scholarly journals Risk Factors for Undernutrition at Admission Among Adult Hospitalized Patients at a Referral Hospital in Indonesia

SAGE Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 215824402098331
Author(s):  
Nur Chandra Bunawan ◽  
Dwi Suseno ◽  
Drupadi H. S. Dillon ◽  
Ikhwan Rinaldi ◽  
Dyah Purnamasari
Keyword(s):  
Associated Factors ◽  
Multivariate Analyses ◽  
Gastrointestinal Disease ◽  
Cross Sectional Study ◽  
Hospitalized Patients ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Neutrophil Lymphocyte Ratio ◽  
Initial Hospital ◽  
Comorbidity Index

Patients with undernutrition at admission have higher risks to worsen their nutritional status, which is linked to an increase in morbidity and mortality. This study investigated the prevalence of undernutrition at admission and its associated factors. A cross-sectional study was conducted on patients aged 18 to 59 years old in Internal Medicine ward at Dr. Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia, between July and September 2019. Factors that might be associated with undernutrition at admission, such as age, sex, marital status, Charlson Comorbidity Index (CCI) and type of comorbidity, depression, and neutrophil–lymphocyte ratio (NLR), were assessed. Bivariate and multivariate analyses were used to determine the associated factors. Sixty hospitalized patients with median age of 42 years and 76.7% with married status joined the study. The most common reason for hospitalization was acute gastrointestinal disease with gallstones as the most common comorbidity. Undernutrition exists in 26.7% of subjects. High CCI score was observed among 11.7% subjects and half of subjects had NLR category ≥5. Bivariate analysis revealed that unmarried status, age ≥40 years, and malignancy were associated with undernutrition at admission. Logistic regression analysis showed malignancy as an independent predictor of undernutrition during the initial hospital admission (odds ratio [OR] = 11.8; 95% confidence interval [CI]: [1.1, 125.7]). The prevalence of undernutrition at admission was 26.7%. Factors associated with an increased prevalence of undernutrition at admission were age <40 years, unmarried status, and malignancy. Malignancy was an independent factor of the prevalence of undernutrition at admission.

scholarly journals Prevalence and Associated Factors of Pressure Ulcer among Hospitalized Patients at Felegehiwot Referral Hospital, Bahir Dar, Ethiopia

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Haileyesus Gedamu ◽  
Mignote Hailu ◽  
Abdella Amano
Keyword(s):  
Pressure Ulcer ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Hospitalized Patients ◽  
Referral Hospital ◽  
Systematic Sampling ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Major Health Problem ◽  
Prolonged Length

Introduction. Pressure ulcers, also known as decubitus ulcers (bed sores), are localized skin injuries that remain a major health problem affecting approximately 3 million adults. Objective. The aim of this study was to assess the prevalence and associated factors of pressure ulcer among hospitalized patients in Felegehiwot referral hospital. Methods. This cross-sectional study used systematic sampling on a sample of 422 patients. The data was collected by trained data collectors through pretested checklist. Bivariate analysis was used principally and variables were then entered into multiple logistic regressions model for controlling the possible effect of confounders and the variables which have significant association were identified on the basis of OR with 95% CI and P value. Results. The finding of this study revealed that 71 (16.8%) of them had pressure ulcer. Prolonged length of stay in hospital, slight limit of sensory perception, and friction and shearing forces were significantly associated with the presence of pressure ulcer. Conclusions and Recommendations. The prevalence of pressure ulcer was high among hospitalized patients. Researches of prospective (follow-up) study required investigating the incidence and associated factors of pressure ulcer for hospitalized patients.

scholarly journals PREVALENCE OF STRESS AND ITS ASSOCIATED FACTORS AMONG MEDICAL STUDENTS IN SABAH, MALAYSIA BORNEO

2019 ◽  
Vol 19 (2) ◽  
pp. 116-125 ◽  
Author(s):  
Aldrin Musiun ◽  
Khamisah Awang Lukman ◽  
Mohammad Saffree Jeffree ◽  
Fredie Robinson ◽  
Mohd Rohaizat Hassan ◽  
...  
Keyword(s):  
Medical Education ◽  
Medical Student ◽  
Medical Students ◽  
Associated Factors ◽  
Health Care Services ◽  
Cross Sectional Study ◽  
Bivariate Analysis ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test

