scholarly journals Time for a Break: Admissions to an Urban Emergency Department after Working Out—A Retrospective Study from Switzerland

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Valentina A. Imstepf ◽  
Christian T. Braun ◽  
Meret E. Ricklin ◽  
Aristomenis K. Exadaktylos
Keyword(s):  
Emergency Department ◽  
Retrospective Study ◽  
Soft Tissue Injuries ◽  
Epileptic Seizures ◽  
Strenuous Physical Activity ◽  
The Mean ◽  
University Department ◽  
The University ◽  
Working Out ◽  
Urban Emergency Department

Background. The present retrospective study was intended to investigate whether working out and other low-speed sports can provoke cardiovascular, neurological, or traumatic damage.Material and Methods. Patient data from 2007 to 2013 was collected and saved at the university department of emergency medicine in an electronic patient record database.Results. Of the 138 patients included in this study, 83.3% (n=115) were male and 16.7% female (n=23). Most admissions were due to musculoskeletal accidents (n=77; 55.8%), followed by neurological incidents (n=23; 16.7%), cardiovascular incidents (n=19; 13.8%), soft tissue injuries (n=3; 2.2%), and others (n=16; 11.6%). The mean age of the allover injured people was 36.7 years. The majority of the patients (n=113; 81.9%) were treated as outpatients; 24 (17.4%) were inpatients.Discussion. In Switzerland, this is the first study that describes emergency department admissions after workout and examines trauma and neurological and cardiovascular incidents. As specific injuries, such as brain haemorrhages, STEMIs, and epileptic seizures, were relatively frequent, it was hypothesised that workout with its physiological changes may be an actual trigger for these injuries, at least for a specific population.Conclusion. Strenuous physical activity may trigger the risk of cardiovascular, neurological, or trauma events.

scholarly journals Temporomandibular joint dislocation: a retrospective study from a Swiss urban emergency department

2018 ◽  
Vol Volume 10 ◽  
pp. 171-176
Author(s):  
Giorgos Papoutsis ◽  
Sylvana Papoutsi ◽  
Jolanta Klukowska-Rötzler ◽  
Benoît Schaller ◽  
Aristomenis Exadaktylos
Keyword(s):  
Emergency Department ◽  
Retrospective Study ◽  
Temporomandibular Joint ◽  
Joint Dislocation ◽  
Temporomandibular Joint Dislocation ◽  
Urban Emergency Department

scholarly journals Correlation Between Dysphagia and Malocclusion in Rett Syndrome: A preliminary study

2019 ◽  
Vol 18 (4) ◽  
pp. 489
Author(s):  
Serena Cocca ◽  
Massimo Viviano ◽  
Michele Loglisci ◽  
Stefano Parrini ◽  
Giovanni Monciatti ◽  
...  
Keyword(s):  
Rett Syndrome ◽  
Epileptic Seizures ◽  
University Hospital ◽  
Severe Dysphagia ◽  
Feeding And Eating Disorders ◽  
Craniofacial Dysmorphism ◽  
The Mean ◽  
Preliminary Study ◽  
The University ◽  
Mild Dysphagia

Objectives: Rett syndrome (RS) is a severe neurological developmental disorder characterised by stereotypical hand movements, epileptic seizures, craniofacial dysmorphism and digestive dysfunction. This study aimed to examine the correlation between the severity of malocclusion and dysphagia in patients with RS. Methods: This preliminary study was conducted at the Ear, Nose & Throat Clinic of the University Hospital of Siena, Siena, Italy, from January 2014 to December 2017. A total of 56 patients with RS were examined and grouped according to the severity of dysphagia (absent, mild, moderate or severe) and malocclusion (<2 mm, 2–3 mm, 3–4 mm or >4 mm). Results: All of the patients were female and the mean age was 11.3 years. Eight (14.3%) patients had mild, 18 (32.1%) had moderate and 30 (53.6%) had severe dysphagia. Four (7.1%) patients had <2 mm occlusion, 10 (17.9%) had 2–3 mm occlusion, 26 (46.4%) had 3–4 mm occlusion and 16 (28.6%) had >4 mm occlusion. Mild dysphagia was observed in 100% and 40% of patients with <2 and 2–3 mm malocclusion, respectively, while moderate dysphagia was present in 60% and 38.5% of patients with 2–3 and 3–4 mm malocclusion, respectively. Severe dysphagia was observed in 28.6% and 87.5% of patients with 3–4 and >4 mm malocclusion, respectively. There was a significant correlation between dysphagia and malocclusion severity (P <0.001). Conclusion: A higher degree of malocclusion was associated with more severe dysphagia among a cohort of patients with RS.Keywords: X-Linked Mental Retardation; Rett Syndrome; Dysphagia; Malocclusion; Feeding and Eating Disorders of Childhood.

