Articles: adult.
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Hand (New York, N.Y.) · Sep 2009
The Buttazzoni classification of distal radial fractures in adults: interobserver and intraobserver reliability.
Despite the fact that distal radial fracture is the commonest fracture, there is a little evidence-based knowledge about the value of its classification to guide management and predict prognosis. The available classification systems are either complicated or weakly applicable in clinical practice. Older's classification is the most reliable, but does not cover all radial fracture types. ⋯ The reliability was better for younger patients and when evaluation was carried out by hand-surgery-interested orthopedic surgeons. The new classification system is simple, covers all radial fracture types, and has an acceptable reliability. Further studies are needed to judge its ability to direct management and predict prognosis.
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To evaluate the medical decisions at end-of-life of patients admitted at HU/UFSC and to compare these decisions and the profile of patients who died in the intensive care unit (ICU) to those who died in medical (MW) and surgical wards (SW). ⋯ The profile of patients who died and medical decisions during the end-of-life process were different in the intensive care unit, clinical and surgical wards.