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[PMID]:27773454
[Au] Autor:McIlvennan CK; Lindenfeld J; Kao DP
[Ad] Endereço:Division of Cardiology, School of Medicine, University of Colorado, Aurora, Colorado, USA. Electronic address: colleen.mcilvennan@ucdenver.edu.
[Ti] Título:Sex differences and in-hospital outcomes in patients undergoing mechanical circulatory support implantation.
[So] Source:J Heart Lung Transplant;36(1):82-90, 2017 Jan.
[Is] ISSN:1557-3117
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Mechanical circulatory support (MCS) is a widely available management strategy. No studies have described sex differences in both extracorporeal and durable MCS. We analyzed sex-related differences of in-hospital outcomes for extracorporeal and durable MCS using administrative hospital data. METHODS: In total, 134.5 million hospital records between 1994 and 2012 were screened for placement of MCS using procedure codes of the International Classification of Diseases-9, Clinical Modification. Major adverse events (MAEs) were defined as death, major bleeding, stroke, device infection or mechanical complication. Participation in the Interagency Registry for Mechanically Assisted Circulatory Support (INTERMACS) registry was determined on an annual basis using quarterly reports of the INTERMACS. Associations between characteristics and outcomes were determined using multivariable logistic regression. RESULTS: Sex was reported in 3,523 of 4,337 patients undergoing MCS placement from 45 INTERMACS sites (n = 1,383) and 246 non-INTERMACS sites (n = 2,954). Twenty-two percent were female. Baseline characteristics were significantly different with women being slightly younger (33.5% vs 27.4% age <50 years, p < 0.001; mean 55.7 ± 17.3 vs 56.1 ± 14.6 years) with fewer comorbidities. Women had higher rates of in-hospital mortality (52.3% vs 40.8%, p < 0.001) and MAEs (64.8% vs 52.5%, p < 0.001). Women had an 89% higher likelihood of MAEs when corrected for multivariate predictors (p < 0.001). In-hospital mortality decreased over time for both men and women (10% relative risk reduction/year, p < 0.001), but mortality in women was higher than in men throughout the study period. CONCLUSION: There are significant sex differences in characteristics and outcomes of patients receiving MCS. Women had higher in-hospital mortality and were at increased risk of MAEs, which could not be explained by age or comorbid conditions. Further research on the causes of these disproportionate outcomes is needed.
[Mh] Termos MeSH primário: Insuficiência Cardíaca/terapia
Coração Auxiliar/efeitos adversos
Registros Hospitalares
Medição de Risco/métodos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Feminino
Insuficiência Cardíaca/mortalidade
Mortalidade Hospitalar/tendências
Seres Humanos
Estimativa de Kaplan-Meier
Masculino
Meia-Idade
Estudos Retrospectivos
Fatores de Risco
Distribuição por Sexo
Fatores Sexuais
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


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[PMID]:27777376
[Au] Autor:Brameld K; Spilsbury K; Rosenwax L; Murray K; Semmens J
[Ad] Endereço:1 Centre for Population Health Research, Faculty of Health Sciences, Curtin University, Perth, WA, Australia.
[Ti] Título:Issues using linkage of hospital records and death certificate data to determine the size of a potential palliative care population.
[So] Source:Palliat Med;31(6):537-543, 2017 Jun.
[Is] ISSN:1477-030X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Studies aiming to identify palliative care populations have used data from death certificates and in some cases hospital records. The size and characteristics of the identified populations can show considerable variation depending on the data sources used. It is important that service planners and researchers are aware of this. AIM: To illustrate the differences in the size and characteristics of a potential palliative care population depending on the differential use of linked hospital records and death certificate data. DESIGN: Retrospective cohort study. SETTING/PARTICIPANTS: The cohort consisted of 23,852 people aged 20 years and over who died in Western Australia between 1 January 2009 and 31 December 2010 after excluding deaths related to pregnancy or trauma. Within this cohort, the number, proportion and characteristics of people who died from one or more of 10 medical conditions considered amenable to palliative care were identified using linked hospital records and death certificate data. RESULTS: Depending on the information source(s) used, between 43% and 73% of the 23,852 people who died had a condition potentially amenable to palliative care identified. The median age at death and the sex distribution of the decedents by condition also varied with the information source. CONCLUSION: Health service planners and researchers need to be aware of the limitations when using hospital records and death certificate data to determine a potential palliative care population. The use of Emergency Department and other administrative data sources could further exacerbate this variation.
