scholarly journals Factors Associated With Length of Stay for Patients With Stroke in Malaysia

2020 ◽  
Vol 3 (4) ◽  
pp. 134-138
Author(s):  
Aniza Ismail ◽  
Muhammad Alimin Mat Reffien ◽  
Norlinah Mohamed Ibrahim ◽  
Hanani Nabilah Mohd Sobri ◽  
Noor Dalila Inche Zainal Abidin ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Teaching Hospital ◽  
Severity Of Illness ◽  
Cross Sectional Study ◽  
Nonparametric Tests ◽  
Public Health Issue ◽  
Case Mix ◽  
Cross Sectional ◽  
Factors Associated ◽  
Significant Public Health

ABSTRACT Introduction Globally, stroke continues to become a significant public health issue contributing to one of the significant causes of morbidity and mortality. The study aimed to describe the characteristics of patients with stroke who were admitted to a teaching hospital in Malaysia and to determine the factors associated with length of stay (LOS). Methods This is a single-center, cross-sectional study using in-patient data maintained by the Case-Mix Unit of a teaching hospital in Malaysia from 2016 to 2017. The study included all patients with International Classification of Disease (ICD) code 164 (stroke, not specified as hemorrhage or infarct). The significance of association was determined using nonparametric tests in the form of the Mann-Whitney U test and the Kruskal-Wallis test. Results A total of 162 stroke patients from 2016 to 2017 from Case-Mix database were included in the study. The age ranged from 31 to 97 years old. The minimum and maximum LOS for patients with stroke ranged from 1 to 17 days. The severity of illness was found to be significantly associated with longer LOS (p < 0.001); however, age, sex, and presence of co-morbidities did not show any significant association. Conclusion Despite its limitations, this study is an essential first step to examine the characteristics of patients with stroke and to determine the factors associated with LOS.

scholarly journals Risk and Triggering Factors Associated with Bronchial Asthma Among School-Going Children in an Urban City of Coastal Karnataka

2017 ◽  
Vol 37 (1) ◽  
pp. 59-66
Author(s):  
Sowmini P. Kamath ◽  
Shrividya Shrishakumar ◽  
Animesh Jain ◽  
Anand Ramakrishna ◽  
Shantharam B Baliga
Keyword(s):  
Risk Factors ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
Public Health Issue ◽  
Trigger Factors ◽  
Cross Sectional ◽  
Factors Associated ◽  
Urban City ◽  
Triggering Factors ◽  
At Home

Introduction: Asthma is common in childhood and is a major public health issue. The objectives of this study were to identify risk and triggering factors associated with asthma among school children.Material and Methods: A prospective cross sectional study was conducted among 6-15 years old children, over two months in two private schools at Mangalore city. Trigger factors were assessed as per asthma trigger inventory (ATI). Responses were graded from 0-5 score based on ‘never’,’ rarely’, ‘sometimes’, ‘most of the time’ and ‘always’. A predesigned questionnaire suiting the city environment was prepared and used to assess the risk and triggering factors. Analysis was done using SPSS version 16.Results: Asthma and allergic rhinitis in parents (34.1%,40.7%), smoking at home(24.2%), exclusive breast feeding absence (27.5%),early weaning(24.2%), living in a flat (37.4%) and pets at home(37.4%) were risk factors noted. As per ATI, it was found that ‘having a cold’ was the most frequently selected trigger at 94.5% (47.3% ‘sometimes’, 2.2% ‘always’), followed by ‘running’ at 79.1% (27.5% ‘sometimes’, 13.2% ‘always’), and ‘house dust’ at 69.2% (31.9% ‘sometimes’, 6.6% ‘always’). The highest mean was for infections, (2.228, SD=0.546), followed by physical exercise (2.167, SD=0.331). Animal allergens had lowest mean (1.527, SD=0.104), followed by psychological triggers at second lowest (1.579, SD=0.181). However none of the risk and trigger factors had statistical significance with asthma.Conclusion: Avoiding exposure to probable triggers and identifying risk factors would aid in planning effective strategic measures with better quality of life.

scholarly journals Proportion and Outcome of Induction of Labor Among Mothers Who Delivered in Teaching Hospital, Southwest Ethiopia

2021 ◽  
Vol 9 ◽  
Author(s):  
Tewodros Yosef ◽  
Dawit Getachew
Keyword(s):  
Teaching Hospital ◽  
Perinatal Outcomes ◽  
Cross Sectional Study ◽  
Induction Of Labor ◽  
Binary Logistic Regression Analysis ◽  
Maternal Complications ◽  
Cross Sectional ◽  
Southwest Ethiopia ◽  
Factors Associated ◽  
Failed Induction

