scholarly journals Prognostic Factors of Comas in the Intensive Care Unit of the University Teaching Hospital of Parakou (Benin)

2015 ◽  
Vol 05 (11) ◽  
pp. 503-512
Author(s):  
Tchaou Blaise Adelin ◽  
Adoukonou Thierry Armel ◽  
Zoumenou Eugene ◽  
Mehou Loko Ulrich Donald ◽  
Lokossou C. Thomas
Author(s):  
Khozya D. Zyambo ◽  
◽  
Silvester Sinyangwe ◽  
Chishala Chabala ◽  
◽  
...  

The burden of neonatal hypocalcaemia remains unknown in Zambia. Convulsions with concurrent hypocalcaemia are a common complication seen in very ill neonates at The University Teaching Hospital (UTH) Neonatal Intensive Care Unit (NICU), now known as Women and Newborn Hospital. The unit admits close to 4000 neonates per year with various neonatal conditions. Meanwhile, studies around the globe have shown prevalence levels of neonatal hypocalcaemia ranging from 17% to 39%. This study endeavoured to determine the prevalence of hypocalcaemia in term neonates, the clinical characteristics of the affected neonates and to establish the proportion of neonates with seizures who also had hypocalcaemia. This was a cross-sectional study with a sample size of 174 neonates enrolled into the study by simple random sampling methods out of 240 screened neonates. Data were analyzed using SPSS version 2. The relationship between study variables and the outcome variable of interest (hypocalcaemia) was examined using a logistic regression model. The prevalence of neonatal hypocalcaemia was found to be 26.4% (46/174) and 50% (23/46) of hypocalcemic neonates presented with abnormal neurological features such as convulsions, hypertonia and hypotonia. Of the neonates who presented with convulsions in this study, 26.8% (19/71) were also found to have hypocalcaemia. However, there was no statistically significant association between convulsions and hypocalcaemia. The prevalence of hypocalcemia in term neonates admitted to NICU at UTH is high with half of the hypocalcemic neonates manifesting neurological signs.


2019 ◽  
Vol 09 (01) ◽  
pp. 42-50
Author(s):  
Camara Youssouf ◽  
Ba Hamidou Oumar ◽  
Sangare Ibrahima ◽  
Toure Karamba ◽  
Coulibaly Souleymane ◽  
...  

2021 ◽  
Vol 7 (3) ◽  
Author(s):  
The COMEPA group

Coronavirus disease 2019 (COVID-19) has dramatically changed our lives. In the past months, hospitals were saturated of patients; therefore, it is still important to have simple and standardized prognostic factors and to evaluate the efficacy and safety of medications commonly used for COVID-19. We aimed to collect data of the patients hospitalized in Internal Medicine and Geriatrics Wards at the University Hospital (Policlinico) ‘P. Giaccone’ in Palermo, Italy (COMEPA, COVID-19 Medicina Policlinico Palermo), with the main purpose of finding prognostic tools that can be easily used in clinical practice in order to identify patients hospitalized for/with COVID-19 at higher risk of negative outcomes, such as mortality, transfer to Intensive Care Unit (ICU) and institutionalization, as well as evaluating the efficacy/safety of medications commonly used for COVID-19. For reaching these aims, the medical records of approximately 600 patients will be recorded, having data on several parameters and including as outcomes mortality, ICU placement, institutionalization. With the COMEPA study, we therefore plan to update current literature, giving new data on prognostic factors and on the efficacy/safety of some medications used for COVID-19.


2005 ◽  
Vol 35 (3) ◽  
pp. 178-181 ◽  
Author(s):  
F I Ojini ◽  
M A Danesi

Records of 349 tetanus patients, aged 10 years and above, admitted to the Lagos University Teaching Hospital, Nigeria, between 1990 and 1999 were reviewed. The male:female ratio was 1.98:1, and the ages were between 10 and 88 years, with a mean age of 29.8 years. The overall case fatality rate (CFR) of tetanus was 36.96% (33.19% for men and 44.44% for women). The CFR is similar to that previously reported in the hospital, but higher than that reported from Europe and North America. The lowest CFR was in the 10-19-year age group, and there was a trend towards increasing CFR with increasing age. Tetanus patients in the intensive care unit (ICU) had a significantly higher CFR than those in the medical wards. Unlike in developed countries, where management of tetanus in ICU has resulted in a decrease in CFR, the CFR of tetanus at the Lagos University Teaching Hospital has not significantly reduced over the years.


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