Overblog Suivre ce blog
Editer l'article Administration Créer mon blog
8 novembre 2011 2 08 /11 /novembre /2011 10:02

 

Royal Monaco white

 

ROYAL MONACO RIVIERA WEB MAGAZINE

 

______________________________
PAGINA WEB AMBASCIATA D'ITALIA NEL PRINCIPATO DI MONACO   
  ►http://www.ambprincipatomonaco.esteri.it/Ambasciata_Monaco/  

BLOG RANK*
OCTOBRE RANK  79

 

MEDICINE & CHINESE TRADITIONAL MEDICINE

 

luitabita.jpg


Luigi Mattera is a certified by CERFPA (St. Laurent du Var-France) in HOMEOPATHY & ZUO TUINA MASSAGE OF TRADITIONAL CHINESE MEDICINE - Online certificate from TEXAS CHIROPRACTIC COLLEGE (Pasadena-Texas 2007) in CHIROPRACTIC SPORTS & CHIROPRACTIC TREATMENT OF GOLF INJURIES.

In the past, has been Capitain aboard tanker ships where helped care crew when needed. He got a doctorate in Foreigner and Litterature Languages (IULM Milano - Italy) and 3 years University Diploma  in Public Relations and Discipline Administration (IULM Milano)


PRESENTS:

 

Bleeding and first-year mortality following hip fracture surgery and preoperative use of low-dose acetylsalicylic acid: an observational cohort study

Annika M Kragh Ekstam email, Markus Walden email, Anna Apelqvist email, Philippe Wagner email and Isam Atroshi email

BMC Musculoskeletal Disorders 2011, 12:254doi:10.1186/1471-2474-12-254


Published: 7 November 2011

Abstract (provisional)

 

aspirina.jpg

Background

Hip fracture is associated with high mortality. Cardiovascular disease and other comorbidities requiring long-term anticoagulant medication are common in these mostly elderly patients. The objective of our observational cohort study of patients undergoing surgery for hip fracture was to study the association between preoperative use of low-dose acetylsalicylic acid (LdAA) and intraoperative blood loss, blood transfusion and first-year all-cause mortality.

Methods

An observational cohort study was conducted on patients with hip fracture (cervical requiring hemiarthroplasty or pertrochanteric or subtrochanteric requiring internal fixation) participating in a randomized trial that found lack of efficacy of a compression bandage in reducing postoperative bleeding. The participants were 255 patients ([greater than or equal to]50 years) of whom 118 (46%) were using LdAA (defined as [less than or equal to]320 mg daily) preoperatively. Bleeding variables in patients with and without LdAA treatment at time of fracture were measured and blood transfusions given were compared using logistic regression. The association between first-year mortality and preoperative use of LdAA was analyzed with Cox regression adjusting for age, sex, type of fracture, baseline renal dysfunction and baseline cardiovascular and/or cerebrovascular disease.

Results

Blood transfusions were given postoperatively to 74 (62.7%) LdAA-treated and 76 (54%) non-treated patients; the adjusted odds ratio was 1.8 (95% CI 1.04 to 3.3). First-year mortality was significantly higher in LdAA-treated patients; the adjusted hazard ratio (HR) was 2.35 (95% CI 1.23 to 4.49). The mortality was also higher with baseline cardiovascular and/or cerebrovascular disease, adjusted HR 2.78 (95% CI 1.31 to 5.88). Patients treated with LdAA preoperatively were significantly more likely to suffer thromboembolic events (5.7% vs. 0.7%, P=0.03).

Conclusions

In patients with hip fracture (cervical treated with hemiarthroplasty or pertrochanteric or subtrochanteric treated with internal fixation) preoperative use of low-dose acetylsalicylic acid was associated with significantly increased need for postoperative blood transfusions and significantly higher all-cause mortality during one year after surgery.

 

(*) Le Blog Rank (BR) est un indice de qualité calculé chaque nuit à partir de nombreux critères et d'un algorithme complexe. Il varie entre 0 et 100, et traduit l'activité du blog, ainsi que l'intérêt porté par les visiteurs. Un Blog Rank élevé indique que le blog a été mis à jour récemment, et que les visiteurs qui s'y sont rendus l'ont trouvé intéressant.

Parmi les informations qui interviennent dans son calcul, le Blog Rank prend en compte :

  • la régularité dans la mise à jour et l'ajout d'articles
  • le temps passé des visiteurs sur le blog et par article
  • le nombre d'articles lus par visiteur
  • le nombre d'abonnés à la newsletter
  • le nombre de visites spontanées ne venant pas d'un moteur de recherche (indice de récurrence)
  • l'activité récente (nombre d'articles publiés dans les 30 derniers jours)
  • le nombre de commentaires récents
  • l'audience globale

Cette méthode est mise à jour régulièrement et permet une certaine homogénéité des calculs afin d'éviter les abus.

Partager cet article

Repost 0
Published by royalmonacoriviera - dans MEDECINE
commenter cet article

commentaires

Présentation

  • : ROYAL MONACO RIVIERA ISSN 2057-5076
  •  ROYAL MONACO RIVIERA      ISSN 2057-5076
  • : Royal Monaco Riviera web magazine fondé par Luigi MATTERA est le PREMIER site online de Monaco en presse écrite . Royal Monaco Riviera, il primo sito online del Principato divenuto cartaceo.ARTE, CULTURA, SOCIETA' della Riviera Ligure e Costa Azzurra!
  • Contact

Recherche