Background: Despite the induction of labor (IOL) having had some undesired consequences, it also has several benefits for maternal and perinatal outcomes. This study aimed to assess the proportion and outcome of IOL among mothers who delivered in Teaching Hospital, southwest Ethiopia.Methods: A retrospective cross-sectional study was conducted from June 10 to June 20, 2019, among 294 mothers who gave birth between November 30, 2018, and May 30, 2019, by reviewing their cards using a structured checklist to assess the prevalence, outcome, and consequences of induction of labor. A binary logistic regression analysis was computed to look for the association between outcome variables and independent variables.Results: The prevalence of labor induction was 20.4%. The most commonly reported cause of induction was preeclampsia (41.6%). The factors associated with IOL were mothers aged 25–34 years [AOR = 2.55, 95% CI (1.18–5.50)] and ≥35 years [AOR = 10.6, 95% CI (4.20–26.9)], having no history of antenatal care [AOR = 2.12, 95% CI (1.10–4.07)], and being Primipara AOR = 2.33, 95% CI (1.18–3.24)]. Of the 60 induced mothers, 23.3% had failed induction. The proportion of mothers with dead fetal outcomes and maternal complications was 5 and 41.7%, respectively. The unfavorable Bishop Score before induction [AOR = 1.85, 95% CI (1.32–4.87)] and induction using misoprostol [AOR = 1.48, 95% CI (1.24–5.23)] were the factors associated with failed induction of labor.Conclusion: The prevalence of induced labor was considerably higher than rates in other Ethiopian studies; however, the prevalence of induction failure was comparable to other studies done in Ethiopia. The study found that Bishop's unfavorable score before induction and induction using misoprostol was the factor associated with unsuccessful induction. Therefore, the health professionals should confirm the favorability of the cervical status before the IOL to increase the success rate of induction of labor.

scholarly journals Prevalence and materno-fetal outcomes of preeclampsia/eclampsia amongst pregnant women at a teaching hospital in north-central Nigeria: a retrospective cross-sectional study

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Godwin O. Akaba ◽  
Ubong I. Anyang ◽  
Bissallah A. Ekele
Keyword(s):  
Teaching Hospital ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Fetal Outcomes ◽  
Cross Sectional ◽  
Early Management ◽  
North Central ◽  
Community Factors ◽  
Factors Associated

Abstract Background Preeclampsia/eclampsia (PE/E) contributes significantly to maternal, perinatal morbidity and mortality in Nigeria. The objectives of the study were to ascertain the prevalence, materno-fetal outcomes and sociodemographic factors associated with PE/E at Nigerian Teaching Hospital from September 2014 to August 2019. Methods This was a retrospective cross-sectional study that analyzed deidentified secondary data of women managed for PE/E at a teaching hospital in north-central, Nigeria. Descriptive statistics were used to determine sample characteristics and study outcome estimates. Bivariate analysis was used to test for associations between sociodemographic factors and PE/E, materno-fetal outcomes while logistic regression analysis was used to test for the magnitude of these associations. The significance level was set at P < 0.05. Results The prevalence of PE/E in this study was 3.60%. Preeclampsia was diagnosed in 3.02% of cases while eclampsia was the diagnosis in 0.58%. Case fatality rate was 3.9% and still birth rate was 10.7%. Majority of women (85.4%) did not have any maternal complication nor unfavorable outcome. Majority (67.7%), of babies weighed less than 2500 g and birth weight was the only sociodemographic factor that was significantly associated with fetal outcome (X2 = 15.6, P < 0.001). Conclusions The prevalence of PE/E in this study is high and is associated with high maternal and perinatal deaths. Majority of the cases of PE/E as well the fatalities occurred in women who had no formal education, unbooked and referred to the teaching hospital with worsening conditions. There is need for explorative research on community factors associated with PE/E and its outcome towards prevention and early management of cases.

scholarly journals Factors associated with the length of stay at health facilities after childbirth among mothers and newborns in Dhading, Nepal: a cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e042058
Author(s):  
Subaru Ikeda ◽  
Akira Shibanuma ◽  
Ram Silwal ◽  
Masamine Jimba
Keyword(s):  
Length Of Stay ◽  
Health Facility ◽  
Physical Space ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
External Support ◽  
Sectional Study ◽  
Maternal Complications ◽  
Cross Sectional ◽  
Factors Associated

