Prognostic indicators of short-term outcome in dogs undergoing surgery for brachycephalic obstructive airway syndrome

BackgroundThe aims of this study were to assess the impact of epidemiological variables, severity of presurgical respiratory signs, diagnostic findings from pharyngeal and laryngeal examination using a new grading scheme and CT scan images, on postsurgical outcome in dogs undergoing surgery for brachycephalic obstruction airway syndrome (BOAS).MethodsAn owner-based questionnaire was used to grade dogs based on their respiratory signs before surgery and at least six weeks after surgery. Epidemiological data and results from presurgical pharyngeal and laryngeal examination and CT scan findings for 75 dogs undergoing airway surgery were collected from the medical records.Results70.7 per cent of dogs showed an improvement in respiratory signs following rhinoplasty and palatoplasty. This improvement was associated with the severity of inspiratory efforts and the Poncet score on presentation, but not with any other clinical sign or anatomical abnormality found during BOAS assessment, nor by the degree of craniofacial shortening as determined by CT-scan. Presurgical snoring was positively associated with the degree of narrowing of pharyngeal dimensions.ConclusionsDogs presenting with clinical signs of BOAS benefit from rhinoplasty and palatoplasty alone. The degree of narrowing of pharyngeal dimensions appears to be associated with severity of snoring while soft palate length alone was not.

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The Impact of the Duration of Untreated Psychosis On the Short-term Outcome in Schizophrenia

European Psychiatry ◽

10.1016/s0924-9338(15)31326-2 ◽

2015 ◽

Vol 30 ◽

pp. 1726

Author(s):

H. Rebhi ◽

W. Cherif ◽

L. Chennoufi ◽

A. Belkhiria ◽

M. Cheour

Keyword(s):

Duration Of Untreated Psychosis ◽

Short Term ◽

Term Outcome ◽

Short Term Outcome ◽

The Impact

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Frequency, clinical presentation and outcome of vigilance impairment in patients with uni- and bilateral ischemic infarction of the paramedian thalamus

Journal of Neurology ◽

10.1007/s00415-021-10565-y ◽

2021 ◽

Author(s):

Merve Fritsch ◽

Kersten Villringer ◽

Ramanan Ganeshan ◽

Ida Rangus ◽

Christian H. Nolte

Keyword(s):

Ischemic Stroke ◽

Clinical Signs ◽

Stroke Patients ◽

Short Term ◽

Term Outcome ◽

Lesion Location ◽

Timely Diagnosis ◽

Short Term Outcome ◽

Thalamic Stroke ◽

Rare Differential Diagnosis

AbstractIschemic stroke of the paramedian thalamus is a rare differential diagnosis in sudden altered vigilance states. While efforts to describe clinical symptomatology exist, data on the frequency of paramedian thalamic stroke as a cause of sudden impaired vigilance and on accompanying clinical signs and outcome are scarce. We retrospectively analyzed consecutive patients admitted to a tertiary stroke center between 2010 and 2019 diagnosed with paramedian thalamic stroke. We evaluated frequency of vigilance impairment (VI) due to paramedian thalamic stroke, accompanying clinical signs and short-term outcome in uni- versus bilateral paramedian lesion location. Of 3896 ischemic stroke patients, 53 showed a paramedian thalamic stroke location (1.4%). VI was seen in 29/53 patients with paramedian thalamic stroke and in 414/3896 with any stroke (10.6%). Paramedian thalamic stroke was identified as causal to VI in 3.4% of all patients with initial VI in the emergency department and in 0.7% of all ischemic stroke patients treated in our center. Accompanying clinical signs were detected in 21 of these 29 patients (72.4%) and facilitated a timely diagnosis. VI was significantly more common after bilateral than unilateral lesions (92.0% vs. 21.4%; p < 0.001). Patients with bilateral paramedian lesions were more severely affected, had longer hospital stays and more frequently required in-patient rehabilitation. Paramedian thalamic lesions account for about 1 in 15 stroke patients presenting with impaired vigilance. Bilateral paramedian lesion location is associated with worse stroke severity and short-term outcome. Paying attention to accompanying clinical signs is of importance as they may facilitate a timely diagnosis.

