Acta Ortopedica Brasileira最新文献_第5页

TIME UNTIL THE START OF ANTIBIOTIC PROPHYLAXIS AND THE RISK OF OPEN FRACTURE INFECTION: A SYSTEMATIC REVIEW. 抗生素预防措施开始前的时间与开放性骨折感染风险：系统综述。

IF 0.5 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-06-24 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243202e263176

João Guilherme Tavares Marchiori, Ana Paula Ferreira Nunes

{"title":"TIME UNTIL THE START OF ANTIBIOTIC PROPHYLAXIS AND THE RISK OF OPEN FRACTURE INFECTION: A SYSTEMATIC REVIEW.","authors":"João Guilherme Tavares Marchiori, Ana Paula Ferreira Nunes","doi":"10.1590/1413-785220243202e263176","DOIUrl":"10.1590/1413-785220243202e263176","url":null,"abstract":"Open fractures are highly incident injuries closely related to the modern life, in which accidents caused by motor vehicles or other machines impart high energy to bone tissue. Individual morbidity is represented by the functional impairment resultant of infection, nonunion, or vicious healing. In terms of public health, there are huge costs involved with the treatment of these fractures, particularly with their complications. One of the critical issues in managing open fractures is the use of antibiotics (ATB), including decisions about which specific agents to administer, duration of use, and ideal timing of the first prophylactic dose. Although recent guidelines have recommended starting antibiotic prophylaxis as soon as possible, such a recommendation appears to stem from insufficient evidence. In light of this, we conducted a systematic review, including studies that addressed the impact of the time to first antibiotic and the risk of infectious outcomes. Fourteen studies were selected, of which only four found that the early initiation of treatment with antibiotics is able to prevent infection. All studies had important risks of bias. The results indicate that this question remains open, and further prospective and methodologically sound studies are necessary in order to guide practices and health policies related to this matter. Level of Evidence II; Therapeutic Studies Investigating the Results Level of Treatment.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 2","pages":"e263176"},"PeriodicalIF":0.5,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11197951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141461547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

LATERAL EPICONDYLE SLIDING OSTEOTOMY IN KNEE ARTHROPLASTIES WITH VALGUS DEFORMITY. 外侧髁滑动截骨术在膝关节外翻畸形中的应用

IF 0.7 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-05-06 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243201e268054

Alessandro Rozim Zorzi, Bruno Suaed Foss, Pedro Henrique Calegari Moraes, Plínio de Almeida Martins de Souza, Gustavo Constantino de Campos, João Batista de Miranda

{"title":"LATERAL EPICONDYLE SLIDING OSTEOTOMY IN KNEE ARTHROPLASTIES WITH VALGUS DEFORMITY.","authors":"Alessandro Rozim Zorzi, Bruno Suaed Foss, Pedro Henrique Calegari Moraes, Plínio de Almeida Martins de Souza, Gustavo Constantino de Campos, João Batista de Miranda","doi":"10.1590/1413-785220243201e268054","DOIUrl":"10.1590/1413-785220243201e268054","url":null,"abstract":"Objective: To evaluate the efficacy and safety of sliding osteotomy of the lateral epicondyle in correcting rigid valgus deformity in knee arthroplasty.Methods: A retrospective study of patients undergoing total knee arthroplasty with lateral epicondyle sliding osteotomy between 2006 and 2018. The main outcome was the incidence of complications and adverse events. Secondary outcomes were Visual Analog Scale for Pain, varus stress test, and varus knee thrust during gait.Results: 19 knees (19 participants) were included in the study. The mean follow-up was 4.2 years. There were no cases of infection or reoperation due to instability. Two participants (10.5%) had mild or moderate knee pain (VAS pain = 4.6 ± 1.9). Two arthroplasties (10.5%) had mild varus stress. No participant presented varus thrust.Conclusion: Sliding osteotomy of the lateral epicondyle allows fast and safe ligament balance of knee valgus deformities. Level of Evidence I, Case series.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 spe1","pages":"e268054"},"PeriodicalIF":0.7,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11073520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

