discharge status
Recently Published Documents


TOTAL DOCUMENTS

164
(FIVE YEARS 52)

H-INDEX

18
(FIVE YEARS 2)

2022 ◽  
Vol 40 ◽  
Author(s):  
Juliana Fernandes de Camargo ◽  
Jamil Pedro de Siqueira Caldas ◽  
Sérgio Tadeu Martins Marba

ABSTRACT Objective: To analyze the incidence, complications, and hospital discharge status in newborns with ≥35 weeks of gestational age with early neonatal sepsis. Methods: This is a cross-sectional, retrospective study. Cases of early-onset sepsis registered from January 2016 to December 2019 in neonates with gestational age of 35 weeks or more were reviewed in a level III neonatal unit. The diagnoses were performed based on the criteria by the Brazilian Health Regulatory Agency (Anvisa), and the episodes were classified according to microbiological classification and site of infection. The following complications were evaluated: shock, coagulation disorders, and sequelae of the central nervous system. The conditions at hospital discharge were also assessed. The collected data were analyzed with the descriptive analysis. Results: In the period, early neonatal sepsis occurred in 46 newborns, corresponding to 1.8% of all newborns admitted to the neonatal unit, with a prevalence of 4/1,000 live births. Culture confirmed sepsis ocurred in three patients (0.3/1,000 live births), with the following agents: S. pneumoniae, S. epidermidis and S. agalactiae. As to site of infection, there were 35 cases of primary bloodstream infection, seven cases of pneumonia and four cases of meningitis. Most patients (78.3%) had at least one risk factor for sepsis, and all were symptomatic at admission. There were no deaths. Complications occurred in 28.2% of the cases, especially shock (10 cases – 21.7%). Conclusions: The prevalence of proven early neonatal sepsis was low. Despite the common occurrence of complications, there were no deaths.


2021 ◽  
Author(s):  
Yu-Tung Huang ◽  
Ying-Jen Chen ◽  
Shang-Hung Chang ◽  
Chang-Fu Kuo ◽  
Mei-Hua Chen

2021 ◽  
pp. 183335832110541
Author(s):  
João Vasco Santos ◽  
Filipa Santos Martins ◽  
Fernando Lopes ◽  
Júlio Souza ◽  
Alberto Freitas

2021 ◽  
Vol 9 ◽  
Author(s):  
Chunhua Fang ◽  
Yuning Tao ◽  
Jianguo Wang ◽  
Can Ding ◽  
Li Huang ◽  
...  

A fundamental parameter of polluted insulator online monitoring is the leakage current, which has already been shown to be well-related to the pollution discharge of insulators. In this article, in an effort to quantitatively reflect the discharge intensity and the discharge status by the leakage current, we carried out an experimental study on artificial pollution discharge of insulators. A high-speed photographic apparatus was utilized to capture the entire process of local arcs on a porcelain insulator surface, including the arc generation, the arc development, and the flashover, for which the associated leakage current of insulators was synchronously digitized. A comparative analysis of the relation between the two-dimensional discharge image and the leakage current waveform in the process of arc generation and development shows that if the arc area on the insulator surface is relatively small and the leakage current passes through zero, the arc might completely become extinct, whereas this phenomena will not occur if the arc area is larger. In addition, the amplitude of the discharge arc area is found to be roughly proportional to the square of leakage current over the range of leakage current amplitude from 0 to 150 mA. Our results can provide an important guidance for judgment of the discharge status and the discharge intensity on insulator surfaces using the leakage current of insulators.


2021 ◽  
pp. neurintsurg-2021-018175
Author(s):  
Waleed Brinjikji ◽  
Shelly Ikeme ◽  
Emilie Kottenmeier ◽  
Alia Khaled ◽  
Sidharth M ◽  
...  

