中国全科医学最新文献

{"title":"Risk Factors and Predictive Scoring System Development for COVID-19 Death","authors":"Ling Chen, J. Chen, Yuwei Liu, Xuebei Du, Li Peng, Ya-lei Jin, Haoxiang Wang, Yan Zhao","doi":"10.12114/J.ISSN.1007-9572.2020.00.555","DOIUrl":"https://doi.org/10.12114/J.ISSN.1007-9572.2020.00.555","url":null,"abstract":"Background: The COVID-19 has become a global epidemic How to effectively treat it and reduce the fatality rate is still at exploratory stage Identification of risk factors for death is critical to optimize treatment strategies for COVID-19 Objective: To investigate risk factors for COVID-19 death, and based on this, to develop a COVID-19 death predictive scoring system Methods: Two hundred and seventy patients, who discharged or deceased with confirmed COVID-19 in Zhongnan Hospital of Wuhan University during January 1 to February 29, 2020, were reviewed Baseline data were obtained, including demographics, admission symptoms and vital signs, complications and laboratory test results According to the clinical outcome, i e discharged and deceased, the patients were divided into recovery group and death group Risk factors of death were explored by using multivariate logistic regression analysis, and used for the development of a predictive scoring system for death Results Two hundred and forty-five cases were finally included, including 212 discharged and 33 deceased during hospitalization Factors independently associated with death were age ≥ 65 years〔OR=7 177, 95%CI(1 715, 30 038), P<0 05〕, SpO2≤93%〔OR=15 456, 95%CI(3 343, 71 450), P<0 05〕, BUN≥7 mmol/L〔OR=7 115, 95%CI(1 550, 32 652), P<0 05〕, PCT≥0 1 μg/L〔OR=23 895, 95%CI(4 209, 135 639), P<0 05〕 In predicting death due to COVID-19, the AUC of ASBP(A: age, S: SpO2, B: BUN, P: PCT) scoring system was 0 967〔95%CI(0 931, 0 987)〕, and that of CURB-65 scoring system was 0 885〔95%CI(0 831, 0 926)〕, showing a significant difference(Z=2 816, P<0 01) 5 was the maximal Youden Index for ASBP scoring system and was chosen as the cut-off value, with 0 871 sensitivity and 0 957 specificity And 2 was the maximal Youden Index for CURB-65 scoring system and was chosen as the cut-off value, with 0 903 sensitivity and 0 735 specificity Conclusion: Older age, lower SpO2, higher levels of BUN and PCT were independent risk factors for COVID-19 death, and the ASBP scoring system developed based these factors might be available for the assessment of death risk of COVID-19 Copyright © 2020 by the Chinese General Practice","PeriodicalId":10013,"journal":{"name":"中国全科医学","volume":"23 1","pages":"4419-4424"},"PeriodicalIF":0.0,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43484158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Incidence and Epidemic Characteristics of Medical Staff's Skin Injuries Caused by Personal Protective Equipment for Fighting against 2019-nCoV Infection","authors":"Qixia Jiang, Yuxiu Liu, Wei Wei, Aihua Chen, Yuxuan Bai, Yinghua Cai, Liande Tao, Yongli Tang, Zhixia Jiang, Gui-fu Xu, Laijuan Li, Jiayu Xue, Jian Xiao, Xiaokun Li","doi":"10.12114/J.ISSN.1007-9572.2020.00.315","DOIUrl":"https://doi.org/10.12114/J.ISSN.1007-9572.2020.00.315","url":null,"abstract":"Background: The medical device-related pressure injury(DRPI), which mainly occurs in critical patients and orthopedic patients, has been a research hotspot for the safety management and specialized care of inpatients worldwide, but there have been few reports on DRPI of medical staff During the prevention and control of COVID-19, a large number of medical staff are fighting at the front However, wearing protective equipment for a long time can easily cause skin injury, which seriously harms the medical staff and increases their risk of infection Therefore, how to protect medical personnel from skin damage is an urgent problem Objective: To investigate the incidence and epidemic characteristics of medical staff's skin injuries caused by personal protective equipment in fighting against the COVID-19 in order to provide a basis for the formulation of effective protection countermeasures Methods: A research questionnaire was developed by our research group, including the basic information of medical staff, the wearing situation of protective equipment, the skin damage situation, preventive measures against skin damage, and the post-injury treatment The questionnaire was released through the Questionnaire Star website to front-line medical staff fighting against the COVID-19 through Wechat app from February 8 to 15 in 2020 The survey was completed by voluntary participation and online filling The survey data were collected in one week and a database was established Statistical analysis was made on the incidence of skin injuries, the types of injuries, and epidemic characteristics Results: A total of 2 901 effective questionnaires were collected from 145 hospitals in 19 provinces, 3 autonomous regions and 4 municipalities in China Among them, there were 214(7 38%) males and 2 687(92 62%) females, and 147(5 07%) doctors and 2 754(94 93%) nurses And 825(28 44 %) cases of the medical staff suffered skin injuries due to wearing protective equipment, and the total number of skin damage sites was 2 794 The main types of skin injuries were pressure injury〔771(26 58%)cases, 2 53 per capita〕, moisture-associated skin damage〔256(8 83%)cases, 2 77 per capita〕, and skin tear〔42(1 45%)cases, 3 12 per capita〕 Of the 825 medical staff who had skin injuries, 221(26 79%) cases had skin injuries≥2 types Univariate analysis showed that the incidence of skin injuries caused by protective equipment was higher in men than in women(P 0 05), in those aged 