scholarly journals Epidemiology of Posterior Cruciate Ligament Reconstructions in Italy: A 15-Year Study

2021 ◽  
Vol 10 (3) ◽  
pp. 499
Author(s):  
Umile Giuseppe Longo ◽  
Marco Viganò ◽  
Vincenzo Candela ◽  
Laura de Girolamo ◽  
Eleonora Cella ◽  
...  
Keyword(s):  
Posterior Cruciate Ligament ◽  
Cultural Context ◽  
Cruciate Ligament ◽  
Essential Element ◽  
Epidemiological Data ◽  
International Classification Of Diseases ◽  
Italian Population ◽  
Patients Âgés ◽  
Associated Lesions ◽  
Classification Of Diseases

Background: The posterior cruciate ligament (PCL) is an essential element in knee stability. PCL reconstructions represent an under-investigated topic in the literature due to the rarity of this type of knee injury. This study aims to investigate the incidence of PCL reconstructive surgeries in Italy, following their trend during a 15-year period. Methods: The National Hospital Discharge records (SDO) collected by the Italian Ministry of Health between January 2001 and October 2015 were analyzed. The database reports anonymous data comprising patients’ ages, genders, International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes for diagnosis and intervention, census regions, regions of hospitalization, lengths of hospitalization and types of reimbursement. Results: The overall incidence of PCL reconstructions in the Italian population during the study period was 0.46 surgeries per 100,000 inhabitants/year, ranging from 0.32 to 0.54. The median patient’s age was 30 years old, and the male:female ratio was 5.3. PCL lesions were isolated in 39.7% of patients, while anterior cruciate ligament injuries were the most frequently associated lesions (31.1%). Conclusions: The incidence of PCL reconstruction in Italy was low and stable during the study period. Young men are the category at the highest risk for these procedures. Given the paucity of epidemiological data on PCL reconstructions, this data may represent a reference for the current and foreseeable needs in PCL surgeries for countries sharing similar cultural context.

scholarly journals Epidemiological Profile of Intracerebral Hemorrhage during a 10-Year Period in a Southern Brazilian Region

2018 ◽  
Vol 37 (01) ◽  
pp. 7-12
Author(s):  
Timóteo Almeida ◽  
Fernanda Almeida ◽  
Luidia Giacomini ◽  
Andressa Niederauer ◽  
Anna Cho ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Intracerebral Hemorrhage ◽  
Epidemiological Data ◽  
International Classification Of Diseases ◽  
Spontaneous Intracerebral Hemorrhage ◽  
Anticoagulant Drugs ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
Epidemiological Profile

Objective Spontaneous intracerebral hemorrhage is responsible for 20% of all cases of cerebrovascular accidents, which might lead to functional disabilities and death. There are few epidemiological data on spontaneous intracerebral hemorrhage in Brazil, and more specifically in the southern region of the country. Methods We reviewed data of 221 patients with intracerebral hemorrhage who attended our department between January of 2004 and December of 2013 and were registered as I61 and I62 according to the 10th edition of the International Classification of Diseases and Related Health Problems (ICD-10). Results From the 221 cases, 53.8% were male, and the median age was 63 years old. Arterial hypertension was reported in 62.4% of the patients. Surgical treatment was performed in 28.9% of all cases and pneumonia affected 19.9%. In 73.4% of the cases, the patients died or were severely disabled at discharge. We found an association of heart disease, coagulopathies, chronic kidney disease, anticoagulant drugs use, surgical treatment, and pneumonia with a poorer outcome. Conclusion The present study describes the epidemiological profile of intracerebral hemorrhage in a southern Brazilian population during a 10-year period.

A comprehensive epidemiological review of spinal astrocytomas in the United States

2020 ◽  
pp. 1-7
Author(s):  
Jianning Shao ◽  
Jaes Jones ◽  
Patrick Ellsworth ◽  
Ghaith Habboub ◽  
Gino Cioffi ◽  
...  
Keyword(s):  
United States ◽  
Epidemiological Data ◽  
International Classification Of Diseases ◽  
The United States ◽  
Study Cohort ◽  
Who Grade ◽  
The Us ◽  
Classification Of Diseases ◽  
Asian Pacific ◽  
Adjusted Incidence

