scholarly journals FIVE YEARS CHARACTERISTIC OF URETERAL TRAUMA IN TERTIARY HOSPITAL IN WEST JAVA FROM 2013-2017

2021 ◽  
Vol 28 (1) ◽  
pp. 35-38
Author(s):  
Adi Bachtiar Tambah ◽  
Kuncoro Adi
Keyword(s):  
General Hospital ◽  
Medical Records ◽  
Gunshot Wounds ◽  
Tertiary Hospital ◽  
Trauma Patients ◽  
Trauma Mechanism ◽  
Ureteral Trauma ◽  
Iatrogenic Trauma ◽  
Retrospective Data Collection ◽  
Mechanism Of Trauma

Objective: This study aims to determine the characteristics of trauma patients, especially ureteral trauma in Hasan Sadikin General Hospital and expected to be used as data for trauma nationally. Material & Methods: This study was descriptive. Retrospective data collection is taken from medical records of ureteral trauma from 2013 until August 2017 at Hasan Sadikin General Hospital, Bandung. The data obtained are gender, mechanism of trauma, and management of ureteral trauma. Results: A total of 20489 cases of trauma handled in Hasan Sadikin General Hospital, 2.3% is a case of urogenital trauma and 40 of which are cases of ureteral trauma (0.19%). Most ureteral trauma patients are female (90%). Based on the trauma mechanism, 39 patients iatrogenic trauma (97.5%) and 1 patient gunshot wounds (2.5%). From iatrogenic ureteral trauma, 36 patients (90%) had iatrogenic trauma from the gynecological procedure, 5% as a result of the urological procedure, and 2.5% due to gastrointestinal procedure. Management of ureteral trauma is 47.5% ureteroureterostomy and 25% ureteroneocystostomy. Conclusion: Most cases of ureteral trauma are experienced by women, and most commonly due to iatrogenic trauma. Iatrogenic ureteral trauma caused by gynecology procedure is the most common.

scholarly journals FIVE YEARS CHARACTERISTIC OF KIDNEY TRAUMA IN TERTIARY HOSPITAL IN WEST JAVA FROM 2013-2017

2019 ◽  
Vol 26 (2) ◽  
Author(s):  
Ilhamul Karim ◽  
Kuncoro Adi
Keyword(s):  
Multiple Trauma ◽  
Traffic Accidents ◽  
Secondary Data ◽  
Tertiary Hospital ◽  
Trauma Patients ◽  
Trauma Mechanism ◽  
Mortality And Morbidity ◽  
Associated Injury ◽  
Kidney Trauma ◽  
Mechanism Of Trauma

Objective: Globally, trauma is one of the leading cause of mortality and morbidity. Kidney is an organ that is often affected in trauma cases in urology. This study aimed to determine the characteristics of cases of kidney trauma treated in Hasan Sadikin Bandung Hospital, and used as part of the database of urogenital trauma in Indonesia. Material & Methods: The secondary data was derived from the medical records of patients with kidney trauma treated at Department of Urology in Hasan Sadikin Hospital Bandung for 5 years period (January 2013 to August 2017), as many as 130 cases. Information used was patients’ gender, mechanism of trauma, grading of kidney trauma, associated injury, management, shock, and outcome after treatment. The data obtained was subsequently recapitulated and processed using a spreadsheet. Results: A total 20489 trauma cases admission in Hasan Sadikin Hospital, 477 cases (2.33%) were urogenital trauma, and 130 of which are cases of kidney trauma (0.63%). The majority of patients with kidney trauma are male (87.7%). Based on the mechanism of trauma, 80% of them were related to traffic accidents, especially in motorcycle traffic accidents, as well as the trauma mechanism of falling from a height (13%). There were 69 patients (53.1%) who had major kidney trauma, and 61 patients (46.9%) had minor kidney trauma; specifically, 42.3% grade I and 21.5% grade V kidney trauma. In general, kidney trauma patients experienced multiple trauma, only 19 cases (14.6%) had not associated injury. Most of patients (63%) did not experience shock, and 87.75% of patients survived after treatment. In the timespan of 5 years, 44 patients underwent McAnninch procedure. Conclusion: In Hasan Sadikin Hospital, most cases of kidney trauma were experienced by men, and were caused by blunt trauma in traffic accidents, especially on motorcyclists. Most patients with kidney trauma experienced multiple trauma.

scholarly journals Profile of Abdominal Trauma Patient Underwent Surgery in Emergency Operating Room of Sanglah General Hospital from January until December 2015

2018 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Reza Halim ◽  
Made Agus Dwianthara Sueta
Keyword(s):  
General Hospital ◽  
Operating Room ◽  
Abdominal Trauma ◽  
Medical Records ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Trauma Patients ◽  
Vehicle Accident ◽  
Liver Repair ◽  
Emergency Operating

