scholarly journals Factors Associated with Significant Ocular Injury in Conservatively Treated Orbital Fractures

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Christopher J. Layton
Keyword(s):  
Visual Acuity ◽  
Ocular Injury ◽  
Orbital Fractures ◽  
Facial Fractures ◽  
Tertiary Referral ◽  
Tertiary Referral Hospital ◽  
Fracture Characteristics ◽  
Factors Associated ◽  
Blowout Fracture ◽  
Highly Sensitive

Purpose.To determine factors associated with the presence of significant ocular injury in subjects with orbital fractures.Subjects.A consecutive prospective cohort of 161 patients presenting to a general tertiary referral hospital with orbital fractures and undergoing initial conservative treatment was identified. Subjects were assessed at time of injury for the need for emergency surgery, and those initially treated conservatively were subsequently followed up by the Ophthalmology Department to assess for ocular injury requiring ophthalmic management at 1–7 days after injury. Associations between ocular injury and age, sex, visual acuity, presence of blowout fracture, extent of orbital involvement, and presence of distant facial fractures were assessed.Results.142 male (average age of 32 [95% CI 30–35]) and 19 female (average age of 49 [95% CI 39–59]) subjects were identified. 17 subjects were diagnosed with significant ocular injury. Ocular injury was significantly associated with LogMAR VA worse than 0.2 (OR 49 [95% CI 11–217,P<0.0001]), but no relationship was noted for age, sex, presence of blowout fracture, extent of fractures, or presence of distal facial fractures. LogMAR visual acuity worse than or equal to 0.2 had a 98% negative predictive value for ocular injury in the setting of orbital fractures.Conclusions.Demographic and nonophthalmic fracture characteristics were not useful predictors of ocular injury in orbital fractures. LogMAR visual acuity worse than or equal to 0.2 is a highly sensitive and useful guide of the need for ophthalmic referral in subjects with orbital fractures.

Clinical factors associated with work disability in epilepsy: A cross-sectional study at a tertiary referral hospital

2021 ◽  
Vol 124 ◽  
pp. 108310
Author(s):  
Gea Mireia ◽  
Grau-López Lara ◽  
Jiménez Marta ◽  
Hernández-Stahl Marina ◽  
Fumanal Alejandra ◽  
...  
Keyword(s):  
Work Disability ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Sectional Study ◽  
Clinical Factors ◽  
Tertiary Referral ◽  
Tertiary Referral Hospital ◽  
Cross Sectional ◽  
Factors Associated

scholarly journals Factors associated with tuberculosis and multidrug-resistant tuberculosis in patients treated at a tertiary referral hospital in the state of Minas Gerais, Brazil

2020 ◽  
pp. e20180386-e20180386
Author(s):  
Valéria Martins Soares ◽  
Isabela Neves de Almeida ◽  
Lida Jouca de Assis Figueredo ◽  
João Paulo Amaral Haddad ◽  
Camila Stefanie Fonseca de Oliveira ◽  
...  
Keyword(s):  
Multidrug Resistant ◽  
Minas Gerais ◽  
The State ◽  
Referral Hospital ◽  
Tertiary Referral ◽  
Tertiary Referral Hospital ◽  
Factors Associated ◽  
Resistant Tuberculosis ◽  
Multidrug Resistant Tuberculosis

scholarly journals The Importance of Accurate, Early Bony Reconstruction in Orbital Injuries with Globe Loss

2011 ◽  
Vol 4 (3) ◽  
pp. 121-128 ◽  
Author(s):  
Craig Birgfeld ◽  
Joseph Gruss
Keyword(s):  
Bone Grafts ◽  
Visual Disturbance ◽  
Orbital Fracture ◽  
Ocular Injury ◽  
Fracture Treatment ◽  
Orbital Fractures ◽  
Facial Fractures ◽  
Prosthetic Rehabilitation ◽  
Orbital Reconstruction ◽  
Anophthalmic Orbit

Patients who sustain facial fractures frequently suffer from visual disturbance. Additionally, orbital fractures often involve ocular injury, which, not infrequently, may require enucleation. Yet an anophthalmic orbit does not obviate the need for aggressive orbital fracture treatment. In fact, treatment of the sequelae of the anophthalmic orbit can be difficult and require multiple surgeries. Intraoperative use of a conformer after accurate bony reduction and orbital reconstruction with bone grafts or orbital implants are essential steps to allow for prosthetic rehabilitation of the anophthalmic orbit.

scholarly journals Factors Associated with Mental Health Outcomes: Results from a Tertiary Referral Hospital in Lebanon during the COVID-19 Pandemic

