Nigerian Journal of Clinical Practice最新文献

{"title":"Clinical Burden of Diabetic Foot Ulcers Among Jordanian Patients with Diabetes: A 11-Year Retrospective Cohort Study.","authors":"A El-Qasem, E A Hammad, K Abu-Hammour, A A Alsharif, A Y Naser, R Mousa","doi":"10.4103/njcp.njcp_310_26","DOIUrl":"https://doi.org/10.4103/njcp.njcp_310_26","url":null,"abstract":"<p><strong>Background: </strong>Peripheral neuropathy is among the complications associated with diabetes and is often accompanied by numbness, which can cause tissue damage and lead to the formation of diabetic foot ulcers (DFUs). This research aimed to investigate the prevalence and clinical outcomes of DFU among diabetic patients in Jordan.</p><p><strong>Methods: </strong>A retrospective longitudinal cohort study was conducted between January 2013 and December 2023. All patients with DFU attending the University of Jordan Hospital and above 18 years of age were retrospectively followed up for at least one year. Mortality rates were considered as secondary outcomes.</p><p><strong>Results: </strong>A total of 3131 DFU patients were identified, with 1648 inpatients and 1483 outpatients. Overall, the cumulative percentage of the prevalence of DFU during the 11 years was 6.57%. DFUs were found to have increased the length of stay in hospitals (mean = 9.46 days), a high number of complicated cases of ulcers with infections: Inpatient (37.2%), outpatient (25.3%); and significant amputations: minor amputations (20.4%), major amputations (12.4%). The prevalence of infected ulcers among DFU patients was 12.2%. The mean survival time was 70.4 days (±3.3), with a 95% confidence interval of 64.0 to 76.9 days. The number of conditions, including gangrene, myocardial infarction, kidney disease, retinopathy, and neuropathy, were marginally linked to increased mortality risks.</p><p><strong>Conclusion: </strong>Despite the progress that has been achieved in the management and treatment of diabetes, the frequent hospitalizations, infections, and limb amputations that occur as a result of DFUs underscore the importance of effective management and prevention of the disease.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"29 9","pages":"973-981"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparıson of On-Q Intercostal Elastomerıc Pump System and Intravenous Analgesıa Methods for Paın Management after Thoracotomy.","authors":"Y A Karamustafaoglu, G Sagiroglu, F Yanik","doi":"10.4103/njcp.njcp_513_24","DOIUrl":"https://doi.org/10.4103/njcp.njcp_513_24","url":null,"abstract":"<p><strong>Background: </strong>Thoracotomy has been defined as one of the most painful surgical procedures. Inadequate pain control increases morbidity, hospital costs, and hospital length of stay.</p><p><strong>Aim: </strong>We aimed to compare the results of continuous infusion of local anesthetics through an intercostal On-Q (ICOQ) elastomeric pump under the pleura or intravenous analgesia to manage post-thoracotomy pain.</p><p><strong>Methods: </strong>We performed a prospective comparative analysis of 149 consecutive patients who underwent anterolateral thoracotomy between January 2018 and October 2021. Postoperative pain management with a continuous infusion elastomeric pump providing local anesthetic into the intercostal area was compared with intravenous analgesia. Patients received either the ICOQ elastomeric pump system (n = 73) or intravenous analgesia (n = 76) for the first 48 postoperative hours. Visual Analog Scale (VAS) rescue patient-controlled analgesia morphine consumption, hemodynamic, and side effects were evaluated within 48 hours.</p><p><strong>Results: </strong>The VAS scores of the IV group at 1, 4, 12, 24, 36, and 48 hours were statistically significantly higher than the On-Q group. ( P = 0.028, P = 0.041, P = 0.011, P = 0.001, P = 0.021, P = 0.017, respectively postoperative complications occurred in 17 (23%) patients in the ICOQ group, and 34 (45%) patients in the IV group. There was no significant difference between the two groups in terms of postoperative complications except for nausea and vomiting.</p><p><strong>Conclusion: </strong>Continuous analgesia using the ICOQ is an effective analgesia method for postoperative pain control for thoracotomy procedures that reduces pain scores and additional opioid consumption.