scholarly journals Prognostic Value of Neurological Status on Hospital Arrival for Short-Term Outcome in Patients With Cardiovascular Shock ― Sub-analysis of the Japanese Circulation Society Cardiovascular Shock Registry ―

2019 ◽  
Vol 83 (6) ◽  
pp. 1247-1253
Author(s):  
Yasushi Ueki ◽  
Masahiro Mohri ◽  
Tetsuya Matoba ◽  
Toshiaki Kadokami ◽  
Satoru Suwa ◽  
...  
2019 ◽  
Vol 32 (02) ◽  
pp. 158-164 ◽  
Author(s):  
Deborah Rohner ◽  
Michael Kowaleski ◽  
Günter Schwarz ◽  
Franck Forterre

Objectives The purpose of this study was to assess the short-term outcome of a new intervertebral anchored fusion device (C-LOX) for the treatment of disc associated cervical spondylomyelopathy (DA-CSM) in dogs, based on clinical and radiographical follow-up data. Materials and Methods To be included in the study, dogs had to be clinically affected by DA-CSM treated with surgical distraction/stabilization using the anchored intervertebral spacer (C-LOX). Neurological signs, as well as diagnostic imaging performed pre-, immediately postoperatively, and after 6 weeks and 3 months were assessed. If available, clinical follow-up after 3 months was documented. Results Thirty-seven cases were enrolled in the study. Outcome at 3 months was available in 25 dogs; improvement of neurological status was documented in 25/25 cases.The most common postoperative complication was screw loosening and/or breakage (n = 22), followed by subsidence (n = 15). Four dogs required revision surgery. Clinical Significance Distraction/stabilization of DA-CSM in dogs with the C-LOX device resulted in short-term clinical improvement in 33/37 treated cases. The high incidence of screw loosening was taken into consideration and modification of the implant with a new locking system and new screw dimensions was required. The C-LOX device seems to be a valuable alternative to more complicated distraction–fusion techniques.


Herz ◽  
2019 ◽  
Vol 45 (4) ◽  
pp. 382-388 ◽  
Author(s):  
N. S. Yelgeç ◽  
A. Emre

2021 ◽  
Vol 73 ◽  
pp. S5
Author(s):  
Anil Kumar ◽  
Biswajit Das ◽  
Satyanarayan Routray ◽  
Chandrakanta Mishra ◽  
Dipak Ranjan Das

2020 ◽  
Vol 24 (3) ◽  
Author(s):  
Syed Saleem Shah ◽  
Farrukh Javeed ◽  
Lal Rehman ◽  
Ali Afzal ◽  
Munwar Ali ◽  
...  

Objective:  To compare short term outcome of combined surgical and medical management versus medical management alone in caries spine.Material and Methods:  This study was conducted from August 2015 to August 2018, on 68 patients randomly divided into two groups of 34 each. All were diagnosed cases of Caries spine based on history, clinical examination, ESR and imaging appearances. Group A underwent surgical intervention along with Anti-Tuberculous Treatment (ATT) while Group B received medical treatment (ATT) alone.  Results:  There were 37 (54.41%) males and 31 (45.59%) females with mean age of 34.84 ± 10.6 years. The thoracic spine was the commonest site in 33 (48.5%) patients, followed by lumbar in 20 (20.8%), dorso-lumbar in seven (10.3%) and cervical in four (5.88%) patients. The ESR fell from 85mm/hr to 24.46mm/hr in Group A and to 41.92mm/hr in Group B (p = 0.0124). Overall improvement in Frankel grade was seen in 25 (73.5%) patients in Group A and 12 (35.3%) in group B. In group A, improvement seen from grade A in two (8%), grade B in three (12%), grade C in 12(48%), Grade D in seven (28%) patients, (p = 0.000) while eight (23.5%) patients remained same and only one (2.5%) deteriorated from baseline neurological status. In Group B, 16 (47%) patients remained same and six (17.6%) deteriorated. Conclusion:  Surgery combined with antituberculous therapy was found to be beneficial in patients suffering from caries spine and to be recommended to patients desiring rapid recovery


2020 ◽  
Vol 1 (4) ◽  
pp. 25-30
Author(s):  
Liemena Harold Adrian ◽  
Mohammad Saifur Rohman ◽  
Muhammad Riski Fadlan ◽  
Cholid Tri Tjahjono ◽  
Anna Fuji Rahimah ◽  
...  

Background : Risk stratification of acute heart failure (AHF) patient during hospital admission utilizing clinical scores emerges as an alternative to standart natriuretic peptide measurement. Development of Saiful Anwar clinical congestion score (SACS) as multivariable predictive model for prediction of short-term outcome in AHF with reduced ejection fraction (AHF-rEF) requires validation in comparison to NT-proBNP. Objective : To validate prognostic value of SACS compare with NT-proBNP in AHF-rEF Method : This single-center, prospective cohort study was held in dr. Saiful Anwar General Hospital during January 2019 to June 2020. From total 89 AHF-rEF patients who admitted to emergency department, were assigned to SACS prospective questionnaire fulfillment and NT-proBNP measurement during first 12-hours since admission. Patients were divided into two groups based on SACS score and NT-proBNP value during admission. 90-days follow up was performed after index hospitalization with outcome of interest i.e all-cause mortality (ACM) and HF-related rehospitalization (HFR). Results : ACM and HFR rate in this study were 16.8% and 22.5%, respectively. SACS ≥6 demonstrated higher ACM and HFR rate during 90-days follow-up compared to SACS <6 (p=0.000; p=0.000, respectively). Performance of SACS ≥6 on admission showed good discriminative power for predicting 90-days ACM and HFR (AUC 0.841, p=0.000; AUC 0.788, p=0.000, respectively) compared to NT-proBNP ≥5000pg/mL (AUC 0.812, p=0.000; AUC 0.819, p=0.000, respectively). Additive value of NT-proBNP ≥5000pg/mL on top of SACS ≥6 increases discriminative power for predicting 90-days ACM and HFR after index hospitalization (AUC 0.836, p=0.000; AUC 0.90, p=0.000, respectively). Conclusion : SACS has demonstrated prognostic value compared to NT-proBNP for prediction of 90-days ACM and HFR after index hospitalization in AHF-rEF patients.


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