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Etablissement d'objectifs de performance analytique liés à la survenue d'événements ('outcomes') in Annales de Biologie Clinique, 2 (2011)
[article]
Titre : Etablissement d'objectifs de performance analytique liés à la survenue d'événements ('outcomes') Type de document : texte imprimé Année de publication : 2011 Article en page(s) : 139 - 150 Mots-clés : BIOLOGIE CLINIQUE QUALITE PERFORMANCE ANALYTIQUE LABORATOIRES ANALYSE EVENEMENTS OUTCOMES Permalink : ./index.php?lvl=notice_display&id=72867
in Annales de Biologie Clinique > 2 (2011) . - 139 - 150[article] Etablissement d'objectifs de performance analytique liés à la survenue d'événements ('outcomes') [texte imprimé] . - 2011 . - 139 - 150.
in Annales de Biologie Clinique > 2 (2011) . - 139 - 150
Mots-clés : BIOLOGIE CLINIQUE QUALITE PERFORMANCE ANALYTIQUE LABORATOIRES ANALYSE EVENEMENTS OUTCOMES Permalink : ./index.php?lvl=notice_display&id=72867 Exemplaires (1)
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Exclu du prêtThe demographics and outcomes in patients with bilateral distal radius fractures / Matthew Gonzalez in Acta Orthopaedica Belgica, Vol.87/2 (Juin 2021)
[article]
Titre : The demographics and outcomes in patients with bilateral distal radius fractures Type de document : texte imprimé Auteurs : Matthew Gonzalez ; Ayesha Rahman ; Philipp Leucht ; Tejwani Nirmal Année de publication : 2021 Article en page(s) : p. 219-225 Note générale : https://doi.org/10.52628/87.2.03 Langues : Anglais (eng) Mots-clés : distal radius bilateral fracture wrist demographics outcomes Résumé : Although distal radius fractures are quite common, bilateral distal radius fractures seldomly occur. Due to this, treatment is primarily based on surgeon experience with unilateral fractures, however bi- lateral fractures add a level of complexity : loss of functional independence. The purpose of this study was to examine a cohort of patients with bilateral distal radius fractures to identify differences in demographics, mechanism of injury, and outcomes to further our understanding of these rare injuries. 23 patients were identified retrospectively over a 5-year period that met inclusion criteria. The medical records were reviewed with multiple demographic and clinical parameters recorded and analyzed. Males were more likely to sustain high-energy mechanisms (80% vs. 53%). Patients <50 years old were more likely to sustain high-energy mechanisms (90% vs. 46%) and were more likely to be treated operatively (80% vs. 62%). The most commonly associated injury was a head injury (30%). All patients treated non-operatively reported minimal/no pain upon final follow-up where 57% of patients treated operatively noted regular pain. 75% of patients with medical comorbidities had minimal/no pain upon final follow- up. Conclusions : Patients with bilateral fractures were more likely to be younger males who suffered from higher energy mechanisms. Age was a critical factor in determining treatment strategy. Rates of associated head injuries were elevated, which is an important factor for the clinician to keep in mind when treating this population. As we further our understanding of this unique population, we can improve our treatment approaches and subsequently attain better outcomes. Permalink : ./index.php?lvl=notice_display&id=96621
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 219-225[article] The demographics and outcomes in patients with bilateral distal radius fractures [texte imprimé] / Matthew Gonzalez ; Ayesha Rahman ; Philipp Leucht ; Tejwani Nirmal . - 2021 . - p. 219-225.
https://doi.org/10.52628/87.2.03
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 219-225
Mots-clés : distal radius bilateral fracture wrist demographics outcomes Résumé : Although distal radius fractures are quite common, bilateral distal radius fractures seldomly occur. Due to this, treatment is primarily based on surgeon experience with unilateral fractures, however bi- lateral fractures add a level of complexity : loss of functional independence. The purpose of this study was to examine a cohort of patients with bilateral distal radius fractures to identify differences in demographics, mechanism of injury, and outcomes to further our understanding of these rare injuries. 23 patients were identified retrospectively over a 5-year period that met inclusion criteria. The medical records were reviewed with multiple demographic and clinical parameters recorded and analyzed. Males were more likely to sustain high-energy mechanisms (80% vs. 53%). Patients <50 years old were more likely to sustain high-energy mechanisms (90% vs. 46%) and were more likely to be treated operatively (80% vs. 62%). The most commonly associated injury was a head injury (30%). All patients treated non-operatively reported minimal/no pain upon final follow-up where 57% of patients treated operatively noted regular pain. 75% of patients with medical comorbidities had minimal/no pain upon final follow- up. Conclusions : Patients with bilateral fractures were more likely to be younger males who suffered from higher energy mechanisms. Age was a critical factor in determining treatment strategy. Rates of associated head injuries were elevated, which is an important factor for the clinician to keep in mind when treating this population. As we further our understanding of this unique population, we can improve our treatment approaches and subsequently attain better outcomes. Permalink : ./index.php?lvl=notice_display&id=96621 Exemplaires (1)
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Exclu du prêtIs recovery from ankle sprains negatively affected by obesity? / I.A. Bielska in Annals of physical and rehabilitation medicine, Vol. 62, n°1 (Janvier 2019)
[article]
Titre : Is recovery from ankle sprains negatively affected by obesity? Type de document : texte imprimé Auteurs : I.A. Bielska ; R. Brison ; B. Brouwer ; et al. Année de publication : 2019 Article en page(s) : p. 8-13 Note générale : Doi : 10.1016/j.rehab.2018.08.006 Langues : Anglais (eng) Mots-clés : Body mass index BMI Ankle sprains Recovery Outcomes Résumé : Highlights
At 6 months, a sizeable proportion of participants with ankle sprains had not fully recovered.
