scholarly journals Pediatric Burn Outcome; Diagnostic Value of R-Baux and P-Baux Scores

2020 ◽  
Author(s):  
Kavous Shahsavari Nia ◽  
Alireza Razzaghi ◽  
Farzad Rahmani ◽  
Hassan Soleimanpour ◽  
Ayda Khalili ◽  
...  

Abstract Objective: The purpose of this study was to determine the value of R-Baux and P-Baux indexes in predicting the pediatric burn outcome. Using prospective cross-sectional method, 213 children under 12 years old admitted with burn in burn referral hospital in Northwest of Iran were included in the study. Data were collected using goal-driven questionnaire including patients' demographics and burn clinical data and outcome. Results: About 59.6% of participants were male. The most common causes of burns was burning with boiling water (127; 69%). For outcome of death, the AUC for the scores of P.Baux and R.Baux were same with 0.959. The AUC for death were 982% and 992% for P.Baux and R.Baux respectively. Also, for the outcome of admission to ICU the AUC were same with 959%. A significant relation between R-Baux and P-Baux scores with patients need for intubation was determined based on logistic regression (p=0.01). Conclusions: The R-Baux and P-Baux scores were related to the probability of intubation, ICU admission and mortality. Using these scores not only predicts mortality risk, but also provide the opportunity for health providers to prioritize patients and provide proper facilities and services to prevent child mortality due to burn.

2020 ◽  
Author(s):  
Kavous Shahsavari Nia ◽  
Alireza Razzaghi ◽  
Farzad Rahmani ◽  
Hassan Soleimanpour ◽  
Ayda Khalili ◽  
...  

Abstract Objective: The purpose of this study was to determine the value of R-Baux and P-Baux indices in predicting the pediatric burn outcome. Using prospective cross-sectional method, 213 children under 12 years old admitted with burn to a burn referral hospital in Northwest of Iran were included in the study. Data were collected using goal-driven questionnaire including patients' demographics and burn clinical data and outcome. Results: About 59.6% of participants were male. The most common cause of burns was burning with boiling water (127; 69%). For the outcome of death, the AUCs for the scores of P.Baux and R.Baux were the same with 0.99. The AUCs for patient need to intubation were 0.98 for P.Baux and R.Baux scores, respectively. A significant relation between R-Baux and P-Baux scores with patients need for intubation was determined based on logistic regression (p<0.05). Results revealed that the R-Baux and P-Baux scores were related to the probability of patients need to intubation, ICU admission and mortality.


Thrita ◽  
2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Fatemeh Mousavi ◽  
Parisa Shojaei ◽  
Azadeh Nazemi ◽  
Atefe Dadashi

Objectives: This research has been conducted to study antibiotic self-medication, prevalence, and reasons. Methods: A questionnaire containing 30 comprehensive questions in terms of the experience of antibiotic self-medication was prepared. In this cross-sectional study, data were analyzed using analytical statistics bases on chi-square and logistic regression. Results: The results showed that 61.3% of the participants were self-antibiotic users. There was a significant difference only between gender and self-medication such that self-medication in males was more than females (P value = 0.027). Conclusions: Self-medication of antibiotics is almost high and requires more information about the side effects of these drugs in order to promote rational and physically prescribed use.


Author(s):  
Christin Wigin ◽  
Andrijono Andrijono

Objective: To know the diagnostic value of simple ultrasound examination to detect malignant ovarian tumor. Method: This study used cross-sectional design in gynecology outpatientclinic at Dr. Cipto Mangunkusumo Hospital. We recruited the patients with ovarian tumor undergoing surgery between March and July 2015. Samples were taken using consecutive sampling. Analysis was done using Chi-square test and logistic regression to find the relationship between ultrasound morphologic patterns with histopathologic findings, where the significant relationship was p value less than 0.05. Furthermore, a model derived from logistic regression was made to calculate the probability having ovarian malignancy. Result: There were 80 subjects which 58 subjects (72.5%) had benign tumor and 22 subjects (27.5%) had malignant tumor. Ultrasound examination result using  2 morphologic patterns gave malignant result in 53.8% subjects with the sensitivity of 100%, specificity of 82.8%, positive predictive value of 68.8%, and negative predictive value of 100%. The most important patterns were irregular internal cyst wall, multilocular, presence of papillary projection, and presence of solid component. The probability of subject having ovarian malignancy with  3 morphologic patterns was more than 88.9%. Conclusion: Simple ultrasound examination can be used to detect malignant ovarian tumor. [Indones J Obstet Gynecol 2016; 4-4: 222-226] Keywords: diagnostic, histopathology, morphology pattern; ovarian tumor; ultrasonography


