Articles: mortality.
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Clinical Trial
Effect of cleansing the birth canal with antiseptic solution on maternal and newborn morbidity and mortality in Malawi: clinical trial.
To determine if cleansing the birth canal with an antiseptic at delivery reduces infections in mothers and babies postnatally. ⋯ Cleansing the birth canal with chlorhexidine reduced early neonatal and maternal postpartum infectious problems. The safety, simplicity, and low cost of the procedure suggest that it should be considered as standard care to lower infant and maternal morbidity and mortality.
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The provision of intensive care is a perplexing issue for clinicians and the public. Concerns about the apparent lack of beds and the appropriateness of the patients admitted are tempered by the high cost of providing this service. As part of a study commissioned by the UK Department of Health, we tested the hypothesis that there is excess mortality among patients who are refused admission to intensive-care units. ⋯ Although this study is observational and case-mix adjustment is incomplete, we found a higher rate of attributable mortality in patients who were refused intensive care, particularly for emergency cases. We question whether the provision of more beds alone would be a solution and conclude that there is an urgent need for more appropriate admission and discharge criteria.
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Ethiopian medical journal · Jul 1997
Neonatal sepsis in Addis Ababa, Ethiopia: a review of 151 bacteremic neonates.
A retrospective study of 542 neonatal sepsis cases was undertaken. Bacteremia was confirmed in 151 cases. There were a total of 195 (36%) deaths. ⋯ Klebsiella was the leading etiologic agent (38%), with a mortality rate of 54%. Low birth weight was found to be a predisposing factor for the development of sepsis and mortality. The high incidence of sepsis, the increase in mortality rate and the spread of nosocomial infection is discussed.
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J Stroke Cerebrovasc Dis · Jul 1997
Increasing hospital admission rates for intracerebral hemorrhage during the last decade.
The incidence and mortality of all types of strokes, including intracerebral hemorrhages, declined during the 1970s. However, some evidence exists that these trends stabilized or reversed during the 1980s. In the present study, a large North American population was observed from 1981 to 1989 to assess changes in the annual hospital admission rates of intracerebral hemorrhage. ⋯ Hospital admission rates for intracerebral hemorrhage nearly doubled from 1981 to 1989. This change may be due to an actual increase in the annual incidence of intracerebral hemorrhage caused by mechanisms that are not yet fully understood.
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To assess the impact of pregnancy on maternal acquired immunodeficiency syndrome (AIDS) among tribal women in India. ⋯ Pregnancy increased maternal and fetal mortality in these AIDS-infected women.