scholarly journals GAMBARAN FAKTOR RISIKO PADA KEJADIAN MORTALITAS PASIEN STEMI DI RSUD ULIN BANJARMASIN

2017 ◽  
Vol 4 (2) ◽  
pp. 110
Author(s):  
Ridha Fahliati Dewi ◽  
Abdurrahman Wahid ◽  
Ifa Hafifah
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Mortality Rate ◽  
Medical History ◽  
Incidence Rate ◽  
Sampling Method ◽  
Univariate Analysis ◽  
Cross Sectional ◽  
Mortality Incidence ◽  
History Of

ABSTRAKTingkat kejadian meninggalnya pasien STEMI dalam waktu 24 jam diikuti oleh faktor risiko akan mempengaruhi prognosis, maka perlu untuk mengetahui faktor risiko apa saja yang ikut berperan pada STEMI sebagai pencegahan untuk menurunkan angka kejadian mortalitas.Tujuan penelitian ini untuk mengidentifikasi gambaran faktor risiko pada kejadian mortalitas pasien STEMI di RSUD Ulin Banjarmasin.Metode penelitian ini cross sectional dengan  accidental sampling yang dianalisis univariat. Data diambil dari lembar EKG, anamnesa pasien dan keluarga, pernyataan perawat dan dokter dituliskan dalam rekam medik yang diisi langsung oleh peneliti di lembar observasi di RSUD UlinBanjarmasin pada November - Desember 2015. Hasilmenunjukkan17 pasien mengalami STEMI dengan angka mortalitas (11,8%), rata-rata usia pasien STEMI 57 tahun, didominasi laki-laki (88,2%) dengan faktor risiko riwayat penyakit jantung (35,5%), hipertensi (29,4%), merokok (29,4%), stroke (5,9%) dan tidak memiliki riwayat penyakit (17,6%).Kesimpulan penelitianini adalah pasien STEMI di RSUD Ulin Banjarmasin rata-rata berusia 57 tahun dan lebih sering terjadi pada laki-laki dengan faktor risiko riwayat penyakit jantung, hipertensi, merokok, stroke dan tidak memiliki riwayat penyakit.Kata-kata kunci: faktor risiko, STEMI, mortalitas.ABSTRACTThis incidence rate of STEMI patients followed by risk factors that affect prognosis of STEMI patients, there’s a need to acknowledge what risk factors that role in STEMI as prevention to decrease mortality incidence.The objectives was to describe risk factors of mortality incidence in STEMI patients in RSUD Ulin Banjarmasin. This study used cross sectional with accidental sampling method that showed through univariate analysis. The data taken from ECG sheet, patient and family interviewed, nurse and doctor declaration written on medical record that being record directly by researcher on observational sheet in RSUD Ulin Banjarmasin since November - December 2015. The results17 patients having STEMIwith mortality rate (11,8%) average age STEMI patients is 57 years old, dominated bymales (88,2%)withrisk factors are history of prior heart (35,5%), hypertension (29,4%), smoking (29,4%), stroke (5,9%), no medical history (17,6%). The result of this studywasavaregeage of STEMI patients in RSUD Ulin Banjarmasin was 57 years old and the most common in males with risk factors werehistory of prior heart, hypertension, smoking, stroke and no medical history.Keywords: risk factor, STEMI, mortality.

scholarly journals Prevalence and risk factors of depression and anxiety for inpatients with lung cancer in China: A hospital-based cross-sectional study

2022 ◽  
Author(s):  
Xueqian Wang ◽  
Xuejiao Ma ◽  
Mo Yang ◽  
Yan Wang ◽  
Yi Xie ◽  
...  
Keyword(s):  
Risk Factors ◽  
Lung Cancer ◽  
Logistic Regression ◽  
Risk Factor ◽  
Univariate Analysis ◽  
Multivariate Logistic Regression Analysis ◽  
Multivariate Logistic Regression Model ◽  
Depression And Anxiety ◽  
Multivariate Logistic Regression ◽  
Cross Sectional