OBJECTIVESpinal cord astrocytoma (SCA) is a rare tumor whose epidemiology has not been well defined. The authors utilized the Central Brain Tumor Registry of the United States (CBTRUS) to provide comprehensive up-to-date epidemiological data for this disease.METHODSThe CBTRUS was queried for SCAs on ICD-O-3 (International Classification of Diseases for Oncology, 3rd edition) histological and topographical codes. The age-adjusted incidence (AAI) per 100,000 persons was calculated and stratified by race, sex, age, and ethnicity. Joinpoint was used to calculate the annual percentage change (APC) in incidence.RESULTSTwo thousand nine hundred sixty-nine SCAs were diagnosed in the US between 1995 and 2016, resulting in an average of approximately 136 SCAs annually. The overall AAI was 0.047 (95% CI 0.045–0.049), and there was a statistically significant increase from 0.051 in 1995 to 0.043 in 2016. The peak incidence of 0.064 (95% CI 0.060–0.067) was found in the 0- to 19-year age group. The incidence in males was 0.053 (95% CI 0.050–0.055), which was significantly greater than the incidence in females (0.041, 95% CI 0.039–0.044). SCA incidence was significantly lower both in patients of Asian/Pacific Islander race (AAI = 0.034, 95% CI 0.028–0.042, p = 0.00015) and in patients of Hispanic ethnicity (AAI = 0.035, 95% CI 0.031–0.039, p < 0.001). The incidence of WHO grade I SCAs was significantly higher than those of WHO grade II, III, or IV SCAs (p < 0.001).CONCLUSIONSThe overall AAI of SCA from 1995 to 2016 was 0.047 per 100,000. The incidence peaked early in life for both sexes, reached a nadir between 20 and 34 years of age for males and between 35 and 44 years of age for females, and then slowly increased throughout adulthood, with a greater incidence in males. Pilocytic astrocytomas were the most common SCA in the study cohort. This study presents the most comprehensive epidemiological study of SCA incidence in the US to date.

scholarly journals An emergent infectious disease: Clostridioides difficile infection hospitalizations, 10-year trend in Sicily

Infection ◽  
2021 ◽  
Author(s):  
Alice Annalisa Medaglia ◽  
Sergio Buffa ◽  
Claudia Gioè ◽  
Silvia Bonura ◽  
Raffaella Rubino ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Surveillance System ◽  
Case Fatality ◽  
Epidemiological Data ◽  
International Classification Of Diseases ◽  
Term Care ◽  
Female Ratio ◽  
Clostridioides Difficile ◽  
Classification Of Diseases ◽  
Clostridioides Difficile Infection

Abstract Background Clostridioides difficile is the most common cause of healthcare-associated diarrhoea worldwide and C. difficile infection is an emerging infectious disease. In the US, its rates are monitored trough an active surveillance system, but many European Union member states still lack this, and in Italy no epidemiological data on C. difficile infection are available except for a few single-centre data. Aim To provide data on the C. difficile infection incidence in Sicily (the biggest and 5th most populous region of Italy) during a 10-year period. Methods We revised all the regional standardized discharge forms between 2009 and June 2019 using the code ICD-9 00845 of the International Classification of Diseases, Ninth Revision Clinical Modification, which refers to C. difficile infection with or without complications. Results 1139 cases of CDI were identified. 97% were adults with a median age of 73.2 years and a male-to-female ratio of 1:1.4. Female patients were older than males and patients who died were older than patients who did not. The main comorbidities were renal disease, diabetes, pneumonia and hypertension. There were 65 reporting hospitals and 86% of cases were provided by level III and II hospitals. Between 2009 and 2019, the incidence increased 40-fold. 81.5% of cases were reported in Medicine Units, Infectious Diseases Units and long-term care facilities. The mean length of stay was 20 days. Mean case fatality rate was 8.3% over the 10-year period. Conclusion Clostridioides difficile infection is a dramatically increasing condition in Sicily. A high-quality surveillance system and shared diagnostic protocols are needed.

scholarly journals COMBINED THERAPY FOR PATIENTS AFTER ISCHEMIC STROKE FROM THE POINT VIEW OF COMPREHENSIVE REHABILITATION

2020 ◽  
Vol 11 (1) ◽  
pp. 119-125
Author(s):  
Michal Vostrý ◽  
Ladislav Zilcher
Keyword(s):  
Ischemic Stroke ◽  
Combined Therapy ◽  
Intensive Therapy ◽  
International Classification Of Diseases ◽  
Patients Âgés ◽  
Significant Difference ◽  
Social Adaptability ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
Male Patients

