scholarly journals Hyponatremia in elderly patients with fragility fractures of the proximal femur: a cross-sectional study

2019 ◽  
Vol 41 (4) ◽  
pp. 518-525
Author(s):  
Aída Fernanda Batista Rocha ◽  
Marcus Villander Barros De Oliveira Sá ◽  
Ubirace Fernando Elihimas Junior
Keyword(s):  
Proximal Femur ◽  
Fragility Fractures ◽  
Cross Sectional Study ◽  
Electrolyte Balance ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Elderly Individuals ◽  
Proximal Femur Fractures ◽  
Femur Fractures ◽  
Balance Disorder

ABSTRACT Introduction: Proximal femur fractures affect the mortality and morbidity of elderly individuals. Recent studies have shown an association between fragility fractures and hyponatremia, a common fluid and electrolyte balance disorder. Objectives: This study aimed to investigate the occurrence of hyponatremia in patients with fragility fractures of the proximal femur. Methods: The authors looked into the data from the medical records of patients admitted to the emergency unit of the Real Hospital Português for fragility fractures of the proximal femur from 2014 to 2017. The study included patients with serum sodium levels recorded in their charts. Results: Fourteen of 69 (20.3%) patients with proximal femur fractures had hyponatremia. The main factors linked to hyponatremia were lung disease, and prescription of amiodarone and/or antidepressants. Conclusion: In elderly individuals, fragility fractures of the proximal femur may correlate with hyponatremia, particularly among patients on amiodarone or antidepressants.

Morphometric Parameters of the Proximal Femur in Nepalese Population: A Cross-sectional Study

2020 ◽  
Vol 3 (2) ◽  
pp. 8-12
Author(s):  
Bishnu Pokharel ◽  
Ashok Raj Pant ◽  
Pashupati Chaudhary ◽  
Guru Prasad Khanal
Keyword(s):  
Femoral Neck ◽  
Proximal Femur ◽  
Cross Sectional Study ◽  
Morphometric Parameters ◽  
Radiographic Measurement ◽  
Sectional Study ◽  
Cross Sectional ◽  
Neck Width ◽  
Femur Fractures ◽  
Femoral Neck Width

Background: Most of the proximal femur fractures are managed surgically by internal fiation with a variety of implants. Improperly designed or ill-fited implant may lead to a failure of fiation, breakage of implant and nonunion, thus increasing the morbidity and the cost of treatment. This study was conducted to evaluate the radiographic morphometry of the proximal femur which may be helpful in designing the implants for the Nepalese population. Methods: In this cross-sectional study, 84 patients aged 18 years and above with traumatic unilateral hip fracture were enrolled. Anthropometric measurements were recorded. The postoperative check X-ray in the antero-posterior view of the pelvis and bilateral hip were assessed. Various morphometric parameters of the proximal femur were measured and recorded in the radiograph of the unaffcted limb using a digital caliper. Results: Out of 84 patients, 47 were male. The mean ± SD femoral neck width, femoral neck length, femoral axis length, cervico-diaphyseal angle, acetabular tear-drop distance, and great trochanter-pubic symphysis distance were 36.10 ± 5.67 mm, 28.29 ± 4.18 mm, 104.51 ± 9.56 mm, 130.35 ± 8.67°, 32.56 ± 11.05 mm, and 163.07 ± 10.71 mm respectively. The femoral neck width was found to be signifiantly larger in males (39.08 ± 3.06 mm) than in females (32.32 ± 5.99 mm, p < 0.001). Conclusion: This study determined the radiographic measurement of the proximal femur and found that the femoral neck width of the males was larger than that of the females.

scholarly journals Mortality and morbidity of proximal femur fractures in elderly population – A three year follow-up study

