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Surgery risks alcohol smoking

Tim Leschinger, Patric Raiss, Markus Loew, Felix Zeifang
BACKGROUND: This study evaluated and identified risk factors for the development of intraoperative and postoperative surgical complications in total shoulder arthroplasty in patients with primary osteoarthritis. METHODS: We evaluated patient-specific factors, including age, sex, body mass index, prior nonarthroplasty surgery, smoking, alcohol consumption, and the American Society of Anesthesiologists (ASA) Physical Status Classification System in 275 patients (76 men, 199 women) with an average age of 68 years (range, 51-85 years)...
October 10, 2016: Journal of Shoulder and Elbow Surgery
Irene Göllnitz, Johanna Inhestern, Thomas G Wendt, Jens Buentzel, Dirk Esser, Daniel Böger, Andreas H Mueller, Jörn-Uwe Piesold, Stefan Schultze-Mosgau, Ekkehard Eigendorff, Peter Schlattmann, Orlando Guntinas-Lichius
To examine the impact of comorbidity on overall survival (OS) in a population-based study of patients with head and neck cancer who were treated between 2009 and 2011. Data of 1094 patients with primary head and neck carcinomas without distant metastasis from the Thuringian cancer registries were evaluated concerning the influence of patient's characteristics and comorbidity on OS. Data on comorbidity prior to head and neck cancer diagnosis was adapted to the Charlson Comorbidity (CCI), age-adjusted CCI (ACCI), head and neck CCI (HNCCI), simplified comorbidity score (SCS), and to the Adult Comorbidity Evaluation-27 (ACE-27)...
October 11, 2016: Cancer Medicine
Shih-Wei Yang, Wei-Chieh Chao, Yun-Shien Lee, Liang-Che Chang, Tsan-Yu Hsieh, Tai-An Chen, Cheng-Ming Luo
The aim of this study is to evaluate the treatment outcome and analyze the associated factors of postoperative recurrence in patients who received transoral laser microsurgery for vocal cord leukoplakia. The demographic, histopathological data were retrospectively reviewed and the factors associated with recurrence of vocal leukoplakia after surgery were analyzed statistically. A total of 44 patients, including 36 males and 8 females, with a mean age of 50.4 ± 13.4 years, were enrolled. All the patients received excision of the vocal leukoplakia by carbon dioxide laser (2-4 Watt, ultrapulse mode) under general anesthesia...
September 29, 2016: Lasers in Medical Science
Bing-Yang Hu, Tao Wan, Wen-Zhi Zhang, Jia-Hong Dong
AIM: To analyze the risk factors for pancreatic fistula after pancreaticoduodenectomy. METHODS: We conducted a retrospective analysis of 539 successive cases of pancreaticoduodenectomy performed at our hospital from March 2012 to October 2015. Pancreatic fistula was diagnosed in strict accordance with the definition of pancreatic fistula from the International Study Group on Pancreatic Fistula. The risk factors for pancreatic fistula were analyzed by univariate analysis and multivariate logistic regression analysis...
September 14, 2016: World Journal of Gastroenterology: WJG
Gloria López-Valverde, Elena Garcia-Martin, Javier Fernández-Mateos, Fernando Cruz-González, José M Larrosa-Povés, Vicente Polo-Llorens, Luis E Pablo-Júlvez
BACKGROUND: The purpose of this study was to attempt to determine if the presence of certain polymorphisms in the DNA repair genes (ERCC1, ERCC2, and XRCC1) is associated with pre-senile cataract development. MATERIALS AND METHODS: We performed a retrospective study over three groups of patients. The first group with pre-senile cataract was formed by 72 patients younger than 55 years with cataract surgery. The second group with senile cataract was formed by 101 patients older than 55 years with cataract surgery...
September 26, 2016: Ophthalmic Genetics
J W Raats, S L Steunenberg, D C de Lange, L van der Laan
BACKGROUND: Postoperative delirium is a common and serious adverse event in the elderly patient and is associated with significant morbidity and mortality. It is of great importance to identify patients at risk for delirium, in order to focus preventive strategies. The aim of this article is to systematically review current available literature on pre-operative risk factors for delirium after vascular surgery. METHODS: A systematic literature search was conducted using PubMed and EMBASE, using the MeSH terms and key words "delirium", "surgery" and "risk factor"...
