scholarly journals Early surgical treatment in patients with pulmonary embolism and thrombus-in-transit

2018 ◽  
Vol 10 (4) ◽  
pp. 2338-2345
Author(s):  
Francisco Galeano-Valle ◽  
Pablo Demelo-Rodríguez ◽  
Irene García-Fernández-Bravo ◽  
Hugo Rodríguez-Abella ◽  
Ángela Irabien-Ortiz ◽  
...  
JAMA ◽  
1966 ◽  
Vol 196 (1) ◽  
pp. 11-16 ◽  
Author(s):  
R. W. Frater

2014 ◽  
Vol 62 (S 01) ◽  
Author(s):  
M. Yilmaz ◽  
A. Häussler ◽  
H. Löblein ◽  
D. Odavic ◽  
M. Genoni ◽  
...  

2021 ◽  
Vol 77 (18) ◽  
pp. 2801
Author(s):  
Saad Sikanderkhel ◽  
Sravanthi Sonti ◽  
Harish Manyam ◽  
Patrick Stevens ◽  
Matthew Wiisanen

Medicina ◽  
2021 ◽  
Vol 57 (6) ◽  
pp. 517
Author(s):  
Christopher Bliemel ◽  
Katherine Rascher ◽  
Tom Knauf ◽  
Juliana Hack ◽  
Daphne Eschbach ◽  
...  

Background and Objectives: Appropriate timing of surgery for periprosthetic femoral fractures (PFFs) in geriatric patients remains unclear. Data from a large international geriatric trauma register were analyzed to examine the outcome of patients with PFF with respect to the timing of surgical stabilization. Materials and Methods: The Registry for Geriatric Trauma of the German Trauma Society (Deutsche Gesellschaft für Unfallchirurgie (DGU)) (ATR-DGU) was analyzed. Patients treated surgically for PFF were included in this analysis. As outcome parameters, in-house mortality rate and mortality at the 120-day follow-up as well as mobility, the EQ5D index score and reoperation rate were analyzed in relation to early (<48 h) or delayed (≥48 h) surgical stabilization. Results: A total of 1178 datasets met the inclusion criteria; 665 fractures were treated with osteosynthesis (56.4%), and 513 fractures were treated by implant change (43.5%). In contrast to the osteosynthesis group, the group with implant changes underwent delayed surgical treatment more often. Multivariate logistic regression analysis of mortality rate (p = 0.310), walking ability (p = 0.239) and EQ5D index after seven days (p = 0.812) revealed no significant differences between early (<48 h) and delayed (≥48 h) surgical stabilization. These items remained insignificant at the follow-up as well. However, the odds of requiring a reoperation within 120 days were significantly higher for delayed surgical treatment (OR: 1.86; p = 0.003). Conclusions: Early surgical treatment did not lead to decreased mortality rates in the acute phase or in the midterm. Except for the rate of reoperation, all other outcome parameters remained unaffected. Nevertheless, for most patients, early surgical treatment should be the goal, so as to achieve early mobilization and avoid secondary nonsurgical complications. If early stabilization is not possible, it can be assumed that orthogeriatric co-management will help protect these patients from further harm.


2020 ◽  
Vol 13 (8) ◽  
pp. e236494
Author(s):  
Jose Ruiz-Morales ◽  
William Kogler ◽  
Maedeh Ganji ◽  
Srinivasan Sattiraju

2017 ◽  
Vol 10 (14) ◽  
pp. e135-e137 ◽  
Author(s):  
Andrew Boshara ◽  
Sushruth Edla ◽  
Saroj Neupane ◽  
Howard Rosman ◽  
Antonious Attallah

Sign in / Sign up

Export Citation Format

Share Document