scholarly journals Body surface area is a novel predictor for surgical complications following video-assisted thoracoscopic surgery for lung adenocarcinoma: a retrospective cohort study

BMC Surgery ◽  
2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Shuangjiang Li ◽  
Kun Zhou ◽  
Heng Du ◽  
Cheng Shen ◽  
Yongjiang Li ◽  
...  
Trauma ◽  
2021 ◽  
pp. 146040862110464
Author(s):  
Juan M Robledo Cadavid ◽  
Laura Salgado Flórez ◽  
Juan C Garcés Echeverri ◽  
Jorge E Ruiz Santacruz ◽  
Olga H Hernandez Ortiz

Introduction Burns are common in developing countries and place a large burden on the medical and social care systems. However, information about management and outcomes from such countries is scarce. The purpose of this study was to analyze the epidemiology and main factors related to the mortality in severely burned patients at the Hospital Universitario San Vicente Fundación in Medellín, Colombia. Methods An observational retrospective cohort study was conducted. To establish prognostic factors associated with mortality, we analyzed variables such as age, sex, burned surface, and degree of burn, among others. Demographic, clinic, and management features as well as complications and factors associated with mortality were analyzed using logistic regression. Results 4516 clinical histories were reviewed, 225 were included in the study. 76.9% were men, with a median age of 35 years; 64.9% were fire burns. The median burned body surface area was 42%. There were inhalation injuries in 135 patients and ocular in 106 patients. The main complication was infection followed by rhabdomyolysis. The overall hospital stay was 27 days, and the median length of stay at the intensive care unit was 7 days with in-hospital mortality of 30.7%. The variables associated with mortality were age, burned body surface area, degree of burn, and kidney injury. Surgical intervention was protective. Conclusions Severely burned patients in our hospital have similar outcomes and, in some cases, better outcomes than those reported in the literature in countries with similar characteristics, and we have seen that in the last years, there has been a better experience in the management of these patients. Elderly, extension, and depth of burnt tissue are markers of poor outcomes. Early surgery and intubation have shown better outcomes, probably due to infection control and removal of necrotic tissue, airway management, and ventilatory support for metabolic and hemodynamic derangement.


Rheumatology ◽  
2021 ◽  
Author(s):  
Alexis Ogdie ◽  
Daniel B Shin ◽  
Thorvardur Jon Love ◽  
Joel M Gelfand

Abstract Objective Increasing psoriasis severity has been associated with comorbidities including cardiovascular disease. The objective of this study was to examine the association of psoriasis severity with the development of psoriatic arthritis (PsA). Methods A prospective population-based cohort study was performed within The Health Improvement Network, a United Kingdom medical record database. Patients aged 25–60 years with a code for psoriasis were randomly selected between 2008–2011. Questionnaires were sent to their general practitioners to confirm the diagnosis of psoriasis and provide the patient’s approximate body surface area (BSA). Incidence of PsA was calculated by BSA, and Cox proportional hazard ratios were used to examine the risk of developing PsA by BSA category after adjusting for other covariates. Results Among 10 474 questionnaires sent, 9,987 (95%) were returned, 9,069 (91%) had confirmed psoriasis, and BSA was provided for 8,881 patients: 52% had mild psoriasis, 36% moderate psoriasis, and 12% severe psoriasis. The mean age was 46, and 49% were female. Mean follow-up time was 4.2 years (SD 2.1); the incidence of PsA was 5.4 cases per 1,000 person years. After adjusting for age and sex, BSA >10% (HR 2.01, 95% CI: 1.29–3.13), BSA 3–10% (HR 1.44, 95% CI: 1.02–2.03), obesity (HR 1.64, 95% CI: 1.19–2.26), and depression (HR 1.68, 95% CI: 1.21–2.33) were associated with incident PsA. Conclusions In this large prospective cohort study, BSA assessed by general practitioners was a strong predictor of developing PsA, and obesity and depression were additive risk factors.


2019 ◽  
Vol 40 (6) ◽  
pp. 828-831
Author(s):  
Michael M Neeki ◽  
Fanglong Dong ◽  
Dania Youssef ◽  
Benfie Liu ◽  
Carol Lee ◽  
...  

Abstract A high incidence of honey oil and methamphetamine production has led to an increase in burn victims presenting to this regional burn center in California. This study aims to compare patient outcomes resulting from burn injuries associated with honey oil and methamphetamine production. This is a retrospective cohort study using the regional burn registry to identify patients with burn injuries related to honey oil production or methamphetamine purification explosions from January 1, 2008 to December 31, 2017. Patient demographics and clinical outcomes data were abstracted from the burn registry and medical records. A total of 91 patients were included in the final analysis and 59.3% (n = 54) were related to honey oil injury. There was no statistically significant difference between honey oil and methamphetamine burn injuries in regard to clinical outcomes, including mortality (1.9% vs 8.1%, P = .1588), third-degree burn (47.2% vs 59.5%, P = .2508), mechanical ventilator usage (50% vs 69.4%, P = .0714), median hospital length of stay (LOS; 10 vs 11 days, P = .5308), ICU LOS (10 vs 11 days, P = .1903), total burn surface area (26.5% vs 28.3%, P = .8313), and hospital charge (median of US$85,561 vs US$139,028, P = .7215). Honey oil burn injuries are associated with similar hospital LOS, similar ICU LOS, similar total burn surface area, and present a costly public health concern. With the recent legalization of marijuana in California, commercial production of honey oil in addition to increasing education about the risks of illicit honey oil production may alleviate associated risks.


2015 ◽  
Vol 17 ◽  
pp. 83-87 ◽  
Author(s):  
Benjamin Menahem ◽  
Andrea Mulliri ◽  
Céline Bazille ◽  
Ephrem Salame ◽  
Rémy Morello ◽  
...  

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