scholarly journals Healthcare Information Systems to Assess Influenza Outbreaks

2011 ◽  
Vol 02 (01) ◽  
pp. 75-85 ◽  
Author(s):  
V. Aliperti ◽  
E. Salazar ◽  
C. Otero ◽  
M. Schpilberg ◽  
V. Taliercio ◽  
...  
Keyword(s):  
Information System ◽  
Mortality Rate ◽  
Care Center ◽  
Case Fatality ◽  
Mortality Rates ◽  
Morbidity And Mortality ◽  
Influenza Epidemic ◽  
Health Maintenance ◽  
Health Care Center ◽  
Severe Acute Respiratory Infection

Summary Objective: To determine whether a private HIS could have detected the influenza epidemic outbreaks earlier through changes in morbidity and mortality patterns. Methods: Data Source included a health information system (HIS) from an academic tertiary health care center integrating administrative and clinical applications. It used a local interface terminology server which provides support through data autocoding of clinical documentation. Specific data subsets were created to compare the burden of influenza during the epidemiological week (EW) 21 to 26 for years 2007 to 2009 among 150,000 Health Maintenance Organization members in Argentina. The threshold for identifying an epidemic was considered met when the weekly influenza-like illness (ILI) rate exceeded 200 per 100,000 visits. Case fatality rates and mortality rates of severe acute respiratory infection (SARI) from 2007 to 2009 were retrospectively compared. Case fatality rates and mortality rates for A/H1N1 influenza 2009 also were estimated. Results: The HIS detected the outbreak in EW 23 while the government Ministry of Health (MoH) gave a national epidemic alert during EW 25. The number of visits for ILI increased more than fourfold when comparing 2009 to the period 2007-2008. The SARI mortality rate in 2009 was higher than in 2008 (RR 2.8; 95%CI 1.18-6.63) and similar to that of 2007 (RR 1.05; 95%CI 0.56-1.49). 2009 was the first year with mortalities younger than 65 years attributable to SARI. The estimated A/H1N1 case fatality rate for SARI was 6.2% (95%CI 2.5 to 15.5) and A/H1N1 mortality rate was 6 per 100,000 (95%CI 0 to 11.6). Conclusion: Our HIS detected the outbreak two weeks before than the MoH gave a national alert. The information system was useful in assessing morbidity and mortality during the 2009 influenza epidemic H1N1 outbreak suggesting that with a private-public integration a more real-time outbreak and disease surveillance system could be implemented.

A study on perception about antenatal care among primigravida attending a tertiary care hospital

2019 ◽  
Vol 9 (1) ◽  
pp. 56
Author(s):  
Priya Somu ◽  
Sakthi Narmatha D.
Keyword(s):  
Mortality Rate ◽  
Antenatal Care ◽  
Care Center ◽  
Tertiary Care ◽  
Infant Mortality Rate ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Health Care Center ◽  
Basic Care

Background: Maternal mortality rate and Infant mortality rate remains high in India when compared to several other countries. Understanding and being aware about the basic care provided during pregnancy is an important factor to make the pregnant woman to utilize the antenatal care. Hence this study was planned to assess the existing knowledge of primi gravid mothers attending the tertiary health care center about the various antenatal care services provided.Methods: This cross-sectional study was conducted among the primi gravid females attending the outpatient department of Obstetrics and Gynecology in Sri Muthukumaran Medical College Hospital and Research Institute, Chennai during months of June 2018 to May 2019. A total of 280 primi gravid mothers were included in the study. Data was collected through one to one interview and analyzed using statistical package for social sciences (SPSS) version 17.Results: In this study 82.9%, 70.4%, 80.7% of the mothers were aware about consumption of IFA tablets, TT injection and adequate ANC visits, respectively. PNDT act was known to 76.1% of the participants. Only 12.5% of the primi mothers were aware about Janani Suraksha Yojna (JSY) scheme and 91.8% of the mothers were aware about Dr. Muthulakshmi Maternity Benefit scheme.Conclusions: Knowledge about ANC services was found to be fair among the primi mothers but not sufficient, which shows the need for the healthcare professionals to educate young woman even from adolescent age itself.

scholarly journals The Infection Rate of COVID-19 in Wuhan, China: Combined Analysis of Population Samples (Preprint)

2020 ◽  
Author(s):  
Hui-Qi Qu ◽  
Zhangkai Jason Cheng ◽  
Zhifeng Duan ◽  
Lifeng Tian ◽  
Hakon Hakonarson
Keyword(s):  
Mortality Rate ◽  
Infection Rate ◽  
Case Fatality ◽  
Mortality Rates ◽  
Accurate Estimate ◽  
Combined Analysis ◽  
Infected People ◽  
Health Measures ◽  
Asymptomatic Infections ◽  
Combined Infection