BackgroundMechanical thrombectomy (MT) has become the standard of care for the treatment of acute ischemic stroke (AIS). The EmboTrap revascularization device (CERENOVUS, Johnson & Johnson Medical Devices, Irvine, California, USA) has an innovative, dual layer feature designed to facilitate thrombus retrieval.ObjectiveTo investigate the real-world clinical and economic outcomes among patients with AIS undergoing MT using the EmboTrap device in the United States (US).MethodsAdult patients (≥18 years) who underwent MT for AIS using the EmboTrap device between July 2018 and December 2020 were identified from the Premier Healthcare Database. Patient outcomes included discharge status (including in-hospital mortality), mean length of stay (LOS), intracranial hemorrhage (ICH), mean hospital costs, and 30-day readmissions (all-cause, cardiovascular (CV)-related, and AIS-related).ResultsA total of 318 patients (mean age 68.5±14.6 years) with AIS treated with the EmboTrap device as the only stent retriever used were identified. Approximately 25% of patients were discharged to home/home health organization, and the in-hospital mortality rate was 10.7%. The rate of ICH was 16.7%. Mean hospital LOS was 9.9±11.3 days, and the mean hospital costs were US$47 367±30 297. The 30-day readmission rate was 9.6% for all-causes, 5.9% for CV-related causes, and 2.6% for AIS-related causes.ConclusionsThis is the first study in the US to report real-world outcomes sourced by retrospective database analysis among patients with AIS undergoing MT using the EmboTrap device. Further research is needed to better understand performance of the EmboTrap device in real-world settings.


Vascular ◽  
2021 ◽  
pp. 170853812110421
Author(s):  
Amy B Reed ◽  
Rumi Faizer ◽  
R. James Valentine

Objectives Arterial hypertension (HTN) is considered a seminal risk factor for aortic dissection (AD). The purpose of this study is to evaluate whether pre-existing blood pressure (BP) control lessens the extent of dissection and has a favorable impact on outcome of patients with acute AD. Methods Consecutive acute AD patients who had at least two BPs recorded within the 12 months preceding the AD were retrospectively analyzed. The two most recent BPs were averaged and defined per published guidelines as normal (BP≤ 130/80), Stage I HTN (BP >130/80 and <139/89), or Stage 2 or greater HTN (BP > 140/90). The number of hypertensive medications (MEDs) was also used as a surrogate marker of HTN severity. Patients with known genetic causes of AD were excluded. Results 89 subjects (55% men, 45% women; mean age, 64±14 years) with acute AD (58% Stanford type A and 42% Stanford type B) were included. Two most recent BPs were recorded a mean of 5±3 and 3±2.7 months before the AD, respectively. Twenty-nine (33%) subjects had normal BP, including nine subjects with no history of HTN and on no MEDs. Sixty (67%) subjects had elevated BP, including 21 (35%) with Stage I HTN and 39 (65%) with Stage 2 HTN. Compared to subjects with normal BP, subjects with Stage 1 and Stage 2 HTN were younger (70±13 years vs 62±1 year, p = 0.01), but there were no differences in other demographics, risk factors, comorbidities, or history of drug use. There were no group differences in the distal extent of the dissections, complications requiring thoracic endograft repair, mean length of hospital stay, final discharge status, or 30-day mortality. Compared to the number of MEDs before AD, all three groups had a higher mean number of MEDs to achieve normal BP at discharge that persisted at a mean follow-up of 18±15 months. Conclusions These data show that approximately one-third of patients with acute AD had well controlled or no antecedent history of HTN. The degree of pre-existing HTN control had no bearing on the type or extent of AD, length of stay, or early outcome. Regardless of the state of HTN control before AD, the consistent and sustained increase in the severity of HTN after AD suggests that the dissection process has a profound and lasting effect on BP regulation. Further studies are indicated to elucidate the pathologic mechanisms involved in AD.


2021 ◽  
Vol 49 (7) ◽  
pp. 030006052110277
Author(s):  
Hayrettin Daskaya ◽  
Sinan Yilmaz ◽  
Harun Uysal ◽  
Muhittin Calim ◽  
Bilge Sümbül ◽  
...  

Objective Two critical processes in the coronavirus disease 2019 (COVID-19) pandemic involve assessing patients’ intensive care needs and predicting disease progression during patients’ intensive care unit (ICU) stay. We aimed to evaluate oxidative stress marker status at ICU admission and ICU discharge status in patients with COVID-19. Methods We included patients in a tertiary referral center ICU during June–December 2020. Scores of Acute Physiology and Chronic Health Evaluation II (APACHE II), Sequential Organ Failure Assessment (SOFA), and clinical severity, radiologic scores, and healthy discharge status were noted. We collected peripheral blood samples at ICU admission to evaluate total antioxidants, total oxidants, catalase, and myeloperoxidase levels. Results Thirty-one (24 male, 7 female) patients were included. At ICU admission, patients’ mean APACHE II score at ICU admission was 17.61 ± 8.9; the mean SOFA score was 6.29 ± 3.16. There was no significant relationship between clinical severity and oxidative stress (OS) markers nor between radiological imaging and COVID-19 data classification and OS levels. Differences in OS levels between patients with healthy and exitus discharge status were not significant. Conclusions We found no significant relationship between oxidative stress marker status in patients with COVID-19 at ICU admission and patients’ ICU discharge status.