Abstract Background Lung cancer was often accompanied by depression and anxiety. Nowadays, most investigations for depression and anxiety were concentrated in western medical hospitals, while few related studies have been carried out in the tradition Chinese medicine (TCM) ward. It was necessary to understand the prevalence and risk factors of depression and anxiety in the inpatients with lung cancer in TCM hospital. Methods This study adopted cross-sectional research method, which enrolled a total of 222 inpatients with lung cancer in TCM hospital. PHQ-9 and GAD-7 scales were used to assess depression and anxiety for the inpatients, respectively. Demographic and clinical data were also collected. Statistical methods of the univariate analysis and the multivariate logistic regression model were used. Results The prevalence of depression and anxiety in the inpatients with lung cancer were 58.1% and 34.2%, respectively. Multivariate logistic regression analysis prompted that the common risk factor of depression and anxiety was the symptom of insomnia. Constipation and gender were the two anther risk factors of depression. Conclusion Depression and anxiety were common for the inpatients with lung cancer in TCM hospital. Gender, insomnia and constipation were risk factors for depression, and insomnia was risk factor for anxiety. Therefore, medical workers should pay close attention to the emotional changes of these high-risk patients and intervene the symptoms as early as possible.

scholarly journals Analisis Faktor Risiko Kejadian Preeklampsia Berat Di Rsud Rujukan Kabupaten Dan Provinsi Kalimantan Tengah

2017 ◽  
Vol 3 (1) ◽  
pp. 19-37
Author(s):  
Legawati Legawati ◽  
Nang Randu Utama
Keyword(s):  
Risk Factors ◽  
Decision Making ◽  
Mortality Rate ◽  
Maternal Mortality ◽  
Gestational Age ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
History Of ◽  
Mother’S Age

The maternal mortality rate (MMR) and infant mortality rate (IMR) is a barometer of a country's health services. In developed countries, the incidence of severe preeclampsia and eclampsia ranges from 6-7% 0.1 to 0.7%. While the maternal mortality rate due to pre-eclampsia and eclampsia in developing countries is still high (Betty & Yanti, 2011). To analyze the risk factors of weight in Pre eclampsia Referral Hospital Sultan Imanudin Pangkalan Bun and Dr. Doris Sylvanus Palangkaraya. This was an observational study conducted using a cross sectional study design. A cross-sectional study is when the influence of independent variables (exposure) and the dependent variable (effect) is observed and measured at the same time. Based on multivariable logistic regression analysis of factors affecting the risk factors PEB is the mother's age, education, gestational age, parity, ANC. Factors unrelated significantly is work, spacing, PE history, history of diabetes, Gemelli, economic and social decision-making. Factors that increase the risk of PEB is the mother's age, education, occupation, gestational age, parity, history of PE, the ANC and the social economy. Factors unrelated significantly is spasing, history of diabetes, Gemelli, and decision making. For pregnant women can do a pregnancy without looking at risk factors for PEB or no risk factors, to see some of the risk factors determinants. For health workers to carry out pregnancy tests with a focus on the pregnancy.

scholarly journals Risk Factors of Hepatitis C Virus Transmission

2020 ◽  
Vol 24 (1) ◽  
pp. 37-41
Author(s):  
Maimoona Maheen ◽  
Mehak Ruqia ◽  
Sana Fatima
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Hepatitis C ◽  
Family History ◽  
Dental Treatment ◽  
Tertiary Care ◽  
Previous Surgery ◽  
Cross Sectional ◽  
Ear Piercing ◽  
History Of

