Procedimentos  invasivos  e  sepse  em  recém-nascidos  de  muito  baixo peso: estudo descritivo

Aim: To identify the type of sepsis which affected newborns withvery low birth weight and invasive care procedures to which they were subjected in a university hospital in the city of Niterói, between the years 2008 and 2012. Method: This is a retrospective descriptive study using secondary data research in the medical records of newborns admitted to the Neonatal Intensive Care Unit of the University Hospital Antônio Pedro. Results: Of the 49 infants studied, 35 were diagnosed with early sepsis, eight with early and late sepsis and six late. The mean gestational age was 30.5 weeks and the weight 1.176,1 kg. The most frequently performed care procedures were: peripheral venipuncture (87.8%), central catheter peripheral venipuncture (81.6%), assistance to ventilation in the delivery room (69.4%) and intubation in the delivery room (28.6%). Conclusion: It is inferred that the lower birth weight is associated with the higher incidence of sepsis.

Download Full-text

Short Term Outcomes of Neonates Born after Prolonged Premature Rupture of Membranes < 34 Weeks Gestation

Research in Health Science ◽

10.22158/rhs.v4n2p83 ◽

2019 ◽

Vol 4 (2) ◽

pp. 83

Author(s):

Isam Bsisu ◽

Alaa Aldalaeen ◽

Rawan Elrajabi ◽

Ala AlZaatreh ◽

Rama Jadallah ◽

...

Keyword(s):

Birth Weight ◽

Gestational Age ◽

Neonatal Intensive Care ◽

Preterm Births ◽

University Hospital ◽

High Rate ◽

Premature Rupture Of Membranes ◽

Premature Rupture ◽

Gestational Week ◽

The Mean

Background: Preterm premature rupture of membranes (PPROM) is responsible for one?third of all preterm births worldwide. This aim of this study was to investigate the outcome of neonates born after prolonged PPROM with gestational age below 34 weeks. Materials and methods: This retrospective study included 65 patients who were born to mothers with Prolonged PPROM <34 weeks gestation between January 2011 and December 2015 and admitted to the neonatal intensive care unit (NICU) at Jordan University Hospital. Results: The mean gestational age of included patients was (31.9 ± 2.5 weeks), mean birth weight was (1840 ± 583 g) and 43 (66.2%) were males. The mortality rate in those infants was 12.3 %. Gestational age, birth weight, and Apgar score were significantly lower among mortality cases compared to surviving cases (P < 0.05). Conclusion: Prolonged PPROM before the 34th gestational week is associated with high rate of morbidity and mortality, for which early identification of risk factors for developing PPROM can help in reducing the risk for preterm labors and subsequent burden on healthcare system.

Download Full-text

Limited Mobility to the Bed Reduces the Chances of Discharge and Increases the Chances of Death in the ICU

Clinics and Practice ◽

10.3390/clinpract12010002 ◽

2021 ◽

Vol 12 (1) ◽

pp. 8-16

Author(s):

Talita Leite dos Santos Moraes ◽

Joana Monteiro Fraga de Farias ◽

Brunielly Santana Rezende ◽

Fernanda Oliveira de Carvalho ◽

Michael Silveira Santiago ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Retrospective Study ◽

Medical Records ◽

High Mobility ◽

University Hospital ◽

Limited Mobility ◽

The Mean ◽

The University

Background: Progressive mobility in the ICU has been recommended; however, the definitions of low, moderate, and high mobility in the ICU still diverge between studies. Therefore, our objective was to classify the mobility of the sample from verticalization and active withdrawal from the bed, and from that, to analyze the chances of discharge, death, and readmission to the ICU. Materials and methods: This is an observational and retrospective study that consults the medical records of individuals admitted to the ICU of the University Hospital of Sergipe (HU/SE) between August 2017 and August 2018. Mobility level was classified based on the Intensive Care Unit Mobility Scale (IMS). Results: A total of 121 individuals were included. The mean age was 61.45 ± 16.45, being 53.7% female. Of these, 28 (23.1%) had low mobility, 33 (27.3%) had moderate mobility, and 60 (49.6%) had high mobility. Individuals with low mobility were 45 times more likely to die (OR = 45.3; 95% CI = 3.23–636.3) and 88 times less likely to be discharged from the ICU (OR = 0.22; 95% CI = 0.002–0.30). Conclusion: Those who evolved with low mobility had a higher chance of death and a lower chance of discharge from the ICU. Moderate and high mobility were not associated with the investigated outcomes.

Download Full-text

Growth of infants assisted in nursing appointments in childcare

Revista Gaúcha de Enfermagem ◽

10.1590/1983-1447.2015.01.45703 ◽

2015 ◽

Vol 36 (1) ◽

pp. 35-42

Author(s):

Grazielle Cavalcante de Souza Carneiro ◽

Lívia Maria Correia de Morais ◽

Leidiane Francis de Araújo Costa ◽

Talita Helena Monteiro de Moura ◽

Marly Javorski ◽

...

