scholarly journals Predictive factors for amputations: knowing the problem to seek prevention strategies

2020 ◽  
Vol 9 (2) ◽  
pp. e66922017 ◽  
Author(s):  
Elane de Sousa Jerônimo da Silva ◽  
Andréia Caroline Fernandes Salgueiro ◽  
Verônica Bidinotto Brito ◽  
José Gomes Pinheiro Júnior ◽  
Antônio Adolfo Mattos de Castro ◽  
...  
Keyword(s):  
Arterial Hypertension ◽  
Predictive Factors ◽  
Medical Records ◽  
Traffic Accidents ◽  
Tertiary Hospital ◽  
Southern Brazil ◽  
Prevention Strategies ◽  
Medical Reports ◽  
Work Accidents ◽  
Home Accidents

Objective: To investigate the predictive factors for amputations in southern Brazil. Methods: This was a review of medical records from amputated patients in a tertiary hospital in southern Brazil. Results: One hundred and fifteen medical reports regarding to admissions of 51 amputated patients (31.37% women and 68.62% men) were analyzed. The main cause of amputation in diabetics was the neuropathy and its complications. Among nondiabetics, the main causes of amputation were polydactyly (31.58%) and traumatism (traffic accidents, home accidents, and work accidents). This data showed that the investigated amputations are predominantly in male, aging approximately sixty years old, presenting comorbidities like diabetes and arterial hypertension. Moreover, the most amputations were performed as the minor type. Conclusion: These data can contribute for implementation of targeted health education strategies and interventions, improving the prevention of amputations in persons with diabetes.

scholarly journals Epidemiology of Urban Traffic Accidents: A Study on the Victims’ Health Records in Iran

2016 ◽  
Vol 9 (5) ◽  
pp. 156 ◽  
Author(s):  
Reza Rabiei ◽  
Haleh Ayatollahi ◽  
Meysam Rahmani Katigari ◽  
Mostafa Hasannezhad ◽  
Hasan Amjadnia
Keyword(s):  
Medical Records ◽  
Traffic Accidents ◽  
Cross Sectional Study ◽  
Urban Traffic ◽  
Lower Limbs ◽  
Capital City ◽  
Prevention Strategies ◽  
Cross Sectional ◽  
The People ◽  
Arc Gis

<p><strong>INTRODUCTION: </strong>Several studies have been carried out in the field of traffic collisions in Iran. However, few studies have used the victims’ medical records as a source of information. This study aimed to use the data collected from the medical records and a geographic information system to show the epidemiology of urban traffic collisions to be used in injury prevention strategies.</p><p><strong>METHODS:</strong> This was a descriptive, cross-sectional study which was completed in 2013. The sample consisted of 1240 medical records of the people injured in the urban traffic collisions in the capital city of Iran between October 2010 and April 2011. Data were analyzed by using SPSS 18.0 and ARC GIS 10.0.</p><p><strong>RESULTS: </strong>According to the results, motorcyclists were the main group of victims, and most collisions occurred in the afternoon between 12:00 and 18:00 pm. Moreover, the findings showed that the frequency of collisions was higher in District five (16.7%), District six (13.7%), and District 12 (8.3%) of the city.</p><p><strong>CONCLUSION:</strong> In most traffic collisions, motorcyclists were involved and victims mainly suffered from injuries in the lower limbs. Therefore, training in the use of safety equipment, setting collision prevention strategies, and controlling the risky behavior of motorcyclists may help to reduce the number of collisions.</p>

scholarly journals CLINICAL CHARACTERIZATION OF PATIENTS WITH DELIRIUM

2021 ◽  
Author(s):  
Giulia Cenci ◽  
Daniel Lima Varela ◽  
Fábio Pacheco Martins ◽  
Caroline Calice da Silva
Keyword(s):  
Risk Factors ◽  
Medical Records ◽  
Associated Factors ◽  
Tertiary Hospital ◽  
Incidence Rates ◽  
Targeted Prevention ◽  
Prevention Strategies ◽  
Clinical Conditions ◽  
Reason For Admission

Background: Considering that Delirium is a very common neuropsychiatric disorder, it is very important that the characteristics and clinical evolution of patients who develop the condition are thoroughly known. Objective: Describe the clinical profile of patients with Delirium in order to help in the discernment of the most prevalent risk factors and the characteristics of involvement of Delirium. Methods: Descriptive, quantitative and prospective study, which analyzed epidemiological and medical history data, collected through interviews and data from medical records in a tertiary hospital, from March to June 2021. Results: The sample consisted of 5 individuals, with a mean age of 74.2 years, with a predominance of males. All of them had previous comorbidities and forty percent had previous dementia. Among the interviewees, only one presented the development of the Delirium condition as a reason for admission, the majority (80%) was hospitalized for other clinical conditions and developed Delirium only after admission. It was observed that a large part of the sample (60%) was in polypharmacy, and the only individuals with Delirium under 60 years old used 5 or more medications and had HIV infection. Conclusion: The most effective way to reduce the incidence rates of Delirium, improve the prognosis and assist in early diagnosis is through the recognition of associated factors and the characteristics of the most affected population, in order to identify individuals at risk and be able to promote more targeted prevention strategies.