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The impact of being newly diagnosed with a bipolar disorder and the short-term outcome of disorder-specific management

Bipolar Disorders ◽

10.1111/bdi.12146 ◽

2013 ◽

Vol 16 (2) ◽

pp. 172-179 ◽

Cited By ~ 4

Author(s):

Gordon B Parker ◽

Rebecca K Graham ◽

Kathryn Fletcher ◽

Shulamit M Futeran ◽

Paul Friend

Keyword(s):

Bipolar Disorder ◽

Newly Diagnosed ◽

Short Term ◽

Term Outcome ◽

Short Term Outcome ◽

The Impact ◽

Specific Management

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The impact of screening on short-term outcome after surgery for colorectal cancer

Revista Española de Enfermedades Digestivas ◽

10.17235/reed.2017.4569/2016 ◽

2017 ◽

Vol 109 ◽

Cited By ~ 3

Author(s):

Enric Sebastian ◽

Ricard Courtier ◽

Francesc Macià ◽

Luís Grande ◽

Miguel Pera

Keyword(s):

Colorectal Cancer ◽

Short Term ◽

Term Outcome ◽

Short Term Outcome ◽

The Impact

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The impact of perioperative care on complications and short term outcome in ARM type rectovestibular fistula: An ARM-Net consortium study

Journal of Pediatric Surgery ◽

10.1016/j.jpedsurg.2019.03.008 ◽

2019 ◽

Vol 54 (8) ◽

pp. 1595-1600 ◽

Cited By ~ 1

Author(s):

H.J.J. van der Steeg ◽

I.A.L.M. van Rooij ◽

B.D. Iacobelli ◽

C.E.J. Sloots ◽

E. Leva ◽

...

Keyword(s):

Perioperative Care ◽

Short Term ◽

Term Outcome ◽

Short Term Outcome ◽

Rectovestibular Fistula ◽

The Impact

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Impact of Age of Patient and Experience of Surgeon on the Outcome after Kasai Portoenterostomy: Can We Delay the Surgery?

European Journal of Pediatric Surgery ◽

10.1055/s-0040-1713934 ◽

2020 ◽

Author(s):

Kin Wai Edwin Chan ◽

Kim Hung Lee ◽

Hei Yi Vicky Wong ◽

Siu Yan Bess Tsui ◽

Jennifer Wai Cheung Mou ◽

...

Keyword(s):

Kasai Portoenterostomy ◽

Short Term ◽

Term Outcome ◽

Short Term Outcome ◽

Native Liver ◽

Initial Work ◽

Group A ◽

Group B ◽

The Impact ◽

Work Up

Abstract Introduction Age of patient and experience of biliary atresia (BA) center are well-known factors associated with early jaundice clearance (EJC) after Kasai portoenterostomy (KPE) in infants with BA. This study focused on the impact of age and surgeon factor on the short-term outcome after KPE within a single center. Materials and Methods Fifty-four consecutive infants (18 boys and 36 girls) who underwent KPE from January 2010 to January 2020 were reviewed. KPE was performed in the earliest available operative session once the initial work-up was completed. In group A (n = 41), KPE was performed by surgeon A. In group B (n = 13), KPE was performed by specialists under the supervision of surgeon B (who is the mentor of surgeon A) when surgeon A was not available for operation. The demographics of patients, the EJC (total bilirubin <20 μmol/L within 6 months of KPE), and 2-year native liver survival (NLS) between the two groups were studied. Results The median age at operation was 52 days (range 26–135 days). The overall EJC rate and 2-year NLS were 85.2 and 89.4%, respectively. Group A (p = 0.015) and male gender (p = 0.029) were statistically associated with EJC but not the age at operation (p = 0.101). Group A was also statistically associated with superior 2-year NLS (p = 0.047). Conclusion Balancing between the impact of age at operation and the experience of surgeon on the outcome after KPE, our result suggested that KPE may be deferred until a more experienced surgeon to operate.