Background: Hepatitis C is not only a globally prevalent disease but also a significant cause of death. It has multiple complications ranging from Hepatocellular carcinoma to decompensated liver disease. This study was planned to determine the frequencies of various risk factors in Hepatitis C positive patients presenting to a tertiary care health facility in Rawalpindi.Materials and Methods: This descriptive, cross-sectional study included 394 patients that presented to Liver Centre, Holy Family Hospital during the years 2015 to 2016. All these patients were confirmed cases of Hepatitis C. The data were collected from records of the liver center of Holy Family Hospital, Rawalpindi. Statistical Package for Social Sciences (SPSS), version 23 was used to analyze data, and descriptive statistics were calculated. All patients with any other comorbidity were excluded.Results: Of the 394 patients included in this study, 197 (50%) males and 197(50%) females with an average age of 44.48. Out of these, 143(36.3%) had a history of previous surgery, 65 (16.5%) had a blood transfusion, 165 (42.19%) had a history of dental treatment, and 189(48.0%) had a history of injections (IM and IV). Ninety-two patients (23.4%) had a history of barber shave, four patients (1%) had tattooed, and 83 patients (21.1 %) had a history of ear piercing. Fifty patients (38.2%) had a family history of Hepatitis C. Only 23 (31.2%) patients had only one risk factor, while 271 (68.7%) had more than one risk factor before a diagnosis of disease.Conclusion: The majority of the patients had more than one risk factor, with a history of injection use being the most common (intravenous and intramuscular). It was followed by the history of dental treatment, family history, and history of previous surgery.

scholarly journals Prevalence of risk factors for breast cancer in women aged 30 years and above in Mumbai

2018 ◽  
Vol 5 (2) ◽  
pp. 647
Author(s):  
Padmavathi V. Dyavarishetty ◽  
Shobha S. Kowli
Keyword(s):  
Breast Cancer ◽  
Risk Factors ◽  
Risk Factor ◽  
Population Based ◽  
Individual Risk ◽  
Age At Menarche ◽  
Cross Sectional ◽  
Cancer History ◽  
Increasing Trend ◽  
History Of

Background: Even though there is an increasing trend of breast cancer, women still do not perceive themselves at risk. Poor awareness about the disease and its risk factors and the absence of population based screening contribute to delayed diagnosis. The objective of the study was to assess the prevalence of various risk factors for breast cancer in women aged 30 years and above. Methods: The cross-sectional study using convenience sampling of all women aged 30 years and above was conducted in Mumbai. Of the 2430 women enumerated in the study area, 1158 women participated in the study. Risk factors for breast cancer assessed included age at menarche; age at first child birth; breastfeeding; use of oral contraceptive pills, age of menopause, first degree relatives with history of breast cancer, history of current and past breast cancer; history of any previous breast related abnormalities. Results: 15.5% of the women had atleast one risk factor for breast cancer. The prevalence of individual risk factors was below 6%. Conclusions: Prevalence of the risk factors for breast cancer is not very high, but never the less, the increasing trend of breast cancer in the country makes it imperative to introduce population based screening for all women with or without risk factor. 

scholarly journals Epidemiology and risk of invasive fungal infections in systemic lupus erythematosus: a nationwide population-based cohort study

2021 ◽  
Vol 13 ◽  
pp. 1759720X2110585
Author(s):  
Chin-Fang Su ◽  
Chien-Chih Lai ◽  
Tzu-Hao Li ◽  
Yu-Fan Chang ◽  
Yi-Tsung Lin ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systemic Lupus Erythematosus ◽  
Risk Factor ◽  
Mortality Rate ◽  
Incidence Rate ◽  
Lupus Erythematosus ◽  
Fungal Infections ◽  
Invasive Fungal Infections ◽  
Systemic Lupus ◽  
Intravenous Steroid

