Typhoid fever and paratyphoid fever: Systematic review to estimate global morbidity and mortality for 2010

Abstract Introduction The anatomy of the esophageal hiatus is altered during esophagogastric surgery with an increased risk of postoperative hiatus hernia (HH). The purpose of this article was to examine the current evidence on the surgical management and outcomes associated with HH after esophagogastric surgery for cancer. Materials and methods Systematic review and meta-analysis. Web of Science, PubMed, and EMBASE data sets were consulted. Results Twenty-seven studies were included for a total of 404 patients requiring surgical treatment for HH after esophagogastric surgery. The age of the patients ranged from 35 to 85 years, and the majority were males (82.3%). Abdominal pain, nausea/vomiting, and dyspnea were the commonly reported symptoms. An emergency repair was required in 51.5%, while a minimally invasive repair was performed in 48.5%. Simple suture cruroplasty and mesh reinforced repair were performed in 65% and 35% of patients, respectively. The duration between the index procedure and HH repair ranged from 3 to 144 months, with the majority (67%) occurring within 24 months. The estimated pooled prevalence rates of pulmonary complications, anastomotic leak, overall morbidity, and mortality were 14.1% (95% CI = 8.0–22.0%), 1.4% (95% CI = 0.8–2.2%), 35% (95% CI = 20.0–54.0%), and 5.0% (95% CI = 3.0–8.0%), respectively. The postoperative follow-up ranged from 1 to 110 months (mean = 24) and the pooled prevalence of HH recurrence was 16% (95% CI = 13.0–21.6%). Conclusions Current evidence reporting data for HH after esophagogastric surgery is narrow. The overall postoperative pulmonary complications, overall morbidity, and mortality are 14%, 35%, and 5%, respectively. Additional studies are required to define indications and treatment algorithm and evaluate the best technique for crural repair at the index operation in an attempt to minimize the risk of HH.

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Review of current typhoid fever vaccines, cross-protection against paratyphoid fever, and the European guidelines

Expert Review of Vaccines ◽

10.1080/14760584.2017.1374861 ◽

2017 ◽

Vol 16 (10) ◽

pp. 1029-1043 ◽

Cited By ~ 8

Author(s):

Jane N Zuckerman ◽

Christoph Hatz ◽

Anu Kantele

Keyword(s):

Typhoid Fever ◽

Cross Protection ◽

European Guidelines ◽

Paratyphoid Fever

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Typhoid Fever, Paratyphoid Fever, and Food Poisoning

BMJ ◽

10.1136/bmj.2.3797.710-b ◽

1933 ◽

Vol 2 (3797) ◽

pp. 710-711

Author(s):

J. E. R. McDonagh

Keyword(s):

Typhoid Fever ◽

Food Poisoning ◽

Paratyphoid Fever

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Effect of Antipsychotic Drugs on Cerebrovascular Morbidity and Mortality: A Systematic Review

Current Drug Therapy ◽

10.2174/157488506778194929 ◽

2006 ◽

Vol 1 (3) ◽

pp. 241-248 ◽

Cited By ~ 1

Author(s):

Sara Mazzucco ◽

Andrea Cipriani ◽

Camilla Lintas ◽

Corrado Barbui

Keyword(s):

Systematic Review ◽

Antipsychotic Drugs ◽

Morbidity And Mortality

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A Systematic Review of Interventions to Improve Healthcare Experiences and Access in Autism

Review Journal of Autism and Developmental Disorders ◽

10.1007/s40489-021-00279-2 ◽

2021 ◽

Author(s):

Chloe Walsh ◽

Paul O’Connor ◽

Ellen Walsh ◽

Sinéad Lydon

Keyword(s):

Systematic Review ◽

Morbidity And Mortality ◽

Future Research ◽

Medical Procedures ◽

Autistic Individual ◽

Healthcare Experiences ◽

Complete Detail ◽

Or Organization ◽

What Matters ◽

Research Studies

AbstractAutistic individuals report barriers to accessing and receiving healthcare, and experience increased morbidity and mortality. This systematic review synthesizes 31 research studies evaluating interventions implemented to improve the healthcare experiences and/or access of autistic persons. Interventions were most commonly patient-focused (58.1%), focused on supporting the autistic individual to engage with, tolerate, or anticipate medical procedures, care, or settings. Fewer studies were provider-focused (48.4%) or organization-focused (6.5%). Interventions were typically evaluated using measures of reactions (45.2%) or behavior (48.4%), and outcomes were predominantly positive (80.6%). Further research is imperative and should look to how providers and organizations must change. Future research must be inclusive of the autistic community, must measure what matters, and must offer complete detail on interventions implemented.

