scholarly journals A csípőtáji törések hazai ellátásának elemzése a 2004–2009 közötti időszakban

2016 ◽  
Vol 157 (41) ◽  
pp. 1642-1648
Author(s):  
István Flóris ◽  
Éva Belicza
Keyword(s):  
Mortality Rate ◽  
Femoral Neck ◽  
Hospital Admissions ◽  
Femoral Fractures ◽  
Mortality Rates ◽  
Hospital Treatment ◽  
Proximal Femoral Fractures ◽  
Treatment Protocols ◽  
Fracture Group ◽  
Annual Mortality

Introduction: Proximal femoral fractures with severe outcome are most common in the increasing group of elderly patients. Aim: Based on the regular data gathered by the EuroHOPE research, the most important aspects and results of the treatment of proximal femoral fractures were studied. Method: Data of hospital admissions due to proximal femoral fractures were analyzed. Results: There was a slight increase in the number of hospitalized patients between 2004 and 2009 in Hungary. 88% of the patients received operative treatment, 41% suffered femoral neck fractures. Mortality rates did not change significantly in the analyzed period. Standardized annual mortality rates for patients who had suffered a femoral neck fracture were 28% when prosthesis was implanted; this result was somewhat more favorable than in case of other surgical procedures. Annual mortality rates were higher in the peritrochanteric fracture group where intramedullary nailing was performed (36%). The ratio of operated patients did not differ significantly from international results. Mortality rates in Hungary were significantly less favorable. 30 day standardized mortality rate was 13.6% in 2008, twice as high as the rate in Finland, The Netherlands, Norway, Scotland and Sweden. The 40% mortality rate calculated for 365 days was significantly higher than international results. Conclusion: To define the measures needed to improve results, systematic analysis of both in-hospital treatment protocols, and follow-up treatment is necessary. Orv. Hetil., 2016, 157(41), 1642–1648.

Abstract P261: Intensive Systolic Blood Pressure Lowering Will Prevent Over 100,000 Deaths Annually

Hypertension ◽  
2016 ◽  
Vol 68 (suppl_1) ◽  
Author(s):  
Holly Kramer ◽  
Adam Bress ◽  
Srinivasan Beddhu ◽  
Paul Muntner ◽  
Richard S Cooper
Keyword(s):  
Blood Pressure ◽  
Mortality Rate ◽  
Systolic Blood Pressure ◽  
Mortality Rates ◽  
Mortality Data ◽  
Blood Pressure Lowering ◽  
Cvd Risk ◽  
Pressure Lowering ◽  
Annual Mortality ◽  
The U.S

Background: The Systolic Blood Pressure Intervention Trial (SPRINT) trial randomized 9,361 adults aged ≥50 years at high cardiovascular disease (CVD) risk without diabetes or stroke to intensive systolic blood pressure (SBP) lowering (≤120 mmHg) or standard SBP lowering (≤140 mmHg). After a median follow up of 3.26 years, all-cause mortality was 27% (95% CI 40%, 10%) lower with intensive SBP lowering. We estimated the potential number of prevented deaths with intensive SBP lowering in the U.S. population meeting SPRINT criteria. Methods: SPRINT eligibility criteria were applied to the National Health and Nutrition Examination Survey 1999-2006, a representative survey of the U.S. population, linked with the mortality data through December 2011. Eligibility included (1) age ≥50 years with (2) SBP 130-180 mmHg depending on number of antihypertensive classes being taken, and (3) presence of ≥1 CVD risk conditions (history of coronary heart disease, estimated glomerular filtration rate (eGFR) 20 to 59 ml/min/1.73 m 2 , 10-year Framingham risk score ≥15%, or age ≥75 years). Adults with diabetes, stroke history, >1 g/day proteinuria, heart failure, on dialysis, or eGFR<20 ml/min/1.73m 2 were excluded. Annual mortality rates for adults meeting SPRINT criteria were calculated using Kaplan-Meier methods and the expected reduction in mortality rates with intensive SBP lowering in SPRINT was used to determine the number of potential deaths prevented. Analyses accounted for the complex survey design. Results: An estimated 18.1 million U.S. adults met SPRINT criteria with 7.4 million taking blood pressure lowering medications. The mean age was 68.6 years and 83.2% and 7.4% were non-Hispanic white and non-Hispanic black, respectively. The annual mortality rate was 2.2% (95% CI 1.9%, 2.5%) and intensive SBP lowering was projected to prevent 107,453 deaths per year (95% CI 45,374 to 139,490). Among adults with SBP ≥145 mmHg, the annual mortality rate was 2.5% (95% CI 2.1%, 3.0%) and intensive SBP lowering was projected to prevent 60,908 deaths per year (95% CI 26, 455 to 76, 792). Conclusions: We project intensive SBP lowering could prevent over 100,000 deaths per year of intensive treatment.

