head injury 90.3% (95% CI = 87.3 - 92.8). Adjusting for the other variables, subjects not wearing helmets were at greater risk of head injuries (OR = 3.8, 95% CI (2.5 - 5.7)); the head injury rating was 1.9 (95% CI = 1.2 - 3.3) times higher in subjects who were fatigued during the crash than among those who were not and 2.0 (95% CI = 1.2 - 3.3) times higher than in subjects with no medical history. Conclusion Failure to wear a helmet exposes motorcyclists to the risk of head injuries during crashes. It is important to increase awareness and better target such initiatives at the subjects most at risk.

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Identifying consumers’ profile and factors associated with the valorization of pulque: A traditional fermented beverage in Central Mexico

Food Science and Technology International ◽

10.1177/1082013220917554 ◽

2020 ◽

Vol 26 (7) ◽

pp. 593-602 ◽

Cited By ~ 1

Author(s):

Edgar Rojas-Rivas ◽

Facundo Cuffia

Keyword(s):

Low Income ◽

Educational Level ◽

Binary Logistic Regression ◽

High Educational Level ◽

Central Mexico ◽

Binary Logistic Regression Model ◽

Factors Associated ◽

Consumption Frequency ◽

Fermented Beverage ◽

High Educational

The aims of this work were to (i) identify the consumers’ profile of pulque through their consumption frequency and their sensory perception of this beverage and (ii) identify the factors that contribute to the valorization of pulque among Mexican consumers. A survey was designed and conducted with 221 consumers in pulque-selling locations (pulquerías) in a place of Central Mexico. Consumers were characterized according to their consumption frequency. Factors associated with the valorization of pulque were identified through Binary Logistic Regression model. Two types of consumers were identified: Frequent Consumers and Not Frequent Consumers. Both groups were comprised mostly of men, including students with medium to high levels of education. However, the first group showed more traditional and conservative behavior patterns since there was a higher proportion of consumers with a low educational level ( p < 0.05) and they had more years of consumption, spend more time in the selling locations, and preferred “natural pulque.” The second group of consumers was comprised mostly ( p < 0.05) of women, including students with a high educational level who prefer “cured pulque.” In this sense, our results showed that gender and time spent in the pulquerías together with sensory, cultural, and functional characteristics associated with the beverage influence its valorization among consumers. These results can help both producers and marketers to classify segments of consumers according to their preferences and consumption patterns in order to revalorize the pulque market. Finally, it is necessary to highlight that young consumers with high educational level show interest in this beverage, since for years its consumption has been associated with low-income populations.

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Risk factors of obesity among Brazilian adolescents: a case–control study

Public Health Nutrition ◽

10.1079/phn2003490 ◽

2003 ◽

Vol 6 (8) ◽

pp. 743-749 ◽

Cited By ~ 19

Author(s):

Marilda B Neutzling ◽

José August AC Taddei ◽

Denise P Gigante

Keyword(s):

Risk Factors ◽

Protective Factor ◽

Case Control Study ◽

Conditional Logistic Regression ◽

Reference Population ◽

Case Control ◽

Overweight And Obesity ◽

Factors Associated ◽

History Of Obesity ◽

Control Study

AbstractObjective:To study risk factors associated with overweight and obesity among adolescents enrolled in private high schools in the city of Pelotas, southern Brazil.Method:This was a case–control study. The subjects were 264 overweight (body mass index (BMI) ≥85th percentile of the National Center for Health Statistics (NCHS) reference population) and 264 non-overweight (BMI > 5th and <85th NCHS percentiles) adolescents identified by means of an anthropometric survey which included 1608 students. The adolescents were weighed, measured and interviewed about food habits and physical activity at school. Parents provided their own weights and heights when contacted by telephone, and parental BMI was calculated.Results:Hierarchical multiple conditional logistic regression showed that overweight and obesity were positively associated with mother's (odds ratio (OR) 2.86, 95% confidence interval (Cl) 1.43–5.74) and father's (OR 2.43, 95% Cl 1.37–4.30) BMI ≥ 30 kg m−2, being overweight before 10 years of age (OR 2.26, 95% Cl 1.30–3.90) and the habit of dieting (OR 3.53, 95% Cl 1.76–7.22). Having more than three meals per day was found to be a protective factor against overweight and obesity (OR 0.54, 95% Cl 0.29–1.00).Conclusion:The present study showed that a family history of obesity, overweight during childhood and the habit of dieting for weight-loss purposes are factors associated with obesity during adolescence. The habit of having more than three daily meals turned out to be a protective factor against overweight. These results suggest the necessity for early intervention at the family and general community levels aimed at the prevention of obesity through actions directed towards the modification of established behaviours.

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Association Between Serum Microcystins Levels and Chronic Pelvic Inflammatory Disease: a Case-control Study

10.21203/rs.3.rs-551070/v1 ◽

2021 ◽

Author(s):

Na Zhu ◽

Xiaolan Wang ◽

Jia Tan ◽

Shuaishuai Xu ◽

Yanhong Peng ◽

...

