scholarly journals The Incidence of Dysarrhythmias, Their Types and Outcomes in Patients Hospitalized with COVID -19

2021 ◽  
Vol 21 (2) ◽  
pp. 41-51
Author(s):  
Abdulsatar Kamil Faeq ◽  
Keyword(s):  
Atrial Fibrillation ◽  
Mortality Rate ◽  
Sinus Tachycardia ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
Hospitalized Patients ◽  
Cardiac Diseases ◽  
Cross Sectional ◽  
Hospital Patients ◽  
Male Patients

Background: COVID-19 infection started in China and became a pandemic, the SARS-CoV-2 virus mainly affects the respiratory system but can insult the cardiovascular system as well, higher rate of cardiac arrhythmias noted during the pandemic, and many studies showed that COVID-19 (especially hospitalized patients) can develop different types of arrhythmias which cause higher mortality rate. Objective: To assess the incidence of dysrhythmias and their types and outcomes in hospitalized patients with COVID-19 in Erbil city. Patients and Methods: Patients with documented COVID-19 infection admitted in Erbil Teaching Hospital respiratory care unit and coronary care unit from 1-8-2020 to 30-10-2020 had been included (255 patients) in this cross-sectional study, demographic data, and outcomes were reported, the ECG analyzed by cardiologists and the type of arrhythmia documented. Results: Mean age was 47±12 years, 61% of the patients were male, 25% of them had previous cardiac diseases, 20% diabetes, 16% multiple comorbidities, 8% hypertension, 8% obesity and 23% had no comorbidities, 20.7% of in-hospital patients developed dysrhythmias, 5.9% of them developed sinus tachycardia, 4.7% atrial fibrillation, 3.9% ventricular premature contractions, 2% ventricular fibrillation, 1.9% ventricular tachycardia and 1.9% heart blocks. Most of the patients who developed ventricular arrhythmias, atrial fibrillation, and heart block had previous comorbidities 82%, 62%, and 80% respectively. Arrhythmias caused a higher in-hospital mortality rate (39.6% versus 21.7%) especially among male patients (mortality rate in male patients 43% compared with female patients 33%). Conclusion: Most of the admitted cases were male. Most of them had comorbidities especially previous cardiac diseases. Sinus tachycardia, atrial fibrillation, and ventricular extra-systoles were the most frequent arrhythmias. The mortality rate was increased by arrhythmias mainly in male patients. Keywords: COVID-19, Dysrhythmias, Outcomes, Pandemic

Frequency of Atrial Fibrillation in Heart Failure Patients

2021 ◽  
Vol 15 (11) ◽  
pp. 3261-3264
Author(s):  
Syed Mohammad Haleem ◽  
Muhammad Hashim Kalwar ◽  
Muhammad Hassan Butt ◽  
Jehangir Hasan ◽  
Javed Khurshed Shaikh ◽  
...  
Keyword(s):  
Heart Failure ◽  
Atrial Fibrillation ◽  
Demographic Data ◽  
Treatment Options ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Heart Failure Patients ◽  
Cardiac Symptoms ◽  
Patients With Heart Failure

Background: An increasing number of people around the world suffer from cardiovascular diseases such as atrial fibrillation (AF) and heart failure (HF). Atrial fibrillation (AF) has been linked to poor prognosis in heart failure (HF) patients with mild to moderate LV dysfunction, and it is most prominent in these patients. Despite advancements in care and treatment options like catheter ablation, managing AF is still a therapeutic challenge even with these advances. Aim/Objective: To determine the frequency of atrial fibrillation in heart failure patients. Subjects and Methods: This cross-sectional study was conducted on 246 patients at Adult Cardiology, NICVD, Karachi for Six months after approval from 31-08-2019 till 29-02-2020. Patients' consent was obtained verbally before data were collected prospectively. There were 246 patients with heart failure who had been diagnosed and met the diagnostic criteria. An overview of the event's history was gathered, as well as demographic data. Qualitative variables were presented as frequency and percentages, while quantitative data were given as simple descriptive statistics such as mean and standard deviation. A p-value of 0.05 or lower is considered statistically significant. Results: A total of 246 patients with heart failure were included in this study. The mean age in our study was 56.78±2.81 years. Whereas, mean BNP and ejection fraction in our study was 1144±87.81 pg./ml and 34.65±4.14 %. 136 (55.3%) were male and 110 (44.7%) were female. Out of 246 patients with heart failure, 52 (21.1%) had atrial fibrillation and 194 (78.9%) did not have atrial fibrillation. Conclusion: The results of this research demonstrated that a large percentage of heart failure patients had atrial fibrillation. Thus, it is essential to focus on a comprehensive way of management of heart failure and its comorbidities rather than primarily treating the cardiac symptoms. Keywords: Heart failure and atrial fibrillation.