scholarly journals Analysis of mortality from diarrheic diseases in under-five children in Brazilian cities with more than 150,000 inhabitants

2009 ◽  
Vol 25 (5) ◽  
pp. 1093-1102 ◽  
Author(s):  
Juraci Vieira Sergio ◽  
Antônio Carlos Ponce de Leon
Keyword(s):  
Mortality Rate ◽  
Time Trends ◽  
Sharp Decrease ◽  
Mortality Rates ◽  
The North ◽  
Indicator Variables ◽  
Before And After ◽  
Geographic Regions ◽  
Annual Mortality ◽  
Children Under 5

This study analyzes mortality from infectious diarrheic diseases in children under 5 years of age in Brazilian municipalities with more than 150,000 inhabitants, excluding State capitals. The annual mortality rates by municipality from 1990 to 2000 were analyzed using a multilevel model, with years as first level units nested in municipalities as second level units. The dependent variable was the yearly mortality rate by municipality, on the log scale. Polynomial time trends and indicator variables to account for differences in geographic regions were used in the modeling. Time trends were centered on 1995, so they could be modeled differently before and after 1995. From 1990 to 1995 there was a sharp decrease in mortality rates by diarrheic diseases in most Brazilian municipalities, while from 1995 to 2000 the decrease was more heterogeneous. In 1995 the North and Northeast of Brazil had higher mortality rates than the Southeast, and the differences were statistically significant. Most importantly, the study concludes that there was an important difference in the pattern of mortality rate decreases over time, comparing the country's five geographic regions.

scholarly journals Incidence and Clinical Outcomes of Hip Fractures Involving Both the Subcapital Area and the Trochanteric or Subtrochanteric Area

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Takayuki Tani ◽  
Hiroaki Kijima ◽  
Natsuo Konishi ◽  
Hitoshi Kubota ◽  
Shin Yamada ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Clinical Outcomes ◽  
Failure Rate ◽  
Femoral Fractures ◽  
Prosthetic Replacement ◽  
Proximal Femoral Fractures ◽  
Posterior Aspect ◽  
Anterior Aspect ◽  
Area Classification

Purpose. Proximal femoral fractures involving both the subcapital area and the trochanteric or subtrochanteric area have rarely been reported, but they are not uncommon. However, few studies have reported the incidence or clinical outcomes of such fractures. This study investigated such fractures.Methods. In area classification, the proximal femur is divided into 4 areas by 3 boundary planes: the first plane is the center of femoral neck; the second plane is the border between femoral neck and femoral trochanter; and the third plane links the inferior borders of greater and lesser trochanters. A fracture only in the first area is classified as a Type 1 fracture; one in the first and second areas is classified as a Type 1-2 fracture. Therefore, proximal femoral fractures involving both the subcapital area and the trochanteric area are classified as Type 1-2-3, and those involving both the subcapital area and the subtrochanteric area are classified as Type 1-2-3-4. In this study, a total of 1042 femoral proximal fractures were classified by area classification, and the treatment methods and the failure rates were investigated only for Types 1-2-3 and 1-2-3-4 cases. The failure rate was defined as the incidence of internal fixator cut-out or telescoping >10 mm.Results. Types 1-2-3 and 1-2-3-4 fractures accounted for 1.72%. Surgical treatment was performed for 89%. Of these, 56% underwent osteosynthesis, but the failure rate was 33%. The other patients (44%) underwent prosthetic replacement. Fracture lines of all these fractures were present along trochanteric fossa to intertrochanteric fossa in posterior aspect and just below the femoral head in anterior aspect.Conclusion. Fracture involving the subcapital area to the trochanteric or subtrochanteric area was found in approximately 2%. In patients for whom prosthetic replacement was selected, good results were obtained. However, 1/3 of patients who underwent osteosynthesis had poor results.

