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Factors predicting the outcomes of elderly hospitalized myasthenia gravis patients: a national database study
Myasthenia gravis (MG) in elderly populations is increasing. This study aimed to evaluate predictors for treatment outcomes in elderly hospitalized MG patients using the national database. We collected data of elderly hospitalized MG patients from the National Health Security Office from October 200...
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Published in: | International journal of general medicine 2017-01, Vol.10, p.131-135 |
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container_title | International journal of general medicine |
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creator | Tiamkao, Somsak Pranboon, Sineenard Thepsuthammarat, Kaewjai Sawanyawisuth, Kittisak |
description | Myasthenia gravis (MG) in elderly populations is increasing. This study aimed to evaluate predictors for treatment outcomes in elderly hospitalized MG patients using the national database.
We collected data of elderly hospitalized MG patients from the National Health Security Office from October 2009 to September 2010. Predictors for treatment outcomes were examined.
During the study period, 1,948 identified MG patients were admitted to hospitals throughout Thailand. Of those, 441 patients (22.64%) were aged ≥ 60 years. There were 66 patients (14.97%) who had poor outcomes. There were only three significant factors in the final model. Presence of pneumonia, use of mechanical ventilators, and septicemia had adjusted odds ratios (95% confidence interval) of 2.83 (1.03, 7.75), 5.33 (2.24, 12.72), and 4.47 (1.86, 10.75), respectively.
Pneumonia, being on a mechanical ventilator, and septicemia were independent factors associated with poor treatment outcomes in elderly hospitalized MG patients according to national data. |
doi_str_mv | 10.2147/IJGM.S129075 |
format | article |
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We collected data of elderly hospitalized MG patients from the National Health Security Office from October 2009 to September 2010. Predictors for treatment outcomes were examined.
During the study period, 1,948 identified MG patients were admitted to hospitals throughout Thailand. Of those, 441 patients (22.64%) were aged ≥ 60 years. There were 66 patients (14.97%) who had poor outcomes. There were only three significant factors in the final model. Presence of pneumonia, use of mechanical ventilators, and septicemia had adjusted odds ratios (95% confidence interval) of 2.83 (1.03, 7.75), 5.33 (2.24, 12.72), and 4.47 (1.86, 10.75), respectively.
Pneumonia, being on a mechanical ventilator, and septicemia were independent factors associated with poor treatment outcomes in elderly hospitalized MG patients according to national data.</description><identifier>ISSN: 1178-7074</identifier><identifier>EISSN: 1178-7074</identifier><identifier>DOI: 10.2147/IJGM.S129075</identifier><identifier>PMID: 28458573</identifier><language>eng</language><publisher>New Zealand: Dove Medical Press Limited</publisher><subject>Care and treatment ; Development and progression ; Elderly ; Elderly patients ; Epidemiology ; Health insurance ; Management ; Medical care quality ; Medical records ; Mortality ; Myasthenia Gravis ; Older people ; Original Research ; Outcomes ; Risk factors ; Studies</subject><ispartof>International journal of general medicine, 2017-01, Vol.10, p.131-135</ispartof><rights>COPYRIGHT 2017 Dove Medical Press Limited</rights><rights>2017. This work is licensed under https://creativecommons.org/licenses/by-nc/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2017 Tiamkao et al. This work is published and licensed by Dove Medical Press Limited 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c576t-f2de5083e791e7eea908cad99a53ef2703dc856626f1e4b1df4f090cf4e673bf3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2232151157/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2232151157?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28458573$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tiamkao, Somsak</creatorcontrib><creatorcontrib>Pranboon, Sineenard</creatorcontrib><creatorcontrib>Thepsuthammarat, Kaewjai</creatorcontrib><creatorcontrib>Sawanyawisuth, Kittisak</creatorcontrib><title>Factors predicting the outcomes of elderly hospitalized myasthenia gravis patients: a national database study</title><title>International journal of general medicine</title><addtitle>Int J Gen Med</addtitle><description>Myasthenia gravis (MG) in elderly populations is increasing. This study aimed to evaluate predictors for treatment outcomes in elderly hospitalized MG patients using the national database.
We collected data of elderly hospitalized MG patients from the National Health Security Office from October 2009 to September 2010. Predictors for treatment outcomes were examined.
During the study period, 1,948 identified MG patients were admitted to hospitals throughout Thailand. Of those, 441 patients (22.64%) were aged ≥ 60 years. There were 66 patients (14.97%) who had poor outcomes. There were only three significant factors in the final model. Presence of pneumonia, use of mechanical ventilators, and septicemia had adjusted odds ratios (95% confidence interval) of 2.83 (1.03, 7.75), 5.33 (2.24, 12.72), and 4.47 (1.86, 10.75), respectively.
