Associations between Zygoma Fracture and Post-Traumatic Headache: A Study among Taiwanese Population

Few studies have discussed the development of post-traumatic headache (PTH) after zygoma fracture. This research aimed to examine the association between zygoma fracture and PTH and its other associated factors. A total of 3043 patients with zygoma fracture and 3043 patients with non-fracture were included in this analysis. They were matched to a non-fracture cohort from the National Health Insurance database according to age, sex, and index year. The incidence of PTH and its association with zygoma fracture were assessed. The zygoma fracture cohort had a significantly higher cumulative incidence of PTH than the non-fracture cohort in a 10-year follow-up. The confounding risk factors of PTH included zygoma fracture, female sex, and comorbidities, including obesity and depression. Female patients under 40 years old who had zygoma fractures had a higher incidence of PTH than the non-fracture group. Moreover, patients with zygoma fractures commonly developed PTH within three months after injury. Female patients under 40 years old with precedent zygoma fractures had a higher incidence rate of PTH than those without fractures. Moreover, patients with zygoma fractures commonly developed PTH within three months after injury. Nevertheless, before widely applying our results, a prospective study must be conducted to verify the risk factors found in this study.

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Predictors of the development of takotsubo cardiomyopathy in aneurysmal subarachnoid hemorrhage and outcomes in patients with intra-aortic balloon pumps

Journal of Neurosurgery ◽

10.3171/2020.5.jns20536 ◽

2020 ◽

pp. 1-6

Author(s):

Joshua S. Catapano ◽

Andrew F. Ducruet ◽

Fabio A. Frisoli ◽

Candice L. Nguyen ◽

Christopher E. Louie ◽

...

Keyword(s):

Risk Factors ◽

Subarachnoid Hemorrhage ◽

Takotsubo Cardiomyopathy ◽

Aneurysmal Subarachnoid Hemorrhage ◽

Multivariate Logistic Regression Analysis ◽

High Morbidity ◽

Female Patients ◽

Neurological Outcomes ◽

Poor Outcomes

OBJECTIVETakotsubo cardiomyopathy (TC) in patients with aneurysmal subarachnoid hemorrhage (aSAH) is associated with high morbidity and mortality. Previous studies have shown that female patients presenting with a poor clinical grade are at the greatest risk for developing TC. Intra-aortic balloon pumps (IABPs) are known to support cardiac function in severe cases of TC, and they may aid in the treatment of vasospasm in these patients. In this study, the authors investigated risk factors for developing TC in the setting of aSAH and outcomes among patients requiring IABPs.METHODSThe authors retrospectively reviewed the records of 1096 patients who had presented to their institution with aSAH. Four hundred five of these patients were originally enrolled in the Barrow Ruptured Aneurysm Trial, and an additional 691 patients from a subsequent prospectively maintained aSAH database were analyzed. Medical records were reviewed for the presence of TC according to the modified Mayo Clinic criteria. Outcomes were determined at the last follow-up, with a poor outcome defined as a modified Rankin Scale (mRS) score > 2.RESULTSTC was identified in 26 patients with aSAH. Stepwise multivariate logistic regression analysis identified female sex (OR 8.2, p = 0.005), Hunt and Hess grade > III (OR 7.6, p < 0.001), aneurysm size > 7 mm (OR 3, p = 0.011), and clinical vasospasm (OR 2.9, p = 0.037) as risk factors for developing TC in the setting of aSAH. TC patients, even with IABP placement, had higher rates of poor outcomes (77% vs 47% with an mRS score > 2, p = 0.004) and mortality at the last follow-up (27% vs 11%, p = 0.018) than the non-TC patients. However, aggressive intra-arterial endovascular treatment for vasospasm was associated with good outcomes in the TC patients versus nonaggressive treatment (100% with mRS ≤ 2 at last follow-up vs 53% with mRS > 2, p = 0.040).CONCLUSIONSTC after aSAH tends to occur in female patients with large aneurysms, poor clinical grades, and clinical vasospasm. These patients have significantly higher rates of poor neurological outcomes, even with the placement of an IABP. However, aggressive intra-arterial endovascular therapy in select patients with vasospasm may improve outcome.