Stress is accepted as the accumulation of unpleasant state of physical, mental and emotion on a person. Medical education has been known as one of the most stressful academic curriculum.  Hence, medical students may subjected to multiple psychological changes and challenges throughout the years of medical education.  The aim of this study was to determine the prevalence of stress and its associated factors among medical students. This cross sectional study was conducted from April to May 2018 in medical school in Sabah. It involved 396 medical students through universal sampling.  Self-administered questionnaires were used as an instrument for data collection. The questionnaires included were Sociodemographic Questionnaire, Depression, Anxiety and Stress Scales 21 (DASS-21) and Medical Student Stressors Questionnaire (MSSQ). Bivariate analysis (Chi Square test, Fisher’s Exact Test, Independent T test and Man-Whitney U test) were used to analyse the association. The response rate was 90.2%. The prevalence of stress among medical students were 33.3%.  Significant associated factors include financial support inadequacy (p=0.010) and all categories of medical student stressors. The mean score of the academic related stressors was found to be at 2.117 (±0.758) which was the highest mean score among medical student stressors assessed by MSSQ. The result of this study can be used as a basis for implementation of preventive measures such as provision of comprehensive, integrated and responsive mental health care services in university-based settings.

scholarly journals Assessment of immunization coverage and associated factors among children in Paravur Taluk of Ernakulam district, Kerala

2019 ◽  
Vol 6 (8) ◽  
pp. 3594
Author(s):  
Anuradha Kizhatil ◽  
Reshma . ◽  
Harsha Chollankil Hariharan ◽  
Alexander John ◽  
Ann Mary Thomas ◽  
...  
Keyword(s):  
Child Protection ◽  
Associated Factors ◽  
Immunization Coverage ◽  
Cost Effective ◽  
Cross Sectional Study ◽  
Bivariate Analysis ◽  
Cluster Sampling ◽  
Age Group ◽  
Cross Sectional ◽  
Group 5

Background: Immunization is one of the most cost-effective interventions averting countless childhood deaths and protecting millions of children from disability and illness. The objective of the current study was to assess the immunization coverage and associated factors among children aged 12-23 months and 5-7 years in Paravur Taluk of Ernakulam district, Kerala.Methods: A community based cross sectional study was done. Cluster sampling method of WHO was used for evaluation of immunization coverage.300 children in the age group of 12–23 months and 300 children in the age group 5-7 years were selected from each of the 30 clusters. Crude coverage details for each vaccine were estimated using percentages. Bivariate analysis was conducted to identify independent predictors of immunization coverage.Results: Among the children 12-23 months old, eleven (3.7%) children were partially immunized, while everybody had received at least one vaccine. The proportion of children fully immunized was 96.3%. Among the children 5-7 years old 55 (18.3%) were partially immunized. Belonging to Muslim religion, fathers’ occupation i.e. who were labourers/unskilled workers, mother’s education less than 12th standard and not possessing the mother and child protection card were found to be factors associated with partial immunization.Conclusions: This study shows that full immunization has not reached all children.

scholarly journals Experience of Perceived Stress and Associated Factors during COVID 19 Lockdown among Hoteliers of Pokhara, Nepal

2021 ◽  
pp. 31-41
Author(s):  
Akriti Kafle ◽  
Maginsh Dahal ◽  
Sudip Khanal ◽  
Kushalata Baral ◽  
Sirjana Pandit Pahari ◽  
...  
Keyword(s):  
Perceived Stress ◽  
Associated Factors ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Economic Problem ◽  
Bivariate Analysis ◽  
P Value ◽  
Psychological Consequences ◽  
Cross Sectional ◽  
Significance Level

It is great time to know the psychological consequences and know how hoteliers are coping to it because of Covid19 lockdown. Thus we tried to access prevalence of perceived stress and associated factors among hoteliers of Nepal. A hotel based quantitative descriptive cross-sectional study was done using a structured questionnaire cum interview schedule. The data was recorded in Microsoft Excel sheet, and was analyzed using Statistical Package for Social Sciences version 23. A descriptive analysis was done using mean, frequency, percentage and standard deviation. Bivariate analysis was done using Mann-whitney U test and Kruskal Wallis test as the data were non-normal. Significance level was observed at p-value less than 0.05. There was significant relation between stress score and variables like age, gender, marital status, smoking, alcohol, bread winner, sound sleep, family conflict, too many responsibilities, pay loans, pay rent of hotel, other source of income, paying salary, happy with government, lockdown only solution, economic problem and social problems. (p -value <0.05) Male had significantly higher stress than female. Similarly married participants showed significantly higher stress than unmarried. Stress level has been increased among the hoteliers of Nepal due to covid19 lockdown and has affected the tourism sector very badly.

