Intraoperative floppy iris syndrome and its association with various concurrent medications, bulbus length, patient age and gender

Abstract Background Measures taking aim at minimizing the risk of coronavirus transmission and fear of infection may affect decisions to seek care for other medical emergency conditions. The purpose of this analysis was to analyze intermediate-term effects of the COVID-19 pandemic on neuroradiological emergency consultations (NECs). Methods We conducted an ambispective study on NEC requests to a university hospital from a teleradiological network covering 13 hospitals in Germany. Weekly NEC rates for prepandemic calendar weeks (CW) 01/2019–09/2020 were compared with rates during first COVID-19 wave (CW 10–20/2020), first loosening of restrictions (CW 21–29/2020), intensified COVID-19 testing (CW 30–39/2020) and second COVID-19 wave (CW 40–53/2020), and contrasted with COVID-19 incidence in Germany. Results A total of n = 10 810 NECs were analyzed. Prepandemic NEC rates were stable over time (median: 103, IQR: 97–115). Upon the first COVID-19 wave in Germany, NEC rates declined sharply (median: 86, IQR: 69–92; p < 0.001) but recovered within weeks. Changes in NEC rates after first loosening of restrictions (median: 109, IQR: 98–127; p = 0. 188), a phase of intensified testing (median: 111, IQR: 101–114; p = 0.434) and as of a second COVID-19 wave (median: 102, IQR: 94–112; p = 0. 462) were not significant. Likewise, patient age and gender distribution remained constant. Conclusion Upon the first pandemic COVID-19 wave in Germany, NEC rates declined but recovered within weeks. It is unknown whether this recovery reflects improved medical care and test capabilities or an adjustment of the patients’ behaviour.

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Impact of Diabetes, Patient Age, and Gender on the 30-Day Incidence of Stroke and Death in Patients Undergoing Carotid Artery Stenting with Embolus Protection: A Post-Hoc Subanalysis of a Prospective Multicenter Registry

Journal of Endovascular Therapy ◽

10.1583/06-2036.1 ◽

2007 ◽

Vol 14 (3) ◽

pp. 271-278 ◽

Cited By ~ 26

Author(s):

Michael Schlüter ◽

Bernhard Reimers ◽

Fausto Castriota ◽

Thilo Tübler ◽

Carlo Cernetti ◽

...

Keyword(s):

Carotid Artery ◽

Carotid Artery Stenting ◽

Diabetes Patient ◽

Patient Age ◽

Age And Gender ◽

Patient Âgé ◽

And Gender ◽

Post Hoc ◽

Multicenter Registry

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Are Patient Age and Gender Associated with Delivery of Recommended HF Therapies?

Journal of Cardiac Failure ◽

10.1016/j.cardfail.2007.06.558 ◽

2007 ◽

Vol 13 (6) ◽

pp. S158

Author(s):

C.W. Yancy ◽

G.C. Fonarow ◽

N.M. Albert ◽

A. Curtis ◽

W. Gattis Stough ◽

...

Keyword(s):

Patient Age ◽

Age And Gender ◽

Patient Âgé ◽

And Gender

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ADR evaluation of screening colonoscopies during 2016 – 2017 in a private health clinic in Peru

Endoscopy International Open ◽

10.1055/a-0672-1045 ◽

2018 ◽

Vol 06 (11) ◽

pp. E1304-E1309

Author(s):

Julio F. León Moreno

Keyword(s):

Screening Colonoscopy ◽

Health Clinic ◽

Cecal Intubation ◽

Patient Age ◽

Tertiary Referral Center ◽

Patient Âgé ◽

Adenoma Detection ◽

And Gender ◽

American Society ◽

Colonoscopy Quality

Abstract Background and study aims High-quality colonoscopy is fundamental for preventing colorectal cancer (CRC). The adenoma detection rate (ADR) is a key colonoscopy quality measure. The aim of this study was to establish the screening colonoscopy ADR of a tertiary referral center in Peru, identify the relationship between the ADR and patient age, sex and the colonoscopist, and determine the endoscopic and histopathological characteristics of the lesions found. Patients and methods A retrospective observational longitudinal study was undertaken between January 2016 and June 2017. Results Eight colonoscopists performed screening colonoscopies on 620 patients scoring ≥ 6 points on the Boston Bowel Preparation Scale (BBPS); cecal intubation was complete in 595 patients (cecal intubation rate [CIR] 95.9 %). The overall ADR was 29.7 % (females 25.4 %, males 33.1 %, P = 0.040, 95 %Cl). The ADR colonoscopist range was 25.0 % to 34.4 %. The highest ADR (41.2 %, P = 0.013, 95 %Cl) was for patients aged 65 to 75 years. Adenoma colon locations were: left 49 %, transverse 21.6 % and right 29.4 %. Adenoma dysplasia grades: low 98 %, high 2 %. Sixty-three percent of the lesions were 5 mm to 10 mm. Resections performed: 78.5 % cold biopsy forceps (CBF), 3.4 % cold snare polypectomy (CSP) and 18.1 % endoscopic mucosal resection (EMR). Conclusions The ADR established was in line with the joint American College of Gastroenterology (ACG)/American Society for Gastrointestinal Endoscopy (ASGE) recommendations and related to patient age and gender but not to the colonoscopist. Colonoscopists should ensure rigorous application of the colonoscopy quality actions. ADR should be evaluated frequently.

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Demographic And Histopathological Characteristics Of Colorectal Polyps: A Descriptive Study Based On Samples Obtained From Symptomatic Patients

Slovenian Journal of Public Health ◽

10.1515/sjph-2016-0016 ◽

2016 ◽

Vol 55 (2) ◽

pp. 118-123

Author(s):

Genta Cekodhima ◽

Altin Cekodhima ◽

Arben Beqiri ◽

Mehdi Alimehmeti ◽

Gerhard Sulo

Keyword(s):

Colorectal Cancer ◽

Histopathological Examination ◽

Colorectal Polyps ◽

Medium Size ◽

Polyp Size ◽

Patient Age ◽

Patient Âgé ◽

Potentially Malignant ◽

Study Population ◽

And Gender

Abstract Background Colorectal polyps (CP) are common among individuals older than 50 years. Some polyp types can precede colorectal cancer (CRC). This study aimed at describing histopathological characteristics of colorectal polyps in relation to age and gender among symptomatic patients referred for a colonoscopy examination during 2011-2014 in Tirana, Albania. Methods Study population included 267 individuals aged ≥ 20 years and diagnosed with ≥ 1 polyp during a colonoscopy examination. A total of 346 polyps were identified, excised and measured, and underwent histopathological examination. Results Adenomas accounted for 79.8% of all polyps and tubular type was the most frequent one (74.4%). The majority of polyps (42.5%) were small (<1 cm), 38.7% of a medium size (1-2 cm) and 18.8% large (>2 cm). Adenomas were larger than non-adenomatous polyps (p<0.01) There was no gender difference with regard to patient age (p=0.22) or polyp size (p=0.84) Adenomas were more frequent among men compared to women (p=0.02). Age was strongly related to polyp characteristics. The proportion of adenomas increased significantly with age (p<0.01). Within adenomas, the proportion of villous types - a precursor of colorectal cancer - increased remarkably with age (p=0.01). Older age was positively associated with potentially malignant adenomas (defined as adenomas > 1 cm and showing high-grade dysplasia) (p<0.01). Conclusion Adenomas accounted for the majority of polyps. Their morphology, size and malignant potential were related to patient age.

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