COVID-19 Comorbidity and Non-Communicable Diseases (NCDs) General Reference Hospital (HGR), Niamey, Niger

The COVID-19 infection has highlighted the most vulnerable patients. Indeed, COVID-19 patients suffering from another pathology including NCDs such as Arterial Hypertension (Hypertension), diabetes, cancers and respiratory diseases are paying a heavy price for this pandemic. We undertook a study in Niger to better document this comorbidity in a cross-sectional study that brought together patients hospitalized at the Niamey General Reference Hospital for COVID-19 infection and suffering from one or more NCDs. Among 273 patients hospitalized from March 19 to June 03, 2020, 34.8% had a non-communicable disease associated with COVID-19. The average age of the patients was 55 years (22 years to 94 years) and the sex ratio was 2.64 (72.5 % men and 27.5% women). Hypertension was the most represented NCD with 24.5%, followed by diabetes in 17.9% of cases, respiratory diseases 3.66% and other diseases (Heart disease, Obesity, Dyslipidemia, Gout, Chronic renal failure) with 3%. Health workers were the most affected by the disease with 38.6% of cases. The average consultation time was 3.77 days with extremes ranging from 1 to 8 days. The clinical symptoms characterizing the two main groups of patients (hypertensive and diabetic) were almost identical. It consisted mainly of cough, fever, chills, sore throat and rhinorrhea. According to the WHO clinical criteria for the severity of COVID-19, 34 patients or 16.11% were severe and 177 patients or 83% moderate. The clinical severity of the disease is significantly correlated with the patient's age (over 50 years) and the presence of an NCD associated with COVID-19. A total of 35.8% were hospitalized in intensive care in the NCD and COVID-19 group and 14.6% in the NCD group (p <0.001). The average length of patient hospitalization was 6.87 days overall, it was 7 days in intensive care. In 61.7% of cases the length of hospitalization was greater than 4 days. There was 22.1% in the NCD group and 7.3% in the just COVID-19 group (p <0.001). A total of 90.6% of registered deaths occurred in intensive care.

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HUBUNGAN LAMA HARI RAWAT DENGAN TINGKAT KECEMASAN KELUARGA PASIEN DI RUANG INTENSIVE CARDIAC CARE UNIT

Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) ◽

10.32419/jppni.v5i2.212 ◽

2021 ◽

Vol 5 (2) ◽

pp. 74

Author(s):

Nifa Viranda Amelia

Keyword(s):

