Quality of rearing practices as predictor of short-term outcome in adolescent anorexia nervosa

2000 ◽  
Vol 30 (1) ◽  
pp. 61-67 ◽  
Author(s):  
J. CASTRO ◽  
J. TORO ◽  
M. CRUZ

Background. Studies of family relationships in anorexia nervosa have produced conflicting results. Some authors claim that family factors are related to short-term outcomes.Methods. Perceived rearing practices, as measured by the EMBU (Egna Minnen Betraffande Uppfostran: ‘My memories of Upbringing’) were examined in a sample (N = 158) of adolescents with anorexia nervosa and compared with the perceptions of adolescents (N = 159) from the general population. A further comparison was made between the groups of patients with good and bad short-term outcomes. Logistic regression analysis was performed to evaluate the predictive value of different variables on short-term outcome.Results. Overall, small differences were observed in the perceptions of rearing practices as expressed by the controls and the anorexic patients. Patients with bad short-term outcome perceived more rejection and control–overprotection from both parents than those with good outcome. In the logistic regression analysis only Rejection from father and the EAT (Eating Attitudes Test) total score gave independent prediction of treatment response.Conclusions. Taken as a whole, these results do not support the idea of altered rearing practices in anorexic patients, at least in young patients with a short evolution of the disease. Perceived rearing practices, especially ‘rejection’, appear to have an appreciable effect on the short-term outcome.

2018 ◽  
Vol 146 (9-10) ◽  
pp. 538-542
Author(s):  
Ivo Kehayov ◽  
Aleksandar Kostic ◽  
Borislav Kitov ◽  
Vesna Nikolov ◽  
Hristo Zhelyazkov ◽  
...  

Introduction/Objective. Subdural hematoma is one of the most common intracranial types of bleeding with high risk of disability and mortality. The aim of this study was to determine the influence of age, sex, acuteness, and etiology of subdural hematoma on short-term clinical outcome in these patients. Methods. We retrospectively studied 288 patients who were diagnosed and operated on for subdural hematomas (SDH) with different etiology (traumatic and spontaneous) and acuteness (acute, subacute, and chronic) for a period of five years. Patients scored ? 5 points on the Glasgow Coma Scale at hospital admission were not included in this study. Clinical outcome was assessed by the modified Rankin Scale (mRS) score at hospital discharge. Descriptive statistics and logistic regression analysis were used to determine the effect of the investigated factors on short-term clinical outcome. Results. Logistic regression analysis was conducted to predict degree of recovery (good = mRS ?1 vs. poor = mRS ? 2 or death) using sex, age, acuteness, and etiology of SDH as predictive factors. It was established that the following three factors made a significant contribution to the outcome: age (p = 0.004), acuteness (p < 0.001), and etiology of a hematoma (p = 0.023), with acuteness being the strongest predictive factor. Sex was not a significant predictor, while age under 70 years and spontaneous origin of SDH were associated with lower mRS scores and had a positive effect on recovery chances. Conclusion. Age, acuteness, and etiology of hematoma are important predictive factors that influence the short-term clinical outcome in patients with SDH. These parameters should be taken into account when giving prognosis for recovery chances to a patient?s family and relatives.


2007 ◽  
Vol 16 (1) ◽  
pp. 37-43 ◽  
Author(s):  
Ricarda Mewes ◽  
Sefik Tagay ◽  
Wolfgang Senf

2011 ◽  
Vol 105 (03) ◽  
pp. 430-434 ◽  
Author(s):  
Elim Cheung ◽  
Lonneke de Lau ◽  
Heleen den Hertog ◽  
Frank Leebeek ◽  
Diederik Dippel ◽  
...  

SummaryFibrinogen γ’ (γ’) is a natural isoform of fibrinogen, and alters the rate of formation and the properties of clots. It could therefore affect outcome after ischaemic stroke. The prognostic significance of γ’ fibrinogen levels is, however, still unclear. It was the objective of this study to assess levels of γ’ in ischaemic stroke, and its association with short-term outcome. We included 200 ischaemic stroke patients and 156 control persons. Total fibrinogen and γ’ levels were measured; outcome at discharge was assessed by means of the modified Rankin Scale score (defined as unfavourable when >2). We compared levels between patients and controls using multiple linear regression analysis, and logistic regression analysis was used to assess the relationship between levels and outcome. All analyses were adjusted for age and sex. Mean γ’ levels were significantly higher in patients with ischaemic stroke than in controls (0.37 vs. 0.32 g/l, p<0.001), and patients also had a higher γ’/total fibrinogen ratio (0.102 vs. 0.096, p=0.19). The γ’/total fibrinogen ratio is associated with unfavourable outcome in patients with ischaemic stroke (odds ratio per unit increase of γ’/total fibrinogen ratio 1.27, 95% confidence interval 1.09–1.47). Our study shows that patients with ischaemic stroke have increased levels of fibrinogen γ’ and suggests a trend towards an increased γ’/total fibrinogen ratio in ischaemic stroke. Increased fibrinogen γ’ relative to total fibrinogen levels are associated with unfavourable outcome in the early phase after stroke.


