scholarly journals CARACTERIZAÇÃO DE PACIENTES COM DOENÇA CEREBROVASCULAR: uma avaliação retrospectiva

2013 ◽  
Vol 20 (1) ◽  
pp. 50
Author(s):  
Darci Ramos Fernandes ◽  
Edenilde Alves dos Santos ◽  
Rosilda Silva Dias ◽  
Silvia Raimunda Costa Leite ◽  
Dayse Eveline Santos Sousa ◽  
...  
Keyword(s):  
Risk Factors ◽  
Retrospective Study ◽  
Cerebrovascular Disease ◽  
Medical Records ◽  
Clinical Characteristics ◽  
Clinical Intervention ◽  
Prevention Strategies ◽  
Gender And Age ◽  
Factores De Riesgo ◽  
The City

O presente estudo teve como objetivo descrever características demográficas  e clínicas dos pacientes com doença cerebrovascular e caracterizar os fatores de risco para o desenvolvimento da doença. Trata-se de estudo descritivo , observacional e retrospectivo que fez uma revisão de todos os prontuários médicos dos pacientes com doença cerebrovascular que estiveram internados em um Hospital Universitário em São Luís-Maran hão no período de 1992 a 2010, totalizando 346 pacientes. Os resultados evidenciaram que a maioria dos pacientes com DCV são homens, na faixa etária de 51 a 80 anos. Os principais fatores de risco para o desenvolvimento das DVC são hipertensão arterial, dislipidemias, diabetes, tabagismo e etilismo, independentemente do sexo e faixa etária. Os dados descritos neste estudo serão importantes para despertar um maior interesse para as doenças cerebrovasculares na cidade de São Luís e auxiliar outros pesquisadores desta instituição no planejamento de condutas, implantação de melhorias nos atendimentos e criação de programas e estrat égias de preven ção mais específica. A elabora ção de um protocolo de intervenção clínica para atendimento de pacientes acometidos por doença cerebrovascular foi a contribuição para a equipe.Palavras-chave: Doença cerebrovascular. Prontuários. Fatores de risco.CHARACTERIZATION OF PATIENTS WITH CEREBROVASCULAR DISEASE: a retrospective reviewAbstract: This study aimed to describe demograp hic and clinical characteristics of patients with cerebrovascular disease and characteri ze the risk factors for developing the disease. It is a descriptive , observational and retrospective study that did a review of all medical records of patients with cerebrovascular disease who were admitted to a universit y hospital in São Luís, Maran hão from 1992 to 2010, totaling 346 patients. The results showed that most patients with CVD are men, aged 51-80 years, the main risk factors for the development of CVD were hypertension, dyslipidemia, diabetes, smoking, and alcoholism regardless of gender and age. The data described in this study will be important to awaken a greater interest for cerebrovascular disease in the city of São Luís-MA, and help other researchers at this institution conducts planning, implementing improvements in the care and creation of programs and prevention strategies more specific. The development of a protocol for clinical intervention for treating patients suffering from cerebrovascular disease was the contribution to the team.Keywords: Cerebrovascular disease. Medical Records. Risk factorsCARACTERIZACIÓN DE LOS PACIENTES CON ENFERMEDAD CEREBROVASCULAR: una evaluación retrospectiva Resumen: Este estudio tuvo como objetivo describir las características demográficas y clínicas de los pacientes con enfermedad cerebrovascular y caracteri zar los factores de riesgo para desarrollar la enfermedad. Se trata de un estudio descriptivo , observacional y retrospectivo producto de una revisión de los registros médicos de los pacientes con enfermedad cerebrovascular ingresados en un hospital universitario de São Luís, Maran hão desde 1992 hasta 2010, un total de 346 pacientes. Los resultados mostraron que la mayoría de los pacientes con ECV son hombres, con edades entre 51-80 años. Los principales factores de riesgo para el desarrollo de las enfermedades cerebrovasculares son la hipertensión, la dislipidemia , la diabetes, el tabaquismo, independientemente del sexo y edad. Los datos que se describen  en este estudio serán importantes para despertar un mayor interés para la enfermedad cerebrovascular en la ciudad de São Luis, y ayudar a otros investigadores de esta institución para llevar a cabo la planificación, la implementación de mejoras en el cuidado y la creación de programas y estrategias de prevenci ón más específicas. El desarrollo de un protocolo de intervenci ón clínica para el tratamiento de pacientes que sufren de enfermedad cerebrovascular fue la contribución para el equipo.Palabras clave: Enfermedad Cerebrovascular. Registros Médicos. Factores de Riesgo.

