scholarly journals Affections Neuroméningées Au Cours Du VIH Dans Le Service Des Maladies Infectieuses Du CHU De Brazzaville : Prévalence Et Facteurs Associés Au Décès

2016 ◽  
Vol 12 (33) ◽  
pp. 177
Author(s):  
Ossibi Ibara Bienvenu Rolland ◽  
, Obengui ◽  
Damba Banzouzi Bébene ◽  
Ossou-Nguiet Paul Macaire ◽  
Paka Herdan ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Early Detection ◽  
Sex Ratio ◽  
Diagnosis Delay ◽  
Average Hospital Stay ◽  
Average Hospital ◽  
Factors Associated ◽  
Cerebral Herniation ◽  
Hiv 1 ◽  
Overall Mortality

Goal . Neuromeningeal determine the prevalence of disease in PLHIV and identify factors associated with death. Methodology. Retrospective study on descriptive and analytical referred cases hospitalized in the Infectious Diseases department during the period 1 January 2013 to 31 May 2015. Results. One hundred and fifty patients included (10.5% of admissions) with mean age of 41.1 ± 11.8 years (range 19 to 69) women (n = 86, 57.3%), sex ratio of 1,3. were without jobs (n = 68; 45.3%), single (n = 96; 64%), heterosexually infected by HIV-1 (100%). The average time of consultation was 19.2 ± 1.3 days. Fever (n = 99; 66.0%), disorders of consciousness (n = 66; 44.0%) were the main reasons for consultations. Meningeal stiffness (40%), focal signs (n =62; 41,4%) were the main signs consideration. CSF was clear (n = 94; 62.7%), hyperproteinorachique (59.8%), hypoglycorrachique (43.8%). Examining the ink was positive in 39 cases (34.8%) The Gerh was positive in 35 patients .the CT abnormalities were dominated abscess (n = 12; 15.4%).. Thirty four patients were on TDF + FTC + EFV regimen. The average hospital stay was 14.4 ± 9.5 days. Overall mortality was 83.2% mainly due to cerebral herniation (n = 28; 33.3%). Conclusion. The prevalence and lethality of diseases neuromeningeal of HIV are high. The diagnosis delay and TNM influence the prognosis of patients; Hence the importance of early detection of HIV infection for its management to prevent immunosuppression.

scholarly journals P3.222 Factors associated with maternal-child transmission of HIV-1 in southeastern brazil: a retrospective study

2017 ◽  
Author(s):  
Thiago Nascimento Do Prado ◽  
Debbie Bain Brickley ◽  
Nancy Hills ◽  
Jefferson Vitorino Cantão De Souza ◽  
Sandra Fagundes Moreira Da Silva ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Southeastern Brazil ◽  
Child Transmission ◽  
Factors Associated ◽  
Hiv 1 ◽  
Maternal Child

scholarly journals Rib fractures, a public health issue-a multi regional retrospective study

2021 ◽  
Vol 17 (1) ◽  
pp. 14-19
Author(s):  
Irina Drăgan ◽  
Ioan Adrian Petrache ◽  
Valerian Cristian Păvăloiu ◽  
Petruț Giuliano ◽  
Ion Mîndrilă ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Individual Case ◽  
Rib Fractures ◽  
Rib Fracture ◽  
Public Health Issue ◽  
Average Hospital Stay ◽  
Average Hospital ◽  
Social Reintegration ◽  
Multiple Rib Fractures ◽  
Total Average

We performed a retrospective study focusing on examining all rib fracture cases discharged from 4 thoracic surgery clinics in Romania. Over a period of 3 years, we analyzed data regarding the patients, diagnosis and number of days spent in the hospital. 2.417 patients were included in this study and all patient evolutions were taken into account. The most patients suffered from multiple rib fractures, involving four or more ribs. In total average hospital stay was 5.46 days. The pneumothorax was the most common encountered complication followed by hemo-pneumothorax, hemothorax and lung contusion. Men seem to be at a higher risk to develop a rib fracture than women. Fracture incidence increased with age in both sexes. The main goal when treating thoracic traumatic pathology is attaining less impairment of pulmonary functions and fast social reintegration. Management of rib fractures must be tailored to each individual case.

scholarly journals Factors Associated with Maternal-Child Transmission of HIV-1 in Southeastern Brazil: A Retrospective Study

2018 ◽  
Vol 22 (S1) ◽  
pp. 92-98 ◽  
Author(s):  
Thiago Nascimento do Prado ◽  
Deborah Bain Brickley ◽  
Nancy K. Hills ◽  
Eliana Zandonade ◽  
Sandra Fagundes Moreira-Silva ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Southeastern Brazil ◽  
Child Transmission ◽  
Factors Associated ◽  
Hiv 1 ◽  
Maternal Child

scholarly journals Morbidite Et Mortalite Dans Un Service D’hepato- Gastroenterologie En Milieu Tropical