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The 25th anniversary of the retrograde suction decompression technique (Dallas technique) for the surgical management of paraclinoid aneurysms: historical background, systematic review, and pooled analysis of the literature

Journal of Neurosurgery ◽

10.3171/2017.11.jns17546 ◽

2019 ◽

Vol 130 (3) ◽

pp. 902-916 ◽

Cited By ~ 1

Author(s):

Bruno C. Flores ◽

Jonathan A. White ◽

H. Hunt Batjer ◽

Duke S. Samson

Keyword(s):

Systematic Review ◽

Complication Rate ◽

Neurological Outcome ◽

Pooled Analysis ◽

Morbidity And Mortality ◽

Secondary Outcome ◽

25Th Anniversary ◽

Paraclinoid Aneurysms ◽

Temporary Occlusion ◽

The Mean

OBJECTIVEParaclinoid internal carotid artery (ICA) aneurysms frequently require temporary occlusion to facilitate safe clipping. Brisk retrograde flow through the ophthalmic artery and cavernous ICA branches make simple trapping inadequate to soften the aneurysm. The retrograde suction decompression (RSD), or Dallas RSD, technique was described in 1990 in an attempt to overcome some of those treatment limitations. A frequent criticism of the RSD technique is an allegedly high risk of cervical ICA dissection. An endovascular modification was introduced in 1991 (endovascular RSD) but no studies have compared the 2 RSD variations.METHODSThe authors performed a systematic review of MEDLINE/PubMed and Web of Science and identified all studies from 1990–2016 in which either Dallas RSD or endovascular RSD was used for treatment of paraclinoid aneurysms. A pooled analysis of the data was completed to identify important demographic and treatment-specific variables. The primary outcome measure was defined as successful aneurysm obliteration. Secondary outcome variables were divided into overall and RSD-specific morbidity and mortality rates.RESULTSTwenty-six RSD studies met the inclusion criteria (525 patients, 78.9% female). The mean patient age was 53.5 years. Most aneurysms were unruptured (56.6%) and giant (49%). The most common presentations were subarachnoid hemorrhage (43.6%) and vision changes (25.3%). The aneurysm obliteration rate was 95%. The mean temporary occlusion time was 12.7 minutes. Transient or permanent morbidity was seen in 19.9% of the patients. The RSD-specific complication rate was low (1.3%). The overall mortality rate was 4.2%, with 2 deaths (0.4%) attributable to the RSD technique itself. Good or fair outcome were reported in 90.7% of the patients.Aneurysm obliteration rates were similar in the 2 subgroups (Dallas RSD 94.3%, endovascular RSD 96.3%, p = 0.33). Despite a higher frequency of complex (giant or ruptured) aneurysms, Dallas RSD was associated with lower RSD-related morbidity (0.6% vs 2.9%, p = 0.03), compared with the endovascular RSD subgroup. There was a trend toward higher mortality in the endovascular RSD subgroup (6.4% vs 3.1%, p = 0.08). The proportion of patients with poor neurological outcome at last follow-up was significantly higher in the endovascular RSD group (15.4% vs 7.2%, p < 0.01).CONCLUSIONSThe treatment of paraclinoid ICA aneurysms using the RSD technique is associated with high aneurysm obliteration rates, good long-term neurological outcome, and low RSD-related morbidity and mortality. Review of the RSD literature showed no evidence of a higher complication rate associated with the Dallas technique compared with similar endovascular methods. On a subgroup analysis of Dallas RSD and endovascular RSD, both groups achieved similar obliteration rates, but a lower RSD-related morbidity was seen in the Dallas technique subgroup. Twenty-five years after its initial publication, RSD remains a useful neurosurgical technique for the management of large and giant paraclinoid aneurysms.

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