Aim. The main objective of the research was to find out the efficacy of the combined therapy suitable for patients after ischemic stroke (promoting social adaptability). The therapy itself is then focused on robotic, psychomotor and cognitive therapy. Methods. 58 probands diagnosed with a stroke participated on the research (ischemic type I60-I69; ICD-10: International Classification of Diseases and Related Health Problems), out of which 49 were male patients ages between 50-55 and women between the age of 52–57. The data collection was finished in 2017-2018. Indicators were evaluated and tested firstly after the initiation of the combined therapy, then after 15 weeks of intensive therapy, which took place 4 times a week 50 minutes for each patient participating in the research. Results. A statistically significant difference was recorded among all observed indicator areas (somatic, psychological, social and even cognitive), in which patients scored during the final testing significantly better results, than during the initial testing. Conclusion. The results of the research point to the fact, that combined therapy of robotic, psychomotor and cognitive can have positive effect, and is suitable as a treatment for patients after ischemic stroke, regarding their productive age. Positive results have been therefore overt among all tested areas.

scholarly journals Can Additional Information Be Obtained from Claims Data to Support Surgical Site Infection Diagnosis Codes?

2014 ◽  
Vol 35 (S3) ◽  
pp. S124-S132 ◽  
Author(s):  
David K. Warren ◽  
Katelin B. Nickel ◽  
Anna E. Wallace ◽  
Daniel Mines ◽  
Victoria J. Fraser ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Acl Reconstruction ◽  
Claims Data ◽  
Cruciate Ligament ◽  
Surgical Site Infections ◽  
International Classification Of Diseases ◽  
Additional Information ◽  
Diagnosis Codes ◽  
Classification Of Diseases ◽  
Anterior Cruciate

Objective.International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnosis codes are increasingly used to identify healthcare-associated infections, often with insufficient evidence demonstrating validity of the codes used. Absent medical record verification, we sought to confirm a claims algorithm to identify surgical site infections (SSIs) by examining the presence of clinically expected SSI treatment.Methods.We performed a retrospective cohort study, using private insurer claims data from persons less than 65 years old with ICD-9-CM procedure or Current Procedure Terminology (CPT-4) codes for anterior cruciate ligament (ACL) reconstruction from January 2004 through December 2010. SSIs occurring within 90 days after ACL reconstruction were identified by ICD-9-CM diagnosis codes. Antibiotic utilization, surgical treatment, and microbiology culture claims within 14 days of SSI codes were used as evidence to support the SSI diagnosis.Results.Of 40,702 procedures, 401 (1.0%) were complicated by SSI, 172 (0.4%) of which were specifically identified as septic arthritis. Most SSIs were associated with an inpatient admission (232/401 [58%]), and/or surgical procedure(s) for treatment (250/401 [62%]). Temporally associated antibiotics, surgical treatment procedures, and cultures were present for 84% (338/401), 61% (246/401), and 59% (238/401), respectively. Only 5.7% (23/401) of procedures coded for SSI after the procedure had no antibiotics, surgical treatments, or cultures within 14 days of the SSI claims.Conclusions.More than 94% of patients identified by our claims algorithm as having an SSI received clinically expected treatment for infection, including antibiotics, surgical treatment, and culture, suggesting that this algorithm has very good positive predictive value. This method may facilitate retrospective SSI surveillance and comparison of SSI rates across facilities and providers.

Seismic Intensity and Risk of Cerebrovascular Stroke: 1995 Hanshin-Awaji Earthquake

2004 ◽  
Vol 19 (04) ◽  
pp. 297-306 ◽  
Author(s):  
Shigeru Sokejima ◽  
Yoshimi Nakatani ◽  
Kazuomi Kario ◽  
Kazunori Kayaba ◽  
Masumi Minowa ◽  
...  
Keyword(s):  
Epidemiological Data ◽  
International Classification Of Diseases ◽  
Seismic Intensity ◽  
First Year ◽  
Cox Proportional Hazard ◽  
Before And After ◽  
Classification Of Diseases ◽  
Second Year ◽  
Cerebrovascular Stroke

