Iatrogenic Related to the Knowledge Deficit of Patient Safety in the Care: A Descriptive Analysis
Eliza Miranda Ramos, Matheus Dullius Lima, Valter Aragao do nascimento, Ph.D and Elaine Cristina Fernandes Baez Sarti
Article Type: Research Article | First Published: June 22, 2019
Iatrogenic conditions are those that result from the intervention of the multidisciplinary health team, whether correct or incorrect, justified or not, but which result in detrimental consequences for the patient's health. Few studies have focused on assessing the risks to patients, especially those hospitalized in emergency and intensive care services, and only in the last decades attention has been drawn to the importance of these problems...
The Outcome of Undisplaced Femoral Neck Fracture in Elderly
Adnan A Faraj, FRCS, Parvez Hussain, MRCS and Karthika Velusamy, MBBS
Article Type: Review Article | First Published: June 06, 2019
The management of Garden type 1 and 2 undisplaced proximal femoral intracapsular fracture in elderly patients is controversial. Many options including arthroplasty and fixation have been suggested based on patient's age and cognitive function. We have retrospectively reviewed 85 elderly patients with undisplaced femoral neck fracture. The mean age of the cohort was 81 years. 52 patients were treated with cemented hemi-arthroplasty, 19 with dynamic hip screw fixation, 10 had cannulated screw fixa...
Pneumococcal Sepsis as a Cause of Massive Splenic Infarction in Patient with Unknown Celiac Disease
Alessandro Graziani, Federica Mirici Cappa, Erica Fiorini, Pierpaolo Casalini and Francesco Albertini
Article Type: Case Report | First Published: June 06, 2019
Splenic Infarction (SI) is a rare event that occurs when the Splenic Artery (SA) or its branches become occluded by embolus or by in situ thrombosis. Most SI events are a result of embolic sources either cardiac or aortic. However malignant hematological disorders and autoimmune diseases are the predominant causes of splenic thrombosis. Massive Splenic Infarction (MSI) results from compromised blood flow to more than half of the spleen. In this paper we describe a case of a previously healthy pa...
A Prospective Study on Severe Hypotension in Critically Ill Patients Sedated with Propofol
Sherif Abdelmonem, Tamer Helmy, Iman El Sayed and Salma Ghazal
Article Type: Original Research | First Published: June 06, 2019
We aimed to verify if mean arterial pressure (MAP) at initiation of Propofol infusion and the APACHE score can predict the risk of severe hypotension. A prospective study on 100 patients treated with Propofol during their stay at the Main University Hospital between 2017 and 2018. We estimated relative risks (RRs) of severe hypotension according to MAP and APACHE score categories using a modified Poisson model for binary outcome....
A Case Control Study of Risk Factors for Depression in Intensive Care Unit Patients
Sherif Abdelmonem, PhD, Ghada Abdel Hadi, PhD, Akram Fayed, PhD, Iman El Sayed, PhD and Khaled Mogazy, MD
Article Type: Observational Study | First Published: May 04, 2019
A case-control study was conducted on 159 adult patients admitted to the ICU of a governmental hospital, Alexandria, Egypt. We classified the patients using the Arabic version of Hamilton scale as either depressed or not. Bivariate and multivariate analyses were done to detect the relation between depression and different predictors after controlling the confounding effect of all other factors. The prevalence of depression in the ICU patients was 46.5%. The strongest risk factor for depression w...