HAS THE AGING OF BRAZILIANS IMPACTED THE OCCURRENCE OF OSTEO-CARTILAGINOUS NEOPLASMS? 巴西人的老龄化是否影响了骨软骨瘤的发生？

IF 0.7 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-05-06 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243201e268544

Marcelo Tomio Kohara, Gustavo Ferrareto Pires, André Marson Sanches, Rodrigo Pereira Amarante, Gabriela Caponero de Brito, Fernando Adami

{"title":"HAS THE AGING OF BRAZILIANS IMPACTED THE OCCURRENCE OF OSTEO-CARTILAGINOUS NEOPLASMS?","authors":"Marcelo Tomio Kohara, Gustavo Ferrareto Pires, André Marson Sanches, Rodrigo Pereira Amarante, Gabriela Caponero de Brito, Fernando Adami","doi":"10.1590/1413-785220243201e268544","DOIUrl":"10.1590/1413-785220243201e268544","url":null,"abstract":"Cancer cases and survival have increased significantly in recent decades.Objective: In this study, we sought to evidence whether bone, joint and cartilage neoplasms are increasing with the aging of the Brazilian population, using the analysis of the DATASUS and IBGE databases, between 1979 and 2020.Methods: We compared the means and the proportion of death in Brazil, to observe the confidence interval overlaps, separated by region. Comparison between genders, age group, death and specific rate were compared via proportion tests and the trend was investigated via time series analysis.Results: Through the analyses, we can see that there is an increasing trend of cases, about 2.5 times in the period. Separated by region, the Southeast stands out, with a number of deaths about 6 times higher than other regions.Conclusion: Metastatic carcinoma is the most common neoplasm treated by orthopedic surgeons, and it is essential to adapt to this future projection, with cases of pathological bone involvement resulting from metastatic carcinomas, increasingly present in the routine of orthopedic surgeons. Level of Evidence IV, Cross-Sectional Observational Study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 spe1","pages":"e268544"},"PeriodicalIF":0.7,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11073523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

BONE RECONSTRUCTION IN THE TREATMENT OF TIBIAL HEMIMELIA: AN ALTERNATIVE TO AMPUTATION? 骨重建治疗胫骨半脱位：截肢的替代方案？

IF 0.7 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-05-06 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243201e268462

Yesmin Naji Sola, Luna Jeannie Alves Mangueira, Pedro Miranda Portugal, Robson Xavier Ferro, Nayme Naji Sola, Gustavo Teixeira Leão

{"title":"BONE RECONSTRUCTION IN THE TREATMENT OF TIBIAL HEMIMELIA: AN ALTERNATIVE TO AMPUTATION?","authors":"Yesmin Naji Sola, Luna Jeannie Alves Mangueira, Pedro Miranda Portugal, Robson Xavier Ferro, Nayme Naji Sola, Gustavo Teixeira Leão","doi":"10.1590/1413-785220243201e268462","DOIUrl":"10.1590/1413-785220243201e268462","url":null,"abstract":"Objective: To evaluate the advantages and disadvantages of bone reconstruction and lengthening compared to amputation in the treatment of tibial hemimelia for patients and their families.Methods: Systematic review of articles published in English and Portuguese between 1982 and 2022 in the MEDLINE, PubMed, Cochrane and SciELO databases. The variables of interest were: year of publication, sample characteristics, classification of tibial hemimelia according to Jones, treatment outcome and follow-up time.Results: A total of eleven articles were included in the scope of this review. The studies involved 131 patients, 53.4% male and 46.6% female. The age of the patients who underwent a surgical procedure ranged from 1 year and 10 months to 15 years. The most common type was Jones' I (40.9%). The most recurrent complications in the reconstruction treatment were: infection of the external fixator path, flexion contracture (mainly of the knee), reduction in the range of motion of the knee and ankle.Conclusion: We did not find enough relevant studies in the literature to prove the superiority of reconstruction. Amputation remains the gold standard treatment for tibial hemimelia to this day. Level of Evidence III, systematic review of level III studies.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 spe1","pages":"e268462"},"PeriodicalIF":0.7,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11073519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

