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  1. Article ; Online: Clinical data or scoring system for predicting mortality in elderly patients with hip fracture: A prospective study.

    de Souza, Ricardo Machado Castanheira / Frassei, Renan Dias / da Silva, Luiza de Campos Moreira / Rahal, Miguel Antonio / Silva, Jorge Dos Santos / Kojima, Kodi Edson

    Injury

    2023  Volume 54 Suppl 6, Page(s) 110844

    Abstract: Introduction: Hip fracture in elderly individuals is frequent and is related to a high rate of mortality. Finding the best predictor of death will help to develop better patient care. Aim - To analyze the reliability of the clinical data and assessment ... ...

    Abstract Introduction: Hip fracture in elderly individuals is frequent and is related to a high rate of mortality. Finding the best predictor of death will help to develop better patient care. Aim - To analyze the reliability of the clinical data and assessment scores to predict mortality in acute hip fracture in elderly patients.
    Patient and methods: Prospective data were collected from all patients > 65 years with acute hip fracture from May to October 2020. The clinical data collected were age, sex, comorbidities, medication, type of fracture and presence of delirium. The assessment scores were ASA, Lee, ACP and Charlson.
    Results: The statistically significant results were age > 80 years (OR 1.121 IC95% [1.028-1.221] p = 0.0101) and number of medications (OR5.991 95% CI [2.422-14.823] p <0.001). Three scores showed a correlation with mortality: ASA score (p = 0.017), Lee score (p = 0.024) and ACP score (p = 0.013). The Charlson Comorbidity Index did not correlate with mortality (p = 0.172).
    Conclusion: To stratify the risk of death, both clinical data and scores should be used. The best clinical indicators are age and number of medications, and the scores are ASA, Lee and ACP.
    MeSH term(s) Humans ; Aged ; Aged, 80 and over ; Prospective Studies ; Reproducibility of Results ; Risk Factors ; Hip Fractures ; Comorbidity ; Retrospective Studies
    Language English
    Publishing date 2023-05-26
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 218778-4
    ISSN 1879-0267 ; 0020-1383
    ISSN (online) 1879-0267
    ISSN 0020-1383
    DOI 10.1016/j.injury.2023.110844
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Ultrasound elastography in patients with fatty liver disease.

    da Silva, Luiza de Campos Moreira / de Oliveira, Julia Teixeira / Tochetto, Sandra / de Oliveira, Claudia Pinto Marques Souza / Sigrist, Rosa / Chammas, Maria Cristina

    Radiologia brasileira

    2006  Volume 53, Issue 1, Page(s) 47–55

    Abstract: Hepatic steatosis, or fatty liver disease, occurs due to the accumulation of lipids in hepatocytes. When it becomes chronic, lobular inflammation develops and the disease can evolve to hepatic fibrosis, liver cirrhosis, or hepatocellular carcinoma. Early ...

    Abstract Hepatic steatosis, or fatty liver disease, occurs due to the accumulation of lipids in hepatocytes. When it becomes chronic, lobular inflammation develops and the disease can evolve to hepatic fibrosis, liver cirrhosis, or hepatocellular carcinoma. Early diagnosis is desirable because patients diagnosed in the early stage of the disease respond better to treatment. In the early stages of fatty liver disease, the physical examination is often unremarkable. Fatty liver disease and hepatic fibrosis can be diagnosed and monitored through laboratory tests, imaging, and biopsy. Among the imaging methods, ultrasound stands out as an effective means of diagnosing and following patients with liver disease. Ultrasound used in conjunction with elastography (ultrasound elastography) has recently shown great utility in the follow-up of such patients. Ultrasound elastography studies the degree of deformation (stiffness) of an organ or lesion, so that when there is hardening, fibrosis, or cirrhosis of the liver, those alterations are well demonstrated. In this review article, we discuss the application of the different types of ultrasound elastography for liver studies: transient elastography, point shear wave elastography, and two-dimensional shear wave elastography. Although magnetic resonance elastography may also be used in the analysis of liver fibrosis, it will not be addressed in this article.
    Language English
    Publishing date 2006-07-18
    Publishing country Brazil
    Document type Journal Article ; Review
    ZDB-ID 2078806-X
    ISSN 1678-7099 ; 0100-3984
    ISSN (online) 1678-7099
    ISSN 0100-3984
    DOI 10.1590/0100-3984.2019.0028
    Database MEDical Literature Analysis and Retrieval System OnLINE

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