keyword
https://read.qxmd.com/read/38480496/obesity-is-associated-with-improved-early-survival-but-increased-late-mortality-in-surgical-patients-with-sepsis-a-propensity-matched-analysis
#21
JOURNAL ARTICLE
Anahita Jalilvand, Megan Ireland, Courtney Collins, Whitney Kellett, Scott Strassel, Robert Tamer, Wendy Wahl, Jon Wisler
INTRODUCTION: While obesity is a risk factor for post-operative complications, its impact following sepsis is unclear. The primary objective of this study was to evaluate the association between obesity and mortality following admission to the surgical ICU (SICU) with sepsis. METHODS: We conducted a single center retrospective review of SICU patients grouped into obese (n = 766, BMI ≥30 kg/m2) and non-obese (n = 574, BMI 18-29.9 kg/m2) cohorts. Applying 1:1 propensity matching for age, sex, comorbidities, SOFA, and transfer status, demographic data, comorbidities, and sepsis presentation were compared between groups...
March 14, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38478412/challenges-in-the-management-of-symptomatic-fallopian-canal-meningoceles-a-multicenter-case-series-and-literature-review
#22
REVIEW
Peter Filip, Harry Chiang, Allison Goldberg, Azita S Khorsandi, Gul Moonis, Stephanie A Moody Antonio, George Wanna, Maura Cosetti
OBJECTIVE: To describe the presentations, the diagnosis, our treatment approaches, and the outcomes for 11 patients with fallopian canal meningocele (FCM). STUDY DESIGN MULTICENTER: Retrospective case series. SETTING: Tertiary referral centers. PATIENTS: Patients (N = 11) with radiographically or intraoperatively identified, symptomatic FCM. INTERVENTIONS: Surgical repair of cerebrospinal fluid (CSF) leak and meningocele versus observation...
April 1, 2024: Otology & Neurotology
https://read.qxmd.com/read/38476812/nationwide-etoricoxib-injection-clinical-experience-nice-real-world-evidence-in-indian-patients
#23
JOURNAL ARTICLE
Umesh Shetty, Pramod Neema, S Muthu, Divya Bhojwani, Sameer Muchhala
Introduction Pain is a major health issue globally. Etoricoxib, a highly selective COX-2 inhibitor, given orally, has been found to be efficacious and safe in the management of acute and chronic pain. Oral etoricoxib has been extensively studied; however, there is a lack of research exploring the use of etoricoxib via alternative routes, specifically intramuscular (IM) injection. This study aimed to evaluate the effectiveness and safety of an innovative and novel formulation of IM etoricoxib injection 90 mg/mL in the management of patients with acute pain in India...
February 2024: Curēus
https://read.qxmd.com/read/38469034/treatment-of-patients-with-anorexia-nervosa-and-comorbid-post-traumatic-stress-disorder-where-do-we-stand-a-systematic-scoping-review
#24
REVIEW
Elske van den Berg, Kirsten Pellemans, Caroline Planting, Peter Daansen, Ella van Beers, Margo de Jonge, Carolien Christ, Jack Dekker
OBJECTIVE: Comorbid post-traumatic stress disorder in patients with anorexia nervosa may negatively affect the course of anorexia nervosa treatment, which is already challenging. There are currently no guidelines or recommendations on concurrent treatment approaches for both anorexia nervosa and post-traumatic stress disorder. This systematic scoping review aims to explore the feasibility, acceptability and effectiveness of psychological trauma-focused treatment concurrently offered to underweight patients receiving anorexia nervosa treatment...
2024: Frontiers in Psychiatry
https://read.qxmd.com/read/38468652/analysis-of-middle-meningeal-artery-embolization-for-the-treatment-of-chronic-acute-on-chronic-and-subacute-subdural-hematomas
#25
JOURNAL ARTICLE
Brandi Palmer, Melody Campbell, Kellie Maertz, Laurie Narigon, Karen Herzing, Heena Santry, William Boyce, Ragavan Narayanan, Akil Patel
BACKGROUND: Chronic subdural hematoma (cSDH) is a common sequela of traumatic brain injury. Middle meningeal artery embolization (MMAE) has shown promising results as an emerging minimally invasive alternative treatment. The purpose of this study is to examine the safety and efficacy of MMAE performed in patients with cSDH, acute-on-chronic, and subacute SDH with a traumatic etiology. METHODS: This retrospective study included cases performed at a Level II Trauma Center between January 2019 and December 2020 for MMAE of cSDHs...
