scholarly journals Comorbidities among adults living with hiv from two healthcare centers in Colombia

Infectio ◽  
2018 ◽  
Vol 23 (1) ◽  
pp. 92
Author(s):  
Pedro Luis Martinez-Iglesias ◽  
Jaime Enrique Ruiz-Sternberg ◽  
Sebastian León-Leiva ◽  
Claudia Catalina Beltran-Rodriguez ◽  
Mónica María Rojas-Rojas ◽  
...  
Keyword(s):  
Alcohol Intake ◽  
Chart Review ◽  
Significant Proportion ◽  
Factors Associated ◽  
Medical Chart Review ◽  
Kaplan Meier ◽  
Increase Risk ◽  
Review Study ◽  
Living With Hiv ◽  
Underlying Processes

Objective: To determine the prevalence of comorbidities among adults living with HIV from two healthcare centers in Colombia, and to identify factors associated with comorbidity-free years.Methods: Observational, retrospective medical chart review study. Summary statistics for demographic and clinical characteristics were developed and relationship between comorbidity-free years were analyzed through Kaplan-Meier analysis and Cox regression.Results: 669 clinical charts were included, 71.7% were male and 16.1% were 50 years or older, 69.96% had at least one comorbidity. The most frequent comorbidities were dislipidemia(15.06%), hypertension(5.67%), risk factors were tobacco use(15.33%), alcohol intake(24.36%) and drugs abuse (14.66%).Discussion: These findings are consistent with previous reports showing the underlying processes of patients, producing multiple comorbidities.Conclusions: Significant proportion of patients have comorbidities that may increase risk of other complications or reduced comorbidity-free years. Poly-pharmacy among HIV+ adults need to be addressed to ensure adherence and minimize drug-drug interactions.

Syphilis among men who have sex with men attending a large HIV clinic in Trinidad

2021 ◽  
pp. 095646242199719
Author(s):  
Robert Jeffrey Edwards ◽  
Isshad John ◽  
Selena Todd ◽  
Leon-Omari Lavia ◽  
David Musa ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Chart Review ◽  
Laboratory Data ◽  
Previous History ◽  
History Of ◽  
Review Study ◽  
Sex With Men ◽  
Associated Risk Factors ◽  
Living With Hiv ◽  
Age Range

A chart review study was conducted to determine the prevalence of syphilis and explore the associated risk factors among men who have sex with men (MSM) who attended a large HIV clinic in Trinidad during the period January–December 2019. Patients were routinely screened for syphilis annually, and demographic, clinical, and laboratory data were extracted from the medical records. Descriptive and bivariate analyses were performed, and factors significantly associated with a syphilis diagnosis were assessed using multivariate logistic regression. During the period, 218 MSM were seen, age range 19–67 years, and median age 34.0 years. The prevalence of syphilis was 41.3% (90/218), and 71.1% (64//90) of these infections were asymptomatic. Multivariate analysis using logistic regression showed that MSM living with HIV in the 30–34 years old-age group (OR, 4.32; 95% CI, 1.04–18.02), and those with a previous history of treated syphilis (OR, 10.18; 95% CI, 4.60–22.53) were more likely to be diagnosed with syphilis. The prevalence of syphilis is high among MSM attending the HIV clinic in Trinidad, and most of these infections were asymptomatic; hence, targeted and sustained interventions to reduce syphilis transmission are urgently required. Repeat episodes of syphilis may play a role in the transmission dynamics of syphilis in MSM.

scholarly journals Association between shelter crowding and incidence of sleep disturbance among disaster evacuees: a retrospective medical chart review study

BMJ Open ◽  
2016 ◽  
Vol 6 (1) ◽  
pp. e009711 ◽  
Author(s):  
Takahisa Kawano ◽  
Kei Nishiyama ◽  
Hiroshi Morita ◽  
Osamu Yamamura ◽  
Atsuchi Hiraide ◽  
...  
Keyword(s):  
Sleep Disturbance ◽  
Chart Review ◽  
Medical Chart ◽  
Medical Chart Review ◽  
Review Study

scholarly journals Factors associated with permanent hypothyroidism in infants with congenital hypothyroidism

2019 ◽  
Author(s):  
Eun Sil Park ◽  
Ju Young Yoon
Keyword(s):  
Risk Factors ◽  
Congenital Hypothyroidism ◽  
Chart Review ◽  
Significant Proportion ◽  
Retrospective Chart Review ◽  
Early Discontinuation ◽  
Endocrine Diseases ◽  
Factors Associated ◽  
Preterm Group ◽  
Current Guidelines

