Predictive factors for emergent surgical intervention in patients with ovarian endometrioma hospitalized for pelvic inflammatory disease: A retrospective observational study

2017 ◽  
Vol 44 (2) ◽  
pp. 286-291
Author(s):  
Reiko Matsuyama ◽  
Akira Tsuchiya ◽  
Osamu Nishii
Keyword(s):  
Observational Study ◽  
Pelvic Inflammatory Disease ◽  
Predictive Factors ◽  
Inflammatory Disease ◽  
Surgical Intervention ◽  
Retrospective Observational Study ◽  
Ovarian Endometrioma

scholarly journals Bali Belly: Salmonella senftenberg Found in an Infected Ovarian Endometrioma

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
P. D. M. Pathiraja ◽  
Junaid Rafi ◽  
Emily Woolnough ◽  
Anna Clare
Keyword(s):  
Septic Shock ◽  
Abdominal Pain ◽  
Pelvic Inflammatory Disease ◽  
Antibiotic Treatment ◽  
Bacterial Translocation ◽  
Inflammatory Disease ◽  
Peritoneal Fluid ◽  
Ovarian Endometrioma ◽  
Surgical Evacuation ◽  
Salmonella Senftenberg

Salmonella is an extremely rare cause of an infected endometrioma. We present a case of a 30-year-old immunocompetent woman presenting with fevers and abdominal pain, on a background of prior endometriosis. Initial antibiotic treatment for pelvic inflammatory disease failed, and the patient progressed to septic shock requiring surgical evacuation of an infected ovarian endometrioma. Microbiological samples from stool, ovary, and peritoneal fluid revealed infection with Salmonella senftenberg. The likely diagnosis was Salmonella enterocolitis with bacterial translocation to an ovarian endometrioma.

scholarly journals Predictive factors for successful INTELLiVENT-ASV® use: a retrospective observational study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Shinshu Katayama ◽  
Ken Tonai ◽  
Jun Shima ◽  
Kansuke Koyama ◽  
Shin Nunomiya
Keyword(s):  
Observational Study ◽  
Predictive Factors ◽  
Retrospective Observational Study

scholarly journals Epidemiology and Clinical Outcome of Patients Hospitalized With Pelvic Inflammatory Disease Complicated by Tubo-Ovarian Abscess

1995 ◽  
Vol 3 (4) ◽  
pp. 135-139 ◽  
Author(s):  
Ying Chan ◽  
Winsome Parchment ◽  
Joan H. Skurnick ◽  
Laura Goldsmith ◽  
Joseph J. Apuzzio
Keyword(s):  
Clinical Outcome ◽  
Antibiotic Therapy ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Surgical Intervention ◽  
Severe Disease ◽  
University Hospital ◽  
Hospital Stays ◽  
Wbc Count ◽  
Ovarian Abscess

Objective: The purpose of this retrospective study was to compare the clinical outcome and characteristics of pelvic inflammatory disease (PID) complicated by tubo-ovarian abscess (TOA) with PID without TOA.Methods: Chart reviews were performed for all PID admissions to the University of Medicine and Dentistry of New Jersey-University Hospital, Newark, NJ, from January 1, 1992, to December 31, 1993.Results: The incidence in this study of TOA based on sonographic evidence of a complex adnexal mass was 18%. The major differences between the patients with and without TOAs were 1) history of hospitalization for PID: 68% (13/19) vs. 29% (25/85); 2) increased erythrocyte sedimentation rate: 82 vs. 41 mm/h; 3) increased WBC count on admission: 16,200 vs. 14,700/ml; 4) failure to respond to initial antibiotic therapy; and 5) longer hospital stay: 7.8 vs. 4.4 days, respectively. Surgical intervention was required in 3 patients: 2 patients who had TOAs and 1 patient who did not have a TOA by clinical examination or by ultrasound.Conclusions: Despite longer hospital stays and blood tests suggesting more severe disease processes, PID complicated by TOA is usually responsive to intravenous (IV) antibiotic therapy without the need for surgical intervention.

scholarly journals Assault-related severe ocular chemical injury at a London ophthalmic referral hospital: a 3-year retrospective observational study

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e038109
Author(s):  
Jeremy John Hoffman ◽  
Edward Joshua Casswell ◽  
Alex John Shortt
Keyword(s):  
Observational Study ◽  
Outcome Measures ◽  
Surgical Intervention ◽  
Retrospective Observational Study ◽  
Secondary Outcome ◽  
Tertiary Referral ◽  
Work Related ◽  
Number Of Patients ◽  
Grade 3

ObjectivesTo understand the incidence, causes, management and outcomes of intentional (assault) and unintentional severe ocular chemical injuries (SOCI) at an urban tertiary referral centre in the UK.DesignRetrospective observational study.SettingA London tertiary referral ophthalmic centre, Moorfields Eye Hospital.ParticipantsAll cases of SOCI presenting between 1 September 2011 and 31 August 2014 were identified. The definition of SOCI was grade 3 or 4 on the Hughes-Roper-Hall classification system. We identified 25 cases (6 in 2011–2012, 8 in 2012–2013, 11 in 2013–2014). Median age was 31.1 years. 23 cases (92%) were male.Primary and secondary outcome measuresThe primary outcome was the proportion of cases of SOCI caused by assault, per year. Secondary outcome measures included the number of cases of SOCI, injury characteristics and mechanism, initial and long-term management, visual outcome and the need for surgical intervention.ResultsBetween 2011 and 2012, 3/6 cases were due to assault (50%); between 2012 and 2013, 7/8 were due to assault (87.5%); and between 2013 and 2014, 6/11 were due to assault (54.4%). Assault was responsible for 16/25 (64%) cases overall, while 8/25 (32%) cases were work related. The causative agent was known to be alkali in 16/25 (64%), while 10/25 (40%) did not complete the follow-up. The mean number of clock hours of limbal ischaemia was 5.24 (SD 2.97). 17/25 (68%) were Hughes-Roper-Hall grade 3. Surgical intervention occurred in 1/25. The final best-corrected visual acuity was 6/12 or worse in 11/25 (44%) and was counting fingers or worse in 4/25 (16%).ConclusionsPrevious studies found that SOCI had a low incidence and that work-related injuries were the most common cause. Our study demonstrates an increasing incidence of SOCI, which may be accounted for by a rise in assault using corrosive substances. A high number of patients did not attend regularly for follow-up and visual outcomes from these injuries are poor.