2024: Surgical Neurology International
https://read.qxmd.com/read/38465240/what-interventions-add-value-in-lateral-compression-type-1-fragility-pelvis-fractures-a-retrospective-cohort-study
#26
JOURNAL ARTICLE
Patrick B Curtin, Vadim G Molla, Alexandra E Conway, Eric F Swart
INTRODUCTION: Fragility fractures are a large source of morbidity and mortality in the elderly. Orthopaedic surgeons are regularly the main point of contact in patients with lateral compression type 1 pelvis fractures, despite many of these being treated non-operatively. This study aims to identify risk factors for mortality and elucidate which follow-up visits have the potential to improve care for these patients. METHODS AND MATERIALS: In all, 211 patients have been identified with fragility lateral compression type 1 fractures at a level 1 trauma centre over a 5-year period...
2024: SAGE Open Medicine
https://read.qxmd.com/read/38463437/predictive-factors-for-first-pass-intubation-failure-in-trauma-patients
#27
JOURNAL ARTICLE
Katherine Kilkenny, Shea McGrinder, Michael J Najac, Johnathon LeBaron, Pietro Carpenito, Nisha Lakhi
OBJECTIVE: The primary objective of this study was to elucidate risk factors for multiple intubation attempts (MIA) in trauma patients requiring emergent tracheal intubation (ETI). Risk factors for mortality, intensive care unit (ICU) admission, and prolonged ventilation were assessed as secondary outcomes. The association between multiple intubation attempts and adverse outcomes has been well described in the literature. Though previous studies have identified anatomical risk factors for difficult airways, no study to date has investigated predictors for MIA in a trauma setting...
2024: International Journal of General Medicine
https://read.qxmd.com/read/38462152/the-maltreated-eco-phenotype-of-eating-disorders-a-new-diagnostic-specifier-a-systematic-review-of-the-evidence-and-comprehensive-description
#28
REVIEW
Eleonora Rossi, Emanuele Cassioli, Cristiano Dani, Giorgia Marchesoni, Alessio M Monteleone, Stephen A Wonderlich, Valdo Ricca, Giovanni Castellini
This systematic review aimed to summarize the evidence on the existence of a distinct phenotypic expression of Eating Disorders (EDs) associated with childhood maltreatment (CM), the so-called maltreated eco-phenotype of EDs. PRISMA standards were followed. Articles providing data about the characteristics of individuals with an ED reporting CM were included. Relevant results were extracted and summarized. A quality assessment was performed. A total of 1207 records were identified and screened, and 97 articles published between 1994 and 2023 were included...
March 8, 2024: Neuroscience and Biobehavioral Reviews
https://read.qxmd.com/read/38461710/exploring-the-impact-of-traumatic-injury-on-mortality-an-analysis-of-the-certified-cause-of-death-within-one-year-of-serious-injury-in-the-scottish-population
#29
JOURNAL ARTICLE
Hannah A Craig, David J Lowe, Angela Khan, Martin Paton, Malcolm Wg Gordon
BACKGROUND: Few studies effectively quantify the long-term incidence of death following injury. The absence of detailed mortality and underlying cause of death data results in limited understanding and a potential underestimation of the consequences at a population level. This study takes a nationwide approach to identify the one-year mortality following injury in Scotland, evaluating survivorship in relation to pre-existing comorbidities and incidental causes of death. STUDY DESIGN: This retrospective cohort study assessed the one-year mortality of adult trauma patients with an Injury Severity Score ≥ 9 during 2020 using the Scottish Trauma Audit Group (STAG) registry linked to inpatient hospital data and death certificate records...
February 28, 2024: Injury
https://read.qxmd.com/read/38459969/comparison-of-patient-demographics-and-patient-specific-risk-factors-for-readmissions-following-open-reduction-and-internal-fixation-for-acetabular-fractures
#30
JOURNAL ARTICLE
Vanathi Ganesan, Radha Pandya, Ariel N Rodriguez, Andrew R Horn, Amr A Abdelgawad, Afshin E Razi
PURPOSE: Acetabular fractures are highly complex injuries often resulting from high-energy trauma. The gold standard treatment for these injuries has become open reduction internal fixation (ORIF). The purpose of this study is to further this understanding and investigate how (1) patient demographics and (2) patient-specific risk factors affect 90-day readmission rates. METHODS: A retrospective, nationwide query of private insurance database from January 1st, 2010 to October 31st, 2020 was performed using ICD-9, ICD-10, and CPT codes...