Abstract Background Congenital hypothyroidism (CH) is one of the most common endocrine diseases in childhood. A significant proportion of CH cases are transient, but the risk factors for permanent CH (PCH) are not yet well established. The current guidelines suggest using levothyroxine until the age of 3 years, but some studies suggest the possibility of earlier discontinuation. However, few, if any, studies have followed up on the results of early discontinuation. This study aimed to identify predictive factors of transient CH among infants with CH. We also investigated the results in patients who underwent a trial of early discontinuation. Methods We gathered data regarding infants with CH born between July 2005 and July 2014 by retrospective chart review. Among them, early discontinuation subgroup was defined as those who discontinued levothyroxine before 30 months of age. Results From the 80 infants (40 males, 40 females) enrolled in this study, 51 were preterm. Nine (11.3%) were diagnosed with PCH. Compared with transient cases, those with PCH were on higher levothyroxine dose at discontinuation (4.3 vs 2.9 µg/kg, P < 0.001). There was no difference in the proportion of permanent cases between preterm and full-term groups. In preterm group,infants with PCH required higher levothyroxine dose at discontinuation than those with transient CH(3.8 vs 2.5 µg/kg, P = 0.018). Levothyroxine discontinuation at a dose of 2.86 µg/kg could suggest PCH (sensitivity, 88.9%; specificity, 71.0%). Among the 9 patients who underwent a trial of early discontinuation, 8 successfully discontinued levothyroxine. Conclusion The majority of CH patients discontinued levothyroxine successfully, including those who underwent a trial of early discontinuation. Higher levothyroxine dose at the time of discontinuation was found to be a predictive factor for PCH.

The Association between Concomitant Use of Serotonergic Antidepressants and Lithium-Induced Polyuria. A Multicenter Medical Chart Review Study

2008 ◽  
Vol 41 (04) ◽  
pp. 129-133 ◽  
Author(s):  
I. Wilting ◽  
A. Egberts ◽  
K. Movig ◽  
J. Laarhoven ◽  
E. Heerdink ◽  
...  
Keyword(s):  
Chart Review ◽  
Medical Chart ◽  
Medical Chart Review ◽  
Review Study

scholarly journals Factors associated with permanent hypothyroidism in infants with congenital hypothyroidism

2019 ◽  
Author(s):  
Eun Sil Park ◽  
Ju Young Yoon
Keyword(s):  
Risk Factors ◽  
Congenital Hypothyroidism ◽  
Chart Review ◽  
Significant Proportion ◽  
Retrospective Chart Review ◽  
Early Discontinuation ◽  
Endocrine Diseases ◽  
Factors Associated ◽  
Preterm Group ◽  
Current Guidelines

Abstract Background Congenital hypothyroidism (CH) is one of the most common endocrine diseases in childhood. A significant proportion of CH cases are transient, but the risk factors for permanent CH (PCH) are not yet well established. The current guidelines suggest using levothyroxine until the age of 3 years, but some studies suggest the possibility of earlier discontinuation. However, few, if any, studies have followed up on the results of early discontinuation. This study aimed to identify predictive factors of transient CH among infants with CH. We also investigated the results in patients who underwent a trial of early discontinuation. Methods We gathered data regarding infants diagnosed with CH between July 2005 and July 2014 by retrospective chart review. Among them, early discontinuation subgroup was defined as those who discontinued levothyroxine before 30 months of age. Results From the 80 infants (40 males, 40 females) enrolled in this study, 51 were preterm. Nine (11.3%) were diagnosed with PCH. Compared with transient cases, those with PCH were on higher levothyroxine dose at discontinuation (4.3 vs 2.9 µg/kg, P < 0.001). There was no difference in the proportion of permanent cases between preterm and full-term groups. In preterm group,infants with PCH required higher levothyroxine dose at discontinuation than those with transient CH (3.8 vs 2.5 µg/kg, P = 0.018). Levothyroxine discontinuation at a dose of 2.86 µg/kg could suggest PCH (sensitivity, 88.9%; specificity, 71.0%). Among the 9 patients who underwent a trial of early discontinuation, 8 successfully discontinued levothyroxine. Conclusion The majority of CH patients discontinued levothyroxine successfully, including those who underwent a trial of early discontinuation. Higher levothyroxine dose at the time of discontinuation was found to be a predictive factor for PCH.

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