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  1. Article ; Online: Fast-track for elderly patients - Critical observations on two trials.

    Paduraru, Mihai

    International journal of surgery (London, England)

    2017  Volume 42, Page(s) 215–217

    Language English
    Publishing date 2017-06
    Publishing country England
    Document type Letter
    ZDB-ID 2212038-5
    ISSN 1743-9159 ; 1743-9191
    ISSN (online) 1743-9159
    ISSN 1743-9191
    DOI 10.1016/j.ijsu.2017.01.019
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Multimodal Rehabilitation in Geriatric Emergency Surgery.

    Pereira, Jorge / Paduraru, Mihai

    Chirurgia (Bucharest, Romania : 1990)

    2017  Volume 112, Issue 5, Page(s) 558–565

    Abstract: Introduction:: Conclusion: Urgent surgical treatment of elderly patients is associated with morbidity and mortality rates higher than those of younger patients, and there is room for improvement. A multimodal rehabilitation program seems to be a good ... ...

    Abstract Introduction:
    Conclusion: Urgent surgical treatment of elderly patients is associated with morbidity and mortality rates higher than those of younger patients, and there is room for improvement. A multimodal rehabilitation program seems to be a good working model for achieving this goal.
    Language English
    Publishing date 2017-09
    Publishing country Romania
    Document type Journal Article
    ZDB-ID 419244-8
    ISSN 1842-368X ; 1221-9118 ; 0009-4730 ; 0377-5003
    ISSN (online) 1842-368X
    ISSN 1221-9118 ; 0009-4730 ; 0377-5003
    DOI 10.21614/chirurgia.112.5.558
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Primary cutaneous mucormycosis in an immunocompetent patient.

    Paduraru, Mihai / Moreno-Sanz, Carlos / Olalla Gallardo, Jose Maria

    BMJ case reports

    2016  Volume 2016

    Abstract: Mucormycosis is most common in immunocompromised patients, but it can also occur in healthy hosts, most frequently as primary cutaneous mucormycosis (PCM) and predominantly as a result of skin trauma. We present an uncommon case of PCM in a healthy, ... ...

    Abstract Mucormycosis is most common in immunocompromised patients, but it can also occur in healthy hosts, most frequently as primary cutaneous mucormycosis (PCM) and predominantly as a result of skin trauma. We present an uncommon case of PCM in a healthy, young man with no previous history of local trauma. Despite rapid progression of the infection, the patient was successfully treated through surgical intervention and by administering liposomal amphotericin B and posaconazole. He made a full recovery without the need for skin grafting.
    MeSH term(s) Adult ; Amphotericin B/therapeutic use ; Antifungal Agents/therapeutic use ; Dermatomycoses/diagnosis ; Dermatomycoses/drug therapy ; Dermatomycoses/surgery ; Diagnosis, Differential ; Humans ; Immunocompetence ; Male ; Mucormycosis/diagnosis ; Mucormycosis/drug therapy ; Mucormycosis/surgery ; Treatment Outcome
    Chemical Substances Antifungal Agents ; liposomal amphotericin B ; Amphotericin B (7XU7A7DROE)
    Language English
    Publishing date 2016-08-16
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2016-214982
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Enhanced Recovery after Emergency Surgery: A Systematic Review.

    Paduraru, Mihai / Ponchietti, Luca / Casas, Isidro Martinez / Svenningsen, Peter / Zago, Mauro

    Bulletin of emergency and trauma

    2017  Volume 5, Issue 2, Page(s) 70–78

    Abstract: Objective: To evaluate the current scientific evidence for the applicability, safety and effectiveness of pathways of enhanced recovery after emergency surgery (ERAS).: Methods: We undertook a search using PubMed and Cochrane databases for ERAS ... ...

