30 research outputs found

    Maternal outcomes and risk factors for COVID-19 severity among pregnant women.

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    Pregnant women may be at higher risk of severe complications associated with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which may lead to obstetrical complications. We performed a case control study comparing pregnant women with severe coronavirus disease 19 (cases) to pregnant women with a milder form (controls) enrolled in the COVI-Preg international registry cohort between March 24 and July 26, 2020. Risk factors for severity, obstetrical and immediate neonatal outcomes were assessed. A total of 926 pregnant women with a positive test for SARS-CoV-2 were included, among which 92 (9.9%) presented with severe COVID-19 disease. Risk factors for severe maternal outcomes were pulmonary comorbidities [aOR 4.3, 95% CI 1.9-9.5], hypertensive disorders [aOR 2.7, 95% CI 1.0-7.0] and diabetes [aOR2.2, 95% CI 1.1-4.5]. Pregnant women with severe maternal outcomes were at higher risk of caesarean section [70.7% (n = 53/75)], preterm delivery [62.7% (n = 32/51)] and newborns requiring admission to the neonatal intensive care unit [41.3% (n = 31/75)]. In this study, several risk factors for developing severe complications of SARS-CoV-2 infection among pregnant women were identified including pulmonary comorbidities, hypertensive disorders and diabetes. Obstetrical and neonatal outcomes appear to be influenced by the severity of maternal disease

    Besteht in stationären Pflegeeinrichtungen ein ursächlicher Zusammenhang zwischen der Höhe des Fachkräfteanteils und der Dekubitusinzidenz? Eine Kohortenstudie auf Basis des Hamburger Qualitätsvergleiches in der Dekubitusprophylaxe

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    Die vorgelegte Studie untersucht die Frage, ob in stationären Pflegeeinrichtungen ein ursächlicher Zusammenhang zwischen dem Fachkräfteanteil und der Dekubitusinzidenz besteht. Es wurde eine historische Kohortenstudie durchgeführt. Dabei wurde zum Einen auf Daten des Hamburger Qualitätsvergleiches in der Dekubitusprophylaxe (HQidD) aus dem ersten Quartal 2005 zurückgegriffen. Zum Anderen wurden die an diesem Qualitätsvergleich teilnehmenden stationären Pflegebetriebe zu ihrem Fachkräfteanteil befragt

    Changing epidemiology of Hepatitis B and migration-a comparison of six Northern and North-Western European countries

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    Chu JJQ, Wörmann T, Popp J, et al. Changing epidemiology of Hepatitis B and migration-a comparison of six Northern and North-Western European countries. The European Journal Of Public Health. 2013;23(4):642-647.Background: Increased migration volume and different Hepatitis B prevalence between immigration and emigration countries have changed the Hepatitis B virus (HBV) epidemiology considerably in Northern and North-Western European migrants-receiving countries. Due to the difference in migration status monitoring, the HBV infection data on migrants are not easily comparable among those countries. The study aims were: to compare the migration status indicators used by the national surveillance system in six Northern and North-Western European countries (the Netherlands, Germany, Finland, Denmark, Sweden and the UK); to determine the impact of the migration status on HBV infection by comparing the available data on prevalence and transmission routes of Hepatitis B in the migration and the general population in the six countries; to recommend sensible indicators and pertinent measures for HBV infection surveillance and control in the region. Methods: Literature review, statistical data analysis on migration and HBV infection in the six countries; expert interviews to identify migration status indicators used in national surveillance systems. Results: Evident differences were found between the migration and the general population in Hepatitis B prevalence and transmission routes in the six countries. Migration status is monitored differently in six surveillance systems; immigrants from high/intermediate Hepatitis B endemic countries constitute a substantial proportion of HBsAg(+) and chronic cases in all six countries. Conclusions: International migration has an obvious impact on Hepatitis B prevalence in the six countries. It is important to include common migration status indicators and to collect comparable data for HBV infection surveillance in different notification systems
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