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"29 9","pages":"1070-1078"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global Epidemiology and Risk Stratification of the Inferior Alveolar Nerve Anterior Loop: A CBCT-Based Systematic Review with AI-Assisted Clustering.","authors":"N Mahabob, E F Nasir, H M Almahdi, M F Umer","doi":"10.4103/njcp.njcp_295_26","DOIUrl":"https://doi.org/10.4103/njcp.njcp_295_26","url":null,"abstract":"<p><p>The anterior loop (AL) of the inferior alveolar nerve is an important anatomical consideration during implant placement and surgical procedures in the interforaminal region. This systematic review evaluated global variability in AL prevalence and morphometry and explored population-level anatomical patterns using AI-assisted analysis. A Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)-guided systematic review of cone-beam computed tomography (CBCT) studies was conducted across PubMed, Scopus, Web of Science, Embase, and Google Scholar. Eligible studies reporting AL prevalence, length, or related morphometric characteristics were included. Conventional descriptive evidence synthesis was supplemented by AI-assisted screening, text-based evidence processing, and K-means clustering of aggregated study-level variables to explore anatomical patterns. Risk-of-bias assessment was performed using appropriate quality-assessment tools. Ninety-two studies met the eligibility criteria. AL prevalence demonstrated substantial geographical variability, ranging from approximately 10% to >70%, whereas reported mean AL length generally ranged from 1.2 to 3.8 mm. Higher prevalence and longer AL measurements were reported in several Asian, Middle Eastern, and South American study populations, whereas lower values were observed in several European populations. AI-assisted clustering identified distinct groupings of published study populations based on combined prevalence and morphometric characteristics. These clusters represent exploratory population-level anatomical patterns and should not be interpreted as clinically validated predictors of individual surgical complications. Considerable methodological heterogeneity was observed across studies, including differences in populations, CBCT protocols, anatomical definitions, and measurement techniques. The AL demonstrates substantial global anatomical variability. CBCT provides valuable 3-dimensional assessment when clinically indicated. AI-assisted clustering may complement conventional evidence synthesis by identifying population-level anatomical patterns, although patient-level and external clinical validation is required.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"29 9","pages":"953-965"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PerfSCORE as a Predictor of Early Mortality in Open-Heart Surgery: Comparative Evaluation with NIRS and S100B.","authors":"A Koçarslan, Zaa Onuk, S Kulaksızoğlu, G Özerdem, H Yılmaz, M S Aydın","doi":"10.4103/njcp.njcp_86_26","DOIUrl":"https://doi.org/10.4103/njcp.njcp_86_26","url":null,"abstract":"<p><strong>Background: </strong>This study aims to investigate the correlation between NIRS and S100B, and the effects of NIRS, S100B, and PerfSCORE parameters on morbidity and mortality in patients undergoing open-heart surgery who had their cardiopulmonary bypass (CPB) flow volume adjusted using NIRS.</p><p><strong>Methods: </strong>In this prospective study, 60 adult patients undergoing open-heart surgery between January and June 2024 were enrolled. Intraoperative NIRS values were recorded at baseline, at the initiation of cardiopulmonary bypass (CPB), at CPB termination, and at the end of surgery for both cerebral hemispheres. Serum S100B levels were measured preoperatively (T1), and postoperatively at 6 hours (T2) and 24 hours (T3). Correlation analyses were performed between NIRS values and S100B levels. In addition, the effects of S100B, NIRS, and PerfSCORE on mortality and morbidity were compared.</p><p><strong>Results: </strong>A total of 73 procedures were performed in 60 patients. A weak negative correlation was found between early NIRS values and postoperative S100B levels ( r = -0.163 to -0.282). No significant correlation was observed between NIRS2 values and S100B, while a weak positive correlation emerged between NIRS3 and S100B1. No significant association was found between S100B levels and the incidence of early mortality or neurological complications. In contrast, PerfSCORE parameters were significantly associated with early mortality (Nagelkerke's R ² = 0.765), showing a prediction accuracy of 83.3% for deceased patients and 98.1% for survivors.</p><p><strong>Conclusion: </strong>Although weak correlations exist between cerebral oxygenation and S100B levels, S100B protein alone does not appear to be a reliable marker for early mortality. PerfSCORE parameters demonstrated greater predictive value and clinical utility.