Effects of the COVID-19 Pandemic on the Epidemiology of Knee and Shoulder Arthroscopy

The purpose of our study was to comprehensively assess the effect of the COVID-19 pandemic on knee and shoulder arthroscopy performed in an orthopedic department of a university hospital in Poland. This study compared the data on all shoulder and knee arthroscopy procedures performed in two different periods: The period of the COVID-19 pandemic in Poland (from March 4, 2020, to October 15, 2020) and the corresponding period prior to the pandemic (March 4, 2019, to October 15, 2019). The study evaluated epidemiological data, demographic data, and hospital stay duration. The total number of arthroscopy procedures conducted in the evaluated period in 2020 was approximately 8.6% higher than that in the corresponding 2019 period. The mean duration of hospital stay for orthopedic patients after their knee or shoulder arthroscopy was 3.1 days in 2020 and 2.8 days in 2019. Our study revealed the mean age of arthroscopy patients during the pandemic to be lower at 48.4 years than the 51.2 years recorded in 2019. The male-to-female ratio was shown to be lower at .85 during the pandemic, having decreased from 1.5 in 2019. The COVID-19 pandemic did not reduce the number of arthroscopy performed at our center, and the mean age of the patients did not change. However, the pandemic had a marked effect on the mean duration of hospital stay and male-to-female ratio.

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Effects of the COVID-19 Pandemic on the Epidemiology of Knee and Shoulder Arthroscopy Procedures in a University Hospital Department in Poland

10.21203/rs.3.rs-146656/v1 ◽

2021 ◽

Author(s):

Krystian Kazubski ◽

Łukasz Tomczyk ◽

Piotr Morasiewicz

Keyword(s):

Hospital Stay ◽

Shoulder Arthroscopy ◽

Demographic Data ◽

Epidemiological Data ◽

University Hospital ◽

Female Ratio ◽

Duration Of Hospital Stay ◽

The Mean ◽

Orthopedic Patients ◽

Male To Female

Abstract Background: The purpose of our study was to comprehensively assess the effect of the COVID-19 pandemic on knee and shoulder arthroscopies performed in an orthopedic department of a university hospital in Poland.Methods: This study compared the data on shoulder and knee arthroscopy procedures performed in two different periods: the period of the COVID-19 pandemic in Poland (from March 4, 2020 to October 15, 2020) and the corresponding period prior to the pandemic (March 4, 2019–October 15, 2019). The study evaluated epidemiological data, demographic data, and hospital stay duration.Results: The total number of arthroscopy procedures conducted in the evaluated period in 2020was approximately 8.6% higher than that in the corresponding 2019 period.The mean duration of hospital stay for orthopedic patients after their knee or shoulder arthroscopy was 3.1 days in 2020 and 2.8 days in 2019. Our study revealed the mean age of arthroscopy patients during the pandemic to be lower at 48.4 years than the 51.2 years recorded in 2019.The male-to-female ratio was shown to be lower at 0.85 during the pandemic, having decreased from 1.5 in 2019Conclusions: The COVID-19 pandemic did not reduce the number of arthroscopies performed at our center and the mean age of the patients did not change. However, the pandemic had a marked effect on the mean duration of hospital stay and male-to-female ratio.

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EVALUATION OF LONGO’S HEMORRHOIDECTOMY AT HUE UNIVERSITY HOSPITAL

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2012.6.10 ◽

2012 ◽

pp. 79-85

Author(s):

Van Lieu Nguyen ◽

Doan Van Phu Nguyen ◽

Thanh Phuc Nguyen

Keyword(s):