2020 ◽  
Vol 26 (3) ◽  
pp. 2105-2118 ◽  
Author(s):  
Carlo M Bertoncelli ◽  
Paola Altamura ◽  
Edgar Ramos Vieira ◽  
Sundaraja Sitharama Iyengar ◽  
Federico Solla ◽  
...  

Logistic regression–based predictive models are widely used in the healthcare field but just recently are used to predict comorbidities in children with cerebral palsy. This article presents a logistic regression approach to predict health conditions in children with cerebral palsy and a few examples from recent research. The model named PredictMed was trained, tested, and validated for predicting the development of scoliosis, intellectual disabilities, autistic features, and in the present study, feeding disorders needing gastrostomy. This was a multinational, cross-sectional descriptive study. Data of 130 children (aged 12–18 years) with cerebral palsy were collected between June 2005 and June 2015. The logistic regression–based model uses an algorithm implemented in R programming language. After splitting the patients in training and testing sets, logistic regressions are performed on every possible subset (tuple) of independent variables. The tuple that shows the best predictive performance in terms of accuracy, sensitivity, and specificity is chosen as a set of independent variables in another logistic regression to calculate the probability to develop the specific health condition (e.g. the need for gastrostomy). The average of accuracy, sensitivity, and specificity score was 90%. Our model represents a novelty in the field of some cerebral palsy–related health outcomes treatment, and it should significantly help doctors’ decision-making process regarding patient prognosis.


2021 ◽  
Vol 6 (2) ◽  
pp. 65-72
Author(s):  
Leila Rouhi Balasi ◽  
◽  
Arsalan Salari ◽  
Abdolhosein Emami Sigaroudi ◽  
Asieh Ashouri ◽  
...  

Background: The role of nutrition is undeniable in controlling hypertension; diet is among the most effective non-pharmaceutical methods. The current study aimed to determine the role of illness perception on diet adherence in patients with hypertension. Materials & Methods: This cross-sectional study examined 268 patients with hypertension. The study sample was selected by convenience sampling method. The study tool consisted of the patients’ individual, social, and clinical factors, illness perception about hypertension, and adherence to the diet. The necessary data were analyzed using multiple logistic regression models. Results: The Mean±SD score of illness perception was measured as 37.09±4.91 out of 56. Adherence to the recommended diet was relatively desirable in the majority of the examined patients (62%). Multiple logistic regression analysis data revealed no significant relationship between the scores of illness perception and dietary adherence (Adjusted OR=1.038, 95%CI: 0.974-1.105, P =0.250). The main predictor of dietary adherence was having hypertension dietary knowledge (OR=2.198, 95%CI: 1.198-4.035, P=0.011). Conclusion: Our study data revealed that increasing awareness among patients with hypertension complications can improve self-care behaviors, including adherence to standard diets. Therefore, emphasis on increasing awareness among these patients and their continued follow-up seems necessar


2021 ◽  
Author(s):  
Peri Harish Kumar ◽  
Sai Sharan Dwarka ◽  
Talal Zahid ◽  
Habib Ur Rehman ◽  
Tajbinder Singh Bains ◽  
...  