Objective: to investigate the characteristics of patients, presentation of the abdominal organ that involved, and clinical data associated with this event. Methods: this is a descriptive study with retrospective design. Total samples were all patients with abdominal trauma who underwent surgery on the emergency operating theatre of Sanglah General Hospital between January and December 2015. Baseline data of patients were obtained from the medical records. Results: within the study period, a total of 104 patients with abdominal trauma who underwent surgery in the emergency operating room of Sanglah General Hospital were identified. Man comprised 87.5% of the patients and mostly were 17-45 years old (75%). The motor vehicle accident occurred majority on the weekend (65%). Liver and spleen were the most affected organ (55%). Splenectomy (35%) and liver repair surgery (33%) were the most often performed procedures. Conclusion: Abdominal trauma caused by motor vehicle accident occurred mostly on the weekend. Two most affected organs in abdominal trauma were liver and spleen. Splenectomy and liver repair surgery were the procedures performed for these trauma patients.

scholarly journals Impact of expanding the clinical pharmacy service in the emergency department at Hamad General Hospital, a tertiary hospital in Qatar: A cross-sectional audit

2021 ◽  
Vol 2021 (2) ◽  
Author(s):  
Rawan Salameh ◽  
Asma Ezzeldin ◽  
Ashraf El-Malik ◽  
Ibtisam Musameh ◽  
Sara Nazzal ◽  
...  
Keyword(s):  
Emergency Department ◽  
High Risk ◽  
General Hospital ◽  
Medical Records ◽  
Tertiary Hospital ◽  
Clinical Pharmacy Service ◽  
Cross Sectional ◽  
Retrospective Audit ◽  
High Risk Populations ◽  
The Impact

Background: The emergency department (ED) is a complex environment presenting unique challenges for high-risk populations such as critically ill patients who often require the use of high-risk medications. One study suggests that clinical pharmacists (CPs) may improve the fulfillment of safety goals for the ED patient as per the Joint International Commission. Some published reports have asserted that ED-based CPs would have the potential to increase patient safety. In our hospital, the number of CPs covering the ED increased from 2 to 9 starting from November 2019. Methods: This is a retrospective audit covering the period from January 1st 2019 till October 25th 2020 at Hamad General Hospital (HGH) in Doha, Qatar, to determine the impact of increasing the number of CPs covering the ED on the number of identified, solved, and documented drug related problems (DRPs) on the electronic medical records of ED patients. The interventions retrieved from pharmacy reports were analyzed and evaluated in terms of numbers by classification and percentages by the investigators. Results: A total number of 8,946 interventions covering 6,284 patients were carried out in 2020 compared with 1,515 interventions covering 1,001 patients in 2019 which represents a 6-fold increment by increasing the CPs from 2 to 9. Even the detection of adverse drug reactions increased by 1.5 times with only 38 documented in 2019 compared to 64 in 2020. Classifications and quantities of interventions were also analyzed in detail. Conclusion: This audit demonstrates that pharmaceutical intervention can positively contribute to the identification and resolution of DRPs. The benefit of CP involvement in patient care was observed based on the number of interventions that occurred. Studies are needed to assess the impact of those interventions on patients’ outcomes and cost effectiveness.

scholarly journals Red Wave: Improving Care to Severe Trauma Victims

2017 ◽  
Vol 6 (3) ◽  
pp. 155-159
Author(s):  
Ana C Romeo ◽  
Andre G Cunha ◽  
Pedro S Filho ◽  
Victor Oliveira ◽  
Thiago Moura ◽  
...  
Keyword(s):  
Operating Room ◽  
Gunshot Wounds ◽  
Traumatic Shock ◽  
Severe Trauma ◽  
Definitive Treatment ◽  
Trauma Patients ◽  
Revised Trauma Score ◽  
Traumatic Bleeding ◽  
Trauma Victims ◽  
Mechanism Of Trauma