Hospital Stay ◽

Perioperative Complications ◽

University Hospital ◽

Anal Pain ◽

Stapled Hemorrhoidectomy ◽

Fourth Degree ◽

Duration Of Hospital Stay ◽

The Mean ◽

Good For

Introduction: Since Longo First described it in 1998, Stapled Hemorrhoidectomy has been emerging as the procedure of choice for symtomatic hemorrhoid. Several studies have shown it to be a safe, effective and relative complication free procedure. The aim of this study was to determine the suitability of (SH) as a day cas procedure at Hue University Hospital. Methods: From Decembre 2009 to April 2012, 384 patients with third- degree and fourth-degree hemorrhoids who underwent Stapled Hemorrhoidectomy were included in this study. Parameters recorded included postoperative complications, analegic requirements, duration of hospital stay and patient satisfaction. Follow-up was performed at 1 month and 3 months post-operative. Results: Of the 384 patients that underwent a Stapled Hemorrhoidectomy 252 (65,7%) were male and 132 (34,3%) were female. The mean age was 47,5 years (range 17-76 years. Duration of hospital stay: The mean day was 2,82 ± 1,15 days (range 1-6 days). There were no perioperative complications. There was one case postoperative complication: hemorrhage; Follow-up after surgery: 286 (74,4%) patients had less anal pain, 78 (20,3%) patients had moderate anal pain, 3 (0,8%) patients had urinary retention; Follow-up after one month: good for 325 (84,6%) patients, average for 59 (15,4%) patients; Follow-up after three months: good for 362 (94,3%) patients, average for 22 (5,7%) patients. Conclusion: Our present study shows that Stapled Hemorrhoidectomy is a safe, reduced postoperative pain, shorter hospital stay and a faster return to unrestricted daily activity

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Sociodemographic and Clinical Factors of Acute Ischemic Stroke

Bangladesh Journal of Neuroscience ◽

10.3329/bjn.v33i1.57464 ◽

2017 ◽

Vol 33 (1) ◽

pp. 18-23

Author(s):

Md Amir Hossain ◽

MA Hannan ◽

Kanuj Kumar Barman ◽

Prodip Kumar Biswas ◽

Merina Jahan ◽

...

Keyword(s):

Diabetes Mellitus ◽

Risk Factors ◽

Ischemic Stroke ◽

Hospital Stay ◽

Heart Diseases ◽

Current Smoker ◽

Ischemic Heart ◽

University Hospital ◽

Female Ratio ◽

The Mean

An observational study was carried out to analyze prevalence of risk factors for ischemic stroke in hospitalized patient in a university hospital. Ninety patients were chosen by using purposive sampling technique. The mean age of patients was 59.01±9.87 years varied from 30 to 75 years and male to female ratio was 1.2:1. Highest incidence of stroke was between the 6th and 7th decade. Patients came from both rural 49 (54.4%) and urban 41 (45.6) area. Most of them belonged to the lower-middle group 70 (84.8%). Regarding education 47 (52.2%) patients had primary level education and 8 (8.9%) patients were illiterate. It was observed that among them current smoker were 30 (33.3%) and ex-smoker 17 (18.9%). It was also observed that 52 (57.8%) patients had hypertension and 32 (35.6%) had diabetes mellitus (DM). Ischemic heart disease was present in 14 (15.6%) patients. By Oxford shire classification of stroke, it was observed that PAC is common 51 (56.7%) among all forms. Majority 38 (42.2%) of patients had hospital stay of 11-15 days. The mean hospital stay was found 13.68±6.6 days. This study found that cigarette smoking, hypertension, diabetes mellitus and ischemic heart diseases are the major risk factors prevalent in our community while other risk factors demand further study. Bangladesh Journal of Neuroscience 2017; Vol. 33 (1): 18-23

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Comparative study of the outcome of surgical decompression in Ludwig’s angina by conventional skin incision versus multiple interrupted skin incisions

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20204631 ◽

2020 ◽

Vol 6 (11) ◽

pp. 2054

Author(s):

Kulkarni Manik Rao ◽

Navneeth T. P. ◽

Vivek S. ◽

Sonu S. Rathod

Keyword(s):