Abstract Objective: To identify cancer and non-cancer causes of death in hepatocellular carcinoma (HCC) patients over different time periods after diagnosis and to compare the mortality risk of each cause in HCC patients with the general population.Methods: In this retrospective cohort study, data of 67,637 HCC patients from 1975 to 2016 were collected from the Surveillance, Epidemiology, and End Results (SEER) database. We investigated the association between different causes of death and the following variables: age, race, tumor stage at diagnosis, and treatment (surgery, chemotherapy, and radiotherapy); each according to the periods of < 1 year, 1–5 years, 5–10 years, and > 10 years following the diagnosis. Standardized mortality ratios (SMRs) and their 95% confidence intervals (CIs) were calculated for cancer and non-cancer deaths in each of the mentioned periods following diagnosis.Results: Data of 67,637 patients, of whom 50,571 patients died during the follow-up period, were analyzed. Most deaths were due to HCC itself (35,535, 70.3%), followed by other cancers (3,983, 7.9%). Common causes of non-cancer mortality included infectious and parasitic diseases including HIV (2,823 patients, SMR = 105.68, 95% CI: 101.82-109.65), chronic liver disease (2,719 patients, SMR = 76.56, 95% CI: 73.71,79.5), and heart diseases (1,265 patients, SMR = 2.26, 95% CI: 2.14–2.39), with higher mortality risk in HCC patients than in the general population.Conclusion: Cancers stand for most deaths in patients with HCC. Besides, infectious, and parasitic diseases including HIV represent the commonest non-cancer cause of mortality.


2019 ◽  
Vol 4 (1) ◽  
pp. 23
Author(s):  
Fauzia Rafidah ◽  
Sapto Adi ◽  
Nurnaningsih Herya Ulfah

Abstract: This study aims to determine the relationship of predisposing, enabling, and reinforcing factors to decision purchase of premium’s BPJS Health in the district Klojen Malang. The research design used was analytic observational with cross sectional approach. The sample was taken using cluster proportionate random sampling technique with 130 respondents who have BPJS Health card’s and domiciled in Klojen district. The results using simultant logistic regression ( X2 = 31,190 > X2table = 22,457) showed that education, knowledge, attitude, acces, income, and officer behaviour have significant relation with purchase decision. The conclusion of this research is predisposing, enabling and reinforcing have relationship with purchase decision of premium’s BPJS Health in Klojen Malang City. Keyword: BPJS health premium’s, purchase decision, predisposing, enabling, and reinforcingAbstrak: Penelitian ini bertujuan untuk mengetahui hubungan antara faktor prediposing, enabling, dan reinforcing dengan keputusan pembelian premi BPJS Kesehatan di Kecamatan Klojen Kota Malang. Desain penelitian menggunakan analitik observasional dengan pendekatan cross sectional. Pengambilan sampel menggunakan teknik cluster proportionate random sampling dengan jumlah sampel sebesar 130 responden yang memiliki kartu BPJS Kesehatan dan bertempat tinggal di Kecamatan Klojen. Hasil penelitian menggunakan uji regresi logistik bersamasama ( X2 = 31,190 > X2table = 22,457) menunjukkan bahwa pendidikan, pengetahuan, sikap, akses, pendapatan, dan perilaku petugas memiliki hubungan dengan keputusan pembelian premi. Kesimpulan penelitian ini adalah faktor predisposing, enabling, dan reinforcing  memiliki hubungan dengan keputusan pembelian premi BPJS Kesehatan di Kecamatan Klojen Kota Malang. Kata Kunci: Premi BPJS Kesehatan, keputusan pembelian predisposing, enabling, dan reinforcing


2018 ◽  
Vol 5 (5) ◽  
pp. 1729
Author(s):  
Vahid Abbasi ◽  
Abolfazl Atalou ◽  
Firouz Amani ◽  
Hadi Fezollahzadeh

