Epidemiological Evaluation of Pediatric Elbow Injuries: A Retrospective Observational Single Center

Abstract Introduction Elbow fractures are the commonest fractures in the pediatric age group. The aim of this study is to evaluate the epidemiology of fresh and neglected pediatric elbow fractures in a hilly state of India with a limited health care facility. Materials and Methods This was a retrospective observational single-center study conducted between January 2019 and January 2021. Results Supracondylar was the most common fracture in 58.7% of patients followed by lateral condyle and proximal radius fracture. The highest number of fractures were reported in the age group of 5 to 8 years. In addition, 19% of patients presented with associated complications, 8% of patients had combination injuries of the ipsilateral upper limb, 16% of patients presented to the hospital 1 week after the trauma, 48% of patients had the first contact with a bonesetter/native practitioner. Conclusion Supracondylar fracture was the most common elbow fracture followed by lateral condyle. The most common involved age group was 5 to 8 years. A significant number of elbow fractures are mismanaged by native practitioners in rural India.

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Delayed presentation of fracture of lateral condyle of humerus in pediatric age group treated by ORIF and ulnar peg grafting: A case series

Journal of Orthopaedics and Allied Sciences ◽

10.4103/2319-2585.155911 ◽

2015 ◽

Vol 3 (1) ◽

pp. 12

Author(s):

Nishikant Kumar ◽

Sanjay Meena ◽

Anil Mehtani ◽

Chandrashekhar Yadav ◽

Rishi Raj ◽

...

Keyword(s):

Case Series ◽

Lateral Condyle ◽

Delayed Presentation ◽

Age Group ◽

Pediatric Age ◽

Pediatric Age Group

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Isolated Small Bowel Transplantation in Turkey: A Single Center Experience Running Title: Isolated Small Bowel Transplantation in Turkey

European Scientific Journal ESJ ◽

10.19044/esj.2016.v12n12p1 ◽

2016 ◽

Vol 12 (12) ◽

pp. 1

Author(s):

Ismail Sert ◽

Eyup Kebabci ◽

Cem Tugmen ◽

Masallah Baran ◽

Sait Murat Dogan ◽

...

Keyword(s):

Graft Survival ◽

Small Bowel Transplantation ◽

Survival Rates ◽

Intestinal Failure ◽

Age Group ◽

Pediatric Age ◽

Single Center ◽

Pediatric Age Group ◽

One Year ◽

Patient And Graft Survival

Background SBTx has become a feasible therapeutic option for patients with irreversible intestinal failure. Increase in the number and in the improvement of the patient and graft survival in SBTx has a slow course when compared to other solid organ transplantation. Aim The aim of this study is to analyze 25 isolated SBTx performed since 2003 at a single center. It also aims to compare the patient and graft survivals rate during the early (before 2010) and late (after 2010) period. Materials and Methods Medical charts of 24 patients were analyzed retrospectively. To compare the center’s experience during a twelve year period, the results were divided into two groups (before (n:7) and after 2010 (n:18)). At the appropriate time, data were reported as mean± standard deviation, median, and range. Kaplan Meier method was used for the survival analysis of the graft and the patients. Results Median age of the patients was 39 (min 6 months, max: 56 yr). Six of them were in the pediatric age group. Compared to before 2010, graft survival rates increased from 28.1% to 53.8% in 3 months, from 28.6% to 35.9% in 6 months, and from 14.3% to 29.9% in one year after 2010. At the same period, patient survival rate increased from 57.1% to 72.2% in 3 months, from 28.6% to 38.9% in 6 months, and from 14.3% to 33.3% in one year. In the pediatric age group, patient and graft survival rates were 85.7% in 3 months, 71.4% in 6 months, and 71.4 % in 1 year. Conclusion SBTx is an effective treatment choice for selected patients with intestinal failure. Although patient and graft survival rates were improved after 2010 in our center, it was inferior. Patient and graft survival rates in pediatric SBTx are favourable and promising.