scholarly journals Patients with isolated vertigo attack preceding stroke have different clinic characteristics: a retrospective study

2020 ◽  
Author(s):  
Dongxu Qiu ◽  
Lei Zhang ◽  
Jun Deng ◽  
Zhiwei Xia ◽  
Jingfeng Deng
Keyword(s):  
Risk Factors ◽  
Retrospective Study ◽  
Relative Risk ◽  
Cerebral Infarction ◽  
Medical Records ◽  
Clinical Characteristics ◽  
Medical Intervention ◽  
Infarction Volume ◽  
Abcd2 Score ◽  
Extracranial Stenosis

Abstract Background Isolated vertigo attack history preceding the acute stroke were frequently accompanying with other focal neurological symptoms. To clarify the different clinical characteristics between isolated vertigo attack and vertigo symptom accompanying hemiplegia preceding stroke, we performed this 4-year retrospective study. Methods Medical records of 1283 patients hospitalized with vertigo symptom had been screened. Patients were divided into two groups: isolated vertigo attack history preceding the stroke defined as IVA group, vertigo symptom accompanying hemiplegia attack defined as VAH group. Clinic characteristics including ABCD2 score, infarction volume and location, relative risk factors and the following medical intervention were compared between the group. Results Patients featured with VAH had higher extracranial stenosis (21.2% vs. 9.0%, P < 0.01) and ABCD2 score (3.7 ± 1.9 vs. 2.3 ± 1.5, P = 0.03), patient with IVA showed a higher diabetic prevalence (40.9% vs. 29.7%, P = 0.02). The frequency of vertigo events tended to be more commonly in patient with VAH (median 3.1 vs. 5.5, p < 0.03). The total cerebral infarction volume in IVA group tended to be larger than VAH with a median of 4.56 cm3 versus 2.32 cm3 (p = 0.02). Additionally, less patients with IVA sought medical intervention when vertigo symptom occurred. Conclusions Clinical characteristics including ABCD2 score, total cerebral infarction volume and the location were different between AVH and IVH group. In addition, less patients in IVH cohort sought medical intervention when vertigo symptom occurred.

scholarly journals Comparing the Clinical Characteristics and Mortality of Residential and Non-Residential Older People with COVID-19: Retrospective Observational Study

2022 ◽  
Vol 19 (1) ◽  
pp. 483
Author(s):  
Francesc X. Marin-Gomez ◽  
Jacobo Mendioroz-Peña ◽  
Miguel-Angel Mayer ◽  
Leonardo Méndez-Boo ◽  
Núria Mora ◽  
...  
Keyword(s):  
Risk Factors ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Clinical Characteristics ◽  
Fold Increase ◽  
The Elderly ◽  
Health Administration ◽  
Epidemic Outbreak ◽  
Risk Of Death ◽  
Using Data

Nursing homes have accounted for a significant part of SARS-CoV-2 mortality, causing great social alarm. Using data collected from electronic medical records of 1,319,839 institutionalised and non-institutionalised persons ≥ 65 years, the present study investigated the epidemiology and differential characteristics between these two population groups. Our results showed that the form of presentation of the epidemic outbreak, as well as some risk factors, are different among the elderly institutionalised population with respect to those who are not. In addition to a twenty-fold increase in the rate of adjusted mortality among institutionalised individuals, the peak incidence was delayed by approximately three weeks. Having dementia was shown to be a risk factor for death, and, unlike the non-institutionalised group, neither obesity nor age were shown to be significantly associated with the risk of death among the institutionalised. These differential characteristics should be able to guide the actions to be taken by the health administration in the event of a similar infectious situation among institutionalised elderly people.

