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https://read.qxmd.com/read/30878641/fall-related-healthcare-use-and-mortality-among-older-adults-in-the-netherlands-1997-2016
#1
Branko F Olij, Martien J M Panneman, Ed F van Beeck, Juanita A Haagsma, Klaas A Hartholt, Suzanne Polinder
OBJECTIVES: Fall-related injuries are a leading cause of morbidity among older adults, leading to a high healthcare consumption and mortality. We aim to describe and quantify time trends of fall-related healthcare use and mortality among adults aged ≥65 years in the Netherlands, 1997-2016. DESIGN: Data were extracted from the Dutch Injury Surveillance System, Dutch Hospital Discharge Registry, and Cause-of-Death Statistics Netherlands, by age, sex, diagnosis, injury location, and year...
March 13, 2019: Experimental Gerontology
https://read.qxmd.com/read/30878407/prehospital-quick-sequential-organ-failure-assessment-score-to-predict-in-hospital-mortality-among-patients-with-trauma
#2
Kyohei Miyamoto, Naoaki Shibata, Atsuhiro Ogawa, Tsuyoshi Nakashima, Seiya Kato
OBJECTIVE: The quick sequential organ failure assessment (qSOFA) score is calculated from three variables measured at the scene of trauma-systolic blood pressure, respiratory rate and consciousness. This study aimed to evaluate the discriminative ability of the prehospital qSOFA score for in-hospital mortality in patients with trauma. METHODS: This retrospective multicenter study used data from 42,722 patients with trauma included in a Japanese nationwide trauma registry...
March 8, 2019: American Journal of Emergency Medicine
https://read.qxmd.com/read/30877952/microplastics-in-the-marine-environment-current-trends-in-environmental-pollution-and-mechanisms-of-toxicological-profile
#3
REVIEW
Chibuisi Gideon Alimba, Caterina Faggio
The global plastics production has increased from 1.5 million tons in the 1950s to 335 million tons in 2016, with plastics discharged into virtually all components of the environment. Plastics rarely biodegrade but through different processes they fragment into microplastics and nanoplastics, which have been reported as ubiquitous pollutants in all marine environments worldwide. This study is a review of trend in marine plastic pollution with focus on the current toxicological consequences. Microplastics are capable of absorbing organic contaminants, metals and pathogens from the environment into organisms...
March 8, 2019: Environmental Toxicology and Pharmacology
https://read.qxmd.com/read/30876707/trends-in-cause-specific-mortality-among-children-aged-5-14-years-from-2005-to-2016-in-india-china-brazil-and-mexico-an-analysis-of-nationally-representative-mortality-studies
#4
Shaza A Fadel, Cynthia Boschi-Pinto, Shicheng Yu, Luz Myriam Reynales-Shigematsu, Geetha R Menon, Leslie Newcombe, Kathleen L Strong, Qiqi Wang, Prabhat Jha
BACKGROUND: With global survival increasing for children younger than 5 years of age, attention is required to reduce the approximately 1 million deaths of children aged 5-14 years occurring every year. Causes of death at these ages remain poorly documented. We aimed to explore trends in mortality by causes of death in India, China, Brazil, and Mexico, which are home to about 40% of the world's children aged 5-14 years and experience more than 200 000 deaths annually at these ages. METHODS: We examined data on 244 401 deaths in children aged 5-14 years from four nationally representative data sources that obtained direct distributions of causes of death: the Indian Million Death Study, the Chinese Disease Surveillance Points, mortality data from the Mexican Instituto Nacional de Estadística y Geografía, and mortality data from the Brazilian Institute of Geography and Statistics...
March 8, 2019: Lancet
https://read.qxmd.com/read/30873518/trends-in-prevalence-of-dementia-for-people-accessing-aged-care-services-in-australia
#5
Stephanie L Harrison, Catherine Lang, Craig Whitehead, Maria Crotty, Julie Ratcliffe, Steve Wesselingh, Maria C Inacio
BACKGROUND: Studies in some high-income countries have reported a potential decline in the prevalence of dementia. Improvements in cardiovascular health may be contributing to this decline. The objective was to examine trends in prevalence of dementia and survival with dementia for people accessing aged care in Australia. METHODS: A retrospective study of older people who accessed long-term care 2008-2014 (n = 348,311) and home care 2005-2014 (n = 188,846) in Australia was developed...