ObjectiveTo measure the length of stay at a health facility after childbirth, identify factors associated with the length of stay and measure the gap between the timings of the last check-up and discharge.DesignA cross-sectional study.SettingFive public health facilities in Dhading, Nepal.Participants351 randomly selected mothers who gave birth at selected health facilities within 1 year of data collection between 10 and 31 August 2018.Outcome measureLength of stay (hours) at a health facility after childbirth. Adequate length was defined as 24 hours or longer based on the WHO guidelines.ResultsAmong 350 mothers (99.7%) out of 351 recruited, 61.7% were discharged within 24 hours after childbirth. Factors associated with shorter length of stay were as follows: travel time less than 30 min to a health facility (incidence rate ratio (IRR)=0.69, 95% CI 0.61 to 0.78); delivery attended by auxiliary staff (IRR=0.86, 95% CI 0.75 to 0.98); and delivery in a primary healthcare centre (IRR=0.67, 95% CI 0.58 to 0.79). Factors associated with longer length of stay were as follows: aged 22 years or above at the first pregnancy (IRR=1.25, 95% CI 1.13 to 1.40); having maternal complications (IRR=2.41, 95% CI 2.16 to 2.70); accompanied by her own family (IRR=1.17, 95% CI 1.03 to 1.34), accompanied by her husband (IRR=1.16, 95% CI 1.04 to 1.29); and delivered at a facility with a physical space where mother and newborn could stay overnight (IRR=1.20, 95% CI 1.07 to 1.34). Among mothers without complications, 32% received the last check-up 3 hours or less before discharge.ConclusionsMultiple factors, such as mothers’ conditions, health facility characteristics and external support, were associated with the length of stay after childbirth. However, even if mothers stayed long, they might have not necessarily received timely and proper assessment before discharge.

scholarly journals A kiégés és a depresszió diagnosztizálásának elősegítése demográfiai és munkahelyi védő- és kockázati tényezőik feltárásával egészségügyi szakdolgozók körében

2015 ◽  
Vol 156 (32) ◽  
pp. 1288-1297 ◽  
Author(s):  
Szilvia Ádám ◽  
Anikó Nistor ◽  
Katalin Nistor ◽  
Zoltán Cserháti ◽  
Veronika Mészáros
Keyword(s):  
Protective Factors ◽  
Risk And Protective Factors ◽  
Cross Sectional Study ◽  
Outpatient Setting ◽  
Public Health Issue ◽  
Cross Sectional ◽  
Work Related ◽  
Timely Diagnosis ◽  
Prevalence Of Depression ◽  
Significant Public Health

Introduction: Depression and burnout are frequent comorbidities among nurses. Despite similar symptoms, their management differ. Therefore, their timely diagnosis is essential. Aim: To identify demographic and work-related risk and protective factors of burnout and depression, and facilitate their diagnosis. Method: A cross-sectional study among 1,713 nurses was carried out. Depression and burnout were assessed by the shortened Beck Depression Questionnaire and Maclach Burnout Inventory, respectively. Risk and protective factors were explored using t-tests and analysis of variance. Results: The prevalence of depression and moderate-to-high burnout was 35.1% and 34–74%, respectively. Having a partner/child and longer employment in the outpatient setting protected from burnout. Lack of a partner and male sex emerged as risk factors of depression and depersonalisation, respectively. Conclusions: High prevalence of depression and burnout among nurses poses a significant public health issue. Familiarity with the disease-specific risk and protective factors identified in this research may facilitate timely diagnosis and effective disease management. Orv. Hetil., 2015, 156(32), 1288–1297.

scholarly journals Prevalence and Factors Associated with Falls among Older Outpatients

2021 ◽  
Vol 18 (8) ◽  
pp. 4041
Author(s):  
Van-Anh Thi Ha ◽  
Tam Ngoc Nguyen ◽  
Thanh Xuan Nguyen ◽  
Huong Thi Thu Nguyen ◽  
Thu Thi Hoai Nguyen ◽  
...  
Keyword(s):  
Fear Of Falling ◽  
Cross Sectional Study ◽  
Public Health Issue ◽  
Mobility Impairment ◽  
Severe Injuries ◽  
Cross Sectional ◽  
Factors Associated ◽  
Physical Injuries ◽  
Geriatric Hospital ◽  
Risk Factors For Falls

