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Specialty: Orthopaedics
Condition: Bleeding

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Total 18 results found since Jan 2013.

The accuracy of hip fracture data entered into the national surgical quality improvement program (NSQIP) database
ConclusionHip fracture CPT codes and 30-day complication data entered into the NSQIP registry were frequently inaccurate. Studies incorporating NSQIP data should acknowledge these potential limitations of the registry, and future research to validate NSQIP orthopedic data across procedures and institutions is necessary.Level of Evidence: Level IIIDiagnostic study
Source: European Journal of Orthopaedic Surgery and Traumatology - June 17, 2023 Category: Orthopaedics Source Type: research

Waiting more than 24 hours for hip fracture surgery is associated with increased risk of adverse outcomes for sicker patients: a nationwide cohort study of 63,998 patients using the Swedish Hip Fracture Register
CONCLUSION: The associations between waiting > 24 hours for hip fracture surgery and AF, CHF, and acute ischemia suggest that shorter waiting time may reduce adverse outcomes for the sicker patients.PMID:36847752 | PMC:PMC9972166 | DOI:10.2340/17453674.2023.9595
Source: Acta Orthopaedica - February 27, 2023 Category: Orthopaedics Authors: Katarina Greve Stina Ek Erzs ébet Bartha Karin Modig Margareta Hedstr öm Source Type: research

Postoperative Complications in Patients With Hereditary Hemochromatosis Undergoing Total Joint Arthroplasty: A Matched Cohort Analysis
This study addresses a paucity in the current literature concerning the complication profile in HH patients with destructive joint arthropathy undergoing joint arthroplasty surgery.PMID:34932508 | DOI:10.5435/JAAOS-D-21-00105
Source: The Journal of the American Academy of Orthopaedic Surgeons - December 21, 2021 Category: Orthopaedics Authors: Amil R Agarwal Kevin Y Wang Amy L Xu Matthew J Best Varun Puvanesarajah Umasuthan Srikumaran Gregory J Golladay Savya C Thakkar Source Type: research

Blunt cerebrovascular injuries: Outcomes from the American Association for the Surgery of Trauma PROspective Observational Vascular Injury Treatment (PROOVIT) multicenter registry
CONCLUSION Stroke and death remain significant risks for all BCVI grades regardless of the vessel injured. Antithrombotics represent the only management strategy that is consistently associated with a lower incidence of stroke and death in all BCVI categories. In the multi-injured BCVI patient with a high risk of bleeding on anticoagulation, antiplatelet agents are an efficacious alternative. Given the 40% mortality rate in patients who survived their initial trauma and developed a BCVI-related stroke, nontreatment may no longer be a viable option. LEVEL OF EVIDENCE Epidemiological III; Therapeutic IV.
Source: The Journal of Trauma: Injury, Infection, and Critical Care - June 1, 2021 Category: Orthopaedics Tags: ORIGINAL ARTICLES Source Type: research

The international normalised ratio predicts perioperative complications in revision total hip arthroplasty.
CONCLUSIONS: Our analysis illustrates a direct relationship between specific preoperative INR levels and poor outcomes following rTHA, including increased LOS, transfusion requirements and infection. Therefore, current INR guideline targets may need to be re-examined when optimising patients for revision arthroplasty. PMID: 33269618 [PubMed - as supplied by publisher]
Source: Hip International - December 3, 2020 Category: Orthopaedics Authors: Arnold NR, Samuel LT, Karnuta JM, Acuña AJ, Kamath AF Tags: Hip Int Source Type: research

Intrathecal baclofen as emergency treatment alleviates severe intractable autonomic dysreflexia in cervical spinal cord injury.
Conclusion/Clinical Relevance: The case demonstrated that refractory AD could be managed with ITB in an emergency. PMID: 31815605 [PubMed - as supplied by publisher]
Source: Journal of Spinal Cord Medicine - December 10, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Unexpected complication of arteriovenous fistula of the left common carotid to internal jugular vein following central venous catheterization.
Abstract Incidence of inadvertent arterial puncture secondary to central venous catheter insertion is not common with an arterial puncture rate of <1%. This is due to the advancements and wide availability of ultrasound to guide its insertion. Formation of arteriovenous fistula after arterial puncture is an unexpected complication. Till date, only five cases (including this case) of acquired arteriovenous fistula formation has been described due to inadvertent common carotid puncture. The present case is a 26-year-old man sustained traumatic brain injuries, chest injuries and multiple bony fractures. During res...
Source: Chinese Journal of Traumatology - October 20, 2019 Category: Orthopaedics Authors: Henry TCL, Huei TJ, Yuzaidi M, Safri LS, Krishna K, Rizal IA, Mohamad Azim MI, Harunarashid H Tags: Chin J Traumatol Source Type: research