A BIOMECHANICAL VALIDATION OF A NEW FEMORAL NECK FIXATION DYNAMIC HIP SCREW FOR PROXIMAL FEMORAL FRACTURE

2010 ◽  
Vol 22 (01) ◽  
pp. 53-59 ◽  
Author(s):  
Shih-Wei Lin ◽  
Jaw-Lin Wang
Keyword(s):  
Femoral Neck ◽  
Mechanical Test ◽  
Femoral Fractures ◽  
Vertical Displacement ◽  
Proximal Femoral Fracture ◽  
Dynamic Hip Screw ◽  
Fixation Strength ◽  
Proximal Femoral Fractures ◽  
Suitable Site ◽  
Hip Screw

High failure rates are expected in the treatment of osteoporotic proximal femoral fractures. A newly designed femoral neck locking dynamic hip screw has been developed to increase the fixation strength; a biomechanical examination was performed to prove its efficacy. Femoral surrogate specimens were used for the test. Unstable intertrochanteric fractures were created on specimens. Then these specimens were divided into two groups to test two different methods of fixation: (1) the conventional dynamic hip screw and (2) the new designed femoral neck fixation dynamic hip screw. For each specimen, the peak cyclic loading was 800 N, and a total of 20,000 cycles were applied. The vertical displacement, rotation around the long axis of lag screw, and the varus rotation around the center of femoral head between the two groups were compared at specific intervals. All the conventional dynamic hip screw constructs failed within 1000 cycles, while no gross mechanical failure was recorded for the femoral neck fixation dynamic hip construct even after 20,000 loading cycles. The mechanical test comparing the two constructs at the end of each 1000 loading cycles demonstrated that the femoral neck fixation dynamic hip screw construct is stronger than that of the conventional dynamic hip screw. For the fixation of proximal femoral fractures, the femoral neck fixation dynamic hip screw can provide a stronger support than what a conventional dynamic hip screw can do. At the same time, femoral neck can be a suitable site for the application of proximal locking screws.

scholarly journals Temporal trends in female breast cancer mortality in a state in Legal Amazon

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J C S Oliveira ◽  
N D Galvão ◽  
B S N Souza ◽  
A M C S Andrade ◽  
J F Cabral ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Mortality Rate ◽  
Cancer Mortality ◽  
Breast Cancer Mortality ◽  
Temporal Trends ◽  
Mortality Rates ◽  
Female Breast Cancer ◽  
Age Group ◽  
Mato Grosso ◽  
Annual Mortality

