Profile Of Chronic Disease Research Articles

Caracterización ocupacional de los profesionales en terapia respiratoria en Guayaquil

Respiratory Therapy is a health profession with high demand worldwide related to the current epidemiological profile of chronic degenerative diseases with cardio-respiratory care dependence. The present study tries to know the current occupational profile of the professionals in Respiratory Therapy of the city of Guayaquil. The method used for this article was he sent an electronic survey that addresses the occupational characteristics of the professionals of this discipline, who work in the city of Guayaquil. The results of the research were 55.60% of the respondents are between the ages of 26 and 35, only 3.70% have completed postgraduate studies, 22.50% have no employment relationship with health institutions and a 73.8% said they had a high degree of satisfaction with their current profession. It can be concluded that there are very few professionals with postgraduate studies. The occupational profile is oriented to work in hospitals with 77.50% and in carrying out activities such as oxygen therapy, aerosol therapy, aspiration of secretions and control of mechanical ventilation. Most professionals do not apply respiratory therapy protocols and do not participate in clinical decisions in patient care.

Clinical profile of chronic obstructive pulmonary diseases in rural population

Clinical profile of chronic obstructive pulmonary diseases in rural population

Bacteriological Profile of Chronic Obstructive Pulmonary Disease in Patients Admitted with Acute Exacerbation at a Tertiary Care Centre

Bacteriological Profile of Chronic Obstructive Pulmonary Disease in Patients Admitted with Acute Exacerbation at a Tertiary Care Centre

PUK21 INCIDENCE OF SEVERE CHRONIC KIDNEY DISEASE AND COMORBIDITY AND CLINICAL PROFILES BY BODY MASS INDEX: A REAL-WORLD ANALYSIS USING CLAIMS AND ELECTRONIC HEALTH RECORDS

Describe incidence of severe chronic kidney disease (CKD) and comorbidity profiles by patient body mass index (BMI) using real-world claims and electronic health records (EHR) database. Adults age ≥18 newly diagnosed with severe CKD (stage 4, 5, and end stage) between 6/30/2007 and 6/3/2017 were identified in the IBM® MarketScan® Explorys® Claims-EHR Data Set, which includes detailed medical and pharmacy claims data and clinical information in patient health records. Incidence of severe CKD were stratified by BMI measured during 1-year prior to CKD diagnosis (index event). The following BMI categories were used (kg/m2): Underweight <18.5, normal weight 18.5 to 24.9, overweight 25 to 29.9, obese 30 to 39.9, morbidly obese ≥ 40. Comorbid conditions and hemoglobin A1C (HbA1c) level during the 1-year pre-index were stratified by BMI. Patients with evidence of pregnancy or primary cancers were excluded. 7,724 patients were newly diagnosed with severe CKD, with 2% underweight, 22% normal weight, 30% overweight, 36% obese, and 10% morbidly obese (Mean age 71; 52% male). Prevalent of comorbid conditions increasing from underweight to morbidly obese categories were type 2 diabetes (T2DM) from 28% to 77%, dyslipidemia 45% to 68%, hypertension 80% to 92%, and congestive heart failure 38% to 47%. Depression (18-19%), COPD (36-37%), and pain (77-78%) were similar between underweight and morbidly obese categories but higher than normal (16%, 29%, 71%), overweight (13%, 27%, 70%) and obese (14%, 29%, 72%). Among a subset with HbA1c results, the mean HbA1c increased from 6.7 in normal weight to 7.2 in morbidly obese categories. While incidence of severe CKD diagnosis were higher in obese patients, patient BMI categories revealed different comorbidity profiles. Prevalence of T2DB and other metabolic syndrome conditions increased with BMI, while other conditions were highest among patients at the opposite ends of BMI spectrum.

Chronic disease profiles of caregivers of geriatric patients and attitudes and behaviors to their chronic diseases