Keyword(s):

Pelvic Inflammatory Disease ◽

Inflammatory Disease ◽

Protective Factor ◽

Case Control Study ◽

Binary Logistic Regression ◽

Scientific Basis ◽

Case Control ◽

Central China ◽

The Relationship ◽

Control Study

Abstract Microcystins(MCs) have been reported to be closely related to the occurrence and development of inflammation by animal and cell experiments, but there are no study on the relationship between serum microcystin-LR(MC-LR) and chronic pelvic inflammatory disease (CPID) risk in populations. We designed a clinical case-control study to investigate the relationship between serum MC-LR and CPID risk. From October 2020 to March 2021, 50 patients diagnosed with CPID and 50 controls (frequency matched by age) were recruited from the First Hospital University of South China, in Hengyang, Central China. The basic information on lifestyle and history of disease was acquired through questionnaires. Blood samples were analyzed for MC-LR by ELISA. Binary logistic regression analyses and chi-square test were used to evaluate the effects of MC-LR on CPID risk. With the increase of serum MC-LR level (Q2, Q3 and Q4), the AOR of CPID risk increased (0.139, 0.167 and 0.040, respectively). The serum MC-LR(0.06 ~ 0.66µg/L) was an independent protective factor for CPID in humans, and the protective effect of concentrations ≥ 0.25μg/L was more obvious. Within the certain concentration range, MC-LR was an independent protective factor for the risk of CPID in humans, which will provide a scientific basis for the study of the relationship between serum microcystins and inflammation.

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Geographical variation and factors associated with unsafe child stool disposal in Ethiopia: A spatial and multilevel analysis

10.1101/2020.09.07.20189902 ◽

2020 ◽

Author(s):

Biniyam Sahiledengle ◽

Zinash Teferu ◽

Yohannes Tekalegn ◽

Tadesse Awoke ◽

Demisu Zenbaba ◽

...

Keyword(s):

Spatial Distribution ◽

Secondary Data ◽

Binary Logistic Regression ◽

High Rate ◽

P Value ◽

Poverty Level ◽

Binary Logistic Regression Model ◽

Statistical Tool ◽

Factors Associated ◽

Toilet Facility

Background: Unsafe disposal of childrens stool makes children susceptible to fecaloral diseases and children remain vulnerable till the stools of all children are disposed of safely. There is a paucity of data on spatial distribution and factors associated with unsafe child stool disposal in Ethiopia. Previous estimates, however, do not include information regarding individual and community level factors associated with unsafe child stool disposal. Hence, the current study aimed to explore the spatial distribution and to identify factors associated with unsafe child stool disposal in Ethiopia. Methods: A secondary data analysis was conducted using the recent 2016 Ethiopian demographic and health survey data. A total of 4145 children aged 0 to 23 months with their mother were included in this analysis. The Getis Ord spatial statistical tool was used to identify high and low hotspots areas of unsafe child stool disposal. The Bernoulli model was applied using Kilduff SaTScan version 9.6 software to identify significant spatial clusters. A multilevel binary logistic regression model was fitted to identify factors associated with unsafe child stool disposal. Results: Unsafe child stool disposal was spatially clustered in Ethiopia (Morans Index 0.211, p value< 0.0001), and significant spatial SaTScan clusters of areas with a high rate of unsafe child stool disposal were detected. The most likely primary SaTScan cluster was detected in Tigray, Amhara, Afar (north), and Benishangul Gumuz (north) regions (LLR: 41.62, p<0.0001). Unsafe child stool disposal is more prevalent among households that had unimproved toilet facility (AOR=1.54, 95%CI: 1.17-2.02), and those with high community poorer level (AOR: 1.74, 95%CI: 1.23-2.46). Higher prevalence of unsafe child stool disposal was also found in households with poor wealth quintiles. Children belong to agrarian regions (AOR: 0.62, 95%CI 0.42-0.91), children 6/11 months of age (AOR: 0.66, 95%CI: 0.52-0.83), 12-17 months of age (AOR: 0.68, 95%CI: 0.54-0.86), and 18/23 months of age (AOR: 0.58, 95%CI: 0.45-0.74) had lower odds of unsafe child stool disposal. Conclusions: Unsafe child stool disposal was spatially clustered. Higher odds of unsafe child stool disposal were found in households with high community poverty level, poor, unimproved toilet facility, and with the youngest children. Hence, the health authorities could tailor effective child stool management programs to mitigate the inequalities identified in this study. It is also better to consider child stool management intervention in existing sanitation activities considering the identified factors.

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Optimization of the technique for removal of benign tumors and wound suturing in a general surgical hospital

Kazan medical journal ◽

10.17816/kmj2020-579 ◽

2020 ◽

Vol 101 (4) ◽

pp. 579-585

Author(s):

A G Izmaylov ◽

S V Dobrokvashin ◽

S G Izmaylov ◽

A E Leontev ◽

E E Lukoyanychev ◽

...