scholarly journals Prevalence of heavy episodic drinking and associated factors among adults residing in Arba Minch health and demographic surveillance site: a cross sectional study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Befikadu Tariku Gutema ◽  
Adefris Chuka ◽  
Gistane Ayele ◽  
Eshetu Zerhun Tariku ◽  
Zeleke Aschalew ◽  
...  
Keyword(s):  
Associated Factors ◽  
Cross Sectional Study ◽  
Heavy Episodic Drinking ◽  
Bivariate Analysis ◽  
Sectional Study ◽  
Wealth Status ◽  
Multivariable Logistic Regression Model ◽  
Cross Sectional ◽  
Demographic Surveillance Site ◽  
Surveillance Site

Abstract Background Alcohol consumption is associated with different types of illnesses; particularly heavy episodic drinking is one of the risk factors for the disease burden of alcohol intake. The aim of the study was to assess the prevalence of heavy episodic drinking and associated factors in Arba Minch Health and Demographic Surveillance Site (HDSS). Methods A community-based cross-sectional study was conducted in 2017 among adult residents of Arba Minch HDSS. Using Arba Minch HDSS database, 3368 individuals were selected by simple random sampling techniques. From WHO STEPS instruments, step one was applied for this study. Variables with a p-value of less than 0.10 for bivariate analysis entered into a multivariable logistic regression model to outline the independent predictors of the heavy episodic drinking. To assess the presence of an association between dependent and independent variables, a p-value of less than 0.05 was considered. Results The prevalence of heavy episodic drinking was 13.7% (95% CI: 12.6–14.9). The study has shown that heavy episodic drinking was significantly associated with occupation (daily laborer [AOR = 0.49; 95% C.I: 0.29–0.85] and housewives [AOR = 0.63; 95% C.I: 0.45–0.88] compared with farmers), wealth index (2nd quintiles [AOR =0.55; 95% C.I: 0.41–0.74) and 3rd quintiles [AOR = 0.66; 95% C.I: 0.46–0.93] compared with 1st quintiles), and climatic zone (midland [AOR = 1.80;95% CI: 1.11–2.93), highland [AOR = 1.95;95% CI: 1.19–3.18] compared with lowland). In addition, tobacco use [AOR = 4.28;95% CI: 3.38–5.43], and khat use [AOR = 4.75; 95% CI: 2.66–8.50) were also associated with heavy episodic drinking among the study participants. Conclusions More than one in ten adults reported heavy episodic drinking in the study area. Intervention programs that aim to prevent heavy episodic drinking should be designed appropriately for individuals from lower wealth status, and for highlander.

scholarly journals Hospitalized Patients Accessing Information on Prescribed Medications from the Bedside Terminal: A Cross-Sectional Study

2020 ◽  
Vol 17 (13) ◽  
pp. 4850
Author(s):  
Jungwon Cho ◽  
Seungyeon Kim ◽  
Sangyoon Shin ◽  
Hyejin Yoo ◽  
Gi Hyue Park ◽  
...  
Keyword(s):  
Associated Factors ◽  
Cross Sectional Study ◽  
Hospitalized Patients ◽  
Health Care Information ◽  
Sectional Study ◽  
Cross Sectional ◽  
Expert Review ◽  
Medication Information ◽  
Using Data ◽  
The Impact

Studies have documented the impact of various types of health care information technology (HIT) on patient outcomes. However, literature on the HIT products is largely for outpatients and little is known about those for hospitalized patients. In 2014, a Korean hospital developed an inpatient portal known as the Smart Bedside Station (SBS). A retrospective cross-sectional study was conducted to evaluate the associated factors for accessing the medication view menu (Today’s Medication) on the SBS using data from October 2018 through September 2019. A root cause analysis with expert review was conducted to identify additional barriers for accessing the medication view menu. Approximately 92.58% of the study population accessed the SBS at least once during their hospital stay. However, 99.20% of accessed patients used the SBS for entertainment purposes (e.g., television) and 40.16% viewed the medication information. Younger age, higher education, and certain jobs were significant associated factors for accessing the medication information. In conclusion, this study revealed strong associations between accessing the medication view menu on the SBS and a number of associated factors. Based on the results, further research is warranted to suggest new items to access the medication view menu by hospitalized patients.

scholarly journals Patient satisfaction and associated factors among in-patients in Primary Hospitals of North Shoa Zone, Amhara Regional State, Ethiopia

2020 ◽  
Vol 9 (2) ◽  
pp. 76
Author(s):  
Zenebe Wondimhunegn Weldearegay ◽  
Sisay Shewasinad Yehualahet ◽  
Shimelse Ololo Sinkie ◽  
Tilahun Fufa Debela
Keyword(s):  
Patient Satisfaction ◽  
Associated Factors ◽  
Occupational Status ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Bivariate Analysis ◽  
Factor Scores ◽  
Cross Sectional ◽  
Method Factor ◽  
Previous Admission