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"29 9","pages":"982-989"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mandibular Trabecular Bone Microarchitecture in Statin-Treated Versus Statin-Naive Hyperlipidemic Patients.","authors":"G Keldal, B Bahar, S Çolak, B Dal, M Sarıaslan","doi":"10.4103/njcp.njcp_340_26","DOIUrl":"https://doi.org/10.4103/njcp.njcp_340_26","url":null,"abstract":"<p><strong>Context: </strong>This retrospective investigation compared mandibular trabecular architecture on panoramic radiographs between hyperlipidemic adults who had used atorvastatin for at least 12 months and age- and sex-matched hyperlipidemic adults with no previous statin treatment. Trabecular complexity was assessed using fractal dimension (FD) analysis.</p><p><strong>Settings and design: </strong>A total of 240 hyperlipidemic participants were included, comprising 120 individuals treated with atorvastatin for at least 1 year and 120 age- and sex-matched participants with no previous statin use.</p><p><strong>Materials and methods: </strong>FD measurements were obtained with ImageJ using the box-counting approach in four mandibular regions: the condyle, angulus, posterior mandible, and anterior mandible.</p><p><strong>Statistical analysis used: </strong>Between-group and related comparisons were examined with the Mann-Whitney U and Wilcoxon tests, and associations were assessed by Spearman correlation. The significance threshold was P < 0.05, and the four predefined regional group comparisons were adjusted with the Bonferroni method.</p><p><strong>Results: </strong>Mean FD values were numerically higher in the atorvastatin-treated group across all evaluated regions. However, after Bonferroni correction, only the difference in the mandibular angle remained statistically significant ( P = 0.011; adjusted P = 0.044). A moderate positive correlation was identified between the mandibular angle and condyle ( r = 0.449, P < 0.001). Interobserver agreement was high (ICC range, 0.803-0.906).</p><p><strong>Conclusion: </strong>Although FD values tended to be higher among participants receiving atorvastatin therapy, statistical significance was confined to the mandibular angle, where the absolute difference was small. Therefore, long-term atorvastatin use may be associated with a subtle, site-specific radiographic variation in mandibular trabecular architecture among individuals with hyperlipidemia.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"29 9","pages":"1018-1024"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prognostic Impact of the Neutrophil-to-Lymphocyte Ratio and HALP Score on Long-Term Mortality in Patients with Peripheral Artery Disease: A Retrospective Cohort Study in a Tertiary Hospital in Turkey.","authors":"Z Yalım, R A Ekşi, C Korucu, H Siner","doi":"10.4103/njcp.njcp_44_26","DOIUrl":"https://doi.org/10.4103/njcp.njcp_44_26","url":null,"abstract":"<p><strong>Background: </strong>Systemic inflammation and impaired nutritional status are important drivers of adverse outcomes in peripheral artery disease (PAD). The hemoglobin-albumin-lymphocyte-platelet index (HALP) represents a multidimensional marker reflecting the interaction between hematologic, nutritional, and inflammatory status.</p><p><strong>Aim: </strong>This study evaluated the independent prognostic value of HALP score and neutrophil-lymphocyte ratio (NLR) in determining mortality in PAD patients.</p><p><strong>Methods: </strong>This retrospective cohort study consisted of 638 individuals with a first-time diagnosis of PAD. Patients were categorized as deceased (n = 241) and survivors (n = 397). Clinical characteristics, laboratory findings, inflammatory indices, NLR and HALP scores were analyzed. Survival probabilities were assessed using Kaplan-Meier curves, and independent determinants of mortality were examined through logistic regression analysis.</p><p><strong>Results: </strong>The mean follow-up period was 36.17 months for deceased patients and 71.69 months for survivors. Deceased patients exhibited significantly lower HALP scores (34.6 ± 2.1 vs. 51.9 ± 2.2, P = 0.047). While the HALP score demonstrated weak discriminative capacity in ROC analysis, Cox regression showed that lower HALP levels were independently associated with decreased survival status (Hazard ratio (HR) 0.46; 95% confidence interval (CI): 0.35-0.60; P < 0.001). The higher NLR levels had significantly elevated all-cause mortality rates (HR, 1.87; 95% CI: 1.44-2.44; P < 0.001). In multivariable analysis, HALP score, age, C-reactive protein levels, chronic renal failure, diabetes mellitus, and heart failure were independent predictors of death.</p><p><strong>Conclusion: </strong>Lower HALP scores are related to increased long-term mortality in PAD. The HALP score provides complementary prognostic information and may enhance holistic risk stratification in PAD.