2021 ◽  
Vol 16 (1) ◽  
pp. 1901438
Author(s):  
Fatima Msheik El Khoury ◽  
Farid Talih ◽  
Mohamad F El Khatib ◽  
Nadine Abi Younes ◽  
Midhat Siddik ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Referral Hospital ◽  
Mental Health Outcomes ◽  
Tertiary Referral ◽  
Tertiary Referral Hospital ◽  
Factors Associated

EFFICACY OF A NOVEL DEVICE TO DETECT, ALERT AND RESOLVE NEONATAL APNEA - PILOT STUDY

2019 ◽  
Vol 9 (9) ◽  
pp. 608-613
Author(s):  
Dr. Swapna Lingaldinna,Dr. Himabindu Singh,Mona Sharma*
Keyword(s):  
Newborn Care ◽  
Standard Of Care ◽  
The Novel ◽  
Tertiary Referral ◽  
Tertiary Referral Hospital ◽  
Care Community ◽  
Novel Device ◽  
Sick Newborn ◽  
Central Apneas ◽  
Neonatal Apnea

Objective: To measure the accuracy of a novel device in detecting Bradycardia andDesaturation (B&D) events and to determine its efficacy in resolving apneas innewborns with comparison to standard monitor (which only detects B&D eventsand alerts).Design: This was a prospective observational study.Setting: Sick Newborn Care Unit of a large tertiary referral hospital in Hyderabad,India.Methods: 31 newborns were provided with a novel device, which monitored oxygensaturation and pulse rate and alarmed when values dropped below a set thresholdwhich is referred as an event, henceforth. The novel device also provided footstimulation in response to above-mentioned events. When the monitor alarmed, anurse attended to the baby to confirm whether the baby was breathing and whetherthe event had been resolved by the device. If the event had not resolved, appropriateaction as per the standard-of-care was performed.Results: The novel device “ApneBootTM” positively detected B&D events 94.03% oftimes as compared to the standard reference monitor. 56 of 67 observed B&D eventswere visually confirmed to be apneas, indicating that 83.6% of B&D eventscoincided with apneas. Of the 56 apneic events, 50 were central apneas, of which 35were resolved by the novel device, making the device’s efficacy of apnea resolution70%.Conclusion: The results of the study indicate that this novel device “ApneBootTM”is very effective in detecting and alarming B&D events, which coincides with theapnea, and resolving it by providing foot stimulation.Keywords: Novel Device, Neonatal Apnea, Low Birth Weight, Body Temperature,Kangaroo Mother Care, Community Health,

scholarly journals Wrapping the pancreas with a polyglycolic acid sheet before stapling reduces the risk of fluid collection on the pancreatic stump after distal pancreatectomy

2021 ◽  
Author(s):  
Ji Su Kim ◽  
Seoung Yoon Rho ◽  
Dong Min Shin ◽  
Munseok Choi ◽  
Chang Moo Kang ◽  
...  
Keyword(s):  
Pancreatic Fistula ◽  
Distal Pancreatectomy ◽  
Fluid Collection ◽  
International Study ◽  
Polyglycolic Acid ◽  
Previous Method ◽  
Tertiary Referral ◽  
Tertiary Referral Hospital ◽  
Pancreatic Stump ◽  
Resection Line

Abstract Background Postoperative pancreatic fistula (POPF) and postoperative fluid collection (POFC) are common complications after distal pancreatectomy (DP). The previous method of reducing the risk of POPF was the application of a polyglycolic acid (PGA) sheet to the pancreatic stump after cutting the pancreas with a stapler (After-stapling); the new method involves wrapping the pancreatic resection line with a PGA sheet before stapling (Before-stapling). The study aimed to compare the incidence of POPF and POFC between two methods. Methods Data of patients who underwent open or laparoscopic DPs by a single surgeon from October 2010 to February 2020 in a tertiary referral hospital were retrospectively analyzed. POPF was defined according to the updated International Study Group of Pancreatic Fistula criteria. POFC was measured by postoperative computed tomography (CT). Results Altogether, 182 patients were enrolled (After-stapling group, n = 138; Before-stapling group, n = 44). Clinicopathologic and intraoperative findings between the two groups were similar. Clinically relevant POPF rates were similar between both groups (4.3% vs. 4.5%, p = 0.989). POFC was significantly lesser in the Before-stapling group on postoperative day 7 (p < 0.001). Conclusions Wrapping the pancreas with PGA sheet before stapling was a simple and effective way to reduce POFC.

Incidence of Ocular Injury in Visually Asymptomatic Orbital Fractures

2009 ◽  
Vol 25 (4) ◽  
pp. 306-308 ◽  
Author(s):  
Peter A. Mellema ◽  
Mohit A. Dewan ◽  
Michael S. Lee ◽  
Scott D. Smith ◽  
Andrew R. Harrison
Keyword(s):  
Ocular Injury ◽  
Orbital Fractures
Sign in / Sign up

Export Citation Format

Share Document