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Every morning, in every hospital, a surveillance officer reviews the previous day's admission logs.
Admission logs were screened daily for patients with diagnoses of acute exacerbation of chronic obstructive pulmonary disease (AECOPD), bronchitis, asthma, influenza, viral syndrome, respiratory failure and congestive heart failure with infection, pneumonia or symptoms of wheezing, dyspnea, cough, sputum production, nasal congestion, sore throat, hoarseness.
Hospital admission logs were reviewed to minimize the possibility that patients with predisposing condition were missed.
RAs reviewed the admission logs identifying a total of 4,002 patients who were admitted to the emergency department with respiratory symptoms.
Research assistants identified all patients admitted to these two participating ICUs from the ICU admission logs.
Admission logs and physicians' remarks suggest that undiagnosed medical problems also underlie some HCR cases.
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The covariates examined were: sex, age (continuous), food absorption with the drug, anaemia on admission (haematocrit <30%), parasite count on admission (log transformed), elevated temperature on admission (temperature measured by any method at ≥37.5°).
The admission log was also reviewed daily to identify cases of diarrhoea.
The patient records were compared to the admission log books in each hospital to ensure no patients were missed or wrongly diagnosed during data collection.
The primary sources of the data were the admission log books at outpatient department (OPD) where the card numbers of patients admitted with previous caesarean scar was traced.
The predictive power of VSS was highest if collected in the first 15 minutes after ED admission (log rank Chi-square 468.1, P < 0.0001 for VSSinitial;,log rank Chi square 361.5, P < 0.0001 for VSSmax).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com