Hong Kong Medical Journal最新文献

Mental health among parents and their children with eczema in Hong Kong. 香港患有湿疹的父母及其子女的心理健康。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-10-03 DOI: 10.12809/hkmj219738

P H Lam, K L Hon, S Loo, C K Li, P Ip, M J Koh, C H Y Chan

{"title":"Mental health among parents and their children with eczema in Hong Kong.","authors":"P H Lam, K L Hon, S Loo, C K Li, P Ip, M J Koh, C H Y Chan","doi":"10.12809/hkmj219738","DOIUrl":"https://doi.org/10.12809/hkmj219738","url":null,"abstract":"Introduction: This cross-sectional survey research investigated mental health symptoms and quality of life among Chinese parents and their children with eczema at a paediatric dermatology clinic in Hong Kong from November 2018 to October 2020.Methods: Health-related quality of life, eczema severity, and mental health among children with eczema, as well as their parents' mental health, were studied using the Children's Dermatology Life Quality Index (CDLQI), Infants' Dermatitis Quality of Life Index (IDQOL), Nottingham Eczema Severity Score (NESS), Patient-Oriented Eczema Measure (POEM), and the Chinese version of the 21-item Depression, Anxiety, and Stress Scales (DASS-21).Results: In total, 432 children and 380 parents were recruited. Eczema severity (NESS and POEM) and health-related quality of life (CDLQI) were significantly positively associated with parental and child depression, anxiety, and stress levels according to the DASS-21, regardless of sex (children: r=0.28- 0.72, P<0.001 to 0.007; parents: r=0.20-0.52, P<0.001 to 0.034). Maternal depression was marginally positively associated with increased anxiety in boys with eczema (r=0.311; P=0.045). Younger parents had higher risk of developing more anxiety and stress compared with the older parents (adjusted odds ratio [aOR]=-0.342, P=0.014 and aOR=-0.395, P=0.019, respectively). Depression level of parents with primary to secondary education was 58% higher than their counterparts with post-secondary education or above (aOR=-1.579; P=0.007).Conclusion: Depression, anxiety, and stress among children with eczema and their parents were associated with eczema severity and impaired quality of life in those children. These findings regarding impaired mental health in children with eczema and their parents highlight the need to include mental well-being and psychosocial outcomes in future studies and clinical practice.","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Validation of diagnostic coding for chronic obstructive pulmonary disease in an electronic health record system in Hong Kong. 香港电子健康记录系统中慢性阻塞性肺病诊断编码的验证。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-08-29 DOI: 10.12809/hkmj2210657

W C Kwok, T C C Tam, C W Sing, E W Y Chan, C L Cheung

{"title":"Validation of diagnostic coding for chronic obstructive pulmonary disease in an electronic health record system in Hong Kong.","authors":"W C Kwok, T C C Tam, C W Sing, E W Y Chan, C L Cheung","doi":"10.12809/hkmj2210657","DOIUrl":"https://doi.org/10.12809/hkmj2210657","url":null,"abstract":"Introduction: Electronic health record databases can facilitate epidemiology research regarding diseases such as chronic obstructive pulmonary disease (COPD), a common medical condition worldwide. We aimed to assess the validity of International Classification of Diseases, 9th Revision (ICD-9) code algorithms for identifying COPD in Hong Kong's territory-wide electronic health record system, the Clinical Data Analysis and Reporting System (CDARS).Methods: Adult patients diagnosed with COPD at all public hospitals in Hong Kong and specifically at Queen Mary Hospital from 2011 to 2020 were identified using the ICD-9 code 496 (Chronic airway obstruction, not elsewhere classified) within the CDARS. Two respiratory specialists reviewed clinical records and spirometry results to confirm the presence of COPD in a randomly selected group of cases.Results: During the study period, 93 971 and 2479 patients had the diagnostic code for COPD at all public hospitals in Hong Kong and specifically at Queen Mary Hospital, respectively. Two hundred cases were randomly selected from Queen Mary Hospital for validation using medical records and spirometry results. The overall positive predictive value was 81.5% (95% confidence interval=76.1%-86.9%). We also developed an algorithm to identify COPD cases in our cohort.Conclusion: This study represents the first validation of ICD-9 coding for COPD in the CDARS. Our findings demonstrated that the ICD-9 code 496 is a reliable indicator for identifying COPD cases, supporting the use of the CDARS database for further clinical research concerning COPD.","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Management of chronic kidney disease: a Hong Kong consensus recommendation. 慢性肾脏病的管理：香港共识建议。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-08-27 DOI: 10.12809/hkmj2311309

S C W Tang, K K L Ho, W W K Ko, A Lee, C B Leung, W K Lo, R C W Ma, S L Pang, K C B Tan, M W Tsang, M C S Wong, W C W Wong, F K M Wong, C C Szeto

