Pressure Injury Development in Patients Treated by Critical Care Air Transport Teams: A Case-Control Study

2018 ◽  
Vol 38 (2) ◽  
pp. 30-36 ◽  
Author(s):  
Susan F. Dukes ◽  
Genny M. Maupin ◽  
Marilyn E. Thomas ◽  
Darcy L. Mortimer

BACKGROUNDThe US Air Force transports critically ill patients from all over the world, with transport times commonly ranging from 6 to 11 hours. Few outcome measures have been tracked for these patients. Traditional methods to prevent pressure injuries in civilian hospitals are often not feasible in the military transport environment.OBJECTIVESThe incidence rate and risk factors are described of en route–related pressure injuries for patients overseen by the Critical Care Air Transport Team.METHODSThis retrospective, case-control, medical records review investigated risk factors for pressure injury in patients who developed a pressure injury after their transport flight compared with those with no documented pressure injuries.RESULTSThe pressure injury rate was 4.9%. Between 2008 and 2012, 141 patients in whom pressure injuries developed and who had received care by the team were matched with 141 patients cared for by the team but did not have pressure injury. According to regression analysis, body mass index and 2 or more Critical Care Air Transport Team transports per patient were associated with pressure injury development.CONCLUSIONAlthough the pressure injury rate of 4.9% in this cohort of patients is consistent with that reported by civilian critical care units, the rate must be interpreted with caution, because civilian study data frequently represent the entire intensive care unit length of stay. Targeted interventions for patients with increased body mass index and 2 or more critical care air transports per patient may help decrease the development of pressure injury in these patients.

2017 ◽  
Vol 4 (2) ◽  
pp. 118
Author(s):  
Rizka Safitri ◽  
Herawati Herawati ◽  
Kurnia Rachmawati

ABSTRAKPremenstrual syndrome adalah sindrom yang terjadi pada perempuan 2-14 hari sebelum menstruasi. Faktor-faktor yang mempengaruhi premenstrual syndrome diantaranya adalah aktivitas olahraga, indeks massa tubuh, konsumsi makanan asin, dan konsumsi makanan manis.Tujuan penelitian adalah mengetahui faktor-faktor risiko kejadian premenstrual syndrome pada remaja SMA Darul Hijrah Puteri. Penelitian ini adalah penelitian observasional analitik dengan pendekatan retrospektif (case control study).Pengambilan sampel menggunakan teknik purposive sampling dengan 32 orang dikelompok kasus dan 32 orang dikelompok kontrol pada siswi SMA Darul Hijrah Puteri. Hasil penelitian menunjukkan terdapat hubungan antara faktor-faktor risiko yaitu aktivitas olahraga (p=0,002), indeks massa tubuh (p=0,005), konsumsi makanan asin (p=0,001), konsumsi makanan manis (p=0,045) dengan kejadian premenstrual syndrome. Aktivitas olahraga, indeks massa tubuh, konsumsi makanan asin, dan konsumsi makanan manis berhubungan dengan kejadian premenstrual syndrome pada remaja SMA Darul Hijrah Puteri. Penelitian ini bermanfaat sebagai referensi untuk penelitian selanjutnya tentang premenstrual syndrome.  Kata-kata kunci: premenstrual syndrome, remaja, faktor risiko.ABSTRACTPremenstrual syndrome is a syndrome that occurs in females 2-14 days before menstruation. Factors that affect premenstrual syndrome include sport activity, body mass index, consumption of salty foods and consumption of sweet foods. The objective of this study was to determine the risk factors of premenstrual syndrome on adolescents Darul Hijrah Puteri High School. The research was observational analytic with restrofektif approach (case control study), purposive sampling method was employed in 32 cases and 32 controls at the Darul Hijrah Puteri High School. The results showed an association between sport activity (p=0,002), body mass index (p=0,005), consumption of salty foods (p=0,001), consumption of sweet foods (p=0,045) and premenstrual syndrome. Sports activity, body mass index, consumption of salty foods and sugary food consumption associated with premenstrual syndrome on adolescents in Darul Hijrah Puteri High School.This research useful as a reference for future research on premenstrual syndrome.Keywords: premenstrual syndrome, adolescents, risk factors.


