scholarly journals Practice of diagnosis and management of acute respiratory distress syndrome in mainland China: a cross-sectional study

2018 ◽  
Vol 10 (9) ◽  
pp. 5394-5404 ◽  
Author(s):  
Ling Liu ◽  
Yi Yang ◽  
Zhiwei Gao ◽  
Maoqin Li ◽  
Xinwei Mu ◽  
...  
BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e051161
Author(s):  
Bekahegn Girma ◽  
Jemberu Nigussie

ObjectiveThis study aimed to assess the magnitude of preterm neonatal mortality in hospitals and associated factors in northern Ethiopia.DesignInstitutional-based cross-sectional study.SettingComprehensive specialised hospitals in the Tigray region, northern Ethiopia.ParticipantsPreterm neonates admitted in Ayder and Aksum comprehensive specialised hospitalsPrimary outcomeMagnitude of preterm neonatal mortality.Secondary outcomeFactors associated with preterm neonatal mortalityResultThis study was conducted from 1 April 2019 to 15 May 2019 among 336 participants with a response rate of 96.8%. The magnitude of preterm neonatal mortality was 28.6% (95% CI: 24.0 to 33.7). In multivariable logistic regression, respiratory distress syndrome (adjusted odd ratio (AOR)=2.85; 95% CI: 1.35 to 6.00), apnoea of prematurity (AOR=5.45; 95% CI: 1.32 to 22.5), nulli parity (AOR=3.63; 95% CI: 1.59 to 8.24) and grand parity (AOR=3.21; 95% CI: 1.04 to 9.94) were significant factors associated with preterm neonatal mortality. However, receiving Kangaroo mother care (AOR=0.08; 95% CI: 0.03 to 0.20) and feeding initiated during hospitalisation (AOR=0.07; 95% CI: 0.03 to 0.15) were protective against preterm neonatal mortality.ConclusionsThe magnitude of preterm neonatal mortality in hospitals was still high. Interventions geared towards curbing preterm in-hospital neonatal mortality should strengthen early diagnosis and treatment of preterm newborns with respiratory distress syndrome and apnoea of prematurity; while concomitantly reinforcing the implementation of kangaroo care and early feeding initiation is important.


2020 ◽  
Vol 49 (1) ◽  
pp. 243-243
Author(s):  
Michael McCrory ◽  
Alan Woodruff ◽  
Amit Saha ◽  
Elizabeth Halvorson ◽  
Andora Bass

Sari Pediatri ◽  
2018 ◽  
Vol 19 (3) ◽  
pp. 156
Author(s):  
Tressa Bayu Bramantyo ◽  
Sri Martuti ◽  
Pudjiastuti Pudjiastuti

Latar belakang.Strategi ventilasi protektif paru (protective lung strategy) direkomendasikan dalam penanganan pasien acute respiratory distress syndrome (ARDS). Strategi tersebut mencakup pembatasan PEEP dan delta pressure pada penggunaan ventilator untuk mencegah mortalitas.  Pembatasan delta pressure ≤13 mmHg diharapkan dapat menurunkan angka mortalitas pasien ARDS dengan ventilator.Tujuan. Mengetahui perbandingan mortalitas pasien anak dengan ARDS yang menggunakan delta pressure tinggi dan rendah.Metode. Penelusuran rekam medis pasien anak berusia 1 bulan-18 tahun yang menderita ARDS yang dirawat di PICU dengan menggunakan ventilator.Hasil. Studi cross sectional dari bulan September 2016 sampai dengan Maret 2017 terhadap 32 pasien anak berumur 1 bulan-18 tahun yang menderita ARDS, didapatkan hasil bahwa mortalitas pasien anak dengan ARDS lebih tinggi pada penggunaan setting ventilator dengan delta pressure tinggi (ΔP>13 cmH2O) dibandingkan dengan yang menggunakan pengaturan ventilator dengan delta pressure yang rendah (ΔP≤13 cmH2O) (p<0,001, OR 45,00 (IK95%: 5,47-370,02). Kesimpulan. Pasien anak dengan ARDS yang menggunakan setting ventilator dengan delta pressure rendah, mortalitasnya lebih rendah dibandingkan dengan yang menggunakan pengaturan ventilator dengan delta pressure tinggi. 


Author(s):  
Munjiati Munjiati ◽  
Walin Walin ◽  
Herry Herry ◽  
Ferry Ferry

Background: Traumatic brain injury  was most source morbidity and mortality at patient by real trauma. Traumatic brain injury  case who dead before to the hospital was caused by shock, hypoxemia and hypercapnia. So needed basic of knowledge and ability to take care of patient of breath disease.Purpose: To explore the factors that influence respiratory distress on traumatic brain injury  at Prof. Dr. Margono Soekarjo hospital in Purwokerto, IndonesiaMethods: The kind of this research was correlation with using cross sectional approach. The population of this research was all patients with traumatic brain injury  in the emergency ward Prof. Dr. Margono Soekarjo hospital Purwokerto on November-Desember 2017. The sample take as 19 person. The analyzed used was Coefficient Contingency Test.Results: The result of this research shows that patient with traumatic brain injury had respiratory distress (57.9%) higher following by phlegm’s accumulation (52,6%) also had the decrease of consciousness (47,4%). There was real influence as statistic between phlegm’s accumulation and respiratory distress on traumatic brain injury (p=0.040). There was as statistically significant between the decrease of consciousness and respiratory distress on traumatic brain injury (p=0,009).Conclusion: It can be concluded that there was a statistically significant influence between decreased awareness of respiratory distress on traumatic brain injury (p=0.0009)


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