scholarly journals Risk Factors for Dysphagia After Anterior Cervical Discectomy and Fusion With the Zero-P Implant System: a Retrospective Study With Minimum of 2 Years Follow-up

2021 ◽  
Author(s):  
Rong Xue ◽  
Ningdao Li ◽  
Zhurong Ji ◽  
Xingdong Cheng ◽  
Zhuqiu Zhang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Operation Time ◽  
Anterior Cervical Discectomy ◽  
Postoperative Dysphagia ◽  
Chi Square ◽  
Chi Square Test ◽  
Implant System ◽  
Segmental Angle

Abstract Background: Dysphagia is one of the most common complications after anterior cervical spine surgery. The study aimed to evaluate the risk factors for dysphagia after anterior cervical discectomy and fusion (ACDF) with the Zero-P Implant System by multidimensional analysis and investigated the predictive values of these risk factors for dysphagia. Methods: A retrospective analysis of 260 patients who underwent ACDF with the Zero-P Implant System and had at least 2 year of follow-up ware performed. All patients were divided into a non-dysphagia group and a dysphagia group. Sex, age, body mass index (BMI), intraoperative time, estimated blood loss, diabetes mellitus, hypertension, smoking, alcohol consumption, prevertebral soft-tissue thickness, the levels of surgery, O-C2 angle, C2–7 angle, T1 slope and segmental angle were analyzed. Chi-square test and logistic regression were performed to analyze the predictive value of each dimension for dysphagia. Results: In total, the non-dysphagia group comprised 170 patients and the dysphagia group comprised 90 patients. Chi-square test results indicated that number of operated levels, operation time dT1 slope, dO-C2 angle, dC2–7 angle, segmental angle and dPSTT were associated with a high incidence of dysphagia. Multivariate logistic regression analysis showed that number of operated levels, operation time, dC2–7 angle and dPSTT were significantly associated with postoperative dysphagia.Conclusions: Number of operated levels, operation time, dC2–7 angle and dPSTT were significantly associated with postoperative dysphagia. In additionally, sufficient preoperative preparation, evaluation combining with proficient and precise treatment measures are suggested to reduce the incidence of postoperative dysphagia when ACDF is performed.

scholarly journals Risk Factors for Dysphagia after Anterior Cervical Discectomy and Fusion with the Zero-P Implant system: A Study with Minimum of 2 Years Follow-up

2021 ◽  
Author(s):  
Rong Xue ◽  
Yang Yu ◽  
Mengchen Yin ◽  
Zhuyong Ji ◽  
Xingdong Cheng ◽  
...  
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Operation Time ◽  
Anterior Cervical Discectomy ◽  
Postoperative Dysphagia ◽  
Chi Square ◽  
Chi Square Test ◽  
Implant System ◽  
Segmental Angle

Abstract ObjectiveDysphagia is one of the most common complications after anterior cervical spine surgery. The study aimed to evaluate the risk factors for dysphagia after anterior cervical discectomy and fusion (ACDF) with the Zero-P Implant System by multidimensional analysis and investigated the predictive values of these risk factors for dysphagia.MethodsA retrospective analysis of 260 patients who underwent ACDF with the Zero-P Implant System and had at least 2 year of follow-up ware performed. All patients were divided into a non-dysphagia group and a dysphagia group. Sex, age, body mass index (BMI), intraoperative time, estimated blood loss, diabetes mellitus, hypertension, smoking, alcohol consumption, prevertebral soft-tissue thickness, the levels of surgery, O-C2 angle, C2–7 angle, T1 slope and segmental angle were analyzed. Chi-square test and logistic regression were performed to analyze the predictive value of each dimension for dysphagia.ResultsIn total, the non-dysphagia group comprised 70 patients and the dysphagia group comprised 190 patients. Chi-square test results indicated that number of operated levels, operation time dT1 slope, dO-C2 angle, dC2–7 angle, segmental angle and dPSTT were associated with a high incidence of dysphagia. Multivariate logistic regression analysis showed that number of operated levels, operation time, dC2–7 angle and dPSTT were significantly associated with postoperative dysphagia.ConclusionsNumber of operated levels, operation time, dC2–7 angle and dPSTT were significantly associated with postoperative dysphagia. In additionally, sufficient preoperative preparation, evaluation combining with proficient and precise treatment measures are suggested to reduce the incidence of postoperative dysphagia when ACDF is performed.

scholarly journals Workplace Violence Against Healthcare Professionals in Thai Tertiary Hospitals

