scholarly journals Predictive factors of increased surgical drain output after thyroid lobectomy: a retrospective study

Gland Surgery ◽  
2019 ◽  
Vol 8 (5) ◽  
pp. 542-549
Author(s):  
Chih-Yu Chen ◽  
Yu-Lung Chiu ◽  
Sarina Rajbhandari ◽  
Sheng-Yao Cheng ◽  
Hung-Che Lin ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Predictive Factors ◽  
Thyroid Lobectomy ◽  
Surgical Drain

Does thyroid-sparing total laryngectomy decrease the risk of hypothyroidism?

2020 ◽  
pp. 1-4
Author(s):  
G Viljoen ◽  
J K McGuire ◽  
A Alhadad ◽  
S Dalvie ◽  
J J Fagan
Keyword(s):  
South Africa ◽  
Retrospective Study ◽  
Laryngeal Carcinoma ◽  
Adjuvant Radiotherapy ◽  
Total Laryngectomy ◽  
Inclusion Criteria ◽  
Nccn Guidelines ◽  
Thyroid Lobectomy ◽  
Cancer Network ◽  
Advanced Laryngeal Carcinoma

Abstract Background Thyroid lobectomy is recommended with total laryngectomy for laryngeal cancer in the National Comprehensive Cancer Network (‘NCCN’) guidelines. However, it is associated with a 32–89 per cent risk of hypothyroidism, with or without adjuvant radiotherapy. Objective The study aimed to determine whether preserving the whole thyroid, compared to a single lobe, does indeed significantly lower the incidence of hypothyroidism in the setting of total laryngectomy. Method A retrospective study was conducted at Groote Schuur Hospital in Cape Town, South Africa. Results Eighty-four patients met the inclusion criteria. The overall incidence of hypothyroidism was 45.2 per cent. The incidence of hypothyroidism was significantly reduced in patients who underwent thyroid-sparing total laryngectomy compared to hemithyroidectomy (p = 0.037). Adjuvant radiotherapy was associated with a higher incidence of hypothyroidism (p = 0.001). Conclusion Thyroid-preserving laryngectomy should be advocated in carefully selected patients with advanced laryngeal carcinoma, as it reduces the incidence of hypothyroidism.

scholarly journals Predictive Factors for Refractory Convulsive Status Epilepticus: a 7-year Retrospective Study

2015 ◽  
Vol 49 (1) ◽  
Author(s):  
Marc Laurence L. Fernandez ◽  
Leah L. Shiong Shu ◽  
Natasha L. Fabiana ◽  
Paul Matthew D. Pasco ◽  
Leonor I. Cabral-Lim ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Status Epilepticus ◽  
Predictive Factors ◽  
Convulsive Status Epilepticus

...

The Impact of Intraoperative Gap Difference Between Extension and Flexion on Perception of Joint Function After Total Knee Arthroplasty: a Comparative Retrospective Study

2021 ◽  
Author(s):  
Tomohiro Okayoshi ◽  
Yoshinori Okamoto ◽  
Hitoshi Wakama ◽  
Shuhei Otsuki ◽  
Masashi Neo
Keyword(s):  
Total Knee Arthroplasty ◽  
Retrospective Study ◽  
Soft Tissue ◽  
Knee Joint ◽  
Predictive Factors ◽  
Knee Arthroplasty ◽  
Difference Threshold ◽  
Joint Function ◽  
Flexion Gap ◽  
Total Knee

Abstract Background: The argument presupposes that intra-operative soft tissue balance is associated with patient-reported outcome measures after total knee arthroplasty (TKA). Our aim was to assess the association between the extension-to-flexion gap and patients’ reported perception of knee joint function.Methods: This was a retrospective study of 60 cases of primary cruciate-retaining TKAs performed for the treatment of medial-compartment knee osteoarthritis, at a mean follow-up of 2.6 (range, 2.0–5.2) years. Knee perception was evaluated by asking patients whether they considered their knee joint as “natural” (grade I) or “artificial”, with or without restrictions (grades II–V). The following factors were compared between the two groups: age, sex, and the extension-to-flexion gap difference. A multiple logistic regression analysis was used to identify predictive factors of an artificial knee joint perception. A receiver operating characteristic curve analysis was used to identify cut-off values of predictive factors. Result: Compared to a natural knee joint perception (26 knees, 43%), an artificial perception (34 knees, 57%) was associated with a smaller gap difference at the distraction force of 20 lbf (p < .001), 30 lbf (p = .022), and 40 lbf (p = .038), a lower EuroQol 5-Dimension score (p = .029), and self-reported joint health (Knee injury and Osteoarthritis Outcome Score-Joint Replacement [KOOS-JR], p = .032). A gap difference <1.0 mm was a predictive of an artificial perception (odds ratio, 1.63; 95% confidence interval, 1.33–4.54; p < .001). A cut-off gap difference of 0.99 mm at 20 lbf predicted an artificial perception with a sensitivity of 81.5% and a specificity of 87.9%. Post-operative satisfaction (p < .001), KOOS-JR (p < .001), patient’s joint perception (p = .006), pain (p = .015), and EuroQol 5-Dimension (p = .032) differed between the two groups when the gap difference threshold was set to 1.0 mm.Conclusion: Careful balancing of soft tissue during TKA to achieve an extension-to-flexion gap ≥ 1.0 mm can improve patients’ perception of knee joint function and quality of life.

scholarly journals Treatment and predictive factors in patients with recurrent laryngeal carcinoma: A retrospective study

2015 ◽  
Vol 10 (5) ◽  
pp. 3145-3152 ◽  
Author(s):  
PEIJING LI ◽  
WEIHAN HU ◽  
YUAN ZHU ◽  
JIANJIANG LIU
Keyword(s):  
Retrospective Study ◽  
Predictive Factors ◽  
Laryngeal Carcinoma

Predictive factors for difficult airway management in patients with maxillofacial trauma. A retrospective study

2020 ◽  
Vol 61 ◽  
pp. 109663
Author(s):  
Christos Chatzakis ◽  
Anna Gkiouliava ◽  
Giakoumis Mitos ◽  
Freideriki Sifaki ◽  
Georgios Pistiolas ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Airway Management ◽  
Difficult Airway ◽  
Predictive Factors ◽  
Maxillofacial Trauma ◽  
Difficult Airway Management

scholarly journals Deliberate Drug Poisoning with Slight Symptoms on Admission: Are there Predictive Factors for Intensive Care Unit Referral? A three-year Retrospective Study

2013 ◽  
Vol 114 (3) ◽  
pp. 281-287 ◽  
Author(s):  
Maxime Maignan ◽  
Philippe Pommier ◽  
Sandrine Clot ◽  
Philippe Saviuc ◽  
Guillaume Debaty ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Retrospective Study ◽  
Predictive Factors ◽  
Drug Poisoning
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