scholarly journals Limited Mobility to the Bed Reduces the Chances of Discharge and Increases the Chances of Death in the ICU

2021 ◽  
Vol 12 (1) ◽  
pp. 8-16
Author(s):  
Talita Leite dos Santos Moraes ◽  
Joana Monteiro Fraga de Farias ◽  
Brunielly Santana Rezende ◽  
Fernanda Oliveira de Carvalho ◽  
Michael Silveira Santiago ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Retrospective Study ◽  
Medical Records ◽  
High Mobility ◽  
University Hospital ◽  
Limited Mobility ◽  
The Mean ◽  
The University

Background: Progressive mobility in the ICU has been recommended; however, the definitions of low, moderate, and high mobility in the ICU still diverge between studies. Therefore, our objective was to classify the mobility of the sample from verticalization and active withdrawal from the bed, and from that, to analyze the chances of discharge, death, and readmission to the ICU. Materials and methods: This is an observational and retrospective study that consults the medical records of individuals admitted to the ICU of the University Hospital of Sergipe (HU/SE) between August 2017 and August 2018. Mobility level was classified based on the Intensive Care Unit Mobility Scale (IMS). Results: A total of 121 individuals were included. The mean age was 61.45 ± 16.45, being 53.7% female. Of these, 28 (23.1%) had low mobility, 33 (27.3%) had moderate mobility, and 60 (49.6%) had high mobility. Individuals with low mobility were 45 times more likely to die (OR = 45.3; 95% CI = 3.23–636.3) and 88 times less likely to be discharged from the ICU (OR = 0.22; 95% CI = 0.002–0.30). Conclusion: Those who evolved with low mobility had a higher chance of death and a lower chance of discharge from the ICU. Moderate and high mobility were not associated with the investigated outcomes.

scholarly journals Evolution over 11 years of the characteristics of walk-in patients at the emergency department of a university hospital in Brussels

2019 ◽  
Vol 12 (1) ◽  
pp. 34-42 ◽  
Author(s):  
Merita Hysenbegasi ◽  
◽  
Ives Hubloue ◽  
Rita Vanobberghen ◽  
Jan Kartounian ◽  
...  
Keyword(s):  
Emergency Department ◽  
Family Physician ◽  
University Hospital ◽  
The Mean ◽  
The University ◽  
Standing Problem ◽  
Over Time

Walk-in patients who do not require urgent treatment at an emergency department (ED) are a known and long-standing problem. This study aims to investigate the characteristics of walk-in patients visiting the ED over time. During four days in June 2012, all walk-in patients attending the ED of the University Hospital Brussels between 8 AM and 11 PM were recorded. A similar registration took place in the same ED in June 2001. Patients completed a questionnaire about their characteristics and the reason for the encounter. Data of both study periods were compared. The mean age of the patients attending the ED was significantly lower in 2001 (40.9 years) than in 2012 (43.9 years) (p=0,02). In 2001, 81% of the participants had Belgian nationality, but in 2012 this proportion increased to 90% (p=0.008). In 2001 as well as in 2012, 21% of the participants had a referral from their family physician (FP) (p=0.9). The proportion of patients that were aware that FP could also handle some emergencies increased from 17% in 2001 to 29% in 2012 (p=0.003). More patients had complaints that begun less than 24h before they attended the ED (48% in 2001 and 58% in 2012) (p=0.03). The walk-in patients at the ED are getting slightly older and are attending the ED faster after the onset of the complaints. More patients judge their complaints as urgent. However, more patients are getting aware that FP also could handle some emergencies.

