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https://www.readbyqxmd.com/read/30186222/epidemiological-features-of-spinal-cord-injury-in-china-a-systematic-review
#1
Shiyang Yuan, Zhongju Shi, Fujiang Cao, Jiahe Li, Shiqing Feng
Background: Spinal cord injury (SCI) is a severe condition that disrupts patients' physiological, mental, and social well-being state and exerts great financial burden on patients, their families and social healthcare system. This review intends to compile studies regarding epidemiological features of SCI in China. Methods: Searches were conducted on PubMed, EMBASE, Web of Science and Cochrane Library for relevant studies published through January, 2018. Studies reported methodological and epidemiological data were collected by two authors independently...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/30170554/predictors-of-recovering-ambulation-after-hip-fracture-inpatient-rehabilitation
#2
Francesca Cecchi, Silvia Pancani, Desiderio Antonioli, Lucia Avila, Manuele Barilli, Massimo Gambini, Lucilla Landucci Pellegrini, Emanuela Romano, Chiara Sarti, Margherita Zingoni, Maria Assunta Gabrielli, Federica Vannetti, Guido Pasquini, Claudio Macchi
BACKGROUND: Despite progress in surgery and care, hip fracture (HF) remains a catastrophic event, burdened with high risk of mortality and disability. This study aims at identifying predictors of recovering ambulation after intensive inpatient rehabilitation within the Tuscany Region HF rehabilitation pathway. METHODS: All HF patients referred from acute care to the two Massa-Carrara Rehabilitation facilities January 2015-June 2017 were enrolled. Comorbidity Total Score (CIRS) defined high- or low-care setting referral...
August 31, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/30059364/association-between-body-weight-variation-and-survival-and-other-adverse-events-in-critically-ill-patients-with-shock-a-multicenter-cohort-study-of-the-outcomerea-network
#3
Antoine Gros, Claire Dupuis, Stéphane Ruckly, Alexandre Lautrette, Maité Garrouste-Orgeas, Marc Gainnier, Jean-Marie Forel, Guillaume Marcotte, Elie Azoulay, Yves Cohen, Carole Schwebel, Laurent Argaud, Etienne de Montmollin, Shidasp Siami, Dany Goldgran-Toledano, Michael Darmon, Jean-Francois Timsit
OBJECTIVES: This study in critically ill patients with shock assessed the prognostic value of body weight variations occurring each day from day 3 to day 7 on the 30-day outcome in terms of mortality, occurrence of ventilator-associated pneumonia and of bedsore, and occurrence of length of stay. DESIGN: Retrospective analysis of data. Multivariate subdistribution survival models were used at each day, from day 3 to day 7. The impact of body weight variations on length of stay was estimated through a multivariate negative binomial regression model...
October 2018: Critical Care Medicine
https://www.readbyqxmd.com/read/29793191/development-and-validation-of-a-prediction-model-for-functional-decline-in-older-medical-inpatients
#4
Toshihiko Takada, Shingo Fukuma, Yosuke Yamamoto, Yukio Tsugihashi, Hiroyuki Nagano, Michio Hayashi, Jun Miyashita, Teruhisa Azuma, Shunichi Fukuhara
OBJECTIVE: To prevent functional decline in older inpatients, identification of high-risk patients is crucial. The aim of this study was to develop and validate a prediction model to assess the risk of functional decline in older medical inpatients. METHODS: In this retrospective cohort study, patients ≥65 years admitted acutely to medical wards were included. The healthcare database of 246 acute care hospitals (n = 229,913) was used for derivation, and two acute care hospitals (n = 1767 and 5443, respectively) were used for validation...
July 2018: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29743767/pressure-ulcer-and-nutrition
#5
REVIEW
Seied Hadi Saghaleini, Kasra Dehghan, Kamran Shadvar, Sarvin Sanaie, Ata Mahmoodpoor, Zohreh Ostadi
Pressure ulcers can diminish global life quality, contribute to rapid mortality in some patients and pose a significant cost to health-care organizations. Accordingly, their prevention and management are highly important. Nutritional deprivation and insufficient dietary intake are the key risk factors for the development of pressure ulcers and impaired wound healing. Unplanned weight loss is a major risk factor for malnutrition and pressure ulcer development. Suboptimal nutrition interferes with the function of the immune system, collagen synthesis, and tensile strength...