scholarly journals Demographic and Health Indicators in Correlation to Interstate Variability of Incidence, Confirmation, Hospitalization, and Lethality in Mexico: Preliminary Analysis from Imported and Community Acquired Cases during COVID-19 Outbreak

2020 ◽  
Vol 17 (12) ◽  
pp. 4281 ◽  
Author(s):  
Nina Mendez-Dominguez ◽  
Alberto Alvarez-Baeza ◽  
Genny Carrillo
Keyword(s):  
Demographic Data ◽  
Health Indicators ◽  
Cross Sectional Study ◽  
Hospitalized Patients ◽  
Public Hospitals ◽  
Strongly Correlated ◽  
Cross Sectional ◽  
Community Transmission ◽  
Logistic Regressions ◽  
Case Mortality

This study’s objective is to analyze the incidence, lethality, hospitalization, and confirmation of COVID-19 cases in Mexico. Sentinel surveillance for COVID-19 cases in Mexico began after the confirmation of the first patient with community transmission. Methods: This epidemiologic, cross-sectional study includes all clinically suspected, and laboratory-confirmed cases nationwide from the beginning of the outbreak to 21 April 2020. State-cluster demographic data and health indicators were analyzed in reference to epidemiologic measures, with logistic regressions for the dependent variables of incidence, confirmation, and lethality. Results: The national incidence was 13.89/100,000 inhabitants with a 6.52% overall lethality and a confirmed-case mortality of 11.1%. The incidence variation significantly correlated with migration, but not urbanization. Pediatric patients were less prone to be tested (OR = −3.92), while geriatric individuals were a priority. State lethality positively correlated with the proportion of the population assisted at public hospitals and correlated inversely to the number of hospitals and clinics in the state. Conclusions: Migration strongly correlated with incidence; elderly patients had lower odds of being hospitalized but were likely to die. Patients aged <15 were less prone to be laboratory-confirmed. Case confirmation was not performed in all hospitalized patients, but 72.15% of hospitalized patients had favorable outcomes to date.

scholarly journals THE STATE OF ANXIETY, DEPRESSION, AND STRESS IN HOSPITALIZED PATIENTS WITH CONFIRMED COVID-19 INFECTION

2021 ◽  
pp. 135-136
Author(s):  
SUBHASIS MITRA ◽  
DALIA MITRA ◽  
ABHIJIT DUTTA
Keyword(s):  
Mental Health ◽  
Cross Sectional Study ◽  
Hospitalized Patients ◽  
Cross Sectional ◽  
The Past ◽  
Stress Symptoms ◽  
High Prevalence ◽  
Male Patients ◽  
Relationship Of ◽  
Anxiety Depression

Objectives: In the past few months, the COVID-19 pandemic has drastically invaded the globe with its high infectivity. In this situation, people’s mental health is of utmost importance but poorly reported, especially in patients. We conducted this cross-sectional study among laboratory-confirmed hospitalized patients to evaluate the burden of depression, anxiety, and stress symptoms. Methods: We used depression, anxiety and stress scale 21 (DASS-21) to evaluate respective mental health components. A total of 114 hospitalized patients participated in this study. Of which, 65.79% were male patients. Results: The reported depression, anxiety, and stress were 77.2%, 84.2%, and 54.4%, respectively. An inverse relationship of the total DASS-21 score was found with the age of the participants. Conclusion: Such a high prevalence of mental health outcome suggests the need for further evaluation and addressing the problem with immediate concern.