Pneumonia, being on a mechanical ventilator, and septicemia were independent factors associated with poor treatment outcomes in elderly hospitalized MG patients according to national data.</description><subject>Care and treatment</subject><subject>Development and progression</subject><subject>Elderly</subject><subject>Elderly patients</subject><subject>Epidemiology</subject><subject>Health insurance</subject><subject>Management</subject><subject>Medical care quality</subject><subject>Medical records</subject><subject>Mortality</subject><subject>Myasthenia Gravis</subject><subject>Older people</subject><subject>Original Research</subject><subject>Outcomes</subject><subject>Risk factors</subject><subject>Studies</subject><issn>1178-7074</issn><issn>1178-7074</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptktFrFDEQxhdRbK2--SwBQXzwzmSTbDY-CKXYWqn4oD6HuWT2LmV3c02yhfOvN-fV404kDxkmv_nCzHxV9ZLRec2Een_95err_DurNVXyUXXKmGpniirx-CA-qZ6ldEtp0zSMP61O6lbIVip-Wg2XYHOIiawjOm-zH5ckr5CEKdswYCKhI9g7jP2GrEJa-wy9_4WODBtIBRw9kGWEe18UIHscc_pAgIwlDiP0xEGGBSQkKU9u87x60kGf8MXDfVb9vPz04-Lz7Obb1fXF-c3MStXkWVc7lLTlqDRDhQiathac1iA5drWi3NlWNk3ddAzFgrlOdFRT2wlsFF90_Ky63um6ALdmHf0AcWMCePMnEeLSQMze9mgE8lpIiVJpISxQoFI7WGiLjPJa2qL1cae1nhYDOltajNAfiR6_jH5lluHeSEGF0KwIvH0QiOFuwpTN4JPFvocRw5QMazXXijHeFvT1P-htmGKZYzJ1zWsmGStb21NLKA34sQvlX7sVNeeSM6103W6p-X-ochwO3oYRO1_yRwVvDgpWCH1epdBP202mY_DdDrQxpBSx2w-DUbP1pNl60jx4suCvDge4h_-akP8GgADcnQ</recordid><startdate>20170101</startdate><enddate>20170101</enddate><creator>Tiamkao, Somsak</creator><creator>Pranboon, Sineenard</creator><creator>Thepsuthammarat, Kaewjai</creator><creator>Sawanyawisuth, Kittisak</creator><general>Dove Medical Press Limited</general><general>Taylor & Francis Ltd</general><general>Dove Medical Press</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20170101</creationdate><title>Factors predicting the outcomes of elderly hospitalized myasthenia gravis patients: a national database study</title><author>Tiamkao, Somsak ; Pranboon, Sineenard ; Thepsuthammarat, Kaewjai ; Sawanyawisuth, Kittisak</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c576t-f2de5083e791e7eea908cad99a53ef2703dc856626f1e4b1df4f090cf4e673bf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Care and treatment</topic><topic>Development and progression</topic><topic>Elderly</topic><topic>Elderly patients</topic><topic>Epidemiology</topic><topic>Health insurance</topic><topic>Management</topic><topic>Medical care quality</topic><topic>Medical records</topic><topic>Mortality</topic><topic>Myasthenia Gravis</topic><topic>Older people</topic><topic>Original Research</topic><topic>Outcomes</topic><topic>Risk factors</topic><topic>Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tiamkao, Somsak</creatorcontrib><creatorcontrib>Pranboon, Sineenard</creatorcontrib><creatorcontrib>Thepsuthammarat, Kaewjai</creatorcontrib><creatorcontrib>Sawanyawisuth, Kittisak</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest research library</collection><collection>Research Library (Corporate)</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>International journal of general medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tiamkao, Somsak</au><au>Pranboon, Sineenard</au><au>Thepsuthammarat, Kaewjai</au><au>Sawanyawisuth, Kittisak</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors predicting the outcomes of elderly hospitalized myasthenia gravis patients: a national database study</atitle><jtitle>International journal of general medicine</jtitle><addtitle>Int J Gen Med</addtitle><date>2017-01-01</date><risdate>2017</risdate><volume>10</volume><spage>131</spage><epage>135</epage><pages>131-135</pages><issn>1178-7074</issn><eissn>1178-7074</eissn><abstract>Myasthenia gravis (MG) in elderly populations is increasing. This study aimed to evaluate predictors for treatment outcomes in elderly hospitalized MG patients using the national database.
We collected data of elderly hospitalized MG patients from the National Health Security Office from October 2009 to September 2010. Predictors for treatment outcomes were examined.
During the study period, 1,948 identified MG patients were admitted to hospitals throughout Thailand. Of those, 441 patients (22.64%) were aged ≥ 60 years. There were 66 patients (14.97%) who had poor outcomes. There were only three significant factors in the final model. Presence of pneumonia, use of mechanical ventilators, and septicemia had adjusted odds ratios (95% confidence interval) of 2.83 (1.03, 7.75), 5.33 (2.24, 12.72), and 4.47 (1.86, 10.75), respectively.
Pneumonia, being on a mechanical ventilator, and septicemia were independent factors associated with poor treatment outcomes in elderly hospitalized MG patients according to national data.</abstract><cop>New Zealand</cop><pub>Dove Medical Press Limited</pub><pmid>28458573</pmid><doi>10.2147/IJGM.S129075</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Care and treatment Development and progression Elderly Elderly patients Epidemiology Health insurance Management Medical care quality Medical records Mortality Myasthenia Gravis Older people Original Research Outcomes Risk factors Studies |
title | Factors predicting the outcomes of elderly hospitalized myasthenia gravis patients: a national database study |
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