2021 ◽  
Author(s):  
Sophida Kueanongkhun ◽  
Siriwan Grisurapong ◽  
Kitirat Techatraisak ◽  
Thomas E. Guadamuz
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Workplace Violence ◽  
Healthcare Workers ◽  
Qualitative Data ◽  
Physical Violence ◽  
Chi Square ◽  
Racial Harassment ◽  
Tertiary Hospitals ◽  
Chi Square Test

Abstract Background: Thailand lacks evidence of the current prevalence of workplace violence (WPV) at tertiary hospitals. This study aimed to examine the prevalence of, perpetrators of, and factors associated with WPV against healthcare workers in excellent tertiary hospitals in Thailand.Methods: This was a mixed-methods study. A questionnaire was individually administered by an interviewer to 220 healthcare workers using a tablet with an online platforms, and the completion rate was 100%. The study was conducted from July 2018 to March 2019. Pearson’s chi-square test was used to examine the variables related to any violence according to individual and work data. Odds ratios with 95% confidence intervals were used to assess risk factors for exposure to violence using a logistic regression model. Thirty participants provided additional qualitative data that were used for thematic analysis.Results: The findings revealed that in the past 12 months, 63.6% of the participants experienced violence at their workplaces. The most common type of violence reported was verbal violence (56.4%), followed by physical violence (24.1%), bullying (16.4%), sexual harassment (4.1%), and racial harassment (3.6%). Multivariable logistic regression revealed that the correlates of violence at hospitals included being male (OR = 4.28, 95% CI 1.50–12.19), working in an outpatient department (OR = 2.55, 95% CI 1.42–4.58), and having direct contact with clients (OR = 3.12, 95% CI 1.25–7.73). The qualitative data revealed 5 major themes.Conclusion: There is a high prevalence of violence against all healthcare workers at excellent tertiary hospitals in Thailand. Policymakers need to be aware of the roots and risk factors for all types of WPV. The results could also contribute to the development of appropriate policies, interventions for conflicts based on intergenerational gaps, reporting, investigation processes, preventive measures, and zero-tolerance protocols for all healthcare workers.

scholarly journals Risk factors of mortality for intensive care COVID-19 patients: A retrospective cohort study.

2020 ◽  
Author(s):  
Yanli Gu ◽  
Donghui Wang ◽  
Cen Chen ◽  
Wanjun Lu ◽  
Hongbing Liu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Intensive Care ◽  
Multivariate Logistic Regression Analysis ◽  
Categorical Variables ◽  
Continuous Variables ◽  
Chi Square ◽  
Laboratory Findings ◽  
Chi Square Test ◽  
Student’S T

Abstract Aims: To identify the risk factors of mortality for coronavirus disease 19 (COVID-19) patients admitted to intensive care units (ICU), we conducted a retrospective analysis.Methods: The demographic characteristics, laboratory findings and chest X-ray data of COVID-19 patients admitted to ICU of Huoshenshan Hospital from February 10 to April 10, 2020 were retrospectively analyzed. Student's t test and chi-square test were used to compare continuous variables, categorical variables respectively. Logistic regression model was used to seek risk factors of mortality.Results: A total of 57 patients (38 males and 19 females) were included in this retrospective study, including 20 patients in deceased group and 37 patients in surviving group. Leukocyte count, neutrophil count, lymphocyte count, eosinophil count, neutrophil-to-lymphocyte ratio (NLR), urea nitrogen, lactate dehydrogenase (LDH), interleukin-6 (IL-6), C-reactive protein (CRP), arterial partial pressure of oxygen/oxygen concentration (PaO2/FiO2) and imaging findings were statistically different between the two groups. The multivariate logistic regression analysis identified IL-6 and PaO2/FiO2 as independent risk factors of mortality. The area of under curves (AUC) of IL-6 and PaO2/FiO2 were 0.9 (95%CI:0.823-0.977, p<0.0001) and 0.865 (95%CI:0.774-0.956, p<0.0001) respectively. The cut-off value of IL-6 was 25.69 pg/mL, the sensitivity was 95% and the specificity was 75.7%, while the cut-off value of PaO2/FiO2 was 167.79 mmHg, the sensitivity was 75.7% and the specificity was 85%.Conclusion: Clinicians should pay enough attention to IL-6 and PaO2/FiO2, especially when IL-6>25.69 pg/ml and PaO2/FiO2<167.79 mmHg, and take active intervention measures as early as possible.