AbstractIntroduction:No epidemiological data exist concerning the influence of an earthquake on the risk of stroke. Whether the incidence of cerebrovascular stroke increased after the 1995 Hanshin-Awaji earthquake (EQ) in Japan and whether seismic intensity affected stroke risk dose-dependently was examined.Methods:A retrospective cohort study was conducted among residents, who were living in two towns on the island of Awaji and were participants of the National Health Insurance (NHI) program. The two towns were divided into 11 districts and their respective damage and socioeconomic states were investigated. Reviewing the NHI documents issued before and after the EQ, people who had strokes (9th International Classification of Diseases, codes 430–431 or 433–434.9) were identified. Risk of stroke in relation to the seismic intensities, was assessed with the Cox proportional hazard model.Results:Among subjects aged 40 to 99 years, 45 of 8,758 (0.514%) had a stroke the year before the EQ, 72 of 8,893 (0.810%) had a stroke in the first year following the EQ, and 49 of 8,710 (0.566%) had a stroke in the second year following the EQ. In districts where the earthquake's intensity was ≤9.5 on the modified Mercalli intensity (MMI), compared with the year prior to the EQ, the relative risk (RR) of stroke was 2.4 (95% confidence interval (CI) 1.1, 5.0) in the first year following the EQ, after adjusting for age, gender, and income. In that year, compared with MMI of &lt;8.5–9.0, RRs for 9.0–9.5 and ≥9.5 were 1.6 (CI 0.9, 2.1) and 2.0 (CI 1.1, 3.7), respectively (pfor trend 0.02). No trend for the RR was observed in the year before the EQ or in the second year following the EQ.Conclusion Stroke increased in the first year following the EQ. The increase was associated with seismic intensity in a dose-response manner. Results suggest a potential threshold for RR of &gt;2.0 in areas near 9.5 on the MMI scale.

scholarly journals Analysis of chronic kidney disease among national hospitalization data with 14 million children

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Xinmiao Shi ◽  
Ying Shi ◽  
Luxia Zhang ◽  
Lanxia Gan ◽  
Xuhui Zhong ◽  
...  
Keyword(s):  
Kidney Disease ◽  
Descriptive Analysis ◽  
Epidemiological Data ◽  
International Classification Of Diseases ◽  
Cystic Kidney Disease ◽  
Cystic Kidney ◽  
Glomerular Diseases ◽  
Treatment And Prevention ◽  
Classification Of Diseases ◽  
Pediatric Ckd

Abstract Background The main purpose was to determine basic epidemiological data on CKD among hospitalized pediatric patients in China. Methods Data from pediatric inpatients with CKD hospitalized from June 1, 2013 to May 31, 2017 were extracted from the electronic records of HQMS database, which includes over 14 million inpatients. Codes from the 10th revision of the International Classification of Diseases (ICD-10) were used to search the database. Results A total of 524 primary diseases of CKD were included in this study. In all, there were 278 231 pediatric inpatients with CKD, which accounted for 1.95 % of the 14 250 594 pediatric inpatients registered in the HQMS database. The number of pediatric inpatients with CKD was 67 498 in 2013, 76 810 in 2014, 81 665 in 2015 and 82 649 in 2016, which accounted for 1.93 %, 1.93 %, 1.99 and 2.09 %, respectively, of the total population of pediatric inpatients. The etiology of CKD was secondary nephrosis in 37.95 % of cases, which ranked first and followed by CAKUT with a percentage of 24.61 %. Glomerular diseases and cystic kidney disease accounted for 21.18 and 5.07 %, respectively. Among all 278 231 patients, 6 581 (2.37 %) had a primary discharge diagnosis of CKD. The renal pathology findings of CKD showed that IgA accounted for 51.17 %. Conclusions This study provides a descriptive analysis of the hospitalized population of pediatric CKD patients. Our study provides important, fundamental data for policy making and legislation, registry implementation and the diagnosis, treatment and prevention of CKD in China.

scholarly journals Human papillomavirus in Italy: retrospective cohort analysis and preliminary vaccination effect from real-world data

2021 ◽  
Author(s):  
A. Marcellusi ◽  
F. S. Mennini ◽  
P. Sciattella ◽  
G. Favato
Keyword(s):  
Human Papillomavirus ◽  
Cohort Analysis ◽  
Intraepithelial Neoplasia ◽  
Epidemiological Data ◽  
International Classification Of Diseases ◽  
Hospital Discharges ◽  
Real World Data ◽  
Public And Private ◽  
Classification Of Diseases ◽  
Males And Females