[Mh] Termos MeSH primário: Atestado de Óbito
Registros Hospitalares/estatística & dados numéricos
Registro Médico Coordenado/normas
Determinação de Necessidades de Cuidados de Saúde/normas
Cuidados Paliativos/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Austrália Ocidental
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE
[do] DOI:10.1177/0269216316673550


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[PMID]:28678807
[Au] Autor:Zou K; Xiao FK; Li HY; Zhou Q; Ban L; Yang M; Kuo CF; Zhang W
[Ad] Endereço:Department of Medical Records and Statistics, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Affiliate Hospital of the University of Electronic Science and Technology, Chengdu, China.
[Ti] Título:Risk of cardiovascular disease in Chinese patients with rheumatoid arthritis: A cross-sectional study based on hospital medical records in 10 years.
[So] Source:PLoS One;12(7):e0180376, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Though the risk of cardiovascular disease (CVD) in rheumatoid arthritis (RA) has been established in Western population, little is known about the risk in Chinese people with RA. Our objective was to estimate the risk of CVD in Chinese people with RA using hospital medical records data. METHODS: The inpatients medical record database 2005-2015 of Sichuan provincial people's hospital was examined. All individuals with a primary diagnosis of RA were included as cases, and those of osteoarthritis (OA) were included as controls, which consisted of the unmatched dataset. Then, RA cases and OA controls were matched by sex and age at 1:1 ratio, forming the matched dataset. The morbidity of CVD (including ischemia heart disease (IHD), congestive heart failure (CHF), et al), stroke and arthrosclerosis were extracted from the database, so as the demographic data and comorbidities related to CVD. Multiple logistic regression analysis was used to estimate the risk of CVD in RA adjusted for demographics and comorbidities using the unmatched dataset. Sensitivity analysis was conducted 1) considering interaction terms between RA and comorbidities, and 2) using multivariable conditional logistic regression for the matched dataset. RESULTS: The unmatched dataset comprised of 1824RA cases and 1995 OA controls and the matched dataset comprised of 1022 pairs of sex and age matched RA and OA patients. RA exhibited increased odds of prevalent CVD compared with OA, and the adjusted ORs (95%CIs) for CVD, stroke, IHD, CHF, and atherosclerosis were1.86(1.42-2.43), 1.11(0.71-1.74), 1.47(0.97-2.24), 2.09(1.03-4.22), and 2.49 (1.97-3.13), respectively, and was 2.26 (1.29-3.96)for IHD further adjusted for interaction term. The matched dataset analysis found similar results. CONCLUSIONS: Chinese people with RA were approximated 2 times more likely to have CVD, IHD, CHF and atherosclerosis compared with those with OA. The findings justified the need of further longitudinal study to establish the causal-relationship between RA and CVD and to estimate the precise risk in this population.
[Mh] Termos MeSH primário: Artrite Reumatoide/epidemiologia
Doenças Cardiovasculares/epidemiologia
Registros Hospitalares/estatística & dados numéricos
Registros Médicos/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Artrite Reumatoide/etnologia
Grupo com Ancestrais do Continente Asiático
Doenças Cardiovasculares/etnologia
China/epidemiologia
Comorbidade
Estudos Transversais
Feminino
Seres Humanos
Modelos Logísticos
Masculino
Meia-Idade
Análise Multivariada
Prevalência
Fatores de Risco
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171006
[Lr] Data última revisão:
171006
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170706
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0180376


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[PMID]:28355307
[Au] Autor:Herrador Z; Fernandez-Martinez A; Gomez-Barroso D; León I; Vieira C; Muro A; Benito A
[Ad] Endereço:National Centre for Tropical Medicine, Health Institute Carlos III (ISCIII in Spanish), Madrid, Spain.
[Ti] Título:Mediterranean spotted fever in Spain, 1997-2014: Epidemiological situation based on hospitalization records.