2002 ◽  
Vol 159 (8) ◽  
pp. 1347-1353 ◽  
Author(s):  
Adelaide S. Robb ◽  
Tomas J. Silber ◽  
Joan K. Orrell-Valente ◽  
Adela Valadez-Meltzer ◽  
Nathan Ellis ◽  
...  

2005 ◽  
Vol 38 (2) ◽  
pp. 123-133 ◽  
Author(s):  
Teresa A. Treat ◽  
Jill A. Gaskill ◽  
Elizabeth B. McCabe ◽  
Frank A. Ghinassi ◽  
Amanda D. Luczak ◽  
...  

2009 ◽  
Vol 18 (11) ◽  
pp. 701-704 ◽  
Author(s):  
Harriet Salbach-Andrae ◽  
Nora Schneider ◽  
Katja Seifert ◽  
Ernst Pfeiffer ◽  
Klaus Lenz ◽  
...  

2011 ◽  
Vol 216 (2) ◽  
pp. 420-425 ◽  
Author(s):  
Bin Zhang ◽  
ShuXiang Pu ◽  
WeiZhi Zhang ◽  
Ning Yang ◽  
Gang Shen ◽  
...  

2021 ◽  
Vol 12 ◽  
Author(s):  
Yi-Ran Li ◽  
Xiao-Yan Meng ◽  
Rui-Qing Zong ◽  
Fei-Xiang Wu

Objectives: Procalcitonin (PCT) has long been proved as an early diagnostic signal for postoperative outcomes. The purpose of this study is to explore the value of serum procalcitonin levels in predicting post-hepatectomy liver failure (PHLF), and further to declarethe relationship between postoperative PCT and short-term prognosis in patients after hepatectomy.Methods: Clinical data of patients with hepatocellular carcinoma (HCC) who underwent hepatectomy from June 1st, 2019 to September 31st, 2020 at Shanghai Eastern Hepatobiliary Surgery Hospital had been retrospectively analyzed. Logistic regression analysis was used to evaluate the risk factors related to PHLF. The Kaplan-Meier method was used to calculate the PHLF rate and 30-day survival after surgery.Results: A total of 885 patients with complete data were finally included in analysis, 311 of them with elevated serum PCT (≥1 ng/ml). Results of the logistic regression analysis suggested a significant association between PCT and PHLF [HR, 95%CI; 3.801 (1.825, 7.917), p &lt; 0.001]. Other significant risk factors for PHLF included portal hypertension, portal blocking time (&gt;30 min) and blood transfusion (&gt;200 ml). Kaplan-Meier analysis also suggested a higher PHLF rate in elevated PCT patients [9.0% (95% CI, 7.3 to 12.8 VS. 1.9% (95% CI, 1.1–4.3)); p &lt; 0.001]. For secondary outcomes, elevated PCT was also highly associated with postoperative sepsis, ICU admission, 30-day mortality and 3-month mortality.Conclusion: Elevated procalcitonin level in patients after hepatectomy is related to higher PHLF rate, with lower 30-day survival and poor short-term postoperative outcomes.


2021 ◽  
Vol 24 (1) ◽  
pp. E031-E037
Author(s):  
Junnan Zheng ◽  
Tingting Tao ◽  
Yiming Ni ◽  
Liang Ma ◽  
Haige Zhao

Background: Small cavity left ventricle (SCLV) may affect the clinical outcomes of patients undergoing mitral valve replacement (MVR). This study aims to investigate the incidence of SCLV in patients with rheumatic mitral valve stenosis undergoing MVR and analyze its effect on short-term patient outcomes. Methods: We retrospectively examined all consecutive patients with isolated or concomitant MVR for rheumatic mitral valve stenosis in our center from 2013 to 2018. SCLV was defined as end-diastolic volume index ≤ 50 ml/m2. After inclusion and exclusion, a total of 1,437 patients were analyzed. The baseline information was collected and compared between SCLV and non-SCLV patients. Multivariate logistic regression analysis was conducted to determine the effect of SCLV on early mortality. Results: A total of 1,437 patients were included in the study. SCLV was detected in 13.57% of the patients. Compared with the non-SCLV group, patients with SCLV were smaller-sized and primarily female. There were no significant differences between SCLV and non-SCLV patients regarding major postoperative complications, nor were there incidence of prosthesis-patient mismatch. Logistic regression analysis showed that SCLV was not a risk factor for short-term mortality (P = 0.998). Conclusions: Our results demonstrated that SCLV was not associated with poorer early outcomes after MVR surgery in patients with rheumatic mitral valve stenosis.


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