Evaluating rate of cataract surgery through smart partnership between Ministry of Health, Malaysia and Federal Territory Islamic Religious Council

2020 ◽  
Author(s):  
nor fariza N ◽  
nor asiah muhamad ◽  
Roslin Azni ◽  
elias H ◽  
mohamad aziz salowi ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Day Care ◽  
Cataract Operation ◽  
Ministry Of Health ◽  
Clinic Management ◽  
Short And Long Term ◽  
Male Patients ◽  
Klang Valley ◽  
Day Care Centre

Abstract Background Cataract is the leading cause of blindness in developing countries including Malaysia. Federal Territory Islamic Religious Council (MAIWP) and Ministry of Health, Malaysia (MOH) have established a cataract day care centre called Pusat Pembedahan Katarak, MAIWP- Hospital Selayang (MAIWP- Selayang Hospital Cataract Surgery Centre) to offer a day care cataract surgery with the aim reduce the waiting list among patients plan for cataract operation at the MOH referral hospital in Klang Valley. This smart partnership enables more patients to undergo cataract surgery with a lesser waiting period irrespective of their religious belief. Objective This paper aims to estimate the cataract surgery rate (CSR) of Pusat Pembedahan Katarak, MAIWP- Hospital Selayang (Cataract Operation Centre) from 2013 to 2016 and descriptive assessments of the patients who received eye treatments in the centre. Methods All cataract patients who underwent for operations in Selayang Hospital were requested to complete the “Registration Form,” that consist of the these information namely name, sex, age, home address, cataract classification, detailed ophthalmological exam information (such as naked eyesight, optometry, tonometry, etc.), cataract surgeon, surgical management, intraocular lens (IOL) implantation or not, operation cost origin, operation outcome (mainly 1st–3rd postoperative day corrected visual acuity (VA), etc. Cataract surgery data are entered into the local Eye Clinic Management System (ECMS) which synchronises with National Eye Database (NED) at regular intervals. Results Cataract surgery rate for 2013 was about 27 and increased to 37.3 in 2014. However, it was declined to 25 in 2015 before bouncing back to 36 in year of 2016. Female patients who received eye treatment at Pusat Pembedahan Katarak, MAIWP- Hospital Selayang was higher (53.7%) as compared to male patients (46.3%). Mean duration of cataract surgery from 2013 to 2016 was 21.25 ± 11.071 minutes. Conclusions Increased in cataract surgery rate for MAIWP-HS through smart partnership for day care cataract surgery proved that easy accessibility is possible to achieve the short and long-term strategies for the reduction and prevention of blindness in Malaysia.

Impact of age on early outcomes and long-term survival of patients undergoing aortic repair with Stanford A dissection

Perfusion ◽  
2018 ◽  
Vol 33 (8) ◽  
pp. 687-695 ◽  
Author(s):  
Julia Merkle ◽  
Anton Sabashnikov ◽  
Carolyn Weber ◽  
Georg Schlachtenberger ◽  
Johanna Maier ◽  
...  
Keyword(s):  
Surgical Repair ◽  
Age Groups ◽  
Term Outcome ◽  
Term Survival ◽  
Long Term Outcome ◽  
Long Term Survival ◽  
Cerebrovascular Events ◽  
Short And Long Term ◽  
Male Patients