Higher levels of incomplete recovery were observed among individuals with obesity.
This finding was statistically significant but not clinically meaningful on 2 foot and ankle outcome score subscales.
Abstract
Objective
Ankle sprains are common injuries that may lead to long-term morbidity. Individuals with obesity are at increased risk for ankle sprains; however, prognostic associations between body mass index (BMI) and recovery are less well understood. This study investigated whether BMI status affects recovery from ankle sprains.
Methods
We included individuals≥16 years old with grade 1 or 2 ankle sprains who sought emergency department treatment in Kingston, Ontario, Canada. Height in centimeters and weight in kilograms were measured at baseline by using a height rod and a standard medical column scale, respectively. BMI was calculated and categorized as non-overweight,<25.0kg/m2; overweight, 25.0–29.9kg/m2; and obese,≥30kg/m2. Recovery was assessed at 1, 3 and 6 months post-injury by the Foot and Ankle Outcome Score (FAOS). Continuous FAOS and binary recovery status were compared by BMI group at each assessment using a repeated measures linear mixed effects model and logistic regression, respectively.
Results
In total, 504 individuals were recruited and 6-month follow-up data were collected for 80%. We observed no significant differences in recovery at 1 and 3 months post-injury. At 6 months, between 53% and 66% of the participants were considered to have recovered according to the FAOS. The mean difference in unadjusted FAOS between participants classified as obese and non-overweight was −23.02 (95% confidence interval, −38.99 to −7.05) but decreased after adjusting for confounders. The odds ratio for recovery was 0.60 (0.37–0.97) before adjustment and 0.74 (0.43–1.29) after adjustment. Six-month recovery was significantly lower for participants with obesity than non-overweight participants on the FAOS Pain and Function in Daily Living subscales but were not clinically meaningful.
Conclusions
All BMI groups showed improvements from ankle sprain over time. However, at 6 months, a sizeable proportion of the participants had not fully recovered particularly among individuals classified as obese. The findings suggest that individuals with obesity may benefit from specialized interventions focused on symptom management and functional activity.Permalink : ./index.php?lvl=notice_display&id=82398
in Annals of physical and rehabilitation medicine > Vol. 62, n°1 (Janvier 2019) . - p. 8-13[article] Is recovery from ankle sprains negatively affected by obesity? [texte imprimé] / I.A. Bielska ; R. Brison ; B. Brouwer ; et al. . - 2019 . - p. 8-13.
Doi : 10.1016/j.rehab.2018.08.006
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 62, n°1 (Janvier 2019) . - p. 8-13
Mots-clés : Body mass index BMI Ankle sprains Recovery Outcomes Résumé : Highlights
At 6 months, a sizeable proportion of participants with ankle sprains had not fully recovered.
Higher levels of incomplete recovery were observed among individuals with obesity.
This finding was statistically significant but not clinically meaningful on 2 foot and ankle outcome score subscales.
Abstract
Objective
Ankle sprains are common injuries that may lead to long-term morbidity. Individuals with obesity are at increased risk for ankle sprains; however, prognostic associations between body mass index (BMI) and recovery are less well understood. This study investigated whether BMI status affects recovery from ankle sprains.
Methods
We included individuals≥16 years old with grade 1 or 2 ankle sprains who sought emergency department treatment in Kingston, Ontario, Canada. Height in centimeters and weight in kilograms were measured at baseline by using a height rod and a standard medical column scale, respectively. BMI was calculated and categorized as non-overweight,<25.0kg/m2; overweight, 25.0–29.9kg/m2; and obese,≥30kg/m2. Recovery was assessed at 1, 3 and 6 months post-injury by the Foot and Ankle Outcome Score (FAOS). Continuous FAOS and binary recovery status were compared by BMI group at each assessment using a repeated measures linear mixed effects model and logistic regression, respectively.
Results
In total, 504 individuals were recruited and 6-month follow-up data were collected for 80%. We observed no significant differences in recovery at 1 and 3 months post-injury. At 6 months, between 53% and 66% of the participants were considered to have recovered according to the FAOS. The mean difference in unadjusted FAOS between participants classified as obese and non-overweight was −23.02 (95% confidence interval, −38.99 to −7.05) but decreased after adjusting for confounders. The odds ratio for recovery was 0.60 (0.37–0.97) before adjustment and 0.74 (0.43–1.29) after adjustment. Six-month recovery was significantly lower for participants with obesity than non-overweight participants on the FAOS Pain and Function in Daily Living subscales but were not clinically meaningful.
Conclusions
All BMI groups showed improvements from ankle sprain over time. However, at 6 months, a sizeable proportion of the participants had not fully recovered particularly among individuals classified as obese. The findings suggest that individuals with obesity may benefit from specialized interventions focused on symptom management and functional activity.Permalink : ./index.php?lvl=notice_display&id=82398 Exemplaires (1)
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