scholarly journals Clinical Research of Mortality in Emergency Air Medical Transport

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Wan-Lin Chen ◽  
Hon-Ping Ma ◽  
Chih-Hsiung Wu ◽  
Hung-Yi Chiou ◽  
Yun Yen ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Physician Density ◽  
Main Island ◽  
National Health Care ◽  
The Past ◽  
Medical Transport ◽  
Remote Islands ◽  
Increasing Demand ◽  
Interfacility Transport ◽  
Overall Mortality

Introduction.EAMT in Taiwan has experienced increasing demand in the past few years. The objective is to analyze the trend of EAMT in the past six years and mortality rate within three days of patients undergoing interfacility transport in Taiwan.Material and Method.We conducted a retrospective review of patients who were airlifted from remote islands to main island between 2006 and 2011. Main outcome measures are EAMT number (EAMT-N), EAMT per thousand population (EAMT frequency, EAMT-F), number of mortality (Mor-N), and mortality rate within three days after EAMT (Mor-R).Results and Discussion.Overall mortality rate is 7.54% in 1684 airlifted patients. Acute myocardial infarction (AMI, 26.3%) and traumatic brain injury (TBI, 25.8%) comprise the majority in diagnosis (52.1%). However, Mor-Rin these two categories is significantly low in AMI (3.5%) and TBI (5.1%).Conclusion.The present study demonstrates that physician density is not related to EAMT-Nbut to physician number. As general population ages (10%), the average age of patient who underwent EAMT doubled (21%). This study also leaves room for discussion regarding futile medical care. The results can be used as a reference for increasing utilization of EAMT in current National Health Care Scheme.

THE TREATMENT OF INTUSSUSCEPTION IN INFANCY AND CHILDHOOD

PEDIATRICS ◽  
1955 ◽  
Vol 15 (3) ◽  
pp. 291-297
Author(s):  
George B. Packard
Keyword(s):  
Mortality Rate ◽  
Short Duration ◽  
Barium Enema ◽  
Economic Loss ◽  
Adequate Treatment ◽  
The Past ◽  
Initial Surgery ◽  
Infancy And Childhood ◽  
Electrolyte Replacement ◽  
Overall Mortality

1. The experience at the Denver Children's Hospital over the past 20 years has been analyzed in 2 10-year periods. Results in the last 10 years represent more accurately the improvements in general therapy including anesthesia, fluid and electrolyte replacement and anti-bacterial agents. 2. One hundred twenty-four cases of intussception were treated during the 20 years with an overall mortality rate of 7.2 per cent, and an operative mortality rate of 3.3 per cent. In the past 10 years, 89 cases were admitted, of which 3 died, all deaths being in moribund cases not mechanically treated, leaving no mortality following hydrostatic or surgical procedures. 3. In the last 10-year period, 47 cases were treated with initial surgery with no deaths; 39 were treated with initial barium enema, 19 of these enemas being followed by surgery, also with no deaths. 4. Most of the successful barium enema cases were those of short duration. But short duration does not insure reduction nor does the method always fail in late cases. 5. The main advantage of barium enema would seem to be its simplicity and an even chance of success in early cases thus avoiding unnecessary surgery and economic loss. The main advantage of initial surgery would seem to be its more positive approach and more definite assurance of adequate treatment.

Brain-eating Amoebae Infection: Challenges and Opportunities in Chemotherapy

2019 ◽  
Vol 19 (12) ◽  
pp. 980-987 ◽  
Author(s):  
Mohammad Ridwane Mungroo ◽  
Ayaz Anwar ◽  
Naveed Ahmed Khan ◽  
Ruqaiyyah Siddiqui
Keyword(s):  
Mortality Rate ◽  
Free Living ◽  
Outdoor Activities ◽  
The Past ◽  
Free Living Amoeba ◽  
Challenges And Opportunities ◽  
Life Threatening ◽  
The Central Nervous System ◽  
Living Nature ◽  
Treatment And Diagnosis

Pathogenic free-living amoeba are known to cause a devastating infection of the central nervous system and are often referred to as “brain-eating amoebae”. The mortality rate of more than 90% and free-living nature of these amoebae is a cause for concern. It is distressing that the mortality rate has remained the same over the past few decades, highlighting the lack of interest by the pharmaceutical industry. With the threat of global warming and increased outdoor activities of public, there is a need for renewed interest in identifying potential anti-amoebic compounds for successful prognosis. Here, we discuss the available chemotherapeutic options and opportunities for potential strategies in the treatment and diagnosis of these life-threatening infections.