September 6, 2016: International Journal of Surgery
Mustafa Kilic, İlhan Yilmaz, Osman Tanriverdi, Cem Akgun, Ahmet Murat Musluman, Adem Yilmaz
AIM: Factors affecting the development of postoperative hydrocephalus patients who underwent surgery after spontaneous subarachnoid hemorrhage were retrospectively assessed. MATERIAL AND METHODS: 201 cases who underwent aneurysm surgery in our clinic after subarachnoid hemorrhage between 2008 and 2013 were retrospectively assessed. Twenty-one cases with hydrocephalus development were retrospectively examined according to their age, gender, history (hypertension, alcohol, and smoking), blood type, the number and size of aneurysms, aneurysm localization, the presence of ventricular hemorrhage, baseline-final neurological diagnosis, Fisher grading system, history of vasospasm and meningitis...
January 25, 2016: Turkish Neurosurgery
Nicco Krezdorn, Sören Könneker, Felix Julian Paprottka, Christian Tapking, Tobias R Mett, G Felix Brölsch, Maria Boyce, Ramin Ipaktchi, Peter M Vogt
BACKGROUND: Limited data is available for treatment of scald lesions in adults. The use of the biosynthetic matrix Biobrane(®) has been suggested as treatment option with more benefits over topical dressings. Application of Biobrane(®) in scalds in our center led to a perceived increase of infection, secondary deepening, surgery and length of stay. We therefore assessed the effect of different treatment options in adult scalds in our center. METHODS: We performed a retrospective cohort study of adult patients that have been admitted with scalds in our center between 2011 and 2014...
August 6, 2016: Burns: Journal of the International Society for Burn Injuries
Goran Begovic, Redzep Selmani
AIM: The goal of the study is to assess the impact of the etiological and risk factors in the cases of urgent gastroduodenal ulcer. METHODS: This is a prospective study which included 67 patients selected randomly, all with urgent, life-threatening complications of the gastroduodenal ulcer, treated at the University Clinic for Digestive Surgery and the University Clinic for Gastroenterohepatology. For the purpose of the study the titer of IgG antibodies to Helicobacter pylori in serum is examined, as well as the use of NSAID and aspirin...
2015: Prilozi (Makedonska Akademija Na Naukite i Umetnostite. Oddelenie za Medicinski Nauki)
Kyle Goerl
A clinically significant cataract is defined as an opacification of the eye lens causing a significant decrease in visual acuity or a functional visual impairment. Age-related cataracts are the leading cause of blindness in the world and one of the most common etiologies of visual impairment in the United States. Consequences can include loss of driving privileges, inability to read or watch television, inability to participate in social activities, and an increased risk of falls. In the United States, cataract surgery is the most commonly performed surgical procedure among older patients...
July 2016: FP Essentials
Denny Z H Levett, Mark Edwards, Mike Grocott, Monty Mythen
The time between contemplation of surgery and the procedure offers a window of opportunity to optimize patients' nutritional, functional and psychological state prior to surgery. Traditionally, preoperative pathways have focused on the underlying disease process and 'fitness for surgery' with physical pre-assessment and risk counselling late in the pathway when little time is available to intervene. With an increasingly elderly and co-morbid surgical population, early physiological assessment and multidisciplinary collaborative decision-making is increasingly important...
June 2016: Best Practice & Research. Clinical Anaesthesiology
Tochi Iroku-Malize, Scott Kirsch
A clinically significant cataract is defined as an opacification of the eye lens causing a significant decrease in visual acuity or a functional visual impairment. Age-related cataracts are the leading cause of blindness in the world and one of the most common etiologies of visual impairment in the United States. Consequences can include loss of driving privileges, inability to read or watch television, inability to participate in social activities, and an increased risk of falls. In the United States, cataract surgery is the most commonly performed surgical procedure among older patients...
June 2016: FP Essentials
Willie H Scharwächter, Sander W M Keet, Katrin Stoecklein, Stephan A Loer, Christa Boer
STUDY OBJECTIVE: We investigated the prevalence of lifestyle risk factors in patients admitted to our preoperative assessment outpatient clinic, and compared patient self-reports and anesthetist reports of health risk factors to evaluate the patient self-image of preoperative health status. DESIGN: Cross-sectional survey. SETTING: The study was performed in an academic teaching hospital in Amsterdam, the Netherlands, during 3 consecutive months at the preoperative screening clinic...