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Post-intubation tracheal stenosis in pediatric age group: single-center experiences of 24 years

General Thoracic and Cardiovascular Surgery ◽

10.1007/s11748-021-01767-2 ◽

2022 ◽

Author(s):

Mojtaba Mokhber Dezfuli ◽

Seyed Reza Saghebi ◽

Mohammad Behgam Shadmehr ◽

Azizollah Abbasidezfouli

Keyword(s):

Tracheal Stenosis ◽

Age Group ◽

Pediatric Age ◽

Single Center ◽

Pediatric Age Group ◽

Post Intubation

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Synovial Sarcoma in Pediatric Age Group: Single Center Experience

Acta Oncologica Turcica ◽

10.5505/aot.2019.70783 ◽

2019 ◽

Vol 52 (1) ◽

pp. 25-30

Author(s):

Turan Bayhan ◽

Neriman Sarı ◽

Ebru Atasever Akkaş ◽

İnci Ergürhan İlhan

Keyword(s):

Synovial Sarcoma ◽

Age Group ◽

Pediatric Age ◽

Single Center ◽

Single Center Experience ◽

Pediatric Age Group

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Clinical profile and outcome of dengue patients with atypical features in the pediatric age group in a tertiary care center of East India

Asian Journal of Medical Sciences ◽

10.3126/ajms.v12i11.39291 ◽

2021 ◽

Vol 12 (11) ◽

pp. 133-138

Author(s):

Sumita Pal ◽

Basudha Roy ◽

Amrit Chattopadhyay ◽

Akhila Andra ◽

Gautam De

Keyword(s):

Tertiary Care ◽

Delayed Diagnosis ◽

Care Facility ◽

Acalculous Cholecystitis ◽

Clinical Profile ◽

Age Group ◽

Pediatric Age ◽

Pediatric Age Group ◽

Atypical Features ◽

Atypical Manifestations

Background: Dengue is one of the most widespread arthropod borne diseases worldwide with an annual incidence of 50–100 million cases per year. The recent resurgence of dengue in the pediatric population has created concern among pediatricians, especially due to increased incidence of atypical features, leading to delayed diagnosis and increased mortality. There are few studies regarding this due to under reporting of the cases. Aims and Objectives: This study aims to study the clinical profile and outcome of dengue patients between the age groups of 1 month and 12 years with special emphasis on patients with atypical features. Dengue patients with atypical presentation are easily misdiagnosed by physicians, especially in the pediatric age group which increases the morbidity and mortality. Materials and Methods: This was a retrospective observational study conducted from May 2018 to September 2019 in the Department of Pediatrics, CNMCH. All pediatric patients who were dengue IgM or dengue NS1 positive were included in the study and their course of stay was followed through hospital records. The data were statistically analyzed through SPSS 16.0 software. Results: Sixty-two dengue patients were included in the study. Thirty-two patients presented as mild febrile illness, classical dengue fever (DF), dengue hemorrhagic fever, or shock syndrome without atypical manifestations. Atypical manifestations were found in 30 patients (48.38%) of our study. Eleven (17.7%) patients had splenomegaly, 5 (8.1%) patients had hepatitis, 3 (4.8%) patients had diarrhea, 2 (3.2%) patients had acalculous cholecystitis, 1 (1.6%) patient had hepatitis with acalculous cholecystitis, 1 (1.6%) patient had hepatitis with diarrhea, 1 (1.6%) patient had myocarditis, 1 (1.6%) patient had paroxysmal supraventricular tachycardia, 1 (1.6%) patient had acute pancreatitis, 1 (1.6%) patient had acute kidney injury, 1 (1.6%) patient had ARDS, 1 (1.6%) patient had encephalitis, and 1 (1.6%) patient had myositis. Need of intensive care facility was more in patients with atypical manifestations due to mis or late diagnosis which prolonged course of stay. Conclusion: Atypical manifestations of DF are more common than reported. Lack of awareness among physicians, especially in primary health center, leads to delayed diagnosis and increased mortality and morbidity.

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Observation of Causes of Death from Sickle Cell Anemia in Niger

Annals of Hematology & Oncology ◽

10.26420/annhematoloncol.2021.1329 ◽

2021 ◽

Vol 8 (2) ◽

Author(s):

Djibrilla Almoustapha A ◽

◽

Maman Brah M ◽

Chefou M ◽

Ousseni M ◽

...