Keyword(s):

Nutritional Status ◽

Quantitative Study ◽

Medical Records ◽

Complementary Feeding ◽

Growth Curves ◽

University Hospital ◽

Cross Sectional ◽

Upward Growth ◽

The City ◽

Weight For Age

This study aimed to describe the growth during the introduction of complementary feeding to infants assisted in the nursing appointment in childcare. It is a descriptive, cross-sectional, quantitative study developed through research in 51 medical records of children aged 4-8 months, from September to October 2012 in a university hospital in the city of Recife, PE. Data were analyzed using Epi Info software, version 6.04 and described in simple and relative frequencies. It was found that for 33% of the children. complementary foods were introduced at six months. Of these, 88.2%, 69.2% and 57.1% showed ascending weight-for-age growth curves, and 88.2%, 66.7% and 71.4% ascending length-for-age growth curves at six, seven and eight months respectively. Children with appropriate and timely introduction of complementary feeding showed upward growth curves and adequate nutritional status.

Download Full-text

Low adherence to pneumococcal vaccination in lung cancer patients in a tertiary care university hospital in Southern Germany

10.21203/rs.3.rs-906318/v1 ◽

2021 ◽

Author(s):

Arno Mohr ◽

Mia Kloos ◽

Christian Schulz ◽

Michael Pfeifer ◽

Bernd Salzberger ◽

...

Keyword(s):

Lung Cancer ◽

Cancer Patients ◽

Medical Records ◽

Hepatitis A ◽

Tertiary Care ◽

Pneumococcal Vaccination ◽

University Hospital ◽

Lung Cancer Patients ◽

Tick Borne Encephalitis ◽

The University

Abstract IntroductionThe aim of this study was to investigate the adherence to vaccinations, especially pneumococcal vaccinations, in lung cancer patients.MethodsThe study was performed at the University Hospital Regensburg, Germany. All patients with a regular appointment scheduled between December 1, 2020, and April 29, 2021, and who provided informed consent were included. Available medical records, vaccination certificates and a questionnaire were analyzed.Results136 lung cancer patients (NSCLC n = 113, 83.1%, SCLC n = 23, 16.9%) were included. A correct pneumococcal vaccination according to national recommendations was performed in 9.4% (12/127) of patients.A correct vaccination was performed for tetanus in 50.4% (6/131), diphtheria in 34.4% (44/128), poliomyelitis in 25.8% (33/128), tick-borne encephalitis in 40.7% (24/59), hepatitis A in 45.5% (7/11), hepatitis B in 38.5% (5/13), shingles in 3.0% (3/101), measles in 50.0% (3/6), pertussis in 47.7% (62/130), influenza in 54.4% (74/136) and meningococcal meningitis in 0% (0/2).ConclusionAdherence to pneumococcal vaccinations, as well as other vaccinations, is rather low in lung cancer patients.

Download Full-text

KARAKTERISTIK BALITA PENDERITA PNEUMONIA BERDASARKAN FAKTOR RISIKO DI RSUD ABDUL WAHAB SJAHRANIE SAMARINDA TAHUN 2018

Jurnal Kebidanan Mutiara Mahakam ◽

10.36998/jkmm.v8i1.73 ◽

2020 ◽

Vol 8 (1) ◽

pp. 38-45

Author(s):

Nurul Fatimah ◽

Sukartini ◽

Nataniel Tandirogang

Keyword(s):

Risk Factors ◽

Birth Weight ◽

Medical Records ◽

Secondary Data ◽

Sampling Technique ◽

Lung Parenchyma ◽

Children Under Five ◽

Under Five ◽

Normal Birth ◽

Sample Set

Pneumonia is an acute respiratory infection that affects the lung parenchyma, which is still the leading cause of children under-five mortality throughout the world. Age 1-24 months, low birth weight, and undernourished are the risk factors for pneumonia. The purpose of this study was to determine the description of the characteristics of children under-five patients with pneumonia in Abdul Wahab Sjahranie Hospital Samarinda, based on the risk factors. This research is a descriptive observational study. The samples of this study were all the pneumonia children under-five patients who were hospitalized at Abdul Wahab Sjahranie Hospital in January-December 2018, according to the characteristics of the sample set by the researchers, which were taken by purposive sampling technique. The data used were secondary data obtained from patient medical records, taken in June 2019 at the Medical Record Installation, Abdul Wahab Sjahranie Hospital. The number of samples obtained was 42 pneumonia patients. More children suffering from pneumonia were found in age 1-24 months (78.6%), normal birth weight (61.9%), and undernourished (57.1%).