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Prognostic indicators of poor short-term outcome of physiotherapy intervention in women with stress urinary incontinence

Neurourology and Urodynamics ◽

10.1002/nau.20752 ◽

2009 ◽

pp. n/a-n/a ◽

Cited By ~ 2

Author(s):

Erik J.M. Hendriks ◽

Alfons G.H. Kessels ◽

Henrica C.W. de Vet ◽

Arnold T.M. Bernards ◽

Rob A. de Bie

Keyword(s):

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Prognostic Indicators ◽

Short Term ◽

Term Outcome ◽

Short Term Outcome ◽

Physiotherapy Intervention

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Potential short-term outcome of an uncontrolled COVID-19 epidemic in Lombardy, Italy, February to March 2020

Eurosurveillance ◽

10.2807/1560-7917.es.2020.25.12.2000293 ◽

2020 ◽

Vol 25 (12) ◽

Cited By ~ 23

Author(s):

Giorgio Guzzetta ◽

Piero Poletti ◽

Marco Ajelli ◽

Filippo Trentini ◽

Valentina Marziano ◽

...

Keyword(s):

Intensive Care ◽

Healthcare System ◽

Credible Interval ◽

Patient Records ◽

Short Term ◽

Term Outcome ◽

Model Based ◽

Short Term Outcome ◽

The Impact

Sustained coronavirus disease (COVID-19) transmission is ongoing in Italy, with 7,375 reported cases and 366 deaths by 8 March 2020. We provide a model-based evaluation of patient records from Lombardy, predicting the impact of an uncontrolled epidemic on the healthcare system. It has the potential to cause more than 250,039 (95% credible interval (CrI): 147,717–459,890) cases within 3 weeks, including 37,194 (95% CrI: 22,250–67,632) patients requiring intensive care. Aggressive containment strategies are required.

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Pharyngeal Mucoceles in Dogs: 14 Cases

Journal of the American Animal Hospital Association ◽

10.5326/jaaha-ms-5670 ◽

2012 ◽

Vol 48 (1) ◽

pp. 31-35 ◽

Cited By ~ 14

Author(s):

Kevin P. Benjamino ◽

Stephen J. Birchard ◽

Jacqui D. Niles ◽

Kimberly D. Penrod

Keyword(s):

Salivary Glands ◽

Medical Records ◽

Clinical Signs ◽

Fine Needle Aspirate ◽

Short Term ◽

Term Outcome ◽

Long Term Outcome ◽

Fine Needle ◽

Study Population

This report describes the clinical features of a series of dogs with pharyngeal salivary mucoceles. A retrospective study of 14 dogs with pharyngeal mucocele was performed. Medical records from 1983 to 2003 were reviewed for information regarding signalment, clinical signs, diagnosis, surgical procedures, and short-term and long-term outcome. Miniature and toy poodles were common breeds in the study population, and 79% of the dogs were male. The most common presenting sign was dyspnea (50%). Diagnosis was by fine-needle aspirate, which revealed a mucoid substance in 93% of dogs. Histopathology of the excised salivary glands revealed lymphoplasmacytic inflammation in all dogs that had histopathology performed. Forty-three percent of the dogs had a cervical mucocele on the same side as the pharyngeal mucocele. Surgical therapy was performed in 13 dogs, which consisted of excision of the mandibular and sublingual salivary glands, excision of the mucocele, or marsupulization of the mucocele. Only two dogs had recurrence of the pharyngeal mucocele. In this study, pharyngeal mucoceles occurred in predominantly small dogs that frequently presented with respiratory signs. Surgical treatment was successful in most dogs.

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