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Showing 7 results for Mortality

E Dortag, A Bahrampour, Aa Haghdost, K Zendedel, M Jaberipour, M Marzeban,
Volume 3, Issue 5 (3-2012)
Abstract

Abstract Background & Objective: Incidence and prevalence of cancer is increasing worldwide, especially in the low and middle income countries, including I.R o Iran. Valid data is needed to measure burden of cancer and take appropriate decision towards cancer control. Due to limitation of cancer registrations it is hard to make an inference about cancer in Itan. It is important to measure how complete and valid is the report of cancer incidence and mortality. Material & Method: We prepared mortality registry (source 1) and cancer registry (source 2) data from the health deputy in Fars province. In addition, we collected cancer cases from different hospitals (source3) between 2000 and 2005. We followed the cancer patients from the date of diagnosis up to the date of death.. We selected 10 most common cancer types in this study. If any of the patients died during 2003-2005 enter to this study. We compared mortality data from the three sources using capture recapture method using log linear modeling. Result: We collected 44863 data in which 9401was evaluated and finally 2232 enter to the study. Sensitivity of the mortality registry was 58% and based on the best model estimated number of cases was 3309 instead of the observed number. Conclusion: Coverage of the mortality registry for cancer death was weak leading to an underestimation in the mortality rate of the Fars Province. Improvement of the mortality registry is needed before making any firm decision about burden of cancer.


A Rezaeian, H *, Boskabadi , Sr Mazlom,
Volume 4, Issue 3 (12-2012)
Abstract

Abstract Background & objectives: Prematurity is the major cause of neonatal mortality, so this study aimed to determine the perinatal factors related to the premature infant’s mortality. Material & Method: Sample of records of this historical cohort study, was premature infants hospitalized in the Qhaem hospital intensive care unit, since 2007 to 2010. Two hundred cases were randomly selected. After the sample loss, 172 files precisely were studied from admission to discharge. Data were collected using a validated researcher made questionnaire, analyzed with SPSS19th, and presented with descriptive statistics, Fisher’s exact test, chi-square and T tests. Results: From 172 neonates based on death or alive until 28th day after birth, 54 and 118 were included in the case and control groups, respectively. Birth weight and gestational age of the subjects, were 1549.54(±635.42) g and 31.46 (±3.35) weeks, respectively. Antenatal taking of nitroglycerin, magnesium sulfate, methyldopa, hydralazine and chronic use of insulin were not significantly deferent in the two groups (P>0.05), and had Odds ratio more than 1. Diabetes, preeclampsia, maternal Rh and blood group, were significantly deferent between the two groups (P<0.05). In the birth room crying, breathing, cyanosis, tonicity, cord status, and a history of neonatal resuscitation (p<0.001) and neonatal clinical findings at the NICU admission time including apnea, bradycardia, gasping, hydrops, ascites, and IUGR (p<0.005) were significantly deferent between the two groups. Conclusion: Some of the maternal and neonatal perinatal factors could affect the premature neonates' mortality. Considering these factors could be effective in determining at risk neonates and providing factors in reducing mortality


M Momeni , A Salari , A Ghanbari , L Rostamnia4,
Volume 6, Issue 2 (9-2014)
Abstract

Abstract Background & objectives: Acute myocardial infarction is the single most common cause of death in large parts of the world. Although the mortality rate after admission for myocardial infarction has declined significantly over the last two decades but it still remains high. Therefore, the aim of this study was to determine hospital mortality and its related factor in patients with acute myocardial infarction hospitalized in Dr. Heshmat hospital. Material & Methods: In this cross-sectional study, we assessed medical records of 227 patients with acute Myocardial Infarction that hospitalized in CCU. Demographic and clinical factors were collected from the medical records. Data analysis was performed using SPSSv.16 software at P>0.05. Results: In-hospital mortality rate of acute myocardial infarction patients was 8.4%. In univariate analysis, condition of patients with acute myocardial infarction after hospitalization was related with number of hospitalization days (P<0.002), left ventricular ejection fraction (P<0.002) and previous history of acute myocardial infarction (P<0.014). In regression analysis, only left ventricular ejection fraction was related with Hospital mortality rate (P<0.019, OR=0.885). Conclusion: Despite applying of preventive programs and therapeutic improvements, hospital mortality rate also is high (8.4%).In present study, hospital mortality was related with number of hospitalization days, left ventricular ejection fraction and previous history of acute myocardial infarction.


M Kermani , M Dowlati , A Jonidi Jafari , R Rezaeikalantari ,
Volume 9, Issue 1 (7-2017)
Abstract

Background & objectives: Ozone is one of the most important gaseous pollutants in the air, which is necessary to be evaluated in the case of its harmful effects on human health. The present study was performed to assess the rate of mortality and hospitalization due to cardiovascular disease and Chronic Obstructive Pulmonary Disease (COPD) which are attributed to ozone in the air of Tehran during last decade (2005-2015).