Hospital Stay ◽

Skin Incision ◽

Conventional Group ◽

Female Ratio ◽

Life Threatening ◽

Common Etiology ◽

Ludwig’S Angina ◽

The Mean ◽

Male To Female ◽

Ludwig's Angina

Background: Ludwig’s angina is a potentially life threatening infection characterized by a rapidly progressing, bilateral gangrenous cellulitis of all the three primary mandibular spaces namely submental, submandibular and sublingual. If left untreated the cellulitis can progress swiftly to produce obstruction of airway and death. Despite that, no specific guidelines exist and management is greatly dependent on clinical judgement and experience.Methods: Forty cases of patients with Ludwig’s angina, attending the department of otorhinolaryngology were included in this study and were randomly allocated into conventional incision (CI) and multiple incisions (MI) groups. Following informed written consent, either conventional incision or multiple small incisions were used for drainage and the outcomes analysed. Results: The mean age of patients was 28.4 years and majority of the patients belonged to 20-40 years age group. Male to female ratio was 2.3:1.The most common etiology was odontogenic. The outcome of both the conventional group and multiple small incisions group were comparable. The mean hospital stay of the conventional group was 10.25 days and multiple incisions group was 5.31 days which was statistically significant.Conclusions: Multiple small incisions for the drainage of Ludwig’s angina is a safe and less invasive alternative method, with the advantages being shorter hospital stay and better cosmesis without an increase in complications.

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Patterns and Outcomes of Cutaneous Adverse Drug Reactions in a Hospital Based Study

Nepal Journal of Dermatology Venereology & Leprology ◽

10.3126/njdvl.v15i1.18051 ◽

2017 ◽

Vol 15 (1) ◽

pp. 44-48 ◽

Cited By ~ 1

Author(s):

Upama Paudel ◽

S Parajuli ◽

DB Pokhrel

Keyword(s):

Hospital Stay ◽

Teaching Hospital ◽

Initial Period ◽

Drug Reactions ◽

Drug Induced ◽

Female Ratio ◽

Duration Of Hospital Stay ◽

The Common ◽

Male To Female ◽

Hospital Stay Duration

Introduction : Drug reactions are one of the common reasons for admission in the Dermatological beds. Data on the culprit drugs and patterns of reaction are very scarce in Nepal.Objective:To determine the patterns of drug reactions admitted in Tribhuwan University (TU) Teaching hospital, the causes of drug reactions, duration of hospital stay, duration of steroid use and the outcome of the treatment.Material and Methods: This was a retrospective study done in TU Teaching Hospital. The admissions and discharge record of admitted patients from 15th April 2008 to 14th April 2012 were analyzed for the variables mentioned above.Results: There were 61 new patients of drug reactions; however only files of 42 patients could be studied.The mean age of the patients was 32.26 ± 15.26 with male to female ratio of 1.8:1. Stevens Johnson’s syndrome (35.7%) was the commonest cause of admission followed by drug induced erythroderma (16.7%) and toxic epidermal necrolysis (11.9%). Carbamazepine, Phenytoin and allopurinol were the most common drugs for the reactions. The median time for the appearance of the lesions was 20.07 days. The median duration of hospital stay was 7 days. Steroids were used for initial treatment for around 4.9 ± 1.7 days. 83.3% of the patients improved while 11.9% succumbed despite optimal management.Conclusion: Severe drug reactions were the common reasons for admissions in our hospital. Anti-epileptics were the leading cause for the reactions. Steroids were used for initial period and rapidly tapered off in short duration. Overall, the outcomes of the treatment were good.

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The Epidemiology of Hip and Knee Primary and Revision Arthroplasties during the COVID-19 Pandemic

Healthcare ◽

10.3390/healthcare9050519 ◽

2021 ◽

Vol 9 (5) ◽

pp. 519

Author(s):

Krystian Kazubski ◽

Łukasz Tomczyk ◽

Bartosz Kopczyński ◽

Piotr Morasiewicz

Keyword(s):

