A short-term functional outcome of proximal diaphysio-metaphyseal fracture of tibia treated with intramedullary interlocking nail in combination with poller screw

Low vitamin D levels have been reported to contribute to the risk of cardiovascular events and mortality, especially stroke. In the present study we therefore evaluated the short-term prognostic value of serum 25(OH)D (25-hydroxyvitamin D) in Chinese patients with AIS (acute ischaemic stroke). From February 2010 to September 2012, consecutive stroke patients admitted to the emergency department at two hospitals in Beijing, China were identified. Clinical information was collected, and the serum concentration of 25(OH)D and NIHSS (National Institutes of Health Stroke Scale) were measured at the time of admission. Short-term functional outcome was measured using a modified Rankin Scale (mRS) at 90 days after admission. Multivariate analyses were performed using logistic regression models. During the inclusion period, 231 patients were diagnosed as having AIS, and 220 completed follow-up. The median serum 25(OH)D level was significantly lower in patients with AIS compared with normal controls [14.2 (10.2–18.9) ng/ml compared with 17.9 (12.5–22.9) ng/ml; P<0.001; values are medians (interquartile range)]. 25(OH)D was an independent prognostic marker of short-term functional outcome and death {0.79 (0.73–0.85) and 0.70 (0.50–0.98) respectively [values are odds rations (95% confidence intervals)]; P<0.01 for both, adjusted for NHISS, other predictors and vascular risk factors} in patients with AIS. In ROC (receiver operating characteristic) curve analysis, the prognostic accuracy of 25(OH)D was higher compared with all of the other serum predictors and was in the range of NIHSS score. In conclusion, these findings suggest that 25(OH)D is an independent prognostic marker for death and functional outcome within 90 days in Chinese patients with AIS even after adjusting for possible confounding factors

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The impact of cognitive impairment at admission on short-term functional outcome of elderly hip fracture patients

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh1006319d ◽

2010 ◽

Vol 138 (5-6) ◽

pp. 319-322 ◽

Cited By ~ 4

Author(s):

Emilija Dubljanin-Raspopovic ◽

Dragana Matanovic ◽

Marko Bumbasirevic

Keyword(s):

Cognitive Impairment ◽

Hip Fracture ◽

Elderly Patients ◽

Functional Outcome ◽

Cognitive Status ◽

Cognitively Impaired ◽

Short Term ◽

Functional Gain ◽

The Impact ◽

Cognitively Intact

Introduction The number of patents with dementia increases among hip fracture patients. Cognitive dysfunction is defined as a premorbid state which is potentionally negatively related to short-term functional outcome. Objective To assess the relationship between cognitive status on admission and functional gain during an early rehabilitation period in elderly hip fracture patients. Methods Forty-five elderly patients with surgically treated hip fracture were examined. Cognitive status was assessed by the Mini Mental State Examination (MMSE) at admission; functional status was assessed by the motor subscale of Functional Independence Measure (FIM) at admission and before discharge, while absolute functional gain was determined by the motor FIM gain (FIM discharge - FIM admission). Absolute functional gain was analyzed in respect to cognitive status. Results Both cognitively impaired and cognitively intact hip fracture patients exhibited overall FIM motor improvements, as well as functional gains in specific FIM motor areas (p<0.01). Absolute functional gain, however, was higher in 1) cognitively intact compared to cognitively impaired patients (p<0.01), and 2) cognitively moderately impaired patients compared to severely cognitively impaired patients (p<0.01). No difference in functional gain was detected between the patients with moderately cognitively impaired compared to the cognitive intact patients (p>0.05). Conclusion The systematic use of MMSE identifies cognitively impaired hip fracture patients, and effectively predicts their short-term functional outcome. A higher admission cognitive status is related to a more favorable short term rehabilitation outcome. In spite of cognitive impairment, elderly patients with hip fracture can benefit from participation in rehabilitation programmes. The systematic identification of cognitively impaired hip fracture patients at admission facilitates optimal treatment and rehabilitation, and thus enables the best achievable outcome to be reached.

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STUDY OF SERUM ALBUMIN AS A PREDICTOR OF SHORT-TERM FUNCTIONAL OUTCOME IN ACUTE ISCHAEMIC STROKE

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2017/637 ◽

2017 ◽

Vol 6 (36) ◽

pp. 2957-2962

Author(s):

Reeta James ◽

Jog Antony ◽

Sreelakshmi Sreedhar ◽

Rohit Mathew ◽

Adarsh Surendran

Keyword(s):

Serum Albumin ◽

Ischaemic Stroke ◽

Functional Outcome ◽

Acute Ischaemic Stroke ◽

Short Term

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Functional Outcome of Resection versus Reconstruction in Mason II-III Radial Head Fractures; A Short-Term Prospective Study

Bulletin of Emergency and Trauma ◽

10.18869/acadpub.beat.5.4.453 ◽

2017 ◽

Vol 5 (4) ◽

pp. 266-272 ◽

Cited By ~ 2

Author(s):

Pradeep Kumar Meena ◽

◽

Sahil Gaba ◽

Sandesh Bobade ◽

Rajendra Verma ◽

...

Keyword(s):

Prospective Study ◽

Functional Outcome ◽

Radial Head ◽

Short Term ◽

Radial Head Fractures

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SHORT-TERM FUNCTIONAL OUTCOME AFTER ISCHEMIC STROKE IS RELATED TO BLOOD PRESSURE VARIABILITY

Journal of Hypertension ◽

10.1097/01.hjh.0000539327.94937.78 ◽

2018 ◽

Vol 36 (Supplement 1) ◽

pp. e126-e127

Author(s):

K. Kowalczyk ◽

D. Gasecki ◽

M. Kwarciany ◽

B. Jablonski ◽

K. Narkiewicz ◽

...