scholarly journals PREVALENCE AND RISK FACTORS OF HOOKWORMS INFECTION ON DOGS IN SUKABUMI REGENCY, WEST JAVA PROVINCE, INDONESIA

2020 ◽  
Vol 14 (4) ◽  
pp. 85-89
Author(s):  
Yusuf Ridwan ◽  
Ardilasunu Wicaksono ◽  
Siti Vanessa Fransiska ◽  
Princesse Theresa
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Cross Sectional Study ◽  
High Risk Group ◽  
Parasitic Infections ◽  
Land Area ◽  
Chi Square ◽  
Cross Sectional ◽  
Related Risk ◽  
Chi Square Test

Hookworms infection remains as an important parasitic infections affecting animal and human health worldwide. However, information on the prevalence and the risk factors of hookworm infection on dogs in Indonesia is very limited. A cross sectional study to estimate the prevalence and to identify risk factors of hookworms infection on dogs was conducted in rural area with different topography, Sukabumi Regency, Indonesia. A Total of 204 dog stool specimens were examined for hookworm eggs using simple flotation methods. The data of related risk factors namely type of topography area (high and low land), purpose of having dog, dog demography, dog reared management and deworming were collected through dog owners interview’s with completed a questionnaire. Those data were analyzed using the chi-square test (χ2) and logistic regression. The prevalence of hookworm on dogs in Sukabumi was 24.5 % (95% Confidence Interval [CI]=19.1-30.8). This prevalence was associated with topography of the area, the age of dog, and type of dog keeping methods. The prevalence of hookworms was higher in the high land area than low land area (OR=5.935, 95% CI=2.764-12.744 ). Logistic regression identified pupies as a high risk group to hookworms infection (OR= 2.041, 95%CI=1.035-4.055). The dog which kept in the cage/tied had higher risk than free roaming dog (OR=3.66, 95%CI=1.479-9.091).Key words: Dog, hookworms, prevalence, risk factors, Sukabumi.

scholarly journals Perbandingan Kejadian Retensi Urin antara Persalinan dengan Vakum Ekstraksi dan Persalinan Normal

2016 ◽  
Vol 3 (3) ◽  
pp. 188
Author(s):  
Nurul Hikmah Petrana ◽  
Ova Emilia ◽  
Heru Pradjatmo
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Urinary Retention ◽  
Vaginal Delivery ◽  
Significant Risk ◽  
Normal Vaginal Delivery ◽  
Chi Square ◽  
Related Factors ◽  
Normal Delivery ◽  
Chi Square Test

Background: Urinary retention after vaginal delivery is a common problem with incidence 1.7% - 17.9%. Assissted vaginal delivery is one risk factor for the occurence of urinary retention.Objective: to compare urinary retention between normal vaginal delivery and assissted vaginal delivery using extraction vacum, and evaluate factors related to urinary retention.Method: The study was prospective cohort design, conducted in 3 hospitals and 2 primary health centres during 6 month period since September 2013- February 2014. Subjects were divided into two groups i.e. normal delivery and assissted delivery using extraction vacum, each 118 subjects. Events of urinary retention was assessed and also related factors were identified. Analysis used Chi-Square test, Fisher test and also logistic regression analysis.Result and Discussion: In total 236 subjects were involved, there was no difference in age and parity among the subjects. Incidence of urinary retention among extraction vacum delivery group was higher (32.2%) compare to normal delivery (11.9%). Multivariate analysis using logistic regression showed that extraction vacum (p=0.074; OR 2.71; 95% CI 1.55-4.73), baby weight (p= 0.230; OR 1.95; 95% CI 0.655.84) and perineal injury (p= 0.614; OR 1.35; 95% CI 0.41-4.36) were not significant risk factors for urinary retention. Length of labour (p=0.003; OR 3.71; 95% CI 1.55-8.86) and parity (p= 0.023; OR 2.29; 95% CI 1.2-4.66) were significant risk factors for urinary retention.Conclusion: Urinary retention is higher among vaginal delivery with extraction vacum compare to normal delivery. Length of labour and parity are external factors related to urinary retention. Keywords: Assissted vaginal delivery, extraction vacum, normal delivery, urinary retention, postpartum

scholarly journals Measuring the Caesarean Risk Factors in Bangladesh by Using Binary Logistic Regression Model

