scholarly journals Effectiveness and Outcome of Early Weight Bearing in Ankle Fracture: A Systemic Review

2021 ◽  
pp. 13-23
Author(s):  
Abdulmalik B. Albaker
Keyword(s):  
Quality Of Life ◽  
Ankle Fracture ◽  
Weight Bearing ◽  
Systemic Review ◽  
Cochrane Library ◽  
Future Research ◽  
Active Movement ◽  
Trauma Patients ◽  
Early Weight Bearing

Introduction: Ankle fractures are claimed to affect 70-185 patients out of 100,000 people each year. There is currently no unanimity among surgeons throughout the world on early versus restricted weight bearing in surgically treated trauma patients with fractures. The aim of this study was to systematically review the effectiveness and outcome of early weight bearing in ankle fracture as well as quality of life and pain. Methods: An electronic search was conducted of the databases EMBASE, PubMed, and The Cochrane Library, as well as Medline, Google Scholar to identify all articles related to the topic that have been published after 2006. Results: Initially, 2434 records were identified. Due to similarity and duplication, 1308 records were eliminated, and 1126 records were kept. Following the screening of the records and their subjects, 921 further unconnected records were eliminated. Then, 205 qualified full-text articles were selected, and 10 articles were included in qualitative analysis. Conclusion: According to the findings of this study, surgical therapy, both aggressive and minimal, appears to be a safe alternative for the elderly. Short-term advantages of early weight-bearing include a decreased incidence of thromboembolic disease. Active movement reduces joint stiffness while maintaining muscle mass. Post-operative mobility, quality of life, and post-operative early weight bearing status are considered as significant outcome indicators. Unsafe weight as tolerated after ankle surgery might be a safe and encouraging option. As a result, future research should include this possibilities.

scholarly journals Prognostic disclosure and quality of life in palliative care: a systematic review

2020 ◽  
pp. bmjspcare-2020-002460
Author(s):  
Sanhapan Wattanapisit ◽  
Richard Wagland ◽  
Katherine Hunt
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Palliative Care ◽  
Cochrane Library ◽  
Future Research ◽  
Prognostic Information ◽  
Social Functions ◽  
Cross Sectional ◽  
Emotional Aspects

IntroductionPrognostic disclosure is an important component of communication in palliative care. Disclosing information on poor prognosis may affect quality of life (QoL) of palliative care patients. However, the effects of prognostic disclosure on QoL across different cultures and countries are unclear.ObjectiveTo review the effects of prognostic disclosure on QoL of palliative care patients.MethodsA systematic review was conducted across seven databases (AMED, CINAHL plus, Cochrane Library, Medline (via the PubMed interface), Embase, Scopus and Web of Science). All primary studies, of any design, that explored the effects of prognostic disclosure on QoL of adult palliative care patients were eligible.ResultsA total of 1926 records were screened for eligibility. Twenty-five articles were included (11 cross-sectional, 10 cohort, 3 mixed methods and 1 qualitative study). Studies were conducted in 11 countries. Five studies reported the sources of prognostic disclosure, while 20 studies did not. Emotional QoL was the most reported domain among the studies. The effects of prognostic disclosure on emotional aspects, overall QoL and other domains, including symptoms, physical functions, role functions, social functions and cognitive functions, were inconsistent.ConclusionsThe effects of prognostic disclosure on QoL across cultures and countries are inconsistent. Cultural differences are not sufficient to explain the effects. Future research is needed to explore the association between prognostic disclosure and QoL, and develop tools to support clinicians to share prognostic information in the most sensitive and supportive way.

Orthopedic treatment and early weight-bearing for bimalleolar ankle fractures in elderly patients: Quality of life and complications

Injury ◽  
2020 ◽  
Vol 51 (2) ◽  
pp. 548-553 ◽  
Author(s):  
Alejandro Lorente ◽  
Pablo Palacios ◽  
Rafael Lorente ◽  
Gonzalo Mariscal ◽  
Carlos Barrios ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Elderly Patients ◽  
Weight Bearing ◽  
Ankle Fractures ◽  
Orthopedic Treatment ◽  
Early Weight Bearing

scholarly journals Measuring post-discharge socioeconomic and quality of life outcomes in trauma patients: a scoping review