Hospital Stay ◽

Male Patient ◽

Knee Arthroplasty ◽

Demographic Data ◽

Epidemiological Data ◽

Revision Arthroplasties ◽

Hospital Stays ◽

The Mean ◽

Knee And Hip Arthroplasty ◽

The Impact

Background: The purpose of this study was to provide a comprehensive assessment of the impact of the COVID-19 pandemic on the epidemiology of primary and revision arthroplasties of the hip and knee joint. Methods: This study compared the data on knee and hip arthroplasty procedures from 2 hospitals (primary and revision) conducted in two periods: the period of the COVID-19 pandemic in Poland (from 4 March 2020 to 15 October 2020) and the corresponding period prior to the pandemic (from 4 March 2019 to 15 October 2019). We compared the epidemiological data, demographic data, and hospital stay duration data from these two periods. Results: Our analysis demonstrated that the total number of hip arthroplasties conducted in 2020 decreased by 26% in comparison with 2019. In the case of knee arthroplasties, the total number of procedures in the evaluated period in 2020 decreased by 44%. Our study also showed that the mean time of hospital stay for orthopedic patients following hip or knee arthroplasty was 22.87% shorter. The female-to-male patient ratio decreased between the analyzed periods, and this was 22.96% lower during the pandemic. Conclusion: The COVID-19 pandemic in these two hospitals in Poland led to reduced numbers of hip and knee replacement procedures, shorter hospital stays, and a decreased female-to-male patient ratio. The mean age of patients undergoing hip or knee arthroplasty remained unchanged during the national lockdown with respect to the pre-pandemic figure.

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Accidental childhood poisoning in Paediatrics department of a tertiary care facility: A retrospective review

Nigerian Journal of Paediatrics ◽

10.4314/njp.v47i3.4 ◽

2020 ◽

Vol 47 (3) ◽

Author(s):

D.C. Obu ◽

M.C. Orji ◽

U.V. Muoneke ◽

U.V. Asiegbu ◽

G.O. Ezegbe

Keyword(s):

Tertiary Care ◽

Care Facility ◽

Accidental Poisoning ◽

Female Ratio ◽

The Public ◽

Tertiary Care Facility ◽

Childhood Poisoning ◽

The Mean ◽

The Relationship ◽

Male To Female

Background: Accidental childhood poisoning is a recognized preventable cause of morbidity and mortality among children worldwide. This studywas aimed at determining the prevalence, pattern, and outcome of childhood poisoning among children in Abakaliki, Ebonyi State. Material and Methods: Medical records of all cases of accidental childhood poisoning admitted into Children’s emergency room (CHER) of the health facility of study between January 2014 and December 2018 were retrospectively identified and relevant data extracted and analyzed usingSPSS version 22. Results: Out of the 7,700 children that presented to CHER over a 5- year period, 42 were cases of poisoning, giving prevalence rate of 0.5%. Of the 42 cases, only 20 case notes were retrieved. The male to female ratio was 2.3:1 while the ages ranged between 6months and 14 years with the mean age of 3.06±2.88. Kerosene poisoning had the highest proportion of 50.0% (10/20) with the overall mortality rate of 5.0% (1/20).The relationship between age, place of residence and outcome in poisoned children was statistically significant (p = 0.038, 0.045 respectively). Conclusion: Accidental childhood poisoning is common in Abakaliki. Kerosene still remained the major agent while male toddlers were most vulnerable. There is need to intensify enlightenment campaigns and education of the public about the hazard of improper storage of kerosene and other implicated substances at home. Keywords: Accidental poisoning, Childhood, Kerosene

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Erratum to: Duration of Hospital Stay Following Orthognathic Surgery at the Jordan University Hospital

Journal of Maxillofacial and Oral Surgery ◽

10.1007/s12663-014-0627-7 ◽

2014 ◽

Vol 14 (2) ◽

pp. 518-518

Author(s):

Fadi Jarab ◽

Esam Omar ◽

Ahmed Bhayat ◽

Samir Mansuri ◽

Sami Ahmed ◽

...

