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Results 251 - 300 of 2574
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Khan M F - - 2013
Study design:Retrospective case-controlled study.Objectives:To understand the incidence of gastrointestinal hemorrhage (GIH) and subsequent mortality rate associated with steroid use after acute spinal cord injury (SCI).Setting:Miami, Florida, USA.Methods:This case-controlled study investigates two sequential study groups with SCI treated by a single surgeon in a level I trauma center. The first study ...
Scivoletto G - - 2013
Study design:Administration of the walking index for SCI (WISCI) II is recommended to assess walking in spinal cord injury (SCI) patients. Determining the reliability and reproducibility of the WISCI II in acute SCI would be invaluable.Objectives:The objective of this study is to assess the reliability and reproducibility of the WISCI ...
Barbanti Marco - - 2013
To assess the clinical outcomes and hemodynamic performance associated with a strategy of underexpanding balloon-expandable THVs when excessive oversizing is a concern. Transcatheter aortic valve replacement (TAVR) is dependent on the selection of an optimally sized transcatheter heart valve (THV). An undersized THV may lead to paravalvular regurgitation (PVR), while ...
Hellström Jan - - 2013
Therapeutic hypothermia in the ICU requires mechanical ventilation and sedation. Hypothermia reduces the metabolism of commonly used IV sedatives. The use of long-acting sedative agents may confound neurologic assessment. Volatile anesthetics have been reported to provide protection against ischemia-reperfusion injury and have been safely used in the ICU to provide ...
Malcharek Michael J - - 2013
We compared two methods of asleep fibreoptic intubation in patients at risk of secondary cervical injury: the Aintree Intubation Catheter via a classic laryngeal mask airway (cLMA) versus the Fastrach technique via the intubating laryngeal mask airway (iLMA). To test which system has the highest rate of successful intubations in ...
Saensook W - - 2013
Study design:A cross-sectional study.Objectives:To primarily explore types of ambulatory assistive device (AAD) used and secondarily describe walking performance in independent ambulatory patients with spinal cord injury (SCI) who walked without and with various AADs as determined using walking speed and distance walked in 6 min.Setting:A tertiary rehabilitation center and community hospitals, ...
López-Hualda A - - 2013
Recurrent shoulder dislocation is infrequent after forty years and presents different injuries than younger patients. To compare injuries and complications after surgery between one group older than forty years of age and another younger group. A review was made o all patients who had undergone arthroscopic surgery due to glenohumeral ...
van der Wilden Gwendolyn M - - 2013
Pancreaticoduodenectomy for trauma (PDT) is a rare procedure, reserved for severe pancreaticoduodenal injuries. Using the National Trauma Data Bank (NTDB), our aim was to compare outcomes of PDT patients to similarly injured patients who did not undergo a PDT. Patients with pancreatic or duodenal injuries treated with PDT (ICD-9-CM 52.7) ...
Dragosloveanu Serban - - 2013
Soft tissue balance is an essential step in total knee arthroplasty by providing a good knee stability and an even distribution of load over the prosthesis components. During surgery, because of the need of having a good balance in most cases is necessary to do some soft tissue release in ...
Gautschi Oliver P - - 2013
Severe traumatic brain injury (TBI) remains a major cause of death and disability worldwide. The aim of the study was to evaluate predictors for neurological and neuropsychological long-term outcome in patients with severe TBI treated according to an intracranial pressure (ICP-) targeted therapy. From 08/2005 to 12/2008, 46 patients with ...
Vaisman Alex - - 2013
BACKGROUND:Posterior acromioclavicular (AC) joint dislocations are frequently misclassified because posterior translation of the clavicle is difficult to evaluate in Zanca radiograph views. A novel radiographic index was used in this study to accurately diagnose posterior dislocations of the AC joint. HYPOTHESIS:This novel index has a high degree of accuracy for ...
Honeybul Stephen - - 2013
Object The object of this study was to assess the long-term outcome and quality of life of patients who have survived with severe disability following decompressive craniectomy for severe traumatic brain injury (TBI). Methods The authors assessed outcome beyond 3 years among a cohort of 39 patients who had been ...
Blair James A - - 2013
To determine the return to active duty rate of military servicemembers undergoing lower extremity limb salvage while utilizing a novel custom orthosis and specialized rehabilitation compared to those receiving a novel custom orthosis alone. Retrospective cohort study. Military Level I trauma center and tertiary referral center for limb salvage. All ...