scholarly journals Assessment of Demographic Factors Associated with Falciparum Malaria among Hospital Patients in Zaria, Kaduna State Nigeria

2019 ◽  
pp. 1-7 ◽  
Author(s):  
Gideon Yakusak Benjamin ◽  
Benjamin Bartholomew ◽  
Jabir Abdullahi ◽  
Liman, Mubarak Labaran
Keyword(s):  
Plasmodium Falciparum ◽  
Falciparum Malaria ◽  
Demographic Data ◽  
Age Groups ◽  
Demographic Factors ◽  
Cross Sectional Study ◽  
Malaria Prevalence ◽  
Cross Sectional ◽  
Factors Associated ◽  
Hospital Patients

Aim: Malaria is a mosquito-borne disease caused by parasites that belong to the genus Plasmodium. It is responsible for the death of millions of people worldwide. This study was aimed at assessing some demographic factors associated with falciparum malaria among hospital patients in Zaria, Kaduna State Nigeria. Methods: A cross sectional study was carried out involving three hundred consenting participants. A structured questionnaire was used to obtain demographic data from the participants; blood samples were collected from them and screened for Plasmodium falciparum by Rapid Diagnostic Test. Giemsa stained thick and thin blood films were prepared and examined under the microscope to confirm the presence of the parasite.  The data obtained were analyzed and P values ≤0.05 were considered statistically significant. Results: The prevalence of malaria in males [22.6%] was slightly higher than females [21.7%]. The age group ≤10 had the highest prevalence followed by age groups 31-40 [31%], 11-20 [23.3%], 21-30 [12.6%] and ≥41 [9.1%] [p=0.002]. Participants who were married had higher prevalence [31.1%] than those who were divorced [0.0%] and single [13.2%] [p=0.000]. Conclusion: The research shows that Plasmodium falciparum is still prevalent in the study area. Age and marital status are important determinants of malaria prevalence as highlighted in this study. Children less than 10 years are at high risk for malaria, preventive measures should therefore target this group.

scholarly journals Evaluating Physician Adherence to Antithrombotic Recommendations in Patients with Atrial Fibrillation: A Pathway to Better Medical Education

2020 ◽  
Vol 17 (11) ◽  
pp. 4008 ◽  
Author(s):  
Ştefan Cristian Vesa ◽  
Sonia Irina Vlaicu ◽  
Octavia Sabin ◽  
Vitalie Văcăraș ◽  
Sorin Crișan ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Risk Score ◽  
Stroke Risk ◽  
Oral Anticoagulants ◽  
Demographic Data ◽  
Bleeding Risk ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Major Health Problem ◽  
Physician Adherence

Background: Atrial fibrillation is a major health problem due to the stroke risk associated with it. To reduce stroke risk, oral anticoagulants (OAC) are prescribed using the CHA2DS2-VASc (Congestive heart failure; Hypertension; Age ≥75 years; Diabetes Mellitus; Stroke; Vascular disease; Age 65–74 years; Sex category) risk score, a clinical probability assessment that includes a combination of risk factors predicting the probability of a stroke. Not all patients with high risk are receiving this treatment. The aim of this study was to assess physician adherence to clinical guidelines concerning the OAC treatment and to identify the factors that were associated with the decision to prescribe it. Methods: Registry data from 784 patients with non-valvular atrial fibrillation were evaluated in this retrospective cross-sectional study. Demographic data, subtype of AF, comorbidities associated with higher stroke and bleeding risk, and antithrombotic treatment received were recorded. We compared stroke and bleeding risk in patients with and without OAC treatment to determine if the clinicians followed guidelines: prescribed when necessary and abstained when not needed. Results: OAC treatment was administered in 617 (78.7%) patients. Of the 167 patients who did not receive OAC, 161 (96.4%) were undertreated according to their risk score, as opposed to those who received OAC in which the percentage of overtreated was 3.2%. Most undertreated patients (60.5%, p < 0.001) were with paroxysmal atrial fibrillation subtype. Conclusions: The decision to use anticoagulants for stroke prevention was based on the type of atrial fibrillation, rather than on the risk of stroke as quantified by CHA2DS2-VASc as per the recommended guidelines.