2016 ◽  
Vol 12 (30) ◽  
pp. 200
Author(s):  
A. Bagny ◽  
O. Bouglouga ◽  
LM. Lawson-Ananissoh ◽  
YR. El Hadji ◽  
LY. Kaaga ◽  
...  
Keyword(s):  
Morbidity And Mortality ◽  
Average Hospital Stay ◽  
Chronic Liver Diseases ◽  
Average Hospital ◽  
Colon Cancers ◽  
Digestive Cancers ◽  
Specific Mortality ◽  
Cirrhotic Patients ◽  
Epidemiological Profile ◽  
Overall Mortality

Aims: This study aims at studying the key parameters of our patients such as morbidity and mortality. Knowing these parameters will enable to objectively assess the epidemiological profile of the patients, the terms of their care taking as well as the efficiency and the profitability of our service. Method: This is a descriptive retrospective study over a year (from January 1st to December 31st, 2015). We included in the study patients of both sexes hospitalized and examined in the unit. Results: The hospitalization rate was 33.5 %. It was about 564 men (57.3 %) and 420 women (42.7 %) accounting for a sex ratio of 1.3. The patients’ average age was 48.1 years old (extremes: 22-80 years old). Chronic liver diseases were the first main cause of hospitalization with 43 % of cases. We noticed 26% of cirrhosis and 17% of hepatocellular carcinoma. The average hospital stay was 6.48 ± 5.45 days with some extremes of 1 and 57 days. The Co-morbidities found were mostly hypertension (10.8 %), HIV (6.1 %), and diabetes (1.3 %). The overall mortality rate was 14.8 % and was higher in men (p = 0.006). The specific mortality was higher in cirrhotic patients (6.6 %) and those with HCC (4.7 %). The highest lethally rates were those of colon cancers (100%) and pancreas (42.8 %). Conclusion: This study has enabled us to inventory the major causes of morbidity and mortality in our department. Mortality is influenced by gender, co-morbidities and tobacco. Digestive cancers are the most lethal diseases in our department.

scholarly journals Utilization of clinical autopsy services in a Nigerian teaching hospital

2020 ◽  
Vol 0 ◽  
pp. 1-5
Author(s):  
Samuel Robsam Ohayi ◽  
Anthony Jude Edeh ◽  
Nnaemeka Thaddeus Onyishi
Keyword(s):  
Internal Medicine ◽  
Quality Control ◽  
Retrospective Study ◽  
Associated Factors ◽  
Obstetrics And Gynecology ◽  
Education For All ◽  
Autopsy Rate ◽  
Average Hospital Stay ◽  
Average Hospital ◽  
Socioeconomic Strata

Objectives: The aim of this study was to ascertain the rate of uptake of clinical autopsy services in our hospital and also determine the associated factors. Autopsy is an important part of clinical practice. It serves as an audit and quality control for diagnosis and treatment of diseases. It also provides families with “informed grieving” by giving clearer understanding of the nature of illness and cause of death and may reveal inheritable or communicable diseases among other benefits. Despite these benefits, the rate of autopsy is low and declining globally. Material and Methods: A retrospective study of hospital autopsies performed from January 2013 to December 2017 was carried out. The mortuary and autopsy records of our hospital over the period were retrieved and reviewed. Deaths reported to the police, namely, coroner deaths and deaths before arriving at the hospital (brought in dead, BID) were excluded from the study. Results: A total of 1976 bodies was studied, 1078 males and 898 females (M:F = 1:1.2). Consent for autopsy was sought in 22 (1.1%) cases: 13 (0.66%) from pediatrics, 5 (0.25%) from internal medicine, and the rest from surgery and obstetrics and gynecology. Consent was granted and autopsy performed in 6 (0.3%) cases giving an average of 1.2 autopsies/year. Average hospital stay was 12.6 days and 36.3 days for those consenting to and those declining autopsy, respectively. Consenting persons belong to diverse socioeconomic strata. Conclusion: Autopsy rate is very low in our center. Attending clinicians and relatives of the deceased contribute to this trend. Vigorous education for all stakeholders about the benefits of hospital autopsy is recommended.

scholarly journals Les Perforations D’ulcere Gastro-Duodenal Au Centre National Hospitalier Et Universitaire (Cnhu) De Cotonou (Benin)

2016 ◽  
Vol 12 (27) ◽  
pp. 117
Author(s):  
Vignon Kc ◽  
Mehinto Dk ◽  
Vignon Kr ◽  
Mbele Rii ◽  
Natta N’tcha Nh ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Gastric Ulcer ◽  
Retrospective Study ◽  
Postoperative Complications ◽  
Gastric Perforation ◽  
Surgical Patients ◽  
Duodenal Perforation ◽  
Average Hospital Stay ◽  
Average Hospital ◽  
Generalized Peritonitis