Objectives: Stanford A acute aortic dissection (AAD) is a life-threatening emergency, typically occurring in older patients and requiring immediate surgical repair. The aim of this study was to evaluate early outcome and short- and long-term survival of patients under and above 65 years of age. Methods: Two hundred and forty patients with Stanford A AAD underwent aortic surgical repair from January 2006 to April 2015 in our center. After statistical analysis and logistic regression analysis, Kaplan-Meier survival estimation was performed, with up to 9-year follow-up, comprising patients under and above 65 years of age. Results: The proportion of patients above 65 years of age suffering from Stanford A AAD was 50% (n=120). The group of patients above 65 years of age compared to the group under 65 years of age showed statistically significant differences in terms of higher odds ratios (OR) for hypertension (p=0.012), peripheral vascular disease (p=0.026) and tachyarrhythmia absoluta (p=0.004). Patients over 65 years of age also showed significantly poorer short- and long-term survival. Our subgroup analysis revealed that male patients (Breslow p=0.001, Log-Rank p=0.001) and patients suffering with hypertension (Breslow p=0.003, Log-Rank p=0.001) were reasonable for these results whereas younger and older female patients showed similar short- and long-term outcome (Breslow p=0.926, Log-Rank p=0.724). After stratifying all patients into 4 age groups (<45; 55-65; 65-75; >75years), short-term survival of the patients appeared to be significantly poorer with increasing age (Breslow p=0.026, Log-Rank p=0.008) whereas long-term survival of patients free from cerebrovascular events (Breslow p=0.0494, Log-Rank p=0.489) remained similar. Conclusions: All patients referred to our hospital for repair of Stanford A AAD with higher age had poorer short- and long-term survival, caused by male patients and patients suffering from hypertension, whereas survival of women and survival free from cerebrovascular events of the entire patient cohort was similar, irrespective of age.

scholarly journals No Long-Term Risk for Increased Spread of PNSP in Day-Care Centres by Permitting Carriers to Remain in the Day-Care Centre Group

2008 ◽  
Vol 2 (1) ◽  
pp. 8-13
Author(s):  
B. Christenson ◽  
B. Henriques Normark ◽  
B. Ardung ◽  
K. Sjostrom ◽  
G. Eriksson ◽  
...  
Keyword(s):  
Day Care ◽  
Care Centre ◽  
Day Care Centres ◽  
Day Care Centre

scholarly journals Sex differences in short-and long-term survival among critically ill patients with sepsis: a real-world study using propensity scoring methods

2020 ◽  
Author(s):  
Shan Lin ◽  
Shanhui Ge ◽  
Wanmei He ◽  
Lihong Bai ◽  
Mian Zeng
Keyword(s):  
Sex Differences ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Mortality Rates ◽  
Term Survival ◽  
Long Term Survival ◽  
Female Patients ◽  
Short And Long Term ◽  
Male Patients

Abstract Background At present, there have been studies showing a correlation between sex differences and prognosis. Nevertheless, the evidence of short- and long-term survival of sex-based differences among critically ill patients with sepsis is still limited and controversial. The purpose of this study was to evaluate the effect of sex on the short- and long-term survival of critically ill patients with sepsis. Methods We used the Medical Information Mart for Intensive Care III database. Cox proportional hazards models were conducted to determine the relationship of 28-day and 1-year mortality rates with a different sex. Interaction and stratified analyses were conducted to test whether the effect of sex differed across various subgroups. Results A total of 12,321 patients were enrolled in this study. After adjustments, the 28-day and 1-year mortality rates for female patients were reduced by 12% and 10%, respectively (HR = 0.88, 95% CI 0.81–0.96 and HR = 0.90, 95% CI 0.85–0.95) when compared to male patients. The effects of the association between sex and 28-day and 1-year mortality were broadly consistent for all subgroup variables. Only a significant interaction of age was observed in 1-year mortality (P = 0.0091). Compared with male patients, female patients (< 50 years) had better long-term survival advantages (HR 0.76 95% CI 0.62–0.94, P = 0.0124); on the contrary, for older patients (≥ 50 years), we did not find sex-based differences in long-term survival (HR 1.03, 95% CI 0.97–1.09, P = 0.3678). Conclusions In the current retrospective large database review, female patients had a significantly lower 28-day and 1-year mortality rates than did males among critically ill patients with sepsis. Of concern, there was an interaction between age and sex, and whether to suggest that female-associated hormones affect clinical outcomes needs to be further researched.

scholarly journals Patellar dislocation: osteochondral graft of patella and medial patellofemoral ligament reconstruction

