Factors associated with neonatal deaths at Arthur Davidson Children’s Hospital Ndola Zambia

2016 ◽  
Vol 3 (3) ◽  
pp. 301-306
Author(s):  
M. M Chatupa ◽  
◽  
D. K Mwakazanga ◽  
David Mulenga ◽  
Seter Siziya
Keyword(s):  
Neonatal Deaths ◽  
Factors Associated ◽  
Children's Hospital ◽  
Children’S Hospital

Factors Associated With Delay in Cleft Surgery at a Tertiary Children’s Hospital in a Major US Metropolitan City

2021 ◽  
pp. 105566562198950
Author(s):  
Jacqueline Stoneburner ◽  
Naikhoba C. O. Munabi ◽  
Eric S. Nagengast ◽  
Madeleine S. Williams ◽  
Pedram Goel ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Female Gender ◽  
Hispanic Ethnicity ◽  
Delayed Surgery ◽  
Factors Associated ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
Syndromic Diagnosis ◽  
Cleft Surgery

Objective: To identify factors associated with late cleft repair at a US tertiary children’s hospital. Design: Retrospective study of children with CL/P using Children’s Hospital Los Angeles (CHLA) records. Setting: US tertiary children’s hospital. Patients/Participants: Patients undergoing primary CL or CP repair at CHLA from 2009 to 2018. Main Outcome Measures: Proportion of children who had delayed primary CL repair or CP repair using CHLA and American Cleft Palate-Craniofacial Association (ACPA) guidelines and factors associated with late surgery. Results: In total, 805 patients—503 (62.5%) who had CL repair, 302 (37.5%) CP repair—were included. Using CHLA protocol, 14.3% of patients seeking CL repair had delayed surgery. Delay was significantly associated with female gender, non-Hispanic ethnicity, Spanish primary language, government insurance, bilateral cleft, cleft lip and palate (CLP), and syndromic diagnosis. Using ACPA guidelines, 5.4% had delayed surgery. Female gender and syndromic diagnosis were significantly associated with delay and remained significant after adjustment for confounders in multivariate models. For CP repair, 60.3% of patients had delayed surgery using CHLA protocol. Cleft lip and palate diagnosis, complete cleft, syndromic diagnosis, and longer travel distance were significantly associated with delay. Using ACPA guidelines, 28.5% had delayed surgery; however, significant association with patient variables was not consistently observed. Conclusions: Delay in cleft surgery occurs most often for patients seeking CP repair and is associated with female gender, non-Hispanic ethnicity, Spanish language, government insurance, and bilateral CL, CLP, or syndromic diagnoses. Initiatives should aim to optimize cleft surgery delivery for these subpopulations.

Factors Associated with Pediatric In-Hospital Recurrent Cardiac Arrest

2022 ◽  
Author(s):  
Stephanie R. Brown ◽  
Joan S. Roberts ◽  
Elizabeth Y. Killien ◽  
Thomas V. Brogan ◽  
Reid Farris ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Spontaneous Circulation ◽  
Clinical Factors ◽  
Free Standing ◽  
Respiratory Dysfunction ◽  
Factors Associated ◽  
Children's Hospital ◽  
Early Ra ◽  
Point Increase ◽  
Children’S Hospital