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A prospective study on outcome of function after proximal row carpectomy

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20195565 ◽

2019 ◽

Vol 6 (1) ◽

pp. 44

Author(s):

Chaitanya Gadi ◽

S. M. Venugopal ◽

Bhaskaranand Kumar ◽

Karthik Gudaru

Keyword(s):

Prospective Study ◽

Grip Strength ◽

Neuromuscular Disorders ◽

Wrist Flexion ◽

Proximal Row Carpectomy ◽

Significant Difference ◽

Post Traumatic ◽

A Prospective Study ◽

Traumatic Arthritis

Background: Proximal row carpectomy (PRC) is a procedure with varied indications. The purpose of this study was to evaluate functional outcomes with PRC in wrist flexion deformities, neuromuscular disorders and also post-traumatic wrist arthritis.Methods: A prospective study was performed on all patients who underwent PRC between April 2015 and December 2017, in BIRRD (T) hospital, Tirupati, Andhra Pradesh with a minimum follow up of 6 months. Outcome was assessed in terms of range of motion (ROM), grip strength, quick disabilities of the arm, shoulder, and hand (QDASH) score and pain score. Data was analyzed using the Student t-test.Results: Thirty-two patients underwent PRC of which 12 are neuromuscular disorders, 10 are wrist flexion deformities, 10 are post-traumatic wrist arthritis. On the final follow-up, significant improvement in ROM was observed in wrist flexion deformities and neuromuscular disorders, whereas grip strength and QDASH scores showed a significant difference in post-traumatic wrist arthritis. Pain was studied only in post-traumatic wrist arthritis, all were very much pleased with pain reduction.Conclusions: PRC is fairly a reliable procedure for all the indications in our study. We consider that PRC is a promising procedure in correcting wrist flexion deformities. Though there has been significant improvement in all the parameters for all the cases, we consider this procedure is best suited for post-traumatic arthritis group.

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Prevalence of pica among pregnant women attending antenatal clinic in a tertiary facility in Nigeria

Annals of African Medical Research ◽

10.4081/aamr.2019.89 ◽

2020 ◽

Vol 2 (2) ◽

Author(s):

Muhammad Baffah Aminu ◽

Alkali Mohammed ◽

Bala Audu Muhammed ◽

Toyin Abdulrazak ◽

Aniobi Chinedu

Keyword(s):

Risk Factors ◽

Pregnant Women ◽

Associated Factors ◽

Antenatal Clinic ◽

University Teaching ◽

Level Of Education ◽

Appropriate Treatment ◽

Social Habits ◽

A Prospective Study ◽

Unusual Symptoms

One of the unusual symptoms observed among pregnant women is the aversion for non-food substances like sand, clay and ice. Pica is a form of eating disorder characterised by these symptoms. It occurs commonly in children and among pregnant women. This study aims to determine the prevalence and associated factors for Pica among booked patients in our institution. A prospective study was conducted among pregnant women at booking aged 11-45 years at the ATB University teaching Hospital Bauchi between 1st February to 31st of July 2019. All pregnant women who gave their consent were interviewed using a pretested questionnaire. The biodata, risk factors for Pica, occurrence in childhood and other social habits were recorded. The result showed a prevalence rate of pica at 38.9% with a craving for ice (18.7%), sand (14.7%) and others (55.11%). Pica was observed more in the day time (afternoon and evening) and most women having pica had a low level of education. Even though the prevalence of Pica appeared low in our environment, adequate counselling and appropriate treatment of women with this condition should be given more priority.

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A Prospective Study on Risk Factors for Olfactory Dysfunction in Aging

The Journals of Gerontology Series A ◽

10.1093/gerona/glz265 ◽

2019 ◽

Vol 75 (3) ◽

pp. 603-610 ◽

Cited By ~ 2

Author(s):

Eva Palmquist ◽

Maria Larsson ◽

Jonas K Olofsson ◽

Janina Seubert ◽

Lars Bäckman ◽

...

Keyword(s):

Risk Factors ◽

Healthy Lifestyle ◽

Total Sample ◽

Olfactory Dysfunction ◽

National Study ◽

Current Smoking ◽

Ε4 Allele ◽

A Prospective Study

Abstract Background Olfactory dysfunction (OD) refers to a reduced or absent ability to smell. OD negatively impacts health and quality of life and its prevalence increases with advancing age. Since OD may be an early marker of dementia and impending death, more knowledge regarding risk factors of OD in aging is warranted. The objective was therefore to explore longitudinally which demographic, genetic, clinical, lifestyle, and cognitive factors predict the development of OD. Methods The study included participants aged 60–90 years from the Swedish National Study on Aging and Care in Kungsholmen (SNAC-K), who did not have OD at baseline and were reassessed with an odor identification task at a 6-year follow-up (n = 1,004). Risk factors of OD were assessed with multivariable logistic regression analyses. Results The percentage of incident OD cases was 14.2% over 6 years in the total sample and this number increased monotonically with age. Increasing age, carrying the ε4 allele of the APOE gene, atrial fibrillation, cerebrovascular disease, and current smoking were found to be risk factors for the development of OD, whereas better olfactory identification and verbal episodic memory proficiency at baseline were identified as protective factors. Conclusions In addition to nonmodifiable factors (age and genetic risk), several modifiable risk factors of OD were identified. This suggests that it might be possible to reduce OD incidence through the management of vascular risk factors and maintenance of a healthy lifestyle.

