University Hospital of the West Indies

Coronary Artery Bypass Graft Surgery at the University Hospital of the West Indies, Jamaica: Analysis of Clinical Characteristics, Mortality and Length of Hospital Stay

DOI:

10.7727/wimj.2016.549

Synopsis:

This study analyzed the clinical characteristics and outcome of patients presenting for coronary artery bypass surgery at the University Hospital of the West Indies. The overall 30-day mortality rate was 8.4%, and the median intensive care and total hospital stays were 3 and 8 days, respectively.

ABSTRACT

Objectives: A detailed analysis of coronary artery bypass graft (CABG) surgical cases performed at the University Hospital of the West Indies (UHWI) has never been conducted. We present the demographic profile, clinical characteristics, and outcome of cases performed during the period March 2010 to March 2016.

Received:

04 Nov, 2016

Accepted:

11 Jan, 2017

PDF Attachment:

mcgaw_et_al-coronary_artery_bypass_graft_surgery_in_jamaica.pdf

Journal Sections:

Original Articles

Keywords:

University Hospital of the West Indies

outcomes

Clinical characteristics

coronary artery bypass graft surgery

Journal Authors:

e-Published: 03 Feb, 2017

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Disclaimer

Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.

Dynamics of Antibiotic Usage in the Intensive Care Unit at the University Hospital of the West Indies

Issue:

Vol 59, issue 2 (2010)

Pages:

159–64

Synopsis:

A cross-sectional, analytical study of antibiotic usage patterns at the Intensive Care Unit at the University Hospital of the West Indies was conducted on consecutive admissions between July and December 2007. Areas for improvement identified included attention to appropriate prophylactic antibiotic use and duration of courses, and use of de-escalation.

ABSTRACT

Objective: To determine antibiotic usage patterns in the Intensive Care Unit (ICU) at the University Hospital of the West Indies (UHWI).

PDF Attachment:

dr_v_chin_wimj.qxd_.pdf

Journal Sections:

Original Articles

Keywords:

University Hospital of the West Indies

Journal Authors:

e-Published: 02 Oct, 2013

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Anaesthetic Morbidity at the University Hospital of the West Indies

Issue:

Vol 58, Issue 5 (2009)

Pages:

452–7

Synopsis:

Prospective analysis of 3185 anaesthetic procedures revealed a complication rate of 201 per 1000 intraoperatively and 93 per 1000 during recovery. Cardiovascular complications were most frequent intra-operatively, whilst hyperglycaemia, nausea and vomiting were most common during recovery. Risk factors included ASA status, age, co-morbid conditions, prolonged anaesthesia, high surgical risk and intubation.

ABSTRACT

Objective: There is little information on adverse anaesthetic outcomes from the Caribbean. The aim of this study was to investigate the occurrence of anaesthetic morbidity and mortality at the University Hospital of the West Indies (UHWI) and to identify possible risk factors.

PDF Attachment:

dr_ia_tennant.qxd_.pdf

Journal Sections:

Original Articles

Keywords:

University Hospital of the West Indies

Anaesthetic morbidity

Journal Authors:

e-Published: 20 Sep, 2013

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Six Years Experience of Angioedema at the University Hospital of the West Indies

Issue:

Vol 56, Issue 3 (2007)

Pages:

278–81

ABSTRACT

PDF Attachment:

williams-johnson_six_year_experience_of_angioedema.pdf

Journal Sections:

Case Reports

Keywords:

University Hospital of the West Indies

Journal Authors:

e-Published: 02 Jul, 2013

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Anaesthesia for Operative Deliveries at the University Hospital of the West Indies: A Change of Practice

Issue:

Vol 54, Issues 3 (2005)

Pages:

187–191

Synopsis:

In 1996, more than 90% of the Caesarean sections at the University Hospital of the West Indies, Kingston, Jamaica, were being done under general anaesthesia. By 2001, more than 80% of the Caesarean sections were done under spinal anaesthesia.

ABSTRACT

PDF Attachment:

crawford_-sykes_anaesthesia_for_operative_deliveries_at_the_uhwi.pdf

Journal Sections:

Original Articles

Keywords:

University Hospital of the West Indies

Journal Authors:

e-Published: 05 Jun, 2013

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Triage Decisions and Outcome among the Critically Ill at the University Hospital of the West Indies

Issue:

Vol 54, Issues 3 (2005)

Pages:

181–86

Synopsis:

The triage and outcome of patients referred for admission to the ICU at the University Hospital of the West Indies, Kingston, Jamaica, was investigated. The authors found that disease severity was the main determinant of admission to the ICU, and that a shortage of ICU beds is adversely affecting outcome.

ABSTRACT

PDF Attachment:

augier_triage_decisions_and_outcome_among_the_critically_ill_at_teh_uhwi.pdf

Journal Sections:

Original Articles

Keywords:

University Hospital of the West Indies

Journal Authors:

e-Published: 05 Jun, 2013

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Perinatal Autopsy Rates at the University Hospital of the West Indies: 2002–2008

Issue:

Vol 62, Issue 1: Jan (2013)

DOI:

10.7727/wimj.2012.099

Pages:

35–8

Synopsis:

The average annual perinatal autopsy rate at the University Hospital of the West Indies is 54%, well below the internationally recommended rate of 75%. Failure to request an autopsy is the most significant factor contributing to this.

ABSTRACT

Objectives: High perinatal autopsy rates are necessary for institutional management protocols and national policy-making. This study reviews perinatal autopsy rates and factors affecting these rates at the University Hospital of the West Indies.

PDF Attachment:

dr_kl_bishop.qxp_.pdf

Journal Sections:

Original Articles

Keywords:

University Hospital of the West Indies

Perinatal autopsy rates

Journal Authors:

e-Published: 09 Apr, 2013

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Hospitalization Trends in Adult Ocular Trauma at the University Hospital of the West Indies

Issue:

Vol 61, Issue 6 (2012)

DOI:

10.7727/wimj.2011.180

Pages:

605–9

Synopsis:

Of the 252 adults who were admitted to the University Hospital of the West Indies between 2000 and 2005, 78.6% were males. The patient’s age, gender, aetiology, place of trauma, hospitalization period and surgical intervention were assessed to determine the burden of ocular disease on the population.

ABSTRACT

PDF Attachment:

Journal Sections:

Keywords:

University Hospital of the West Indies

Journal Authors:

e-Published: 24 Jan, 2013

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Paediatric Ocular Trauma Admissions to the University Hospital of the West Indies 2000–2005

Issue:

Vol 61, Issue 6 (2012)

DOI:

10.7727/wimj.2011.181

Pages:

598–604

Synopsis:

This study assessed the paediatric ocular trauma admissions to the University Hospital of the West Indies between 2000 and 2005. Of the 145 paediatric admissions, 69.6% were males. The home was the most common place of injury and the stone was the most likely causative agent.

ABSTRACT

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