AbstractThe objective of this article was to identify demographic and clinical factors associated with early recurrent arrest (RA) (<48 hours) and late RA (≥48 hours) among pediatric inpatients following an initial in-hospital cardiac arrest. A retrospective cohort study of inpatients was performed in a free-standing academic quaternary care children's hospital. All inpatients were <18 years old with a cardiac arrest event requiring ≥1 minute of cardiopulmonary resuscitation with the return of spontaneous circulation sustained for ≥20 minutes at Seattle Children's Hospital from February 1, 2012 to September 18, 2019. Of the 237 included patients, 20 (8%) patients had an early RA and 30 (13%) had a late RA. Older age and severe pre-arrest acidosis were associated with a higher risk of early RA, odds ratios (OR) 1.2 (95% confidence interval [CI] 1.1–1.3) per additional year and 4.6 (95% CI 1.2–18.1), respectively. Pre-arrest organ dysfunction was also associated with a higher risk of early RA with an OR of 3.3 (95% CI 1.1–9.4) for respiratory dysfunction, OR 1.4 (95% CI 1.1–1.9) for each additional dysfunctional organ system, and OR 1.1 (95% CI 1–1.2) for every one-point increase in PELOD2 score. The neonatal illness category was associated with a lower risk of late RA, OR 0.3 (95% CI 0.1–0.97), and severe post-arrest acidosis was associated with a higher risk of late RA, OR 4.2 (95% CI 1.1–15). Several demographic and clinical factors offer some ability to identify children who sustain a recurrent cardiac arrest, offering a potential opportunity for intervention to prevent early recurrent arrest.

Factors associated with middle ear isolates of Streptococcus pneumoniae resistant to penicillin in a children's hospital

1991 ◽  
Vol 119 (6) ◽  
pp. 941-944 ◽  
Author(s):  
Kenneth L. Ford ◽  
Edward O. Mason ◽  
Sheldon L. Kaplan ◽  
Linda B. Lamberth ◽  
Jill Tillman
Keyword(s):  
Streptococcus Pneumoniae ◽  
Middle Ear ◽  
Factors Associated ◽  
Children's Hospital ◽  
Children’S Hospital

scholarly journals Video Analysis of Factors Associated With Response Time to Physiologic Monitor Alarms in a Children’s Hospital

2017 ◽  
Vol 171 (6) ◽  
pp. 524 ◽  
Author(s):  
Christopher P. Bonafide ◽  
A. Russell Localio ◽  
John H. Holmes ◽  
Vinay M. Nadkarni ◽  
Shannon Stemler ◽  
...  
Keyword(s):  
Response Time ◽  
Video Analysis ◽  
Factors Associated ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
Monitor Alarms

scholarly journals Risk factors associated with severe asthma exacerbations in children attending Alexandria University Children’s Hospital, Egypt

2018 ◽  
Vol 5 (12) ◽  
pp. 5019
Author(s):  
Ihab H. El Sawy ◽  
Reham M. Wagdy ◽  
Afaf G. Ibrahim ◽  
Suzy W. Ibrahim
Keyword(s):  
Risk Factors ◽  
Severe Asthma ◽  
Asthma Exacerbation ◽  
Mild Asthma ◽  
Factors Associated ◽  
Children's Hospital ◽  
Asthma Exacerbations ◽  
Severe Asthma Exacerbation ◽  
Children’S Hospital ◽  
History Of

Background: Severe asthma exacerbation is one of the common pediatric medical emergencies that necessitates hospital visits. The study aimed to identify risk factors associated with pediatric severe asthma exacerbations that might have the potential to guide the parents for early medical consultations and physicians at primary health care centers for proper management.Methods: A case-control study was conducted on over 100 asthmatic children below 12 years attending the Emergency Department of Alexandria University Children’s Hospital in acute exacerbation. Based on a modified pulmonary index score, the patients were allocated into 2 groups; study group (50 patients with severe asthma exacerbation) and control group (50 patients with mild asthma exacerbations). Demographic data, history of illness, alarming clinical signs, medications, and outcome of all participants were recorded.Results: Severe asthma exacerbations were more encountered among males, older age, and with a longer duration of asthma (X±SD=28.4±15.9 months) with significant differences when compared to controls. Comparing the studied groups revealed higher risk for severe asthma exacerbations mainly with; history of sudden onset of severe respiratory distress (Odds ratio “OR”=30.13, 95% CI, 13.78-66.69) and chronic steroid-dependent asthma (OR=14.46, 95% CI, 3.97-52.65). Cyanosis, lethargy, and inability to talk were alarming signs in patients with severe asthma exacerbation when compared to those with mild asthma exacerbation (p<0.05).Conclusions: Severe asthma exacerbation in children is still associated with many risk factors that may alert the patients’ caregivers and physicians prospectively for early proper management. 

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