April 2018: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29694654/prevalence-and-risk-factors-of-pressure-ulcers-in-a-tunisian-hospital
#6
Fatma Ben Mbarka, Khouloud Ben Jeddou, Mehdi Khalfallah, Dorra Jarraya, Hichem Jarraya, Zeineb Ouahchi, Ramzi Nouira, Chadli Dziri
BACKGROUND: the aim of thisstudywas to investigate the prevalence of pressure ulcers in hospitalized patients at the Charles Nicolle Hospital in Tunis, measure the risk of their occurrence, analyzepreventive and curative measuresundertaken and evaluatefactorspredisposing to pressure ulcers. METHODS: A one-day survey was performed in all hospitalized patients. Emergency services, neonatology and pediatrics were excluded. The Braden scale was used to measure the patient's risk for the development of pressure ulcers...
July 2017: La Tunisie Médicale
https://www.readbyqxmd.com/read/29441191/studying-the-effects-of-primary-arthroplasty-on-post-treatment-results-among-elderly-patients-with-pertrochanteric-fracture
#7
Mostafa Shahrezaee, Mohammad Ali Okhovatpour, Mohammad Banasiri, Seyyed Reza Sharifzadeh
Various therapeutic methods are available to treat patients with intertrochantric fracture, which is usually caused by falling down. This complication is usually observed among the elderly, particularly old women. The choice of the proper therapeutic method depends on many factors including patient's condition, type of fracture, and the amount of movement. Hip arthroplasty is one of these therapeutic methods, which have certain advantages and disadvantages. Immediate resumption of walking with the ability of weight toleration and absence of complications such as aseptic necrosis are some advantages of this method...
January 8, 2018: Clinics and Practice
https://www.readbyqxmd.com/read/29440803/comparison-of-two-intervention-strategies-on-prevention-of-bedsores-among-the-bedridden-patients-a-quasi-experimental-community-based-trial
#8
Sukhpal Kaur, Amarjeet Singh, Manoj K Tewari, Tejinder Kaur
Background: More than 80% of bedridden patients develop bedsores in home care settings. Training of informal caregivers can significantly affect the quality of care to these patients. Objective: The objective of this study is to compare the effectiveness of two caregiver training strategies on prevention of bedsores among bedridden patients. Methods: The study was carried out in Chandigarh. The study center was at PGIMER, Chandigarh. Seventy-eight bedridden patients being taken care in their homes were identified...
January 2018: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/29438149/100-years-of-bedsores-how-much-have-we-learned
#9
Jeffrey M Levine
Just over 100 years ago, an article was published describing a plan to treat decubitus ulcers that can shed light upon medical progress and current practices. Key prevention and treatment elements included a dedicated ward, staff continuity, frequent position changes and special surfaces, cleanliness, disinfectants, and dressing changes. The necessity of resource allocation and interdisciplinary collaboration was acknowledged. This article sheds light on not only how much we have learned, but also how far we have to go...
March 2018: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/29201261/electrical-stimulation-for-pressure-injuries-a-health-technology-assessment
#10
(no author information available yet)
Background: Pressure injuries (bedsores) are common and reduce quality of life. They are also costly and difficult to treat. This health technology assessment evaluates the effectiveness, cost-effectiveness, budget impact, and lived experience of adding electrical stimulation to standard wound care for pressure injuries. Methods: We conducted a systematic search for studies published to December 7, 2016, limited to randomized and non-randomized controlled trials examining the effectiveness of electrical stimulation plus standard wound care versus standard wound care alone for patients with pressure injuries...