Arterial hypertension from the adrenal gland: Prognosis and predictive factors of recovery after chirurgical treatment

2018 ◽  
Author(s):  
Ibtissem Oueslati ◽  
Amel Melki ◽  
Melika Chihaoui ◽  
Meriem Yazidi ◽  
Fatma Chaker ◽  
...  
Keyword(s):  
Adrenal Gland ◽  
Arterial Hypertension ◽  
Predictive Factors

Skull and Face Injuries and Associated Factors in Pedestrian Victims of Traffic Accidents: A Single Trauma Center Analysis

2020 ◽  
Vol 2 (1) ◽  
pp. 53-59
Author(s):  
Josimara A. de Araújo Varela ◽  
Tatiana F.T. Palitot ◽  
Smyrna L.X. de Souza ◽  
Alidianne F.C. Cavalcanti ◽  
Alessandro L. Cavalcanti
Keyword(s):  
Medical Records ◽  
Associated Factors ◽  
Traffic Accidents ◽  
Age Group ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
The Face ◽  
Chi Square Test ◽  
The City

Objective: This study aimed to analyze the presence of lesions in the skull and face and the associated factors in pedestrian victims of traffic accidents. Methods: A cross-sectional, descriptive-analytical study carried out through the analysis of medical records of pedestrian victims of traffic accidents in an emergency service in the city of Campina Grande, Brazil, during the year of 2016. Information was collected regarding gender, age group, day of the week, time of the accident, type of vehicle involved, presence of trauma to the skull and face, and outcomes. The Chi-square and Fisher's Exact tests were used, with a significance level of 5%. Results: A total of 1,884 medical records were evaluated, out of which 7.1% (n = 133) involved pedestrians. Men were the most frequent victims (68.4%), and victims of age 60 years old or over (30.5%) predominated. Almost one-third of the cases were recorded during the weekends (30.5%), and the most prevalent time was at night (52.7%). Regarding the type of vehicle involved, motorcycles predominated (47.4%). Head trauma was present in 37.6% of victims, while facial injuries corresponded to 8.2%. In 12% of cases, the victims died. The variables of gender, age group, occurrence on weekends, and trauma to the face showed a statistically significant association with the occurrence of traffic accidents (Chi-square test; p<0.05). Conclusion: Among pedestrian victims of traffic accidents, there is a predominance of men aged 65 years or over. Accidents are frequent at night, and motorcycles are the main vehicles involved. The presence of trauma to the skull and face regions is high.

A Retrospective Review of Medical Records of Laboratory-Tested Sexually Transmitted Infections of Transsexual Men from Southern Brazil

2019 ◽  
Vol 48 (5) ◽  
pp. 1573-1579
Author(s):  
Anna Martha Vaitses Fontanari ◽  
Luciana Lemos Vianna ◽  
Maiko Schneider ◽  
Bianca Machado Borba Soll ◽  
Karine Schwarz ◽  
...  
Keyword(s):  
Sexually Transmitted Infections ◽  
Retrospective Review ◽  
Medical Records ◽  
Southern Brazil ◽  
Sexually Transmitted

scholarly journals Risk Factors for Fall-Related Serious Injury among Korean Adults: A Cross-Sectional Retrospective Analysis

2021 ◽  
Vol 18 (3) ◽  
pp. 1239
Author(s):  
Moon-Sook Kim ◽  
Hyun-Myung Jung ◽  
Hyo-Yeon Lee ◽  
Jinhyun Kim
Keyword(s):  
Risk Factors ◽  
Fall Prevention ◽  
Medical Records ◽  
Brain Injuries ◽  
Tertiary Hospital ◽  
Antiplatelet Drugs ◽  
Cross Sectional ◽  
Complete Survey ◽  
Serious Injury ◽  
Serious Injuries

The purpose of this study was to identify the risk factors of serious fall-related injuries by analyzing the differences between two fall groups: one with serious fall-related injuries and one without such injuries. Applying a retrospective, descriptive investigation study design, we analyzed the degree of fall-related injury and the risk factors related to serious falls by conducting a complete survey of the medical records of fall patients reported throughout one full year, 2017, at a tertiary hospital in Seoul, Korea. Among the patients with reported falls, 188 sustained no injury (63.1%), 72 sustained minor injury (24.2%), and 38 patients sustained serious injury (12.8%). The serious fall-related injuries included eight lacerations requiring suture (2.7%), 23 fractures (7.7%), five brain injuries (1.7%), and two deaths (0.7%). Analysis results indicated that taking anticoagulants/antiplatelet drugs (p = 0.016) and having a fall history (p = 0.038) were statistically significant in the differences between the group with serious injury related to falls and the group without serious injury. Logistic regression revealed that taking anticoagulant/antiplatelet drugs was the factor most significantly correlated with serious injuries related to falls (OR = 2.299, p = 0.022). Results show that it is necessary to develop a patient-tailored fall prevention activity program.