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Siddarth Daniels David ◽  
Nobhojit Roy ◽  
Harris Solomon ◽  
Cecilia Stålsby Lundborg ◽  
Martin Gerdin Wärnberg
Keyword(s):  
Quality Of Life ◽  
Scoping Review ◽  
Cochrane Library ◽  
Trauma Patients ◽  
Life Outcomes ◽  
Post Discharge ◽  
Quality Of Life Outcomes ◽  
Different Types ◽  
Support Cost

Abstract Purpose Trauma is a global public health challenge. Measuring post-discharge socioeconomic and quality-of-life outcomes can help better understand and reduce the consequences of trauma. Methods We performed a scoping review to map the existing research on post-discharge outcomes for trauma patients, irrespective of the country or setting in which the study was performed. The scoping review was conducted by searching six databases – MEDLINE, EMBASE, the Cochrane Library, Global Index Medicus, BASE, and Web of Science – to identify all articles that report post-discharge socioeconomic or quality of life outcomes in trauma patients from 2009 to 2018. Results Seven hundred fifty-eight articles were included in this study, extracting 958 outcomes. Most studies (82%) were from high-income countries (HICs). More studies from low- and middle-income countries (LMICs) were cross-sectional (71%) compared with HIC settings (46%). There was a wide variety of different definitions, interpretations, and measurements used by various articles for similar outcomes. Quality of life, return to work, social support, cost, and participation were the main outcomes studied in post-discharge trauma patients. Conclusions The wide range of outcomes and outcome measures reported across different types of injuries and settings. This variability can be a barrier when comparing across different types of injuries and settings. Post-discharge trauma studies should move towards building evidence based on standardized measurement of outcomes.

scholarly journals Quality of life and complications in elderly patients after pronation rotation type III ankle fractures treated with a cast and early weight-bearing

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Alejandro Lorente ◽  
Antonio Gandía ◽  
Gonzalo Mariscal ◽  
Pablo Palacios ◽  
Rafael Lorente
Keyword(s):  
Quality Of Life ◽  
Elderly Patients ◽  
Barthel Index ◽  
Weight Bearing ◽  
Ankle Fractures ◽  
Multicenter Cohort Study ◽  
Early Weight Bearing ◽  
Type Iii ◽  
One Year

Abstract Background Early weight-bearing is becoming increasingly common because it can positively affect the quality of life of patients. Therefore, the efficacy and safety of this conservative treatment should be assessed for different types of ankle fractures. The goal of this study was to compare early weight-bearing and non-weight-bearing in terms of effectiveness and safety in patients with pronation rotation type III ankle fractures treated nonsurgically. Methods A prospective multicenter cohort study was conducted over two years. Elderly patients with a nondisplaced pronation rotation type III ankle fracture were included. The main variables were the Barthel Index and SF-12 scores. The patients completed the questionnaires at six weeks, one year and two years. We also compared the complications associated with the two interventions. Results 30 patients were included in the weight-bearing group, while 32 patients were included in the non-weight-bearing (WB) group. The mean ages were 82.6 ± 2.6 years and 83.1 ± 2.6 years, respectively. Quality of life, measured with the SF-12 scale, increased significantly in both the short and long term in the WB group (53.5 ± 5.8 points vs 65.2 ± 4.4 points at 6 weeks and 70.1 ± 4.2 points vs. 80.9 ± 3.7 points at 2 years; p<0.001). The WB group also showed a higher quality of life, as measured by the Barthel Index (54.5 ± 5.2 points vs. 64.3 ± 4.0 points at 6 weeks and 71.0 ± 4.3 points vs. 80.7 ± 3.4 points at 2 years; p<0.001). Conclusions Elderly patients with pronation rotation type III fractures could benefit from an early weight-bearing protocol in terms of quality of life and functionality.

scholarly journals A systematic review of psychological, physical health factors, and quality of life in adult asthma

2019 ◽  
Vol 29 (1) ◽  
Author(s):  
Sabina Stanescu ◽  
Sarah E. Kirby ◽  
Mike Thomas ◽  
Lucy Yardley ◽  
Ben Ainsworth
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Physical Health ◽  
Psychological Factors ◽  
Social Life ◽  
Cochrane Library ◽  
Future Research ◽  
Substantial Impact ◽  
Health Factors