2017: Ontario Health Technology Assessment Series
https://www.readbyqxmd.com/read/28915955/implications-of-bisphosphonate-calcium-ion-depletion-interfering-with-desmosome-epithelial-seal-in-osseointegrated-implants-and-pressure-ulcers
#11
Louis Z G Touyz, Kelvin I Afrashtehfar
Osteoporosis (OP) is a global bone disease prevalent in aging in humans, especially in older women. Bisphosphonates (BPs) are commonly used as therapy for OP as it influences hard and soft tissues calcium metabolism. Mucosal and dermal ulceration with exposure of underlying bone arises from incomplete epithelial recovery due to reduced desmosome formation deriving from lack of available calcium. Pathological situations such as bisphosphonate-related osteonecrosis of the jaw have been described. This hypothesis states other situations which demand intact functional desmosomes such as healing skin over chronic pressure points leading to pressure ulcers (as well-known as bedsores, pressure sores, pressure injuries, decubitus ulcers), and hemidesmosomes such as epithelial seals in contact with titanium surfaces will have a higher prevalence of breakdown among patients being treated with BPs...
September 2017: Medical Hypotheses
https://www.readbyqxmd.com/read/28825580/-calciphylaxis
#12
Nicolás Raimondi, Jorge J Del Vecchio, Mauricio Ghioldi, Emanuel Uzair
Calciphylaxis is vasculopathy characterized by ischemia and painful skin necrosis due to calcification and intimal fibroplasia of thrombosis of the panicular arterioles. It most frequently compromises patients with terminal chronic renal failure and has a high mortality rate. Biopsy of skin lesions is used as a diagnostic method. No specific laboratory findings have been recorded. Skin lesions usually begin in the extremities like a painful purplish mottling similar to "livedo reticularis". The natural evolution is to ulcers and bedsores...
2017: Medicina
https://www.readbyqxmd.com/read/28639707/dressings-and-topical-agents-for-treating-pressure-ulcers
#13
REVIEW
Maggie J Westby, Jo C Dumville, Marta O Soares, Nikki Stubbs, Gill Norman
BACKGROUND: Pressure ulcers, also known as bedsores, decubitus ulcers and pressure injuries, are localised areas of injury to the skin or the underlying tissue, or both. Dressings are widely used to treat pressure ulcers and promote healing, and there are many options to choose from including alginate, hydrocolloid and protease-modulating dressings. Topical agents have also been used as alternatives to dressings in order to promote healing.A clear and current overview of all the evidence is required to facilitate decision-making regarding the use of dressings or topical agents for the treatment of pressure ulcers...
June 22, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28485641/characterization-of-ascites-in-cardiac-cirrhosis-the-value-of-ascitic-fluid-protein-to-screen-for-concurrent-cardiac-cirrhosis
#14
Yuchen Wang, Bashar M Attar, Seema Gandhi, Palashkumar Jaiswal, Sara Bedsore, Neethi Paranji, Sachit Sharma
Abstracts Objectives: Cardiogenic ascites has been well described regarding its pathophysiology and fluid characteristics in prior literatures. However, ascites in patients with cardiac cirrhosis has not been characterized as a separate entity despite its unique pathophysiology and clinical aspects. This study aims to describe the fluid profile of ascites of cardiac cirrhosis and explore the utility of ascitic fluid protein (AFP) to predict concurrent cardiac cirrhosis. METHODS AND MATERIALS: We retrospectively selected and reviewed samples from the patients with cardiogenic ascites with and without concurrent cardiac cirrhosis...
August 2017: Scandinavian Journal of Gastroenterology
https://www.readbyqxmd.com/read/28467333/bedsores-successfully-treated-with-topical-phenytoin
#15
RANDOMIZED CONTROLLED TRIAL
Francesco Inchingolo, Dino Vermesan, Alessio D Inchingolo, Giuseppina Malcangi, Luigi Santacroce, Salvatore Scacco, Vincenzo Benagiano, Francesco Girolamo, Raffaele Cagiano, Monica Caprio, Lucia Longo, Antonia Abbinante, Angelo M Inchingolo, Gianna Dipalma, Angelo Tarullo, Maria Tattoli
Phenytoin is normally used in epilepsy treatment. One of the side effect affecting a significative part of the treated patients is the gingival overgrowth. It could surely be a correlation between this stimulatory effect and the assessment of phenytoin in wound healing. In fact, some studies of the literature have shown that topical phenytoin promotes healing of traumatic wounds, burns and ulcers by decubitus or stasis (diabetic or venous) and we emphasize, in vitiligo, a particular attention into repigmentation...