2018 ◽  
Vol 6 (12_suppl5) ◽  
pp. 2325967118S0018
Author(s):  
Lisandro Nardin ◽  
Matías Savá ◽  
Oscar Calvet ◽  
Fernando Mercier ◽  
Abel Barck ◽  
...  
Keyword(s):  
Patellar Dislocation ◽  
Medial Patellofemoral Ligament ◽  
Young Patients ◽  
Clinical Results ◽  
Autologous Graft ◽  
Kujala Score ◽  
Short And Long Term ◽  
Male Patients ◽  
Observational Descriptive Study

Objectives: The incidence of acute femoro-patellar luxation is 6/100000 persons for year. This injury is common among young patients with predominance in women. It has high levels of recurrence (40%) after the first injury. The objective of our study is to assess post-surgical results in patients with relapsing patellar dislocation, after a reconstruction of Medial Patellofemoral Ligament (MPFL) with semitendinous autologous graft associated with autologous osteochondral transplant of patella. Methods: An observational descriptive study (cases serie) with a restrospective transversal cross section was carried out. Six male patients that were treated between March 2014 and March 2016 were evaluated. They were monitored / followed up in an average of 24 months. The functional subjective results were assessed following Kujala patellofemoral pain score. Results: Out of the six patients, all of them were male, with an average age of 19. They were followed-up for an average of 24 months. The results of the Kujala score were 86 points in the posoperative period. Conclusion: The reconstruction of Medial Patellofemoral Ligament (MPFL) with semitendinous autologous graft associated with autologous osteochondral transplant of patella has show excellent short and long-term clinical results with return of patients to their usual normal activities.

Low haemoglobin at admission is associated with mortality after hip fractures in elderly patients

2019 ◽  
Vol 101-B (9) ◽  
pp. 1122-1128 ◽  
Author(s):  
Jean C. Yombi ◽  
Dan C. Putineanu ◽  
Olivier Cornu ◽  
Patricia Lavand’homme ◽  
Pascale Cornette ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Elderly Patients ◽  
Hip Fractures ◽  
Patient Characteristics ◽  
Tertiary Hospital ◽  
Hip Fracture Surgery ◽  
Short And Long Term ◽  
Male Patients ◽  
One Year

Aims Low haemoglobin (Hb) at admission has been identified as a risk factor for mortality for elderly patients with hip fractures in some studies. However, this remains controversial. This study aims to analyze the association between Hb level at admission and mortality in elderly patients with hip fracture undergoing surgery. Patients and Methods All consecutive patients (prospective database) admitted with hip fracture operated in a tertiary hospital between 2012 and 2016 were analyzed. We collected patient characteristics, time to surgery, duration and type of surgery, comorbidities, Hb at admission, nadir of Hb after surgery, the use and amount of red blood cells (RBCs) transfusion products, postoperative complications, and death. The main outcome measures were mortality at 30 days, 90 days, 180 days, and one year after surgery. Results We included 829 patients; the mean age was 81 years (sd 11). Mortality at 30 days, 90 days, 180 days, and one year was 5.7%, 12.3%, 18.1%, and 23.5%, respectively. The highest mortality was observed in patients aged over 80 years (162/557, 29%) and in male patients (85/267, 32%). Survival at 90 days, 180 days, and one year after surgery was significantly lower in patients with a Hb level below 120 g/l at admission. In multivariate analysis, Hb level below 120 g/l at admission was found to be an independent factor associated with mortality (adjusted hazard ratio (aHR) 1.68 (95% confidence interval (CI) 1.22 to 2.31); p = 0.001), along with age (aHR 1.06 (95% CI 1.04 to 1.06); p < 0.001), male sex (aHR 2.19 (95% CI 1.61 to 2.96); p < 0.001), and need for RBC transfusions (aHR 1.10 (95% CI 1.02 to 1.19); p = 0.01). Conclusion Our results suggest that low Hb at admission along with age and RBC transfusions is significantly associated with short- and long-term mortality after hip fracture surgery, independently of comorbidity confounders. Further studies should be performed to understand how preoperative Hb could be taken into account in perioperative management. Cite this article: Bone Joint J 2019;101-B:1122–1128.