Keyword(s):

Blood Pressure ◽

Ischemic Stroke ◽

Functional Outcome ◽

Blood Pressure Variability ◽

Short Term

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Preoperative vitamin D level does not affect the short-term functional outcome after total knee arthroplasty in elderly women

Knee Surgery and Related Research ◽

10.1186/s43019-020-00050-7 ◽

2020 ◽

Vol 32 (1) ◽

Author(s):

Il Yeong Hwang ◽

Ki Bong Park ◽

Sung Who Chang ◽

Sung Do Cho ◽

Yoon Seok Youm

Keyword(s):

Vitamin D ◽

Total Knee Arthroplasty ◽

Functional Outcome ◽

Knee Arthroplasty ◽

Elderly Women ◽

Short Term ◽

Total Knee

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Randomized controlled trial comparing dynamic compression plate versus intramedullary interlocking nail for management of humeral shaft fractures

Health Renaissance ◽

10.3126/hren.v9i2.4974 ◽

1970 ◽

Vol 9 (2) ◽

pp. 61-66 ◽

Cited By ~ 2

Author(s):

P Chaudhary ◽

NK Karn ◽

BP Shrestha ◽

GP Khanal ◽

R Rijal ◽

...

Keyword(s):

Standard Deviation ◽

Blood Loss ◽

Functional Outcome ◽

Dynamic Compression ◽

Operating Time ◽

Humeral Shaft ◽

Dynamic Compression Plate ◽

Interlocking Nail ◽

Humeral Shaft Fractures ◽

Compression Plate

Background: The optimal method of humeral shaft fracture fixation remains debatable. With the dramatic success of intramedullary fixation for fractures of the femur and tibia, there was speculation that IM-ILN might be more appropriate for humeral shaft fractures than DCP. Objectives: To compare the fixation of fracture shaft of humerus with interlocking nail and dynamic compression plate in terms of duration of operating time, amount of blood loss, rate of infection, pain at the fracture site, time to achieve union, functional outcome (DASH score) and complications of surgery. Methods: This was randomised control trial study. All patients with fractures of shaft of humerus that met the criteria for operative interventions presenting to the Department of Orthopaedics, BPKIHS in the study period and giving informed consent were included in the study. Sample size was taken 30 in each group. Results: The usual mode of injury in both the groups were road traffiic accident followed by fall from height, work place injury. The operating time for nailing was 100 mins with standard deviation of 11.24 while that of humerus plating was 90.25 with standard deviation 15.6.The mean blood loss in nail group was 148.75 with standard deviation of 36.70 while that in plate group was 205.00 with standard deviation of 45.60. Post operative hospital stay was similar in both groups with mean stay of 4.5 days. DASH was significantly higher in plating group at 6,12,18 and 24 weeks follow up. This showed better functional outcome in nailing group. Conclusion: Dynamic compression plating is better than interlocking nail for fracture shaft of humerus. Keywords: shaft of humerus; interlocking nail; plate fixation DOI: http://dx.doi.org/10.3126/hren.v9i2.4974 Health Renaissance 2011: Vol.9 (No.2): 61-66

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Evaluation of serum retinol-binding protein-4 levels as a biomarker of poor short-term prognosis in ischemic stroke

Bioscience Reports ◽

10.1042/bsr20180786 ◽

2018 ◽

Vol 38 (5) ◽

Cited By ~ 6

Author(s):

Yan-yan Zhu ◽

Jian-long Zhang ◽

Li Liu ◽

Yingbo Han ◽

Xiaomin Ge ◽

...

Keyword(s):

Ischemic Stroke ◽

Functional Outcome ◽

Serum Levels ◽

Retinol Binding Protein ◽

Short Term ◽

Poor Functional Outcome ◽

Nihss Score ◽

Retinol Binding Protein 4 ◽

The Poor ◽

Poor Outcomes

The aim was to investigate the relationship between retinol-binding protein 4 (RBP4) levels and short-term functional outcome, and to determine its possible role in acute ischemic stroke (AIS). In a prospective observational study, 299 first-ever AIS who were admitted to our hospital were included. Serum levels of RBP4 were assayed and severity of stroke was evaluated with the National Institutes of Health Stroke Scale (NIHSS) score on admission. The prognostic value of RBP4 to predict the poor outcome within 3 months was compared with the NIHSS and with other known outcome predictors. The median age of the included patients was 66 (interquartile range (IQR): 55–77) years and 155 (51.8%) were women. A poor functional outcome was found in 88 patients (29.4%), and significantly higher RBP4 values were found in poor outcomes rather than good outcomes patients (P<0.001). The poor outcomes distribution across the RBP4 quartiles ranged between 9.3% (first quartile) and 60.8% (fourth quartile). In multivariate models comparing the second(Q2), third, and fourth quartiles against the first quartile of the RBP4, RBP4 in Q3 and Q4 were associated with poor functional outcome, and increased risk of poor functional outcome by 144% (OR: 2.44; 95% confidence interval (CI): 1.22–5.03) and 602% (7.02; 3.11–12.24), respectively. Interestingly, RBP4 improved the NIHSS score (area under the curve (AUC) of the combined model, 0.79; 95% CI: 0.74–0.85; P<0.001). The data showed that elevated serum levels of RBP4 at admission were associated with severity and prognosis of AIS, suggesting that vitamin A metabolism or impaired insulin signaling could be involved.

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