Amac: Calismamizda Saglik Bilimleri Universitesi Ankara Numune Egitim ve Arastirma Hastanesi Evde Saglik Hizmetleri Birimi’ne kayitli geriatrik hasta grubuna bakim veren (BV) kisilerin kronik hastalik durumlarinin, eger bir hastaligi varsa kendi kronik hastaliklarini yonetebilme durumlarinin ve BV profilinin ortaya konulmasi amaclanmistir. Gerec ve Yontem: Arastirmamiz kesitsel, tanimlayici, gozlemsel tipte bir arastirmadir. Calismamiza Evde Saglik Hizmetleri Birimi’ne kayitli 65 yas ve ustu halen aktif hizmet alan tum hastalarin, calismaya katilmaya gonullu olan bakim verenleri dahil edilmistir. Orneklemimiz calisma evrenimizin tamamidir. Evde Saglik Hizmetleri Birimi’ne kayitli bakim verilen geriatrik hasta grubunun sosyodemografik, kronik hastalik ve klinik durumlari ile ilgili bilgileri Aile Hekimligi Klinigi tarafindan olusturulmus olan hasta dosyasi arsivinden alinmistir. Ayrica BV’lerin durumunu sorgulayan calismaya ozgu yapilandirilmis bir anket formu arastirmacilar tarafindan Aile Hekimligi Kliniginde yapilan akademik konseylerde tartisilarak hazirlanmistir. BV kisiler hakkindaki bilgiler bu anket formu kullanilarak rutin evde saglik hizmetleri kapsamindaki gorusmelerden elde edilmistir. Bulgular: Evde saglik hizmetleri birimine kayitli 65 yas ve ustu hasta sayisi 350 olarak belirlenmis olup calismaya katilmayi kabul eden 213 BV calismaya dahil edildi. Bunlarin yas ortalamasi 58,2±12,4’tur. En kucuk BV’nin yasi 24 iken en buyuk 95’ti. BV’lerin %81’i aileden bir akraba, %13’u yabanci uyruklu ucretli bakici ve %6’si da T.C. vatandasi olan ucretli bakiciydi. Egitim durumlari ise %41’i universite, %23’u lise, %31’i ilkokul mezunuydu ve %5’inin okuma yazmasi yoktu. BV’lerin tamamina yakini kadindi. BV’nin %51’inde en az bir kronik hastalik vardi (n=109). En fazla kronik hastalik sayisi 5’ti. Bunlarin 66’sinda hipertansiyon, 28’inde diabetes mellitus, 21’inde guatr, 12’sinde koroner arter hastaligi, 8’inde kanser vardi. Kronik hastaligi olanlarin %95’i tedavisini duzenli aliyordu. BV’lerin kronik hastaligi olanlarin %77’si tibbi kontrollerine duzenli gittigini belirtti. Duzenli gitmeyenlerin %36’si kendi ihmali oldugunu, %60’i ise hasta bakimi ile ilgilendigi icin kontrollerine duzenli gidemedigini belirtti. Baktiklari hastalarin sahip oldugu kronik hastalik sayisi ortalamasi ise 3,1±1,3’tu. Bakim verilen hastalarin %39’u tam bagimli, %49’u yari bagimli, %12’sinin ise bagimsiz oldugu saptandi. Tedavisini duzenli alamayan BV’lerin hepsinin baktigi hastasi tam bagimliydi. Kontrollerine duzenli gitmeyenlerin %92’sinin hastasinin yataga tam veya yari bagimli oldugu goruldu. Sonuc: Calismamizda BV’lerin cogu aileden biriydi ve BV’lerin yarisinda en az bir kronik hastalik mevcuttu. Bu hizmete baslayan BV’lerin zamanla bakim hizmeti yuku agirlastikca kendi kontrollerini aksatabilmekteydi. Ancak kendi kontrol ve ilaclarini aksatsalar bile bakim verdikleri kisinin ilaclarini aksatmamaktaydilar. Evde saglik hizmetleri planlanirken bu kisiler de unutulmamali ve saglik durumlari onemsenmelidir.

Chronic disease profile, health utilization and self-reported financial situation of older people in rural South Africa

Background: Chronic diseases are more prevalent among older people. These illnesses require seeking continuous medical services which oftentimes have spill-over effects on the financial situation of individuals and households. Objective: To describe the chronic disease profile, health utilization and self-reported financial situation of older people in a rural population. Methods: Cross-sectional data from South Africa Wellbeing and Older People Study (WOPS)-wave 2 was utilized for this study. The survey included 519 respondents and was carried out between April 2013 and August 2013. Descriptive statistics was used to report respondents’ socio-economic characteristics, chronic disease profile, health utilization patterns, hospitalizations and access to medical and non-medical financial aid. Chi square test was conducted to examine the factors associated with chronic diseases and self-reported financial situation at 5% level of confidence. Results: The mean age of respondents was 62 years. Of the respondents, 259 (50%) had hypertension and 122 (24%) had arthritis, twenty-two (4%) had stroke, 43 (8%) had diabetes, 25 (5%) hade asthma, 10 (2%) had heart disease and 6 (1%) had cancer. Following the experience of a health problem, 119 (46.67%) adopted self-medication and 36 (14.12%) consulted traditional healer. Four hundred and fifty-four (97.63%) respondents received no financial aid for buying drugs and paid out-of-pocket. Also, 452 (97.41%) had no access to financial aid to pay for hospital bills. Risk factors like tobacco use (χ2 =6.77, p=0.009) and alcohol consumption (χ2 = 8.90, p= 0.003) were also associated with hypertension. Also, being hospitalized in the last 1 year (χ2 = 8.15, p=0.017) was associated with whether households’ financial condition got better, remained the same or got worse. Having chronic disease (χ2 = 7.68, p= 0.022) was similarly significantly associated with self-reported financial situation. Conclusions: The burden of chronic disease was high among older persons in this study. The study provided evidence that suggests that unearned income such as government grants and transfers as well financial supports from individuals’ families and acquaintances can provide some form of insurance against worsening financial condition among older people.