Introduction: Infections are a leading cause of mortality in patients with systemic lupus erythematosus (SLE). Among various infections, invasive fungal infections (IFIs) have a particularly high mortality rate; however, studies examining IFIs in patients with SLE are limited. Methods: Patients diagnosed as having SLE between 1997 and 2012 were enrolled from Taiwan’s National Health Insurance Research Database along with age- and sex-matched non-SLE controls at a ratio of 1:10. IFIs were identified based on International Classification of Diseases, Ninth Revision, Clinical Modification codes and validated by the prescriptions of systemic antifungal agents. The incidence rate (IR), incidence rate ratio (IRR), and all-cause mortality rate of IFIs and its subtypes were analyzed. A Cox multivariate regression model with time-dependent covariates was applied to analyze independent risk factors for IFIs. Results: A total of 24,541 patients with SLE and 245,410 non-SLE controls were included. We observed 445 IFI episodes in the SLE cohort, with an all-cause mortality rate of 26.7%. Candida spp. (52.8%) was the most common pathogen, followed by Cryptococcus spp. (18.2%) and Aspergillus spp. (18.2%). The IR of IFIs in the SLE cohort was 20.83 per 10,000 person-years, with an IRR of 11.1 [95% confidence interval (CI): 9.8–12.6] relative to the non-SLE controls. Juvenile patients with SLE aged ⩽18 years had the highest IRR of 47.2 (95% CI: 26.9–86.8). Intravenous steroid therapy administered within 60 days (hazard ratio: 29.11, 95% CI: 23.30–36.37) was the most critical risk factor for overall IFIs and each of the three major fungal pathogens. Distinct risk factors were found among different IFI subtypes. Conclusion: Patients with SLE had a higher risk of IFIs, especially juvenile patients. Intravenous steroid therapy is the most critical risk factor for IFIs. This study provides crucial information for the risk stratification of IFIs in SLE. Plain Language Summaries Patients with systemic lupus erythematosus and physicians treating this patient group should be aware of the risk of invasive fungal infections. Invasive fungal infections (IFIs) are a severe complication with a high mortality rate among patients with systemic lupus erythematosus (SLE); however, studies on this topic are scant. We performed a nationwide population-based study in Taiwan to estimate the incidence and mortality of and risk factors for IFIs. We found an incidence rate of 20.83 per 10,000 person-years for IFIs, with a mortality rate of 26.7%. Juvenile patients aged ⩽18 years had the highest relative risk of IFIs. Although candidiasis was the most common IFI, cryptococcosis and aspergillosis should be concerned in juvenile patients as well. Intravenous steroid therapy was the most critical risk factor for all IFIs, and different immunosuppressive agents posed different risks in patients for acquiring certain fungal pathogens. Our findings provide pivotal epidemiological information and indicate risk factors for IFIs in patients with SLE. Age and exposure to specific immunosuppressants and steroids might help predict the risk of IFIs. Because the manifestation of these infections is sometimes indistinguishable from a lupus flare, physicians should be aware of this fatal complication, especially when patients are not responsive to immunosuppressive therapy. Early recognition, implication of diagnostic tools, and empirical antimicrobial agents can be the key to treating patients with IFIs. Additional studies are required to develop a risk management program for patients with SLE.

scholarly journals Risk factors for recurrent wheezing in preterm infants who received prophylaxis with palivizumab

2021 ◽  
pp. e20210157
Author(s):  
Mariana Bueno Manini1 ◽  
Natasha Yumi Matsunaga1,2 ◽  
Lívea Gianfrancesco1,2 ◽  
Marina Simões Oliveira1,2 ◽  
Maria Rosa Vieira de Carvalho3 ◽  
...  
Keyword(s):  
Risk Factors ◽  
Family History ◽  
Preterm Infants ◽  
Bronchopulmonary Dysplasia ◽  
Care Center ◽  
Univariate Analysis ◽  
Recurrent Wheezing ◽  
Cross Sectional ◽  
History Of ◽  
Syncytial Virus

Objective: To determine the prevalence of recurrent wheezing (RW) in preterm infants who received prophylaxis against severe infection with respiratory syncytial virus (RSV) and to identify genetic susceptibility (atopy or asthma) and risk factors for RW. Methods: This was a cross-sectional study involving preterm infants who received prophylaxis with palivizumab at a referral center in Brazil during the first two years of age. A structured questionnaire was administered in a face-to-face interview with parents or legal guardians. Results: The study included 410 preterm infants (median age = 9 months [0-24 months]). In the sample as a whole, 111 children (27.1%; [95% CI, 22.9-31.5]) had RW. The univariate analysis between the groups with and without RW showed no differences regarding the following variables: sex, ethnicity, maternal level of education, gestational age, birth weight, breastfeeding, number of children in the household, day care center attendance, pets in the household, and smoking caregiver. The prevalence of RW was twice as high among children with bronchopulmonary dysplasia (adjusted OR = 2.08; 95% CI, 1.11-3.89; p = 0.022) and almost five times as high among those with a personal/family history of atopy (adjusted OR = 4.96; 95% CI, 2.62-9.39; p < 0.001) as among those without these conditions. Conclusions: Preterm infants who received prophylaxis with palivizumab but have a personal/family history of atopy or bronchopulmonary dysplasia are more likely to have RW than do those without these conditions.

