scholarly journals Impact of COVID ‐19 on glycaemic control: a retrospective cohort study in a local district general hospital

2020 ◽  
Vol 37 (5) ◽  
pp. 164-167
Author(s):  
Aaisha Saqib ◽  
Pratik Solanki ◽  
Matthew Carroll ◽  
Andrew Gough ◽  
Victor Oguntolu
Keyword(s):  
Cohort Study ◽  
Glycaemic Control ◽  
General Hospital ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
District General Hospital ◽  
Local District

Syncope in pulmonary embolism: a retrospective cohort study

2020 ◽  
pp. postgradmedj-2020-138677
Author(s):  
Craig Richmond ◽  
Hannah Jolly ◽  
Chris Isles
Keyword(s):  
Pulmonary Embolism ◽  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
District General Hospital ◽  
Clinical Feature ◽  
Pulmonary Angiogram ◽  
Ct Pulmonary Angiogram ◽  
Age Range ◽  
Symptoms And Signs

ObjectiveTo determine the prevalence of syncope or collapse in pulmonary embolism (PE).MethodsA retrospective cohort study was conducted. We examined the frequency with which syncope or collapse (presyncope) occurred alone or with other symptoms and signs in an unselected series of 224 patients presenting to a district general hospital with PE between September 2012 and March 2016. Confirmation of PE was by CT pulmonary angiogram in each case.ResultsOur cohort of 224 patients comprised 97 men and 127 women, average age 66 years with age range of 21–94 years. Syncope or collapse was one of several symptoms and signs that led to a diagnosis of PE in 22 patients (9.8%) but was never the sole presenting feature. In descending order, these other clinical features were hypoxaemia (17 patients), dyspnoea (12), chest pain (9), tachycardia (7) and tachypnoea (7). ECG abnormalities reported to occur more commonly in PE were found in 13/17 patients for whom ECGs were available. Patients with PE presenting with syncope or collapse were judged to have a large clot load in 15/22 (68%) cases.ConclusionSyncope was a frequent presenting symptom in our study of 224 consecutive patients with PE but was never the sole clinical feature. It would be difficult to justify routine testing for PE in patients presenting only with syncope or collapse.

scholarly journals The effect of diabetes mellitus on the association between measures of glycaemic control and ICU mortality: a retrospective cohort study

Critical Care ◽  
2013 ◽  
Vol 17 (2) ◽  
pp. R52 ◽  
Author(s):  
Marjolein K Sechterberger ◽  
Robert J Bosman ◽  
Heleen M Oudemans-van Straaten ◽  
Sarah E Siegelaar ◽  
Jeroen Hermanides ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Cohort Study ◽  
Glycaemic Control ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Icu Mortality

scholarly journals Survival Status and Determinants of Mortality Among Severely Malnourished Children Aged 0-59 Months Admitted to Jinka Hospital, South Omo Zone, Ethiopia: A Retrospective Cohort Study 

2020 ◽  
Author(s):  
Shegaw Abiyu ◽  
Tesfaye Gobena ◽  
Gudina Egata
Keyword(s):  
Cohort Study ◽  
General Hospital ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Outcome Variable ◽  
Major Public Health Problem ◽  
Proportional Hazard ◽  
Global Test ◽  
Survival Status ◽  
Malnourished Children

Abstract Sever acute malnutrition (SAM) remains a major public health problem contributing to morbidity and mortality among children aged 0-59 months. However, little is known about the survival status and determinants of mortality among children admitted to stabilization centers (SC) in Ethiopia particularly in study setting. The objective: to assess the survival status and determinants of mortality among severely malnourished children aged 0-59 months admitted to SC in Jinka general hospital from September 1, 2014 to August 30, 2018. Hospital based retrospective cohort study design was used among 588 severely malnourished children aged 0-59 months admitted to SC of Jinka general hospital from March 20-30, 2019. Simple random sampling method was used to select medical records of the study participants. Proportional hazard assumption over time was checked by Schoenfeld’s global test. The Kaplan-Mei­er survival curve with log-rank test was used to compare survival across groups. Bivariable and multivariable Cox proportional hazard regression was used to assess the association between each independent variable and the outcome variable. Level of statistical significance was declared at p less than 0.05. Among cohort of children studied, nearly 11% of children were died during follow up. The overall mean survival time was 38 days, 95% CI :( 36.3, 39.7).Urban residence [AHR=2.24, 95% CI: (1.17, 4.30)], presence of dehydration [AHR =3.94, 95% CI:(1.89, 8.22)], presence of shock [AHR=4.15, 95% CI:(2.01, 8.55)], altered body temperature [AHR= 2.01, 95% CI:(1.01, 3.91)], failure to take F100 formula milk [AHR= 4.87, 95%CI:(2.75, 8.63)] and oral antibiotics [AHR=3.57, 95%CI:(1.88,6.77)] were identified to be the independent determinants of mortality The mortality rate for severely undernourished children was higher than global sphere standard and national protocol.Societal and individual level determinants of mortality were identified. Therefore, interventions to reduce mortality should focus on altered clinical conditions and comorbidities/ infections.

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