March 9, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38455452/illicit-drug-abuse-and-complexity-of-tibial-shaft-fracture-based-on-ao-ota-classification-is-there-any-connection
#31
JOURNAL ARTICLE
Amirmohammad Sharafi, Ali Ghaderi, Parmida Shahbazi, Amirhossein Ghaseminejad-Raeini, Akam Ramezani, Mohammad Soleimani, Parham Talebiyan, Seyyed Hossein Shafiei
PURPOSE: Illicit drug abuse is a global epidemic afflicting millions worldwide. Several studies have investigated the contribution of this dependence as a risk factor for fracture, but its impacts on fracture severity have been rarely studied. The present study primarily aims to determine the relationship between illicit drug abuse and the severity of tibial shaft fractures. METHODS: This retrospective study consecutively included patients aged ≥18 years with tibial shaft fracture who attended Sina Tertiary Hospital, Tehran, Iran, between 2016 and 2021...
January 2024: Journal of Experimental Orthopaedics
https://read.qxmd.com/read/38453311/management-of-the-geriatric-trauma-patient
#32
REVIEW
Megan Elizabeth Lundy, Bo Zhang, Michael Ditillo
With a rapidly aging worldwide population, the care of geriatric trauma patients will be at the forefront of every career in Trauma and Acute Care Surgery. The unique intersection of advanced age, comorbidities, frailty, and physiologic changes presents a challenge in the care of elderly injured patients. It is well established that increasing age is associated with higher mortality and worse outcomes after injury, but it is also clear that there is room for improvement in the management of this special patient population...
April 2024: Surgical Clinics of North America
https://read.qxmd.com/read/38452939/co-occurring-ptsd-in-intensive-ocd-treatment-impact-on-treatment-trajectory-vs-response
#33
JOURNAL ARTICLE
Caitlin M Pinciotti, Nathaniel Van Kirk, Gregor Horvath, Eric A Storch, Maria C Mancebo, Jonathan S Abramowitz, Leonardo F Fontenelle, Wayne K Goodman, Bradley C Riemann, Matti Cervin
BACKGROUND: Obsessive-compulsive disorder (OCD) and co-occurring posttraumatic stress disorder (PTSD) is associated with more severe and chronic OCD. However, findings regarding treatment effectiveness of cognitive behavioral treatment (CBT) with exposure and response prevention (ERP) with this comorbidity are mixed. Research aimed at understanding the precise barriers to OCD treatment effectiveness for individuals with co-occurring PTSD may help elucidate unique treatment needs. METHODS: The current study used linear regression and latent growth curve analysis comparing treatment response and trajectory from patients with OCD (n = 3083, 94...
March 5, 2024: Journal of Affective Disorders
https://read.qxmd.com/read/38450917/veterans-with-chronic-pain-examining-gender-differences-in-pain-type-overlap-and-the-impact-of-post-traumatic-stress-disorder
#34
JOURNAL ARTICLE
Katherine Hadlandsmyth, Mary A Driscoll, Nicole L Johnson, Jasmine G Mares, Michelle A Mengeling, Emily B K Thomas, Sonya B Norman, Brian C Lund
BACKGROUND: Women are more likely to experience multiple overlapping pain conditions (MOPCs) relative to men. Post-traumatic stress disorder can negatively impact the severity and trajectory of chronic pain and its treatment. Specific associations between gender, post-traumatic stress disorder (PTSD), and MOPCs require further examination. METHODS: A cohort of all Veterans in 2021 who met criteria for one or more of 12 chronic pain types was created using national Veterans Health Administration administrative data...
March 7, 2024: European Journal of Pain: EJP
https://read.qxmd.com/read/38450756/mortality-in-adults-with-sickle-cell-disease-results-from-the-sickle-cell-disease-implementation-consortium-scdic-registry
#35
JOURNAL ARTICLE
Franklin Njoku, Norma Pugh, Donald Brambilla, Barbara Kroner, Nirmish Shah, Marsha Treadwell, Robert Gibson, Lewis L Hsu, Victor R Gordeuk, Jeffrey Glassberg, Jane S Hankins, Abdullah Kutlar, Allison A King, Julie Kanter
The cause of death in people affected by sickle cell disease (SCD) is often challenging to define as prior studies have used retrospective or administrative data for analysis. We used a prospective longitudinal registry to assess mortality and clinical co-morbidities among subjects enrolled in the Sickle Cell Disease Implementation Consortium (SCDIC) registry. At enrollment, we collected the following data: patient-reported demographics, SCD phenotype, baseline laboratory values, comorbidities, and current medications...