scholarly journals Risk Factors in Outpatients with Dermatitis and Eczema in Tertiary Hospitals of China Who Have Clinically Suspected Bacterial Infection

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Yan Li ◽  
Wei Xu ◽  
Linfeng Li
Keyword(s):  
Risk Factors ◽  
Atopic Dermatitis ◽  
Bacterial Infection ◽  
Bacterial Infections ◽  
Guideline Development ◽  
Univariate Analysis ◽  
High Rate ◽  
Cross Sectional ◽  
Tertiary Hospitals ◽  
History Of

Skin bacterial infections are often observed in eczema patients, but the risk factors are not fully understood. The current study evaluated the prevalence of clinically suspected bacterial infection and its associated risk factors. Moreover, we investigated the practice of skin infection diagnosis in China. A hospital-based, multicenter, cross-sectional epidemiologic survey of bacterial infection was performed in a total of 6208 outpatients diagnosed with dermatitis and eczema from 39 tertiary hospitals of 15 provinces and municipalities in China. All patients completed a specific questionnaire regarding their demographic characteristics, disease duration, distribution of lesions, severity of itching, and medical history. Univariate analysis and multivariate analysis were used to evaluate risk factors associated with bacterial infection in patients with different types of eczema. The prevalence of clinically suspected bacterial infection was 47.0% in patients with eczema. Compared to atopic dermatitis, widespread eczema ( OR = 1.50 , P < 0.001 ) and other eczema ( OR = 1.42 , P < 0.001 ) were more likely to suffer bacterial infection. The itching grade was positively associated with the infection ( OR = 2.11 , 7.04, and 12.3 in patients with mild, moderate, and severe itching, respectively; P < 0.001 ). Lesion distribution in the cubital fossa, popliteal fossa, ear, shoulder and back, axillary, foot, and pudendum was positively associated with bacterial infection (all OR > 1.0 , P < 0.05 ). In contrast, the face and abdomen were reversely associated with bacterial infection ( OR < 1.0 , P < 0.005 ). History of asthma, allergic rhinitis, allergic conjunctivitis, atopic dermatitis, infantile eczema, and flexion dermatitis was positively associated with bacterial infection (all OR > 1.0 , P < 0.005 ), while the history of dry skin was reversely associated with bacterial infection ( OR = 0.76 , 95% CI: 0.64-0.90; P = 0.002 ). Patients with eczema were easily infected with bacteria. Widespread eczema and other eczema were more likely to have bacterial infection than atopic dermatitis. The high rate of infection may attribute to the lack of corresponding bacterial detection, suggesting the need of guideline development in China to prevent overuse of topical antibiotics.

scholarly journals Factor de riesgo suicida y factores asociados en adolescentes de una institución educativa de palestina-caldas (colombia), 2012./suicidal risk factor and associated factors in adolescents of an educational institution of palestina, caldas (colombia), 2012

2013 ◽  
Vol 13 (2) ◽  
pp. 127-141
Author(s):  
José Jaime Castaño Castrillón ◽  
Jessika Melissa Alvarez Latorre ◽  
Sandra Constanza Cañón Buitrago ◽  
Luz Helena Bernier Ocampo ◽  
Angela María Castaño Molina ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Associated Factors ◽  
Educational Institution ◽  
Cross Sectional Study ◽  
Suicidal Risk ◽  
Cross Sectional ◽  
History Of ◽  
Associated Risk Factors ◽  
Consumo De Sustancias

