scholarly journals Factors Associated With the Presence of Tuberculous Empyema in Children With Pleural Tuberculosis

2021 ◽  
Vol 9 ◽  
Author(s):  
Yan-Hua Wu ◽  
Jun-Li Wang ◽  
Mao-Shui Wang
Keyword(s):  
Multivariate Analysis ◽  
Retrospective Study ◽  
Surgical Treatment ◽  
Low Temperature ◽  
Medical Records ◽  
Clinical Laboratory ◽  
Factors Associated ◽  
Pleural Tuberculosis ◽  
Logistic Regressions ◽  
Age And Sex

Background: Until now, the factor of tuberculous empyema (TE) in children with pleural tuberculosis (TB) remains unclear. Therefore, a retrospective study was conducted to assess the factors associated with the presence of TE in children.Methods: Between January 2006 and December 2019, consecutive children patients (≤ 15 years old) with suspected pleural TB were selected for further analysis. Empyema was defined as grossly purulent pleural fluid. The demographic, clinical, laboratory, and radiographic features were collected from the electrical medical records retrospectively. Univariate and multivariate logistic regressions were used to explore the factors associated with the presence of TE in children with pleural TB.Results: A total of 154 children with pleural TB (definite, 123 cases; possible, 31 cases) were included in our study and then were classified as TE (n = 27) and Non-TE (n = 127) groups. Multivariate analysis revealed that surgical treatment (age- and sex-adjusted OR = 92.0, 95% CI: 11.7, 721.3), cavity (age- and sex-adjusted OR = 39.2, 95% CI: 3.2, 476.3), pleural LDH (>941 U/L, age- and sex-adjusted OR = 14.8, 95% CI: 2.4, 90.4), and temperature (>37.2°C, age- and sex-adjusted OR = 0.08, 95% CI: 0.01, 0.53) were associated with the presence of TE in children with pleural TB.Conclusion: Early detection of the presence of TE in children remains a challenge and several characteristics, such as surgical treatment, lung cavitation, high pleural LDH level, and low temperature, were identified as factors of the presence of TE in children with pleural TB. These findings may improve the management of childhood TE.

scholarly journals Loculations and Associated Risk Factors of Childhood Pleural Tuberculosis

2021 ◽  
Vol 9 ◽  
Author(s):  
Jun-Li Wang ◽  
Ming Zhou ◽  
Yan-An Zhang ◽  
Mao-Shui Wang
Keyword(s):  
Risk Factors ◽  
Clinical Laboratory ◽  
Male Gender ◽  
Monocyte Count ◽  
Factors Associated ◽  
Pleural Tuberculosis ◽  
Peripheral Monocyte ◽  
Chest X Ray ◽  
Logistic Regressions ◽  
Associated Risk Factors

Background: Pleural loculation in childhood pleural tuberculosis (TB) remains a problem in practice, it is usually associated with failure drainage. Therefore, to improve the management of childhood pleural TB, a retrospective study was conducted to identify the risk factors associated with loculated effusion in childhood pleural TB.Methods: Between January 2006 and December 2019, consecutive children (≤15 years old) with tuberculous pleural effusion (definite and possible) were included for further analysis. The demographic, clinical, laboratory, and radiographic features were collected from the medical records. Univariate and multivariate logistic regressions were used to explore the factors associated with the presence of pleural loculation in children with pleural TB.Results: A total of 154 children with pleural TB (definite, 123 cases; possible, 31 cases) were included in our study and then were classified as loculated effusion (n = 27) and non-loculated effusion (n = 127) groups by chest X-ray or ultrasonography. Multivariate analysis revealed that male gender (age-adjusted OR = 3.903, 95% CI: 1.201, 12.683), empyema (age-adjusted OR = 4.499, 95% CI: 1.597, 12.673), peripheral monocytes ≤0.46 × 109/L (age-adjusted OR = 4.122, 95% CI: 1.518, 11.193) were associated with the presence of loculated effusion in children with pleural TB.Conclusion: In conclusion, several characteristics, such as male gender, empyema, and peripheral monocyte count have been identified as risk factors for pleural loculation in children with pleural TB. Our findings may be helpful to improve the management of pleural loculation in childhood pleural TB.