Abstract Asthma is a common non-communicable disease, often characterized by activity limitation, negative effects on social life and relationships, problems with finding and keeping employment, and poor quality of life. The objective of the present study was to conduct a systematic review of the literature investigating the potential factors impacting quality of life (QoL) in asthma. Electronic searches were carried out on: MEDLINE, EMBASE, PsycINFO, the Cochrane Library, and Web of Science (initial search April 2017 and updated in January 2019). All primary research studies including asthma, psychological or physical health factors, and quality of life were included. Narrative synthesis was used to develop themes among findings in included studies in an attempt to identify variables impacting QoL in asthma. The search retrieved 43 eligible studies that were grouped in three themes: psychological factors (including anxiety and depression, other mental health conditions, illness representations, and emotion regulation), physical health factors (including BMI and chronic physical conditions), and multifactorial aspects, including the interplay of health and psychological factors and asthma. These were found to have a substantial impact on QoL in asthma, both directly and indirectly, by affecting self-management, activity levels and other outcomes. Findings suggest a complex and negative effect of health and psychological factors on QoL in asthma. The experience of living with asthma is multifaceted, and future research and intervention development studies should take this into account, as well as the variety of variables interacting and affecting the person.

scholarly journals Measuring post-discharge socioeconomic and quality of life outcomes in trauma patients: A scoping review

2021 ◽  
Author(s):  
Siddarth David ◽  
Nobhojit Roy ◽  
Harris Solomon ◽  
Cecilia Stålsby Lundborg ◽  
Martin Gerdin Wärnberg
Keyword(s):  
Quality Of Life ◽  
Scoping Review ◽  
Cochrane Library ◽  
Trauma Patients ◽  
Life Outcomes ◽  
Post Discharge ◽  
Quality Of Life Outcomes ◽  
Different Types ◽  
Support Cost

Purpose: Managing trauma is a global public health challenge. Measuring post-discharge socioeconomic and quality-of-life outcomes can help better understand and reduce the consequences of trauma. Methods: We performed a scoping review to map the existing research on post-discharge outcomes for trauma patients, irrespective of the country or setting in which the study was performed. The scoping review was conducted by searching six databases: MEDLINE, EMBASE, the Cochrane Library, Global Index Medicus, BASE, and Web of Science to identify all articles that report post-discharge socioeconomic or quality of life outcomes in trauma patients from 2009 to 2018. Results: 758 articles were included in this study, extracting 958 outcomes. Most studies (82%) were from high-income countries (HICs). More studies from low- and middle-income countries (LMICs) were cross-sectional (71%) compared with HIC settings (46%). There was a wide variety of different definitions, interpretations, and measurements used by various articles for similar outcomes. Quality of life, return to work, social support, cost, and participation were the main outcomes studied in post-discharge trauma patients. Conclusions: The wide range of outcomes and outcome measures reported across different types of injuries and settings. This variability can be a barrier when comparing across different types of injuries and settings. Post-discharge trauma studies should move towards building evidence based on standardized measurement of outcomes.

Self-Compassion and Quality of Life in Adults Who Stutter

2020 ◽  
Vol 29 (4) ◽  
pp. 2097-2108
Author(s):  
Robyn L. Croft ◽  
Courtney T. Byrd
Keyword(s):  
Quality Of Life ◽  
Social Connectedness ◽  
The Self ◽  
Future Research ◽  
Self Compassion ◽  
Adults Who Stutter ◽  
And Gender ◽  
Relationship Of ◽  
The Impact

Purpose The purpose of this study was to identify levels of self-compassion in adults who do and do not stutter and to determine whether self-compassion predicts the impact of stuttering on quality of life in adults who stutter. Method Participants included 140 adults who do and do not stutter matched for age and gender. All participants completed the Self-Compassion Scale. Adults who stutter also completed the Overall Assessment of the Speaker's Experience of Stuttering. Data were analyzed for self-compassion differences between and within adults who do and do not stutter and to predict self-compassion on quality of life in adults who stutter. Results Adults who do and do not stutter exhibited no significant differences in total self-compassion, regardless of participant gender. A simple linear regression of the total self-compassion score and total Overall Assessment of the Speaker's Experience of Stuttering score showed a significant, negative linear relationship of self-compassion predicting the impact of stuttering on quality of life. Conclusions Data suggest that higher levels of self-kindness, mindfulness, and social connectedness (i.e., self-compassion) are related to reduced negative reactions to stuttering, an increased participation in daily communication situations, and an improved overall quality of life. Future research should replicate current findings and identify moderators of the self-compassion–quality of life relationship.

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