Objetivo: Identificar el factor de riesgo suicida y losfactores asociados en adolescentes de una institución educativa del municipio de Palestina (Caldas-Colombia). Materiales y métodos: Se realizó un estudio de corte transversal en el que se tomó una población de 354 estudiantes, se aplicó la escala de factor de riesgo suicida de Plutchik para medir riesgo suicida, así mismo otros cuestionarios para factores asociados como funcionalidad familiar, depresión, dependencia del consumo de alcohol, tendencia a la violencia, etc. Resultados: la población presentó un promedio de edad de 14,28 años, el 11,8% presentó riesgo suicida según escala de Plutchik; el 5,3% en hombres y el 17,9% en mujeres, 12,2% con intento de suicidio, 56,8% mostraron depresión según escala de Bierleson, el 42,6% tuvo disfunción familiar de leve a severa; presentaron dependencia alcohólica el 27%; 15,6% consumo de sustancias psicoactivas, un riesgo de violencia según cuestionario Plutchik de 33%, 15,5% antecedentes familiares de intento suicida. Los siguientes factores tienen relación significativa con el factor de riesgo suicida según Plutchik: consumo de sustancias psicoactivas (p=0,000), antecedente familiar de suicidio (p=0,000), funcionalidad familiar (p=0,000), dependencia alcohólica (p=0,002),depresión (p=0,000), maltrato (p=0,000), género (p=0,000). Conclusión: Esta población presenta un factor de riesgo suicida según cuestionario de Plutchik comparable al de otras poblaciones análogas. Se encuentran factores asociados típicos de la población colombiana como son el maltrato infantil, y tendencia a la violencia. Tal vez sería deseable una intervención en esta población. Objectives: To identify suicidal risk factor and associated factors in adolescents froman educational institute in Palestina (Caldas-Colombia). Materials and Methods: Weperformed a cross-sectional study with a population of 354 students. The Plutchik scalewas applied to measure suicidal risk factors, other surveys where as well applied forassociated risk factors such as family function, depression, alcohol consume, violenttendency, etc. Results: The average age was 14,28 years, 11.8% had a suicidal riskaccording to the Plutchik scale, 5.3% in men and 17.9% women; 56,8% showed depressionaccording to the Bierleson scale, 42.6% showed a family dysfunction from mild tosevere, 27.0% showed alcohol dependency, 15,5% showed drugs dependency; A risk ofviolence of 33% according to the Plutchik survey. The following factors have a significantrelationship with the suicidal risk factor according to Plutchik: Psychoactive drug use (p= 0.000), family history of suicide (p = 0.000), family functionality (p = 0.000), alcoholicdependence (p = 0.002), depression (p = 0.000), abuse (p = 0.000), gender (p = 0.000).Conclusion: This population presents a suicidal risk factor which can be comparedwith that of other similar populations. The found associated risk factors are typical ofthe Colombian population as are child abuse and violent tendency. It may be desirableto have an intervention with this population.

scholarly journals Gender differences in comorbidities and risk factors in ischemic stroke patients with a history of atrial fibrillation

BMC Neurology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chase Rathfoot ◽  
Camron Edrissi ◽  
Carolyn Breauna Sanders ◽  
Krista Knisely ◽  
Nicolas Poupore ◽  
...  
Keyword(s):  
Risk Factors ◽  
Atrial Fibrillation ◽  
Gender Differences ◽  
Risk Factor ◽  
Ischemic Stroke ◽  
Sleep Apnea ◽  
Serum Creatinine ◽  
Univariate Analysis ◽  
Disease Process ◽  
History Of