Keyword(s):

Sickle Cell ◽

Causes Of Death ◽

Care Facility ◽

Health Care Facility ◽

Consanguineous Marriage ◽

Age Group ◽

Preventive Action ◽

Cell Disease ◽

Male Predominance

Purpose: Improve the management of Major Sickle Cell Syndromes (SDM) by studying the circumstances in which patients affected by this disease die in Niger. Methods: This was a retrospective study of descriptive and analytical type in sickle cell patients followed at the National Sickle Cell Reference Center (CNRD) in Niamey with a follow-up file, who died during our study period, which was 9 years (January 1, 2010 to December 31, 2018). Results: During the study period, 6,465 sickle cell patients were followed up at the CNRD, 249 deaths were recorded, representing a frequency of 3.8%. There is a male predominance with a sex ratio of 1:3. The 0-15 age group was the most represented with 34.5% with an average age of 9.25 years. 34.1% of the patients came from a consanguineous marriage. Of the 249 deaths, 94% (n=234) were SS, 5.6% (n=14) were SC and 0.4% (n=1) was S/β. The majority of patients died at the time of registration, i.e. 58.25% (n=145 (SS=137. SC=8.)). 90.4% had died in a health-care facility. The main cause of death was anemia in 73.1% of cases. Conclusion: The management of sickle cell disease requires adequate preventive action to reduce the rate of early mortality.

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Blood transfusion and lung surgeries in pediatric age group: A single center retrospective study

Annals of Cardiac Anaesthesia ◽

10.4103/aca.aca_210_18 ◽

2020 ◽

Vol 23 (2) ◽

pp. 149

Author(s):

AhmedS Elgebaly ◽

SamehM Fathy ◽

MonaB Elmorad ◽

AymanA Sallam

Keyword(s):

Retrospective Study ◽

Blood Transfusion ◽

Age Group ◽

Pediatric Age ◽

Single Center ◽

Pediatric Age Group ◽

Group A

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Risk factors of dementia: a comparative study among the geriatric age group in Ernakulam, Southern India

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20180117 ◽

2018 ◽

Vol 5 (2) ◽

pp. 544

Author(s):

Jishnu S. Lalu ◽

Priya Vijayakumar ◽

Sobha George ◽

Amal V. Nair ◽

Arjun B.

Keyword(s):

Risk Factors ◽

Bronchial Asthma ◽

Protective Factor ◽

Care Facility ◽

Health Care Facility ◽

Tertiary Hospital ◽

Living Alone ◽

Age Group ◽

Dementia Patients ◽

Cognitive Faculties

Background: Dementia is the global deterioration of the individual’s intellectual, emotional and cognitive faculties in a state of normal consciousness. Dementia impacts personal, family and societal life. It reduces life span, induces caregiver’s strain at family level and over utilizes health care facility. This study was aimed at describing the risk factors attributing to dementing disorders for developing preventive measures to slow down the incidence of dementia. Methods: The study was conducted in geriatrics OPD of a tertiary hospital in South India. A total of 50 dementia patients and 50 controls aged more than 65 years were selected for the study in a period of 6 months. A semi-structured questionnaire was used to collect data. Results: 40% in the age group of 65-74 years, 61% in the age group of 75-84 years and 63.6% in the age >85 years had dementia. 43.5% of males and 55.5% of females had dementia. Multivariate analysis was done to find out the independent predictors of dementia. Among the morbidities dyslipidemia 3.93 (1.12-13.87) and COPD/bronchial asthma 4.57 (1.02-20.55), less than 5 days of fruit consumption 14.98 (38-59), hearing loss 4.67 (1.15-18.91) were found to be independent risk factors for dementia. Living alone was found to be a protective factor 0.029 (0.003-0.29). Conclusions: Our study reported various risk factors of dementia that were in agreement with findings from other studies conducted in India. Avoidable risk factors such as living alone, fruit intake and control of comorbidities such as hypertension, dyslipidemia and COPD/bronchial asthma needs more attention in old age group.

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