Download Full-text

The pattern of admission and outcome of neonates managed in the neonatal intensive care unit in a Sudanese hospital

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20211068 ◽

2021 ◽

Vol 8 (4) ◽

pp. 616

Author(s):

Safaa A. M. Ahmed ◽

Mohammed A. O. Ali ◽

Esraa A. A. Mahgoub ◽

Mohammed Nimir ◽

Elfatih M. Malik

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Birth Weight ◽

Neonatal Intensive Care Unit ◽

Medical Records ◽

Neonatal Intensive Care ◽

Binary Logistic Regression ◽

Neonatal Morbidity ◽

Chi Square ◽

Chi Square Test

Background: This study aimed to assess the admission pattern and outcome of neonates managed in the neonatal intensive care unit (NICU) in a Sudanese hospital.Methods: This hospital-based retrospective study was conducted in the NICU of Saad Abu Elella Teaching Hospital in Khartoum, Sudan. Data was collected from medical records of 207 neonates using an extraction form. Chi-square test and binary logistic regression were used in analysis.Results: Most of the neonates were term, and 43% of them had a birth weight less than 2.5 kg. Moreover, the most common morbidities among them were sepsis, respiratory distress syndrome, neonatal jaundice and asphyxia, and the mortality rate was 15%. Additionally, the birth weight, gestational age, the need for resuscitations, direct breast feeding and being beside mother were found to be significantly associated with the studied outcome.Conclusions: Majority of causes of neonatal morbidity and mortality in our study were preventable diseases. Therefore, interventions to improve services in the NICU are highly needed to improve the outcomes.

Download Full-text

Embolic stroke of undetermined source (ESUS) cohort of Brazilian patients in a university hospital

Arquivos de Neuro-Psiquiatria ◽

10.1590/0004-282x20190045 ◽

2019 ◽

Vol 77 (5) ◽

pp. 315-320

Author(s):

Gabriel Pinheiro Modolo ◽

Juli Thomaz De Souza ◽

Fernanda Cristina Winckler ◽

Natalia Cristina Ferreira ◽

Marcos Cristiano Lange ◽

...

Keyword(s):

Risk Factors ◽

Medical Records ◽

Health Financing ◽

National Institutes Of Health ◽

Embolic Stroke ◽

University Hospital ◽

Stroke Patients ◽

Important Group ◽

Small Cohort ◽

The Mean

ABSTRACT Embolic stroke of undetermined source (ESUS) is an important group of cryptogenic strokes that are in evidence due recent ongoing trials. We reviewed medical records at discharge from the stroke unit of all patients who met ESUS criteria and attended our institution between February 2016 and July 2017. Among 550 stroke patients, 51 had ESUS. We found that hypertension (60%), diabetes mellitus (34%), and smoking (36%) were the most prevalent risk factors. The mean National Institutes of Health Stroke Scale (NIHSS) scores were 7 at admission and 4 at discharge, while median scores on the modified Rankin scale were 0 and 2 at admission and discharge, respectively. Our sample had similar ages, risk factors prevalence and NIHSS scores at admission and discharge when compared with European and North American cohorts. Although a small cohort, our study suggests that the ESUS population is similar in countries with different health financing.

Download Full-text

Correlation Between Dysphagia and Malocclusion in Rett Syndrome: A preliminary study

Sultan Qaboos University Medical Journal [SQUMJ] ◽

10.18295/squmj.2018.18.04.010 ◽

2019 ◽

Vol 18 (4) ◽

pp. 489

Author(s):

Serena Cocca ◽

Massimo Viviano ◽

Michele Loglisci ◽

Stefano Parrini ◽

Giovanni Monciatti ◽

...

Keyword(s):