scholarly journals Prospective cohort study of mortality in very low birthweight infants in a single centre in the Eastern Cape province, South Africa

2021 ◽  
Vol 5 (1) ◽  
pp. e000918
Author(s):  
Isabel A Michaelis ◽  
Ingeborg Krägeloh-Mann ◽  
Ncomeka Manyisane ◽  
Mikateko C Mazinu ◽  
Esme R Jordaan
Keyword(s):  
South Africa ◽  
Cohort Study ◽  
Birth Weight ◽  
Mortality Rate ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Low Birthweight ◽  
Eastern Cape Province ◽  
Eastern Cape ◽  
Overall Mortality

BackgroundNeonatal mortality is a major contributor worldwide to the number of deaths in children under 5 years of age. The primary objective of this study was to assess the overall mortality rate of babies with a birth weight equal or below 1500 g in a neonatal unit at a tertiary hospital in the Eastern Cape Province, South Africa. Furthermore, different maternal-related and infant-related factors for higher mortality were analysed.MethodsThis is a prospective cohort study which included infants admitted to the neonatal wards of the hospital within their first 24 hours of life and with a birth weight equal to or below 1500 g. Mothers who consented answered a questionnaire to identify factors for mortality.Results173 very low birth weight (VLBW) infants were recruited in the neonatal department between November 2017 and December 2018, of whom 55 died (overall mortality rate 32.0%). Twenty-three of the 44 infants (53,5%) with a birth weight below 1000 g died during the admission. One hundred and sixty-one mothers completed the questionnaire and 45 of their babies died.Main factors associated with mortality were lower gestational age and lower birth weight. Need for ventilator support and sepsis were associated with higher mortality, as were maternal factors such as HIV infection and age below 20 years.ConclusionThis prospective study looked at survival of VLBW babies in an underprivileged part of the Eastern Cape of South Africa. Compared with other public urban hospitals in the country, the survival rate remains unacceptably low. Further research is required to find the associated causes and appropriate ways to address these.

scholarly journals All-cause mortality and location of death in patients with established cardiovascular disease before, during, and after the COVID-19 lockdown: a Danish Nationwide Cohort Study

2021 ◽  
Author(s):  
Jawad H Butt ◽  
Emil L Fosbøl ◽  
Thomas A Gerds ◽  
Charlotte Andersson ◽  
Kristian Kragholm ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Mortality Rate ◽  
Hospital Mortality ◽  
Location Of Death ◽  
All Cause Mortality ◽  
History Of ◽  
Adjusted Incidence Rate ◽  
Artery Disease ◽  
Adjusted Incidence ◽  
Overall Mortality

Abstract Background On 13 March 2020, the Danish authorities imposed extensive nationwide lockdown measures to prevent the spread of the coronavirus disease 2019 (COVID-19) and reallocated limited healthcare resources. We investigated mortality rates, overall and according to location, in patients with established cardiovascular disease before, during, and after these lockdown measures. Methods and results Using Danish nationwide registries, we identified a dynamic cohort comprising all Danish citizens with cardiovascular disease (i.e. a history of ischaemic heart disease, ischaemic stroke, heart failure, atrial fibrillation, or peripheral artery disease) alive on 2 January 2019 and 2020. The cohort was followed from 2 January 2019/2020 until death or 16/15 October 2019/2020. The cohort comprised 340 392 and 347 136 patients with cardiovascular disease in 2019 and 2020, respectively. The overall, in-hospital, and out-of-hospital mortality rate in 2020 before lockdown was significantly lower compared with the same period in 2019 [adjusted incidence rate ratio (IRR) 0.91, 95% confidence interval (CI) CI 0.87–0.95; IRR 0.95, 95% CI 0.89–1.02; and IRR 0.87, 95% CI 0.83–0.93, respectively]. The overall mortality rate during and after lockdown was not significantly different compared with the same period in 2019 (IRR 0.99, 95% CI 0.97–1.02). However, the in-hospital mortality rate was lower and out-of-hospital mortality rate higher during and after lockdown compared with the same period in 2019 (in-hospital, IRR 0.92, 95% CI 0.88–0.96; out-of-hospital, IRR 1.04, 95% CI1.01–1.08). These trends were consistent irrespective of sex and age. Conclusions Among patients with established cardiovascular disease, the in-hospital mortality rate was lower and out-of-hospital mortality rate higher during lockdown compared with the same period in the preceding year, irrespective of age and sex.