Background: Medical university students is a better group of society that should be had correct and good knowledge about healthcare issues such as epilepsy. Epilepsy is a common neurologic disease that caused to many problems in patient’s life. This study aimed to evaluate the knowledge of medical students toward epilepsy in Ardabil province.Methods: A cross-sectional descriptive survey was conducted in Ardabil province (Northwest of Iran) in 2017. Over a one-month period, 130 students selected randomly from all medical, paramedical, nursing and health students and completed the self-administered questionnaire which provided for this study. Collected data analyzed by statistical methods in SPSS version 19.Results: Of all students, 83.1% were girls and rests of them were boy. Of all students 20% had good and 56.2% had moderate knowledge about epilepsy. Many of students in all fields had moderate knowledge and there wasn’t significant relation between field, semester and knowledge rate. Most of boys with 54.5% had week and most of girls with 58.3% had moderate knowledge and there was significant relation between sex and knowledge rate.Conclusions: Results showed that most of students in this study had moderate knowledge about epilepsy. Students had poor knowledge about important point about diseases such as treatment, diagnosis. Providing necessary training programs for knowing this disease in future for students is essential.


2020 ◽  
Author(s):  
Jamil Sadeghifar ◽  
Habib Jalilian ◽  
Khalil Momeni ◽  
Hamed Delam ◽  
Tadesse Sheleme ◽  
...  

AbstractBackgroundnovel coronavirus disease-19 (COVID-19) announced as a global pandemic in the year 2020. With the spread of the disease, a better understanding of patient outcomes associated with their symptoms in diverse geographic levels is vital. We aimed to analysis clinical outcomes of COVID-19 patients by disease symptoms in Ilam province of Iran.MethodsThis is a retrospective study. Data were collected from integrated health system records for all hospitals affiliated to Ilam University of Medical Sciences between 26 Jan 2020 and 02 May 2020. All patients with definite positive test were enrolled in this study. We used descriptive analyses, chi-square test and binary logistic regression to analyze the data using SPSS version 22.ResultsThe mean age was 46.47±18.24 years. Of 3608 patients, 3477 (96.1%) were discharged and 129 (3.9%) were died. 54.2% of the patients were male and were in the age group of 30-40 years old age. Cough, sore throat, shortness of breath or difficulty breathing and fever or chills were the most common symptoms. People with symptoms of shortness of breath, abnormal radiographic findings of the chest, and chest pain and pressure were relatively more likely to die. Based on the findings of binary logistic regression probability of death in people who showed shortness of breath, abnormal chest radiographic findings and chest pain was 1.34, 1.24 and 1.32 times higher than those who did not show these symptoms, respectively.ConclusionOur study provides evidence that presentation of some symptoms does significantly impact on outcomes of patients infected with SARS-CoV-2. Early detection of symptoms and proper management of outcomes can reduce mortality in patients with COVID-19.


2018 ◽  
Vol 23 (2) ◽  
pp. 607-616 ◽  
Author(s):  
Luara Costa Fagundes ◽  
Marcos Henrique Fernandes ◽  
Thais Alves Brito ◽  
Raildo da Silva Coqueiro ◽  
José Ailton Oliveira Carneiro

Abstract To identify the prevalence and factors associated with hypertriglyceridemic waist (HW) in community-dwelling elderly people in northeast Brazil. Population-based cross-sectional study. Some 316 elderly (≥ 60 years) people of both sexes participated in this study. Data were collected using a questionnaire, based on that used in the Health, Welfare and Aging Study (SABE), in addition to blood tests, blood pressure measurements and anthropometric measurements. The hypertriglyceridemic waist condition was diagnosed using high values of triglycerides (≥ 150 mg/dl) and waist circumference increased ≥ 88 and ≥ 102 cm for women and men, respectively. Logistic regression analysis was used to compare the hypertriglyceridemic waist and associated factors, significance level of 5%. The prevalence of hypertriglyceridemic waist (HW) was 27.1%. The logistic regression model (OR) adjusted showed the condition of HW associated to the feminine sex (OR 4.19), to the insufficiently active elderly (OR 2.41) and with overweight (OR 4.06). A high prevalence (27.1%) of hypertriglyceridemic waist was observed, indicating the female sex, physical inactivity and overweight as key factors associated with hypertriglyceridemic waist in community-dwelling elderly people.


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