Intensive Care ◽

Length Of Stay ◽

Average Length ◽

Emotional Reactions ◽

Cardiac Care ◽

Cross Sectional ◽

Purposive Sampling ◽

The Family ◽

Anxiety Levels ◽

Cardiac Care Unit

Selama pasien dirawat di ruang Intensive Cardiac Care Unit (ICCU), keluarga pasien mengalami kesulitan dan ketidakberdayaan. Bagi keluarga pasien, ruang rawat intensif merupakan tempat yang tidak menyenangkan. Keluarga masuk dalam kondisi yang tidak terduga dan dibutuhkan ketepatan keluarga dalam mengambil keputusan guna keberlangsungan hidup terkait kondisi pasien yang membutuhkan penanganan.Lama perawatan pasien di ruang ICCU sangat beragam. Lama rawat pasien ICCU berdampak langsung terhadap kualitas hidup pasien dan keluarga, risiko terjadinya di masa depan, dan besarnya pembiayaan dampak dari perawatan. Selama keluarga mendampingi perawatan pasien di ruang ICCU, keluarga akan mengalami berbagai reaksi emosional seperti kecemasan. Tujuan: Mengetahui hubungan lama hari rawat dengan tingkat kecemasan keluarga pasien di ruang ICCU. Metode: Korelasi dengan pendekatan cross sectional dengan sampel 42 responden di ruang ICCU, yang dipilih dengan menggunakan metode purposive sampling. Instrumen penelitian ini menggunakan kuesioner HARS. Data dianalisis dengan uji korelasi Spearman. Hasil: Lama hari rawat pasien rata-rata 3,14 hari. Kecemasan keluarga pasien ICCU paling banyak berada pada tingkat kecemasan berat (33,3%). Terdapat hubungan yang bermakna antara lama hari rawat dengan tingkat kecemasan keluarga pasien (p=0,0003) dengan keeratan hubungan yang sedang (r=0,532) di ruang ICCU. Diskusi: Semakin lama pasien dirawat di ruang ICCU maka semakin tinggi tingkat kecemasan yang dirasakan keluarga pasien karena kondisi pasien yang tidak stabil ataupun semakin parah. Kesimpulan: Keluarga pasien perlu diberikan informasi dan edukasi yang jelas terkait kondisi pasien dalam sehari atau saat ada perburukan kondisi.Kata kunci: kecemasan, keluarga, lama hari rawat, perawatan intensif, perawatan kritis. Correlation Between Length of Stay and Anxiety Levels of Patients’ Family in Intensive Cardiac Care Unit Room ABSTRACTWhile a patient is being treated in the Intensive Cardiac Care Unit (ICCU), the patient's family experiences difficulties and helplessness. For the patient's family, the intensive care unit is an unpleasant place. The family enters into unexpected conditions and is required to make proper decisions for survival related to patient conditions. The patient's length of stay in the ICCU room is very diverse. The length of stay of ICCU patients directly impacts patients' quality of life and their families, the risk of future incidence, and the extent of the treatment cost. While the family accompanies the patient treated in the ICCU room, the family will experience various emotional reactions such as anxiety. Objective: To reveal the correlation between length of stay and the anxiety levels of the patient’s family in the ICCU room. Methods: Correlation with cross-sectional approach with a sample of 42 respondents in the ICCU room, who were selected using a purposive sampling method. The research instrument used the HARS questionnaire. Data were analyzed using the Spearman correlation test. Results: The average length of the patient's stay was 3.14 days. Family anxiety of ICCU patients was mostly at the level of severe anxiety (33.3%). There was a significant correlation between length of stay and anxiety levels of the patient’s family (p=0.0003) with a moderate correlation coefficient (r=0.532) in the ICCU room. Discussion: The longer the patient is treated in the ICCU room, the higher the anxiety level felt by the patient’s family due to the patient's unstable or worsened condition. Conclusion: Clear information and education should be given to the patient's family regarding the patient's condition within one day or when the condition worsens.Keywords: anxiety, family, length of stay, intensive care, critical care

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Level and Noise Sources in the Neonatal Intensive Care Unit of a Reference Hospital

Investigación y Educación en Enfermería ◽

10.17533/udea.iee.v38n3e13 ◽

2020 ◽

Vol 38 (3) ◽

Author(s):

Alma Damaris Hernández-Salazar ◽

Josefina Gallegos-Martínez ◽

Jaime Reyes-Hernández

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Neonatal Intensive Care Unit ◽

Neonatal Intensive Care ◽

Environmental Noise ◽

Sound Level ◽

Noise Sources ◽

Cross Sectional ◽

Reference Hospital ◽

And Shifts

Objective. Determine the level of environmental and periauricular noise in preterm babies and identify the sources generating noise in the Neonatal Intensive Care Unit -NICU- of a reference hospital in San Luis Potosí, Mexico. Methods. Cross-sectional and analytic study of the measurement of the level of environmental noise in five critical areas of the NICU, according with the method of measurement of noise from fixed sources by the Mexican Official Norm and periauricular at 20 cm from the preterm patient’s pinna. The measurements were carried out during three representative days of a week,morning, evening and nocturnal shifts. A STEREN 400 sound level meter was used with 30 to 130 dB range of measurement and a rate of 0.5 s. Results. The average level of periauricular noise (64.5±1.91dB) was higher than the environmental noise (63.3±1.74 dB) during the days and shifts evaluated. The principal noise sources were activities carried out by the staff, like the nursing change of shift and conversations by the staff, which raised the level continuously or intermittently, operation of vital support equipment (alarms) and incidences (clashing of baby bottles and moving furnishings) producedsudden rises of noise. Conclusions. Environmental and periauricular noise in NICU exceeds by two and almost three times the 45 dB during the day and 35 dB at night from the norm in hospitals. It is necessary to implement permanent noise reduction programs to prevent sequelae in the preterm infant and professional burnout in the nursing staff.