Prognostic impact of gender and young age in patients with acute myocardial infarction undergoing primary PCI

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
M Radomirovic ◽  
D Milasinovic ◽  
Z Mehmedbegovic ◽  
A Pavlovic ◽  
S Zaharijev ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Mortality Rates ◽  
Primary Pci ◽  
Female Patients ◽  
Crude Mortality ◽  
Short And Long Term ◽  
Male Patients ◽  
Baseline Characteristics ◽  
Long Term Mortality

Abstract Background Previous studies showed higher unadjusted mortality rates in female patients with acute myocardial infarction (AMI) undergoing primary percutaneous coronary intervention (PCI). However, after adjusting for differences in baseline characteristics, including age, female gender was not consistently associated with higher mortality. Purpose Our aim was to investigate the impact of gender on short- and long-term mortality in patients aged 18 to 55 years with AMI undergoing primary PCI. Methods We included 11 288 patients admitted for primary PCI during 2009–2019, from a prospectively kept, electronic registry of a high-volume tertiary center. Adjusted Cox regression models were used to assess 30-day and 5-year mortality hazard. Median follow up was 1 507 days. Results 3 505 patients were younger than 55 years (31%). In this age group, 18.9% were female patients (n=661). Baseline characteristics were similar for females vs. males below the age of 55 years, including similar reperfusion times (338 min. vs. 341 min., p=0.8), with only exceptions being a higher rate of previous hypertension (64% vs. 58%, p=0.002) and stroke (3.6% vs. 2.2%, p=0.049), as well as lower ejection fraction (48% vs. 51%, p&lt;0.001), in female patients. MINOCA (Myocardial Infarction with Nonobstructive Coronary Arteries) was more frequently present in female vs. male patients aged ≤55 years (10.1% vs. 5.0%, p&lt;0.001). In the overall population, crude mortality was higher in female patients at 30 days (9.8% vs. 6.0%, p&lt;0.001) and 5 years (38.4% vs. 30.2%, p&lt;0.001). In younger patients (≤55 years), mortality rates were low and similar between the sexes at both 30 days (3.6% in females vs. 2.5% in males, p=0.136) and 5 years (14.5% vs. 13.4%, p=0.58). On the contrary, in patients aged &gt;55 years, crude mortality was higher in female patients at both 30 days (11.3% vs. 7.9%, p&lt;0.001) and 5 years (43.9% vs. 39.4%, p=0.02), albeit mainly driven by the differences in baseline characteristics between the sexes in this older age group (adjusted HR for female sex 1.220, CI95% 0.920–0.617, p=0.17, at 30 days; and adjusted HR 1.033, CI95% 0.908–0.175, p=0.62, at 5 years). Conclusion Differences in crude mortality rates between sexes in patients with AMI admitted for primary PCI appear to be mainly dependent on age, with similar rates of both short- and long-term mortality in younger patients (≤55 years). The observed excess in mortality in older (&gt;55 years) female vs. male patients could be explained by the differences in baseline clinical characteristics. Funding Acknowledgement Type of funding source: None

scholarly journals Short- and Long-term Effectiveness of Sacral Nerve Stimulation in Patients with Overactive Bladder

2020 ◽  
Vol 8 (B) ◽  
pp. 1207-1211
Author(s):  
Bassam Mahmood Flamerz Arkawazi ◽  
Harth Mohamed Kamber ◽  
Hayder Nabeel Abdulwadoud
Keyword(s):  
Overactive Bladder ◽  
Nerve Stimulation ◽  
Sacral Nerve Stimulation ◽  
Sacral Nerve ◽  
Female Patients ◽  
Long Term Follow Up ◽  
Percutaneous Nerve Evaluation ◽  
Short And Long Term ◽  
Male Patients