2020 ◽  
Vol 6 (2) ◽  
pp. 69-72
Author(s):  
Sandeep Krishna Avulapati ◽  
◽  
Avinash Bajjuri ◽  
Sunil Boddu ◽  
Anudeep Peddineni ◽  
...  
Keyword(s):  
Proximal Femur ◽  
Elderly Population ◽  
Mortality And Morbidity ◽  
Proximal Femur Fractures ◽  
Follow Up Study ◽  
Femur Fractures

scholarly journals Evaluation of Cancer Patients with Older Adult for Awareness and Hospital Arrival Process of COVID-19 Pandemic During: A Cross-Sectional Study

2021 ◽  
Vol 7 ◽  
pp. 233372142199766
Author(s):  
Zeynep Sipahi Karslı ◽  
Berna Kurt ◽  
İbrahim Karadağ ◽  
Berna Çakmak Öksüzoğlu
Keyword(s):  
Cancer Patients ◽  
Older Adult ◽  
Cross Sectional Study ◽  
Arrival Process ◽  
Cross Sectional ◽  
Protective Measures ◽  
Hospital Arrival ◽  
Mortality And Morbidity ◽  
Correlational Design ◽  
Study Results

The study aimed to evaluate the Coronavirus pandemic awareness of cancer patients ≥65 years of age, considered a vulnerable group, and their hospital arrival process, follow-ups and treatments during the pandemic. COVID-19 pandemic was found to increases the mortality and morbidity rates of individuals who aged 65 years and older. The research was conducted with a cross-sectional descriptive correlational design. The sample consist of 77 cancer patients aged 65 years and older adult. Participants were recruited through convenience sampling. In total, 77 patients from the Oncology Hospital located in Ankara from April 29, 2020 to May 20, 2020. Data were collected using a two-part form and a questionnaire. The study was undertaken in accordance with the STROBE checklist for observational studies. Of the participants, 59.7% were female, the mean age was 70 years, 79.2% resided in Ankara and 98.7% traveled to the hospital by car. Looking at the gender and the protective measures taken at home, female participants were found to perform a statistically significant higher level of protective measures. In conclusion, the study results suggest that the restrictions for older adult oncology patients during the pandemic did not negatively affect the delivery of health care.

scholarly journals Geriatric Proximal Femur Fractures During the Covid-19 Pandemic - Fewer Cases, But More Comorbidities

2021 ◽  
Vol 12 ◽  
pp. 215145932110096
Author(s):  
Christina Polan ◽  
Heinz-Lothar Meyer ◽  
Manuel Burggraf ◽  
Monika Herten ◽  
Paula Beck ◽  
...  
Keyword(s):  
Nursing Home ◽  
Elderly Patients ◽  
Proximal Femur ◽  
Minor Trauma ◽  
Proximal Femur Fractures ◽  
Femur Fractures ◽  
Number Of Patients ◽  
Group 2 ◽  
The Impact ◽  
Group 1

Background: The COVID-19 pandemic is challenging healthcare systems worldwide. This study examines geriatric patients with proximal femur fractures during the COVID-19 pandemic, shifts in secondary disease profile, the impact of the pandemic on hospitalization and further treatment. Methods: In a retrospective monocentric study, geriatric proximal femur fractures treated in the first six months of 2020 were analyzed and compared with the same period of 2019. Pre-traumatic status (living in a care home, under supervision of a legal guardian), type of trauma, accident mechanism, geriatric risk factors, associated comorbidities, time between hospitalization and surgery, inpatient time and post-operative further treatment of 2 groups of patients, aged 65-80 years (Group 1) and 80+ years (Group 2) were investigated. Results: The total number of patients decreased (70 in 2019 vs. 58 in 2020), mostly in Group 1 (25 vs. 16) while the numbers in Group 2 remained almost constant (45 vs. 42). The percentage of patients with pre-existing neurological conditions rose in 2020. This corresponded to an increase in patients under legal supervision (29.3%) and receiving pre-traumatic care in a nursing home (14.7%). Fractures were mostly caused by minor trauma in a home environment. In 2020, total number of inpatient days for Group 2 was lower compared to Group 1 (p = 0.008). Further care differed between the years: fewer Group 1 patients were discharged to geriatric therapy (69.6% vs. 25.0%), whereas in Group 2 the number of patients discharged to a nursing home increased. Conclusions: Falling by elderly patients is correlated to geriatric comorbidities, consequently there was no change in the case numbers in this age group. Strategic measures to avoid COVID-19 infection in hospital setting could include reducing the length of hospital stays by transferring elderly patients to a nursing home as soon as possible and discharging independent, mobile patients to return home.