Abstract Background Atrial Fibrillation (AF) is a common cardiac arrhythmia and has been identified as a major risk factor for acute ischemic stroke (AIS). Gender differences in the disease process, causative mechanisms and outcomes of AF have been investigated. In the current study, we determined whether there is a gender-based disparity in AIS patients with baseline AF, and whether such a discrepancy is associated with specific risk factors and comorbidities. Methods Baseline factors including comorbidities, risk and demographic factors associated with a gender difference were examined using retrospective data collected from a registry from January 2010 to June 2016 in a regional stroke center. Univariate analysis was used to differentiate between genders in terms of clinical risk factors and demographics. Variables in the univariate analysis were further analyzed using logistic regression. The adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for each factor were used to predict the increasing odds of an association of a specific comorbidity and risk factor with the male or female AIS with AF. Results In the population of AIS patients with AF, a history of drug and alcohol use (OR = 0.250, 95% CI, 0.497–1.006, P = 0.016), sleep apnea (OR = 0.321, 95% CI, 0.133–0.777, P = 0.012), and higher serum creatinine (OR = 0.693, 95% CI, 0.542–0.886 P = 0.003) levels were found to be significantly associated with the male gender. Higher levels of HDL-cholesterol (OR = 1.035, 95% CI, 1.020–1.050, P < 0.001), LDL-cholesterol (OR = 1.006, 95% CI, 1.001–1.011, P = 0.012), and the inability to ambulate on admission to hospital (OR = 2.258, 95% CI, 1.368–3.727, P = 0.001) were associated with females. Conclusion Our findings reveal that in the AIS patients with atrial fibrillation, migraines, HDL, LDL and poor ambulation were associated with females, while drugs and alcohol, sleep apnea, and serum creatinine level were associated with male AIS patients with AF. Further studies are necessary to determine whether gender differences in risk factor profiles and commodities require consideration in clinical practice when it comes to AF as a risk factor management in AIS patients.

Abstract T MP94: Venous Thromboembolism Complications In Patients With Intracerebral Hemorrhage

Stroke ◽  
2015 ◽  
Vol 46 (suppl_1) ◽  
Author(s):  
Jennifer Osborne ◽  
Fernando Testai ◽  
Padmini Sekar ◽  
Charles J Moomaw ◽  
Michael L James ◽  
...  
Keyword(s):  
Risk Factor ◽  
Venous Thromboembolism ◽  
Intracerebral Hemorrhage ◽  
Medical History ◽  
Univariate Analysis ◽  
Previous History ◽  
Prior History ◽  
Past Medical History ◽  
Vein Thrombosis ◽  
History Of

Introduction: Intracerebral hemorrhage (ICH) is often more severe than ischemic stroke. Venous thromboembolism (VTE), such as deep vein thrombosis (DVT) and pulmonary embolism (PE) can extend length of stay and impede recovery. For ICH patients, there is the added challenge of timing and dosage of anticoagulation used to prevent VTEs. We sought to describe the rate of VTE and factors associated with it among ICH cases in a multi-ethnic population. Methods: ERICH is a multi-center, prospective case-control study of ICH among white, black, and Hispanic patients. Data were collected by hospital chart review and personal interview. CT Images were collected and analyzed by a neuroimaging core. Past medical history and acute clinical data were examined for association with VTE during the hospital stay. Results: Between 8/1/10 and 12/31/13, 2276 cases of ICH were enrolled. CT data are available for 2038 patients. Of these, 63 had VTE complications: 41-DVT, 16-PE, and 6 - both DVT and PE. In univariate analysis, Blacks, previous history of DVT, low GCS at presentation, increased ICH volume, presence of intraventricular hemorrhage (IVH),and need for intubation. In comparison, patients at higher risk for PE were those with past medical history of PE and required intubation (Table). In addition, patients with DVT and PE had higher modified Rankin Scale at both hospital discharge and 3 months. In multivariate analysis, only previous VTE, the need for intubation and the presence of IVH were associated with DVT or PE. Conclusion: We confirmed within a large and ethnically diverse ICH patient population that clinically diagnosed VTE events are relatively rare at 3%. The strongest risk factor for development of DVT/PE was a prior history of DVT/PE. But the most prevalent risk factor was a need for intubation. Further study is needed to understand the efficacy of VTE preventative strategies among ICH patients.

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