Re: Dolan RT, Butler JS, Murphy SM, Hynes D, Cronin KJ. Health-related quality of life and functional outcomes following nerve transfers for traumatic upper brachial plexus injuries. J Hand Surg Eur. 2012, 37: 642-51

2013 ◽  
Vol 38 (2) ◽  
pp. 217-218
Author(s):  
T. Hems
2011 ◽  
Vol 37 (7) ◽  
pp. 642-651 ◽  
Author(s):  
R. T. Dolan ◽  
J. S. Butler ◽  
S. M. Murphy ◽  
D. Hynes ◽  
K. J. Cronin

We report the patient-scored Health-Related Quality of Life (HRQoL) and functional outcomes of a cohort of 21 consecutive patients undergoing nerve transfer surgery for traumatic upper brachial plexus injuries. Outcomes were assessed using the British Medical Research Council power grading system, Short-Form 36, Disability of Arm, Shoulder and Hand questionnaire, and Pain Visual Analogue Scale (PVAS). The mean age of our cohort was 29.8 years (range 18–53 years), with a mean follow-up period of 42.9 months. At follow-up, elbow flexion ≥ M3 strength was achieved in 17/21 patients. Shoulder abduction ≥ M3 was achieved in 14/19 patients. External rotation ≥ M3 strength was achieved in 11/15 patients. Delayed surgical repair correlated negatively with HRQoL outcomes. Higher injury severity scores and smoking were associated with higher PVAS scores. These findings provide key prognostic information for patients and peripheral nerve surgeons embarking upon this intensive pathway to potential recovery.


2017 ◽  
Vol 266 (4) ◽  
pp. 685-692 ◽  
Author(s):  
Zhi Ven Fong ◽  
Donna M. Alvino ◽  
Carlos Fernández-del Castillo ◽  
Ryan D. Nipp ◽  
Lara N. Traeger ◽  
...  

Neurology ◽  
2018 ◽  
Vol 91 (1) ◽  
pp. e26-e36 ◽  
Author(s):  
Ching-Jen Chen ◽  
Dale Ding ◽  
Thomas J. Buell ◽  
Fernando D. Testai ◽  
Sebastian Koch ◽  
...  

ObjectiveTo compare the functional outcomes and health-related quality of life metrics of restarting vs not restarting antiplatelet therapy (APT) in patients presenting with intracerebral hemorrhage (ICH) in the ERICH (Ethnic/Racial Variations of Intracerebral Hemorrhage) study.MethodsAdult patients aged 18 years and older who were on APT before ICH and were alive at hospital discharge were included. Patients were dichotomized based on whether or not APT was restarted after hospital discharge. The primary outcome was a modified Rankin Scale score of 0–2 at 90 days. Secondary outcomes were excellent outcome (modified Rankin Scale score 0–1), mortality, Barthel Index, and health status (EuroQol–5 dimensions [EQ-5D] and EQ-5D visual analog scale scores) at 90 days.ResultsThe APT and no APT cohorts comprised 127 and 732 patients, respectively. Restarting APT was associated with lower rates of good functional outcome (36.5% vs 40.8%; p = 0.021) and lower Barthel Index scores at 90 days (p = 0.041). The 2 cohorts were then matched in a 1:1 ratio, and the matched cohorts each comprised 107 patients. No difference in primary outcome was observed between restarting vs not restarting APT (35.5% vs 43.9%; p = 0.105). There were also no differences between the secondary outcomes of the 2 cohorts.ConclusionRestarting APT in patients with ICH of mild to moderate severity after acute hospitalization is not associated with worse functional outcomes or health-related quality of life at 90 days. In patients with significant cardiovascular risk factors who experience an ICH, restarting APT remains the decision of the treating practitioner.


2018 ◽  
Vol 3 (1) ◽  
pp. 1 ◽  
Author(s):  
Joel Galindo-Avalos ◽  
Oscar Medina-Pontaza ◽  
Juan López-Valencia ◽  
JuanManuel Gómez-Gómez ◽  
Avelino Colin-Vázquez ◽  
...  

2018 ◽  
Vol 16 (1) ◽  
Author(s):  
Christopher W. H. Yau ◽  
Elena Pizzo ◽  
Chetankumar Prajapati ◽  
Tim Draycott ◽  
Erik Lenguerrand

2014 ◽  
Vol 27 (4) ◽  
pp. 237-241 ◽  
Author(s):  
Eileen R. Chasens ◽  
Susan M. Sereika ◽  
Lora E. Burke ◽  
Patrick J. Strollo ◽  
Mary Korytkowski

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