scholarly journals Risk factors for peritonitis in patients on continuous ambulatory peritoneal dialysis who undergo colonoscopy: a retrospective multicentre study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Tae-Geun Gweon ◽  
Sung Hoon Jung ◽  
Sang Woo Kim ◽  
Kang-Moon Lee ◽  
Dae Young Cheung ◽  
...  
Keyword(s):  
Risk Factors ◽  
Peritoneal Dialysis ◽  
Multicentre Study ◽  
Endoscopic Mucosal Resection ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Medical Records ◽  
Clinical Characteristics ◽  
Prophylactic Antibiotics ◽  
Randomized Controlled ◽  
Mucosal Resection

Abstract Background Colonoscopy is associated with a risk of peritonitis in patients on peritoneal dialysis. However, no study has yet described the risk factors in play. Methods This was a retrospective multicentre study. The medical records of patients on continuous ambulatory peritoneal dialysis (CAPD) who underwent colonoscopy from January 2003 to December 2012 were analysed. We recorded demographic characteristics, colonoscopic factors, use of prophylactic antibiotics, and development of peritonitis. Colonoscopy-related peritonitis was defined as peritonitis developing within 1 week after colonoscopy. Demographic and clinical characteristics were compared between patients who did and those who did not develop peritonitis. Results During the study period, 236 patients on CAPD underwent colonoscopy, of whom 9 (3.8%) developed peritonitis. The rates of polypectomy/endoscopic mucosal resection were significantly higher in the peritonitis group than in the no peritonitis group (66.7 vs. 23.4%, p = 0.009). Prophylactic antibiotics were prescribed before colonoscopy in 65 patients; none developed peritonitis. No patient who developed peritonitis received prophylactic antibiotics (p = 0.067). Conclusions Advanced procedures including polypectomy or endoscopic mucosal resection increase colonoscopy-related peritonitis in patients on CAPD. Randomized controlled trials to investigate whether prophylactic antibiotics are needed to prevent peritonitis in all CAPD patients are warranted.

scholarly journals Nefropatía induzida por contraste: identificação de riscos para promoção de boas práticas

2019 ◽  
Vol 18 (4) ◽  
pp. 79-118
Author(s):  
Tália Lorenzo Silva ◽  
Karla Biancha Silva de Andrade ◽  
Daniel Gomes de Sousa ◽  
Andrezza Serpa Franco ◽  
Ana Lucia Cascardo Marins ◽  
...  
Keyword(s):  
Risk Factors ◽  
Nursing Care ◽  
Medical Records ◽  
Kidney Injury ◽  
Percutaneous Transluminal Coronary Angioplasty ◽  
Cross Sectional ◽  
Good Practices ◽  
Factores De Riesgo ◽  
Transluminal Coronary Angioplasty ◽  
Buenas Prácticas

Objective: To identify the risk factors for contrast-induced nephropathy (CIN) in patients who underwent percutaneous transluminal coronary angioplasty (PTCA) and discuss the nursing care from the perspective of good practices in order to minimize it. Method: Cross-sectional, retrospective, quantitative study carried out from January to December 2015, using documentary analysis through medical records. Results: Eighty-seven medical records were selected. The male sex prevailed with 67.8% (59), with a mean age of 58.8 ± 10.4. It was seen that 6 patients (6.8%) used contrast injections between 100 ml or more and 32 (36.8%) presented alterations in hematocrit values. Concerning the risk for nephropathy, 24 (27.6%) presented moderate to very high risk. Conclusion: Risk factors for CIN are common in patients who undergo PTCA. Thus, discussing nursing care that can collaborate in the identification and prevention of kidney injury is strategic and contributes to good practices. Objetivo: Identificar factores de riesgo para nefropatía inducida por contraste (NIC) en pacientes sometidos al procedimiento de angioplastia coronaria transluminal percutánea (ACTP) y discutir los cuidados de enfermería en la perspectiva de las buenas prácticas para minimizarla. Método: Estudio transversal, retrospectivo, cuantitativo, realizado de enero a diciembre de 2015, utilizando análisis documental mediante registros médicos. Resultados: Se seleccionaron 87 registros. El sexo masculino prevaleció con el 67,8% (59), con un promedio de edad de 58,8 ± 10,4. Se notó que 6 (6,8%) utilizaron inyecciones de contraste entre 100 ml o más y 32 (36,8%) presentaron cambios en los valores de hematocrito. Sobre el riesgo para nefropatía, 24 (27,6%) presentaron de moderado a altísimo. Conclusión: Factores de riesgo para NIC son frecuentes en pacientes que realizan ACTP. Así, discutir cuidados de enfermería que puedan colaborar en la identificación y prevención del problema renal es estratégico y contribuye a buenas prácticas. Objetivo: Identificar os fatores de risco para nefropatia induzida por contraste (NIC) nos pacientes que se submeteram ao procedimento de angioplastia coronária transluminal percutânea (ACTP) e discutir os cuidados de enfermagem na perspectiva das boas práticas para minimizá-la. Método: Estudo transversal, retrospectivo, quantitativo, realizado de janeiro a dezembro de 2015, que utilizou análise documental através de prontuários. Resultados: foram selecionados 87 prontuários. O sexo masculino prevaleceu com 67,8% (59), com uma média de idade de 58,8 ±10,4. Verificou-se que 6 pacientes (6,8%) utilizaram injeções de contraste entre 100 ml ou mais e 32 (36,8%) apresentaram alterações nos valores de hematócrito. Quanto ao risco para nefropatia, 24 (27,6%) apresentaram de moderado a altíssimo. Conclusão: Fatores de risco para NIC são frequentes nos pacientes que realizam ACTP. Assim, discutir cuidados de enfermagem que possam colaborar na identificação e prevenção da injúria renal é estratégico e contribui para boas práticas.