Risk factors for screw migration after triple pelvic osteotomy

2001 ◽  
Vol 37 (3) ◽  
pp. 269-273 ◽  
Author(s):  
S Simmons ◽  
AL Johnson ◽  
DJ Schaeffer
Keyword(s):  
Risk Factors ◽  
Retrospective Study ◽  
Medical Records ◽  
Pelvic Osteotomy ◽  
Factors Associated

The objective of this retrospective study was to identify risk factors for screw migration after triple pelvic osteotomy (TPO) in clinical patients. The medical records, radiographs made immediately after surgery, and follow-up radiographs documenting a healed osteotomy were reviewed for 52 dogs treated with unilateral TPO and 38 dogs treated with bilateral TPO. Signalment, surgeon expertise, length of surgery, sequence of surgery in dogs treated bilaterally, use of ischial or ilial wires or both, screw depth in the sacrum, and screw migration were documented for each of the 128 pelvic osteotomies. Screws placed in the first and second plate hole, securing the cranial portion of the plate, loosened most frequently. Factors associated with decreased screw migration included use of an ischial hemicerclage wire and increased depth of sacral purchase with the first and second cranial screws.

Spectrum of acute, recurrent and chronic pancreatitis in children

2020 ◽  
pp. 1-11
Author(s):  
Muhammad Imran ◽  
Sabeen Abid Khan ◽  
Munir Iqbal Malik
Keyword(s):  
Acute Pancreatitis ◽  
Chronic Pancreatitis ◽  
Retrospective Study ◽  
Medical Records ◽  
Clinical Presentation ◽  
Clinical Laboratory ◽  
Epigastric Pain ◽  
Paediatric Population ◽  
Older Children ◽  
Successful Recovery

Abstract Objective: To determine the clinical presentation, aetiology and outcome of pancreatitis in paediatric population. Method: The retrospective study was conducted at Shifa International Hospital, Islamabad, Pakistan, and comprised data of children with pancreatitis presenting between 2013 and 2018. Medical records were reviewed and findings of clinical, laboratory workup and management were noted on a specifically developed proforma. Data was analysed using SPSS 23. Results: Of the 51 subjects, 28(54.9%) were boys. The overall mean age was 10.6+4.9 years. The most frequent clinical symptom was epigastric pain 39(76.5%). The most common aetiology was gallstones/pancreatic stones 19(37.25%). Mean hospital stay was 5.1± 1.8 days, and it was longer in children aged up to 5 years compared to older children (p<0.05). Acute pancreatitis was seen in 23(45.09%) patients, followed by recurrent 19(37.25%) and chronic 9(17.64%). There was no mortality. Conclusion: Timely diagnosis and prompt management of hemodynamic status could lead to successful recovery without any serious complications in paediatric pancreatitis. Continuous...

scholarly journals Tuberculosis among individuals with community-acquired pneumonia presenting to emergency in Gaborone, Botswana

2018 ◽  
Author(s):  
Jill K. Gersh ◽  
Zachary Feldman ◽  
Emily Greenberger ◽  
Amit Chandra ◽  
Harvey M. Friedman ◽  
...  
Keyword(s):  
Emergency Department ◽  
Retrospective Study ◽  
Community Acquired Pneumonia ◽  
Clinical Syndrome ◽  
Hiv Positive ◽  
Sputum Smear ◽  
Clinical Factors ◽  
Pulmonary Tb ◽  
Factors Associated ◽  
Logistic Regressions

Delays in diagnosing Tuberculosis (TB) are associated with increased transmission. TB may present as a clinical syndrome that mimics community-acquired pneumonia (CAP). The aim of this paper was to determine frequency of TB among patients with CAP at a referral hospital in Gaborone, Botswana. We performed a retrospective study of adults presenting with CAP from April 2010-October 2011 to the Emergency Department (ED); we matched this cohort to the National Botswana Tuberculosis Registry (NBTR) to identify individuals subsequently diagnosed with TB. We assessed demographics, time to TB diagnosis, clinical outcomes and performed logistic regressions to identify factors associated with TB diagnosis. We identified 1305 individuals presenting with CAP; TB was subsequently diagnosed in 68 (5.2%). The median time to TB diagnosis was 9.5 days. Forty percent were AFB sputum smear positive and 87% were identified as being HIV-positive. Subsequent diagnosis of TB is common among individuals with CAP at our ED, suggesting that TB may be present at the time of CAP presentation. Given the lack of distinguishing clinical factors between pulmonary TB and CAP, adults presenting with CAP should be evaluated for active TB in Botswana.