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The epidemiological profile of Pediatric Intensive Care Center at Hospital Israelita Albert Einstein

Einstein (São Paulo) ◽

10.1590/s1679-45082012000100005 ◽

2012 ◽

Vol 10 (1) ◽

pp. 16-21 ◽

Cited By ~ 5

Author(s):

Camila Sanches Lanetzki ◽

Carlos Augusto Cardim de Oliveira ◽

Lital Moro Bass ◽

Sulim Abramovici ◽

Eduardo Juan Troster

Keyword(s):

Intensive Care ◽

Respiratory Diseases ◽

Average Length ◽

Care Center ◽

Pediatric Intensive Care ◽

Albert Einstein ◽

Average Length Of Stay ◽

Patient Gender ◽

Common Ailment ◽

Epidemiological Profile

OBJECTIVE: This study outlined the epidemiological profiles of patients who were admitted to the Pediatric Intensive Care Center at Albert Einstein Israelite Hospital during 2009. METHODS: Data were retrospectively collected for all patients admitted to the PICC during 2009. A total of 433 medical charts were reviewed, and these data were extracted using the DATAMARTS System and analyzed using the statistical software package STATA, version 11.0. RESULTS: There were no statistically significant differences in regards to patient gender, and the predominant age group consisted of patients between the ages of 1 to 4 years. The average occupancy rate was 69.3% per year, and there was a greater number of admissions during April, August, and October. The average length of stay at the hospital ranged from 9.7 to 19.1 days. Respiratory diseases were the main cause for admission to the Pediatric Intensive Care Center, and the mortality rate of the patients admitted was 1.85%. CONCLUSIONS: Respiratory diseases were the most common ailment among patients admitted to the Pediatric Intensive Care Center, and the highest mortality rates were associated with neoplastic diseases.

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Assesssment of Health Facilities for Implementation of Package of Essential Non-communicable Disease in Nepal: Baseline Study in Kailali and Ilam District

Journal of Nepal Health Research Council ◽

10.3126/jnhrc.v16i2.20301 ◽

2018 ◽

Vol 16 (2) ◽

pp. 149-155 ◽

Cited By ~ 3

Author(s):

Binod Kumar Aryal ◽

Mohammad Daud ◽

Ambika Thapa ◽

Anita Mahotra ◽

Sudip Ale Magar ◽

...

Keyword(s):

Health Workers ◽

Communicable Disease ◽

Action Plan ◽

Descriptive Analysis ◽

Health Facilities ◽

Essential Medicines ◽

World Health ◽

Cross Sectional ◽

Baseline Study ◽

Non Communicable Disease

Background: Non-communicable Diseases are an alarming public health emergency in Nepal. Owing to the risk of NCD’s in Nepal, Government of Nepal has developed a Multisectoral Action Plan for Non-communicable Disease 2014-2020 and has adopted the World Health Organization Package of Essential Non-communicable Disease protocol. Prior for its implementation in Nepal, baseline study has been carried out to assess the status of health facilities in Nepal.Methods: A descriptive cross-sectional study was carried out in Kailali and Ilam district encompassing a total of 92 health facilities. A set of structured questionnaire and interview guideline was used to obtain the data. Collected data was transferred to Microsoft Excel, cleaned and analyzed in SPSS 16.0. Descriptive analysis was performed to express the frequencies and relative frequencies Results: Of the total health facilities, 49 and 43 health facilities of Ilam and Kailali were interviewed. The hospital of Ilam consisted all the procedure, equipment and medicine for the management of NCDs whilst, health posts lacked Oxygen services. Only 592 posts were fulfilled out of 704 sanctioned post in both the districts of which only 161 were trained in management of NCDs. Atotal of 231 patients were diagnosed with NCDs before the day of study in all the health facilities of both districts. Conclusions: Study reveals the gaps in capacity of health institution and system in terms of training, supply, equipments, and diagnostics. However, training of health workers, supply of essential medicines and improvising the service delivery would supplement the effective implementation of PEN in Nepal.