[So] Source:PLoS One;12(3):e0174745, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Mediterranean spotted fever (MSF) is a zoonotic disease caused by Rickettsia conorii. In Spain, deficiencies in the official reporting result in misreporting of this disease. This study aims to describe the clinical and temporal-spatial characteristics of MSF hospitalizations between 1997 and 2014. MATERIALS AND METHODS: We performed a retrospective descriptive study using the Hospitalization Minimum Data Set (CMBD). All CMBD's hospital discharges with ICD-9 CM code 082.1 were analyzed. Hospitalization rates were calculated and clinical characteristics were described. Spatial distribution of cases and their temporal behavior were also assessed. RESULTS: A total of 4,735 hospitalizations with MSF diagnosis were recorded during the study period, out of which 62.2% were male, mean age of 48. Diabetes mellitus, alcohol dependence syndrome, and chronic liver disease occurred in 10.8%, 2.4% and 2.8% hospitalizations, respectively. The median annual hospitalization rate showed a decreasing trend from a maximum of 12.9 in 1997 to a minimum rate of 3.1 in 2014. Most admissions occurred during the summer, showing a significant annual seasonal behavior. Important regional differences were found. DISCUSSION: Although MSF hospitalization rates have decreased considerably, it remains a public health problem due to its severity and economic impact. Therefore, it would be desirable to improve its oversight and surveillance.
[Mh] Termos MeSH primário: Febre Botonosa/epidemiologia
Febre Botonosa/virologia
Registros Hospitalares/estatística & dados numéricos
Hospitalização/estatística & dados numéricos
Rickettsia conorii/fisiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Alcoolismo/epidemiologia
Febre Botonosa/diagnóstico
Doença Crônica
Comorbidade
Diabetes Mellitus/epidemiologia
Feminino
Interações Hospedeiro-Patógeno
Seres Humanos
Classificação Internacional de Doenças
Modelos Lineares
Hepatopatias/epidemiologia
Masculino
Meia-Idade
Alta do Paciente/estatística & dados numéricos
Estudos Retrospectivos
Espanha/epidemiologia
Síndrome
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170330
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0174745


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[PMID]:28316039
[Au] Autor:Danilack VA; Gee RE; Berthelot DP; Gurvich R; Muri JH
[Ad] Endereço:National Perinatal Information Center, Inc., Providence, RI, USA.
[Ti] Título:Public Health Data in Action: An Analysis of Using Louisiana Vital Statistics for Quality Improvement and Payment Reform.
[So] Source:Matern Child Health J;21(5):988-994, 2017 May.
[Is] ISSN:1573-6628
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Introduction In 2012, the Louisiana (LA) Department of Health and Hospitals revised the LA birth certificate to include medical reasons for births before 39 completed weeks' gestation. We compared the completeness and validity of these data with hospital discharge records. Methods For births occurring 4/1/2012-9/30/2012 at Woman's Hospital of Baton Rouge, we linked maternal delivery and newborn birth data collected through the National Perinatal Information Center with LA birth certificates. Among early term births (37-38 completed weeks' gestation), we quantified the reasons for early delivery listed on the birth certificate and compared them with ICD-9-CM codes from Woman's discharge data. Results Among 4353 birth certificates indicating delivery at Woman's Hospital, we matched 99.8% to corresponding Woman's administrative data. Among 1293 early term singleton births, the most common reasons for early delivery listed on the birth certificate were spontaneous active labor (57.5%), gestational hypertensive disorders (15.3%), gestational diabetes (8.7%), and premature rupture of membranes (8.1%). Only 2.7% of births indicated "other reason" as the only reason for early delivery. Most reasons for early delivery had >80% correspondence with ICD-9-CM codes. Lower correspondence (35 and 72%, respectively) was observed for premature rupture of membranes and abnormal heart rate or fetal distress. Discussion There was near-perfect ability to match LA birth certificates with Woman's Hospital records, and the agreement between reasons for early delivery on the birth certificate and ICD-9-CM codes was high. A benchmark of 2.7% can be used as an attainable frequency of "other reason" for early delivery reported by hospitals. Louisiana implemented an effective mechanism to identify and explain early deliveries using vital records.
