Evaluation of factors associated with prolonged hospital stay and outcome of febrile neutropenic patients receiving chemotherapy: 70 cases (1997-2010)

2012 ◽  
Vol 12 (4) ◽  
pp. 266-276 ◽  
Author(s):  
B. M. Britton ◽  
M. E. Kelleher ◽  
T. P. Gregor ◽  
K. U. Sorenmo
2019 ◽  
Vol 19 (7) ◽  
pp. 549-552
Author(s):  
Serric Suthesh Willeam Peter ◽  
Sharifah Syed Hassan ◽  
Victoria Phooi Khei Tan ◽  
Chin Fang Ngim ◽  
Nur Amelia Azreen Adnan ◽  
...  

2016 ◽  
Vol 94 (9) ◽  
pp. 531-536
Author(s):  
José María Enriquez-Navascués ◽  
Garazi Elorza ◽  
Carlos Placer ◽  
Ander Timoteo ◽  
Leyre Velaz ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chang Hun Lee ◽  
Hoon Gil Jo ◽  
Eun Young Cho ◽  
Jae Sun Song ◽  
Gum Mo Jung ◽  
...  

Abstract Background/aims This study aimed to investigate the factors associated with prolonged hospital stay and in-hospital mortality in patients with pyogenic liver abscess. Methods We retrospectively reviewed data from patients with pyogenic liver abscess who were admitted between 2005 and 2018 at three tertiary hospitals in Jeonbuk province, South Korea. Prolonged hospital stay was defined as a duration of hospital admission of more than 21 days. Results A total of 648 patients (406 men and 242 women) diagnosed with pyogenic liver abscess were enrolled in the study. The mean maximal diameter of the liver abscess was 5.4 ± 2.6 cm, and 74.9% of the lesions were single. The three groups were divided according to the maximal diameter of the abscess. Laboratory parameters indicated a more severe inflammatory state and higher incidence of complications and extrahepatic manifestations with increasing abscess size. Rates of percutaneous catheter drainage (PCD) insertion, multiple PCD drainage, and salvage procedures as well as duration of drainage were also higher in the large liver abscess group. Of note, the duration of hospitalization and in-hospital mortality were significantly higher in the large hepatic abscess group. A multivariate analysis revealed that underlying diabetes mellitus, hypoalbuminemia, high baseline high-sensitivity C-reactive protein (hs-CRP) and procalcitonin levels, and large maximal abscess diameter were independent factors associated with prolonged hospital stay. Regarding in-hospital mortality, acute kidney injury at admission and maximal diameter of the abscess were independent factors associated with in-hospital mortality. Conclusions A large maximal diameter of the liver abscess at admission indicated prolonged hospitalization and poor prognosis. More aggressive treatment strategies with careful monitoring are warranted in patients with large liver abscesses.


2008 ◽  
Vol 1 (1) ◽  
pp. 12-16
Author(s):  
Toshikazu Abe ◽  
Yasuharu Tokuda ◽  
Gerald H. Stein ◽  
Shinichi Ishimatsu ◽  
Richard B. Birrer

2012 ◽  
Vol 60 (6) ◽  
pp. 1190-1191 ◽  
Author(s):  
Taro Kojima ◽  
Masahiro Akishita ◽  
Yumi Kameyama ◽  
Kiyoshi Yamaguchi ◽  
Hiroshi Yamamoto ◽  
...  

Author(s):  
José Ignacio Rodríguez-Hermosa ◽  
Olga Delisau ◽  
Pere Planellas-Giné ◽  
Lídia Cornejo ◽  
Alejandro Ranea ◽  
...  

2020 ◽  
Author(s):  
Nan Guo ◽  
Haiyin Ji ◽  
Dongyi Tong ◽  
Jiaxin Yao ◽  
Ping Zhao

Abstract Background: Necrotizing enterocolitis (NEC) is one of the most common and devastating diseases that occurs in neonates, and often requires surgical intervention. Hyperglycemia or hypoglycemia can easily occur in newborns, due to their metabolic immaturity. It remains unknown how factors associated with anesthesia especially perioperative glucose level affect the surgical outcomes of neonates with NEC. In this retrospective observational study, we analyzed the risk factors associated with prolonged hospitalization among neonates who received surgical treatment for necrotizing enterocolitis.Methods: From January 2016 to October 2019, a total of 204 infants with a gestational age of 28 weeks to 40 weeks underwent open surgery for NEC at Shengjing Hospital of China Medical University. Among those infants, 111 patients were assigned to the well glycemic control group and 93 patients were assigned to the poor glycemic control group. The primary study outcome was the length of postoperative hospital stay. Risk factors that may affect surgical outcomes were collected and analyzed via multivariate logistic regression to determine their association with postoperative hospital stay.Results: A multivariate logistic regression analysis showed that high preoperative weight (OR=0.995, 95%CI=0.992-0.997, p<0.001) and well glycemic control (OR=0.129, 95%CI=0.031-0.535, p=0.005) were independent protective factors for prolonged hospital stay, whereas long duration of endotracheal intubation in NICU(OR=1.239, 95%CI=1.016-1.512, p=0.035) and long days of antibiotics use (OR=1.421, 95%CI=1.233-1.637, p<0.001) were independent risk factors for prolonged hospital stay. Patients with perioperative blood glucose control within the prespecified range(47-150mg/dL) had shorter postoperative hospital stays than those with perioperative blood glucose measurements outside those limits (22 [18,26] vs 29 [24.5,36.5] days, p <0.001).Conclusions: Perioperative glucose levels outside a pre-specified range were an independent risk factor for a prolonged hospital stay in a population of neonates who underwent surgical repair for NEC.


Sign in / Sign up

Export Citation Format

Share Document