Freppel Sébastien - - 2013
Cervical proprioception plays a key role in postural control, but its specific contribution is controversial. Postural impairment was shown in whiplash injuries without demonstrating the sole involvement of the cervical spine. The consequences of degenerative cervical spine diseases are underreported in posture-related scientific literature in spite of their high prevalence. ...
Wang Xuemin - - 2013
Abstract Study objective: To examine the effect of dexmedetomidine on CBF in critical ill patients with or without TBI. Research design: Prospective controlled trial (ISRCTN57998533). Methods: Fifteen patients without TBI and 20 patients with TBI with a Glasgow Coma Scale score of 4-14 were assigned to CON or TBI groups, ...
Brown Jeremiah R JR Departments of Medicine Section of Cardiology and Community and Family Medicine, The Dartmouth Institute for Health Policy and Clinical Practice, and Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire. Electronic address: - - 2014
Of patients undergoing cardiac surgery in the United States, 15% to 20% are re-hospitalized within 30 days. Current models to predict readmission have not evaluated the association between severity of postoperative acute kidney injury (AKI) and 30-day readmissions. We collected data from 2,209 consecutive patients who underwent either coronary artery ...
Lin Chun-Hsien - - 2013
In patients with traumatic brain injury, the degree of brain midline shift is related to prognosis. In this study, we evaluated the impact of the presence of a preoperative brain midline shift on the Glasgow Coma Scale (GCS) scores and muscle power (MP) improvement after cranioplasty. In this 6-year retrospective ...
Okada Kazuyoshi K Division of Nephrology, Hypertension and Endocrinology, Department of Internal Medicine, Nihon University School of Medicine, Tokyo - - - 2013
Purpose: The aim of the study was to compare effects of frequent low-efficiency and short hemodialysis (FLESHD) and frequent low-efficiency and short hemofiltration (FLESHF) in hemodialysis (HD) patients with acute brain injury (ABI).‚Ä©Methods: We randomly divided 13 HD patients with ABI into FLESHD (n = 6) or FLESHF (n = ...
Georg Y - - 2013
Aim: We reported our 10-year experience with the Gore TAG thoracic endoprosthesis for treatment of thoracic aorta pathologies. Methods: We performed a systematic retrospective study of prospectively recorded data of all patients who underwent thoracic endovascular aortic repair (TEVAR) procedure with Gore TAG thoracic endoprosthesis between January 2001 and March ...
Talving Peep - - 2013
The adverse effects of liver cirrhosis on outcomes following trauma has been established in retrospective series. In this study, however, we set out to evaluate prospectively the in-hospital outcome measures in this subgroup of trauma patients. Prospective observational study of all patients admitted to the surgical intensive care unit of ...
Berndtson Allison E - - 2013
The strong ion difference (SID) (apparent [SIDa] and effective [SIDe]) and strong ion gap (SIG) provide a comprehensive method of evaluating acid-base status in critically ill patients. The SID is the difference between strong cations and strong anions in plasma, while the SIG demonstrates the presence of unmeasured ions. This ...
Claridge Jeffrey A - - 2013
The Northern Ohio Trauma System (NOTS) was created with the expressed goal of improving trauma care through collaboration, system-wide protocol implementation, and evidence-based process improvement. The primary goal of this study was to evaluate the mortality of trauma patients seen across the region after 2 years of beginning NOTS. Regional ...
Sundararajan S R - - 2013
We hereby describe a cost effective and simple anatomical reconstruction without requirement for allograft or implants for neglected chronic patellar tendon injuries. This has been validated in seven patients with an average follow up of greater than three years resulting in good outcome. Seven patients (six males, one female) of ...
Paul C - - 2013
Study design:Longitudinal cohort study.Objectives:To estimate socioeconomic and work outcomes over 2 and a half years following spinal cord injury (SCI), and to compare those in receipt of compensation (Accident Compensation Corporation, ACC) and those not.Setting:People admitted to the two spinal units in 2007-2009 in New Zealand, where there is a ...
Graham James E - - 2013
The aim of this study was to present yearly aggregated summaries of rehabilitation outcomes at admission, discharge, and follow-up from a national sample of patients receiving inpatient medical rehabilitation for stroke, traumatic brain injury, lower extremity fracture, lower extremity joint replacement, traumatic spinal cord injury, or debility. This is an ...