March 7, 2024: American Journal of Hematology
https://read.qxmd.com/read/38440236/clinical-experience-with-medical-hypnosis-as-an-adjunctive-therapy-in-heart-surgery
#36
JOURNAL ARTICLE
Katharina Tigges-Limmer, Yvonne Brocks, Yvonne Winkler, Scott Stock Gissendanner, Jan Gummert
Heart surgery patients are at high risk for psychological trauma and comorbid psychological disorders. Depression, anxiety, and post-traumatic stress disorders in this patient group are predictors of outcomes after cardiac surgery. Medical hypnosis is effective for non-pharmacologic prevention and treatment of psychological disorders and has been associated with improved health-related quality of life and better cardiovascular outcomes. This contribution makes note of evidence of the effectiveness of medical hypnosis in a discussion of the clinical experience with specific hypnotherapeutic tools and interventions from the perspective of the mental health team in one large cardiac center in Germany...
2024: Frontiers in Psychology
https://read.qxmd.com/read/38439726/a-persistent-dark-macule-on-the-hand-of-a-hispanic-patient
#37
JOURNAL ARTICLE
Fanny Cecilia Cordero-Martinez, Adrian Cuellar-Barboza, Jorge Ocampo-Candiani
A 38-year-old Hispanic man without comorbidities presented to our dermatology clinic for the evaluation of an asymptomatic dark macule on his left hand, which had gradually grown since he was a child. The hyperpigmentation involved the dorsum and palm (Figure 1). The patient was right-handed and denied previous trauma, inflammation, occupational exposure to chemicals, or using any medications. During physical examination, no other similar pigmentation was found on the rest of his body. An incisional biopsy of the left palm was performed (Figure 2)...
December 2023: Acta Dermatovenerologica Croatica: ADC
https://read.qxmd.com/read/38438109/fragility-fractures-of-the-pelvis-first-48-cases-of-surgical-treatment-at-a-level-1-trauma-center-in-france
#38
JOURNAL ARTICLE
Luca Tolosano, Clementine Rieussec, Bérengère Sauzeat, Gauthier Caillard, Sabine Drevet, Gael Kerschbaumer, Geoffrey Porcheron, Daniel Wagner, Pol Maria Rommens, Jérôme Tonetti, Mehdi Boudissa
INTRODUCTION: Longer life expectancy is accompanied by a higher incidence of fragility fractures of the pelvis (FFP), which has repercussions on mortality and nursing home admissions. Given the paucity of data at French healthcare facilities, we carried out a retrospective study to 1) evaluate how surgical treatment of FFP with posterior displacement (type III and IV according to Rommens and Hofmann) affects a patient's pain, functional status and ability to stay at home and 2) evaluate the postoperative complications and mortality rate...
March 2, 2024: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://read.qxmd.com/read/38437886/surgery-within-24-hours-reduces-mortality-and-general-complication-rates-in-patients-who-have-periprosthetic-femoral-fractures-at-the-hip
#39
JOURNAL ARTICLE
Christian Wulbrand, Bernd Füchtmeier, Markus Weber, Christoph Eckstein, Alexander Hanke, Franz Müller
BACKGROUND: In patients who have hip fractures, treatment within 24 hours reduces mortality and complication rates. A similar relationship can be assumed for patients who have hip periprosthetic fractures (PPF) owing to the similar baseline characteristics of the patient populations. This monocentric retrospective study aimed to compare the complication and mortality rates in patients who had hip PPF treated within and after 24 hours. METHODS: In total, 350 consecutive patients who had hip PPF in a maximum-care arthroplasty and trauma center between 2006 and 2020 were retrospectively evaluated...
March 2, 2024: Journal of Arthroplasty
https://read.qxmd.com/read/38434423/group-schema-therapy-for-refugees-with-treatment-resistant-ptsd-and-personality-pathology
#40
Linda Verhaak, Jackie June Ter Heide
INTRODUCTION: Patients with complex forms of posttraumatic stress disorder (PTSD) may benefit from schema therapy. While a small number of studies point to the effectiveness of individual schema therapy in refugees with PTSD, no evidence on group schema therapy (GST) in refugees exists. To illustrate and advocate for the use of GST in refugee patients with treatment-resistant PTSD and comorbid personality pathology, a case report is presented. Presentation . The case concerned the treatment of an East African female refugee who survived sexual and physical violence and loss as a child, as the hostage of a rebel army, and as a victim of human trafficking...
2024: Case Reports in Psychiatry
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