2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Yohannes Tekalegn

Background. Evidence shows that overweight or obesity has become a major public health problem in both developed and developing countries. However, there are limited studies conducted to identify the risk factors of overweight or obesity in Ethiopia. Therefore, this study aimed to assess the determinants of overweight or obesity among men aged 20–59 years in Ethiopia. Methods. This study used the 2016 Ethiopian Demographic and Health Survey (EDHS) data. A case-control study was conducted based on the EDHS data; cases were men who were overweight or obese, depending on their body mass index, and controls were men with normal body mass index. Bivariate and multivariate binary logistic regression was performed to assess the determinants of overweight or obesity among the study participants. Results. A total of 610 cases and 2440 controls were included in this study. Men aged 30–39 years (adjusted odds ratio (AOR) = 2.2, 95% CI: 1.6–3.0) and ≥40 years (AOR = 3.4, 95% CI: 2.5–4.7) had higher odds of being overweight or obese compared to men aged 20–29 years old. The likelihood of overweight or obesity was significantly higher among married men (AOR = 1.5, 95% CI: 1.1–2.0), living in urban areas (AOR = 3.1, 95% CI: 2.1–4.4), those in the rich wealth quintile (AOR = 1.9, 95% CI: 1.2–2.9), and those with primary (AOR = 1.6, 95% CI: 1.1–2.3), secondary (AOR = 2.6, 95% CI: 1.7–3.9), and higher education (AOR = 3.6, 95% CI: 2.4–5.6). Additionally, men watching television at least once a week had higher odds (AOR = 1.5, 95% CI: 1.1–2.1) of being overweight or obese. Conclusion. Men in the higher wealth quintile, older age, married, higher educational status, watching television at least once a week, urban dwellers, residents of big cities such as Addis Ababa and Harari, and residents of low land like Afar were more likely to be overweight or obese. Therefore, it is essential to design strategies and programs to reduce or prevent overweight or obesity with a special focus on the identified risk factors.


2018 ◽  
Vol 69 (7) ◽  
pp. 1673-1677
Author(s):  
Viviana Aursulesei ◽  
Andrei Manta ◽  
Razan Al Namat ◽  
Monica Hugianu ◽  
Angela Maria Moloce ◽  
...  

The bidirectional relation between body mass index (BMI) and heart failure (HF) is complex and not fully understood. The obesity paradox phenomena is controversial and related to patient selection, parameters used for defining abnormal weight, characteristics of HF. Our study sustain the importance of controlling risk factors, in particular plasma glucose, lipid levels, as well as hypertension in patients with HF and BMI over 25 kg/m2. Also, in contrast to the randomized control studies our results can only partially support data related to obesity paradox phenomena.


2015 ◽  
Author(s):  
Jennifer Serres ◽  
Susan Dukes ◽  
Bruce Wright ◽  
III Dodson ◽  
Parham-Bruce William ◽  
...  

Author(s):  
Meizi Wang ◽  
Jianhua Ying ◽  
Ukadike Chris Ugbolue ◽  
Duncan S. Buchan ◽  
Yaodong Gu ◽  
...  

(1) Background: Scotland has one of the highest rates of obesity in the Western World, it is well established that poor weight profiles, and particularly abdominal obesity, is strongly associated with Type II diabetes and cardiovascular diseases. Whether these associations are apparent in ethnic population groups in Scotland is unclear. The purpose of this study was to examine the associations between different measures of fatness with clustered cardio metabolic risk factors between Scottish South Asian adolescents and Scottish Caucasian adolescents; (2) Methods: A sample of 208 Caucasian adolescents and 52 South Asian adolescents participated in this study. Stature, waist circumference, body mass index, blood pressure, physical activity, and cardiovascular disease (CVD) risk were measured; (3) Results: Significant, partial correlations in the South Asian cohort between body mass index (BMI) and individual risk factors were generally moderate. However, correlations between Waist circumference (WC) and individual risk factors were significant and strong. In the Caucasian cohort, a significant yet weak correlation between WC and total cholesterol (TG) was noted although no other associations were evident for either WC or BMI. Multiple regression analysis revealed that both BMI and WC were positively associated with CCR (p < 0.01) in the South Asian group and with the additional adjustment of either WC or BMI, the independent associations with clustered cardio-metabolic risk (CCR) remained significant (p < 0.005); (4) Conclusions: No positive relationships were found between BMI, WC, and CCR in the Caucasian group. Strong and significant associations between measures of fatness and metabolic risk were evident in Scottish South Asian adolescents.


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