[Mh] Termos MeSH primário: Efeitos Psicossociais da Doença
Reforma dos Serviços de Saúde/métodos
Saúde Pública/economia
Melhoria de Qualidade/estatística & dados numéricos
Estatísticas Vitais
[Mh] Termos MeSH secundário: Feminino
Reforma dos Serviços de Saúde/economia
Registros Hospitalares/estatística & dados numéricos
Seres Humanos
Classificação Internacional de Doenças/estatística & dados numéricos
Louisiana/epidemiologia
Parto Normal/economia
Parto Normal/estatística & dados numéricos
Vigilância da População/métodos
Gravidez
Nascimento Prematuro/epidemiologia
Saúde Pública/métodos
Saúde Pública/estatística & dados numéricos
Estatística como Assunto/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171030
[Lr] Data última revisão:
171030
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170320
[St] Status:MEDLINE
[do] DOI:10.1007/s10995-016-2254-z


  6 / 3153 MEDLINE  
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[PMID]:28002751
[Au] Autor:Borsari L; Malagoli C; Ballotari P; De Girolamo G; Bonora K; Violi F; Capelli O; Rodolfi R; Nicolini F; Vinceti M
[Ad] Endereço:Sezione di Sanità Pubblica, Dipartimento di Scienze Biomediche, Metaboliche e Neuroscienze, Università di Modena e Reggio Emilia, Modena, Italy.
[Ti] Título:Validity of hospital discharge records to identify pregestational diabetes in an Italian population.
[So] Source:Diabetes Res Clin Pract;123:106-111, 2017 Jan.
[Is] ISSN:1872-8227
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:AIMS: In recent years, the prevalence of pregestational diabetes (PGDM) and the concern about the possibility of adverse pregnancy outcomes in affected women have been increasing. Routinely collected health data represent a timely and cost-efficient approach in PGDM epidemiological research. This study aims to evaluate the reliability of hospital discharge (HD) coding to identify a population-based cohort of pregnant women with PGDM and to assess trends in prevalence in two provinces of Northern Italy. METHODS: We selected all deliveries occurred in the period 1997-2010 with ICD-9-CM codes for PGDM in HD record and we matched up to 5 controls from mothers without diabetes. We used Diabetes Registers (DRs) as the gold standard for validation analysis. RESULTS: We selected 3800 women, 653 with diabetes and 3147 without diabetes. The agreement between HD records and DRs was 90.7%, with K=0.58. We detected 350 false positives and only 1 false negative. Sensitivity was 99.3%, specificity 90.0%, positive predictive value 46.4% and negative predictive value 99.9%. Of the false positives, 48.6% had gestational diabetes and 2.3% impaired glucose tolerance. After the validation process, PGDM prevalence decreased from 4.4 to 2.0 per 1000 deliveries. CONCLUSIONS: Our results show that HD facilitate detection of almost all PGDM cases, but they also include a large number of false positives, mainly due to gestational diabetes. This misclassification causes a large overestimation of PGMD prevalence. Our findings require accuracy evaluation of ICD-9-CM codes, before they can be widely applied to epidemiological research and public health surveillance related to PGDM.
[Mh] Termos MeSH primário: Diabetes Gestacional/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Feminino
Registros Hospitalares
Seres Humanos
Itália
Sumários de Alta do Paciente Hospitalar
Gravidez
Reprodutibilidade dos Testes
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161222
[St] Status:MEDLINE


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[PMID]:27940508
[Au] Autor:Steurer MA; Jelliffe-Pawlowski LL; Baer RJ; Partridge JC; Rogers EE; Keller RL
[Ad] Endereço:Departments of Pediatrics and steurermullerm@peds.ucsf.edu.
[Ti] Título:Persistent Pulmonary Hypertension of the Newborn in Late Preterm and Term Infants in California.
[So] Source:Pediatrics;139(1), 2017 Jan.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND AND OBJECTIVES: There are limited epidemiologic data on persistent pulmonary hypertension of the newborn (PPHN). We sought to describe the incidence and 1-year mortality of PPHN by its underlying cause, and to identify risk factors for PPHN in a contemporary population-based dataset. METHODS: The California Office of Statewide Health Planning and Development maintains a database linking maternal and infant hospital discharges, readmissions, and birth and death certificates from 1 year before to 1 year after birth. We searched the database (2007-2011) for cases of PPHN (identified by International Classification of Diseases, Ninth Revision codes), including infants ≥34 weeks' gestational age without congenital heart disease. Multivariate Poisson regression was used to identify risk factors associated with PPHN; results are presented as risk ratios, 95% confidence intervals. RESULTS: Incidence of PPHN was 0.18% (3277 cases/1 781 156 live births). Infection was the most common cause (30.0%). One-year mortality was 7.6%; infants with congenital anomalies of the respiratory tract had the highest mortality (32.0%). Risk factors independently associated with PPHN included gestational age <37 weeks, black race, large and small for gestational age, maternal preexisting and gestational diabetes, obesity, and advanced age. Female sex, Hispanic ethnicity, and multiple gestation were protective against PPHN. CONCLUSIONS: This risk factor profile will aid clinicians identifying infants at increased risk for PPHN, as they are at greater risk for rapid clinical deterioration.