Abstract Background Breast cancer is the fifth most common cause of death from cancer in women worldwide. In Brazil, mortality rates are increasing. Therefore, the aim of this study is to analyze breast cancer mortality between 2000 and 2018 in Mato Grosso, a Brazilian state in Legal Amazon. Methods Ecological study analyzing temporal trends. Data were extracted from the Mortality Information System. The selected variables were: sex (female), cause of death (C-50, in the 10th revision of the International Classification of Diseases - ICD 10), age (less than 50 years-old, equal or older than 50 years-old) and year of death (2000-2018). Resident population data were obtained from the Ministry of Health's database (DATASUS) for calculation of breast cancer annual mortality rates. Temporal trends were estimated using linear regression. All analyses were done in the STATA 14.0. Results Between 2000 and 2018, 2,276 deaths from breast cancer were registered in women. Of these, 756 (33.2%) in the youngest age group and 1,520 (66.8%) in the oldest age group. A statistically significant increase in breast cancer mortality was found for both age groups (p &lt; 0.001). In the annual mortality rates analysis, women in the youngest age group had the lowest rate in 2003 (1.98 deaths/100,000 women) and the highest rate in 2018 (7.88 deaths/100,000 women). The oldest age group had the lowest mortality rate in 2000 (21.48 death/100,000 women) and the highest rate in 2017 (47.09 deaths/100,000). The mean mortality rate was 5.69 for the youngest age group and 33.19 for the oldest age group. The annual percentage of change was 33.31 for the youngest group and 62.49 for the oldest group. Conclusions There is a statistically significant increase in female breast cancer mortality rate in Mato Grosso, one of the Brazilian states in Legal Amazon. It is imperative to invest in breast cancer screening to enable the reduction of the mortality rate of the disease. Key messages Our study presents information of breast cancer in a state from Legal Amazon that has increased death rates by the years 2000 to 2018. Besides breast cancer is relevant in Brazil, this is the first analysis from this specific data, potential to support improvement in disease control.

scholarly journals Hospital admission and mortality rates for non-covid diseases in Denmark during covid-19 pandemic: nationwide population based cohort study

BMJ ◽  
2021 ◽  
pp. n1135
Author(s):  
Jacob Bodilsen ◽  
Peter Brønnum Nielsen ◽  
Mette Søgaard ◽  
Michael Dalager-Pedersen ◽  
Lasse Ole Zacho Speiser ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Hospital Admission ◽  
Respiratory Diseases ◽  
Hospital Admissions ◽  
Admission Rate ◽  
Mortality Rates ◽  
Baseline Period ◽  
Population Based ◽  
Hospital Admission Rate ◽  
Rate Ratios

AbstractObjectiveTo determine the incidence of hospital admissions and associated mortality rates for non-covid medical conditions during the covid-19 pandemic.DesignNationwide, population based cohort study.SettingDenmark from 13 March 2019 to 27 January 2021.ParticipantsAll Danish residents >1 year of age.Main outcomes measuresPopulation based healthcare registries that encompass the entire Danish population were used to compare hospital admission and mortality rates during the covid-19 pandemic (from 11 March 2020 to 27 January 2021) with the prepandemic baseline data (from 13 March 2019 to 10 March 2020). Hospital admissions were categorised as covid-19 when patients were assigned a diagnosis code for covid-19 within five days of admission. All patients were followed until migration, death, or end of follow-up, whichever came first. Rate ratios for hospital admissions were computed using Poisson regression and were directly standardised using the Danish population on 1 January 2019 as reference. 30 day mortality rate ratios were examined by Cox regression, adjusted for age and sex, and covid-19 diagnosis was used as a competing risk.Results5 753 179 residents were identified during 567.8 million person weeks of observation, with 1 113 705 hospital admissions among 675 447 people. Compared with the prepandemic baseline period (mean hospital admission rate 204.1 per 100 000/week), the overall hospital admission rate for non-covid-19 conditions decreased to 142.8 per 100 000/week (rate ratio 0.70, 95% confidence interval 0.66 to 0.74) after the first national lockdown, followed by a gradual return to baseline levels until the second national lockdown when it decreased to 158.3 per 100 000/week (0.78, 0.73 to 0.82). This pattern was mirrored for most major diagnosis groups except for non-covid-19 respiratory diseases, nervous system diseases, cancer, heart failure, sepsis, and non-covid-19 respiratory infections, which remained lower throughout the study period. Overall 30 day mortality rates were higher during the first national lockdown (mortality rate ratio 1.28, 95% confidence interval 1.23 to 1.32) and the second national lockdown (1.20, 1.16 to 1.24), and these results were similar across most major diagnosis groups. For non-covid-19 respiratory diseases, cancer, pneumonia, and sepsis, the 30 day mortality rate ratios were also higher between lockdown periods.ConclusionsHospital admissions for all major non-covid-19 disease groups decreased during national lockdowns compared with the prepandemic baseline period. Additionally, mortality rates were higher overall and for patients admitted to hospital with conditions such as respiratory diseases, cancer, pneumonia, and sepsis. Increased attention towards management of serious non-covid-19 medical conditions is warranted.