scholarly journals Management of Atrial Fibrillation in Older Patients by Morbidity Burden: Insights From Get With The Guidelines‐Atrial Fibrillation

2020 ◽  
Vol 9 (23) ◽  
Author(s):  
Frederik Dalgaard ◽  
Haolin Xu ◽  
Roland A. Matsouaka ◽  
Andrea M. Russo ◽  
Anne B. Curtis ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Oral Anticoagulants ◽  
Cross Sectional Study ◽  
Hospitalized Patients ◽  
Multivariable Logistic Regression Model ◽  
Cross Sectional ◽  
Morbidity Burden ◽  
Therapeutic Decisions ◽  
Get With The Guidelines ◽  
Multimorbid Patients

Background Knowledge is scarce regarding how multimorbidity is associated with therapeutic decisions regarding oral anticoagulants (OACs) in patients with atrial fibrillation. Methods and Results We conducted a cross‐sectional study of hospitalized patients with atrial fibrillation using the Get With The Guidelines‐Atrial Fibrillation registry from 2013 to 2019. We identified patients ≥65 years and eligible for OAC therapy. Using 16 available comorbidity categories, patients were stratified by morbidity burden. A multivariable logistic regression model was used to determine the odds of receiving OAC prescription at discharge by morbidity burden. We included 34 174 patients with a median (interquartile range) age of 76 (71–83) years, 56.6% women, and 41.9% were not anticoagulated at admission. Of these patients, 38.6% had 0 to 2 comorbidities, 50.7% had 3 to 5 comorbidities, and 10.7% had ≥6 comorbidities. The overall discharge OAC prescription was high (85.6%). The prevalence of patients with multimorbidity increased from 59.7% in 2014 to 64.3% in 2019 ( P trend=0.002). Using 0 to 2 comorbidities as the reference, the adjusted odds ratio (95% CI) of OAC prescription were 0.93 (0.82, 1.05) for patients with 3 to 5 comorbidities and 0.72 (0.60, 0.86) for patients with ≥6 comorbidities. In those with ≥6 comorbidities, the most common reason for nonprescription of OACs were frequent falls/frailty (31.0%). Conclusions In a contemporary quality‐of‐care database of hospitalized patients with atrial fibrillation eligible for OAC therapy, multimorbidity was common. A higher morbidity burden was associated with a lower odds of OAC prescription. This highlights the need for interventions to improve adherence to guideline‐recommended anticoagulation in multimorbid patients with atrial fibrillation.

scholarly journals Results from the Registry of Atrial Fibrillation (AFABE): Gap between Undiagnosed and Registered Atrial Fibrillation in Adults—Ineffectiveness of Oral Anticoagulation Treatment with VKA

2015 ◽  
Vol 2015 ◽  
pp. 1-11 ◽  
Author(s):  
Anna Panisello-Tafalla ◽  
Josep Lluís Clua-Espuny ◽  
Vicente F. Gil-Guillen ◽  
Antonia González-Henares ◽  
María Lluisa Queralt-Tomas ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Oral Anticoagulation ◽  
Vitamin K Antagonists ◽  
Cross Sectional Study ◽  
Optimal Time ◽  
National Guidelines ◽  
Cross Sectional ◽  
Cardiovascular Comorbidity ◽  
Primary Health Centres ◽  
Hospital Patients

