scholarly journals Surgical management of abnormally invasive placenta: a retrospective cohort study demonstrating the benefits of a standardized operative approach

2015 ◽  
Vol 94 (12) ◽  
pp. 1380-1386 ◽  
Author(s):  
Donal J. Brennan ◽  
Brittany Schulze ◽  
Naven Chetty ◽  
Alex Crandon ◽  
Scott G. Petersen ◽  
...  
Keyword(s):  
Cohort Study ◽  
Surgical Management ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Operative Approach ◽  
Invasive Placenta ◽  
Abnormally Invasive Placenta

Multiple Ligament Knee Injuries: Does the Knee Dislocation Classification Predict the Type of Surgical Management?

2020 ◽  
Author(s):  
Garrett T. Maxwell ◽  
Ryan J. Warth ◽  
Adeet Amin ◽  
Matthew A. Darlow ◽  
Lane Bailey ◽  
...  
Keyword(s):  
Cohort Study ◽  
Surgical Management ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Knee Injuries ◽  
Knee Dislocation ◽  
Operative Management ◽  
Injury Patterns ◽  
Ligamentous Injury ◽  
The Mean

AbstractThis study aims to evaluate relationships among multiple ligament knee injury (MLKI) patterns as classified according to the knee dislocation (KD) classification and the types of surgical management pursued. We hypothesized that the KD classification would not be predictive of the types of surgical management, and that categorizing injuries according to additional injury features such as structure, chronicity, grade, and topographic location would be predictive of the types of surgical management. This is a Retrospective cohort study. This study was conducted at a level I trauma center with a 150-mile coverage radius. Query of our billing database was performed using combinations of 43 billing codes (International Classification of Diseases [ICD] 9, ICD-10, and Current Procedural Terminology) to identify patients from 2011 to 2015 who underwent operative management for MLKIs. There were operative or nonoperative treatment for individual ligamentous injuries, repair, or reconstruction of individual ligamentous injuries, and staging or nonstaging or nonstaging of each surgical procedure. The main outcome was the nature and timing of clinical management for specific ligamentous injury patterns. In total, 287 patients were included in this study; there were 199 males (69.3%), the mean age was 30.2 years (SD: 14.0), and the mean BMI was 28.8 kg/m2 (SD: 7.4). There were 212 injuries (73.9%) categorized as either KD-I or KD-V. The KD classification alone was not predictive of surgery timing, staging, or any type of intervention for any injured ligament (p > 0.05). Recategorization of injury patterns according to structure, chronicity, grade, and location revealed the following: partial non-ACL injuries were more frequently repaired primarily (p < 0.001), distal medial-sided injuries were more frequently treated operatively than proximal medial-sided injuries (odds ratio [OR] = 24.7; p <0.0001), and staging was more frequent for combined PCL-lateral injuries (OR = 1.3; p = 0.003) and nonavulsive fractures (OR = 1.2; p = 0.0009). The KD classification in isolation was not predictive of any surgical management strategy. Surgical management was predictable when specifying the grade and topographic location of each ligamentous injury. This is a Level IV, retrospective cohort study.

Outcome of surgical management for midurethral sling complications: a multicentre retrospective cohort study

2019 ◽  
Vol 31 (2) ◽  
pp. 329-336 ◽  
Author(s):  
Victoria Kershaw ◽  
Rachel Nicholson ◽  
Paul Ballard ◽  
Aethele Khunda ◽  
Santhosh Puthuraya ◽  
...  
Keyword(s):  
Cohort Study ◽  
Surgical Management ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Midurethral Sling

Surgical management for advanced duodenal adenomatosis and duodenal cancer in Dutch patients with familial adenomatous polyposis: A nationwide retrospective cohort study

Surgery ◽  
2012 ◽  
Vol 151 (5) ◽  
pp. 681-690 ◽  
Author(s):  
Bjorn W.H. van Heumen ◽  
Marry H. Nieuwenhuis ◽  
Harry van Goor ◽  
Lisbeth (E) M.H. Mathus-Vliegen ◽  
Evelien Dekker ◽  
...  
Keyword(s):  
Cohort Study ◽  
Familial Adenomatous Polyposis ◽  
Surgical Management ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Duodenal Cancer ◽  
Adenomatous Polyposis ◽  
Duodenal Adenomatosis

scholarly journals Corynebacterium Bone and Joint Infection (BJI): A Retrospective Cohort Study in a Reference Center for BJI Management

2017 ◽  
Vol 4 (suppl_1) ◽  
pp. S95-S95
Author(s):  
Tristan Ferry ◽  
Pierre Chauvelot ◽  
Claire Triffault-Fillit ◽  
Evelyne Braun ◽  
Thomas Perpoint ◽  
...  
Keyword(s):  
Cohort Study ◽  
Treatment Failure ◽  
Surgical Management ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Survival Curve ◽  
Joint Infection ◽  
Curve Analysis ◽  
Stepwise Logistic Regression ◽  
First Line

Abstract Background Corynebacterium is a rare etiologic agent of BJI. We aimed to describe this rare clinical condition and to assess treatment failure determinants. Methods All adult patients with proven Corynebacterium BJI (i.e., consistent clinical/radiological signs, AND ≥2 reliable positive bacteriological samples, AND treated as such) were included in a retrospective cohort study. After cohort description, determinants of treatment failure (i.e., infection persistence, relapse, requirement of additional surgical procedure, and BJI-related death) were determined using stepwise logistic regression and Kaplan-–Meier curve analysis. Results The 51 included BJI were more frequently chronic (88.2%), orthopaedic device related (ODI, 74.5%) and polymicrobial (78.4%). Surgery was performed in 92.2% of cases, and considered as appropriate in 76.5% of them. The main first-line antimicrobials were glycopeptides (68.6%), β-lactams (50%), and/or clindamycin (10.0%). Three (5.9%) patients received daptomycin as part of first-line regimen, and 8 (15.7%) at any point of treatment. After a follow-up of 60.7 (IQR 30.1–115.1) weeks, 20 (39.2%) treatment failures were observed, including 4 (20%) Corynebacterium-documented relapse. Independent risk factors were initial biological inflammatory syndrome (OR 16.1; P = 0,030) and inappropriate surgical management (OR 7.481; P = 0.036). Interestingly, all patients receiving daptomycin as part of first-line regimen failed (P &lt; 0.001), including one patient with a Corynebacterium-documented relapse with a daptomycin increased MIC. Among patients with ODI, survival curve analysis disclosed a worst prognosis in case of prosthetic joint infection (P = 0.030), unappropriate surgical management (P = 0.029) and daptomycin use as first-line regimen (P &lt; 0.001). Conclusion Corynebacterium BJI is a poorly known condition, frequently chronic, and polymicrobial. An important rate of failure was observed, associated with inappropriate surgical management and daptomycin use as part of first-line regimen. As described for other clinical conditions such as infective endocarditis, daptomycin should be avoid or used in combination therapy to prevent resistance selection and treatment failure. Disclosures T. Ferry, HERAEUS: Consultant, Speaker honorarium. S. Lustig, Heraeus: Consultant, Consulting fee

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