IMPACT OF THE COVID-19 PANDEMIC ON ELECTIVE KNEE SURGERIES IN ATHLETES. COVID-19大流行对运动员选择性膝关节手术的影响。

IF 0.7 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-05-06 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243201e275648

Alexandre Pedro Nicolini, José Manoel Dantas, Orlando Copetti Fração, Vinícius Pagliaro Franco, Alexandre Figueiredo Zobiole, Paulo Vitor Carrijo

{"title":"IMPACT OF THE COVID-19 PANDEMIC ON ELECTIVE KNEE SURGERIES IN ATHLETES.","authors":"Alexandre Pedro Nicolini, José Manoel Dantas, Orlando Copetti Fração, Vinícius Pagliaro Franco, Alexandre Figueiredo Zobiole, Paulo Vitor Carrijo","doi":"10.1590/1413-785220243201e275648","DOIUrl":"10.1590/1413-785220243201e275648","url":null,"abstract":"With the COVID-19 pandemic, elective orthopedic surgeries were interrupted in most healthcare services. This leads to impacts on the quality of life, as well as on the emotional, professional, and financial situation of patient athletes who had their surgical treatment postponed.Objective: To evaluate clinical, emotional, and professional impacts on athletes who had their knee surgery postponed.Methods: This study included 21 patients who were diagnosed with knee injuries and were on a surgical waiting list. Participants answered a questionnaire with socioeconomic questions, activity level (amateur/professional), diagnosis, proposed surgery, and questions about anxiety regarding the postponement and uncertainty of performing the surgery, worsening symptoms, and psychological status in general.Results: The most prevalent diagnosis was anterior cruciate ligament injury (81%). Moreover, 42.9% of patients reported being highly anxious about the date of surgery, with 23.8% being highly anxious about the uncertainty of surgery. There was a direct positive correlation (r = 0.418), indicating a higher level of anxiety in patients who faced greater financial impact.Conclusion: The indefinite postponement of surgeries had a great impact on anxiety levels and surgery uncertainty of patients awaiting surgery. Level of Evidence III, Transversal Study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 spe1","pages":"e275648"},"PeriodicalIF":0.7,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11073521/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

RANGE OF MOTION AFTER BONE BLOCK PROCEDURES FOR SHOULDER INSTABILITY: SYSTEMATIC REVIEW. 肩关节不稳的骨块手术后的活动范围：系统综述。

IF 0.7 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-05-06 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243201e273366

Paulo Henrique Schmidt Lara, Leandro Masini Ribeiro, Carlos Vicente Andreoli, Alberto de Castro Pochini, Paulo Santoro Belangero, Benno Ejnisman