BACKGROUND The coronavirus disease (COVID-19) pandemic began in Wuhan, China, in December 2019. Wuhan had a much higher mortality rate than the rest of China. However, a large number of asymptomatic infections in Wuhan may have never been diagnosed, contributing to an overestimated mortality rate. OBJECTIVE This study aims to obtain an accurate estimate of infections in Wuhan using internet data. METHODS In this study, we performed a combined analysis of the infection rate among evacuated foreign citizens to estimate the infection rate in Wuhan in late January and early February. RESULTS Based on our analysis, the combined infection rate of the foreign evacuees was 0.013 (95% CI 0.008-0.022). Therefore, we estimate the number of infected people in Wuhan to be 143,000 (range 88,000-242,000), which is significantly higher than previous estimates. Our study indicates that a large number of infections in Wuhan were not diagnosed, which has resulted in an overestimated case fatality rate. CONCLUSIONS Increased awareness of the original infection rate of Wuhan is critical for proper public health measures at all levels, as well as to eliminate panic caused by overestimated mortality rates that may bias health policy actions by the authorities.

scholarly journals Factors Affecting Morbidity and Mortality in Patients Who Underwent Emergency Operation for Incarcerated Abdominal Wall Hernia

2013 ◽  
Vol 97 (4) ◽  
pp. 305-309 ◽  
Author(s):  
Mesut Gul ◽  
Ibrahim Aliosmanoglu ◽  
Murat Kapan ◽  
Akin Onder ◽  
Fatih Taskesen ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Abdominal Wall ◽  
Intestinal Resection ◽  
Abdominal Wall Hernia ◽  
Emergency Operation ◽  
Mortality Rates ◽  
Morbidity And Mortality ◽  
Concomitant Disease ◽  
Factors Affecting ◽  
Emergency Care Units

Abstract Patients with incarcerated abdominal wall hernias (AWHs) are often encountered in emergency care units. Despite advances in anesthesia, antisepsis, antibiotic therapy, and fluid therapy, the morbidity and mortality rates for these patients remain high. Between 2006 and 2011, we retrospectively analyzed the cases of 131 patients who underwent emergency surgery for incarcerated abdominal wall hernias. Of these, there were 70 women (53.4%) and 61 men (46.6%) with an average age of 63.3 ± 17.4 years (range, 17–91 years). Morbidity was observed in 28 patients (21.4%), and the mortality rate was 2.3%. Intestinal resection, presence of concomitant disease, and general anesthesia were the independent variants that affected morbidity of patients with incarcerated abdominal wall hernias.

scholarly journals Tuberculous Empyema Necessitatis in a 40-Year-Old Immunocompetent Male

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Farhang Babamahmoodi ◽  
Lotfollah Davoodi ◽  
Roya Sheikholeslami ◽  
Fatemeh Ahangarkani
Keyword(s):  
Health Care ◽  
Endemic Area ◽  
Care Center ◽  
Disease Diagnosis ◽  
Local Health ◽  
Health Maintenance ◽  
Health Care Center ◽  
Local Health Care ◽  
Systemic Symptoms ◽  
Serious Disease

Empyema necessitans (EN) is a kind of empyema that diffuses to extrapleural space and can involve chest pain. Tuberculosis (TB) is the most common cause of EN. This disease can be found in both immunocompromised and immunocompetent individuals but is usually seen in the immunocompromised individuals. Because of long duration and ambiguous symptoms of the disease, diagnosis can be hard. The disease can be treated both medically and surgically. Missing the disease can lead to undesirable effects on patient’s condition and health care setting. This problem can be seen in endemic area in which controlling of TB is hard. Report of the disease in local health care center for desirable treatment and health maintenance is necessary. We explained a rare case of pulmonary TB in a patient that was healthy in other fields and just showed the minimum systemic symptoms. The patient came with a mass in lower part of back of chest cage, with a mild pain. The imaging survey showed EN. Smear and Ziehl-Neelsen stains from subcutaneous aspiration were positive for TB. This case showed importance of clinical view and awareness of this silent but serious disease in endemic area especially for TB.

scholarly journals Varicella in non-immune persons: incidence, hospitalization and mortality rates