Keyword(s):

Thrombus Formation ◽

First Grade ◽

Wound Complications ◽

Benign Tumors ◽

Control Group ◽

P Value ◽

Study Group ◽

Surgical Wound ◽

Exact Test ◽

Surgical Wounds

Aim. To improve the results of surgical treatment in patients with large lipomas by using the device for closing the edges of wounds, allowing local preventive hemostasis in the surgical wound area, to create optimal conditions for atraumatic suturing and thereby reduce the amount of intraoperative bleeding and subsequently reduce the amount of postoperative wound complications. Methods. The results of treatment of 105 patients with different localization of large lipomas were analyzed. Lipomas ranged from 8.0 to 20 cm in diameter. All patients were divided into 2 groups: the control group consisted of 53 (50.5%) patients for which used the traditional technique of tumor excision with closing surgical wounds, and the study group with 52 (49.5%) patients, for which to reduce tissue damage during tumor removal and the edges of wound suturing, one of the device variants developed by us was used, approximation-distraction device. Fisher's exact test was used for the comparison of the outcomes rate, a p-value 0.05 was considered statistically significant. Results. Surgical wound complications occurred in 7 (6.7%) of 105 patients. In the study group, surgical wound complications occurred in 1.9% (1 observation), in the control group 11.3% (6 observations). Surgical wound complications were severity grade I and grade IIIa. Complications of the first grade did not require a debridement and will regress on its own; in grade IIIa complications, an opening, excision and drainage surgical wounds were performed without general anesthesia. Conclusion. Moderate local selective near-tumor tissue compression that occurs when the device branches come closer to each other accelerates spontaneous thrombus formation in damaged small vessels. This creates favorable conditions for the surgeon to work in a dry wound.

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Factors associated with nonadherence of tuberculosis treatment in the state of Paraná

Acta Paulista de Enfermagem ◽

10.1590/s0103-21002012000800017 ◽

2012 ◽

Vol 25 (spe1) ◽

pp. 108-114 ◽

Cited By ~ 4

Author(s):

Mara Cristina Ribeiro Furlan ◽

Simoni Pimenta de Oliveira ◽

Sonia Silva Marcon

Keyword(s):

Skin Color ◽

Binary Logistic Regression ◽

Previous Treatment ◽

Incidence Rates ◽

The State ◽

Tuberculosis Treatment ◽

Directly Observed Therapy ◽

Significance Level ◽

Factors Associated ◽

Low Education

OBJECTIVES: To describe the profile of tuberculosis reported cases and analyze the factors associated with treatment nonadherence in the state of Parana. METHODS: Ecological study that presented the TB cases reported between 2006 and 2010, using descriptive statistics and binary logistic regression, with significance level of 5%. RESULTS: During this period, 15,077 cases were reported, of which 84.2% were new cases. The majority of patients were male, skin color/ ethnicity white, and more than half were less than 40 years old with low education. Incidence rates and treatment nonadherence were higher than national rates. Less than half had directly observed therapy. Young, alcoholics, unemployed individuals with low education and previous treatment nonadherence were more likely not to adhere to treatment. CONCLUSION: The knowledge of these aspects can support a more effective strategy in combating tuberculosis treatment nonadherence.

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SELF-MEDICATION IN PRE- AND POSTOPERATIVE CONDITIONS IN TOOTH EXTRACTION

Revista Prevenção de Infecção e Saúde ◽

10.26694/repis.v6i0.9068 ◽

2020 ◽

Vol 5 ◽

Author(s):

Andreia Rodrigues da Silveira Miranda ◽

Hugo Christiano Soares Melo ◽

Aletheia Moraes Rocha ◽

Eva Mendes Monteiro ◽

Sandra Regina Afonso Cardoso ◽

...

Keyword(s):

Tooth Extraction ◽

Protective Factor ◽

Medication Use ◽

Demographic Variables ◽

Self Medication ◽

Chi Square ◽

Significance Level ◽

Factors Associated ◽

Before And After ◽

Chi Square Test

Objective: to evaluate the prevalence and risk factors associated with self-medication in pre- and postoperative conditions in tooth extraction. Method: interviews were conducted with 40 patients from a university dental clinic between September and October 2018, addressing socio-demographic variables, medication use and comorbidities. Chi-square test with significance level of p<0.05 was applied. Results: the prevalence of preoperative self-medication was 52.5% and 15% after surgery, of which 5% self-medicated before and after the procedure (p<0.001). It was found that 68.4% of the respondents who self-medicated preoperatively were women, and postoperatively, 75% were men (p<0.05). The most taken drugs before surgery were analgesic (p<0.05) and after were anti-inflammatory (p>0.05). Conclusion: tooth extraction was a protective factor for self-medication. This behavior varied between sexes, requiring specific prescription protocols for men and women in dental extraction.

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