scholarly journals Patterns of Extrapulmonary Metastases in Sarcoma Surveillance

Cancers ◽  
2021 ◽  
Vol 13 (18) ◽  
pp. 4669
Author(s):  
Zachery Hong ◽  
Patrick England ◽  
Lee Rhea ◽  
Angela Hirbe ◽  
Douglas McDonald ◽  
...  
Keyword(s):  
Multivariate Analysis ◽  
Surgical Treatment ◽  
Soft Tissue ◽  
Pulmonary Metastases ◽  
Soft Tissue Sarcomas ◽  
Time Range ◽  
High Grade ◽  
Single Institution ◽  
Factors Associated ◽  
Pelvic Imaging

Soft tissue sarcomas (STS) most commonly metastasize to the lungs. Current surveillance guidelines variably recommend abdominal and pelvic imaging, but there is little evidence to support this. We sought to determine the proportion of initial pulmonary versus extrapulmonary metastases, the time to development of each, and factors to identify patients that would benefit from abdominopelvic surveillance. We retrospectively reviewed 382 patients who underwent surgical treatment for STS at a single institution. Of the 33% (126/382) of patients who developed metastases, 72% (90/126) were pulmonary, 22% (28/126) were extrapulmonary, and 6% (8/126) developed both simultaneously. Initial extrapulmonary metastases occurred later (log rank p = 0.049), with median 11 months (IQR, 5 to 19) until pulmonary disease and 22 months (IQR, 6 to 45) until extrapulmonary disease. Pulmonary metastases were more common in patients with high grade tumors (p = 0.0201) and larger tumors (p < 0.0001). Our multivariate analysis did not identify any factors associated with initial extrapulmonary metastases. A substantial minority of initial metastases were extrapulmonary; these occurred later and over a broader time range than initial pulmonary metastases. Moreover, extrapulmonary metastases are more difficult to predict than pulmonary metastases, adding to the challenge of creating targeted surveillance protocols.

scholarly journals Prevalence and factors associated with incidents related to medication in surgical patients

2014 ◽  
Vol 48 (1) ◽  
pp. 41-47 ◽  
Author(s):  
Thatianny Tanferri de Brito Paranaguá ◽  
Ana Lúcia Queiroz Bezerra ◽  
Andressa Luanna Moreira dos Santos ◽  
Ana Elisa Bauer de Camargo Silva
Keyword(s):  
Multivariate Analysis ◽  
Medical Records ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Surgical Patients ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Surgical Clinic ◽  
Length Of Hospitalization

The aim of this study was to estimate the prevalence and factors associated with the occurrence of incidents related to medication, registered in the medical records of patients admitted to a Surgical Clinic, in 2010. This is a cross-sectional study, conducted at a university hospital, with a sample of 735 hospitalizations. Was performed the categorization of types of incidents, multivariate analysis of regression logistic and calculated the prevalence. The prevalence of drug-related incidents was estimated at 48.0% and were identified, as factors related to the occurrence of these incidents: length of hospitalization more than four days, prescribed three or more medications per day and realization of surgery intervention. It is expected to have contributed for the professionals and area managers can identify risky situations and rethink their actions.

scholarly journals Perioperative and delayed complications associated with the surgical treatment of cervical spondylotic myelopathy based on 302 patients from the AOSpine North America Cervical Spondylotic Myelopathy Study

2012 ◽  
Vol 16 (5) ◽  
pp. 425-432 ◽  
Author(s):  
Michael G. Fehlings ◽  
Justin S. Smith ◽  
Branko Kopjar ◽  
Paul M. Arnold ◽  
S. Tim Yoon ◽  
...  
Keyword(s):  
Multivariate Analysis ◽  
Surgical Treatment ◽  
North America ◽  
Adverse Events ◽  
Cervical Spondylotic Myelopathy ◽  
Operative Time ◽  
Perioperative Complications ◽  
Factors Associated ◽  
Delayed Complications ◽  
Anterior Posterior

