Logistic regression is used to analyze a variety of variables that may involve a particular outcome. It also uses a maximum likelihood estimate to analyze the relationship between independent and dependent variables. Logistic regression is used in health care to help with diagnoses, predictions, and predicting. Polit, D. (2010).
Xiao, Griffin, Lake, & Moorman, (2010). used the methods nearest-neighbor and logistic regression analysis to make the early diagnosis of neonatal sepsis using continuous physiological monitoring of heart rate characteristics, and intermittent measurements of laboratory values. They used two different methods to analyze the variable of clinical and heart rate characteristics in the early diagnosis of neonatal sepsis.
…show more content…
Neonatal sepsis seems to be a clinical problem when using the nearest-neighbor analysis to come up with predictive models. These infants are continuously monitored with frequent lab testing. since there is no single test that is highly predictive, there is always uncertainty about the diagnosis by physicians until the presence of signs of severe illness. Combining nearest-neighbor and logistic regression is great because there are both linear and nonlinear associations. Logistic regression may have superior performance in handling the linear processes and nearest-neighbor may be more effective in treating the nonlinear components. The challenge is ideal when handling continuous and intermittent data with unequal magnitude and variation, and unknown correlations. It was found that, Both the nearest-neighbor and regression models using heart rate characteristics and available laboratory test results were significantly associated with imminent sepsis, and each kind of model added independent information to the other. The best predictive strategy is to use both models. Xiao, Griffin, Lake, & Moorman, (2010). propose that the nearest-neighbor analysis in addition to regression in the early diagnosis of subacute, potentially catastrophic illnesses such as neonatal sepsis, and they recommend it as an approach to the general problem of predicting a clinical event from a multivariable data
For the purpose of this assignment, a case study has been selected in order to relate the signs and symptoms of sepsis to the underlying pathophysiology of the sepsis continuum. In order to maintain patient confidentiality, names dates and times have been changed or omitted, in line with Australian Nursing and Midwifery Code of Professional Conduct (ANMCC, 2008).
The guidelines’ first focus is the definition of sepsis, which makes sense, because there is no way to effectively treat sepsis without an accurate and categorical definition of the term. The guidelines define sepsis as “the presence (probable or documented) of infection together with systemic manifestations of infection”. Such systemic manifestations can include fever, tachypnea, AMS, WBC >12k, among others; these manifestations are listed in full in Table 1 of the guidelines. The definition for severe sepsis builds on to the definition of sepsis, bringing organ dysfunction and tissue hypoperfusion (oliguria, hypotension, elevated lactate) into the picture; full diagnostic criteria is listed in Table 2. The guidelines recommend that all
Noticeable indications of deterioration have been shown in numerous patients few hours prior to a critical condition (Jeroen Ludikhuize, et al.2012). Critical condition can be prevented by recognizing and responding to early indications of clinical and physiological deterioration ( kyriacosu, jelsma,&jordan (2011). According to NPSA (2007) delay in responding to deteriorating vital signs have been defined as an complication resulting in prolonged length of stay, disability or death, not attributed to the patient's underlying illness procedure along but by their health-care management ( Baba-Akbari Sari et al. 2006; Helling, Martin, Martin, & Mitchell, 2014). A number of studies demonstrate that changes or alterations in a patient’s
However with septic shock the symptoms may be worse as the patient may experience tachyeordia and tachypnae, leucocytosis which is a high count of white blood cells, change in metal state for example confusion and hyperglycaemia which is a deficiency of glucose in the bloodstream. The diagnosis for sepsis and septic shock involve using blood cultures which is where bacteria is detected in blood which may have spread from a different part of the body. Blood cultures are taken mostly to be done on new-borns and young children who have the symptoms of sepsis. If the blood culture tests positive there is a bacterial or fungal infection which needs to be treated immediately as it is life-threatening. Also cytokines are used as they can destroy the infection however there is a problem with this diagnosis as excessive production can cause tissue and organ
The question investigated was: “does music therapy improve premature infants’ physiologic outcomes in the neonatal intensive care unit?” To identify the key terms the CINAHL Plus with Full Text database was used and the search terms entered were music therapy and premature infants.
From year to year, the number of SIDS deaths tends to remain constant despite fluctuations in the overall number of infant deaths. The National Center for Health Statistics (NCHS) report...
Shaken baby syndrome or SBS according to google is, “an injury to a baby caused by being shaken violently and repeatedly.” 80% of babies who have SBS suffer from lifelong disabilities. These disabilities include speech and learning disabilities, seizures, hearing loss, and sometimes can result in death. Shaken baby syndrome is very dangerous, and can be avoided. Parents should be informed on the long lasting effects of shaken baby syndrome. There are designated classes to take, so people can be aware of the effects of SBS and what to do when a baby has been shook. Even if you’re not a parent, it is still encouraged for any caregiver or babysitter, or anyone who deals with infants on a daily basis, to take this class to be aware. Most times SBS occurs when a baby is 6 months or younger.