scholarly journals A Comparison of Mortality following Distal Femoral Fractures and Hip Fractures in an Elderly Population

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
R. W. Jordan ◽  
G. S. Chahal ◽  
M. Davies ◽  
K. Srinivas
Keyword(s):  
Mortality Rate ◽  
Hip Fractures ◽  
Femoral Fracture ◽  
Elderly Population ◽  
Surgical Intervention ◽  
Femoral Fractures ◽  
Mortality Rates ◽  
Distal Femoral Fracture ◽  
Distal Femoral Fractures ◽  
One Year

Introduction. Patients suffering a distal femoral fracture are at a high risk of morbidity and mortality. Currently this cohort is not afforded the same resources as those with hip fractures. This study aims to compare their mortality rates and assess whether surgical intervention improves either outcome or mortality following distal femoral fractures. Methods. Patients over sixty-five admitted with a distal femoral fracture between June 2007 and 2012 were retrospectively identified. Patients mobility was categorised as unaided, walking aid, zimmer frame, or immobile. The 30-day, six-month, and one-year mortality rates were recorded for this group as well as for hip fractures during the same period. Results. 68 patients were included in the study. The mortality rate for all patients with distal femoral fractures was 7% at 30 days, 26% at six months, and 38% at one year, higher than hip fractures during the same period by 8%, 13%, and 18%, respectively. Patients managed surgically had lower mortality rates and higher mobility levels. Conclusion. Patients suffering a distal femoral fracture have a high mortality rate and surgical intervention seems to improve both mobility and mortality.

Changes in scale and bark stem surface injuries and mortality rates of a saguaro cacti (Carnegiea gigantea, Cactaceae) population in Tucson Mountain Park

2005 ◽  
Vol 83 (3) ◽  
pp. 311-319 ◽  
Author(s):  
Lance S Evans ◽  
April Jan B. Young ◽  
Sr. Joan Harnett
Keyword(s):  
Mortality Rate ◽  
Mortality Rates ◽  
Carnegiea Gigantea ◽  
Field Plots ◽  
Annual Mortality

Rates that stem surfaces of saguaro cacti (Carnegiea gigantea (Engelm.) Britt & Rose) accumulate scale and bark injuries and the mortality rates of cacti were determined on a population of 1149 saguaro cacti in 50 field plots over the 9-year period of study (from 1993–1994 until 2002). Twenty-three percent of the saguaro population had few surface injuries throughout the 9-year period while 27% showed a marked increase in stem area with scale and bark injuries. Thirty percent of all cacti had more than 80% stem areas with combined scale and bark injuries on south-facing stem surfaces throughout the study period. Finally, 20.3% of the saguaro population died over the 9-year period, a rate of 2.3% per year. Thirty-three percent of all cacti that died by 2002 exhibited few surface injuries in 1993–1994 while 54% of the cacti that died over the period had more than 98% stem areas with combined scale and bark on south-facing stem surfaces in 1993–1994. In this manner, stem scale and bark injuries on south-facing surfaces were usually associated with the death of saguaros. The annual mortality rate of 2.3% appears high considering that this species may live for more than 200 years.Key words: saguaros, Carnegiea gigantea, Cactaceae, stem areas with scale and bark injuries, mortality rates.

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