Object Rates of complications associated with the surgical treatment of cervical spondylotic myelopathy (CSM) are not clear. Appreciating these risks is important for patient counseling and quality improvement. The authors sought to assess the rates of and risk factors associated with perioperative and delayed complications associated with the surgical treatment of CSM. Methods Data from the AOSpine North America Cervical Spondylotic Myelopathy Study, a prospective, multicenter study, were analyzed. Outcomes data, including adverse events, were collected in a standardized manner and externally monitored. Rates of perioperative complications (within 30 days of surgery) and delayed complications (31 days to 2 years following surgery) were tabulated and stratified based on clinical factors. Results The study enrolled 302 patients (mean age 57 years, range 29–86) years. Of 332 reported adverse events, 73 were classified as perioperative complications (25 major and 48 minor) in 47 patients (overall perioperative complication rate of 15.6%). The most common perioperative complications included minor cardiopulmonary events (3.0%), dysphagia (3.0%), and superficial wound infection (2.3%). Perioperative worsening of myelopathy was reported in 4 patients (1.3%). Based on 275 patients who completed 2 years of follow-up, there were 14 delayed complications (8 minor, 6 major) in 12 patients, for an overall delayed complication rate of 4.4%. Of patients treated with anterior-only (n = 176), posterior-only (n = 107), and combined anterior-posterior (n = 19) procedures, 11%, 19%, and 37%, respectively, had 1 or more perioperative complications. Compared with anterior-only approaches, posterior-only approaches had a higher rate of wound infection (0.6% vs 4.7%, p = 0.030). Dysphagia was more common with combined anterior-posterior procedures (21.1%) compared with anterior-only procedures (2.3%) or posterior-only procedures (0.9%) (p < 0.001). The incidence of C-5 radiculopathy was not associated with the surgical approach (p = 0.8). The occurrence of perioperative complications was associated with increased age (p = 0.006), combined anterior-posterior procedures (p = 0.016), increased operative time (p = 0.009), and increased operative blood loss (p = 0.005), but it was not associated with comorbidity score, body mass index, modified Japanese Orthopaedic Association score, smoking status, anterior-only versus posterior-only approach, or specific procedures. Multivariate analysis of factors associated with minor or major complications identified age (OR 1.029, 95% CI 1.002–1.057, p = 0.035) and operative time (OR 1.005, 95% CI 1.002–1.008, p = 0.001). Multivariate analysis of factors associated with major complications identified age (OR 1.054, 95% CI 1.015–1.094, p = 0.006) and combined anterior-posterior procedures (OR 5.297, 95% CI 1.626–17.256, p = 0.006). Conclusions For the surgical treatment of CSM, the vast majority of complications were treatable and without long-term impact. Multivariate factors associated with an increased risk of complications include greater age, increased operative time, and use of combined anterior-posterior procedures.

scholarly journals Penelitian Retrospektif Pasien Skabies Berdasarkan Faktor Usia Dan Jenis Kelamin Di Poliklinik RS Pertamina Bintang Amin Periode 02 Januari 2016- 31 Desember 2018

2021 ◽  
Vol 2 (2) ◽  
pp. 36-42
Author(s):  
Retno Oktavia ◽  
Arif Effendi ◽  
Eka Silvia
Keyword(s):  
Retrospective Study ◽  
Medical Records ◽  
Clinical Symptoms ◽  
Sarcoptes Scabiei ◽  
The Body ◽  
Personal Hygiene ◽  
Age Group ◽  
Disease Course ◽  
Venereal Diseases ◽  
Age And Sex