March 15, 2019: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
https://read.qxmd.com/read/30865662/long-term-outcomes-after-extracorporeal-membrane-oxygenation-in-patients-with-dialysis-requiring-acute-kidney-injury-a-cohort-study
#6
Shao-Wei Chen, Yueh-An Lu, Cheng-Chia Lee, An-Hsun Chou, Victor Chien-Chia Wu, Su-Wei Chang, Pei-Chun Fan, Ya-Chung Tian, Feng-Chun Tsai, Chih-Hsiang Chang
BACKGROUND: Acute kidney injury (AKI) is a common complication of extracorporeal membrane oxygenation (ECMO) treatment. The aim of this study was to elucidate the long-term outcomes of adult patients with AKI who receive ECMO. MATERIALS AND METHODS: The study analyzed encrypted datasets from Taiwan's National Health Insurance Research Database. The data of 3251 patients who received first-time ECMO treatment between January 1, 2003, and December 31, 2013, were analyzed...
2019: PloS One
https://read.qxmd.com/read/30844584/post-mortem-toxicology-in-violent-fatalities-in-cape-town-south-africa-a-preliminary-investigation
#7
Marie Belle Kathrina Mendoza Auckloo, Bronwen Beth Davies
BACKGROUND: In South Africa, violence-related injury and mortality contributes highly to the nation's burden of injury. Drug abuse, which is also reported to be rife across the county, has been associated with violence, resulting injury, and death. While post-mortem toxicological investigations are comprehensive and routine in violent fatalities internationally; this is not currently the case in South Africa. OBJECTIVES: To conduct a post-mortem toxicological investigation on a cohort of violent fatalities in the West-Metropole of Cape Town, Western Cape...
February 21, 2019: Journal of Forensic and Legal Medicine
https://read.qxmd.com/read/30844055/multicentre-experience-with-two-frozen-elephant-trunk-prostheses-in-the-treatment-of-acute-aortic-dissection%C3%A2
#8
Tim Berger, Gabriel Weiss, Andreas Voetsch, Zsuzsanna Arnold, Maximilian Kreibich, Bartosz Rylski, Philipp Krombholz-Reindl, Andreas Winkler, Markus Mach, Daniela Geisler, Rainald Seitelberger, Mathias Siepe, Friedhelm Beyersdorf, Martin Grabenwoeger, Martin Czerny, Roman Gottardi
OBJECTIVES: The aim of this study was to evaluate early- and mid-term outcome and aortic remodelling in patients undergoing implantation of 2 different frozen elephant trunk prostheses, either the Thoraflex™ hybrid (Vascutek, Inchinnan, UK) and the E-vita Open (Jotec Inc., Hechingen, Germany) for acute aortic dissection. METHODS: All consecutive patients [n = 88; median age 59 (49-67) years; 69% male] undergoing surgery with a frozen elephant trunk prosthesis for acute aortic dissection from August 2005 until March 2018 were included in this study...
March 7, 2019: European Journal of Cardio-thoracic Surgery
https://read.qxmd.com/read/30837327/impacts-of-helmet-law-on-the-changes-in-potential-years-of-life-lost-due-to-traffic-injury-a-multiple-province-evaluation-in-vietnam
#9
Dung Phung, Ha Trong Nguyen, Cordia Chu, Ross Sadler, Anh Mai Luong, Huyen Thi Nguyen, Tuan Cong Pham, Huang Cunrui
INTRODUCTION: This study aimed to evaluate the impact of the helmet law on the changes in potential years of life lost (PYLL) due to traffic mortality and to examine modification effects of socioeconomic factors on the impacts in Vietnam. METHODS: We applied an interrupted time series design using the Bayesian framework to estimate the impact of the law at the provincial level. Then, we used random effects meta-analysis to estimate the impact of the law at the country level and to examine the modification effects of socioeconomic factors...
March 5, 2019: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
https://read.qxmd.com/read/30826268/outcomes-of-evolut-r-versus-corevalve-after-transcatheter-aortic-valve-implantation-a-meta-analysis
#10
Yinghao Sun, Jie Li, Ruixin Fan, Guang Li, Ming Fu, Songyuan Luo, Huanyu Ding, Jianfang Luo
BACKGROUND: Superiority of the new-generation, self-expanding Evolut R compared with the first-generation CoreValve on outcomes after transcatheter aortic valve implantation (TAVI) is unclear. This meta-analysis sought to investigate the outcomes of Evolut R vs CoreValve after TAVI. METHODS: A systematic review of studies comparing outcomes of Evolut R and CoreValve after TAVI was performed through PubMed, EMBASE and Cochrane Library. Crude risk ratios (RRs) were calculated with 95% confidence intervals using a random effects model...