Risk factors for screw migration after triple pelvic osteotomy

2001 ◽  
Vol 37 (3) ◽  
pp. 269-273 ◽  
Author(s):  
S Simmons ◽  
AL Johnson ◽  
DJ Schaeffer
Keyword(s):  
Risk Factors ◽  
Retrospective Study ◽  
Medical Records ◽  
Pelvic Osteotomy ◽  
Factors Associated

The objective of this retrospective study was to identify risk factors for screw migration after triple pelvic osteotomy (TPO) in clinical patients. The medical records, radiographs made immediately after surgery, and follow-up radiographs documenting a healed osteotomy were reviewed for 52 dogs treated with unilateral TPO and 38 dogs treated with bilateral TPO. Signalment, surgeon expertise, length of surgery, sequence of surgery in dogs treated bilaterally, use of ischial or ilial wires or both, screw depth in the sacrum, and screw migration were documented for each of the 128 pelvic osteotomies. Screws placed in the first and second plate hole, securing the cranial portion of the plate, loosened most frequently. Factors associated with decreased screw migration included use of an ischial hemicerclage wire and increased depth of sacral purchase with the first and second cranial screws.

scholarly journals Risk factors for medication errors in the electronic and manual prescription

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Cris Renata Grou Volpe ◽  
Eveline Maria Magalhães de Melo ◽  
Lucas Barbosa de Aguiar ◽  
Diana Lúcia Moura Pinho ◽  
Marina Morato Stival
Keyword(s):  
Risk Factors ◽  
Retrospective Study ◽  
Medication Errors ◽  
Medical Records ◽  
Public Hospital ◽  
Study Data ◽  
Electronic Records ◽  
Brand Name ◽  
Electronic Prescription ◽  
Medication Process

ABSTRACT Objective: to compare electronic and manual prescriptions of a public hospital of Brasilia, identifying risk factors for the occurrence of medication errors. Method: descriptive-exploratory, comparative and retrospective study. Data collection occurred from July 2012 to January 2013, using an instrument for the review of the information contained in medical records related to the medication process. A total of 190 manual and 199 electronic records composed the sample, with 2027 prescriptions each. Results: compared to the manual prescription, a significant reduction was observed in the risk factors after implantation of the electronic prescription, in items such as "lack of the form of dilution" (71.1% to 22.3%) and "prescription with brand name" (99.5% to 31.5%). Conversely, the risk factors "no check" and "lack of CRM of the prescriber" increased. The lack of the allergy registration and the occurrences related to medication were the same for both groups. Conclusion: generally, the use of the electronic prescription system was associated with a significant reduction in risk factors for medication errors, concerning the following aspects: illegibility, prescription with brand name and presence of essential items that provide a safe and effective prescription.