Scabies is a skin disease caused by infestation and sensitization to Sarcoptes scabiei var hominis. Scabies characterized by night itching, affecting a group of people, with a predilection spot in the skin folds that are thin, warm, and moist. Clinical symptoms can be seen polymorphy spread throughout the body. Scabies disease can be prevented by educating patients about scabies which are: disease course, transmission, how to eradicate scabies mites, maintaining personal hygiene, and procedures for applying drugs. Objective: To determine the prevalence of the incidence of scabies and the factors that influence the incidence of scabies based on age and sex at Pertamina Bintang Amin Hospital for January 2, 2016 - December 31, 2018. The type of research used in this research is a descriptive retrospective study by looking at the medical records of scabies patients at the Polyclinic of Skin and Venereal Diseases at Pertamina Bintang Amin Hospital, Bandar Lampung, 2 January 2016-31 December 2018. In this study, the results of the prevalence of scabies were 261 cases (9%) of 2924 patients with skin and venereal diseases for the period of January 2, 2016-31 December 2018 with the highest prevalence, namely in 2018 as many as 108 cases (11%) of 963 patients with skin and venereal diseases. Scabies can occur in women or men and children or adults. The results of this study indicate that most people who suffer from scabies are in the age group of 20-59 years as many as 128 cases (49%), and the most sexes suffer from scabies. Scabies, namely male, as many as 163 cases (62.5%).

scholarly journals Constipation, Diabetes, and Split-Dose Regimen Are Associated With Suboptimal Bowel Preparation in Young Patients

2021 ◽  
Author(s):  
Lexin Liu ◽  
Jingbin Wang ◽  
Yingzhe Lai ◽  
Li Liu ◽  
Guoxin Huang ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Multivariate Analysis ◽  
Retrospective Study ◽  
Bowel Preparation ◽  
Dose Regimen ◽  
Clinical Characteristics ◽  
Young Patients ◽  
The Other ◽  
Split Dose ◽  
Factors Associated

Abstract Background An increase in the incidence of colorectal cancer in young patients has been observed. However, there is little research investigating the factors associated with suboptimal bowel preparation focusing on young patients compared to patients > 50 years. Aims We aimed to evaluate the factors associated with a suboptimal bowel preparation in young patients (age ≤ 50 years) using the Boston Bowel Preparation Scale (BBPS). Methods This retrospective study analyzed 1,980 patients who underwent complete colonoscopy from June 2017 to September 2020. Data regarding demographic and clinical characteristics and bowel preparation adequacy were collected. Furthermore, factors associated with suboptimal bowel preparation were analyzed. Results Among our participants, 17.8% demonstrated suboptimal bowel preparation. After adjusting for several factors, multivariate analysis showed that diabetes (OR:0.28; 95% CI, 0.14–0.56, P = .000), constipation (OR:0.20; 95% CI, 0.13–0.29, P = .000), and split-dose bowel preparation (OR:1.69; 95% CI, 1.28–2.23, P = .000) were independent predictors of suboptimal bowel preparation. Additionally, constipation was significantly associated with poor bowel preparation in all colonic segments; on the other hand, diabetes and split-dose bowel preparation were significant on right side of the colon. Conclusions Constipation, diabetes and split-dose bowel preparation were significantly associated with suboptimal bowel preparation in young patients.

scholarly journals Post-laminectomy deformities

2014 ◽  
Vol 13 (4) ◽  
pp. 279-281 ◽  
Author(s):  
Fabiano Stumpf Lutz ◽  
Luis Eduardo Munhoz da Rocha
Keyword(s):  
Retrospective Study ◽  
Surgical Treatment ◽  
Conservative Treatment ◽  
Medical Records ◽  
Inclusion Criteria ◽  
Kyphosis Correction ◽  
Surgical Access ◽  
Scoliosis Correction ◽  
Average Angle ◽  
Posterior Elements

Objective: To present the deformities and evaluate the results of their treatment. Methods: Retrospective study of patients with deformity following surgical access to the spinal canal. Fifteen patients who met the inclusion criteria were included. Patients without complete data in medical records were excluded. Results: Fourteen patients underwent surgical treatment and one patient received conservative treatment with vest type TLSO. The average angle of kyphosis correction was 87&#176; preoperatively to 38&#176; postoperatively, while the associated scoliosis correction was 69&#176; preoperatively to 23&#176; postoperatively. Conclusions: The prevention of deformity should be emphasized to avoid laminectomy alone, while laminoplasty should be the procedure of choice for canal access in surgeries where there is no need for resection of the posterior elements.

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