Introduction: Duodenal or gastric ulcer perforations constitute a medical and surgical emergency. Purpose: Expose its epidemiological, diagnostic and therapeutic aspects. Method: About a retrospective study from January 1st 2006 to March 31st, 2012 in visceral surgery at CNHU of Cotonou, records of 86 cases of duodenal or gastric ulcer perforation were analyzed. Results: On average 13.8 cases / year, perforation of peptic ulcer was the most etiological cause of acute generalized peritonitis (25.7%). The average age was 34.2 years, the sex ratio of 16.2. Average admission stay was 6 days and it was observed: undocumented epigastralgia (42cas; 48.8%), no pathological medical history (32 cases; 37.2%). Peritoneal syndrome was in 81 cases (94.2%). Abdomen radiography without preparation (71 patients / 86; 82.6%) showed a pneumoperitoneum (52 cases / 71; 77.6%). The treatment was nonoperative (2 cases / 86; 2.3%) with a favorable outcome. Surgical patients had duodenal perforation (49 cases / 84; 57%), gastric perforation (35 cases / 84; 43%). Suturing with or without other technical devices was achieved in all cases. Postoperative complications were present in 28.5% of cases and parietal abscesses were documented as a priority (14 cases / 84; 16.7%). Mortality rate was 4.7% (4/86) and the average hospital stay was 11.6 days. Conclusion: The perforations of peptic ulcer were common in young men. Clinical examination was especially helpful in the diagnosis by abdomen radiography without preparation. The treatment was medical and surgical and the outcome was mostly favorable.

INPATIENT STATISTICS AT THE HOPITAL DES ENFANTS MALADES IN PARIS FOR THE YEAR 1822

PEDIATRICS ◽  
1982 ◽  
Vol 70 (6) ◽  
pp. 940-940
Author(s):  
T. E. C.
Keyword(s):  
Hospital Stay ◽  
Current Practice ◽  
Surgical Patients ◽  
Average Hospital Stay ◽  
Children's Hospitals ◽  
Average Hospital ◽  
Children's Hospital ◽  
Children’S Hospitals ◽  
Children’S Hospital ◽  
Overall Mortality

The HÔpital des Enfants Malades, the world's first children's hospital, was founded in Paris in 1802. Twenty years later it contained 560 beds, 491 for medical and 69 for surgical patients. In 1822, 2,641 patients were admitted; their diagnoses were as follows: [SEE TABLE IN SOURCE PDF.] The overall mortality among inpatients was about 27 percent. The mortality for smallpox was 47 percent, and for measles 35 percent. Contrary to current practice in our children's hospitals, inpatients at the Hôpital des Enfants Malades, at least in 1822, were hospitalized for exceedingly long periods. For example, patients with scabies spent between 21 and 69 days in the hospital; for tinea the average hospital stay was 156 days; and for scrofula 288 days.

scholarly journals Factors Associated with Initial Public School Reopening Plans During the US COVID-19 Pandemic: a Retrospective Study

2021 ◽  
Author(s):  
Brystana G. Kaufman ◽  
Nirosha Mahendraratnam ◽  
Thuy-vi Nguyen ◽  
Laura Benzing ◽  
Jessica Beliveau ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Public School ◽  
Factors Associated ◽  
The Us

scholarly journals Prognostic factors for mortality in invasive pneumococcal disease in adult: a system review and meta-analysis

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Hao Chen ◽  
Hiromi Matsumoto ◽  
Nobuyuki Horita ◽  
Yu Hara ◽  
Nobuaki Kobayashi ◽  
...  
Keyword(s):  
Invasive Pneumococcal Disease ◽  
Odds Ratio ◽  
Pneumococcal Disease ◽  
Web Of Science ◽  
Meta Analysis ◽  
Mortality Rates ◽  
Solid Organ ◽  
Factors Associated ◽  
System Review ◽  
Overall Mortality

AbstractRisk factors associated with mortality in invasive pneumococcal disease remain unclear. The present work is a meta-analysis of studies that enrolled only patients with invasive pneumococcal disease and reported on mortality. Potentially eligible reports were identified from PubMed, CHAHL, and Web of Science, comprising 26 reports in total. Overall mortality for invasive pneumococcal disease was reported as 20.8% (95% confidence interval (CI) 17.5–24%). Factors associated with mortality were age (odds ratio (OR) 3.04, 95% CI 2.5–3.68), nursing home (OR 1.62, 95% CI 1.13–2.32), nosocomial infection (OR 2.10, 95% CI 1.52–2.89), septic shock (OR 13.35, 95% CI 4.54–39.31), underlying chronic diseases (OR 2.34, 95% CI 1.78–3.09), solid organ tumor (OR 5.34, 95% CI 2.07–13.74), immunosuppressed status (OR 1.67, 95% CI 1.31–2.14), and alcohol abuse (OR 3.14, 95% CI 2.13–4.64). Mortality rates with invasive pneumococcal disease remained high, and these findings may help clinicians provide appropriate initial treatment for this disease.

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