Characteristics and Outcomes of Critically Ill Patients with COVID-19 Disease in Jordan

2020 ◽  
pp. 1-3
Author(s):  
Hasan Ibrahim Al-Balas ◽  
Keyword(s):  
Health Care ◽  
Mortality Rate ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Tertiary Hospital ◽  
Published Data ◽  
First Case ◽  
Global Health Care ◽  
Novel Coronavirus ◽  
Overall Mortality

Introduction: Coronavirus disease 2019 (COVID-19) is an emerging global health care threat that is caused by a novel coronavirus named 2019-nCoV (SARS-CoV-2). The first case of diagnosed COVID-19 patient was declared in Jordan in early March 2020. As of June 8, Jordan had confirmed 831 cases, with 9 deaths, with an overall mortality rate of 1.08%. As there is no published data about critically ill patients in Jordan, we aimed to describe the characteristics and outcomes of critically ill COVID-19 patients in a tertiary hospital in Jordan.

scholarly journals DECREASING PREVALENCE OF THE ACUTE/SUBACUTE CLINICAL FORM OF PARACOCCIDIOIDOMYCOSIS IN MATO GROSSO DO SUL STATE, BRAZIL

2014 ◽  
Vol 56 (2) ◽  
pp. 121-125 ◽  
Author(s):  
Larissa Rodrigues Fabris ◽  
Úrsulla Vilella Andrade ◽  
Aline Ferreira Dos Santos ◽  
Ana Paula da Costa Marques ◽  
Sandra Maria do Valle Leone de Oliveira ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Age Distribution ◽  
Epidemiological Data ◽  
Infection Prevalence ◽  
Age Group ◽  
Clinical Form ◽  
Mato Grosso ◽  
Co Morbidity ◽  
Mato Grosso Do Sul ◽  
Overall Mortality

With the objective to evaluate the behavior of paracoccidioidomycosis in the last three decades, clinical and epidemiological data of 595 patients admitted to clinical services of the Federal University of Mato Grosso do Sul from 1980 to 2009 were investigated. Gender, age distribution, clinical form, comorbidity with tuberculosis or AIDS, and mortality were compared by decades of clinical admission. It was shown that during the three decades there was a decrease in women percentage, and the same manner occurred a reduction in participants in the age group of 20 to 39 years. Moreover, the acute/subacute forms have been diminished in the period. These fluctuations are closely related and can be simultaneously analyzed. Increased AIDS co-infection prevalence from the first to the second decade was also revealed, coinciding with the appearance of the retroviral epidemic and stabilizing during the third decade. No change in the tuberculosis co-infection rate was observed (overall = 6.9%). It reinforces the importance of this co-morbidity. The overall mortality rate remained steady at 6.7%, not varying significantly from one decade to another. The persistent mortality rate calls attention to the importance of this neglected disease.

scholarly journals Acute postoperative perforated ulcers of the small bowel as a topical problem of modern surgery

2019 ◽  
Vol 178 (2) ◽  
pp. 33-37
Author(s):  
V. P. Zemlyanoy ◽  
A. B. Singaevskiy ◽  
D. V. Gladyshev ◽  
N. M. Vryblevskiy ◽  
E. M. Nesvit ◽  
...  
Keyword(s):  
Small Intestine ◽  
Small Bowel ◽  
Mortality Rate ◽  
Postoperative Period ◽  
Topical Problem ◽  
Emergency Operations ◽  
Pelvic Organs ◽  
The Past ◽  
Oncological Diseases ◽  
High Level

The objective is to study acute perforated ulcers of the small bowel, which arise as a complication after operations on the abdominal and pelvic organs.Material and methods. A retrospective analysis of patient’s cases whose postoperative period was complicated by the development of acute perforated ulcers of small bowel.Results. Over the past 20 years, the frequency of this complication increased by 8 times. In the structure of primary nosology, various types of oncological diseases prevail (69.4 %), moreover most patients underwent emergency operations. Most often, this complication occurred on the 4–10th day of the postoperative period, and the ulcers were multiple. Among these patients, there was an extremely high mortality rate of 74.2 %.Conclusion. Considering the significant increase in the number of this complication in recent years and the high level of mortality among patients, a detailed study of acute perforated ulcers of the small intestine of the postoperative period is necessary.

scholarly journals A Journey through and beyond the COVID-19 Pandemic in Indian Setup-Lessons Learnt So Far

2021 ◽  
Author(s):  
Divyesh Kumar
Keyword(s):  
Mortality Rate ◽  
Management Strategies ◽  
Health Sector ◽  
Virus Spread ◽  
Health Security ◽  
The Past ◽  
Lessons Learnt ◽  
The People ◽  
Second Wave ◽  
Day By Day