Falls in older people are a major public health issue, as they are associated with increased risks of morbidity and mortality. This study aims to investigate the prevalence and factors associated with falls among older outpatients. A cross-sectional study was conducted in 539 outpatients aged 60 and over at the National Geriatric Hospital, Hanoi, Vietnam. Falls and their associated factors were analyzed by multivariable logistic regression. The prevalence of falls was 23.7% (single fall 17.9%, recurrent falls 5.8%). The majority of falls occurred at home (69.6%) and were caused by a slippery floor (51.6%). After falling, most patients sustained physical injuries (65.6%); notably, women suffered more severe injuries than men. Alcohol consumption, using psychotropic medications, having three or more comorbidities, hypertension, COPD, urinary incontinence, frailty, fear of falling, ADL/IADL limitation, slow walking speed and mobility impairment were significantly associated with falls. Overall, the data indicated that falls were prevalent among older outpatients. Behavior factors, comorbidities, geriatric syndromes and physical function were substantially associated with falls, suggesting that most falls are preventable. Further longitudinal studies of longer periods are needed to comprehensively investigate the risk factors for falls.

scholarly journals Factors associated with stillbirths among women delivering at a resource limited tertiary hospital in Malawi

2021 ◽  
Vol 12 (5) ◽  
pp. 289-295
Author(s):  
Friday Saidi ◽  
Grace Chiudzu ◽  
Maganizo Chagomerana ◽  
Beteniko Milala ◽  
Jennifer H Tang
Keyword(s):  
Uterine Rupture ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Full Blood Count ◽  
Public Health Issue ◽  
Stillbirth Rate ◽  
Cross Sectional ◽  
Factors Associated ◽  
Resource Limited ◽  
Major Factors

Background: Stillbirths remain a major public health issue worldwide with an estimated 3 million deaths per year globally. We investigated the factors associated with stillbirths in fetuses of at least 28 weeks’ gestation or 1000 grams at birth. Methods: We performed a hospital-based, cross-sectional study among women who delivered stillbirths at Kamuzu Central Hospital (KCH) in Lilongwe, Malawi from May-November 2017. Eligible women were enrolled after obtaining informed consent, and their demographic and reproductive health information was collected. Blood samples were collected for full blood count, malaria, blood glucose, syphilis, and HIV testing, and the probable risk factors associated with stillbirths were assessed. Results: A total of 1,687 deliveries with 126 stillbirths occurred during the 6-month period, representing a stillbirth rate of 79 per 1,000 births. Seventy percent of these stillbirths were diagnosed on admission at KCH, and about 49% were fresh stillbirths. Half of the stillbirths had a birthweight of at least 2,500g, and the majority of these stillbirths were fresh (60%). The following factors were associated with stillbirth: uterine rupture (15.1%), placental abruption (14.3%), Hypertension (10.3%), obstructed/prolonged labor (5.8%), syphilis (7.1%), malaria (2.4%), congenital anomalies (2.4%), and diabetes (1.5%). Conclusions: The stillbirth rate at KCH is high, and most fetal deaths occurred prior to arrival at KCH. Although most of the stillbirths were unexplained, uterine rupture and abruption placenta emerged as major factors associated with stillbirths and these are largely preventable even in resource limited settings.

scholarly journals Admission Patterns in the Children’s Emergency Room of Enugu State University Teaching Hospital, during the COVID-19 Pandemic

2021 ◽  
pp. 86-92
Author(s):  
Ndu I. K. ◽  
Asinobi I. N. ◽  
Nduagubam O. C.
Keyword(s):  
Emergency Room ◽  
Teaching Hospital ◽  
Severity Of Illness ◽  
Cross Sectional Study ◽  
University Teaching ◽  
Peak Time ◽  
State University ◽  
Cross Sectional ◽  
Number Of Patients ◽  
Enugu State

Aims: This study aimed to compare the difference in admission rates and severity of illness in 2019 and during the peak time period of the global SARS-CoV-2 pandemic of 2020 in children presenting at the Children’s emergency room (CHER) of Enugu State University Teaching Hospital, Enugu. Study Design: This was a cross-sectional study. Place and Duration of Study: Children’s emergency room (CHER) of Enugu State University Teaching Hospital, Enugu, from June 1 to August 31, 2019 and 2020 were reviewed, respectively. Methodology: The admission records of all the children that were admitted into CHER of Enugu State University Teaching Hospital (ESUTH), Enugu, over a three-month period from June 1 to August 31, 2019 and 2020 respectively were reviewed. Results: A total of 310 and 184 patients were seen during the study period for 2019 and 2020, respectively (40.6% decrease). A significant number of patients spent two days on admission in the children’s emergency room in 2020 than in 2019 (P < .001). Emergency admissions were 3 times more in year 2020 than in year 2019 (OR = 2.624, 95% C.I = 1.797 – 3.833, P < .001). Conclusion: Although this study reported decreased emergency room admissions, there was an increase in the mortality rate and emergency presentations.

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