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HUBUNGAN PELAYANAN PRIMA (EXCELLENT SERVICE) PERAWAT DENGAN KEPUASAN PASIEN DI INTENSIVE CARE UNIT RSUD SYAMRABU BANGKALAN

NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 ◽

10.36089/nu.v1i2.54 ◽

2019 ◽

Vol 1 (2) ◽

pp. 29-36

Author(s):

Qurrotu Aini

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Patient Satisfaction ◽

Health Workers ◽

Cross Sectional ◽

Spearman Rank ◽

Excellent Service ◽

Dependent Variables ◽

Study Population ◽

Quota Sampling

Satisfaction is the feeling that arises in the patient when the service has exceeded expectations. Based on preliminary study conducted on March 14, 2017 it was found that the level of patient satisfaction in the category enough as many as 6 (60%) respondents. The purpose of this study was analyzed the relation excellent service nurse to the patient satisfaction in Intensif Care Unit RSUD Syarifah Ambami Rato Ebu Bangkalan. The design of this study was analytic corelative using a “Cross sectional”. The study population was all patiens treated in the Intensif Care Unit RSUD Syarifah Ambami Rato Ebu Bangkalan. The sample was 23 respondents. The sample used non-probability sampling by quota sampling. Independent variables was excellent service nurse and dependent variables is satisfaction patient. The collected data used a questionnare then it was analyzed by Spearman Rank with α = 0,005. The results showed June, 2017 that nurses who did good excellent service and satisfied patient by 8 (34,8%) respondents, and performed excellent service nurse less and patients were unsatisfied as much as 1 (4,3%) respondent. Spearman rank statistical test showed that ρvalue =0,042 < α=0,05 which mean there was a relation between excellent service nurse to the patient satisfaction in Intensive Care Unit RSUD Syarifah Ambami Rato Ebu Bangkalan. For health workers, especially nurses to pay more attention and understand about the excellent service that refers to patient satisfaction. So, the patient can recover from his illnes thanks to the encouragement and support of the nurse and is statisfied with the service provided by the nurse

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Clinical severity of COVID-19 and general characteristics of Koreans

10.21203/rs.3.rs-106697/v1 ◽

2020 ◽

Author(s):

Jean Kyung Paik ◽

Jung Hyun Kwak

Keyword(s):

Liver Disease ◽

Autoimmune Disease ◽

Kidney Disease ◽

Respiratory Diseases ◽

Clinical Symptoms ◽

Medical Center ◽

Epidemiological Data ◽

Clinical Severity ◽

National Medical ◽

Information Manager

Abstract This study aimed to investigate the associations between clinical severity of COVID-19 and general characteristics of the subjects using epidemiological data of 5,601 patients with confirmed COVID-19 in Korea. The subjects of this study were diagnosed with COVID-19 from January 20 to April 30, 2020. The subjects of this study acquired information on patients with confirmed COVID-19 from the Korea Disease Control & Prevention Agency, National Medical Center and the Health Information Manager in hospitals. We found that severity of COVID-19 was greater among patients aged > 60 years, with obesity, clinical symptoms, respiratory diseases, kidney disease, and other diseases (chronic liver disease, rheumatism/autoimmune disease, and dementia). Among the variables, women had reduced clinical severity of COVID-19. Therefore, people with these factors are more susceptible to COVID-19, and they require special attention.

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Factors Favoring Non-compliance of Treatment to People Living with HIV/AIDS in General Reference Hospital of Gbadolite, Nord Ubangi, Democratic Republic of the Congo

Journal of Complementary and Alternative Medical Research ◽

10.9734/jocamr/2020/v9i430147 ◽

2020 ◽

pp. 9-24

Author(s):

Kohowe Pagerezo Seraphin ◽

Gédéon Ngiala Bongo ◽

Kumbali Ngambika Guy ◽

Koto-te-Nyiwa Ngbolua

Keyword(s):