Materials and Methods: This study was a descriptive–analytic. Firstly, hourly data of ozone pollutant were taken from Tehran environmental protection agency and air quality control. Data were validated according to the WHO guidelines. Required statistical parameters were calculated for health effect quantifying. Finally, processed data were converted to required inputs for the AirQ software and health effects quantifying were performed.

Results: Results showed that the number of total mortality due to Ozone exposure was 8222 cases in the past decade. The total number of cardiovascular mortality attributed to ozone in the past decade was 5951 people and the total number of respiratory mortality attributed to ozone in the past decade was 2947 people between 2005-2015.

Conclusions: According to the results, ozone has adverse effects on human health. Regarding the high levels of air pollution in Tehran and mortality and its related health consequences, appropriate measures should be taken to reduce the air pollution.


Hamid Tavakolighuchani, Sima Sadat Hejazi, Babak Ebrahimi, Monireh Tabei,
Volume 10, Issue 1 (3-2018)
Abstract

Introduction: Prioritization in the admission of critical patients at the intensive care unit plays an important role in reducing mortality and hospital stay. The aim of this study was to determine the mortality rate of patients admitted to the Intensive Care Unit (ICU(of Shahid Chamran Hospital of Ferdows City with Acute Physiology and Chronic Health Evaluation (APACHE) II.
Methods: In this cross-sectional study, 80 patients admitted to the Intensive care unit of Shahid Chamran Hospital of Ferdows were selected through the convenience sampling method, according to the inclusion criteria from January 2016 to January 2017. The tool of the study included demographic questionnaire and APACHE II. The survival or death of patients and the length of ICU stay were recorded. Data were analyzed with the Chi-square and independent t-test using SPSS version 21.
Results: The mortality rate among all patients was 40% and the predicted mortality rate with the APACHE score was 25%. The mean APACHE II score was 14.9 ± 8.4 and 17 ± 4.6 in the surviving patients and the dead patients, respectively. The difference between them was significant (P value < 0.05). There was a significant correlation between APACHE II score and the mortality rate of patients (P value < 0.05, r = 0.220).
Conclusions: The actual mortality percentage was far from the estimated percentage calculated by APACHE II. Conclusions in this regard require further researches.

Shohre Behrouz, Nooshin Peyman, Hadi Kooshiar,
Volume 10, Issue 2 (10-2018)
Abstract

Introduction: Seniors are one of the most important age groups that are at the risk of medical illiteracy consequences. Considering the self-care and responsibility of older adults against various diseases in the elderly is a supportive strategy that requires access and awareness of health-related information and can be effective in reducing their mortality.
Methods: This study is a narrative review that use of international and Persian database like MEDLINE, Cochrane Library, PsychINFO, SID, Magiran, Google scholar, PubMed, ProQuest and Scopus was designed by “Tittle search method”. Articles were surveyed without time limit (since 2016) using the key words "health literacy", "mortality", and "older adult". The articles that have Inclusion criteria, were selected, reviewed and analyzed, separately. To extract data, all the final articles included in the process of study were extracted from a premade checklist.
Results: 228 of 234 article were excluded because of not assessing the relationship between the medical literacy and mortality, not having a tool for controlling the medical literacy, not specifically investigating the medical literacy in older adults and repetitiveness and finally 6 articles with the mentioned topic remained. Doing the review of all studies suggests that medical literacy have an effect on decreasing mortality in older adults with chronic diseases.
Conclusions: Medical literacy may be an effective strategy to improve older adults’ health status and decreases the mortality against the chronic diseases. According to the findings, training health-promoting behaviors to older adults and taking medical literacy serious was recommended.

Mehdi Zanganeh Baygi, Mostafa Peyvand,
Volume 15, Issue 2 (8-2023)
Abstract

Introduction: Pregnancy is a natural process in every woman's life, leading to the birth of a child. Since the fate of pregnancy can end in death, an in-depth study of the influential factors in the reduction of maternal mortality rate can significantly improve care programs for pregnant mothers.
Method: This qualitative research was performed in the health services of Zahedan University of Medical Sciences in 2021. In-depth individual semi-structured interviews were used to collect data. The interviews were conducted based on the interview guide. To evaluate the correctness and reliability, four indices were used, including reliability, validity and acceptability, verifiability, and transferability. The contractual content method was used for analysis.
Results: In this research, 27 subjects were included, and 67 primary concepts were obtained. In the analysis of the interviews, in the coding stage, six subcategories and, finally, three main categories (individual factors, social factors affecting health, and service provision) were extracted.
Conclusion: As evidenced by the results of this study, the provision of health services was not optimal. In order to effectively reduce the ratio of maternal deaths, it is necessary to pay attention to the quantity and quality of care before, during, and after childbirth, as well as targeted training. Increasing the coverage and quality of pregnancy care, improving the quality of family planning counseling, and improving the skills and knowledge of the medical and midwifery staff in the field of postpartum care will be among the most critical effective measures in reducing maternal mortality


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