CHARACTERISTICS OF PATIENTS WITH BRAIN INJURY DUE TO LAND TRAFFIC ACCIDENTS TREATED AT NINH BINH PROVINCIAL GENERAL HOSPITAL IN 2018

2021 ◽  
Vol 62 (5) ◽  
Author(s):  
Luong Xuan Hien ◽  
Nguyen Quoc Tien ◽  
Tran Thi Phuong
Keyword(s):  
Brain Injury ◽  
General Hospital ◽  
Medical Records ◽  
Traffic Accidents ◽  
Brain Injuries ◽  
First Aid ◽  
Temporal Region ◽  
Age Group ◽  
Research Subjects ◽  
Broken Bones

This was an epidemiological study through a retrospective review of 215 medical records of patients with brain injury due to land traffic accidents treated at Ninh Binh Provincial General Hospital. Theresults showed that the majority of research subjects were male, accounting for 80.5%; The age group with higher prevalence of accidents was under 30 years old, accounting for 31.2%; The agegroup of 50-59 years old was at lower prevalence of accidents accounting for 15.8%. The time of the higher chance of occurring accident was between 4p.m and 11p.m daily. The majorityof traffic accidents occurred when riding motorbikes and electric bicycles (82.3%). About 75.0% of the victims received first aid with a gauze bandage; 5.4% of them had broken bones fixed. Amongthe brain injuries, 34.4% of the victims suffered from frontal trauma; 29.3% had unilateral cerebral hemisphere injury, 24.2% had temporal region injury, 15.8% had occipital region injury, and 8.4% ofvictims had parietal injury. More than half of the study subjects (53.5%) were hospitalized for 7-10 days. The rate of patients who have been discharged from the hospital with improved symptoms was81.4%; and 14.9% of patients were transferred to higher level hospitals.

scholarly journals Gravity of injury and analgesia in patients who suffered traffic accidents

2008 ◽  
Vol 21 (3) ◽  
pp. 398-403 ◽  
Author(s):  
Ana Maria Calil ◽  
Cibele Andrucioli de Mattos Pimenta
Keyword(s):  
Retrospective Study ◽  
Outer Surface ◽  
Medical Records ◽  
Traffic Accidents ◽  
Emergency Services ◽  
World Health ◽  
Analgesic Drugs ◽  
Body Regions ◽  
The World ◽  
Reference Hospital

OBJECTIVE: Identifying the frequency and gravity of injuries in patients who suffered accidents in traffic and the analgesic drugs utilized. METHODS: Retrospective study, with a sample of 200 medical records of patients admitted to the emergency services of a reference hospital for trauma care. The gravity of the injuries was characterized by anatomic gravity rates and the analgesic therapy was based on the World Health Organization's Analgesic Ladder. RESULTS: The main findings pointed to injuries in limbs, head, face and outer surface as the most frequent, and, in 85% of the cases, gravity was equal or lower than 3; As for analgesia, it was verified that 46;6% of the patients received dipyrone and paracetamol. Among the opioids, meperidine was used in 10.4% of the cases. CONCLUSION: The gravity of most injuries was equal or lower to 3, indicating injuries of light, moderate and serious gravity, located especially in four body regions; regarding analgesia, dipyrone was shown to be the most commonly-used drug and a low use of opioids was verified.

Registered nurses’ knowledge and care practices regarding patients with dysphagia in Saudi Arabia

2018 ◽  
Vol 31 (8) ◽  
pp. 896-909
Author(s):  
Manal Abdullah Khoja
Keyword(s):  
Saudi Arabia ◽  
Traffic Accidents ◽  
Brain Injuries ◽  
Practical Knowledge ◽  
Tertiary Hospital ◽  
Further Education ◽  
Content Type ◽  
Speech And Language Pathologists ◽  
Self Administered Questionnaire ◽  
Practical Implications

Purpose The purpose of this paper is to assess the knowledge and practices of nursing staff caring for patients with dysphagia to determine any needs for further education programmes. Design/methodology/approach A self-administered questionnaire with close-ended questions was completed by nurses at a tertiary hospital in Saudi Arabia to measure the depth of their dysphagia knowledge. Findings From 316 potential participants, a sample of 174 nurses completed the questionnaire. The results revealed that the participants had partial theoretical and practical knowledge about nursing care for patients with dysphagia. Of interest, 78 per cent of the nurses reported that they had received less than 1 h of training in dysphagia, and only 4 per cent were aware of speech and language pathologists’ role in dysphagia management. Practical implications As the medical professionals who have the most contact with the patients, nurses have a central role in the care of patients with dysphagia. This study provides information that will guide strategies for in-service nurse education dysphagia programmes. Originality/value The estimated Saudi prevalence of dysphagia is high due to increased incidence of medical conditions commonly associated with dysphagia, such as stroke, cerebral palsy and traumatic brain injuries from traffic accidents. Nurses play a pivotal role in caring for these patients. However, little is known about the level of care patients with dysphagia require in Saudi hospital settings.

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