Polskie Archiwum Medycyny Wewnętrznej
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Arthroscopic surgery of the knee is one of the most common orthopedic procedures performed globally. Recently, a lot of attention has been directed towards the role of arthroscopic surgery in the setting of osteoarthritis (OA) and its role in degenerative knee pathology. ⋯ With this recent focus on the use of arthroscopy in OA, it is often forgotten that arthroscopy plays an important role in the management of other pathologies involving the knee in patients who may have a concomitant diagnosis of OA. This evidence‑based review highlights indications for when arthroscopic intervention is warranted in such patients.
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Pol. Arch. Med. Wewn. · Feb 2018
Red blood cell distribution width, relative lymphocyte count, and type 2 diabetes predict all‑cause mortality in patients with advanced heart failure.
INTRODUCTION Early identification of patients with advanced heart failure (HF) who are at higher risk of poor outcome is an important element of patient management, both from the medical and economic standpoint. OBJECTIVES We sought to determine the association between hematologic parameters assessed on admission and within a 3‑year follow‑up in consecutive patients with advanced HF. We also investigated the association between baseline demographic and clinical data and mortality. ⋯ Diabetes (hazard ratio [HR], 1.46; 95% CI, 1.15-1.86; P = 0.002), elevated red blood cell distribution width (RDW; HR, 1.05; 95% CI, 1.04-1.07; P <0.0001), and a low relative lymphocyte count (RLC%; HR, 0.942; 95% CI, 0.928-0.956; P <0.0001) were shown to be independent predictors of death. CONCLUSIONS Our study showed that diabetes is a strong independent predictor of death in patients with advanced HF. RDW and RLC% are simple, accurate, and widely available markers predicting mortality at 3 years in patients with advanced HF.