ABSTRACT Objectives To describe the results of a systematic, rapid, and effective method of communication for the definitive treatment of patients with severe traumatic bleeding. Materials and methods The Red Wave was developed to improve communication between the emergency department and other strategical processes and to reduce the time from the arrival of severe traumatic hemorrhagic patient to a definitive treatment in the operating room. On admission, the traumatized patient is seen by the nursing staff in the Red Room, who trigger a general bell indicating the arrival of a severe trauma patient. The surgeon activates the red bell, which triggers an audible and visual alarm at strategic sectors of the hospital: operating center, transfusional agency, and laboratory, each one with its established sub-protocol. We defined as goals that the patient must arrive at the operating room in a maximum of 15 minutes after the Red Wave activation, with availability of blood and plasma in 20 minutes and blood tests collected at the same time. A light panel located in the surgical center turns off at each completed step, recording their time-responses. Results From June through December 2015, we admitted 831 trauma patients in the Red Room of Hospital do Suburbio, predominantly young (67.9% younger than 40 years old) and male (77.5%). Blunt trauma was the predominant mechanism (79.2%), and the majority of patients had an revised trauma score (RTS) calculated at admission greater than 7 (86.5%). We also evaluated, from September through December 2015, the attendance of 96 patients admitted with a diagnosis of hemorrhagic traumatic shock. The Red Wave was triggered in 39.6% of these cases. Gunshot wounds were the most frequent mechanism of trauma (86.5%), with a survival rate of 56.8%. The goals for time-responses were met in most of the cases, with correctness of 81.6% for the patient arrival at the operating room, 81.6% for laboratory sampling, and 86.8% for blood and plasma availability by the transfusion agency. Conclusion The Red Wave proved to be an effective protocol to systematize the initial treatment of patients with severe traumatic bleeding, improving communication between the strategic sectors involved, reducing the time-response of each service and making the definitive treatment of these patients faster and suitable. How to cite this article Romeo AC, Cunha AG, Filho PS, Oliveira V, Moura T, Motta J, Mendes G, Cruz MR. Red Wave: Improving Care to Severe Trauma Victims. Panam J Trauma Crit Care Emerg Surg 2017;6(3):155-159.

Risk Factor Of Substitution ARV First Line People Living With HIV/AIDS In General Hospital Buleleng Bali

2020 ◽  
Vol 9 (1) ◽  
pp. 190-197
Author(s):  
Luh Putu Desy Puspaningrat ◽  
Gusti Putu Candra ◽  
Putu Dian Prima Kusuma Dewi ◽  
I Made Sundayana ◽  
Indrie Lutfiana
Keyword(s):  
Risk Factor ◽  
General Hospital ◽  
Medical Records ◽  
Secondary Data ◽  
District General Hospital ◽  
People Living With Hiv ◽  
First Line ◽  
The Past ◽  
Factor Substitution ◽  
Living With Hiv

Substitution is still a threat to the failure of ARV therapy so that no matter how small it must be noted and monitored in ARV therapy. The aims  was analysis risk factor substitution ARV first line in therapy ARV. This study was an analytic longitudinal study with retrospective secondary data analysis in a cohort of patients receiving ARV therapy at the District General Hospital of Buleleng District for the period of 2006-2015 and secondary data from medical records of PLHA patients receiving ART.  Result in this study that the percentage of first-line ARV substitution events is 9.88% (119/1204) who received ARV therapy for the past 11 years. Risk factors that increase the risk of substitution in ARV therapy patients are zidovudine (aOR 4.29 CI 1.31 -2.65 p 0.01), nevirapine (aOR1.86 CI 2.15 - 8.59 p 0.01) and functional working status (aOR 1.46 CI 1.13 - 1.98 p 0.01). 

scholarly journals Risk Factors for Fall-Related Serious Injury among Korean Adults: A Cross-Sectional Retrospective Analysis

2021 ◽  
Vol 18 (3) ◽  
pp. 1239
Author(s):  
Moon-Sook Kim ◽  
Hyun-Myung Jung ◽  
Hyo-Yeon Lee ◽  
Jinhyun Kim
Keyword(s):  
Risk Factors ◽  
Fall Prevention ◽  
Medical Records ◽  
Brain Injuries ◽  
Tertiary Hospital ◽  
Antiplatelet Drugs ◽  
Cross Sectional ◽  
Complete Survey ◽  
Serious Injury ◽  
Serious Injuries

The purpose of this study was to identify the risk factors of serious fall-related injuries by analyzing the differences between two fall groups: one with serious fall-related injuries and one without such injuries. Applying a retrospective, descriptive investigation study design, we analyzed the degree of fall-related injury and the risk factors related to serious falls by conducting a complete survey of the medical records of fall patients reported throughout one full year, 2017, at a tertiary hospital in Seoul, Korea. Among the patients with reported falls, 188 sustained no injury (63.1%), 72 sustained minor injury (24.2%), and 38 patients sustained serious injury (12.8%). The serious fall-related injuries included eight lacerations requiring suture (2.7%), 23 fractures (7.7%), five brain injuries (1.7%), and two deaths (0.7%). Analysis results indicated that taking anticoagulants/antiplatelet drugs (p = 0.016) and having a fall history (p = 0.038) were statistically significant in the differences between the group with serious injury related to falls and the group without serious injury. Logistic regression revealed that taking anticoagulant/antiplatelet drugs was the factor most significantly correlated with serious injuries related to falls (OR = 2.299, p = 0.022). Results show that it is necessary to develop a patient-tailored fall prevention activity program.