scholarly journals Occurrence, associated risk factors, and treatment of surgical site infections in Pakistan

2020 ◽  
Vol 18 ◽  
pp. 205873922096054
Author(s):  
Faiz Ullah Khan ◽  
Yu Fang ◽  
Zakir Khan ◽  
Farman Ullah Khan ◽  
Zafar Iqbal Malik ◽  
...  
Keyword(s):  
Risk Factors ◽  
Transurethral Resection ◽  
Surgical Site Infections ◽  
Exploratory Laparotomy ◽  
Cross Sectional Study ◽  
Surgical Patients ◽  
Related Factors ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Associated Risk Factors

Globally, surgical site infections are one of the common infections which lead to a large amount of mortality and morbidity in postsurgical care. The risk for surgical site infection is multidimensional which includes mainly; patient, surgery, and hospital-related factors. This study is aimed to determine the burden of SSIs along with contributed risk factors. A prospective observational cross-sectional study was conducted in one of the largest public-sector hospitals in Pakistan. A total of 412 patients were recruited in the study with full consent and monitored for 30 days after surgery with direct and indirect surveillance. Overall, in seven different surgical procedures the incidence (29.8%) rate of SSI was observed; in appendectomy ( n = 17, 4.1%), exploratory laparotomy ( n = 51, 12.6%), laparoscopic cholecystectomy ( n = 12, 2.90%), mesh repair ( n = 17, 4.01%), thyroidectomy (5, 1.2%), transurethral resection of the prostate ( n = 11, 2.6%), and transurethral resection of the bladder (10, 2.4%). The average SSI rate in every single procedure was about 18 (4.27%) per surgical procedure out of 123 (29.85%) SSI cases. Types of SSI identified were superficial, deep incisional and organ/space ( n = 76, 18.4%, n = 23, 5.5%, and n = 24, 5.7%). Incidence of SSIs during admission, at readmission, and post-surveillance cases were ( n = 50, 12.1%, n = 25, 6.0% and n = 48, 11.6%). Associated risk factors found contributed to the incidence of SSI ( p < 0.05). Pre-operative ( n = 348, 84.5%) and 6 (1.5%) surgical patients did not received the post-operative antibiotics. The P. aeruginosa ( n = 15, 12.1%) and S. aureus (13, 10.5%). Cefoperazone and sulbactam were the most prescribed antibiotics. Associated risk factors and treatment outcomes of surgical patients have a direct association with the incidence of SSI. Hospital-based antimicrobial stewardship, implementation of surgical guidelines, patient care, and education are needed to develop at wards level in hospitals.

Durability of Hemiarthroplasty for Pathologic Proximal Femur Fractures

2017 ◽  
Vol 32 (12) ◽  
pp. 3607-3610 ◽  
Author(s):  
Matthew T. Houdek ◽  
Cody C. Wyles ◽  
Joshua R. Labott ◽  
Peter S. Rose ◽  
Michael J. Taunton ◽  
...  
Keyword(s):  
Proximal Femur ◽  
Proximal Femur Fractures ◽  
Femur Fractures

scholarly journals Comparative Study of Intrathecal Low Dose Bupivacaine and Fentanyl Versus Conventional Dose of Hyperbaric Bupivacaine for Cesarean Section

2018 ◽  
Vol 9 (1) ◽  
pp. 57-62
Author(s):  
Muhammad Sazzad Hossain ◽  
Md Sirajul Islam ◽  
Sharmin Abbasi
Keyword(s):  
Rural Women ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Home Delivery ◽  
Personal Hygiene ◽  
Antenatal Visit ◽  
Hyperbaric Bupivacaine ◽  
Obstructed Labor ◽  
Cross Sectional ◽  
Mortality And Morbidity