Pediatric Equestrian Injuries: Assessing The Impact of Helmet Use

PEDIATRICS ◽  
1995 ◽  
Vol 95 (4) ◽  
pp. 487-489
Author(s):  
G. Randall Bond ◽  
Richard A. Christoph ◽  
Bradley M. Rodgers
Keyword(s):  
Emergency Department ◽  
Prospective Observational Study ◽  
Injury Severity ◽  
Head Injuries ◽  
University Of Virginia ◽  
Severity Scale ◽  
Helmet Use ◽  
The Mean ◽  
The University ◽  
The Impact

Objective. To assess the impact of helmet use on the pattern, and severity of pediatric equestrian injuries. Design. A prospective observational study of all children less than 15 years of age who were brought to the University of Virginia children's Emergency Department with horse-related injuries. Results. During the two-year period of the study, 32 children were evaluated. Two children were injured when a horse stepped on them. Thirty children fell from or were thrown from a horse. Of these, 20 were wearing a helmet. Head injuries were more frequent in those patients not wearing helmets. The mean Modified Injury Severity Scale (MISS) score for riders without a helmet (12.9) was significantly higher (more severe) than that for helmeted riders (2.8). All three patients with a Glascow Coma Score &lt;15 on arrival were not wearing a helmet at the time of injury. The frequency of hospitalization was significantly higher for those not wearing a helmet. Compared with other common mechanisms of childhood injury the mean Modified Injury Severity Scale score of injured riders was exceeded only by that of pedestrians struck by a car. Conclusion. Equestrian injuries are more severe than those suffered from other common pediatric mechanisms. Helmet use is associated with decreased frequency and severity of central nervous system injury.

scholarly journals (A174) Epidemiology, Seasonality, and Geo-Distribution of Trap Gun Injuries in Anuradhapura Area

2011 ◽  
Vol 26 (S1) ◽  
pp. s49-s49
Author(s):  
L. Dassanayake ◽  
A. Karunarathne ◽  
T. Illangasinghe
Keyword(s):  
Retrospective Study ◽  
Soft Tissue Injuries ◽  
Trigger Mechanism ◽  
Rural Villages ◽  
Limb Injuries ◽  
Game Reserve ◽  
The Mean ◽  
A Prospective Study ◽  
Agricultural Areas ◽  
Age Range

A trap gun (TG) is a locally manufactured, illegal barreled weapon with a simple trigger mechanism. Trap guns are frequent in agricultural areas of the country. Once the gun is set, it bursts automatically upon the triggering. Since there is no present person selecting the target, the gun injures both animals and humans. A retrospective study was carried out to identify geo-spatial distribution, seasonal variation and injury patterns of TG injuries brought to Teaching Hospital Anuradhapura during 2007 to 2009. A prospective study will identify those in a more detailed manner. The abstract discusses some findings of this ongoing study and the retrospective study. In 2007 there were 107 TG injuries, and 68 in 2008. In 2009 the number increased to 126. Of the victims, 97.5% were males. The mean age was 36.98 years (SD = 11.36), with an age range of 13–69 years and an Inter Quartile Range (IQR) of 29–43 years. The majority of the injuries were lower limb injuries. A significant percentage showed compound fractures and soft tissue injuries. Amputations due to vascular injuries were low (1.5%). Of the cases, 99.5% were from peripheral rural villages. Tap gun injuries are less common during the “Yala” farming season extending from May to September, during which Anuradhapura gets less rain. Yet number of TG victims steadily increases as the “Yala” progresses. This trend continues during the initial half of “Maha” season. It gradually deceases in the latter part of “Maha”. Trap gun injuries remain below average from February to July with the lowest number in April. The incidence of TG injuries is higher in Northwesterly administrative areas throughout the year, which share a common border with the “Wilpattu” game reserve. Further studies should be carried out to identify behavioral and socio-economical risks and economics of TG injuries.

scholarly journals La Pathologie Anorectale Au Chu Campus De Lome (Togo)

2017 ◽  
Vol 13 (3) ◽  
pp. 423
Author(s):  
A. Bagny ◽  
LM. Lawson-Ananissoh ◽  
O. Bouglouga ◽  
YR. El Hadji ◽  
LY. Kaaga ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Young Patients ◽  
Rectal Polyp ◽  
Hemorrhoidal Disease ◽  
University Teaching ◽  
Anal Pain ◽  
Digestive Endoscopy ◽  
Male Predominance ◽  
The Mean ◽  
The University