Satisfaction of patient is the preferred item for the consumption of care. It is related to health services consumption. The objective of the study was to determine the level of patient satisfaction and associated factors among patients Primary Hospitals of North Shoa Zone. Institutional-based cross-sectional study design were implemented from March 15-April 25, 2019. Sample sizes of 422 inpatients were included. Participants were selected by lottery method. Factor analysis was used in order to generate factor scores for further analysis. Variables P&lt;0.25 on the bivariate analysis were included in the multiple linear regression and variables with p&lt;0.05 with 95% confidence interval were considered as statistically significant. There was 59.1% inpatient was satisfied. Sex, religion, place of residence, previous admission and occupational status of a housewife, ggovernment employee and educational status of primary school were associated with patient satisfaction.

scholarly journals Dental pain and associated factors in 2 to 4-year-old children in Goiânia

2015 ◽  
Vol 18 (3) ◽  
pp. 630-641 ◽  
Author(s):  
Marília Galvão Chaves Lemes ◽  
Maria do Rosário Gondim Peixoto ◽  
Ida Helena Carvalho Francescantonio Meneses ◽  
Maria do Carmo Matias Freire
Keyword(s):  
Associated Factors ◽  
Dental Pain ◽  
Cross Sectional Study ◽  
Health Condition ◽  
Education Level ◽  
Bivariate Analysis ◽  
Related Factors ◽  
Anthropometric Measures ◽  
Cross Sectional ◽  
Low Education

OBJECTIVE: To investigate the prevalence of dental pain and associated factors in 2-4-year-old children in Goiânia (GO). METHODS: Cross-sectional study using home interviews with parents or guardians and anthropometric measures. The sample consisted of 385 children from 2 to 4 years old. The variables analyzed were: dental pain sometime in their lives, and demographic, socioeconomic and health-related factors (health condition, diet, nutritional status and behavior). Bivariate analysis and logistic regression were performed, based on a hierarchical model for risk assessment, considering the sample weights. RESULTS: Dental pain prevalence was 9.9% (95%CI 7.4 - 13.1). After adjustment for other variables, children whose mothers had low education level and those who regularly consumed artificial powder juice containing sugar were more likely to have dental pain (OR = 3.03 and 2.15, respectively). CONCLUSION: It was concluded that one in ten children had dental pain, and the prevalence was associated with low education level of the mother and the regular consumption of artificial powder juice.

scholarly journals Some aspects of comorbidity in hospitalized patients of a therapeutic hospital

2020 ◽  
pp. 16-26
Author(s):  
Natalia V. Pyrikova ◽  
Oksana N. Antropova ◽  
Irina V. Osipova ◽  
Irina A. Frolova
Keyword(s):  
Cross Sectional Study ◽  
Hospitalized Patients ◽  
Noncommunicable Diseases ◽  
Cross Sectional ◽  
Type D ◽  
Urgent Task ◽  
Comorbidity Index ◽  
Condition Characteristic ◽  
Group 3 ◽  
Group 2

Objective - to analyze the risk factors (RF) of noncommunicable diseases depending on the comorbidity index (CI) in hospitalized patients. Materials and methods. A cross-sectional study was performed at the Altai Regional Hospital for War Veterans. 128 people were invited to take part in the study during the month in the therapeutic department, 100 people agreed (78.1% response). The average age is 77.9±8.3 years, 48% of women, 52% of men. A general clinical examination, RF analysis of noncommunicable diseases, psychosocial factors, Montreal Cognitive Function Scale (MoCA test), and an examination by a neurologist to detect encephalopathy were performed. Based on the Charlson CI data, patients were divided into 3 groups: group 1 - CI 1-2 points - 46%, group 2 - CI 3-4 points - 38%, group 3 - CI 5 and more points - 16%. Results. Regardless of gender, CI 5 or more was more common than CI 1-2 by 16.8%; among men, CI 5 and more occurred more often than CI 3-4 by 17.8%; middle-aged persons were only in the group with CI 1-2. In patients with CI 5 or more, compared with patients with CI 1-2, there was a higher frequency of such RFs as obesity (by 29.9%, all persons with CI 5 or more had abdominal obesity), social isolation (by 29.7%), type D personality (by 36.5%), as well as cognitive impairment (by 28.5%) and encephalopathy (by 32.9%). Depression was found 26.1% more often in patients with CI 3-4 than in patients with CI 1-2. Conclusion. Comorbidity is not a mandatory condition characteristic of an aging population, it is primarily the result of individual behavior. Therefore, the identification and correction of RF of noncommunicable diseases, especially in conditions of comorbidity, seems to be an urgent task, which determines the success of treatment in this category of patients.

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