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Factors associated with in-hospital death in patients with nosocomial infections: a registry-based study using community data in western Iran
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Salman Khazaei, Erfan Ayubi, Ensiyeh Jenabi, Saeid Bashirian, Masud Shojaeian, Leili Tapak
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Epidemiol Health. 2020;42:e2020037. Published online June 1, 2020
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DOI: https://doi.org/10.4178/epih.e2020037
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Abstract
Objectives
Determining the predictors of in-hospital death related to nosocomial infections is an essential part of efforts made in the overall health system to improve the delivery of health care to patients. Therefore, this study investigated the predictors of in-hospital death related to nosocomial infections.
Methods This registry-based, longitudinal study analyzed data on 8,895 hospital-acquired infections (HAIs) in Hamadan Province, Iran from March 2017 to December 2019. The medical records of all patients who had been admitted to the hospitals were extracted from the Iranian Nosocomial Infections Surveillance Software. The effects of the type and site of infection, as well as age group, on in-hospital death were estimated using univariate and multivariable Cox regression models.
Results In total, 4,232 (47.8%) patients with HAIs were males, and their mean age was 48.25±26.22 years. In both sexes, most nosocomial infections involved Gram-negative bacteria and the most common site of infection was the urinary tract. Older patients had a higher risk of in-hospital death (adjusted hazard ratio [aHR], 2.26; 95% confidence interval [CI], 1.38 to 3.69 for males; aHR, 2.44; 95% CI, 1.29 to 4.62 for females). In both sexes, compared with urinary tract infections, an increased risk of in-hospital death was found for ventilator-associated events (VAEs) (by 95% for males and 93% for females) and bloodstream infections (BSIs) (by 67% for males and 82% for females).
Conclusion We found that VAEs, BSIs, and fungal infections were independently and strongly associated with increased mortality.
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Summary
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Citations
Citations to this article as recorded by  - Predictors of In-ICU Mortality Among Older Patients with Healthcare-Associated Infection: A Cohort Study
Fereshteh Rezaie, Farahnaz Mohammadi-Shahboulaghi, Reza Fadayevatan, Mohsen Shati, Gholamreza Ghaedamini Harouni
Journal of Kermanshah University of Medical Sciences.2023;[Epub] CrossRef - Barriers to hand hygiene compliance in intensive care units to prevent the spread of healthcare-associated infections
Gurjeet Singh, Raksha Singh, Ranga Reddy Burri
MGM Journal of Medical Sciences.2023; 10(4): 667. CrossRef - Prevalence of Nosocomial Infections During the COVID-19 Pandemic: A Systematic Review and Meta-analysis
Sima Rafiei, Zahra Nejatifar, Rana Soheylirad, Samira Raoofi, Fatemeh Pashazadeh Kan, Ahmad Ghashghaee
Journal of Health Reports and Technology.2022;[Epub] CrossRef - Prevalence of Nosocomial Infections During the COVID-19 Pandemic: A Systematic Review and Meta-analysis
Sima Rafiei, Zahra Nejatifar, Rana Soheylirad, Samira Raoofi, Fatemeh Pashazadeh Kan, Ahmad Ghashghaee
Journal of Health Reports and Technology.2022;[Epub] CrossRef - The Impact of COVID-19 Outbreak on Nosocomial Infection Rate: A Case of Iran
Maryam Jabarpour, Mahlagha Dehghan, Giti Afsharipour, Elham Hajipour Abaee, Parvin Mangolian Shahrbabaki, Mehdi Ahmadinejad, Mahboobeh Maazallahi, Aseer Manilal
Canadian Journal of Infectious Diseases and Medical Microbiology.2021; 2021: 1. CrossRef - Survival rate in patients with ICU-acquired infections and its related factors in Iran’s hospitals
MEDSKorosh Etemad, Yousef Khani, Seyed-Saeed Hashemi-Nazari, Neda Izadi, Babak Eshrati, Yadollah Mehrabi
BMC Public Health.2021;[Epub] CrossRef
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Risk factors for low back pain among elementary school students in western Iran using penalized logistic regression
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Forouzan Rezapur-Shahkolai, Elham Gheysvandi, Leili Tapak, Iman Dianat, Akram Karimi-Shahanjarini, Rashid Heidarimoghadam
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Epidemiol Health. 2020;42:e2020039. Published online June 2, 2020
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DOI: https://doi.org/10.4178/epih.e2020039
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14,615
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288
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9
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12
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Abstract
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Abstract
OBJECTIVES
This study investigated the prevalence of low back pain (LBP) and its risk factors among elementary-school students.
METHODS In this cross-sectional study, 693 elementary students from Hamadan city, western Iran, were selected by multistage stratified cluster sampling. Data were collected through interviews using questionnaires. Posture and psychosocial elements were assessed using the observational Rapid Upper Limb Assessment (RULA) checklist and the standard Strengths and Difficulties Questionnaire, respectively. Penalized logistic regression with the group smoothly-clipped absolute deviation regularization method was used for variable selection and data analysis (α=0.05). The chi-square test was also used.