Abstract Introduction The objective of this study was to estimate the lifetime risk of hospitalization associated with all major human papillomavirus (HPV)-related diseases in Italy. Moreover, a preliminary vaccination effect was also performed. Methods A retrospective, nonrandomized, observational study was developed based on patients hospitalized between 2006 and 2018 in Italy. All hospitalizations were identified through administrative archives, according to the International Classification of Diseases (ICD-9 CM). Information related to the hospital discharges of all accredited public and private hospitals, both for ordinary and day care regimes, was taken into account. We included hospitalizations related to resident patients presenting one of the ICD-9-CM codes as primary or secondary diagnosis: genital warts (GW); ‘cervical intraepithelial neoplasia (CIN)’ (067.32–067.33); ‘condyloma acuminatum’ (078.11); ‘anal cancers’ (AC) (154.2–154.8); oropharyngeal cancers (OC): ‘oropharyngeal cancer’(146.0–146.9) and ‘head, face and neck cancers’ (171.0); genital cancers (GC): ‘penis cancer’ (187.1–187.9) and ‘cervical cancer’ (180.0–180.9). Data were stratified by birth year and divided into two groups: (a) cohort born before 1996 (not vaccinable) and (b) cohort born after 1997 (vaccinable—first cohort that could be vaccinated at the beginning of immunization schedule in girls since 2008 in Italy). Disease-specific hospitalization risks for both groups were estimated by sex, year and age. Results Epidemiological data demonstrate that the peak hospitalization risk occurred at 24–26 years of age for GW (both male and female); 33–41 and 47–54 years for AC males and females, respectively; 53–59 and 52–58 years for OC males and females, respectively; and 54–60 and 39–46 years for GC males and females, respectively. Focusing on GW and GC, vaccinable females demonstrate a significant reduction in hospitalization risks (− 54% on average) compared to nonvaccinable females until 21 years of age (maximum follow-up available for girls born after 1997). Comparing the same birth cohort of males, no differences in hospitalization risk were found. Conclusions These results support the importance of primary prevention strategies in Italy and suggest that increased VCRs and time of observation (genital cancers for which vaccination is highly effective, have a latency of some decades) will provide useful information for decision-makers.

Epidemiology of Parkinson's Disease: A Population-Based Study in Primary Care in Italy

2016 ◽  
Vol 47 (1) ◽  
pp. 38-45 ◽  
Author(s):  
Elisabetta Pupillo ◽  
Claudio Cricelli ◽  
Francesco Mazzoleni ◽  
Iacopo Cricelli ◽  
Alessandro Pasqua ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Charlson Comorbidity Index ◽  
International Classification Of Diseases ◽  
Population Based ◽  
Italian Population ◽  
Hazard Ratios ◽  
Classification Of Diseases ◽  
Comorbidity Index ◽  
Clinical Conditions

Background: There are no studies on prevalence, incidence and comorbidities of Parkinson's disease (PD) in the Italian population. Methods: The database of 700 Italian general practitioners (population, 923,356) was investigated. All patients with International Classification of Diseases Ninth Revision - Clinical Modification (ICD-9-CM) diagnosis of PD during the period 2002-2012 were included. Parkinsonisms were excluded. Clinical conditions preceding PD were identified through ICD-9-CM codes. The Charlson Comorbidity Index was used. PD crude and standardized prevalence and annual incidence were calculated. Crude and adjusted hazard ratios were calculated for comorbidities. Results: A total of 2,204 patients (1,140 men, 1,064 women, age 22-95 years) were included. The crude prevalence of PD was 239/100,000. Prevalence increased exponentially with age. Standardized prevalence was 233 (95% CI 232-235). One hundred ninety-four patients were newly diagnosed, giving a crude incidence of 22/100,000 and a standardized incidence of 23.1/100,000 (95% CI 22.9-23.2). Incidence increased steadily until age 75-84 years and then decreased. Older age, cardiovascular and gastrointestinal disorders, diabetes, and restless-legs syndrome were associated with increased PD risk and smoking and hypersomnia with decreased PD risk. The Charlson Comorbidity Index was associated with PD risk with a documented gradient. Conclusions: Prevalence and incidence of PD in Italy are in line with studies with the highest case ascertainment. PD risk varies with the number and type of comorbidities.

Comparison of Alcohol Use Disorders in DSM and ICD

2020 ◽  
Vol 66 (3) ◽  
pp. 143-153
Author(s):  
Jessica W. M. Wong ◽  
Friedrich M. Wurst ◽  
Ulrich W. Preuss
Keyword(s):  
Alcohol Use Disorders ◽  
International Classification Of Diseases ◽  
Clinical Use ◽  
Diagnostic Systems ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5 ◽  
Classification Of Diseases ◽  
Historical Developments

Abstract. Introduction: With advances in medicine, our understanding of diseases has deepened and diagnostic criteria have evolved. Currently, the most frequently used diagnostic systems are the ICD (International Classification of Diseases) and the DSM (Diagnostic and Statistical Manual of Mental Disorders) to diagnose alcohol-related disorders. Results: In this narrative review, we follow the historical developments in ICD and DSM with their corresponding milestones reflecting the scientific research and medical considerations of their time. The current diagnostic concepts of DSM-5 and ICD-11 and their development are presented. Lastly, we compare these two diagnostic systems and evaluate their practicability in clinical use.

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