[Mh] Termos MeSH primário: Idade Gestacional
Síndrome da Persistência do Padrão de Circulação Fetal/diagnóstico
Síndrome da Persistência do Padrão de Circulação Fetal/epidemiologia
[Mh] Termos MeSH secundário: California
Estudos de Coortes
Estudos Transversais
Bases de Dados Factuais
Feminino
Registros Hospitalares
Seres Humanos
Incidência
Recém-Nascido
Masculino
Síndrome da Persistência do Padrão de Circulação Fetal/etiologia
Síndrome da Persistência do Padrão de Circulação Fetal/mortalidade
Fatores de Risco
Taxa de Sobrevida
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170626
[Lr] Data última revisão:
170626
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161213
[St] Status:MEDLINE


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[PMID]:27620352
[Au] Autor:Jonsson A; Azhar N; Hjalmarsson C
[Ad] Endereço:a Department of Surgery , Halland Hospital , Halmstad , Sweden.
[Ti] Título:Validation of surgical site infection registration in colorectal surgery .
[So] Source:Infect Dis (Lond);49(1):55-61, 2017 Jan.
[Is] ISSN:2374-4243
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Surgical site infection (SSI) represents almost 40% of nosocomial infections. Risk for SSI is most prominent following colorectal surgery. There is no Swedish standard SSI classification or surveillance. We have failed to find validation of SSI surveillance programs presently in use. This study investigates SSI registration routines at Halmstad County Hospital, Sweden (HCH) as well as Swedish surgery departments' SSI classification and reporting practices. METHODS: We requested information regarding SSI surveillance routines from all surgical departments performing colorectal surgery in Sweden. The reliability of SSI data collected routinely at HCH between 1999 and 2008 was approximated by comparing routine reports with data from a prospective study on infection prophylaxis. We calculate how much the reported SSI frequency must change for detection with current surveillance routines. RESULTS: In all, 36 of 56 surgical departments answered a questionnaire; 24 have active SSI registration. Most commonly, SSI is detected with a combination of postoperative control in the outpatient unit and review of medical records after discharge. The department of surgery at HCH reported, from 1999 to 2008, an average SSI rate of 12.7% including emergency surgery. Compared to prospective registration, the routine provided a sensitivity of 0.56 and a specificity of 1.0. A reported frequency of 26% is required to detect a statistically significant increase in SSI. CONCLUSION: Swedish hospital SSI rates cannot be compared, there is neither uniform SSI surveillance nor classification system. The SSI monitoring routine explored in this study is uncertain. Methods must be developed further to obtain reliable data.
[Mh] Termos MeSH primário: Cirurgia Colorretal/efeitos adversos
Infecção Hospitalar/etiologia
Registros Hospitalares
Sistema de Registros
Infecção da Ferida Cirúrgica/epidemiologia
[Mh] Termos MeSH secundário: Infecção Hospitalar/epidemiologia
Seres Humanos
Estudos Prospectivos
Centro Cirúrgico Hospitalar
Inquéritos e Questionários
Suécia/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; VALIDATION STUDIES
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160914
[St] Status:MEDLINE


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[PMID]:27453129
[Au] Autor:Kheirouri S; Alizadeh M
[Ad] Endereço:Department of Nutrition,Tabriz University of Medical Sciences,Tabriz,Iran.
[Ti] Título:IMPACT OF PRENATAL MATERNAL FACTORS AND BIRTH ORDER ON THE ANTHROPOMETRIC STATUS OF NEWBORNS IN IRAN.
[So] Source:J Biosoc Sci;49(2):251-264, 2017 03.