{"title":"RANGE OF MOTION AFTER BONE BLOCK PROCEDURES FOR SHOULDER INSTABILITY: SYSTEMATIC REVIEW.","authors":"Paulo Henrique Schmidt Lara, Leandro Masini Ribeiro, Carlos Vicente Andreoli, Alberto de Castro Pochini, Paulo Santoro Belangero, Benno Ejnisman","doi":"10.1590/1413-785220243201e273366","DOIUrl":"10.1590/1413-785220243201e273366","url":null,"abstract":"Objective: to determine the surgical indications for glenoid bone grafting associated with better postoperative ranges of motion.Methods: This systematic review was conducted according to PRISMA. The included studies were subdivided according to the criteria used to indicate glenoid bone graft surgery: group for radiological indications only (Group R), group for radiological indications associated with clinical indications (Group R + C), and group for arthroscopic indications (Group A). The extracted and evaluated data were the range of motion of the shoulder.Results: in the electronic search conducted in October 2022, 1567 articles were selected. After applying the inclusion criteria, 14 articles were selected for the systematic review. Regarding the ranges of motion, group A had the highest number of statistically positive results together with group R. Group A showed positive results in elevation parameters, loss of lateral rotation in adduction, and medial rotation in abduction. Group R showed positive results in lateral rotation in adduction and loss of lateral rotation in adduction. On the other hand, Group R + C was the one that presented the highest number of statistically negative results, in the following parameters: elevation, lateral rotation in abduction, loss of lateral rotation in adduction, and medial rotation in abduction.Conclusion: the subgroups presented variable results in the evaluated parameters; however, the groups with arthroscopic and radiological indications showed the highest number of positive results, with the latter group showing the best results regarding lateral rotation. Level of Evidence II, Systematic Reviews.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 spe1","pages":"e273366"},"PeriodicalIF":0.7,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11073535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

COMPARISON BETWEEN PORTALS FOR PLACEMENT OF ANCHORS IN SHOULDER INSTABILITY. 在肩关节不稳症患者中，比较不同的锚栓置入方式。

IF 0.7 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-05-06 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243201e265443

José Carlos Souza Vilela, Ivana Duval de Araújo, Mabelly Correa Albuquerque, Anna Luiza Amancio Vidal, Tadeu Fonseca Barbosa, Thalles Leandro Abreu Machado

{"title":"COMPARISON BETWEEN PORTALS FOR PLACEMENT OF ANCHORS IN SHOULDER INSTABILITY.","authors":"José Carlos Souza Vilela, Ivana Duval de Araújo, Mabelly Correa Albuquerque, Anna Luiza Amancio Vidal, Tadeu Fonseca Barbosa, Thalles Leandro Abreu Machado","doi":"10.1590/1413-785220243201e265443","DOIUrl":"10.1590/1413-785220243201e265443","url":null,"abstract":"Objective: \u0000 to radiographically compare the effects of anchor positioning in the arthroscopic treatment of shoulder instability, in the 3- and 5-o'clock portals.\u0000 Methods: \u0000 retrospective study of 36 patients, operated by two shoulder surgeons at the Unimed BH hospital, between January 2013 and January 2018. Each surgeon used only one of either the 3- or the 5-o'clock portal. After postoperative radiographs we performed angle comparisons between the greatest glenoidal axis, the angle of anchor insertion and distance from the inferior pole.\u0000 Results: \u0000 the 5-o'clock portal provided better placement than its 3-o'clock counterpart, which allowed for greater orthogonality in relation to the glenoid rim (p < 0.05).\u0000 Conclusion: the 5-o'clock portal allowed for better anchor placement than the 3 o'clock one. Level of Evidence II, Clinical Trial.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 spe1","pages":"e265443"},"PeriodicalIF":0.7,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11073532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

FUNCTIONAL CAPACITY IN PATIENTS WITH KNEE OSTEOARTHRITIS: CROSS-SECTIONAL STUDY. 膝关节骨性关节炎患者的功能能力：横断面研究。

IF 0.7 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-05-06 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243201e272993

Edinilson Bertoldo da Silva, Camila Vitelli Molinari, Claudio Cazarini, Vera Lúcia Dos Santos Alves