Clinical-Epidemiological Profile of End-Stage Chronic Kidney Disease in Dialytic Therapy in the State of Pará, Brazil

Clinical-Epidemiological Profile of End-Stage Chronic Kidney Disease in Dialytic Therapy in the State of Pará, Brazil Ana Lydia Ledo de Castro Cabeça, Renata Maria Coutinho Alves, Ana Carolina de Castro Ribeiro Cabeça,Marcelo Coelho Simões, Daniele Melo Sardinha, Juan Andrade Guedes, Cláudia do Socorro Carvalho Miranda, Clea Nazaré Carneiro Bichara,Nelson Veiga Gonçalves Abstract Purpose of the study: to examine the epidemiological profile of patients with end-stage chronic kidney disease in dialytic therapy in the State of Pará. Methods: We conducted a prospective, descriptive, cross-sectional of quantitative approach. The survey was developed in patients in the health system from the State of Pará, and met in November 2017, in three Renal Therapy Services located in the municipality of Substitutionary Belém-PA, through the application of a questionnaire Semistructured and analysis of patient records. Demographic variables, cartographic and public policy in health were obtained, respectively, of the 2010 CENSUS, the Millionth Digital system of IBGE and national register of Health establishments. Results: 50 to 59 guys prevailed years (29.2%), ethnicity (63.5%), with basic-level education (56.2%) and family income of up to 1 minimum wage (59.6%). The main causes of kidney disease were hypertension (78.6%) and diabetes melittus (43.2%). Conclusion: Further studies are necessary to the understanding of social determinants and epidemiologic, clinical, and about the existence of dialysis treatment networks in the State, in order to contribute to the formulation and implementation of public policies in the area of Nephrology. Full Text: PDF DOI: 10.15640/ijhs.v7n3a6

Study of clinical profile of chronic kidney disease (CKD) patients at a tertiary care center

Study of clinical profile of chronic kidney disease (CKD) patients at a tertiary care center

Functional Status in Hemodialysis - A Comparative Study with FIM, ADLQ and 7D5L Instruments.

There is only limited information on the functional status (FS) of patients receiving hemodialysis (HD) from developing countries where the etiology of chronic kidney disease (CKD) and demographic profile are different. The study aims to assess the FS in patients with CKD using three validated generic instruments. A total of 116 adult patients on HD with a dialysis vintage >3 months were enrolled. FS was assessed using three generic tools – Functional Independence Measure (FIM) (scores 18–126), Seven domains and five levels (7D5L) (scores 0–28), and Activities of Daily Living Questionnaire (ADLQ) (scores 0–6) scales. A higher FIM and ADLQ scores and lower 7D5L score indicated good FS. The mean age of patients was 41.28 ± 15.44 years. About 77.6% were males and 80.2% were unemployed. About 67.2% were receiving twice-weekly HD, and 28.4% were receiving thrice-weekly dialysis. The mean scores were 119.05 ± 11.42 with FIM, 6.44 ± 4.26 with 7D5L, and 5.51 ± 1.19 with ADL instruments. More than 80% showed full functional independence with ADLQ instrument. With FIM, the overall scores showed a tendency for functional independence, but the subdomains involving locomotion/mobility were impaired to a greater extent. The proportion of patients with full independence was less with 7D5L. We observed an inferior FS in individuals <40 years. Patients on HD were functionally independent as assessed by FIM and ADLQ instruments. However, 7D5L appeared to be better in identifying mild to moderate limitations in daily activities. The domains involving motor tasks seem to be affected to a greater extent. The current scales for assessing FS do not incorporate a time-dependent component.

