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Predictors of Complications after Sheath Removal Post Transfemoral Percutaneous Coronary Interventions

Open Journal of Nursing 2016年第6期6卷 497-504页

作者： Abdul-Monim Batiha Hayat Sulieman abu-Shaikha Fadwa N. Alhalaiqa Reem Ahmad Jarrad hasan jamal abu ramadan Faculty of Nursing Philadelphia University Amman Jordan Faculty of Nursing The University of Jordan Amman Jordan Saudi Red Crescent Riyadh Saudi Arabia

Background: Complications post percutaneous coronary interventions (PCI) are more threatening than it was previously thought so that necessary measures should be taken to minimize those risks. Objective: To identify the risk factors related to patient and procedure which could be used as predictors of complications after sheath removal post PCI. Methods: The study used a prospective non-experimental correlational descriptive. Design: The sample was chosen conveniently from three different hospitals and included 118 patients who were subjected to PCI. Results: Three models were used to predict complications. In the first model, none of the baseline variables were predictive of complications. In the second model, the only type of procedure (diagnostic, stent or balloon) was predictive of complications. In the third model, compression time was found to be a risk factor and a predictor of complications after sheath removal. Conclusion: Nurses and medical professionals are in a vital position to prevent, detect and manage PCI complications at the earliest possible opportunity. It is a must to assess and categorize patients in accordance with their risk level to develop post PCI and post sheath removal complications, in order to plan management strategies to decrease the health costs and the suffering.

关键词： Complications Jordan Percutaneous Coronary Interventions Sheath Removal Transfemoral

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The Effect of Dexamethasone versus Methylprednisolone in the Treatment of COVID-19 Patients in Jordan

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Advances in Infectious Diseases 2023年第3期13卷 508-520页

作者： jamal Wadi Al Ramahi Nour hasan Amal Matar Ma’en Maher Al-Ali Lara Abdulhadi Dania abu Kaf Waseem Saadeh Nour Hamdan Hassan abu Khalaf Mohamed Gharaibeh Hanadi Hamadallah Ala’a Bader Mohammad Atout Sae’ed Moh. Mar’I Tamer Alhamed Department of Medicine School of Medicine The University of Jordan Amman Jordan Clinical Pharmacy Al Khalidi Hospital Amman Jordan Department of General Medicine Al Khalidi Hospital Amman Jordan Department of Clinical Medical Sciences Faculty of Medicine Yarmouk University Irbid Jordan Department of Medicine The Specialty Hospital Amman Jordan Department of Anesthesia The Specialty Hospital Amman Jordan Department of Pharmacy Jordan Hospital Amman Jordan Department of Pharmacy The Specialty Hospital Amman Jordan

Background: Previous studies focused on the treatment effect of steroids versus no steroids in treating severe COVID-19 patients, a few studies evaluated outcomes for treating those patients with either dexamethasone or methylprednisolone. Currently, we evaluate the difference in mortality associated with treating COVID-19 patients with dexamethasone versus methylprednisolone. Methods: With a retrospective multicenter study, records were reviewed for the admitted patients with severe COVID-19 during the peak of the severe COVID-19 pandemic. All admitted patients on dexamethasone or methylprednisolone were included. Patients were analyzed as all populations and propensity scores matched patients. Propensity scores were calculated for several confounders by the generalized linear model, and a “greedy” near-neighbor matching algorithm was used. Continuous variables with nonnormal distribution were analyzed by Wilcoxon signed rank test. Chi-squared and Fischer exact test analyzed categorical variables. P-values were adjusted by the Bonferroni method for both data cohorts. Body mass index was in categories. Radiological findings were divided into five categories. The outcomes: mortality, the need for home oxygen therapy, recovery, and residual symptoms on discharge were analyzed by an independent two-sample test for equality of proportions (with Yates correction), and logistic regression analysis. Results: Among the 1128 reviewed records, patients on dexamethasone or methylprednisolone were 1071, and the propensity score-matched patients were 784: dexamethasone 393 and methylprednisolone 391. There was no significant difference in the characteristics of patients between the two steroids (p-value and adjusted p-value > 0.05) for most variables. PSM adjusted a few discrepant variables before analysis. The outcome of the unmatched patients demonstrated dexamethasone benefit in the need for home oxygen therapy ( 0.05). However, matched patients demonstrated significantly low

关键词： Dexamethasone Methylprednisolone COVID-19 Mortality Home Oxygen COVID-19 Recovery

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