BACKGROUND: Sacral nerve stimulation (SNS) approved for use in North America since 1997 despite the fact that the concept of using SNS to treat patients with voiding dysfunction discussed first almost 50 years ago. AIM: The objectives of the study were to assess the effectiveness of SNS the short and long term for patients with overactive bladder (OAB) dysfunction and its relation to age, gender, and causes. PATIENTS AND METHODS: This is a clinical prospective study that involved 50 cases (32 females and 18 males) with OAB. It was carried out at Ibn Sina Hospital, and the neurosciences hospital in Baghdad/Iraq from April 2015 to April 2018. All the patients were assessed preoperatively and certain inclusion criteria were used. The patients went through the 2 stage implantations of the Medtronic InterStim®. The patients were assessed at 6 months (short term) and 2 years (long term) postoperatively. RESULTS: The results of our patients were analyzed with respect to age, gender, causes of OAB, and post-operative complications. We found that younger age patients, female patients, and patients with neurogenic causes of OAB showed a better response in both the short- and long-term follow-up. CONCLUSION: Considerable progress has been made in the surgical management of OAB. Proper selection of patients is the key to the success of SNS, and female patients have better results compared to male patients. Furthermore, younger patients and patients with neurogenic causes did better than older patients and patients with idiopathic causes. SNS is a safe minimally invasive surgery with a low complication rate, and the 2 stages procedure has better results than the percutaneous nerve evaluation.

scholarly journals Effects of cataract surgery on short-term and long-term intraocular pressure fluctuations in non-glaucomatous and medically controlled primary open-angle glaucoma patients

2019 ◽  
Vol 72 (7-8) ◽  
pp. 202-208
Author(s):  
Bojana Markic ◽  
Milka Mavija ◽  
Sasa Smoljanovic-Skocic ◽  
Sanela-Sanja Burgic
Keyword(s):  
Intraocular Pressure ◽  
Cataract Surgery ◽  
Primary Open Angle Glaucoma ◽  
Open Angle Glaucoma ◽  
Pressure Fluctuations ◽  
Control Group ◽  
Open Angle ◽  
Short Term ◽  
Short And Long Term

Introduction. It has been recognized that cataract surgery leads to a reduction of intraocular pressure, both in healthy and in glaucoma patients. This prospective interventional clinical study aimed to investigate the effects of cataract surgery on intraocular pressure and its short- and long-term fluctuations in medically controlled primary open-angle glaucoma patients and non-glaucomatous patients. Material and Methods. Two groups of 31 patients (31 eyes) were studied. The observed group included patients with glaucoma and cataract, and the control group included patients with senile cataract only. The intraocular pressure was measured three times daily pre- and at 1, 3 and 6 months postoperatively. Results. In both groups, a significant postoperative reduction in both mean and maximum intraocular pressure. Six months after surgery, in the observed group the average and maximum intraocular pressure reduction levels were -2.73 ? 1.91 mmHg and -3.16 ? 2.19 mmHg, and -2.26 ? 1.71 mmHg and -2.53 ? 1.70 mmHg in the control group. In the observed group, at 3 and 6 months after surgery, a significant reduction in short-term fluctuations was observed. Six months after surgery, short-term fluctuations decreased by -1.04 ? 2.20 mmHg compared to preoperative. Postoperatively, in the observed group, long-term fluctuations of average and maximum intraocular pressure were 2.69 ? 2.15 mmHg and 2.88 ? 2.22 mmHg, respectively, and in the controls they were 2.02 ? 1.28 mmHg and 2.42 ? 1.47 mmHg, showing no significant differences between groups. Conclusion. In patients with primary open-angle glaucoma, cataract surgery results in a statistically significant reduction in both average and maximum intraocular pressure as well as of short-term fluctuations.

P1.065 Vision and gait show short and long term improvements following cataract surgery

2008 ◽  
Vol 14 ◽  
pp. S27
Author(s):  
J.L. Helbostad ◽  
M. Oedegaard ◽  
K. Taraldsen ◽  
R. Moe-Nilssen ◽  
O. Sletvold
Keyword(s):  
Cataract Surgery ◽  
Short And Long Term
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