Micromachines ◽  
2021 ◽  
Vol 12 (6) ◽  
pp. 702
Author(s):  
Changhong Liu ◽  
Xingxin Yang ◽  
Shaohu Peng ◽  
Yongjun Zhang ◽  
Lingxi Peng ◽  
...  

Wire electrical discharge machining (WEDM), widely used to fabricate micro and precision parts in manufacturing industry, is a nontraditional machining method using discharge energy which is transformed into thermal energy to efficiently remove materials. A great amount of research has been conducted based on pulse characteristics. However, the spark image-based approach has little research reported. This paper proposes a discharge spark image-based approach. A model is introduced to predict the discharge status using spark image features through a synchronous high-speed image and waveform acquisition system. First, the relationship between the spark image features (e.g., area, energy, energy density, distribution, etc.) and discharge status is explored by a set of experiments). Traditional methods have claimed that pulse waveform of “short” status is related to the status of non-machining while through our research, it is concluded that this is not always true by conducting experiments based on the spark images. Second, a deep learning model based on Convolution neural network (CNN) and Gated recurrent unit (GRU) is proposed to predict the discharge status. A time series of spark image features extracted by CNN form a 3D feature space is used to predict the discharge status through GRU. Moreover, a quantitative labeling method of machining state is proposed to improve the stability of the model. Due the effective features and the quantitative labeling method, the proposed approach achieves better predict result comparing with the single GRU model.


2021 ◽  
Author(s):  
yuwei wang ◽  
Xiwang Li ◽  
Ziqing GUO ◽  
Jiahui HU ◽  
Qizheng Ye
Keyword(s):  

2021 ◽  
Author(s):  
Alberto Palazzuoli ◽  
Kristen M. Tecson ◽  
Marco Vicenzi ◽  
Fabrizio D’Ascenzo ◽  
Gaetano Maria De Ferrari ◽  
...  

Abstract Background: Antecedent use of renin angiotensin aldosterone inhibitors (RAASi) appears crucial to prevent clinical deterioration and protect against cardiovascular and/or thrombotic complications of Coronavirus Disease (COVID-19), for indicated patients. Doubts have been raised about continuing treatment throughout infection, and nothing is known regarding its effect with concomitant medications. Hence, the purpose of this paper is to evaluate the differential effect of RAASi continuation in patients hospitalized with COVID-19 according to diuretic use.Methods: We used the Coracle (epidemiology, clinical characteristics, and therapy in real life patients affected by Sars-Cov-2) multi-center registry, which contains data of hospitalized patients with COVID-19 from 4 regions of Italy. We performed analyses on adult (50+ years) records with admission on/after February 22, 2020 with a known mortality or discharge status as of April 1, 2020. We constructed a multivariable Firth logistic regression model to complete our objective.Results: There were 286 patients in this analysis. Overall, 100 (35.0%) patients continued RAASi and 186 (65%) discontinued. There were 98 patients who were treated with a diuretic; 51 (52%) of those continued RAASi. The in-hospital mortality rates among patients treated with a diuretic and continued vs. discontinued RAASi were 7.8% vs 25.5% (p = 0.0179). There were 188 patients who were not treated with a diuretic; 49 (26.1%) of those continued RAASi. The in-hospital mortality rates among patients who were not treated with a diuretic and continued vs. discontinued RAASi were 16.3% vs 9.4% (p = 0.1827). After accounting for age, congestive heart failure, and coronary heart disease/ischemic heart disease, continuing RAASi decreased the risk of mortality by approximately 72% (OR = 0.28, 95% CI = 0.08 – 0.94, p = 0.0391) for patients treated with diuretics, but did not alter the risk in patients who were not treated with diuretics.Conclusion: Diuretic use in hospitalized patients with COVID-19 who were on RAASi prior to admission was associated with increased risk of in-hospital mortality. Whether this combined therapy increases risk or is the reflection of a more severe presentation deserves further investigation. Continuing RAASi therapy in patients concomitantly treated with diuretics was associated with reduced in-hospital mortality.


Sign in / Sign up

Export Citation Format

Share Document