RESULTS In total, 26.6% of the students (7-12 years old) reported LBP in the last month. Older age (odds ratio [OR], 3.08; 95% confidence interval [CI], 1.80 to 5.26), watching TV for more than 3 hours a day (OR, 2.62; 95% CI, 1.46 to 4.68), very short seat backrests (OR, 3.08; 95% CI, 1.61 to 5.90), excessively curved seat backrests (OR, 4.36; 95% CI, 2.08 to 9.13), very short desks (OR, 3.44; 95% CI, 1.61 to 7.35), a family history of LBP (OR, 2.49; 95% CI, 1.58 to 3.91), carrying a school bag on one shoulder (OR, 1.91; 95% CI, 1.03 to 3.54), and RULA scores of 3 (OR, 2.26; 95% CI, 1.13 to 4.50) or 4 (OR, 2.85; 95% CI, 1.37 to 5.91) were associated with LBP.
CONCLUSIONS A high prevalence of LBP was found among elementary-school students. This study underscores the importance of recognizing vulnerable children and teenagers and developing interventional health promotion programs to prevent LBP based on an appropriate consideration of its contributory factors.
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Summary
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Citations
Citations to this article as recorded by - Cultural appropriateness of interventions to prevent and reduce musculoskeletal disorders among students: a systematic review
Maryam Afshari, Elham Gheysvandi, Rohollah Norian, Mehdi Kangavari
Ergonomics.2024; : 1. CrossRef - Frequency of back pain occurrence among high school youth including their physical activity
Ewelina ŁEBEK, Józefa DĄBEK, Magdalena SZYNAL, Andrzej KNAPIK
Minerva Pediatrics.2024;[Epub] CrossRef - Does sedentary behaviour cause spinal pain in children and adolescents? A systematic review with meta-analysis
Laura R C Montgomery, Michael Swain, Amabile B Dario, Mary O'Keeffe, Tie P Yamato, Jan Hartvigsen, Simon French, Christopher Williams, Steve Kamper
British Journal of Sports Medicine.2024; : bjsports-2024-108648. CrossRef - Prevalence of chronic pain and contributing factors: a cross-sectional population-based study among 2,379 Iranian adolescents
Maryam Shaygan, Azita Jaberi, Marziehsadat Razavizadegan, Zainab Shayegan
The Korean Journal of Pain.2023; 36(2): 230. CrossRef - Examining the Relationship between Mental Health and Chronic Pain in Children and Adolescents: A Systematic Review Study
Farzin Bagheri Sheykhangafshe, Hojjatollah Farahani, Mohsen Dehghani, Ali Fathi-Ashtiani
Journal of Rafsanjan University of Medical Sciences.2023; 22(6): 617. CrossRef - Association between Physical Fitness and Low Back Pain: The Pepe Cross-Sectional Study
Aina M. Galmés-Panadés, Josep Vidal-Conti
Children.2022; 9(9): 1350. CrossRef - Prevalence of Low Back Pain among Primary School Students from the City of Valencia (Spain)
Vicente Miñana-Signes, Manuel Monfort-Pañego, Antonio Hans Bosh-Bivià, Matias Noll
Healthcare.2021; 9(3): 270. CrossRef - Identification of factors related to behaviors associated with musculoskeletal pain among elementary students
Forouzan Rezapur-Shahkolai, Elham Gheysvandi, Akram Karimi-Shahanjarini, Leili Tapak, Rashid Heidarimoghadam, Iman Dianat
BMC Musculoskeletal Disorders.2021;[Epub] CrossRef - Parents' knowledge and attitudes when choosing their children's school bag: An introductory study
Dijana Laštro, Mirsad Muftić, Nenad Ponorac, Dubravko Bokonjić
Scripta Medica.2021; 52(2): 124. CrossRef - Designing School Tables and Chairs based on Anthropometry of Elementary School Students in Surabaya
Riska Ayu Yulianingtyas, Dani Nasirul Haqi
The Indonesian Journal Of Occupational Safety and Health.2021; 10(1): 97. CrossRef - Unconventional seats for students returning to school during the worldwide COVID-19 pandemic: has Italy taken the right direction?
Massimiliano Polastri, Julie Swann
International Journal of Therapy and Rehabilitation.2020; 27(11): 1. CrossRef - Effectiveness of mat Pilates on postural alignment in the sagittal plane in school children: a randomized clinical trial
Fabíola Unbehaun Cibinello, Jessica Caroliny de Jesus Neves, Mônica Yosino Leão Carvalho, Paola Janeiro Valenciano, Dirce Shizuko Fujisawa
Motriz: Revista de Educação Física.2020;[Epub] CrossRef
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