Objective: To describe the clinical and endoscopic presentation of anorectal pathologies in the gastroenterology department of the CHU campus of Lomé. Patients and methods: Retrospective study based on reports of low digestive endoscopy carried out at the university teaching hospital Campus of Lome. We collected the age of the patients, their sex, the indications of the examination and the different anorectal lesions encountered. Results: The mean age was 41.8 ± 14.3 years. There was a predominance of 30-40 years (38.8%). There was also a male predominance with a sex ratio of 1.6. The most frequent indication was rectal bleeding (64.1%). Anal pain was found in 40.8% of cases. The most frequent lesions were hemorrhoids (69.9%) and anal fistula in 8.7% of cases. Cancer of the anus was rarely observed (1.9%) as was the rectal polyp (0.1%). Conclusion: Anorectal pathologies are relatively frequent in our department, especially in young patients and are dominated by hemorrhoidal disease.

scholarly journals Clinicoepidemiology of Skin Diseases in Children Seen at the University Hospital Center Morafeno, Toamasina, Madagascar

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Irina Mamisoa Ranaivo ◽  
Fandresena Arilala Sendrasoa ◽  
Malalaniaina Andrianarison ◽  
Moril Sata ◽  
Onivola Raharolahy ◽  
...  
Keyword(s):  
Retrospective Study ◽  
East Coast ◽  
Skin Diseases ◽  
University Hospital ◽  
Dermatology Department ◽  
Preventive Actions ◽  
The World ◽  
The Mean ◽  
The University ◽  
Hospital Center

Introduction. The child’s skin diseases are common and very diverse. Many studies concerning pediatric dermatoses have been carried out in Africa and the rest of the world. Few epidemioclinical data reflect these skin diseases in children, especially in the east coast of Madagascar. We aim to describe the pattern skin diseases among children seen at the University Hospital Center Morafeno, Toamasina, Madagascar. Patients and Methods. A retrospective study over a 3-year period from January 2017 to December 2019 was conducted in children seen in the Dermatology Department of University Hospital Center Morafeno, Toamasina, with skin diseases. Results. During the study period, 347 children out of the 1584 new patients were retained with a sex ratio of 0.86. The mean age was 6.4 years old. The main diseases identified were skin infectious diseases (43, 23%), allergic dermatoses (24.21%), and autonomous dermatosis (15.56%). Conclusion. Our study revealed the importance of infectious and allergic dermatoses in Toamasina. It is necessary to carry out simple preventive actions such as hygiene.

scholarly journals Management and Burden of Acute Migraine at the Emergency Department in Southwest China: a Retrospective Study

2021 ◽  
Author(s):  
Yang Zhang ◽  
Wenjing Ge ◽  
Ning Chen ◽  
Jian Guo ◽  
Muke Zhou ◽  
...  
Keyword(s):  
Emergency Department ◽  
Retrospective Study ◽  
Emergency Room Visits ◽  
West China Hospital ◽  
West China ◽  
Disease Costs ◽  
Inflammatory Drugs ◽  
The Mean ◽  
Mean Cost ◽  
Timely Referral

Abstract Background:Migraine is the most common cause of headache patients for medical consultation to emergency department (ED). However, the management and cost of those patients are less known. Our study aimed to survey detailed diagnosis, clinical characteristics, management, and cost of migraine patients in the emergency department in ChinaMethods:We performed a retrospective study from April 1, 2014, and September 31, 2020, at West China Hospital. This study enrolled patients with migraine diagnoses and analyzed their investigations, medical treatment and cost during their stay at ED. Results:Our study included 300 patients, 77.3% were female and the mean age was 38 years. 36% were conducted cranial CT scan. Non-steroidal anti-inflammatory drugs (NSAIDs) were the most used at ED. We found that none of the patients received triptans nor prophylaxis medicine. The mean cost of emergency room visits was 57.17USD.Conclusion:Our study found that most migraine patients who came to the ED were not receiving the evidence-based acute treatment. A timely referral system should be established to minimize the disease costs of patients.

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