International journal of clinical practice
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Int. J. Clin. Pract. · Dec 2021
Pretreatment red blood cell distribution width as an efficient predictor of survival in older patients undergoing hip fracture surgery.
We aimed to determine whether pretreatment red blood cell distribution width (RDW) is an efficient predictor of 30-day mortality in older patients undergoing hip fracture surgery. ⋯ RDW might be an effective predictor of 30-day mortality in older patients undergoing hip fracture surgery.
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Int. J. Clin. Pract. · Dec 2021
The Profile of the Causative Organisms which Lead to Septic Arthritis of Native Joints Over the Last Two Decades in a Single Tertiary Medical Center in the East Coast of the United States.
Septic arthritis (SA) is associated with significant morbidity and mortality. Delayed or inadequate treatment may result in joint destruction, osteomyelitis and sepsis. Like other types of infection, the causative agents of SA may have changed over time. Early targeted intervention is important in cases of SA and can be achieved only by understanding the current trends in the microbiology of SA. ⋯ Although no significant trends were noted in the microbiology of SA over nearly 2 decades, we observed meaningful findings regarding shoulder SA as MRSA was the most common bacterial because of SA in this joint. Prompt joint aspiration, microbiologic testing of synovial fluid and empiric antibiotic therapy that covers MRSA may improve outcomes in SA.
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Int. J. Clin. Pract. · Dec 2021
Evaluation Of Eye Care And Ocular Findings In Critically Ill Covid-19 Patients.
The current study aimed to evaluate eyecare needs along with ocular findings in patients treated in intensive care units because of Covid-19 infection. ⋯ Findings of ocular involvement because of COVID-19 infection were detected in the present study. Retinal haemorrhages were detected in addition to the common findings in viral infections. Especially in patients supported with mechanical ventilation, the detection and treatment of conditions that require eye care for exposure keratopathy are very important for recovering from the disease and the quality of vision.
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The impact of annual flu vaccination on the patients' clinical course with COVID-19 and the outcome were tested. ⋯ Although the benefits of the influenza vaccine for preventing disease and reducing morbidity in influenza patients are well established, no differences in outcomes for hospitalised patients with COVID-19 who received their annual influenza vaccination versus the non-vaccinated cohort were evident. There is a need for future meta-analyses, including randomised controlled studies in which the number of cases is increased to validate these findings.
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Int. J. Clin. Pract. · Dec 2021
Association between different systemic therapies and the risk of tuberculosis in psoriasis patients: A population-based study.
Despite the evolution of biologic agents, the use of traditional systemic immunosuppressants still account for a considerable proportion of systemic anti-psoriasis therapy. The risk of tuberculosis among psoriasis patients receiving such conventional immunosuppressants is not clearly understood. ⋯ The study found that among systemic anti-psoriasis therapy, methotrexate, tacrolimus, azathioprine and steroid may be associated with an increased risk of tuberculosis.