Marital Status ◽

People Living With Hiv ◽

General Reference ◽

Cross Sectional ◽

Factors Associated ◽

Low Level ◽

Risk Of Death ◽

Reference Hospital ◽

Level Of Knowledge ◽

Lack Of Knowledge

Background: ART is one of the important pillars of the fight against AIDS. It restores immunity and reduces the risk of death. Its success lies in its strict compliance while its non-compliance exposes to the risk of resistance and therapeutic failure. The objective of this study was to determine the factors associated with the non-compliance to ART of PLWHA monitored at the General Reference Hospital of Gbadolite. Methodology: It was an analytical cross-sectional study conducted between December 2017 and January 2018. The compliance was measured from patient reports and by counting the number of tablets remaining from the current month of the survey. Any PLWHA who failed to take their medication at most 2 times during the month preceding the survey or whose number of remaining tablets was greater than the expected number based on the month's consumption was considered non-compliant. In total, 208 participants were selected based on the established selection criteria and several factors which led to the non-compliance of the treatment. Chi-square and logistic regression were used to determine the associations between factors and the non-compliance. All tests were performed at the threshold of ɑ=0.05. Results: In fact, 280 PLWHA had participated in the survey. The mean age was 38.7± 7.2 years while the prevalence was 51.1%. Following gender, female accounted as non-compliant (65.7%) than male The main reasons for the non-compliance to treatment were as follows: the order of frequency, medication breakdown, lack of food, forgetting, side effects, travel and fasting. Factors associated with the non-compliance were loneliness in marital status (p=0.000; OR=18.6, CI (8.926 - 38.574)), revival church religion (p=0.002; OR=9.2; CI (2.245 - 37.449)), low level of knowledge of ART principles (p=0.005; OR=1.4; CI (1.169 - 2.735)) and lack of knowledge of ART duration (p=0.021; OR=1.7 and CI (1.020 - 2.829)). Conclusion: The objective of this study was to determine the factors associated with the non-compliance of ART. The factors found in this work were those that had been found at different levels of association by many authors in previous work, namely marital status, religion, low level of knowledge about ART and lack of knowledge of duration of ART.

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Application of HBM Theory (Health Belief Model) to Preventing Behavior of Hypertension Complications in Public Health Center Raas, Sumenep Regency

JOURNAL FOR QUALITY IN PUBLIC HEALTH ◽

10.30994/jqph.v5i1.263 ◽

2021 ◽

Vol 5 (1) ◽

pp. 149-159

Author(s):

Hermanto Hermanto ◽

Katmini Katmini

Keyword(s):

Health Center ◽

Health Belief Model ◽

Health Workers ◽

Communicable Disease ◽

Linear Regression Analysis ◽

Health Belief ◽

Sampling Technique ◽

P Value ◽

Cross Sectional ◽

Belief Model

Hypertension is a non-communicable disease that can become a big and serious problem because of the high prevalence of hypertension and tends to increase. The purpose of this study is to analyzethe effect of perception, motivation and belief in the HBM Theory (Health Belief Model) on the behavior of preventing hypertension complications at the Raas Health Center, Sumenep Regency. The design of this research is an observational quantitative research with a cross sectional approach with the focus of the research being directed at analyzingthe effect of perception, motivation and belief in the HBM Theory (Health Belief Model) on the behavior of preventing hypertension complications at the Raas Health Center, Sumenep Regency. The total population is 160 respondents and a sample of 114 respondents is taken by using Simple Random Sampling technique. The findings showed that almost half of the respondents had a sufficient category perception as many as 47 respondents (41%). Almost half of the respondents have a moderate category of motivation as many as 46 respondents (40%). Almost half of the respondents have confidence in the medium category as many as 47 respondents (41%). Most of the respondents have behavior in the less category as many as 84 respondents (74%). Based on the results of the analysis Based on the results of the Multiple Linear Regression analysis showed that with a p-value of 0.000 < 0, 05, then H1 is accepted, so it can be concluded that there is a simultaneous influence of perception, motivation and belief on the behavior of preventing hypertension complications at the Raas Health Center, Sumenep Regency with a magnitude of 78.1%. It is hoped that hypertensive patients can obediently consume drugs given by health workers, which drugs should be consumed until they run out according to schedule and routinely control health facilities used previously.