Background: Pregnancy and childbirth related complications are the leading causes of maternal mortality and morbidity in Bangladesh. An estimate shows that about 28,000 mothers die in each year in Bangladesh due to obstetric complications. The aim of this study was to find out the birth practice among rural women in Bangladesh.Material and Methods: This descriptive cross sectional study was carried out among 1220 respondents by purposive sampling technique from July 2016 to June 2017 in different Private Hospital, Dhaka. Data were collected by a structured questionnaire duly pretested through face to face interview. Data were analyzed manually and by using computer.Results: Then study revealed that majority of the respondents 80% were Muslims by religion and about 26% respondents were found within the age 25-29 years with mean age 31±7.59 years. Most of them 86% were literate and only 14% were found illiterate. Among the respondents 75% were Housewives and 11%, 9%, 1% and 4% were involved in Service, Business, Agriculture and others occupation respectively. Moreover, 78% respondents monthly income were less than TK 3000. About 43% & 16% respondents were found to have 2 & 3 children respectively. In this study, about 73% received antenatal visit and among them 57% received 1 to 3 antenatal visits and 74% received TT immunizations. It was found that 69%, 54% and 59% received antenatal advices on healthy diet, personal hygiene, drug use respectively. Home delivery and Hospital delivery practice were found among 44% & 56% respondents respectively. The reasons for home delivery like Feeling comfortable, Family decision and Financial problem were found in 60%, 26% & 42% respondents respectively. The most common complications during last delivery were obstructed labor, found among 39% respondents.Conclusion: Still now women prefer home delivery. Major reasons for home delivery were Feeling comfortable, Family decisions and Financial problems. Delivery conduction by qualified doctors were found only among 47% women. Efforts needed to increase maternal health related knowledge and awareness towards birth practice to facilitate decision in minimizing complications and mortality.Anwer Khan Modern Medical College Journal Vol. 9, No. 1: Jan 2018, P 57-62

scholarly journals Perinatal Findings in Pregnancy Induced Hypertension: A Study in a Tertiary Teaching Hospital in Dhaka City

2017 ◽  
Vol 2 (1) ◽  
pp. 10-13
Author(s):  
Zobaida Sultana Susan ◽  
Surayea Bulbul ◽  
Jannat Ara Ferdows ◽  
Abu Nayeem
Keyword(s):  
Cross Sectional Study ◽  
Fetal Mortality ◽  
Pregnancy Induced Hypertension ◽  
College Hospital ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Tertiary Teaching ◽  
Induced Hypertension ◽  
Questionnaire Result ◽  
In Pregnancy

Background: Hypertensive disorders are common complication occurring during pregnancy which are responsible for maternal and fetal mortality and morbidity. Objective: The purpose of the present study was to determine the perinatal outcome in pregnancy induced hypertension. Methodology: This study was designed as cross-sectional study and was conducted from April 2013 to September 2013 for a period of six (06) moths. Patients admitted in the Department of Obstetrics and Gynaecology at Shaheed SuhrawardyMedical College Hospital, Dhaka. Data were collected by interview, physical examintions (blood pressure, pulse rate, oedema, heart and lungs auscultation) and lab investigations using a structural questionnaire. Result: Majority of the women belonged to age group 21-25 year. Maximum were (56%) primigravida. The mean gestational age was 34.6 weeks with the range from 28 to 40 weeks. Hyperurecaemia was frequent among patients with pregnancy induced hypertension. Intrauterine growth retardation (IUGR) was secondary to pregnancy induced hypertension which was associated with significantly increased perinatalmortality. Conclusion: In this study, prematurity is frequent in pregnancy induced hypertension and convulsion in nonresponsive patients is associated with significantly increased perinatal mortality.Journal of National Institute of Neurosciences Bangladesh, January 2016;2(1): 10-13

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