Junger Wolfgang G - - 2013
Activation of polymorphonuclear neutrophils (PMN) is thought to contribute to traumatic brain injury (TBI). Because hypertonic fluids can inhibit PMN activation, we studied whether hypertonic fluid resuscitation can reduce PMN activation in TBI patients. Trauma patients with severe TBI were resuscitated with 250 ml of either 7.5% hypertonic saline (HS; ...
Guler Ferhat - - 2013
The purpose of this retrospective study was to compare the outcomes and complications of conventional open surgical release and percutaneous needle release in the treatment of trigger thumb. The study comprised 87 patients with trigger thumb who were treated with either open pulley (n=52) or percutaneous (n=32) release between 2008 ...
Takase Katsumi - - 2013
Generally, surgical treatment is recommended for Rockwood type 5 traumatic acromioclavicular joint dislocations. Since 1980, the authors have performed the modified Dewar procedure, the modified Cadenat procedure, and anatomical reconstruction of the coracoclavicular ligaments for this injury. The goal of this study was to determine the ideal surgical procedure for ...
Hong Jong Won - - 2013
Objective Management of unrecognized recurrent laryngeal nerve injury typically entails delayed phonosurgical intervention and laryngeal reinnervation while; on the other hand, in case of recognized injury, nerve anastomosis has been considered standard management. However, well organized outcome analysis of nerve anastomosis has been insufficient. We performed immediate direct anastomosis of ...
Wang Yue - - 2013
Mortality rates for patients with gas gangrene from trauma or surgery are as high as 25%, but they increase to 50%-80% for patients injured in natural hazards. Early diagnosis and treatment are essential for these patients. We retrospectively analyzed the clinical characteristics and therapeutic results of 19 patients with gas ...
Fox Nicole - - 2013
The impact of initial clinical decisions on the long-term quality of life and functional outcome of patients who undergo damage-control laparotomy (DCL) is unknown. We hypothesized that early abdominal closure after DCL improves long-term outcomes. Patients (2005-2011) who underwent DCL (n = 140) at our Level I trauma center were ...
Hwang Jin Ho - - 2013
We evaluated the preoperative clinical factors that affect the surgical outcome of posterior urethral anastomosis (PUA) with a gracilis muscle flap (GMF) to determine which factors predict benefit from the use of the GMF. This was a retrospective analysis of 49 patients who underwent a delayed PUA with a GMF. ...
Ulger Burak Veli - - 2013
Abstract The aim of this study was to compare the outcomes of the treatment methods of ostomy and primary repair in rectal injuries. A total of 63 patients with rectal injury who had been treated at Dicle University Hospital between 2000 and 2011 were retrospectively reviewed. To determine the outcomes ...
Wang Wen-Hao WH Department of Neurosurgery, 175th Hospital of PLA, Affiliated Southeast Hospital of Xiamen University, Zhangzhou, Fujian, - - 2013
Cerebral venous flow obstruction (CVFO) is a fatal complication of traumatic brain injury. To compare the outcomes of patients with CVFO secondary to traumatic-brain-injury-induced transsinus fracture who were diagnosed early versus those diagnosed late in the therapeutic course. In total, 403 patients with transsinus fracture were reviewed retrospectively. The patients ...
Chatterjee Susanta - - 2013
To evaluate the outcome of 20G silicone rod as monocanalicular stent in canalicular lacerations. Retrospective case series involving patients between July 2006 and June 2010. Fourteen canalicular repairs in 12 consecutive patients were done in the study period. Eleven were male and mean age was 30.5 years. A single canaliculus ...
Horst Klemens K Department of Trauma and Reconstructive Surgery, University Hospital RWTH Aachen, Aachen, - - 2013
Operative treatment of higher degree acromioclavicular joint luxation is common. A new option is made available by the tight rope technique. It claims to provide adequate outcome with the use of a minimally invasive technique. First clinical studies justified its medical use, but the equivalence to established surgical methods remains ...
Milcheski Dimas André - - 2013
To evaluate the use of subatmospheric pressure therapy in the treatment of acute traumatic injuries of the soft tissues, especially in the limbs. One hundred and seventy-eight patients with traumatic wounds were treated by the Center for Complex Wounds in the period from January 2010 to December 2011, and submitted ...