    Abstract Objective: To evaluate the current scientific evidence for the applicability, safety and effectiveness of pathways of enhanced recovery after emergency surgery (ERAS).
    Methods: We undertook a search using PubMed and Cochrane databases for ERAS protocols in emergency cases. The search generated 65 titles; after eliminating the papers not meeting search criteria, we selected 4 cohort studies and 1 randomized clinical trial (RCT). Data extracted for analysis consisted of: patient age, type of surgery performed, ERAS elements implemented, surgical outcomes in terms of postoperative complications, mortality, length of stay (LOS) and readmission rate.
    Results: The number of ERAS items applied was good, ranging from 11 to 18 of the 20 recommended by the ERAS Society. The implementation resulted in fewer postoperative complications. LOS for ES patients was shorter when compared to conventional care. Mortality, specifically reported in three studies, was equal or lower with ERAS. Readmission rates varied widely and were generally higher for the intervention group but without statistical significance.
    Conclusions: The studies reviewed agreed that ERAS in emergency surgery (ES) was feasible and safe with generally better outcomes. Lower compliance with some of the ERAS items shows the need for the protocol to be adapted to ES patients. More evidence is clearly required as to what can improve outcomes and how this can be formulated into an effective care pathway for the heterogeneous ES patient.
    Language English
    Publishing date 2017-05-01
    Publishing country Iran
    Document type Journal Article ; Review
    ZDB-ID 2722734-0
    ISSN 2322-3960 ; 2322-2522
    ISSN (online) 2322-3960
    ISSN 2322-2522
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Thorax Trauma Severity Score: Is it reliable for Patient's Evaluation in a Secondary Level Hospital?

    Martínez Casas, Isidro / Amador Marchante, María Auxiliadora / Paduraru, Mihai / Fabregues Olea, Ana Isabel / Nolasco, Andreu / Medina, Juan Carlos

    Bulletin of emergency and trauma

    2016  Volume 4, Issue 3, Page(s) 150–155

    Abstract: Objective: To determine the predictive and diagnostic value of thorax trauma severity score (TTSS) in a population of thoracic trauma patients admitted to a secondary level trauma center.: Methods: A Retrospective analysis of patients admitted over a ...

    Abstract Objective: To determine the predictive and diagnostic value of thorax trauma severity score (TTSS) in a population of thoracic trauma patients admitted to a secondary level trauma center.
    Methods: A Retrospective analysis of patients admitted over a period of two years with IDC-9 codes related to thoracic trauma was undertaken. The association of TTSS with complications and mortality was evaluated. We also determined the predictive value of TTSS using receiver operating characteristic curve (ROC).
    Results: 238 patients with thoracic trauma, mostly middle-aged (62.2 ± 15 years), were included. The main mechanisms of injury were falls and traffic accidents. Thirty-three patients had important extra-thoracic injuries, but only 9 presented an ISS> 15. The average ISS was 3 ± 5; Morbidity was 2.5% and mortality was 2.1% as a result of thoracic injury and these patients had significantly higher TTSS values. Each score component was analyzed separately, showing significant association with complications and mortality. The area under the curve for TTSS was significant for predicting complications (0.848) and mortality (0.856) values. TTSS with a cut off value of 8 points had a sensitivity of 66% and specificity of 94% to predict complications and 80% sensitivity and 94% specificity for predicting mortality.
    Conclusions: The TTSS is an appropriate and feasible tool to predict the development of complications or mortality in a population of mostly mild thoracic trauma.
    Language English
    Publishing date 2016-05-30
    Publishing country Iran
    Document type Journal Article
    ZDB-ID 2722734-0
    ISSN 2322-3960 ; 2322-2522
    ISSN (online) 2322-3960
    ISSN 2322-2522
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Enhanced Recovery After Surgery (ERAS) - The Evidence in Geriatric Emergency Surgery: A Systematic Review.

    Paduraru, Mihai / Ponchietti, Luca / Casas, Isidro Martinez / Svenningsen, Peter / Pereira, Jorge / Landaluce-Olavarria, Aitor / Font, Roser Farre / Miguel, Iciar Pascual / Ugarte-Sierra, Bakarne

    Chirurgia (Bucharest, Romania : 1990)

    2017  Volume 112, Issue 5, Page(s) 546–557

    Abstract: Background:: Objectives: We aimed to determine the feasibility and safety of applying ERAS pathways to emergency elderly surgical patients.: Method: Two searches were undertaken for ERAS protocols in elderly patients and emergency surgery, in order ...

    Abstract Background:
    Objectives: We aimed to determine the feasibility and safety of applying ERAS pathways to emergency elderly surgical patients.
    Method: Two searches were undertaken for ERAS protocols in elderly patients and emergency surgery, in order to gather evidence in relation to ERAS in geriatric emergency patients. Primary outcomes were postoperative complications, mortality, hospital length of stay and readmission rates.
    Language English
    Publishing date 2017-09
    Publishing country Romania
    Document type Journal Article
    ZDB-ID 419244-8
    ISSN 1842-368X ; 1221-9118 ; 0009-4730 ; 0377-5003
    ISSN (online) 1842-368X
    ISSN 1221-9118 ; 0009-4730 ; 0377-5003
    DOI 10.21614/chirurgia.112.5.546
    Database MEDical Literature Analysis and Retrieval System OnLINE

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