January 28, 2019: Heart, Lung & Circulation
https://read.qxmd.com/read/30820418/chronic-versus-new-onset-hyponatremia-in-geriatric-patients-undergoing-orthopedic-surgery
#11
Sumant Chacko Verghese, Anupam Mahajan, Bharti Uppal
Background: Hyponatremia is a common electrolyte disorder encountered in geriatric population undergoing an orthopedic surgery and is associated with adverse clinical outcomes. There is a paucity in literature comparing the effects of chronic- and new-onset hyponatremia on patient outcomes. Materials and Methods: A prospective study on 220 patients of age ≥60 years with an orthopedic injury was carried out over 1 year. The aim of this study was to determine the prevalence of chronic hyponatremia during hospitalization and the incidence of new-onset hyponatremia developing perioperatively and compare between the two groups with regard to the severity of hyponatremia, perioperative morbidities, serum sodium level trend in the early postoperative period, and mortality...
January 2019: International Journal of Applied and Basic Medical Research
https://read.qxmd.com/read/30814522/unintentional-injury-mortality-among-children-under-age-five-in-urban-and-rural-areas-in-the-sichuan-province-of-west-china-2009-2017
#12
Minghong Yao, Gonghua Wu, Ziling Zhao, Min Luo, Juying Zhang
This study analysed trends in the unintentional injuries specific mortality rates among children under age five (UI-specific U5MRs) in urban and rural areas in the Sichuan province of western China. Data were obtained from the National Health Statistics Survey System. The Cochran-Armitage trend test was used to analyse the trends in UI-specific U5MRs and the proportion of unintentional injury deaths to total deaths. The Poisson regression model was used to compare the UI-specific U5MRs between rural and urban areas...
February 27, 2019: Scientific Reports
https://read.qxmd.com/read/30807509/regional-differences-in-pediatric-firearm-related-emergency-department-visits-and-the-association-with-firearm-legislation
#13
Shilpa J Patel, Gia M Badolato, Kavita Parikh, Sabah F Iqbal, Monika K Goyal
OBJECTIVE: The objective of this study was to describe regional and temporal trends in pediatric firearm-related emergency department (ED) visits and investigate association with regional firearm legislation. METHODS: We conducted a cross-sectional analysis using the Nationwide Emergency Department Sample from 2009 to 2013 for children aged 21 years or younger. We calculated national estimates of firearm-related visits using annual census data and measured trends...
February 19, 2019: Pediatric Emergency Care
https://read.qxmd.com/read/30807327/a-system-wide-approach-to-prevention-of-in-hospital-newborn-falls
#14
Hester Carr, Joshua Crotto, Shaban Demirel, Stephanie Fisher, Leona Logue, Meghan Marcott, Lacey Rose Miller, Mary Mochnal, Patricia Scheans
BACKGROUND: The Centers for Disease Control and Prevention lists accidents (unintentional injuries) as the fifth leading cause of infant mortality. Data analysis from a multihospital system of inpatient family birth centers revealed fluctuations in newborn birth admission falls rates at times above the benchmark reported in the literature. PURPOSE: We describe a multipronged approach to address an identified safety concern. The aim of the project was to decrease the rate of newborn falls during birth hospitalization...
March 2019: MCN. the American Journal of Maternal Child Nursing
https://read.qxmd.com/read/30805288/traumatic-fracture-of-the-pediatric-cervical-spine-etiology-epidemiology-concurrent-injuries-and-an-analysis-of-perioperative-outcomes-using-the-kids-inpatient-database
#15
Gregory W Poorman, Frank A Segreto, Bryan M Beaubrun, Cyrus M Jalai, Samantha R Horn, Cole A Bortz, Bassel G Diebo, Shaleen Vira, Olivia J Bono, Rafael DE LA Garza-Ramos, John Y Moon, Charles Wang, Brandon P Hirsch, Jared C Tishelman, Peter L Zhou, Michael Gerling, Peter G Passias
Background: The study aimed to characterize trends in incidence, etiology, fracture types, surgical procedures, complications, and concurrent injuries associated with traumatic pediatric cervical fracture using a nationwide database. Methods: The Kids' Inpatient Database (KID) was queried. Trauma cases from 2003 to 2012 were identified, and cervical fracture patients were isolated. Demographics, etiologies, fracture levels, procedures, complications, and concurrent injuries were assessed...