{"title":"Management of chronic kidney disease: a Hong Kong consensus recommendation.","authors":"S C W Tang, K K L Ho, W W K Ko, A Lee, C B Leung, W K Lo, R C W Ma, S L Pang, K C B Tan, M W Tsang, M C S Wong, W C W Wong, F K M Wong, C C Szeto","doi":"10.12809/hkmj2311309","DOIUrl":"https://doi.org/10.12809/hkmj2311309","url":null,"abstract":"Chronic kidney disease (CKD) imposes a significant burden on healthcare systems worldwide, and diabetes is a major risk factor for CKD. There is currently no consensus in Hong Kong regarding the prioritisation of early identification and intervention for CKD. A comprehensive and Hong Kong-specific diabetes and CKD treatment guideline is also lacking. A multidisciplinary group of experts discussed issues surrounding the current management of CKD and reviewed evidence in the context of local experience to support recommendations. The experts used a modified Delphi approach to finalise recommendations. Consensus was regarded as ≥75% acceptability among all expert panel members. The panel members finalised 14 CKD-focused consensus statements addressing disease definition, screening, disease monitoring, lifestyle management, and treatment strategies. The recommendations provided are relevant to the Hong Kong healthcare setting and can be used as a guide by physicians across various specialties to facilitate the appropriate management of CKD.","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Aggressive renal angiomyolipoma with renal vein and inferior vena cava thrombus: a case report. 伴有肾静脉和下腔静脉血栓的侵袭性肾血管肌脂肪瘤：病例报告。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-08-22 DOI: 10.12809/hkmj2311235

P H W Lo, H M Kwok, F H Ng, H Y Lo, J K F Ma

引用次数: 0

End-of-life practices in Hong Kong intensive care units: results from the Ethicus-2 study. 香港重症监护病房的临终关怀实践：Ethicus-2 研究的结果。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-08-01 Epub Date: 2024-08-15 DOI: 10.12809/hkmj2310944

G M Joynt, S K H Ling, L L Chang, P N W Tsai, G K F Au, D H K So, F L Chow, P K N Lam, A Avidan, C L Sprung, A Lee

{"title":"End-of-life practices in Hong Kong intensive care units: results from the Ethicus-2 study.","authors":"G M Joynt, S K H Ling, L L Chang, P N W Tsai, G K F Au, D H K So, F L Chow, P K N Lam, A Avidan, C L Sprung, A Lee","doi":"10.12809/hkmj2310944","DOIUrl":"10.12809/hkmj2310944","url":null,"abstract":"Introduction: The need for end-of-life care is common in intensive care units (ICUs). Although guidelines exist, little is known about actual end-of-life care practices in Hong Kong ICUs. The study aim was to provide a detailed description of these practices.Methods: This prospective, multicentre observational sub-analysis of the Ethicus-2 study explored end-of-life practices in eight participating Hong Kong ICUs. Consecutive adult ICU patients admitted during a 6-month period with life-sustaining treatment (LST) limitation or death were included. Follow-up continued until death or 2 months from the initial decision to limit LST.Results: Of 4922 screened patients, 548 (11.1%) had LST limitation (withholding or withdrawal) or died (failed cardiopulmonary resuscitation/brain death). Life-sustaining treatment limitation occurred in 455 (83.0%) patients: 353 (77.6%) had decisions to withhold LST and 102 (22.4%) had decisions to withdraw LST. Of those who died without LST limitation, 80 (86.0%) had failed cardiopulmonary resuscitation and 13 (14.0%) were declared brain dead. Discussions of LST limitation were initiated by ICU physicians in most (86.2%) cases. Shared decision-making between ICU physicians and families was the predominant model; only 6.0% of patients retained decision-making capacity. Primary medical reasons for LST limitation were unresponsiveness to maximal therapy (49.2%) and multiorgan failure (17.1%). The most important consideration for decision-making was the patient's best interest (81.5%).Conclusion: Life-sustaining treatment limitations are common in Hong Kong ICUs; shared decision-making between physicians and families in the patient's best interest is the predominant model. Loss of decision-making capacity is common at the end of life. Patients should be encouraged to communicate end-of-life treatment preferences to family members/surrogates, or through advance directives.","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Another ketamine analogue on the horizon. 另一种氯胺酮类似物即将问世。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-08-01 Epub Date: 2024-07-22 DOI: 10.12809/hkmj2411787

T M Han, M H Y Tang, H F Tong, Y T Cheung, J S B Tseung, M K Yip, C K Ching, Y K Chong

引用次数: 0

The Hong Kong Renal Registry: a recent update. 香港肾脏注册资料库：近期更新。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-08-01 Epub Date: 2024-08-05 DOI: 10.12809/hkmj2411504

J Y H Chan, Y L Cheng, S K Yuen, P N Wong, H M Cheng, K L Mo, C Y Yung, K M Chow, S K S Fung, W L Chak, M K M Ma, T L Ho, A Lee, S Wong, S F Cheung, A L T Ma, C C Szeto, S C W Tang, S L Lui

引用次数: 0

Integration of traditional Chinese medicine and Western medicine: some food of thought on clinical liability. 中西医结合：关于临床责任的一些思考。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-08-01 Epub Date: 2024-06-28 DOI: 10.12809/hkmj245163

A Lee, K W Tong, B C F Chiu, W Wong

引用次数: 0

Pseudo fat-saturation and orbital lipolysis in cancer cachexia: a diagnostic trap. 癌症恶病质中的假性脂肪饱和与眼眶脂肪溶解：诊断陷阱。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-08-01 Epub Date: 2024-07-11 DOI: 10.12809/hkmj2310913

S M Yu, W K M Kwong, Y Y Y Law, A D King

引用次数: 0

Long-surviving Neu-Laxova syndrome confirmed by whole exome sequencing: a case report. 通过全外显子组测序证实的长期存活的 Neu-Laxova 综合征：一份病例报告。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-08-01 Epub Date: 2024-05-29 DOI: 10.12809/hkmj2311182

C W Kong, Y Y Li, S L K Au, A S Y Kan, M M C Chui, B H Y Chung, Y C Ho, W W K To

引用次数: 0