scholarly journals The effect of COVID-19 pandemic on the care of fragility hip fracture patients in the United Kingdom. A case control study in a major trauma centre

The Surgeon ◽  
2021 ◽  
Author(s):  
Georgios Orfanos ◽  
Kahlan Al Kaisi ◽  
Anuj Jaiswal ◽  
Justin Lim ◽  
Bishoy Youssef
2016 ◽  
Vol 54 (4) ◽  
pp. 944-949 ◽  
Author(s):  
Andrea M. Collins ◽  
Catherine M. K. Johnstone ◽  
Jenna F. Gritzfeld ◽  
Antonia Banyard ◽  
Carole A. Hancock ◽  
...  

Current diagnostic tests are ineffective for identifying the etiological pathogen in hospitalized adults with lower respiratory tract infections (LRTIs). The association of pneumococcal colonization with disease has been suggested as a means to increase the diagnostic precision. We compared the pneumococcal colonization rates and the densities of nasal pneumococcal colonization by (i) classical culture and (ii) quantitative real-time PCR (qPCR) targetinglytAin patients with LRTIs admitted to a hospital in the United Kingdom and control patients. A total of 826 patients were screened for inclusion in this prospective case-control study. Of these, 38 patients were recruited, 19 with confirmed LRTIs and 19 controls with other diagnoses. Nasal wash (NW) samples were collected at the time of recruitment. Pneumococcal colonization was detected in 1 patient with LRTI and 3 controls (P= 0.6) by classical culture. By qPCR, pneumococcal colonization was detected in 10 LRTI patients and 8 controls (P= 0.5). Antibiotic usage prior to sampling was significantly higher in the LRTI group than in the control group (19 versus 3;P< 0.001). With a clinically relevant cutoff of >8,000 copies/ml on qPCR, pneumococcal colonization was found in 3 LRTI patients and 4 controls (P> 0.05). We conclude that neither the prevalence nor the density of nasal pneumococcal colonization (by culture and qPCR) can be used as a method of microbiological diagnosis in hospitalized adults with LRTI in the United Kingdom. A community-based study recruiting patients prior to antibiotic therapy may be a useful future step.


2010 ◽  
Vol 19 (8) ◽  
pp. 2043-2054 ◽  
Author(s):  
Julia A. Newton-Bishop ◽  
Yu-Mei Chang ◽  
Mark M. Iles ◽  
John C. Taylor ◽  
Bert Bakker ◽  
...  

2011 ◽  
Vol 130 (12) ◽  
pp. 3011-3013 ◽  
Author(s):  
Faye Elliott ◽  
Mariano Suppa ◽  
May Chan ◽  
Susan Leake ◽  
Birute Karpavicius ◽  
...  

2018 ◽  
Vol 29 (9) ◽  
pp. 300-305
Author(s):  
Epaminondas M Valsamis ◽  
Christopher Thornhill ◽  
Jay Watson ◽  
Shivun Khosla ◽  
Benedict Rogers ◽  
...  

An adequate consent form must be completed prior to a planned surgical procedure. Consent forms are mandatory, but the form itself does not reflect or quantify the adequacy of the discussion between surgeon and patient or the patient’s level of understanding. This study audited the adequate completion of consent forms for orthopaedic operations at a Major Trauma Centre in the United Kingdom. We also suggested recommendations regarding the completion of consent forms and proposed that tuition concerning the consent process be included as part of mandatory training for surgeons.


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