January 2019: International Journal of Spine Surgery
https://read.qxmd.com/read/30802562/national-trends-of-thoracic-endovascular-aortic-repair-tevar-versus-open-thoracic-aortic-repair-otar-in-pediatric-blunt-thoracic-aortic-injury
#16
Bima J Hasjim, Areg Grigorian, Cristobal Barrios, Sebastian Schubl, Jeffry Nahmias, Viktor Gabriel, Dean Spencer, Carlos Donayre
INTRODUCTION: Blunt thoracic aortic injury (BTAI) occurs in <1% of all trauma admissions. Thoracic endovascular aortic repair (TEVAR) has become the preferred treatment modality in adult patients with BTAI but its use in pediatrics is currently not supported by device manufacturers and lacks United States Food and Drug Administration approval. We hypothesized that there would also be an increased use of TEVAR in the pediatric population, thus conferring a lower risk of mortality compared to open thoracic aortic repair (OTAR)...
February 22, 2019: Annals of Vascular Surgery
https://read.qxmd.com/read/30802207/reduction-of-hospital-acquired-pressure-injuries-using-a-multidisciplinary-team-approach-a-descriptive-study
#17
Megan W Miller, Rebecca T Emeny, Gary L Freed
INTRODUCTION: Hospital-acquired pressure injuries (HAPIs) increase patient mortality and length of stay (LOS). Twenty-eight full-thickness HAPIs occurred in fiscal year 2015 (FY15), and that trend continued into FY16 with 14 injuries on multiple units throughout a tertiary acute care center with 400 beds. To address this trend, a multidisciplinary Pressure Injury Prevention (PIP) team was created. OBJECTIVE: This report is a description of ongoing, hospital-wide efforts to understand the common factors of HAPI causality and to establish corrective action plans institutionally to prevent similar events in the future...
February 14, 2019: Wounds: a Compendium of Clinical Research and Practice
https://read.qxmd.com/read/30801533/hospitalization-trends-for-acute-kidney-injury-in-kidney-transplant-recipients-in-the-united-states-2004-2014
#18
Neetika Garg, Nilay Kumar, Tripti Singh, Sandesh Parajuli, Brad C Astor, Didier Mandelbrot, Arjang Djamali
BACKGROUND: The incidence of acute kidney injury (AKI) and dialysis-requiring AKI (AKI-D) in the general population is increasing. However, there is limited information on the epidemiology of AKI-related hospitalizations in the prevalent US kidney transplant population. METHODS: We analyzed trends in the incidence of hospitalizations with primary diagnosis of AKI, secondary diagnosis of AKI and AKI-D using data from the National Inpatient Sample 2004-2014. Co-primary endpoints were in-hospital mortality, length of stay (LOS), and cost...
February 12, 2019: Transplantation
https://read.qxmd.com/read/30792131/the-global-burden-of-typhoid-and-paratyphoid-fevers-a-systematic-analysis-for-the-global-burden-of-disease-study-2017
#19
(no author information available yet)
BACKGROUND: Efforts to quantify the global burden of enteric fever are valuable for understanding the health lost and the large-scale spatial distribution of the disease. We present the estimates of typhoid and paratyphoid fever burden from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017, and the approach taken to produce them. METHODS: For this systematic analysis we broke down the relative contributions of typhoid and paratyphoid fevers by country, year, and age, and analysed trends in incidence and mortality...
February 18, 2019: Lancet Infectious Diseases
https://read.qxmd.com/read/30790715/trends-in-utilization-mortality-major-complications-and-cost-after-total-artificial-heart-implantation-in-the-united-states-2009-2015
#20
Alexandros Briasoulis, Emmanuel Akintoye, Ala Mohsen, Chakradhari Inampudi, Artemis Briasouli, Rabea Asleh, Paulino Alvarez
BACKGROUND: Total Artificial Heart (TAH) is a viable bridge to transplant (BTT) strategy for patients with severe biventricular failure, or complex congenital heart disease. These patients have higher mortality and morbidity compared with patients undergoing left ventricular assist device (LVAD) implantation. OBJECTIVE: To assess national trends in in-hospital mortality, major complications, cost, length of stay and disposition of patients undergoing TAH implantation...
February 18, 2019: Hellenic Journal of Cardiology: HJC
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