April 28, 2017: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/28343168/potential-skin-involvement-in-als-revisiting-charcot-s-observation-a-review-of-skin-abnormalities-in-als
#16
REVIEW
Bastien Paré, François Gros-Louis
Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease affecting motor neurons of the brain and spinal cord, leading to progressive paralysis and death. Interestingly, many skin changes have been reported in ALS patients, but never as yet fully explained. These observations could be due to the common embryonic origin of the skin and neural tissue known as the ectodermal germ layer. Following the first observation in ALS patients' skin by Dr Charcot in the 19th century, in the absence of bedsores unlike other bedridden patients, other morphological and molecular changes have been observed...
July 26, 2017: Reviews in the Neurosciences
https://www.readbyqxmd.com/read/28163920/risk-factors-for-the-delayed-onset-of-neuropsychologic-sequelae-following-carbon-monoxide-poisoning
#17
Takeshi Kitamoto, Masanobu Tsuda, Masaki Kato, Fukuki Saito, Yoshito Kamijo, Toshihiko Kinoshita
AIM: Carbon monoxide (CO) poisoning often manifests delayed neuropsychological sequelae. The risks and preventive factors for the development of delayed neuropsychological sequelae are controversial at present. The purpose of this retrospective study was to assess the risk factors for this condition. METHOD: We studied 81 patients with CO poisoning admitted to the Critical Care and Emergency Medicine Center at the Kansai Medical University from 2006 to 2012. All patients (64 males and 17 females; average age, 45...
October 2016: Acute Medicine & Surgery
https://www.readbyqxmd.com/read/28036285/impact-of-diabetes-on-the-risk-of-bedsore-in-patients-undergoing-surgery-an-updated-quantitative-analysis-of-cohort-studies
#18
Mining Liang, Qiongni Chen, Yang Zhang, Li He, Jianjian Wang, Yiwen Cai, Lezhi Li
Diabetes is a major cause of morbidity for patients undergoing surgery and can increase the incidence of some postoperative complications such as bedsores. We conducted a meta-analysis of observational studies to examine whether patients with diabetes undergoing surgery had high risk of bedsore. We performed a systematic literature search in Pubmed, Embase and the Cochrane Library Central Register of Controlled Trials database from inception to November 2016. Studies were selected if they reported estimates of the relative risk (RR) for bedsore risk in postoperative diabetic patients compared with that of in non-diabetic patients...
February 28, 2017: Oncotarget
https://www.readbyqxmd.com/read/27786684/concerted-action-on-quality
#19
Karen Bjoro, Bjorn Haraldsen
The concerted action on quality assurance in hospitals (COMAC) was an EC project which aimed to study strategies for implementation of quality assurance and their effect on improvement of care with respect to four clinical focus areas: • Prophylactic antibiotic use in surgery • Pre-operative assessment • Keeping patient records • Prevention and therapy of bedsores.
October 5, 1994: Nursing Standard
https://www.readbyqxmd.com/read/27775810/applied-analysis-of-humanized-nursing-combined-with-wet-healing-therapy-to-prevent-bedsore
#20
RANDOMIZED CONTROLLED TRIAL
X-R Luan, W-H Li, F-L Lou
OBJECTIVE: To analyze and evaluate the effects of humanized nursing combined with wet healing therapy to treat the stage II and III bedsores in hospitalized patients. PATIENTS AND METHODS: From March 2013 to July 2014 we enrolled fifty patients with stage II and III bedsores. They were randomly divided into control group and experimental group, with 25 cases in each group. For the control group, we adopted a traditional method of treatment for pressure ulcer treatment, while the experimental group was treated with humanized nursing in combination with wet healing therapy...
October 2016: European Review for Medical and Pharmacological Sciences
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