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"29 9","pages":"1049-1056"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can Axillary Positivity Be Predicted Using Hemogram Parameters in Patients with Breast Cancer at the Time of Diagnosis?","authors":"A Akan, E O Yildiz, S Gunay, S Koyuncu, O Yalcin","doi":"10.4103/njcp.njcp_247_26","DOIUrl":"https://doi.org/10.4103/njcp.njcp_247_26","url":null,"abstract":"<p><strong>Background: </strong>Axillary lymph node status is a key prognostic factor in breast cancer and guides treatment decisions. Sentinel lymph node biopsy (SLNB) is the standard staging method in clinically node-negative patients; however, it remains invasive. Inflammatory indices derived from complete blood counts, including neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and lymphocyte-to-monocyte ratio (LMR), have been investigated as potential markers of nodal involvement.</p><p><strong>Aim: </strong>This study aimed to evaluate the predictive performance of NLR, PLR, and LMR for axillary lymph node positivity and SLNB outcomes in breast cancer.</p><p><strong>Methods: </strong>This single-center retrospective study included 203 female patients with histopathologically confirmed invasive breast cancer. All patients underwent preoperative axillary ultrasonography, and suspicious lymph nodes were evaluated using fine-needle aspiration biopsy. SLNB was performed in 91 patients with imaging-negative axillae. Preoperative hemogram parameters were recorded, and NLR, PLR, and LMR were calculated. These indices were compared between axillary lymph node (ALN)-positive and ALN-negative patients, and between SLNB-positive and SLNB-negative subgroups.</p><p><strong>Results: </strong>NLR and LMR values were significantly higher, whereas PLR values were significantly lower ( P < 0.001), lymphocyte counts were also higher ( P < 0.05) in patients with ALN positivity group, while neutrophil and platelet counts showed no significant differences. Among patients undergoing SLNB, no significant differences in inflammatory indices were observed, and these parameters failed to distinguish micro- from macrometastatic disease.</p><p><strong>Conclusion: </strong>Hemogram-derived inflammatory indices are associated with axillary nodal positivity but are insufficient to predict low-volume nodal disease detected by SLNB and should be considered complementary tools in axillary staging.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"29 9","pages":"990-996"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Prevalence, Distribution, and Clinical Significance of Incidental Findings Detected on Abdominal Computed Tomography of Trauma Patients.","authors":"M Kaya, O Sogut, A Az, Y Dogan, T Akdemir","doi":"10.4103/njcp.njcp_173_26","DOIUrl":"https://doi.org/10.4103/njcp.njcp_173_26","url":null,"abstract":"<p><strong>Background: </strong>Incidental findings on abdominal CT are common in trauma patients and may have clinical importance.</p><p><strong>Aim: </strong>To determine the prevalence and evaluate the clinical significance of incidental findings on abdominal CT in trauma patients and analyze their distribution by organ system.</p><p><strong>Methods: </strong>This retrospective study included trauma patients who presented to the emergency department between June 2018 and May 2021 and underwent abdominal CT. Incidental findings were classified into three groups according to clinical significance: Group I, benign findings not requiring follow-up; Group II, likely benign findings that may require nonurgent follow-up; and Group III, indeterminate or suspicious findings requiring further diagnostic work-up.</p><p><strong>Results: </strong>A total of 336 patients were included (mean age, 41.4 ± 21.3 years; 69.9% male). At least one incidental finding was identified in 61.6% ( n = 207) of patients, and the prevalence increased significantly with age ( P < 0.001). The kidneys were the most frequently affected system (28.0%), followed by vascular structures (22.9%), with percentages calculated using the total study population ( n = 336) as the denominator. Although the overall frequency of incidental findings did not differ significantly by sex ( P = 0.097), atherosclerotic vascular changes ( P = 0.046), gallbladder pathologies ( P = 0.012), and splenic findings ( P = 0.035) were more frequent in females. Group I lesions were present in 69.6% of patients with incidental findings, whereas Group II and Group III lesions were found in 29.5% and 4.8%, respectively. The most common individual findings were atherosclerotic vascular changes (14.9%), simple renal cysts (10.6%), and hiatal hernias (9.2%).