References to Alcohol Consumption and Alcoholism in Medical Records of a General Hospital of Porto Alegre, Brazil—

2005 ◽  
Vol 25 (2) ◽  
pp. 29-34 ◽  
Author(s):  
Flávio Pechansky ◽  
Vanessa Krebs Genro ◽  
Lísia von Diemen ◽  
Félix Henrique Paim Kessler ◽  
Rafael Alberto Pacheco da Silveira-Santos
Keyword(s):  
Alcohol Consumption ◽  
General Hospital ◽  
Medical Records ◽  
Porto Alegre

CHARACTERISTICS OF PATIENTS WITH BRAIN INJURY DUE TO LAND TRAFFIC ACCIDENTS TREATED AT NINH BINH PROVINCIAL GENERAL HOSPITAL IN 2018

2021 ◽  
Vol 62 (5) ◽  
Author(s):  
Luong Xuan Hien ◽  
Nguyen Quoc Tien ◽  
Tran Thi Phuong
Keyword(s):  
Brain Injury ◽  
General Hospital ◽  
Medical Records ◽  
Traffic Accidents ◽  
Brain Injuries ◽  
First Aid ◽  
Temporal Region ◽  
Age Group ◽  
Research Subjects ◽  
Broken Bones

This was an epidemiological study through a retrospective review of 215 medical records of patients with brain injury due to land traffic accidents treated at Ninh Binh Provincial General Hospital. Theresults showed that the majority of research subjects were male, accounting for 80.5%; The age group with higher prevalence of accidents was under 30 years old, accounting for 31.2%; The agegroup of 50-59 years old was at lower prevalence of accidents accounting for 15.8%. The time of the higher chance of occurring accident was between 4p.m and 11p.m daily. The majorityof traffic accidents occurred when riding motorbikes and electric bicycles (82.3%). About 75.0% of the victims received first aid with a gauze bandage; 5.4% of them had broken bones fixed. Amongthe brain injuries, 34.4% of the victims suffered from frontal trauma; 29.3% had unilateral cerebral hemisphere injury, 24.2% had temporal region injury, 15.8% had occipital region injury, and 8.4% ofvictims had parietal injury. More than half of the study subjects (53.5%) were hospitalized for 7-10 days. The rate of patients who have been discharged from the hospital with improved symptoms was81.4%; and 14.9% of patients were transferred to higher level hospitals.

Outcome of major trauma patients in a Hong Kong general hospital

1998 ◽  
Vol 5 (3) ◽  
pp. 297???306 ◽  
Author(s):  
C. W. KAM ◽  
A. K.B. KITCHELL ◽  
H. H. YAU ◽  
C. H. KAN
Keyword(s):  
Hong Kong ◽  
General Hospital ◽  
Major Trauma ◽  
Trauma Patients

scholarly journals Pattern and Frequency of Skin Malignancies at Laboratory of Pathology Anatomy Dr. Kariadi General Hospital in 2008-2009

Sains Medika ◽  
2015 ◽  
Vol 6 (1) ◽  
pp. 21
Author(s):  
Susilorini Susilorini ◽  
Udadi Sadhana ◽  
Indra Widjaya
Keyword(s):  
Squamous Cell Carcinoma ◽  
Skin Cancer ◽  
Skin Lesion ◽  
Cell Carcinoma ◽  
General Hospital ◽  
Squamous Cell ◽  
Medical Records ◽  
Secondary Data ◽  
Cross Sectional ◽  
Neoplastic Lesion

Introduction: A periodical database is important including for skin cancer. Periodical registration is needed to acknowledge changes in pattern and frequencies of skin lesion. Objective: The purpose of this study was to describe the pattern and the frequency of skin lesion in RSUD Kariadi.Method: A cross-sectional study was conducted through analysis of the medical records of patients diagnosed skin lesion in the pathology labolatory of RSUD Kariadi between 2008 and 2009. The variables were secondary data including age, gender, specimen area, dan histopathology diagnosis. Data was choosen by consecutive sampling from 381 medical records of skin tissues examined at laboratorium of pathology anatomy of Dr. Kariadi general hospital during 2008-2009.Result: 381 cases were recorded comprising of 246 (65%) neoplastic and 135 (35%) non neoplastic lesion. 120 patients presented with skin cancer, and 126 with benign skin lesion. Most malignancy was observed among female patients (62.5%) on age catagory of 15-39 (65%). The most common lesion was basal cell carcinoma (48.3%) followed by squamous cell carcinoma (33.3%), malignant melanoma (10%), skin appendix carcinoma (2.5%), other malignancies (4.9%).Conclusion: the most common malignancies in Dr. Kariadi general hospital before 2008 was similar to data from 13 laboratory of pathology anatomy in Indonesia, which is squamous cell carcinoma.

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