31-45 than in those ≤30(P 0 016 7), in those who worked 10 years than in those who worked 5 years(P 0 016 7), in doctors than in nurses(P 0 05), in designated epidemic prevention hospitals in Wuhan than in other hospitals(P 0 003 3)and among other hospitals, in Infectious Disease Department than in other departments(P 0 003 3), and in tertiary protection than in secondary protection followed by primary protection(P 0 016 7) However, there was no significant difference in the incidence of skin injuries among medical staff wit","PeriodicalId":10013,"journal":{"name":"中国全科医学","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42907907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Guidance on the Control and Prevention of SARS-CoV-2 Infection in Primary Healthcare Settings in Rural China(First Edition)","authors":"Dongying Zhang, M. Yao, Jiaji Wang, D. Ye, Qin Chen, F. Guo, Chuan Zou, Kai Lin, hui lu, Xiang Huang, Jinping Zheng, Chunhua Chi, N. Zhong","doi":"10.12114/J.ISSN.1007-9572.2020.00.246","DOIUrl":"https://doi.org/10.12114/J.ISSN.1007-9572.2020.00.246","url":null,"abstract":"Since the outbreak of the COVID-19, all regions of China have carried out prompt responsive actions in an active way to control and prevent the disease, among which rural areas face particularly severe challenges, because they are the weak link in the control and prevention of public health emergencies due to shortage of health resources and poor diagnostic and therapeutic level According to characteristics and the actual situation of the current rural primary healthcare settings, this guidedance introduced the requirements of setting environmental space for epidemic prevention and control, the process of referral, home observation, persons with special health care, health education for villagers, personal protection for health staff, and nosocomial infection control It would provide a standardized and safe way for primary healthcare settings in rural areas in the epidemic prevention and control Copyright © 2020 by the Chinese General Practice","PeriodicalId":10013,"journal":{"name":"中国全科医学","volume":"23 1","pages":"763-769"},"PeriodicalIF":0.0,"publicationDate":"2020-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48716629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Application Value and Safety Analysis of Capsule Endoscopy in the Diagnosis of Elderly Small Intestine Diseases","authors":"Li Xianmin, Zhang Yu, Tian Xiaoxiao, Zhu Jingjing, Jin Jianjun","doi":"10.3969/J.ISSN.1007-9572.2018.00.178","DOIUrl":"https://doi.org/10.3969/J.ISSN.1007-9572.2018.00.178","url":null,"abstract":"","PeriodicalId":10013,"journal":{"name":"中国全科医学","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47077624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Mild Moxibustion on TRPV1 Expression in the Dorsal Root Ganglion in a Mouse Model of Pruritus Ani","authors":"Xu Li, Ge Qiongxiang, L. Guoqiang","doi":"10.12114/J.ISSN.1007-9572.2018.00.241","DOIUrl":"https://doi.org/10.12114/J.ISSN.1007-9572.2018.00.241","url":null,"abstract":"","PeriodicalId":10013,"journal":{"name":"中国全科医学","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48648091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modified Scarf and Akin Osteotomies for the Treatment of Moderate to Severe Hallux Valgus","authors":"Z. Lan, Z. Zhi, Lin Li-gong","doi":"10.3969/j.issn.1007-9572.2017.00.265","DOIUrl":"https://doi.org/10.3969/j.issn.1007-9572.2017.00.265","url":null,"abstract":"","PeriodicalId":10013,"journal":{"name":"中国全科医学","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45846930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Functional Connectivity of Default-Mode Network Related Brain Regions in Female Patients with Depression: a Resting-State Functional Magnetic Resonance Imaging Study","authors":"Zhang Han, L. Ying, Jinmin Liao, Xilin Wang, Li Jing, Zhao Bing, Man-man Chen","doi":"10.3969/j.issn.1007-9572.2018.00.017","DOIUrl":"https://doi.org/10.3969/j.issn.1007-9572.2018.00.017","url":null,"abstract":"","PeriodicalId":10013,"journal":{"name":"中国全科医学","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41931239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interpretation of Exercise Management in Type 1 Diabetes: a Consensus Statement in 2017","authors":"Z. Qiu, D. Wen-li","doi":"10.3969/J.ISSN.1007-9572.2017.00.208","DOIUrl":"https://doi.org/10.3969/J.ISSN.1007-9572.2017.00.208","url":null,"abstract":"","PeriodicalId":10013,"journal":{"name":"中国全科医学","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47085461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Status of Pre-hospital Delay and Influencing Factors of Delay Time in Patients with Colorectal Cancer","authors":"Xiao Wu, C. Chen, H. Chao, M. Zheng, P. Ding, Wu Jiang, H. Qin","doi":"10.3969/J.ISSN.1007-9572.2017.00.138","DOIUrl":"https://doi.org/10.3969/J.ISSN.1007-9572.2017.00.138","url":null,"abstract":"","PeriodicalId":10013,"journal":{"name":"中国全科医学","volume":"20 1","pages":"4109-4114"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41526142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Hypertension and Its Influencing Factors among Residents from Erqi District in Zhengzhou","authors":"Yingying Song, Y. Wan, Shanshan Ma, T. Sun, Yu Wang, R. Wang, Kuiyuan Du, Z. Ren, F. Guan, Bo Yang","doi":"10.3969/J.ISSN.1007-9572.2017.00.124","DOIUrl":"https://doi.org/10.3969/J.ISSN.1007-9572.2017.00.124","url":null,"abstract":"","PeriodicalId":10013,"journal":{"name":"中国全科医学","volume":"20 1","pages":"4193-4198"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70179501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}