</p><p><strong>Conclusion: </strong>Incidental abdominal CT findings increased significantly with age. Although most were benign, a clinically relevant minority required nonurgent evaluation or further diagnostic investigation.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"29 9","pages":"1040-1048"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between Delivery Mode and Diastasis Recti Abdominis in Postpartum Women.","authors":"W Zhu, Q Ye, Y Wang, S Chang, H Shi, L Wang","doi":"10.4103/njcp.njcp_635_25","DOIUrl":"https://doi.org/10.4103/njcp.njcp_635_25","url":null,"abstract":"<p><strong>Background: </strong>Diastasis recti abdominis (DRA) significantly impairs the somatic and psychological well-being of postpartum women.</p><p><strong>Aim: </strong>To explore the association between mode of delivery and postpartum DRA, providing a basis for the prevention of DRA.</p><p><strong>Methods: </strong>A total of 2,603 postpartum women who underwent examination at our hospital between January and December 2023 were included. DRA was operationally defined as a midline inter-recti distance >2 cm on ruler measurement. The study compared the basic characteristics between women who underwent cesarean delivery and those who underwent vaginal delivery. Logistic regression was used to assess the independent association between mode of delivery and DRA.</p><p><strong>Results: </strong>The incidence of DRA in the cesarean section group was 12.8%, which was higher than that in the vaginal delivery group (7.4%) (χ 2 = 21.0, P < 0.001). The women in the cesarean section group were older, had a higher proportion of two deliveries, a higher basal metabolic rate (BMI), and a heavier fetal weight (all P < 0.001). After adjusting for age, occupation, parity, history of abdominal surgery, BMI, and weight gain during pregnancy, compared to vaginal delivery, cesarean delivery was associated with 90% higher odds of DRA (95% confidence interval: 1.4-2.6. The stratified analysis revealed that in almost all subgroups with different characteristics, the incidence of DRA in the cesarean delivery group was higher than in the vaginal delivery group. Sensitivity analyses by restricting participants to those without preterm birth and episiotomy showed similar results.</p><p><strong>Conclusion: </strong>Compared with vaginal delivery, the likelihood of developing postpartum DRA was higher in the cesarean section group.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"29 9","pages":"1057-1062"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Paramedic Pre-hospital's Analgesic Management of Trauma Patients.","authors":"Y Kantar, S Hayme","doi":"10.4103/njcp.njcp_633_25","DOIUrl":"https://doi.org/10.4103/njcp.njcp_633_25","url":null,"abstract":"<p><strong>Background: </strong>Although analgesic management is a critical priority in the guidelines for trauma patients, paramedics' prehospital administration practices vary.</p><p><strong>Objectives: </strong>This study evaluated the paramedics' practices regarding prehospital analgesia administration in trauma patients.</p><p><strong>Methods: </strong>The study was conducted in two phases. In the first phase, the records of patients 18 years and above who were brought to our hospital via ambulance were retrospectively reviewed. A total of 506 patients with trauma were included in this phase of the study. In the second phase, paramedics' practices regarding pre-hospital analgesic administration to trauma patients, such as drugs, and frequency. Data were analyzed using descriptive statistics, and are presented as mean ± standard deviation for numerical variables and as frequency and percentage for nominal variables. Nominal variables were evaluated using the Pearson Chi-Square test.</p><p><strong>Results: </strong>According to data collected retrospectively in the first phase of the study, prehospital analgesia was administered to only 1% of the 506 patients. In the second phase of the study, when asked about the reasons for not administering prehospital analgesia, it was found that 77.5% of paramedics believed that doing so would interfere with the hospital physician's examination.</p><p><strong>Conclusion: </strong>High rates of interventions such as spinal board immobilization, cervical collar application, and appropriate splinting or dressing have been observed in trauma patients. Paramedics were also found to be quite successful in establishing intravenous access. However, the rates of fluid administration and analgesia were considerably lower compared to the literature.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"29 9","pages":"1079-1086"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}