Emergency department 72-hour revisits among children with chronic diseases: a Saudi Arabian study

Ahmed, Anwar; ALMuqbil, Bashayr I.; Alrajhi, Manair N; Almazroa, Hend R; AlBuraikan, Doaa A.; Albaijan, Monirah A.; Nasim, Maliha; Alsalamah, Majid; McClish, Donna K.; Al‐Jahdali, Hamdan

doi:10.1186/s12887-018-1186-8

Cited by 11 publications

(16 citation statements)

References 27 publications

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“…Data were extracted from unified BESTCare database, a large multi-center electronic health information system implemented in MNGHA in 2015 [12]. BESTCare provides patient-centered care through a single electronic health system accessible to health care providers for documentation and updating records and fully accessible to patients to review their medical records electronically [13].…”

Section: Methodsmentioning

confidence: 99%

Rate and factors for scabies recurrence in children in Saudi Arabia: a retrospective study

et al. 2019

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Background Despite the fact that several scabies outbreaks emerged in schools in Saudi Arabia in 2018, no study has investigated the risk of scabies recurrence among children in Saudi Arabia. This study aimed to estimate the rate of scabies recurrence and identify factors that were associated with an increased risk of recurrence among children. Methods This is a multi-center retrospective study of children (age < 14 years) who were diagnosed between May 20, 2015 and September 12, 2018 with one or multiple recurrent scabies at the Ministry of National Guard Health Affairs (MNGHA) hospitals and clinics in Saudi Arabia. Data were obtained from an electronic health system, BestCare database. Results A sample of 264 children analyzed (mean age of 6.7 years) resulted in a cumulative number of 316 scabies diagnoses in which 86 (27.2%) experienced scabies recurrence (at least once). Independent factors associated with a high risk of scabies recurrence: older children (adjusted hazard ratio [aHR], 1.036; 95% CI, 1.002–1.072; P = 0.039), female gender (aHR, 1.734; 95% CI, 1.329–2.262; P = 0.001), Western region of Saudi Arabia (aHR, 1.548; 95% CI, 1.115–2.151; P = 0.009), and 2nd tertile season [May to August] (aHR, 2.368; 95% CI, 1.706–3.288; P = 0.001). Conclusions The study demonstrated that the recurrence rate of scabies among children is high. Older children, the female gender, the Western region of Saudi Arabia, and the seasonality were independently associated with an increased risk of scabies recurrence. High temperature and low humidity should be explored as leading factors for scabies infestations in Saudi Arabia. Findings derived from this study may be useful for clinicians and governments in optimizing clinical management of scabies cases and contacts.

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Section: Methodsmentioning

confidence: 99%

Rate and factors for scabies recurrence in children in Saudi Arabia: a retrospective study

et al. 2019

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“…The MNG-HA had implemented a new electronic medical system in 2015. 15 Data included gender, age, marital status, hospitalization, family history of suicide, comorbidity, and methods of self-harm (self‐poisoning or violence). Self‐poisoning methods include medication and its dose, and chemicals such as Clorox.…”