Chronic disease profiles of subjective memory complaints: a latent class analysis of older people in a rural Malaysian community

Background: Subjective memory complaints (SMC) are common in the elderly and have been suggested as the first subtle sign of decline which can predict dementia. Cognitive decline is thought to be related to inflammatory processes similarly found in other chronic diseases and conditions such as stroke, heart disease and arthritis. This study aimed to examine the association of SMC with chronic diseases and the profile of these health conditions reported by a group of older adults.Methods: Data from a cross-sectional survey conducted from August 2013 and March 2014 was drawn from 6179 individuals aged 56 years and above. Multivariable logistic regression analyses were used to examine SMC’s relationship with individual chronic diseases (asthma, kidney disease, heart disease, stroke, arthritis, hypertension and diabetes) and multimorbidity. Latent class analysis (LCA) was used to identify the profile of health conditions. The effect of SMC was estimated in a multinomial logistic regression as part of the latent class model.Results: SMC was statistically significant in its association with asthma, stroke, heart disease, arthritis and multimorbidity in the fully controlled multivariable logistic regression models. Three health profiles were identified: low comorbidity (n = 4136, low rates in all health conditions), arthritis group (n = 860) and diabetes and hypertension group (n = 1183). SMC was associated with arthritis group (OR = 2.04, 95% CI = 1.51–2.75) and diabetes and hypertension group (OR = 1.22, 95% CI = 1.03–1.46).Conclusion: Adapting a combination of analytical approaches allows a better understanding in the assessment of SMC’s relationship with chronic diseases and the patterns of distribution of these health conditions.

Nursing consultation for people with diabetes mellitus: experience with an active methodology.

to describe our experience with a methodology for teaching nursing consultation in support of people with diabetes mellitus at a Family Health Unit. experience report with four moments-submission of the proposal to the team; theorizing; nursing care for people with diabetes mellitus at home and at the health unit, and evaluation of learning. the pedagogical process favored the integration between service and users, contributed to implement and apply the nursing process and strengthened professional training, based on the epidemiological profile of chronic diseases and its implications for nursing in primary care. the active methodology discussed here allowed for a resignification of knowledge and a qualification of nursing care, demonstrating to be an important instrument for integrating clinical practice and epidemiology in accordance to experienced reality.

Haematological profile of chronic kidney disease in a mixed-ancestry South African population: a cross-sectional study

ObjectivesThe objectives were to characterise the haematological profile of screen-detected chronic kidney disease (CKD) participants and to correlate the complete blood count measures with the commonly advocated kidney function estimators.MethodsThe...

QT Interval Analysis in Patients with Chronic Liver Disease

The prevalance of QT prolongation in chronic viral liver disease is high and the risk of complications is increased. We wanted to study the QT interval prolongation at the patients diagnosed with chronic hepatic disease and also to evaluate some of clinical and biochemical variables. We studied a cohort with 126 patients diagnosed with chronic viral hepatic diseases hospitalised to Cardiology Department, to the County Hospital of Craiova, between Octomber 2016 and January 2018. We aimed to determine the occurrence of QT interval prolongation in a large series of patients with chronic hepatic disease of viral etiology. We wanted to evaluated the QT prolongation to clinical and biochemical variables. The QT interval was measured by a standard 12-lead ECG for each patient, with prolongation defined as 460 ms. Multiple clinical and biochemical variables were evaluated including sex, age, areas (rural/urban) the frequency of arrhythmic events (PACs, PVCs, Atrial fibrillation, Bradycardia, Tachycardia), NT proBNP, Hb,uric acid, creatinine, alanine aminotransferase (ALT), aspartate aminotransferase (AST) , cholesterol, triglyceride, etc. The group of patients was composed by 43 woman and 83 men. From 43 women, representing 65.06% (461.56 �42.03) and from 83 men, means 66.67% (461.14 � 45.10) presented interval QT prolongation. Studing the distribution of hepatic etiologies we can see that 34 patients had hepatitis B, 35 patients hepatitis C, 5 patients B and C dual virus infection and 52 patients with chronic liver disease of etiology other than viral. We registered close results about QT interval prolongation on group, sex and origine group of patients. The value of QT interval to our patients was higher compared to other values recorder in other studies, at the patients with chronic hepatic disease, despide the fact we chose a higher value of QT prolongation. The highest value of QT interval was in the group of age between 60 and 69, even if in other studies we notice a prolonged QT interval at patients over 70 years old. The biological and biochemical profile of chronic hepatic disease of the subjects included in our study showed no statistical difference between male and female patients.We found a higher incidence of arrhythmic events, at patients with chronic hepatic disease of viral etiology, especially to premature atrial contraction and atrial fibrillation.We found a couple of correlation between QT interval prolongation and the evolution of chronic hepatic disease of viral etiology. It is very important to develop a strong and complex strategies to prevent and to treat the arrhythmic event presented at the patients diagnosticated with hepatic disease, because of the higher risk of developing life-threatening arrhythmias, includen sudden cardiac death.