World over life was going at its normal pace when an outbreak occurred in Hubei province of China in the later part of the year 2019. This outbreak was soon found to be caused by a virus named coronavirus (COVID-19). Rapidly the virus spread globally leading to a pandemic. The mortality rate was increasing day by day and helplessly everyone was wondering what actually could be done to prevent the spread. Lessons from the past epidemic made it possible to think that maintaining social distancing and adequate hygiene might help to combat the ailment. In India, majorly affected were the people from poor strata and the businessmen who were earning their daily bread by selling things of daily need. The health sector too witnessed an alarming ratio of patients suffering from COVID-19. The second wave, which soon followd the first wave, caused much more havoc. Overall, the COVID-19 pandemic, exposed and challanged the health security system of every country. As the danger of pandemic still prevails, steps to curtail the spread of disease and future management strategies should be formulated from the lessons learnt through the COVID-19 phase.

scholarly journals Contingency Plan: Comparison of Health Policies in Managing COVID-19 in Singapore and Indonesia

2021 ◽  
Vol 4 (1) ◽  
pp. 28-34
Author(s):  
Khalish Arsy Al Khairy Siregar ◽  
Deasy Nur Chairin Hanifa
Keyword(s):  
Health Policy ◽  
Mortality Rate ◽  
Good Health ◽  
Disaster Mitigation ◽  
Health Policies ◽  
Economic Activities ◽  
The Past ◽  
System 2 ◽  
The Government ◽  
The Impact

 Introduction: Singapore is one of the countries with the lowest mortality rate and the best handling of COVID-19. Singapore can be an example for Indonesia on COVID 19 pandemic handling.Methods: The method used is a literature review from google platform with these keywords: “Singapore Health Policy in COVID-19, Indonesian Health Policy in COVID-19, Singapore's success in suppressing COVID-19”. The analysis was done by comparing the policies taken from the two countries in dealing with COVID-19.Results: Singapore and Indonesia did indeed have very big differences in terms of government and in broad areas, it cannot be denied that Indonesia can have the same opportunity as Singapore in providing a good health disaster mitigation system for the community. Three factors influence Singapore's success in dealing with COVID-19: 1) having a responsive and efficient health disaster mitigation system, 2) government legitimacy which is determined by the capacity of the state. Singapore has a semi-centralized government with high legitimacy the experience of dealing with pandemics in the past, 3) Singapore's experience with SARS in the past makes Singaporeans understand very well the impact of the pandemic on their economic activities and social life.Conclusion: Several things can be emulated from Singapore in handling COVID-19 was the transparency, strong communication between community and the government, prioritizing the benefit and safety of civil society and building obedience and awareness of Covid 19 prevention.

scholarly journals The Effects of Adjuvant Immunoglobulin M-Enriched Immunoglobulin Therapy on Mortality Rate and Renal Function in Sepsis-Induced Multiple Organ Dysfunction Syndrome: Retrospective Analysis of Intensive Care Unit Patients

2012 ◽  
Vol 40 (3) ◽  
pp. 1166-1174 ◽  
Author(s):  
L Yavuz ◽  
G Aynali ◽  
A Aynali ◽  
A Alaca ◽  
S Kutuk ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Renal Function ◽  
Intensive Care ◽  
Mortality Rate ◽  
Organ Dysfunction ◽  
Multiple Organ ◽  
Apache Ii ◽  
Control Group ◽  
Multiple Organ Dysfunction ◽  
Overall Mortality

OBJECTIVE: To determine the effect of immunoglobulin (Ig)M-enriched Ig therapy on mortality rate and renal function in sepsis-induced multiple organ dysfunction syndrome (MODS), using the Acute Physiology and Chronic Health Evaluation II (APACHE II) score. METHODS: Retrospective study of patients with sepsis-induced MODS treated with standard antibiotic plus supportive therapy (control group) or IgM-enriched Ig therapy adjuvant to control group therapy (IVIg group). Total length of stay in the intensive care unit (ICU), overall mortality rate and 28-day case fatality rate (CFR), as well as APACHE II scores and renal function parameters at day 1 and day 4 of therapy, were recorded. RESULTS: A total of 118 patients were included (control group, n = 62; IVIg group, n = 56). In both groups, day 4 APACHE II scores decreased significantly compared with day 1 scores; the effect of treatment on renal function was minimal. Length of ICU stay, overall mortality rate and 28-day CFR were significantly lower in the IVIg group compared with the control group. CONCLUSIONS: Adding IgM-enriched Ig therapy to standard therapy for MODS improved general clinical conditions and significantly reduced APACHE II scores, overall mortality rate and 28-day CFR, although effects on renal function were minimal.

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