Rett Syndrome ◽

Epileptic Seizures ◽

University Hospital ◽

Severe Dysphagia ◽

Feeding And Eating Disorders ◽

Craniofacial Dysmorphism ◽

The Mean ◽

Preliminary Study ◽

The University ◽

Mild Dysphagia

Objectives: Rett syndrome (RS) is a severe neurological developmental disorder characterised by stereotypical hand movements, epileptic seizures, craniofacial dysmorphism and digestive dysfunction. This study aimed to examine the correlation between the severity of malocclusion and dysphagia in patients with RS. Methods: This preliminary study was conducted at the Ear, Nose & Throat Clinic of the University Hospital of Siena, Siena, Italy, from January 2014 to December 2017. A total of 56 patients with RS were examined and grouped according to the severity of dysphagia (absent, mild, moderate or severe) and malocclusion (<2 mm, 2–3 mm, 3–4 mm or >4 mm). Results: All of the patients were female and the mean age was 11.3 years. Eight (14.3%) patients had mild, 18 (32.1%) had moderate and 30 (53.6%) had severe dysphagia. Four (7.1%) patients had <2 mm occlusion, 10 (17.9%) had 2–3 mm occlusion, 26 (46.4%) had 3–4 mm occlusion and 16 (28.6%) had >4 mm occlusion. Mild dysphagia was observed in 100% and 40% of patients with <2 and 2–3 mm malocclusion, respectively, while moderate dysphagia was present in 60% and 38.5% of patients with 2–3 and 3–4 mm malocclusion, respectively. Severe dysphagia was observed in 28.6% and 87.5% of patients with 3–4 and >4 mm malocclusion, respectively. There was a significant correlation between dysphagia and malocclusion severity (P <0.001). Conclusion: A higher degree of malocclusion was associated with more severe dysphagia among a cohort of patients with RS.Keywords: X-Linked Mental Retardation; Rett Syndrome; Dysphagia; Malocclusion; Feeding and Eating Disorders of Childhood.

Download Full-text

Generalized myoclonus in COVID-19

Neurology ◽

10.1212/wnl.0000000000009829 ◽

2020 ◽

Vol 95 (6) ◽

pp. e767-e772 ◽

Cited By ~ 23

Author(s):

Pablo Rábano-Suárez ◽

Laura Bermejo-Guerrero ◽

Antonio Méndez-Guerrero ◽

Javier Parra-Serrano ◽

Daniel Toledo-Alfocea ◽

...

Keyword(s):

Medical Records ◽

Startle Response ◽

Respiratory Arrest ◽

University Hospital ◽

Voluntary Movements ◽

Inflammatory Phase ◽

Immune Mediated ◽

The University ◽

Order Structures ◽

Rule Out

ObjectiveTo report 3 patients infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) who developed generalized myoclonus.MethodsPatient data were obtained from medical records from the University Hospital “12 de Octubre,” Madrid, Spain.ResultsThree patients (2 men and 1 woman, aged 63–88 years) presented with mild hypersomnia and generalized myoclonus following the onset of the so-called inflammatory phase of coronavirus disease 2019 (COVID-19). All of them had presented previously with anosmia. Myoclonus was generalized with both positive and negative jerks, predominantly involving the facial, trapezius, sternocleidomastoid, and upper extremities muscles. These myoclonic jerks occurred spontaneously and were extremely sensitive to multisensory stimuli (auditive and tactile) or voluntary movements, with an exaggerated startle response. Other causes of myoclonus were ruled out, and none of the patients had undergone respiratory arrest or significant prolonged hypoxia. All of them improved, at least partially, with immunotherapy.ConclusionsOur 3 cases highlight the occurrence of myoclonus during the COVID-19 pandemic as a post- or para-infectious immune-mediated disorder. However, we cannot rule out that SARS-CoV-2 may spread transneuronally to first- and second-order structures connected with the olfactory bulb. Further investigation is required to clarify the full clinical spectrum of neurologic symptoms and optimal treatment.

Download Full-text

Acute Polyhydramnios Complicating Twin Pregnancies

Acta geneticae medicae et gemellologiae twin research ◽

10.1017/s0001566000004700 ◽

1985 ◽

Vol 34 (3-4) ◽

pp. 179-184 ◽

Cited By ~ 27

Author(s):

K.T.M. Schneider ◽

K. Vetter ◽

R. Huch ◽

A. Huch

Keyword(s):

Mortality Rate ◽

Amniotic Fluid ◽

Bed Rest ◽

Positive Influence ◽

University Hospital ◽

Monozygous Twin ◽

The Mean ◽

The University ◽

Twin Pregnancies ◽

Placental Vessel

AbstractAcute polyhydramnios in the second trimestr is a typical complication in monozygous twin pregnancies. It is caused by a feto-fetal transfusion with anemia on the donor and polycytemia on the recipient twin. Contrary to the chronic hydramnios, there is no increase in malformations. In view of the high mortality rate (100%, according to most authors), the clinical management has to be reconsidered. During the years 1979 to 1983, 10 cases of acute polyhydramnios have been observed at the University Hospital in Zurich. This corresponds to an incidence of 9% in our twin population. All cases investigated were MZ twin pregnancies. With the exception of one patient, who underwent an abortion, all women were hospitalized, had bed rest and received recurrent removals of amniotic fluid and prophylactic tocolysis. The mean gestational age at the time of diagnosis was 23 4/7 weeks and at delivery 30 3/7 weeks. In two cases – one of which is presented in detail – with an unintentional puncture of a placental vessel, the recurrence of the hydramnios did not appear. Eight of 18 newborns survived. No malformations were found. Bed rest, tocolysis and recurrent amniocenteses seem to have a positive influence on the prolongation and outcome of the gestation in acute polyhydramnios.

Download Full-text