Keyword(s):

Hospital Stay ◽

Orthognathic Surgery ◽

University Hospital ◽

Duration Of Hospital Stay

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Diagnostic Accuracy of Rapid Diagnostic Kits Test for Diagnosis of Malaria

10.53350/pjmhs2115102826 ◽

2021 ◽

Vol 15 (10) ◽

pp. 2826-2828

Author(s):

Muhammad Ahsan Zafar ◽

Sidra Khalid ◽

Talha Munir

Keyword(s):

Diagnostic Accuracy ◽

Gold Standard ◽

Female Ratio ◽

Diagnostic Kits ◽

Negative Results ◽

Malaria Antigen ◽

The Mean ◽

Sensitivity Specificity ◽

Age Range ◽

Male To Female

Objective: To assess the diagnostic accuracy of rapid diagnostic kits test for diagnosis of malaria taking microscopy as gold standard Methodology: A total of 375 cases with age range 18-65 years of either gender as suspected for malaria were included in the study. We excluded all those cases already taking anti-malarial drugs. The study was conducted at Chughtais Lahore Lab, Lahore. Required blood sample were obtained following aseptic measures. Malaria RDT SD Bioline Malaria Antigen Pf/Pan (Catalogue No. 05FK60, Standard Diagnostics Inc, Hagal-Dong, Korea, from now on referred as “SD RDT”) was used. Patients were labeled as positive or negative on the basis of reports from hematology department assessed by microscopy and patients were labeled as positive or negative Results: The mean age of the patients was 41.84±13.44 years, male to female ratio of the patients was 1.01:1. The sensitivity, specificity, and diagnostic accuracy of the RDT for diagnosing malaria was 96.79%, 96.28% and 96.53% respectively taking microscopy as gold standard Conclusion: Rapid diagnostic kits is very useful reliable test with high diagnostic accuracy for diagnosis of malaria taking microscopy as gold standard Keywords: Microscopy, Rapid Diagnostic kits, Malaria,

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Apheresis-Adverse Events in Man and Machine Individualities

Faridpur Medical College Journal ◽

10.3329/fmcj.v14i1.46162 ◽

2020 ◽

Vol 14 (1) ◽

pp. 27-30

Author(s):

Md Ashraful Hoque ◽

Kashfia Islam ◽

Selina Akter

Keyword(s):

Adverse Reaction ◽

Adverse Events ◽

Adverse Reactions ◽

Key Factors ◽

Serious Adverse Events ◽

Female Ratio ◽

The Mean ◽

Male To Female ◽

Citrate Toxicity ◽

Common Adverse Reaction

Adverse events due to platelet pheresis are not unheard of citrate related reactions being the most common. Most of these events are mild and self limiting. The current study describes adverse events in platelet pheresis using modern apheresis systems. This prospective study included 1455 platelet pheresis procedures done from July 2016 to December 2017. Procedures were performed on Hemonetics MCS+, Trima Accel and Cobe spectra cell separators. The endpoint of each procedure was a yield of 3 × 1011 platelets (PLTs) per unit. Donor adverse reaction if any was managed, reported, and documented. The median age of donors was 31 years with male to female ratio of 13:1. The median body surface area and body mass index were 1.64 m2 and 22.4 kg/m2, respectively. The mean PLT count of donors was 199.8 × 103/uL with a mean hemoglobin value of 13.6 g/dl. ACD infusion was significantly more in the Hemonetics MCS+, (P< 0.01). Donation time was least with the Trima compared to Hemonetics MCS+ (P< 0.01) and Cobe (P< 0.001). Total whole blood volume processed was higher in Hemonetics MCS+, (P< 0.01). Paresthesia due to citrate toxicity was the most common adverse reaction (65.3%), and vascular injury was observed in only five donors. The overall incidence of adverse reaction was 3.4%. Serious adverse events were not observed. The modern generation apheresis machines are more donors friendly and cause less adverse reactions compared to the older versions. Good donor screening, optimized donor physiognomic and hematological values and skilled operators are the key factors in reaction reduction by apheresis. Faridpur Med. Coll. J. Jan 2019;14(1): 27-30

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