Hip fracture co-management in the elderly in a tertiary referral hospital: A cohorts study

Publication date: Available online 30 July 2019Source: Revista Clínica Española (English Edition)Author(s): M. Rincón Gómez, C. Hernández Quiles, M. García Gutiérrez, J. Galindo Ocaña, R. Parra Alcaraz, V. Alfaro Lara, R. González León, M. Bernabeu Wittel, M. Ollero BaturoneAbstractIntroductionHip fracture in the elderly is one of the most prevalent diagnoses in Orthopedic Surgery Departments. It has a great impact in medical, economic and social terms. Our objective is to analyze clinical impact of a co-management care model between orthopedic surgery and internal medicine departments for elderly patients admitted with hip fracture in a tertiary referral hospital.Material and methodsRetrospective cohort study of patients older than 65 years old admitted with hip fracture between January 2005 and August 2006 (HIST cohort) without a co-management care model, and between January 2008 and August 2010 (COFRAC cohort) with a co-manEdadment care model. Analysis of demographic, clinical and surgery characteristics, complications incidence and mortality and re-admissions at 30 days was made.ResultsA total of 701 patients were included (471 HIST, 230 COFRAC). There were no differences in sex, gender, time to surgery, type of anesthesia and surgery, length of stay, ambulation at discharge and 30-days emergency room consultation, readmissions or mortality at 30 days. There were differences in identification of polypat...
Source: Revista Clinica Espanola - Category: Internal Medicine Source Type: research

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Source: Psychology, Health and Medicine - Category: International Medicine & Public Health Authors: Source Type: research
IV propofol anesthesia is widely used for painless GI endoscopy, but low oxygen saturation may result. Can doxapram alleviate low SpO2 in this scenario?BMC Anesthesiology
Source: Medscape Today Headlines - Category: Consumer Health News Tags: Anesthesiology Journal Article Source Type: news
Publication date: Available online 14 December 2019Source: NeuroscienceAuthor(s): Julie Duron, Lénaic Monconduit, Paul AvanAbstractHyperacusis, an exaggerated, sometimes painful perception of loudness even for soft sounds, is a poorly understood distressing condition. While the involvement of modified gain of central auditory neurons and the influence of nonauditory brain regions are well-documented, the issue of where in the auditory system these abnormalities arise remains open, particularly when hyperacusis comes without sensorineural hearing loss. Here we used acute intraperitoneal administration of sodium salic...
Source: Neuroscience - Category: Neuroscience Source Type: research
Publication date: Available online 14 December 2019Source: NeuroImageAuthor(s): Henriette Lambers, Martin Segeroth, Franziska Albers, Lydia Wachsmuth, Timo Mauritz van Alst, Cornelius FaberAbstractFor a reliable estimation of neuronal activation based on BOLD fMRI measurements an accurate model of the hemodynamic response is essential. Since a large part of basic neuroscience research is based on small animal data, it is necessary to characterize a hemodynamic response function (HRF) which is optimized for small animals. Therefore, we have determined and investigated the HRFs of rats obtained under a variety of experimenta...
Source: NeuroImage - Category: Neuroscience Source Type: research
Discussion Just under 40% of people are eligible to be a blood donor. Up to 6.5% of a population are actual donors. “Blood donors are healthy volunteers who give either whole blood or blood components by apheresis including platelets, plasma, red blood cells, peripheral blood stem cells and leucocytes or a combination of blood components. They represent a large, healthy population exposing themselves voluntarily for altruistic, sometimes financial motives to potential complications and risks.” Blood banking systems world-wide are responsible for caring for individual donors health as well as maintaining a robus...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news
Publication date: Available online 14 December 2019Source: Journal of Microbiology, Immunology and InfectionAuthor(s): I-Lun Chen, Hsin-Chun Huang, Mei-Chen Ou-Yang, Feng-Shun Chen, Mei-Yung Chung, Chih-Cheng ChenAbstractBackgroundOpportunistic infection leads to high morbidity and mortality in premature babies due to their immature immune system. Biomarkers in blood have been reported to detect bacterial infection in neonates. However, serial blood exams pose iatrogenic anemia in premature babies. Thus, this study aimed to identify cytokines in saliva, which can help to diagnose bacterial infection in premature babies via...
Source: Journal of Microbiology, Immunology and Infection - Category: Microbiology Source Type: research
Conclusion: The maximum arsenic concentration in the groundwater sample found during the study was 1929μg/L and in blood sample was 664.7μg/L. The study denotes high arsenic concentration in the drinking water of the village Simri with the highest concentration ever reported in this part of India. Furthermore, the blood samples have also been observed with high arsenic concentration in the village population which is also the highest reporting ever done in this area. The ill health of the village population also correlates our study.
Source: Indian Journal of Occupational and Environmental Medicine - Category: Occupational Health Authors: Source Type: research
AbstractPurposeThe pivot shift (PS) test is commonly used to diagnose and evaluate the dynamic instability of the knee joint in cases of anterior cruciate ligament (ACL) tear. There is a need of a reliable and inexpensive tool which is easily available to measure PS objectively in a clinical setting. The purpose of this study was to evaluate the use of a smartphone, which is readily available, to assess the PS phenomenon.MethodsSeventeen patients with unilateral ACL-injured knees, undergoing ACL reconstruction, were enrolled in the study. PS was initially graded according to the International Knee Documentation Committee c...
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
CONCLUSIONS: rich-fiber food consumption, fluids intake and anticonvulsant polytherapy were associated with the stool characteristics of children with cerebral palsy and chronic constipation. PMID: 31830793 [PubMed - as supplied by publisher]
Source: Revista Espanola de Enfermedades Digestivas - Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research
All right, I'm sure there's some other folks out there who are big fans of e-echocardiography.com's case of the week. Let's see if we can emulate their format a little bit. Apologies in advance for the non-CFD clips...for some reason our PACS system stores them at half-speed. 77 yo M PMH HTN, DM and some other stuff who has had a previous cardiac procedure in the past that required a sternotomy. Now he's coming back for another one. Pre bypass images:... Recent cardiac case (with echo!)
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums
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