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  1. Article ; Online: Dexmedetomidine sedation for radiological imaging in conjoined twins.

    Khan, Z / Shamim, F / Ghaffar, W / Khan, F

    Anaesthesia reports

    2024  Volume 12, Issue 1, Page(s) e12275

    Language English
    Publishing date 2024-01-11
    Publishing country England
    Document type Journal Article
    ISSN 2637-3726
    ISSN (online) 2637-3726
    DOI 10.1002/anr3.12275
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Association Between the Site of Infection and Mortality Analysis in Critically Ill Surgical Patients.

    Bin Ghaffar, Waleed / Nazir, Sidra / Siddiqui, Summiya / Abdul Ghaffar, Moeed B / Khan, Muhammad F / Latif, Asad / Cheema, Zahra / Hanif, Sadaf / Sohaib, Mohammad

    Cureus

    2023  Volume 15, Issue 12, Page(s) e50033

    Abstract: Background Sepsis remains a critical global health concern, leading to a high mortality rate. Existing literature suggests a potential correlation between infection site and mortality. Mortality data from Pakistan, especially in the context of the ... ...

    Abstract Background Sepsis remains a critical global health concern, leading to a high mortality rate. Existing literature suggests a potential correlation between infection site and mortality. Mortality data from Pakistan, especially in the context of the infection site, is notably scarce. Purpose The study aimed to explore the relationship between the site of infection and clinical features in deceased septic patients in the surgical intensive care unit. Methods In this retrospective study conducted at the Aga Khan University Hospital, data from patients admitted to the surgical intensive care unit and meeting Sepsis 3 criteria over a five-year period (2016-2020) were analyzed. We analyzed the relation between the infection site and clinical characteristics using analysis of variance (ANOVA), chi-square, or Fisher's exact tests. Multivariable logistic regression models were applied using stepwise forward selection. A p-value of ≤ 0.05 was considered statistically significant. Results A total of 2472 ICU admissions were screened, out of which 170 patients were included in this study. Demographic analysis showed a predominantly male population with a mean age of 47 years. The most prevalent site of infection was the abdomen. Logistic regression analysis identified on-admission septic shock and high Acute Physiology and Chronic Health Evaluation (APACHE) II scores as significant risk factors for 48-hour mortality while colistimethate sodium usage and admission through the operating room were protective. Conclusion Our study provides a comprehensive analysis, outlining infection sites and identifying early mortality-influencing factors within our region. The distinct demographic profile, characterized by younger age, and the prevalence of abdominal infections in the Pakistani cohort contradict established medical literature. Early initiation of broad-spectrum antibiotics, coupled with prompt source control, confers a protective effect upon individuals afflicted with sepsis.
    Language English
    Publishing date 2023-12-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.50033
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

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