2002 ◽  
Vol 129 (3) ◽  
pp. 599-606 ◽  
Author(s):  
P. Y. BOËLLE ◽  
T. HANSLIK
Keyword(s):  
Case Fatality ◽  
Mortality Rates ◽  
Morbidity And Mortality ◽  
Mortality Data ◽  
Surveillance Systems ◽  
Age Group ◽  
Death Rates ◽  
Hospitalization Rates ◽  
Incidence Prevalence

This study was conducted to estimate the varicella morbidity and mortality rates per age group among the non-immune population in France. Morbidity and mortality data for the years 1990–9 were derived from nationwide databases and surveillance systems. An incidence/prevalence model was designed to quantify the non-immune population per age group. The incidence of varicella in the non-immune population peaks during childhood and again in the 25–35 years age group. For children aged 1–4 years, adults aged 25–34 years and those older than 65 years, the hospitalization rates are respectively 235, 1438 and 8154 per 100 000 cases, and the death rates are respectively 7, 104 and 5345 per million cases. Case fatality or case hospitalization rates were not evenly distributed among adults and increased dramatically with age.

Towards an Essential Data Set: Applicability in the Domain of Maternal Health Services

1992 ◽  
Vol 31 (03) ◽  
pp. 182-192 ◽  
Author(s):  
A. K. Singh ◽  
K. Boström ◽  
S. Chowdhury ◽  
E. Trell ◽  
O. Wigertz ◽  
...  
Keyword(s):  
Health Care ◽  
Information System ◽  
Maternal Health ◽  
Health Services ◽  
Care Center ◽  
Maternal Health Services ◽  
Care Organization ◽  
Process Of Care ◽  
Data Set ◽  
Health Care Center

Abstract:There is a need for consensus on the quantity of data that must be available in a computer-based information system of a health care organization. In this paper we take up the issue of defining the data content of an information system and introduce the concept of Essential Data Sets with an explicit methodology which was applied to define a data set for the Maternal Health Services program. A key step in the method was a recognized technique used in systems development process called data modelling, in this case infological modelling, by an interdisciplinary group. A preliminary set of 86 data elements was identified and it provided the foundation for development of an application software for discussion and a real-world testing framework. The acceptability of the data set was tested in a laboratory perspective by retrospective data entry from records of 94 pregnant women registered at a maternal health care center in Sweden. Data from a total of 1,318 prenatal visits, an outcome visit, and a postnatal visit for each woman was entered into a computer using the software, with no loss of information. Thus, in a short-term perspective the acceptability of the data set was demonstrated. The software has since been implemented for pilot prospective studies at sites in India and Sweden. The use of a common data protocol is an essential foundation for patient outcome research, especially as the trend of health care management has changed from a “process of care” orientation to an “outcome of care” orientation.

scholarly journals Morbidity and Mortality of Traumatic Brain Injury in Hospitalized Patients in Brazil Between 2010 and 2020: An Ecological Study

2021 ◽  
Author(s):  
Vitória Bittencourt de Carvalho ◽  
Kauan Alves Sousa Madruga
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Mortality Rate ◽  
Ecological Study ◽  
Traumatic Injury ◽  
Mortality Rates ◽  
Hospitalization Rate ◽  
Morbidity And Mortality ◽  
Age Group ◽  
Unified Health System

Background: Traumatic Brain Injury (TBI) is defined as any traumatic injury causing an anatomical lesion or functional impairment of the scalp, skull, meninges, brain or its vessels. Hospitalization of this patient, depending on the severity, can result in irreversible sequelae or death. Objective: To report the morbidity and mortality rates of patients suffering from TBI hospitalized in Brazilian hospitals between 2010 and 2020. Methods: Descriptive ecological study of the data collected at the Informatics Department of the Unified Health System (DATASUS). Results: There were 1,143,187 admissions due to TBI. There was a predominance of males with 871,999 (76.28%) cases and the age group between 20 and 29 years old 199,857 (17.48%). Brown patients were the ones with the highest hospitalization rate: 370,639 (32.42%). The mortality rate in the period was 9.52/100 hospitalizations, with the Southeast region occupying the first place (10.44 per 100 hospitalizations). In total, 108,853 deaths were recorded, of which 50,013 occurred in the Southeast, the region with the highest rate. Although the number of deaths was higher in people between 20 and 29 years old (16,687), the age group with the highest mortality rate was over 80 years old (19.84 per 100 hospitalizations). Conclusion: In the last 10 years, TBI has caused 1,143,187 hospitalizations in Brazil, with a predominance of males and the age group between 20 and 29 years. Brown patients had the highest rate of hospitalization. The region with the highest mortality was the Southeast and the smallest was the South.

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