2019 ◽  
pp. 1-11
Author(s):  
Sabrina Rahaman ◽  
Md. Murad Hossain ◽  
Fahima Akter Ankhi ◽  
Madhusudan Roy
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Focal Point ◽  
Auxiliary Information ◽  
Binary Logistic Regression ◽  
Wealth Index ◽  
Binary Logistic Regression Model ◽  
Community Based ◽  
Chi Square ◽  
Chi Square Test

Caesarean section (CS) has been on the rise worldwide and Bangladesh is no exception. In Bangladesh, the CS rate, which includes both institutional and community-based deliveries, has increased from about 3% in 2000 to about 24% in 2014. Rather than numerous impediments, cesarean conveyances are most basic among woman’s however it is not clinically advocated. For enhancing the maternal wellbeing status, it is basic to decide the risk components of cesarean conveyance. The primary focal point of this examination is to research and recognize the cesarean risk factors in the entire territory of Bangladesh. For this investigation, we have gathered auxiliary information from the Bangladesh Demographic and Health Survey (BDHS) 2014. This dataset has one record for every eligible woman as defined by the household schedule. It contains 17864 data which is collected in the woman's questionnaire plus some variables from the household. For the examination, a chi-square test was performed to identify the significant association between conveyance type (cesarean/non-cesarean) and socio-demographic and financial factor's individual. A binary logistic regression was completed to recognize the most effective factors on cesarean conveyance. We found that 5 factors (i.e respondent age, respondent highest education level, husband’s occupation, type of place of residence, wealth index) were measurably connected with conveyance type out of 13 chance elements. From this investigation, it is obvious to us that the above powerful factors may influences the mother's wellbeing status in Bangladesh.

scholarly journals Risk Factor Analysis of Recurrent Diarrhea on Toddlers in Sumberjambe Health Center Jember Regency

2020 ◽  
Vol 6 (1) ◽  
pp. 43
Author(s):  
Anita Margaret Wibisono ◽  
Ancah Caesarina Novi Marchianti ◽  
Dion Krismashogi Dharmawan
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Risk Factor ◽  
Health Center ◽  
Exclusive Breastfeeding ◽  
Family Income ◽  
Sampling Technique ◽  
Chi Square ◽  
Chi Square Test ◽  
Chi Square Analysis

Recurrent diarrhea is diarrhea that occurs repeatedly within one to three months. Toddler is the highest group suffering of diarrhea. Diarrhea is the second leading cause of death on toddler. This research aims to analyze the effect of risk factors of recurrent diarrhea on toddler in Sumberjambe Health Center Jember Regency. This type of research is observational analytic with case control design. The sample is 50 cases and 50 controls. The sampling technique used consecutive sampling method. The research was conducted in December 2018 to January 2019 using a questionnaire. Data analysis using Chi Square test and Logistic Regression test. Chi Square analysis results are child’s age (p= 0.003), gender (p= 1,000), exclusive breastfeeding (p= 0.044), measles immunization (p= 0.387), nutritional status (p= 0.840), hand nail hygiene (p= 0.395), mother’s age (p= 0.435), mother’s education level (p= 0.263), mother’s knowledge (p= 0.494), hand washing habit (p= 0.684), and family income (p= 0.773). Logistic Regression analysis results are child’s age (p= 0.002) and exclusive breastfeeding (p= 0.499). The conclusions of this study are child’s age and exclusive breastfeeding have influence of recurrent diarrhea on toddler and child's age is the most influential risk factor of recurrent diarrhea on toddler. The suggestion of this research is that it needs to research other risk factors and mothers are required to give exclusive breastfeeding.  Keywords: risk factors, recurrent diarrhea, toddler

scholarly journals Relationship between enuresis and obstructive sleep apnea–hypopnea syndrome in children

2020 ◽  
Vol 48 (12) ◽  
pp. 030006052097740
Author(s):  
Chen Sun ◽  
Yingpeng Xu ◽  
Chenxi Luo ◽  
Qi Li
Keyword(s):  
Risk Factors ◽  
Obstructive Sleep Apnea ◽  
Logistic Regression ◽  
Sleep Apnea ◽  
Pearson Correlation ◽  
Apnea Hypopnea Index ◽  
Chi Square ◽  
Obstructive Sleep ◽  
Chi Square Test ◽  
Hypopnea Syndrome