scholarly journals Predictive factors for successful INTELLiVENT-ASV® use: A retrospective observational study

2020 ◽  
Author(s):  
Shinshu Katayama ◽  
Ken Tonai ◽  
Jun Shima ◽  
Kansuke Koyama ◽  
Shin Nunomiya
Keyword(s):  
Observational Study ◽  
Predictive Factors ◽  
Organizational Factors ◽  
Apache Ii ◽  
Retrospective Observational Study ◽  
Receiver Operating Curve ◽  
Apache Ii Score ◽  
Successful Management ◽  
Factors Associated ◽  
Success Group

Abstract Background: INTELLiVENT-ASV® (I-ASV) is a closed-loop ventilation mode that automatically controls the ventilation settings. Although a number of studies have reported the usefulness of I-ASV, the clinical situations in which it may be useful have not yet been clarified. We aimed to report our initial 3 years of experience using I-ASV, particularly the clinical conditions and the technical and organizational factors associated with its use. Furthermore, we evaluated the usefulness of I-ASV and determined the predictive factors for successful management with I-ASV. Methods: This single-center, retrospective observational study included patients who were ventilated using the Hamilton G5® ventilator (Hamilton Medical AG, Rhäzüns, Switzerland) from January 2016 to December 2018. The patients were categorized into the “I-ASV success” group and “I-ASV failure” group (those receiving mechanical ventilation with I-ASV along with any other mode). Multivariate analysis was performed to identify factors associated with successful I-ASV management.Results : Of the 189 patients, 135 (71.4%) were categorized into the I-ASV success group. In the I-ASV success group, the reasons for ICU admission included post-elective surgery (94.1%), post-emergent surgery (81.5%), and other medical reasons (55.6%). I-ASV failure was associated with a low P/F ratio (278 vs. 167, P = 0.0003) and high Acute Physiology and Chronic Health Evaluation (APACHE) II score (21 vs. 26, P < 0.0001). The main reasons for not using I-ASV included strong inspiratory effort and asynchrony. The APACHE II score was an independent predictive factor for successful management with I-ASV, with an odds ratio of 0.92 (95% confidential interval 0.87–0.96, P = 0.0006). The area under the receiver operating curve for the APACHE II score was 0.722 (cut-off: 24). Conclusions : In this study, we found that 71.4% of the fully mechanically ventilated patients could be managed successfully with I-ASV. The APACHE II score was an independent factor that could help predict the successful management of I-ASV. To improve I-ASV management, it is necessary to focus on patient-ventilator interactions.

scholarly journals Predictive factors for successful INTELLiVENT-ASV® use: A retrospective observational study

2020 ◽  
Author(s):  
Shinshu Katayama ◽  
Ken Tonai ◽  
Jun Shima ◽  
Kansuke Koyama ◽  
Shin Nunomiya
Keyword(s):  
Observational Study ◽  
Predictive Factors ◽  
Organizational Factors ◽  
Apache Ii ◽  
Retrospective Observational Study ◽  
Receiver Operating Curve ◽  
Apache Ii Score ◽  
Successful Management ◽  
Factors Associated ◽  
Success Group

Abstract Background: INTELLiVENT-ASV® (I-ASV) is a closed-loop ventilation mode that automatically controls the ventilation settings. Although a number of studies have reported the usefulness of I-ASV, the clinical situations in which it may be useful have not yet been clarified. We aimed to report our initial 3 years of experience using I-ASV, particularly the clinical conditions and the technical and organizational factors associated with its use. Furthermore, we evaluated the usefulness of I-ASV and determined the predictive factors for successful management with I-ASV. Methods: This single-center, retrospective observational study included patients who were ventilated using the Hamilton G5® ventilator (Hamilton Medical AG, Rhäzüns, Switzerland) from January 2016 to December 2018. The patients were categorized into the “I-ASV success” group and “I-ASV failure” group (those receiving mechanical ventilation with I-ASV along with any other mode). Multivariate analysis was performed to identify factors associated with successful I-ASV management.Results : Of the 189 patients, 135 (71.4%) were categorized into the I-ASV success group. In the I-ASV success group, the reasons for ICU admission included post-elective surgery (94.1%), post-emergent surgery (81.5%), and other medical reasons (55.6%). I-ASV failure was associated with a low P/F ratio (278 vs. 167, P = 0.0003) and high Acute Physiology and Chronic Health Evaluation (APACHE) II score (21 vs. 26, P < 0.0001). The main reasons for not using I-ASV included strong inspiratory effort and asynchrony. The APACHE II score was an independent predictive factor for successful management with I-ASV, with an odds ratio of 0.92 (95% confidential interval 0.87–0.96, P = 0.0006). The area under the receiver operating curve for the APACHE II score was 0.722 (cut-off: 24). Conclusions :In this study, we found that 71.4% of the fully mechanically ventilated patients could be managed successfully with I-ASV. The APACHE II score was an independent factor that could help predict the successful management of I-ASV. To improve I-ASV management, it is necessary to focus on patient-ventilator interactions.

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