August 2016: Journal of Clinical Anesthesia
Anna L Beavis, Anna Jo Bodurtha Smith, Amanda Nickles Fader
Modifiable lifestyle factors, such as obesity, lack of physical activity, and smoking, contribute greatly to cancer and chronic disease morbidity and mortality worldwide. This review appraises recent evidence on modifiable lifestyle factors in the prevention of endometrial cancer (EC) and ovarian cancer (OC) as well as new evidence for lifestyle management of EC and OC survivors. For EC, obesity continues to be the strongest risk factor, while new evidence suggests that physical activity, oral contraceptive pills, and bariatric surgery may be protective against EC...
2016: International Journal of Women's Health
Sarah Floud, Hannah Kuper, Gillian K Reeves, Valerie Beral, Jane Green
PURPOSE: To identify risk factors for cataracts treated surgically in postmenopausal women. DESIGN: Population-based, prospective cohort study. PARTICIPANTS: A total of 1 312 051 postmenopausal women in the UK Million Women Study, aged 56 years on average (standard deviation [SD], 4.8), without previous cataract surgery, hospital admission with cataracts, or cancer at baseline, were followed for cataracts treated surgically. METHODS: Cox regression was used to calculate adjusted relative risks (RRs) for cataract surgery by lifestyle factors, treatment for diabetes, reproductive history, and use of hormonal therapies...
August 2016: Ophthalmology
Denys J Loeffelbein, Annette Julinek, Klaus-Dietrich Wolff, Eberhard Kochs, Bernhard Haller, Rainer Haseneder
BACKGROUND: Postoperative pulmonary complications (PPCs) are common and result in prolonged hospital stays, higher costs and increased mortality. However, data on the incidence and predictors of PPCs after major oral and maxillofacial surgery with microvascular reconstruction are rare. This retrospective analysis identifies perioperative risk factors for postoperative pulmonary complications (PPCs) after major oral and maxillofacial surgery with microvascular reconstruction. METHODS: Perioperative data and patient records of 648 subjects were analyzed in the period of June 2007 to May 2013...
August 2016: Journal of Cranio-maxillo-facial Surgery
Gloria López Valverde, Elena Garcia Martin, José M Larrosa Povés, Vicente Polo Llorens, Luis E Pablo Júlvez
PURPOSE: To determine if the presence of certain polymorphisms in the DNA repair gene XPC and the apoptosis inductor gene p53 is associated with pre-senile cataract development. METHODS: We have performed a retrospective study over three groups of patients. The group with pre-senile cataract formed by 72 patients younger than 55 with cataract surgery. The group with senile cataract formed by 101 patients older than 55 with cataract surgery. The group without cataract was formed by 42 subjects older than 55 without lens opacities...
2016: PloS One
Paul S Whiting, Gabrielle A White-Dzuro, Sarah E Greenberg, Jacob P VanHouten, Frank R Avilucea, William T Obremskey, Manish K Sethi
BACKGROUND: Deep venous thrombosis (DVT) and pulmonary embolism (PE) are recognized as major causes of morbidity and mortality in orthopaedic trauma patients. Despite the high incidence of these complications following orthopaedic trauma, there is a paucity of literature investigating the clinical risk factors for DVT in this specific population. As our healthcare system increasingly emphasizes quality measures, it is critical for orthopaedic surgeons to understand the clinical factors that increase the risk of DVT following orthopaedic trauma...
March 2016: Archives of Trauma Research
Santhana Krishnan Iswarya, Kariyarath Cheriyath Premarajan, Sitanshu Sekhar Kar, Sathasivam Suresh Kumar, Vikram Kate
AIM: To study the association of colorectal carcinoma (CRC) with diet, smoking, alcohol, physical activity, body mass index, family history and diabetes. METHODS: All consecutive patients with CRC confirmed by histopathology diagnosis were included. Age (± 5 years) and gender matched controls were selected among the patients admitted in surgery ward for various conditions without any co-existing malignancy. Food frequency questionnaire (FFQ) was developed and validated after pretesting by investigator trained in data collection techniques...
February 15, 2016: World Journal of Gastrointestinal Oncology
Peng Xue, Ziyu Wu, Kunpeng Wang, Chuanquan Tu, Xiangbo Wang
AIM: The aim of the present study was to investigate the occurrence of postoperative delirium (POD) in elderly patients undergoing transurethral resection of prostate (TURP) and to identify those factors associated with delirium. METHODS: From July 2010 to February 2015, 358 patients, aged ≥65 years and undergoing TURP were prospectively enrolled. Personal, medical and cognitive data, laboratory assessments, pain intensity, preoperative medications, and details of hemodynamic control were collected as predictors of delirium...
2016: Neuropsychiatric Disease and Treatment
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