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Orr Crowley posted an update 6 months, 3 weeks ago
Child burns rank among the most frequent domestic accidents in France. COVID-19 lockdown between March 16th and May 11th of 2020 increased time spent at home by children.
This retrospective, observational study described the epidemiological impact of COVID-19 lockdown on child burns in a pediatric surgery department compared with previous five years. Child burns in the previous five years constituted the “before COVID-19 group” as the reference group. Child burns during the first lockdown formed the “COVID-19 group”. Demographics characteristics, the delay before first attendance at the surgery department, burns characteristics, the place of the incident, need of skin graft, and child reactions to trauma or isolation were recorded for these two groups.
A total of thirty-seven children were included, 16 of them in the COVID-19 group. In the COVID-19 group, burned children were mainly boys, with a median age of 18 months. The median time before first attendance was four days. Main burns characteristics were to be deep partial thickness burns, involved lower limbs, caused by scalding. All burns occurred at home. Half parents reported child reactions to trauma or isolation among their children before burn injury.
The incidence of child burn injuries in the COVID-19 group was higher compared to the before COVID-19 group, but no increased delay to attendance recorded. Time spent at home and psychosocial impact of lockdown might partially explain this high incidence rate of child burns.
IV.
IV.This prospective study aimed to assess the usefulness of an intracavitary convex array probe (ICAP) in visualizing the lateral meniscus (LM) and improving the diagnostic utility of ultrasound (US) when diagnosing or screening for discoid lateral meniscus (DLM) in children. We included 105 knees (66 patients) that had symptomatic or asymptomatic DLM. We extracted and retrospectively reviewed data regarding patient demographics, medical records, magnetic resonance imaging (MRI), ultrasonographic features and arthroscopic findings. The inner edge of the LM visualized using an ICAP was significantly clearer than that visualized using a linear array probe, and the difference was significant (p 8 y, and the difference was significant (p less then 0.001). The average widths of the LM body using an ICAP and MRI were 19.85 ± 3.63 and 24.46 ± 4.94 mm, respectively, and the wider the meniscal width, the greater was the deviation between the US and MRI measurements, which were positively correlated (r = 0.612, p less then 0.001). With the use of MRI measurements and an ICAP, meniscal widths in poorly visualized LMs were greater than those in clearly visualized LMs, but this difference was not significant (p = 0.161). US scans using an ICAP and MRI were highly consistent in assessing the shape of the menisci (κ = 0.849, p less then 0.001). US scan using an ICAP is a non-invasive, convenient and low-cost modality for diagnosing or screening for DLM in the pediatric population, especially in children aged less then 8 y.
Preoperative widespread pain sensitization or pain catastrophizing could be associated with chronic pain after total knee arthroplasty (TKA). The aim of the present study was to examine the association between postoperative pain in patients undergoing TKA and preoperative factors, including patient characteristics and preoperative central sensitization as well as pain catastrophizing.
Preoperative TKA patients were evaluated using the Central Sensitization Inventory (CSI)-9 and Pain Catastrophizing Scale (PCS). Postoperative knee pain was evaluated using a numerical rating scale (NRS) 6 months after TKA. Statistical analyses were performed to assess the relationship between NRS 6 months after TKA and preoperative factors, including patient characteristics, CSI-9, and PCS.
We enrolled 58 consecutive patients with osteoarthritis who underwent TKA. Using cutoff of 14, postoperative NRS was higher in the patients with ≥14 than the patients with <14 in CSI (p=0.025). Postoperative NRS was higher in the patients with ≥30 than the patients with <30 in PCS (p=0.043). Preoperative PCS was a significant risk factor of postoperative pain using a multivariate analysis.
Surgeon should recognize preoperative PCS could affect postoperative pain 6 months after TKA.
Surgeon should recognize preoperative PCS could affect postoperative pain 6 months after TKA.
The incidence of urinary complications in transplantation is 2% to 20%, which can be decreased with the use of a double-J catheter. The objective of this study was to determine the association between the use of the catheter and the probability of urinary tract infection (UTI).
We studied a retrospective cohort of 1038 patients divided into 2 groups those treated with vs without a double-J catheter. Perioperative factors related to catheter use were analyzed. Second, whether the use of the catheter was associated with fewer other urinary complications was analyzed.
Of the whole sample, 72 patients were eliminated from the study, and 358 (37%) received a double-J catheter. UTIs occurred in 190 patients (19.6%), of whom a greater proportion received a catheter 88 of 358 (24.6%) vs 102 of 608 (16.8%) (odds ratio, 1.61; 95% confidence interval, 1.17-2.22; P=.003).
The placement of a double-J catheter during transplant is associated with a higher proportion of UTIs, increasing their severity and the cost of care, without having a clear effect on other types of urinary complications.
The placement of a double-J catheter during transplant is associated with a higher proportion of UTIs, increasing their severity and the cost of care, without having a clear effect on other types of urinary complications.
We sought to identify the risk factors involved in survival of and tumor recurrence in patients with hepatocellular carcinoma (HCC) undergoing liver transplant (LTx).
We conducted a retrospective observational study and analyzed the medical records of 414 patients with HCC undergoing deceased donor LTx in São Paulo between January 2007 and December 2011. SB590885 chemical structure Multifactorial analysis of survival and recurrence was performed using clinical, laboratory, and pathology data.
The mortality rate was 27.5%; mean survival time was 68.1 months (95% confidence interval, 64.7-71.6); and estimated 1-, 3-, and 5-year survival probabilities were 83.8%, 75.8%, and 71.5%, respectively. Altered donor blood glucose, female sex, vascular invasion, advanced age, high Model for End-Stage Liver Disease, and tumor size were the main risk factors determining survival in LTx recipients. Recurrence was noted in 7.2% of patients during the study period and was more frequent in women (hazard ratio, 2.6). Vascular invasion increased the chance of recurrence by 5.
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