Objective. This study aimed to examine the effectiveness of the use of oral anticoagulation (OAC) medication, recommended by national guidelines for stroke prevention but reportedly underused in AF patients with moderate to high stroke risk.Method. A multicentre and cross-sectional study of undiagnosed AF among out-of-hospital patients over 60 years old was carried out, visiting 3,638 patients at primary health centres or at home for AF diagnosis using the IDC-10 classification. The main outcome measures wereCHA2DS2VASC, HAS-BLED scores, cardiovascular comorbidity, pharmacological information, TTR, and SAMe-TT2R2 scores.Results. The main findings were undiagnosed AF in 26.44% of cases; 31.04% registered with AF but not using OAC despite 95.6% having aCHA2DS2VASC≥2score; a risk of bleeding in important subgroups using OAC without indication (37.50%CHA2DS2VASC<2score); the use of OAC with TTR < 60% (33.1%), of whom 47.6% had a HAS-BLED score ≥3. Thus, 35.4% of the expected AF prevalence achieved an optimal time in the therapeutic range.Conclusions. The expected AF prevalence was 10.9% (n5267), but the registered prevalence was 7.5% (n3638). Only 35.04% (CI = 95%, 33.7–36.3) of AF patients treated with vitamin K antagonists (VKAs) achieve the goal of TTR > 60%.

scholarly journals Epidemiology And Mortality Of Burn Injury In Ciptomangunkusumo Hospital, Jakarta: A 5 Year Retrospective Study

2020 ◽  
Vol 6 (1) ◽  
pp. 234-242
Author(s):  
Aditya Wardhana ◽  
Gammaditya Adhibarata Winarno
Keyword(s):  
Mortality Rate ◽  
Length Of Stay ◽  
Burn Injury ◽  
Average Length ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
Inhalation Injury ◽  
Payment Method ◽  
Cross Sectional ◽  
Burn Unit

Background : Burns is a significant cause of morbidity and mortality worldwide. Particularly in low- and middle-income countries (LMICs), burns account for an estimated 180.000 deaths every year. Burn-related mortality rates are exceptionally high in South-East Asia (11.6 deaths per 100 000 population per year) compare with much lower rates of 1.0 deaths per 100.000 people per year in high-income countries. This study aims to investigate the demographic data, etiology, and outcome of the patients treated in burn unit Ciptomangunkusumo Hospital, Jakarta, Indonesia. Method: This is a retrospective cross-sectional study, collecting epidemiologic data from the medical record through Electronic Health Record. A total of 709 patients admitted to burn unit between 2013-2017 were reviewed based on age, sex, total burn surface area (TBSA), burn grade, inhalation injury, etiology, length of stay, outcome, and payment method. Inclusion criteria are patients that were admitted to burn unit of Ciptomangunkusumo Hospital between 2013-2017, while there are no exclusion criteria in this study. Result : Admission of patients between 2013-2017 has inclined throughout the year, from 97 in 2013 to 166 in 2017. Average patient admission per year, reaching 141,8±26,761. Jakarta, and its suburb Bogor, Depok, Tangerang, and Bekasi, has dominated the proportion of referring hospital with 538(75.9%) The most amount of payment method is NHI (JKN/BPJS) with 534(75.3%) population. A total of 465 were male, and 244 were female, with a ratio of 1.9:1. The highest incidence in terms of age group is 16-35 years old (269, with the average age of patients, is 29±19. The highest incidence of burn injury is caused by a stove gas explosion with 253(35.7%), followed by flame 189(26.7%). There are 63 out of 709 patients with inhalation injury, where the incidence rate is 8.9%. Patients admitted to the Ciptomangunkusumo burn unit has an average length of stay of 15 days hospitalization. The most frequent population of extent, staying >14 days is 21-30% TBSA (88). The mortality rate in the Ciptomangunkusumo burn unit is 25.8% (183), with the highest number of death came from TBSA >40% (136). Conclusion: A total of 709 patients were admitted to the Ciptomangunkusumo burn unit in Jakarta, Indonesia, over 5 years, with an average of 141 patients per year and an increase of 171% from 2013 to 2017. Most patients were diagnosed with >40% TBSA and 2nd-3rd grade burn injury. An average of 15 days of hospitalization for patients leading up to 25.8% mortality rate, they are with septic shock as the most common condition causing death in the burn unit.

