scholarly journals Associations of Elderly Onset Headache With Occurrence of Poor Functional Outcome, Cardiovascular Disease, and Cognitive Dysfunction During Long-term Follow-up

2018 ◽  
Vol 22 (4) ◽  
pp. 176-183
Author(s):  
Soo-Jin Cho ◽  
Byung-Kun Kim ◽  
Byung-Su Kim ◽  
Jae-Moon Kim ◽  
Soo-Kyoung Kim ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Functional Outcome ◽  
Cognitive Dysfunction ◽  
Poor Functional Outcome ◽  
Long Term Follow Up ◽  
Elderly Onset

Abstract TP127: Mortality and Recurrence in Atherosclerotic Ischemic Stroke: Long-term Follow-up

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Miguel A Barboza ◽  
Rodrigo Uribe ◽  
Fabiola Serrano ◽  
Luis C Becerra-Pedraza ◽  
D. K Mantilla-Barbosa ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Functional Outcome ◽  
Median Time ◽  
Smoking History ◽  
Stroke Recurrence ◽  
Active Smoking ◽  
Long Term Outcome ◽  
Long Term Follow Up

Background and purpose: Atherosclerotic ischemic stroke is the second most frequent etiology of stroke in the adult population. Functional outcome, mortality and recurrence of stroke rates on the long-term follow-up are poorly studied. This study investigates long-term outcome among patients with ischemic stroke secondary to atherosclerotic causality, and identifies the main factors associated with poor outcome, recurrence, and death. Methods: We analyzed data from our consecutive acute ischemic stroke database, over a period of 25 years (1990-2015). The endpoints were: bad outcome (Modified Rankin Score ≥3), recurrence and mortality at discharge, and final follow-up. Multivariate Cox and Kaplan-Meier analysis were used to estimate the probability of death and recurrence. Results: A total of 946 consecutive atherosclerotic stroke patients were included (571 [60.4%] males, median age 65 years [interquartile range 57-73 years] for the entire population); dyslipidemia (64.2%), hypertension (63.3%), diabetes (35.0%), and active smoking history (31.8%) were the most prevalent risk factors.After a median follow-up of 38 months (IQR 12-75 months), 59.3% patients had a bad outcome at discharge. A result of 26.1% had stroke recurrence (median time until recurrence: 9 months [IQR 12-84 months], with 12.9% cases presenting ≥2 recurrences), and 24.1% were dead (median time to death: 18.5 months [IQR 11-74 months]) at the final follow-up period. After multivariate adjustment, hypertension (HR 4.2, CI 95% 2.8-6.1; p<0.001) was the strongest predictor of recurrence. Additionally, diabetes (HR 2.6, CI 95% 2.0-3.5; p<0.001), bad functional outcome after recurrence (HR 2.3, CI 95% 1.9-2.9; p<0.001), age ≥65 years (HR 2.2, CI 95% 1.7-2.9; p<0.001), and active smoking (HR 1.8, CI 95% 1.3-2.3; p<0.001) were the strongest predictors of mortality. Conclusions: Atherosclerotic ischemic stroke has a high rate of recurrence, associated mainly with hypertension. Mortality is predicted by diabetes, bad functional outcome at recurrence, and older age.

Total Knee Replacement in Young, Active Patients. Long-Term Follow-up and Functional Outcome*

1997 ◽  
Vol 79 (4) ◽  
pp. 575-82 ◽  
Author(s):  
DAVID R. DIDUCH ◽  
JOHN N. INSALL ◽  
W. NORMAN SCOTT ◽  
GILES R. SCUDERI ◽  
DAVID FONT-RODRIGUEZ
Keyword(s):  
Total Knee Replacement ◽  
Functional Outcome ◽  
Knee Replacement ◽  
Long Term Follow Up ◽  
Total Knee ◽  
Active Patients

scholarly journals Pseudotumours, cobalt and clinical outcome in small head metal-on-metal versus conventional metal-on-polyethylene total hip arthroplasty

2019 ◽  
Vol 30 (1) ◽  
pp. 56-63
Author(s):  
Hugo C van der Veen ◽  
Inge HF Reininga ◽  
Wierd P Zijlstra ◽  
Martijn F Boomsma ◽  
Sjoerd K Bulstra ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Functional Outcome ◽  
Hip Arthroplasty ◽  
Follow Up Study ◽  
Metal On Metal ◽  
Small Head ◽  
Long Term Follow Up ◽  
Serum Cobalt

Background: Metal-on-metal total hip arthroplasty (MoM THA) is associated with the formation of pseudotumours. Studies mainly concern pseudotumour formation in large head MoM THA. We performed a long-term follow-up study, comparing pseudotumour incidence in small head metal-on-metal (SHMoM) THA with conventional metal-on-polyethylene (MoP) THA. Predisposing factors to pseudotumour formation were assessed. Methods: From a previous randomised controlled trial comparing SHMoM (28 mm) cemented THA with conventional MoP cemented THA, patients were screened using a standardised CT protocol for the presence of pseudotumours. Serum cobalt levels and functional outcome were assessed. Results: 56 patients (33 MoP and 23 MoM) were recruited after mean follow-up of 13.4 years (SD 0.5). The incidence of pseudotumours was 1 (5%) in the SHMoM THA cohort and 3 (9%) in the MoP THA cohort. Prosthesis survival was 96% for both SHMoM and MoP THAs. Serum cobalt levels did not exceed acceptable clinical values (<5 µg/L) whereas no differences in cobalt levels were detected at follow-up between both groups. Oxford and Harris Hip Scores were good and did not differ between SHMoM and MoP THA. Conclusions: This long-term follow-up study shows a low incidence of pseudotumour formation and good functional outcome in cemented head-taper matched SHMoM and MoP THA.

Long-term follow-up of cognitive dysfunction in patients with aluminum hydroxide-induced macrophagic myofasciitis (MMF)

2011 ◽  
Vol 105 (11) ◽  
pp. 1457-1463 ◽  
Author(s):  
Elodie Passeri ◽  
Chiara Villa ◽  
Maryline Couette ◽  
Emmanuel Itti ◽  
Pierre Brugieres ◽  
...  
Keyword(s):  
Cognitive Dysfunction ◽  
Aluminum Hydroxide ◽  
Long Term Follow Up ◽  
Macrophagic Myofasciitis

FUNCTIONAL OUTCOME FOLLOWING LATERAL PATELLAR RETINACULAR RELEASE: A LONG-TERM FOLLOW-UP.

2004 ◽  
Vol 52 ◽  
pp. S161
Author(s):  
E. D. Griffin ◽  
P. G. Gerbino ◽  
L. J. Micheli ◽  
C. C. Teitz ◽  
D. Zurakowski
Keyword(s):  
Functional Outcome ◽  
Long Term Follow Up ◽  
Lateral Patellar Retinacular Release

Long-term follow-up after anterior sphincter repair: influence of age on functional outcome

2012 ◽  
Vol 14 (11) ◽  
pp. 1380-1388 ◽  
Author(s):  
M. W. Warner ◽  
O. M. Jones ◽  
I. Lindsey ◽  
C. Cunningham ◽  
N. J. Mortensen
Keyword(s):  
Functional Outcome ◽  
Sphincter Repair ◽  
Long Term Follow Up
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