Section: Methodsmentioning

confidence: 99%

<p>Risk Assessment of Repeated Suicide Attempts Among Youth in Saudi Arabia</p>

Ahmed¹,

Alaqeel²,

Alasmari³

et al. 2020

RMHP

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Introduction Although the incidence of suicide attempts continues to increase among youth in Saudi Arabia, no risk assessment tool has been established for suicide attempt repetition in the country’s youth population. The objective of the study was to develop risk assessment of suicide attempt repetition among youth in Saudi Arabia. Methods This is a retrospective study of youth (10–24 years) with intentional suicide attempt(s) who presented to the emergency departments (ED) at King Abdullah Specialist Children’s Hospital (KASCH) and King Abdulaziz Medical City-Riyadh (KAMC-R), Saudi Arabia between 1 January 2015 and 31 December 2017. We excluded youth having unintentional suicide attempts. Data were retrieved for the 157 eligible as having attempted suicide. Results Forty-one of 157 (26.1%) had repeated suicide attempts (95% confidence limits: 19.433.7%). Four independent factors were identified that were associated with an increased risk of repeated suicide attempts: age (adjusted odds ratio [aOR] = 1.147, 95% confidence interval (CI) = 11.015–1.297, P=0.028), family problems (aOR = 4.218, 95% CI = 1.690–10.528, P=0.002), psychiatric disorders (aOR = 3.497, 95% CI = 1.519–8.051, P=0.003), and hospitalization (aOR = 5.143, 95% CI = 1.421–18.610, P=0.013). This risk model showed adequate utility with an area under the receiver operating characteristic (ROC) curve (AUC): 77.9%, 95% CI: 69.486.3% with optimism-corrected AUC = 71.8%. Youden index defined a probability of ≥0.38 to predict a high risk of repeated suicide attempts. Conclusion The risk of repeated suicide attempts among Saudi youth was high, compatible with what has been reported among youth in England and in France. Age, family problems, psychiatric disorders, and hospitalization are risk factors for repeated suicide attempts. A prevention program for suicide attempts in youth may take into account family problems, screening for psychiatric disorders, and suicidal behavior.

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“…Data were retrieved from the BestCare system [13,14] and medical records. A number of potential factors for peritonitis were gathered for analysis: patient's age, gender, residency (Riyadh or outside Riyadh), socioeconomic status (low vs. average/high), diagnosis, glucose concentration, catheter removal, height, weight, urine output, white blood cells, neutrophils, peritoneal fluid cell counts, peritoneal analysis neutrophils, peritoneal fluid cultures, albumin level, antibiotic type, and duration of antibiotic.…”

Section: Methodsmentioning

confidence: 99%

Factors influencing occurrence of peritonitis in Saudi children on peritoneal dialysis

et al. 2020

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Background: The peritonitis rate among children treated with peritoneal dialysis (PD) has not been widely reported in Saudi Arabia. The study aim was to estimate the peritonitis rate per patient-year and investigate the factors associated with higher peritonitis rates in a sample of PD children at King Abdullah Specialist Children's Hospital-Riyadh (KASCH-R), Saudi Arabia. Methods: This retrospective cohort study included 27 PD children treated between September 2007 and December 2017 at KASCH-R. We recorded the children's demographic and clinical data, and the frequency of peritonitis. Results: The 27 PD children reviewed (63% girls; mean age = 7.32 years old; range, 1-14 years), resulted in 86 peritonitis diagnoses in which the overall recurrence rate (in at least one episode) was 58/86 (67.4%) with a 95% confidence interval (CI), 56.5 to 77.2%. The rate of peritonitis episodes per patient-year was 0.76 (1 episode per 1.31 patient-year). The generalized Poisson model identified older children (age > 10 years) (adjusted rate ratios [aRR] = 7.273, 95% CI: 1.562-33.860), congenital nephrosis (aRR = 4.677, 95% CI: 1.443-15.155), height below 3rd percentile (aRR = 4.689, 95% CI: 1.874-11.735), weight below 3rd percentile (aRR = 5.388, 95% CI: 1.678-17.302), low albumin level (aRR = 4.041, 95% CI: 2.053-7.956), two-week duration of antibiotic therapy (aRR = 2.947, 95% CI: 1.163-7.468), which were independently associated with a high peritonitis rate. Conclusions: This study showed a high peritonitis rate in our center. Older children, congenital nephrosis, height and weight below the 3rd percentile, low albumin level, and long duration of antibiotic therapy were associated with a higher rate of peritonitis. An optimal peritonitis prevention strategy or best-practice guideline is needed to reduce and prevent peritonitis occurrence in our center.

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Emergency department 72-hour revisits among children with chronic diseases: a Saudi Arabian study

Cited by 11 publications

References 27 publications

Rate and factors for scabies recurrence in children in Saudi Arabia: a retrospective study

Rate and factors for scabies recurrence in children in Saudi Arabia: a retrospective study

<p>Risk Assessment of Repeated Suicide Attempts Among Youth in Saudi Arabia</p>

Factors influencing occurrence of peritonitis in Saudi children on peritoneal dialysis

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