Objective We explored the relationship between enuresis and obstructive sleep apnea–hypopnea syndrome (OSAHS) in children and influencing factors of enuresis with OSAHS. Methods We recruited 196 children ≥5 years old from the otolaryngology outpatient department, who experienced snoring and underwent nasopharynx lateral radiography and in-laboratory polysomnography. We analyzed correlations between the apnea–hypopnea index (AHI) and lowest oxygen saturation (L-SaO2) with age, body mass index (BMI), tonsil size, and adenoidal–nasopharyngeal (A/N) ratio using the Pearson correlation test. Differences in severe OSAHS prevalence, age, AHI, L-SaO2, tonsil size, and A/N ratio between children with and without enuresis were assessed using the chi-square test and t-test. Risk factors of enuresis were analyzed using logistic regression. Follow-up was conducted to assess remission in children with enuresis after adenotonsillectomy. Results BMI, tonsil size, and A/N ratio were correlated with AHI and L-SaO2. Severe OSAHS prevalence, AHI, tonsil size, and A/N ratio were higher and L-SaO2 were lower in children with enuresis. Logistic regression showed that BMI, AHI, tonsil size, and sleep apnea were risk factors for enuresis. Conclusions Our study findings showed that enuresis was associated with OSAHS in children. Adenotonsillectomy may improve the symptoms of enuresis.

scholarly journals Faktor Risiko Diare Shigellosis pada Anak Balita

2012 ◽  
Vol 7 (1) ◽  
pp. 16
Author(s):  
A. Zulkifli Abdullah ◽  
A. Arsunan Arsin ◽  
Lidyawati Dahlan
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Economic Status ◽  
Nutrition Status ◽  
P Value ◽  
Chi Square ◽  
Final Model ◽  
Children Under Five ◽  
Under Five ◽  
Chi Square Test

Diare shigellosis pada balita merupakan masalah serius sebab dapat menyebabkan kematian. Untuk mengetahui faktor-faktor risiko kejadian shigellosis pada anak balita dilakukan studi kasus kontrol di beberapa rumah sakit di Kota Makassar dengan 68 kasus dan 136 kontrol. Datamengenai jenis kelamin dan status gizi anak balita, pemberian air susu ibu (ASI) eksklusif, status ekonomi, pendidikan ibu, kebiasaan ibu mencuci tangan memakai sabun, kepadatan hunian rumah, sarana air bersih, danjamban keluarga dikumpulkan dengan wawancara dan observasi serta dikategorikan dan disaring (screening) dengan uji chi square. Enam variabel dengan nilai p < 0,25 dimasukkan dalam uji regresi logistik yang menghasilkan3 variabel dengan nilai p < 0,05 (gizi rendah, ASI tidak eksklusif, dan status ekonomi rendah). Uji regresi logistik tahap kedua dengan 3 variabel ini menghasilkan model shigellosis = 1,47 gizi rendah + 1,471 ASI tidak eksklusif + 1,022 status ekonomi rendah – 2,546” dengan nilai oddsratio (OR) = 4,352 (gizi rendah), 4,353 (ASI tidak eksklusif), dan 2,779 (status ekonomi rendah). Studi ini menyimpulkan bahwa gizi balita yang rendah, pemberian ASI yang tidak eksklusif, dan status ekonomi ibu yang rendah merupakan faktor-faktor risiko penting kejadian diare shigellosis padabalita.Kata kunci: Balita, diare, shigellosis, status giziAbstractShigellosis diarrhea is a serious issue to children under five years old since it may lead to death. To determine the risk factors influence to children under five shigellosis, a case control study conducted in hospitals in Makassar involving 68 cases and 136 controls. Data on sex, nutrition status of children under five, exclusive breastfeeding, economic status, education, hand washing with soap, house density, clean water facility, and toilet were collected by interview and observation. All collected data were categorized and screened using chi-square test to obtain variables for logistic regression. Sixvariables with p value < 0,25 were putted to logistic regression resulted 3 variables with p value < 0,05 (low nutrition status, p value = 0,00; nonexclusive breastfeeding, p value = 0,00; low economic status of mother, p value = 0,00). These variables gave final model of “shigellosis = 1,47 low nutrition status + 1,471 nonexclusive breastfeeding + 1,022 low economic status – 2,546” with odds ratio (OR) = 4,352 (low nutrition status), 4,353 (nonexclusive breastfeeding), and 2,779 (low economic status of mother). This study concludes that low nutrition status, nonexclusive breastfeeding, and low economic status of mother are important risk factors of shigellosis in children under five.Key words: Children under five, diarrhea, logistic regression, shigellosis, nutrition status

Sign in / Sign up

Export Citation Format

Share Document