Considering the conflicting findings amongst the different EWS, it remains unknown whether these scoring systems are effective in identifying and responding to deteriorating patient in acute hospital settings. This essay intends to establish how successful, if at all, the EWS in particular SHEWS is in identifying deteriorating patients in acute surgical hospital settings. In order to do this we will be returning to patient X, a 22-year-old Asian female with a diagnosis of acute pancreatitis. By comparing the evidence base to reality I hope to get a better understanding of how effective this tool is in identifying deteriorating patients.
This study is a clinical trial that aims to find out the effect of massage on behavioral state of neonates with respiratory distress syndrome. The participants were 45 neonates who hospitalized in neonatal intensive care unit of Afzalipour hospital in Kerman. Parental consent was obtained for research participation. The inclusion criteria included all infants born with respiratory distress syndrome, less than 36 weeks gestational age and without of any the following conditions: contraindication of touch, skin problems, hyperbilirubinemia, anemia, respirators, chest tube, addicted mother, congenital and central nervous system disease. Infants entered the massage protocol during the second day after starting enteral feeding, because the initiation of enteral feeding means that the infants in physiologically stable [12]. The researcher determined if infants met the study criteria. After initial assessment, the infants were entered to the group. The infants received 45 minute periods of massage intervention per day for 5 days. Each infant received tactile/kinesthetic stimulation, 15 minute periods at the beginning of three consecutive hours. Each massage always started at approximately 30 minutes after afternoon feeding and provided by one or two trained nurses. The 15 minute stimulation sessions consist of 3 standardized 5 minute phases. Tactile stimulation was given during the first and third phases, and kinesthetic stimulation was given during the middle phase. For the tactile stimulation, the neonate was placed in a prone position. After thorough hand scrubbing, the person providing stimulation placed the palms of her warmed hands on the infant’s body through the isolate portholes. Then She gently stroked with her hands for five ...
The purpose of stage 1 is to capture the health data in a coded format. Stage 2 applies data to patient care and further the exchange of information between providers and other healthcare entities. The stage 3 known as exact measures are still in the opening stages will focus on Clinical Decision Support (CDS) application during point of care to improve the healthcare results and equip patients with self management tools.
...e baby still seems to have too much fluid in his or hers mouth or nose, the nurse may do further suctioning at this time. At one and five minutes after birth, an Apgar assessment will be done to evaluate the baby's heart rate, breathing, muscle tone, reflex response, and color. If the baby is doing well, the mother and the baby will not be separated. The nurse will come in from time to time to change diapers, check the babies temperature, and perform other tasks while the baby spends time with his or her mother and father (B. C. Board).
...nt for early detection of different diseases. Although they have been somewhat effective in the past, they need to be updated and improved so a wider range of diseases can be detected. Among these checkups, an emphasis should be made on checking for congenital heart defects, especially those who are hard to detect. This should be a priority because a baby with a CCHD could be at risk in the future. Furthermore, children who have a heart disease such as Wolff-Parkinson-White Syndrome are at greater risk. In these cases, early detection is key for eliminating this types of conditions. This way an appropriate treatment can be given at a younger age and a more permanent solution can be offered to eliminate the condition such as surgery. If the root of these types of diseases can be eliminated now, future generations can have a better healthy life quality and assurance.
Technology has had a very prominent influence on electronic fetal monitoring since its appearance in the 1960’s and 1970’s. For many years, fetal monitoring was simply done by listening to a fetal heartbeat through a stethoscope. Dramatic changes in the heartbeat, such as a long period or a drop in the rate or intensity, could be detected,. Now, not only is the electronic fetal monitor used on the outside of the womb by strapping electrodes to the mother’s abdomen but electrodes can also be inserted during the first stage of labor and placed directly on the baby’s head. With advanced technologies such as this the acidity of the infant’s blood as well as the heart rate can be measured.
Blood gas analysers are important pieces of equipment in acute service locations when results are required quickly. Various analyses can be performed on a single blood sample, using blood gas analysers. Sediame et al. (1999) und...
“ Sepsis” according to the International Surviving Sepsis Campaign, is defined as the presence of infection together with systemic manifestations of infection (Dellinger et al., 2013) In todays modern society sepsis still accounts for 15% of maternal deaths a year worldwide (Dolea & Stein, 2003). Despite medical advances, aseptic technique, and antibiotic use, sepsis is the most common cause of direct maternal death in the UK. According to the CMACE report the maternal mortality rate increased from 0.85 deaths per 100,000 maternities in 2003–05 to 1.13 deaths in 2006–08 (Harper, 2011). Puerperal sepsis has a long history within obstetrics and midwifery, and yet despite this knowledge it has become, yet again, the leading cause of direct maternal death. Therefore due to the increased maternal mortality, I have chosen to focus on the care of a woman within ...