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Displaced Colles fractures: Functional outcome following closed reduction and stabilization with percutaneous K-wires

Nepal Orthopaedic Association Journal ◽

10.3126/noaj.v2i1.8135 ◽

2013 ◽

Vol 2 (1) ◽

pp. 14-20 ◽

Cited By ~ 1

Author(s):

RR Manandhar ◽

S Lakhey ◽

BK Pandey ◽

RL Pradhan ◽

S Sharma ◽

...

Keyword(s):

Functional Outcome ◽

Invasive Technique ◽

Percutaneous Pinning ◽

Fracture Stabilization ◽

Excellent Functional Outcome ◽

Post Traumatic ◽

K Wires ◽

A Prospective Study ◽

Traumatic Arthritis

Background: Displaced Colles fractures are generally treated by manipulation and below elbow cast application. Malunion is a common complication resulting in pain, mid carpal instability and post-traumatic arthritis. Fracture stabilization by percutaneous pinning is a simple, minimally invasive technique which helps prevent dislodgment of the fracture thereby minimizing complications. The study aims to assess the amount of collapse after closed manipulation and percutaneous pinning with K-wires and its correlation with the functional outcome of the wrist after union. Methods: A prospective study was conducted from October 2006 to November 2009. Fifty adults (27 female, 23 male) with an average age of 40.72 years with type II fractures underwent closed manipulation and percutaneous pinning with crossed K-wires as the primary procedure. Serial radiographs were taken to document the amount of collapse. The functional outcome was assessed using Mayo Wrist Score. Results: At the final follow up of 6 months the collapse in the mean dorsal angle was 1.15 and mean ulnar variance 0.51. Functionally 25 patients (53.19%) had excellent, 17 patients (36.17%) good and 5 patients (10.63%) had satisfactory or fair outcome. Conclusions: Displaced Colles fractures should be reduced and stabilized with percutaneous K-wires to achieve an excellent functional outcome. DOI: http://dx.doi.org/10.3126/noaj.v2i1.8135 Nepal Orthopaedic Association Journal Vol.2(1) 2011: 14-20

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Risk factors for post-traumatic osteoarthritis of the ankle: an eighteen year follow-up study

International Orthopaedics ◽

10.1007/s00264-011-1472-7 ◽

2012 ◽

Vol 36 (7) ◽

pp. 1403-1410 ◽

Cited By ~ 56

Author(s):

Anne Lübbeke ◽

Davide Salvo ◽

Richard Stern ◽

Pierre Hoffmeyer ◽

Nicolas Holzer ◽

...

Keyword(s):

Risk Factors ◽

Follow Up Study ◽

Post Traumatic

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A prospective study of pre-trauma risk factors for post-traumatic stress disorder and depression

Psychological Medicine ◽

10.1017/s0033291716000532 ◽

2016 ◽

Vol 46 (12) ◽

pp. 2571-2582 ◽

Cited By ~ 62

Author(s):

J. Wild ◽

K. V. Smith ◽

E. Thompson ◽

F. Béar ◽

M. J. J. Lommen ◽

...

Keyword(s):

Risk Factors ◽

Post Traumatic Stress Disorder ◽

Traumatic Stress ◽

Stress Disorder ◽

Stressful Events ◽

Self Report ◽

Post Traumatic Stress ◽

Psychological Traits ◽

Post Traumatic

BackgroundIt is unclear which potentially modifiable risk factors best predict post-trauma psychiatric disorders. We aimed to identify pre-trauma risk factors for post-traumatic stress disorder (PTSD) or major depression (MD) that could be targeted with resilience interventions.MethodNewly recruited paramedics (n = 453) were assessed for history of mental disorders with structured clinical interviews within the first week of their paramedic training and completed self-report measures to assess hypothesized predictors. Participants were assessed every 4 months for 2 years to identify any episodes of PTSD and MD; 386 paramedics (85.2%) participated in the follow-up interviews.ResultsIn all, 32 participants (8.3%) developed an episode of PTSD and 41 (10.6%) an episode of MD during follow-up. In all but nine cases (2.3%), episodes had remitted by the next assessment 4 months later. At 2 years, those with episodes of PTSD or MD during follow-up reported more days off work, poorer sleep, poorer quality of life, greater burn-out; and greater weight-gain for those with PTSD. In line with theories of PTSD and depression, analyses controlling for psychiatric and trauma history identified several pre-trauma predictors (cognitive styles, coping styles and psychological traits). Logistic regressions showed that rumination about memories of stressful events at the start of training uniquely predicted an episode of PTSD. Perceived resilience uniquely predicted an episode of MD.ConclusionsParticipants at risk of developing episodes of PTSD or depression could be identified within the first week of paramedic training. Cognitive predictors of episodes of PTSD and MD are promising targets for resilience interventions.