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Association of Initial Clinical Characteristics with the Need for the Intensive Care Unit and Hospitalization in Patients Presenting to the Emergency Department with Acute Symptomatic COVID-19

10.1101/2021.09.19.21263800 ◽

2021 ◽

Author(s):

Benjamin Zollinger ◽

Sophia Newton ◽

Jincong Q. Freeman ◽

Seamus Moran ◽

Nataly Montano Vargas ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Asian American ◽

Clinical Symptoms ◽

Case Series ◽

General Ward ◽

Clinical Severity ◽

Screening Tests ◽

Retrospective Case ◽

At Home

AbstractObjectiveTo evaluate the association of initial clinical symptoms with need for hospitalization, intensive care, or death in ED patients within 30 days after presenting with acute symptomatic COVID-19.MethodsThis study is a retrospective case-series of patients presenting to a single ED with acute symptomatic COVID-19 from March 7–August 9, 2020. Symptomatic patients with laboratory-confirmed SARS-CoV-2 infection were eligible for this study. Patients who tested positive for COVID-19 due to screening tests but had no reasonably associated symptoms were excluded. Participants were analyzed by three categories representative of clinical severity: intensive care unit (ICU) care/death, general ward admission, and ED discharge/convalescence at home. Outcomes were ascertained 30 days after initial presentation to account for escalation in severity after the ED visit. We conducted univariate and multivariable logistic regression analyses to report odds ratios (OR) with 95% confidence intervals (CI) between hospital or ICU care/death versus convalescence at home and between ICU care/death versus general ward admission.ResultsIn total, 994 patients were included in the study, of which, 551 (55.4%) patients convalesced at home, 314 (31.6%) patients required general ward admission, and 129 (13.0%) required ICU care or died. In the multivariable models, ED patients requiring hospital admission were more likely to be aged ≥ 65 years (adjusted OR [aOR] 7.4, 95% CI: 5.0, 10.8), Black/African American (aOR 3.0, 95% CI: 1.6, 5.8) or Asian/American Indian/Alaska Native/Other (aOR 2.2, 95% CI: 1.1, 4.3), and experience dyspnea (aOR 2.7, 95% CI: 2.0, 3.7) or diarrhea (aOR 1.6, 95% CI: 1.1, 2.2). However, they were less likely to experience sore throat (aOR 0.4, 95% CI: 0.2, 0.6), myalgia (aOR 0.5, 95% CI: 0.4, 0.7), headache (aOR 0.5, 95% CI: 0.4, 0.8), or olfactory/taste disturbance (aOR 0.5, 95% CI: 0.3, 0.8). ED patients who required ICU care or died were more likely to experience altered mental status (aOR 3.8, 95% CI: 2.1, 6.6), but were less likely to report history of fever (0.5, 95% CI: 0.3, 0.8).ConclusionsCOVID-19 presents with a multitude of clinical symptoms and an understanding of the association of symptoms with clinical severity may be useful for predicting ultimate patient outcomes.

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Epidemiological profile of Ascariasis in Provincial General Reference Hospital of Kinshasa, Democratic Republic of the Congo

Britain International of Exact Sciences (BIoEx) Journal ◽

10.33258/bioex.v2i2.230 ◽

2020 ◽

Vol 2 (2) ◽

pp. 541-546

Author(s):

Motuta Amisi Christian ◽

Djolu Djoza Ruphin ◽

Masengo Ashande Colette ◽

Gbolo Zoawe Benjamin ◽

Bongo Ngiala Gédéon ◽

...

Keyword(s):

Medical Records ◽

Democratic Republic ◽

Cross Sectional Study ◽

Age Group ◽

General Reference ◽

Cross Sectional ◽

Reference Hospital ◽

Republic Of The Congo ◽

Epidemiological Profile ◽

The Brain

A cross sectional study was carried out on intestinal ascariasis, which is a helminth of fecal peril that colonizes the digestive tract with the possibility of complications in organs such as the intestines, liver, lungs and even the brain. The study was carried out at the General Reference Hospital of Kinshasa where medical records were used to collect data and the study period was from January 2016 and December 2017. The findings show females (61.19%) are predominant than males (38.80%), and the gender sex ratio (M/F) was 0.63. The incidence was high in June 2016 and November 2017 are the most affected months by Ascariasis in our study with 7 cases or 18.98% and 6 cases or 20% for each year. The age group between 31 - 40 years of age predominated by the attack of this parasitic affection with the extreme ages of 8 months and 75 years. The incidence varied with a peak in June with 7 cases or 18.98%. A variable incidence with a peak in November with 6 cases or 20%.

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