Browsing by Author "Alghamdi, Abdulrahman"

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Impact of early nephrology referral on the outcomes of patients with acute kidney injury
(2022) Alghamdi, Maha; Alhozali, Hanadi; Bokhary, Omar; Ahmed, Renad; Alghamdi, Abdulrahman; Almalki, Wejdan; Almutairi, Omar
Background: Acute kidney injury (AKI) is associated with an increase in patient mortality and high rates of renal/non-renal complications. Late detection of the disease has been associated with worse prognosis, but no such study has been conducted from Saudi Arabia. Objectives: To assess the impact of early nephrology referral on the outcomes of patients with AKI. Methods: This retrospective record review included all adult patients (≥18 years) with AKI who were referred to the Nephrology Department at King Abdulaziz University Hospital, Jeddah, Saudi Arabia, between May 2019 and July 2020. AKI was defined according to the Kidney Disease Improving Global Outcomes criteria. AKI patients evaluated by nephrologists were stratified into early referral group (i.e., referral in <48 h from the first detection of AKI) and late referral group (referral ≥48 h after the first detection of AKI). Results: A total of 400 patients met the inclusion criteria, of which 264 (66%) were early referrals. A significant association was found between delayed referral and mortality rates and length of hospital stay (for both, P = 0.001). Late referral was also significantly associated with increased likeliness of the need for renal replacement therapy (P = 0.037) and sepsis (P = 0.005). Conclusions: The outcomes were worse for patients with AKI receiving late referrals to nephrologists. Raising the awareness of AKI among non-nephrologists would likely increase the proportion of earlier referrals.
Mortality and survival analysis of burn patients admitted in a critical care burn unit, Saudi Arabia
(2022) Alshammari, Salem; Almarzouq, Sawsan; Alghamdi, Abdulrahman; Shash, Hani
Background: Burn injury is associated with a high mortality risk. Recent epidemiological data on burn injury and mortality rate from Saudi Arabia is lacking. Objective: This study aimed to analyze the survival rates and its predictability using the Baux score in patients with burn injury at a tertiary care hospital in Saudi Arabia. Materials and Methods: This retrospective study included all patients admitted to the burn unit at King Fahd Hospital of the University, Al Khobar, between March 2014 and February 2020. Patients' burn characteristics and calculated revised Baux scores were collected. The age, burn wound size, type of burn, burn extension, and Baux score of the survivors and non-survivors were compared. Results: A total number of 102 patients were included, and their mean age was 24.2 years (range: 9 months to 78 years). The mean affected total body surface area was 26.4%. Ninety patients (88%) suffered from flame/scald burn. The mortality rate was 17.6% (18 patients); all these patients had flame burns. No patient with a revised Baux score ≥110 survived (n = 14; 77% of the total deaths), while there was no mortality at score <36. Inhalational injuries were reported in 18 patients, of which 13 (72%) died. Patients with patent airway and no inhalation injury were 19 times more likely to survive than those with a compromised airway (P < 0.001). In terms of the depth of burn, partial thickness increased the likeliness of survival by 10 times compared with full thickness (P < 0.003). Conclusion: Inhalational injury and burn size were the most prognostic factors of burn injury in this study. As all cases of mortality were from flame burns, regulation on flammable materials and safety measures should be promoted to the public.
Parents' perception of cyberbullying of their children in Saudi Arabia
(2021) Alfakeh, Sulhi; Alghamdi, Abdulrahman; Kouzaba, Khalid; Altaifi, Mohammed; Abu-Alamah, SultanSalamah, Malik
BACKGROUND: The effect of cyberbullying varies from the small levels of discomfort to serious psychological and social issues. Studies on parents' perception of cyberbullying in Saudi Arabia are scarce. The aim of this study was to determine parents' awareness and perception of cyberbullying of their children in Saudi Arabia. MATERIALS AND METHODS: A cross-sectional study was done on 1249 parents in Saudi Arabia using a standardized validated questionnaire. The questions were on cyberbullying and its association with the school, the difference between cyberbullying and traditional bullying, the importance of parents' attention and their knowledge of cyberbullying, and the platform on which they think cyberbullying occurs. Data were analyzed using SPSS version 24. Qualitative data were presented as frequencies and percentages while mean and standard deviation were computed for quantitative data. Student's t-test or Mann–Whitney and Kruskal–Wallis tests, as appropriate, were applied to test for statistical significance. RESULTS: About 43% parents strongly agreed that cyberbullying was more harmful than bullying in the schoolyard. Parents reported that video games were the most common social platform for cyberbullying. About 64% parents strongly believed that cyberbullying caused psychological harm, and 78% parents responded that it was important to monitor the child's use of the Internet. Seventy-eight percent of parents strongly believed that schools should be proactive in addressing cyberbullying. As for the parents' role, 72.8% strongly believed that parents should be more proactive in addressing cyberbullying, whereas 27.9% thought that parents' involvement would reduce it. Most participants (75.1%) said that more laws should be passed to prevent or punish cyberbullying. CONCLUSION: There is a need to raise the awareness of the Saudi community about the effects and consequences of cyberbullying.