Fokkema M M Department of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center, Boston, MA, USA; University Medical Center Utrecht, Utrecht, The - - 2014
The benefit of carotid endarterectomy (CEA) may be diminished by cranial nerve injury (CNI). Using a quality improvement registry, we aimed to identify the nerves affected, duration of symptoms (transient vs. persistent), and clinical predictors of CNI. We identified all patients undergoing CEA in the Vascular Study Group of New ...
Olawoye O A OA Department of Surgery, University of Ibadan, Nigeria ; Department of Plastic and Reconstructive Surgery, University College Hospital, Ibadan, - - 2013
Various types of wound care products abound for the treatment of burn injuries. Most of these products are rather expensive and beyond the means of many patients in poorer countries. This poses a challenge to burn care workers in these environments and calls for the adoption of practical solutions with ...
Gudziol Volker - - 2013
Traumatic brain injury (TBI) can cause olfactory loss. The aim of this cross-sectional and prospective study was to determine the prevalence of olfactory loss among 110 patients with TBI within 3 months after the trauma. In 81 patients ("cross-sectional"-group), olfactory function could be measured using the validated "Sniffin' Sticks" test for ...
Bouchard Carl - - 2013
The purpose of this study was to evaluate the rate of complications associated with the retromandibular approach. The design of this research was a retrospective case-series study. Included were patients who 1) underwent open reduction and internal fixation of the condylar or subcondylar area through a retromandibular approach and 2) ...
Kim Tae-Hwan - - 2013
In the instrumented fusion, adjacent segment facet joint violation or impingement by pedicle screws is unavoidable especially in cephalad segment, despite taking specific intraoperative precautions in terms of surgical approach. In such circumstances, unlike its original purpose, unilateral pedicle screw instrumentation can contribute to reduce the degeneration of cephalad adjacent ...
Roselli Eric E - - 2013
To compare the outcomes between patients undergoing endovascular (EEC) or open (OEC) approaches to second-stage elephant trunk completion (EC). From 1993 to 2010, 225 patients underwent second-stage EC (EEC, n = 92; OEC, n = 133). Propensity matching was performed for a fair comparison. The EEC patients were older, more likely to have atrial ...
Angioli Roberto - - 2013
Laparoscopic entry techniques vary and still remain debated. We conducted a randomized control trial to compare three entry techniques. Study design: Women aged 18-70 years, nominated for laparoscopic surgery at University of Rome Campus Bio-Medico, were randomized into three different groups: Veress needle (VER), Direct trocar insertion (DIR) and Open ...
Xu Guohui - - 2013
Syndesmotic diastasis is a common injury. Syndesmotic bolt and tightrope are two of the commonly used methods for the fixation of syndesmotic diastasis. Syndesmotic bolt can be used to reduce and maintain the syndesmosis. However, it cannot permit the normal range of motion of distal tibiofibular joint, especially the rotation ...
Chawla Lakhmir S - - 2013
In the setting of early acute kidney injury (AKI), no test has been shown to definitively predict the progression to more severe stages. Materials and Methods: We investigated the ability of a furosemide stress test (FST) (one-time dose of 1.0 or 1.5 mg/kg depending on prior furosemide-exposure) to predict the ...
Yan Hede - - 2013
Degloving injuries of the foot with involvement of the heel and sole occur relatively rarely but pose an extreme challenge to the reconstructive surgeon due to the unique anatomy of the foot. Very limited studies are available regarding the outcomes of reattachment of the degloved skin as a full-thickness graft. ...
Wong Samford - - 2013
Certain probiotics may prevent the development of antibiotic-associated diarrhoea (AAD) and Clostridium difficile-associated diarrhoea (CDAD), but their effectiveness depends on both strain and dose. There are few data on nutritional interventions to control AAD/CDAD in the spinal cord injury (SCI) population. The present study aimed to assess (1) the efficacy ...
Quan Zhefeng - - 2013
Background and objective: Vasopressors ephedrine and phenylephrine are commonly used with spinal anesthesia during cesarean delivery. Studies on them have focused on the period before the umbilical cord is clamped, although anesthesia is continuously administered throughout and after this event. This study aimed to compare the effects of these drugs ...
Scaramuzzo L - - 2013
The clinical outcome of polytrauma patients underwent spine fixation was analyzed and correlated both to surgical time (early versus delayed) and to fixation type (open versus percutaneous). Twenty-four polytrauma patients were retrospectively evaluated. Patients were evaluated according to age, accident dynamic, mechanical ventilation need, blood transfusion need, SAPS II score, ...
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