scholarly journals Prevalence and characteristics of thoracic diffuse idiopathic skeletal hyperostosis in 3299 black patients

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Hiroyuki Yoshihara ◽  
Vidushan Nadarajah ◽  
Evan Horowitz
Keyword(s):  
Demographic Data ◽  
Diffuse Idiopathic Skeletal Hyperostosis ◽  
Cross Sectional Study ◽  
Chest Ct ◽  
Sectional Study ◽  
Cross Sectional ◽  
Prevalence Level ◽  
Black Patients ◽  
Ct Analysis ◽  
Male Patients

AbstractThe purpose of this study was to examine the prevalence and characteristics of thoracic diffuse idiopathic skeletal hyperostosis (T-DISH) in the Black patients using the computed tomography (CT) analysis. This study is a cross-sectional study. All patients who underwent chest CT for the trauma screening and whose race was categorized as “Black” on the questionnaire were recruited in the study from Mar 2019 to Mar 2020. Demographic data, including age, sex, body mass index (BMI), and presence of diabetes mellitus (DM), were recorded. A total of 3299 Black patients (1507 women and 1792 men) were included for the analysis. The prevalence of T-DISH was 7.7% (255 patients), with 8.6% for females and 7.0% for males. The highest prevalence was observed in patients at the age of 70 years (11.7%), followed by the age of 80 years (10.5%). The highest prevalence level of T-DISH segment was at T8, followed by T9, and T7. The most frequent number of contiguous vertebrae was seven (21%). BMI was not associated with T-DISH. The presence of DM was significantly higher in male patients with T-DISH than those without T-DISH (P = 0.02).

Breakfast Skipping Is an Independent Predictor of Obesity but not Overweight Among Children in a Southeastern European Population

2016 ◽  
Vol 86 (5-6) ◽  
pp. 242-248 ◽  
Author(s):  
Genc Burazeri ◽  
Jolanda Hyska ◽  
Iris Mone ◽  
Enver Roshi
Keyword(s):  
Task Force ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
European Population ◽  
Overweight And Obesity ◽  
World Health ◽  
Communist Country ◽  
Western Balkans ◽  
Cross Sectional ◽  
Breakfast Skipping

Abstract.Aim: To assess the association of breakfast skipping with overweight and obesity among children in Albania, a post-communist country in the Western Balkans, which is undergoing a long and difficult political and socioeconomic transition towards a market-oriented economy. Methods: A nationwide cross-sectional study was carried out in Albania in 2013 including a representative sample of 5810 children aged 7.0 – 9.9 years (49.5% girls aged 8.4 ± 0.6 years and 51.5% boys aged 8.5 ± 0.6 years; overall response rate: 97%). Children were measured for height and weight, and body mass index (BMI) calculated. Cut-off BMI values of the World Health Organization (WHO) and the International Obesity Task Force (IOTF) were used to define overweight and obesity in children. Demographic data were also collected. Results: Upon adjustment for age, sex, and place of residence, breakfast skipping was positively related to obesity (WHO criteria: OR = 1.5, 95% CI = 1.3–1.9; IOTF criteria: OR = 1.9, 95% CI = 1.4–2.5), but not overweight (OR = 1.1, 95% CI = 0.9–1.3 and OR = 1.1, 95% CI = 0.9–1.4, respectively). Furthermore, breakfast skipping was associated with a higher BMI (multivariable-adjusted OR = 1.05, 95% CI = 1.02–1.07). Conclusions: Our findings point to a strong and consistent positive relationship between breakfast skipping and obesity, but not overweight, among children in this transitional southeastern European population. Future studies in Albania and other transitional settings should prospectively examine the causal role of breakfast skipping in the development of overweight and obesity.

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