Increased perioperative C-reactive protein and decreased postoperative albumin is associated with acute posttraumatic osteomyelitis in patients with high-energy tibial fractures
Early diagnosis of acute posttraumatic osteomyelitis (POM) is of vital importance for avoiding devastating complications. Diagnosing POM is difficult due to the lack of a highly specific and sensitive test, such as in myocardial infarct, stroke and intracranial bleeding. Serum inflammatory markers, C-reactive protein (CRP), procalcitonin (PCT), white blood cells (WBC) can support clinical findings but they are not able to differentiate between inflammatory response to infection and the host response to non-infection insult with high specificity and sensitivity.
Source: Injury - March 4, 2019 Category: Orthopaedics Authors: Matja ž Groznik, Matej Cimerman, Lara Lusa, Nina Ružić Gorenjec, Alojz Ihan Source Type: research

Incidence of and Risk Factors for Inpatient Stroke After Hip Fractures in the Elderly.
Abstract Although uncommon, stroke can be a catastrophic inpatient complication for patients with hip fractures. The current study determines the incidence of inpatient stroke after hip fractures in elderly patients, identifies risk factors associated with such strokes, and determines the association of stroke with short-term inpatient outcomes. A retrospective review of all patients aged 65 years or older with isolated hip fractures in the 2011 and 2012 National Trauma Data Bank was conducted. A total of 37,584 patients met inclusion criteria. Of these patients, 162 (0.4%) experienced a stroke during their hospit...
Source: Orthopedics - November 11, 2017 Category: Orthopaedics Authors: Samuel AM, Diaz-Collado PJ, Szolomayer LK, Nelson SJ, Webb ML, Lukasiewicz AM, Grauer JN Tags: Orthopedics Source Type: research

Management of blunt cerebrovascular injury (BCVI) in the multisystem injury patient with contraindications to immediate anti-thrombotic therapy
Practice management guidelines for screening and treatment of patients with blunt cerebrovascular injury (BCVI) have been associated with a decreased risk of ischemic stroke. Treatment: of patients with BCVI and multisystem injuries that delays immediate antithrombotic therapy remains controversial. The purpose of this study was to determine the timing of BCVI treatment initiation, the incidence of stroke, and bleeding complications as a result of antithrombotic therapy in patients with isolated BCVI in comparison to those with BCVI complicated by multisystem injuries.
Source: Injury - July 31, 2017 Category: Orthopaedics Authors: Michelle K. McNutt, A. Cozette Kale, Ryan S. Kitagawa, Ali H. Turkmani, David W. Fields, Sarah Baraniuk, Brijesh S. Gill, Bryan A. Cotton, Laura J. Moore, Charles E. Wade, Arthur Day, John B. Holcomb Source Type: research

Coagulation Profile as a Risk Factor for 30-Day Morbidity and Mortality Following Posterior Lumbar Fusion
Study Design. A retrospective cohort study. Objective. The aim of this study was to identify associations between abnormal coagulation profile and postoperative morbidity and mortality in patients undergoing posterior lumbar fusion (PLF). Summary of Background Data. The literature suggests that abnormal coagulation profile is associated with postoperative complications, notably the need for blood transfusion. However, there is little research that directly addresses the influence of coagulation profile on postoperative complications following PLF. Methods. The American College of Surgeons National Surgical Quality Impro...
Source: Spine - June 15, 2017 Category: Orthopaedics Tags: Surgery Source Type: research

Retroperitoneal haematoma in a postoperative ALIF patient taking rivaroxaban for atrial fibrillation
ConclusionThis is the first case of a rivaroxaban-induced retroperitoneal haematoma reported in the literature, secondary to elective spinal surgery. This report adds to the body of evidence on the risk of postoperative bleeding in patients taking NOACs. If patients on NOACs present with abdominal symptoms following anterior approach to the lumbar spine, treating clinicians should have a high index of suspicion for retroperitoneal haematoma.
Source: European Spine Journal - November 1, 2016 Category: Orthopaedics Source Type: research

Incidence And Risk Factors For 30-Day Readmissions After Hip Fracture Surgery.
CONCLUSIONS: The overall rate of readmission following hip fracture surgery was moderate. Surgeons should consider discharge optimization in the at risk cohorts identified here, particularly patients with multiple medical comorbidities or an elevated ASA class, and should focus on wound complications and fall risks in order to minimize readmissions. Further, quality-reporting metrics should account for the risk factors identified here, in order to prevent penalties against surgeons who take on complex patients. PMID: 27528853 [PubMed - in process]
Source: Iowa orthopaedic journal - August 19, 2016 Category: Orthopaedics Tags: Iowa Orthop J Source Type: research

Secondary stroke in patients with polytrauma and traumatic brain injury treated in an Intensive Care Unit, Karlovac General Hospital, Croatia
Traumatic brain injury (TBI) is divided into primary and secondary brain injury. Primary brain injury occurs at the time of injury and is the direct consequence of kinetic energy acting on the brain tissue. Secondary brain injury occurs several hours or days after primary brain injury and is the result of factors including shock, systemic hypotension, hypoxia, hypothermia or hyperthermia, intracranial hypertension, cerebral oedema, intracranial bleeding or inflammation. The aim of this retrospective analysis of a prospective database was to determine the prevalence of secondary stroke and stroke-related mortality, causes o...
Source: Injury - November 24, 2015 Category: Orthopaedics Authors: M. Belavić, E. Jančić, P. Mišković, A. Brozović-Krijan, B. Bakota, J. Žunić Source Type: research