Study on the Demographical Profile of Chronic Obstructive Pulmonary Disease in Central India, New Delhi

Study on the Demographical Profile of Chronic Obstructive Pulmonary Disease in Central India, New Delhi

A study on clinico-etiological profile of chronic liver disease in children between 1year to 14 years of age

Introduction: Chronic liver diseases(CLD) account for 1 to 5% of paediatric ward admissions and upto 20% of ward mortality in our country. Now a day Indian childhood cirrhosis is a rarity, whereas diseases likechronic hepatitis, Wilsons disease and biliary atresia are diagnosed with increasing frequency and therefore became relatively important forms of paediatric liver disease. Methodology: The study was done to determine the clinico-etiological profile of chronic liver disease in children 1 year to 14 years. This is a prospective case-controlled study done over a period of two years. Various clinical, biochemical and radiographic parameters pertaining to chronic liver disease were studied. Results: About4 0 cases were studied. CLD was found to be prevalent in 5-10 years of age group. Male were more affected than female. Jaundice was the most common presenting feature.Hepatomegaly, Ascitis, Splenomegaly were thecommonest presenting signs. Conclusion: CLD is not uncommon condition in children. It constitutes 18.34% of the patients of the with liver disease in our region. Wilson’s disease was the most common aetiology apart from idiopathic which constitute 52.5% of the cause.

Etiological profile of chronic kidney disease: A single-center retrospective hospital-based study.

Chronic kidney disease (CKD) is one of the leading causes of chronic diseases globally, with rising incidence and prevalence. It is a major risk factor for cerebrovascular disease and coronary artery disease, which are the main causes of death in this population. The etiology of CKD is varied. This study was performed to evaluate the various etiologies of CKD among patients presenting to the Department of Nephrology, Guwahati Medical College, a tertiary referral center. A total of 5718 CKD patients were evaluated to identify the cause of CKD. The most common cause was found to be diabetes mellitus in 42.2%, followed by chronic glomerulonephritis in 21.4%, hypertension in 19.5%, obstructive uropathy in 6.9%, chronic interstitial nephritis in 3.6%, and autosomal dominant polycystic kidney disease in 1.5% of the patients. Nearly 2.7% of the patients had CKD of unknown etiology. Most of the common causes of CKD are potentially treatable and initiating appropriate treatment early may prevent the development of CKD or progression to end-stage renal disease.

Etiology and mode of presentation of chronic liver diseases in India: A multi centric study.

There is a paucity of health policy relevant data for chronic liver disease from India, impeding formulation of an interventional strategy to address the issue. A prospective, multicentric study to delineate the etiology and clinical profile of chronic liver disease in India is reported here. A centrally coordinated and monitored web-based data repository was developed (Feb, 2010 to Jan, 2013) and analyzed. Eleven hospitals from different parts of India participated. Data were uploaded into a web based proforma and monitored by a single centre according to a standardized protocol. 1.28% (n = 266621) of all patients (n = 20701383) attending the eleven participating hospitals of India had liver disease. 65807 (24·68%) were diagnosed for the first time (new cases). Of these, 13014 (19·77%, median age 43 years, 73% males) cases of chronic liver disease were finally analyzed. 33.9% presented with decompensated cirrhosis. Alcoholism (34·3% of 4413) was the commonest cause of cirrhosis while Hepatitis B (33·3%) was predominant cause of chronic liver disease in general and non-cirrhotic chronic liver disease (40·8% out of 8163). There was significant interregional differences (hepatitis C in North, hepatitis B in East and South, alcohol in North-east, Non-alcoholic Fatty Liver Disease in West) in the predominant cause of chronic liver disease. Hepatitis B (46·8% of 438 cases) was the commonest cause of hepatocellular Cancer.11·7% had diabetes. Observations of our study will help guide a contextually relevant liver care policy for India and could serve as a framework for similar endeavor in other developing countries as well.

Clinical Profile of Chronic Liver Disease in Children: Experience From a Tertiary Care Teaching Hospital in South India

Clinical Profile of Chronic Liver Disease in Children: Experience From a Tertiary Care Teaching Hospital in South India

Chronic hypoparathyroidism disease profile from 492 patients in the PARADIGHM™ natural history global registry

Chronic hypoparathyroidism disease profile from 492 patients in the PARADIGHM™ natural history global registry

Abstract #1091: Chronic Hypoparathyroidism Disease Profile: Initial Analysis from the Paradighm™ Natural History Global Registry

Abstract #1091: Chronic Hypoparathyroidism Disease Profile: Initial Analysis from the Paradighm™ Natural History Global Registry