[Is] ISSN:1469-7599
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:This cross-sectional study was carried out to capture possible maternal factors affecting newborns' anthropometric measurements. Data were collected from eight public health centres and referral university hospital records in Tabriz and Heriss districts, north-west Iran, for 807 mother-neonate pairs delivering live singleton births and their offspring during the two years up to August 2014. The incidence of low birth weight (LBW) was 5.1%. A close correlation was found between maternal anthropometry and birth order with neonatal anthropometric data. Birth order and maternal height and body mass index (BMI) positively affected neonates' birth size (weight, length and head circumference). The rate of LBW was significantly higher for older (≥35 years), taller (≥170 cm), underweight (BMI<18.5) and non-iron-taking women and in the first-born babies. The odds of having LBW newborns in older, taller, underweight, obese and irregular iron-taking women were 3.82, 4.00, 9.07, 3.50 and 2.50 times those of mid-age group, middle-height, overweight and regular iron-taking women, respectively. First-born newborns were 5.97 times more likely to be LBW compared with second-birth neonates. The results indicate that maternal anthropometric indices, age, iron intake and birth order influence the risk of LBW in newborns.
[Mh] Termos MeSH primário: Antropometria
Ordem de Nascimento
Peso ao Nascer
Recém-Nascido de Baixo Peso
Mães
[Mh] Termos MeSH secundário: Adolescente
Adulto
Estatura
Índice de Massa Corporal
Peso Corporal
Estudos Transversais
Suplementos Nutricionais
Feminino
Idade Gestacional
Registros Hospitalares
Seres Humanos
Recém-Nascido
Irã (Geográfico)
Idade Materna
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:171122
[Lr] Data última revisão:
171122
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160726
[St] Status:MEDLINE
[do] DOI:10.1017/S0021932016000353


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[PMID]:26158716
[Au] Autor:Freudenmann RW; Espe J; Lang D; Klaus J; Gahr M; Schönfeldt-Lecuona C
[Ad] Endereço:Klinik für Psychiatrie und Psychotherapie III, Universitätsklinikum Ulm.
[Ti] Título:[Psychiatric Emergencies in the Emergency Room of the Ulm University Hospital in 2000 and 2010].
[Ti] Título:Psychiatrische Notfälle auf der medizinischen Notaufnahme des Universitätsklinikums Ulm in den Jahren 2000 und 2010..
[So] Source:Psychiatr Prax;44(1):29-35, 2017 Jan.
[Is] ISSN:1439-0876
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:Despite of the importance of psychiatric emergencies (PE) requiring treatment at an emergency room (ER) little is known about their frequency and current trends in terms of quantity and quality. A retrospective analysis of all PE treated at the ER of the University Hospital Ulm (Germany) in 2000 and 2010. 6 % (2000) or 5 % (2010) of the ER cases were PE. Despite an increase from 369 to 430 cases (+ 16,5 %) their share decreased because of an even stronger increase of other emergencies (+ 33 %). The most frequent PE in 2000 was alcohol intoxication (37,7 %), while it was intoxication with prescribed and/or illicit drugs in 2010 (47,9 %). Patients with alcohol intoxications were significantly younger in 2010 as compared with 2000. Suicide attempts were seen in every fourth PE. They were significantly more frequent in 2010. PEs were generally more frequent in the evening and over the night. This study provides first insight into current trends in PE treated at the ER in Germany. Our data provide an empirical starting point for optimizing clinical care, although the study is limited by its retrospective and mono-centric design.
[Mh] Termos MeSH primário: Serviço Hospitalar de Emergência
Serviços de Emergência Psiquiátrica
Hospitais Universitários
Transtornos Mentais/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Intoxicação Alcoólica/epidemiologia
Intoxicação Alcoólica/terapia
Estudos Transversais
Feminino
Alemanha
Registros Hospitalares/estatística & dados numéricos
Seres Humanos
Incidência
Masculino
Registros Médicos/estatística & dados numéricos
Transtornos Mentais/terapia
Meia-Idade
Admissão do Paciente/estatística & dados numéricos
Medicamentos sob Prescrição
Encaminhamento e Consulta
Estudos Retrospectivos
Drogas Ilícitas
Transtornos Relacionados ao Uso de Substâncias/epidemiologia
Transtornos Relacionados ao Uso de Substâncias/terapia
Tentativa de Suicídio/prevenção & controle
Tentativa de Suicídio/psicologia
Tentativa de Suicídio/estatística & dados numéricos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Prescription Drugs); 0 (Street Drugs)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150710
[St] Status:MEDLINE
[do] DOI:10.1055/s-0035-1552681



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