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Outcomes in Patients with Alcoholic Hepatitis May Be Affected by when an Infection Is Presented- [electronic resource]
Outcomes in Patients with Alcoholic Hepatitis May Be Affected by when an Infection Is Presented- [electronic resource]

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자료유형  
 학위논문
Control Number  
0016933754
International Standard Book Number  
9798380258982
Dewey Decimal Classification Number  
614
Main Entry-Personal Name  
Ravi, Samhita.
Publication, Distribution, etc. (Imprint  
[S.l.] : University of Pittsburgh., 2023
Publication, Distribution, etc. (Imprint  
Ann Arbor : ProQuest Dissertations & Theses, 2023
Physical Description  
1 online resource(30 p.)
General Note  
Source: Dissertations Abstracts International, Volume: 85-03, Section: B.
General Note  
Advisor: Martinson, Jeremy;Mailliard, Robbie;Carlson, Jenna.
Dissertation Note  
Thesis (M.P.H.)--University of Pittsburgh, 2023.
Restrictions on Access Note  
This item must not be sold to any third party vendors.
Summary, Etc.  
요약Alcohol-associated hepatitis is a severe condition in patients with heavy alcohol use. It is characterized by acute onset of jaundice, and complications such as ascites and hepatic encephalopathy (1). These patients often develop bacterial infections which can negatively impact their outcomes (2). When the infection was acquired relative to being admitted to the hospital can possibly predict negative outcomes including intubation, development of septic shock, and multiorgan failure. We hypothesize that patients with alcohol-associated hepatitis who present with an infection at admission versus those that develop infection during hospitalization have different clinical outcomes. Overall, there is no difference between the two groups among the different clinical outcomes. Furthermore, there are more infections presented at admission than developed during hospitalization. These findings may indicate that the University of Pittsburgh Medical Center may place great importance on infection control and preventing hospital acquired infections. While this is the case, this study suggests that outside hospitals should focus on preventing infections in their facilities to prevent poor outcomes in patients when transferred to other hospital systems.
Subject Added Entry-Topical Term  
Intubation.
Subject Added Entry-Topical Term  
Urogenital system.
Subject Added Entry-Topical Term  
Emergency medical care.
Subject Added Entry-Topical Term  
Urinary tract diseases.
Subject Added Entry-Topical Term  
Patient safety.
Subject Added Entry-Topical Term  
Pneumonia.
Subject Added Entry-Topical Term  
Sepsis.
Subject Added Entry-Topical Term  
Mortality.
Subject Added Entry-Topical Term  
Nosocomial infections.
Subject Added Entry-Topical Term  
Urinary tract infections.
Subject Added Entry-Topical Term  
Bacterial infections.
Subject Added Entry-Topical Term  
Hospitals.
Subject Added Entry-Topical Term  
Public health.
Subject Added Entry-Topical Term  
Alcohol.
Subject Added Entry-Topical Term  
Surveillance.
Subject Added Entry-Topical Term  
Viral infections.
Subject Added Entry-Topical Term  
Disease control.
Subject Added Entry-Topical Term  
Hospitalization.
Subject Added Entry-Topical Term  
Clinical outcomes.
Subject Added Entry-Topical Term  
Peritonitis.
Subject Added Entry-Topical Term  
Hepatitis.
Subject Added Entry-Topical Term  
Health care management.
Subject Added Entry-Topical Term  
Medicine.
Subject Added Entry-Topical Term  
Morphology.
Subject Added Entry-Topical Term  
Pathology.
Added Entry-Corporate Name  
University of Pittsburgh.
Host Item Entry  
Dissertations Abstracts International. 85-03B.
Host Item Entry  
Dissertation Abstract International
Electronic Location and Access  
로그인을 한후 보실 수 있는 자료입니다.
Control Number  
joongbu:641453

MARC

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■006m          o    d                
■007cr#unu||||||||
■020    ▼a9798380258982
■035    ▼a(MiAaPQ)AAI30556114
■035    ▼a(MiAaPQ)Pittsburgh44679
■040    ▼aMiAaPQ▼cMiAaPQ
■0820  ▼a614
■1001  ▼aRavi,  Samhita.
■24510▼aOutcomes  in  Patients  with  Alcoholic  Hepatitis  May  Be  Affected  by  when  an  Infection  Is  Presented▼h[electronic  resource]
■260    ▼a[S.l.]▼bUniversity  of  Pittsburgh.  ▼c2023
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2023
■300    ▼a1  online  resource(30  p.)
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  85-03,  Section:  B.
■500    ▼aAdvisor:  Martinson,  Jeremy;Mailliard,  Robbie;Carlson,  Jenna.
■5021  ▼aThesis  (M.P.H.)--University  of  Pittsburgh,  2023.
■506    ▼aThis  item  must  not  be  sold  to  any  third  party  vendors.
■520    ▼aAlcohol-associated  hepatitis  is  a  severe  condition  in  patients  with  heavy  alcohol  use.  It  is  characterized  by  acute  onset  of  jaundice,  and  complications  such  as  ascites  and  hepatic  encephalopathy  (1).  These  patients  often  develop  bacterial  infections  which  can  negatively  impact  their  outcomes  (2).  When  the  infection  was  acquired  relative  to  being  admitted  to  the  hospital  can  possibly  predict  negative  outcomes  including  intubation,  development  of  septic  shock,  and  multiorgan  failure.  We  hypothesize  that  patients  with  alcohol-associated  hepatitis  who  present  with  an  infection  at  admission  versus  those  that  develop  infection  during  hospitalization  have  different  clinical  outcomes.  Overall,  there  is  no  difference  between  the  two  groups  among  the  different  clinical  outcomes.  Furthermore,  there  are  more  infections  presented  at  admission  than  developed  during  hospitalization.  These  findings  may  indicate  that  the  University  of  Pittsburgh  Medical  Center  may  place  great  importance  on  infection  control  and  preventing  hospital  acquired  infections.  While  this  is  the  case,  this  study  suggests  that  outside  hospitals  should  focus  on  preventing  infections  in  their  facilities  to  prevent  poor  outcomes  in  patients  when  transferred  to  other  hospital  systems.
■590    ▼aSchool  code:  0178.
■650  4▼aIntubation.
■650  4▼aUrogenital  system.
■650  4▼aEmergency  medical  care.
■650  4▼aUrinary  tract  diseases.
■650  4▼aPatient  safety.
■650  4▼aPneumonia.
■650  4▼aSepsis.
■650  4▼aMortality.
■650  4▼aNosocomial  infections.
■650  4▼aUrinary  tract  infections.
■650  4▼aBacterial  infections.
■650  4▼aHospitals.
■650  4▼aPublic  health.
■650  4▼aAlcohol.
■650  4▼aSurveillance.
■650  4▼aViral  infections.
■650  4▼aDisease  control.
■650  4▼aHospitalization.
■650  4▼aClinical  outcomes.
■650  4▼aPeritonitis.
■650  4▼aHepatitis.
■650  4▼aHealth  care  management.
■650  4▼aMedicine.
■650  4▼aMorphology.
■650  4▼aPathology.
■690    ▼a0573
■690    ▼a0769
■690    ▼a0564
■690    ▼a0287
■690    ▼a0571
■71020▼aUniversity  of  Pittsburgh.
■7730  ▼tDissertations  Abstracts  International▼g85-03B.
■773    ▼tDissertation  Abstract  International
■790    ▼a0178
■791    ▼aM.P.H.
■792    ▼a2023
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T16933754▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.
■980    ▼a202402▼f2024

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