scholarly journals Risk factors for peritonitis in patients on continuous ambulatory peritoneal dialysis who undergo colonoscopy: A retrospective multicentre study

2019 ◽  
Author(s):  
Tae-Geun Gweon ◽  
Sung Hoon Jung ◽  
Sang Woo Kim ◽  
Kang-Moon Lee ◽  
Dae Young Cheung ◽  
...  
Keyword(s):  
Risk Factors ◽  
Peritoneal Dialysis ◽  
Multicentre Study ◽  
Endoscopic Mucosal Resection ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Medical Records ◽  
Clinical Characteristics ◽  
Demographic Characteristics ◽  
Prophylactic Antibiotics ◽  
Mucosal Resection

Abstract Background: Colonoscopy is associated with a risk of peritonitis in patients on peritoneal dialysis. However, no study has yet described the risk factors in play. Methods: This was a retrospective multicentre study. The medical records of patients on continuous ambulatory peritoneal dialysis (CAPD) who underwent colonoscopy from January 2003 to December 2012 were analysed. We recorded demographic characteristics, colonoscopic factors, use of prophylactic antibiotics, and development of peritonitis. Colonoscopy-related peritonitis was defined as peritonitis developing within 1 week after colonoscopy. Demographic and clinical characteristics were compared between patients who did and those who did not develop peritonitis. Results: During the study period, 236 patients on CAPD underwent colonoscopy, of whom 9 (3.8%) developed peritonitis. The rates of polypectomy/endoscopic mucosal resection were significantly higher in the peritonitis group than in the no peritonitis group (66.7 vs. 23.4%, p=0.009). Prophylactic antibiotics were prescribed before colonoscopy in 65 patients; none developed peritonitis. No patient who developed peritonitis received prophylactic antibiotics (p=0.067). Conclusions: Advanced procedures including polypectomy or endoscopic mucosal resection increase colonoscopy-related peritonitis in patients on CAPD. Prophylactic antibiotics should be administered before colonoscopy to such patients.

scholarly journals Fatal severe community-acquired pneumonia: risk factors, clinical characteristics and medical errors of hospital patients

2020 ◽  
Vol 92 (3) ◽  
pp. 42-49 ◽  
Author(s):  
L. B. Postnikova ◽  
P. F. Klimkin ◽  
M. V. Boldina ◽  
A. L. Gudim ◽  
N. I. Kubysheva
Keyword(s):  
Risk Factors ◽  
Medical Errors ◽  
Medical Records ◽  
Clinical Characteristics ◽  
Community Acquired Pneumonia ◽  
Lung Damage ◽  
Common Disease ◽  
Strict Adherence ◽  
Late Treatment ◽  
Nizhny Novgorod Region

Community-acquired pneumonia (CAP) is the most common disease and potentially life-threatening infection in the worldwide. In the Nizhny Novgorod region, no analysis of the causes of mortality and medical errors of severe CAP patients. Aim. To analyze the patients structure who died severe CAP in hospitals of the Nizhny Novgorod region, to identify the leading risk factors, to assess the clinical characteristics of fatal severe CAP and medical errors according to medical records of patients from 20152016. Materials and methods. This was a retrospective study of medical records of 139 patients with fatal severe CAP from medical organizations of the Nizhny Novgorod region. The 72 patients died in 2015. The mortality rate from pneumonia was 67 cases in 2016. Results. The key predictors of the fatal severe CAP in patients of the Nizhny Novgorod region identified: socio-demographic status (men of working age, unemployed, smoking, alcohol and drug dependence), late treatment and hospitalization, tachypnea, hypotension, tachycardia, confusion, leukocytosis or leukopenia, thrombocytopenia, anemia, hyperglycemia, bilateral lung damage, pleural effusion, acute respiratory failure. The leading medical errors in fatal CAP were incorrect assessment of the severity of the patients condition, untimely CAP, non-monitoring of SpO2 on the first day of hospitalization, late transfer of patients to the intensive care unit, there was no influenza therapy, inadequate starting antibacterial therapy. Conclusion. The main ways to avoid or minimize medical errors and reduce the mortality of patients with TVP is strict adherence to clinical recommendations, active preventive measures, diagnosis and treatment of chronic diseases.

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