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Psychiatric morbidity in bus crews following violent assault: a follow-up study

Psychological Medicine ◽

10.1017/s0033291700038125 ◽

1992 ◽

Vol 22 (3) ◽

pp. 685-693 ◽

Cited By ~ 11

Author(s):

Nigel Fisher ◽

Robin Jacoby

Keyword(s):

Psychiatric Morbidity ◽

Initial Assessment ◽

Control Group ◽

Physical Assault ◽

Post Traumatic Stress ◽

Post Traumatic ◽

Assault Victims ◽

A Prospective Study ◽

Violent Assault

SynopsisIn a prospective study 22 bus crews who were victims of physical assault were assessed using standardized psychiatric instruments, followed up for 18 months and compared to a non-assaulted control group drawn from the same bus garage. At initial assessment the assaulted group, compared to the controls showed a significant increase in psychiatric impairment and distress (as measured by the GHQ-30 and IES respectively), with 23% of assault victims developing post-traumatic stress disorder as defined by DSM-III-R. At follow-up, while high levels of both psychiatric impairment and distress persisted there was evidence that they may be separate phenomena.

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Keller Arthroplasty: A Prospective Review

Foot & Ankle ◽

10.1177/107110078700800110 ◽

1987 ◽

Vol 8 (1) ◽

pp. 46-54 ◽

Cited By ~ 40

Author(s):

T. R. Love ◽

A. S. Whynot ◽

I. Farine ◽

M. Lavoie ◽

L. Hunt ◽

...

Keyword(s):

Patient Satisfaction ◽

Prospective Study ◽

Hallux Valgus ◽

Joint Pain ◽

Female Patients ◽

Satisfaction Rate ◽

Level Of Activity ◽

A Prospective Study ◽

Patient Satisfaction Rate

A prospective study of the Keller procedure for hallux valgus was carried out on 44 female patients (75 feet) with an average age of 66 years. The average follow-up was 31 months (range, 12–64 months). The operation was effective in improving symptoms (joint pain and bunion tenderness), cosmesis, function (footwear and level of activity) and in decreasing the deformity. The operation did not have an influence on metatarsal calluses. Cock-up deformity was common postoperatively but did not affect the results. The overall patient satisfaction rate was 77%.

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Post-Traumatic Headache After Mild Traumatic Brain Injury In A One-Year Follow Up Study – Risk Factors And Return To Work

10.21203/rs.3.rs-1117390/v1 ◽

2021 ◽

Author(s):

Yvonn Kraemer ◽

Kaisa Mäki ◽

Ivan Marinkovic ◽

Taina Nybo ◽

Harri Isokuortti ◽

...

Keyword(s):

Risk Factors ◽

Traumatic Brain Injury ◽

Emergency Department ◽

Brain Injury ◽

Return To Work ◽

Mild Traumatic Brain Injury ◽

Outpatient Clinic ◽

Post Traumatic ◽

One Year

Abstract Background: Post-traumatic headache (PTH) is a common symptom following mild traumatic brain injury (mTBI). Patients at risk to develop acute PTH (aPTH) and further persistent PTH (pPTH) need to be recognized. Methods: This is a one-year follow-up of 127 patients with mTBI, aged 18 to 68, referred to outpatient clinic in the Helsinki University Hospital. Symptoms were assessed at the emergency department (ED), with structured interview at outpatient clinic visit and with Rivermead post-concussion symptom questionnaire at one, three, and 12 months after injury. Psychiatric disorders were assessed with Structured Clinical Interview for DSM-IV Axis I disorders at 3-4 months and return to work (RTW) from patient records. Results: At one month, 77/127 patients (61%) had aPTH. According to multiple logistic regression analysis, risk factors for aPTH were headache at the emergency department (ED) (OR 5.43), other pain (OR 3.19), insomnia (OR 3.23), and vertigo (OR 5.98). At three months, 17 patients (22% of aPTH patients) had developed pPTH, and at one year, 4 patients (24% of pPTH patients) still presented with pPTH. Risk factors for pPTH at three months were older age (OR 1.06) and current insomnia (OR 12.3). The frequency of psychiatric disorders did not differ between the groups. pPTH patients performed worse on their RTW. Conclusions: Risk factors for aPTH were insomnia, headache at ED, other pain, and vertigo and for pPTH, insomnia and older age. RTW rate was lower among pPTH patients.

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