{"title":"FUNCTIONAL CAPACITY IN PATIENTS WITH KNEE OSTEOARTHRITIS: CROSS-SECTIONAL STUDY.","authors":"Edinilson Bertoldo da Silva, Camila Vitelli Molinari, Claudio Cazarini, Vera Lúcia Dos Santos Alves","doi":"10.1590/1413-785220243201e272993","DOIUrl":"10.1590/1413-785220243201e272993","url":null,"abstract":"Knee osteoarthritis (KOA) is a disabling inflammatory disease that makes walking and activities of daily living difficult. This condition can reduce functional capacity and increase the risk for surgery.Objective: To know the functional capacity of patients with KOA evaluated by the six-minute walk test (6MWT).Method: This cross-sectional study evaluated age, gender, weight, BMI, pain (VAS 90-100), physical disability (WOMAC 0-96), degree of joint damage by radiographic imaging, and 6MWT.Results: A total of 176 patients referred by Orthopedics were evaluated, with the inclusion of 164 participants. The mean age was 61.89 ± 10.62 years, 81% women, 67% with cardiovascular disease, hypertension and/or diabetes, 81% obese, with moderate pain (VAS 47.74 ± 29.27) and according to WOMAC, most had severe or very severe disability. The distance covered in the 6MWT was 354.03 ± 102.03m, 67% of the predicted distance. The maximum heart rate achieved was 107.27 ± 17.71 bpm, which characterizes 68% of the predicted by age. Only 12% of the sample showed a marked drop in oxygenation in the 6MWT and 40% had a recovery heart rate in the 1st minute below 15 bpm.Conclusion: Patients with KOA, who were evaluated by the 6MWT, have low functional capacity and physical deconditioning. Level of Clinical Evidence III, Case Control Study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 spe1","pages":"e272993"},"PeriodicalIF":0.7,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11073531/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

CORRELATION BETWEEN THE SEVERITY AND BLOOD ALCOHOL LEVEL OF TRAFFIC ACCIDENTS VICTIMS. 交通事故的严重程度与受害者血液中的酒精含量之间存在相关性。

IF 0.7 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-05-06 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243201e271878

Andressa Cruz Gonçalves, Henrique Silva Bombana, Alexandra Carolina Canonica, João Carlos Geber-Junior, Vilma Leyton, Julia Maria D'Andrea Greve

{"title":"CORRELATION BETWEEN THE SEVERITY AND BLOOD ALCOHOL LEVEL OF TRAFFIC ACCIDENTS VICTIMS.","authors":"Andressa Cruz Gonçalves, Henrique Silva Bombana, Alexandra Carolina Canonica, João Carlos Geber-Junior, Vilma Leyton, Julia Maria D'Andrea Greve","doi":"10.1590/1413-785220243201e271878","DOIUrl":"10.1590/1413-785220243201e271878","url":null,"abstract":"Objective: To evaluate the correlation between blood alcohol levels and the severity of injuries assessed by the Injury Severity Score (ISS) in patients who were victims of traffic accidents admitted to the Hospital das Clínicas of the Faculty of Medicine of the University of São Paulo (HCFMUSP).Methods: Cross-sectional study carried out between July 2018 and June 2019, at the Central Emergency Room of the Hospital das Clínicas of the Faculty of Medicine of the University of São Paulo (PSC-HCFMUSP). A total of 172 hospitalized patients victims of traffic accidents were included in this study. Blood samples were analyzed by the FMUSP Toxicology Laboratory.Results: 36 patients (20.9%) had positive BAC (≥ 0.2 g/L) with a mean of 1.21 g/L. Overall, patients had a mean age of 37.2 years old, and 136 (79.1%) were men. The ISS of the total casuistry was 15.6; regarding the external cause, the motorcycle was ranked first with 100 cases (58.1%), and drivers were the majority with 57.4% of the sample.Conclusion: There was no correlation between the severity of the injuries and the blood alcohol levels of traffic accident victims admitted to a reference hospital. Level of Evidence II, Cross-Sectional Study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 spe1","pages":"e271878"},"PeriodicalIF":0.7,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11073529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

WHAT IS THE EPIDEMIOLOGICAL PROFILE OF ACUTE HAND INFECTIONS AT A HOSPITAL IN SAO PAULO? 圣保罗一家医院急性手部感染的流行病学特征是什么？

IF 0.7 4区医学

Acta Ortopedica Brasileira Pub Date : 2024-05-06 eCollection Date: 2024-01-01 DOI: 10.1590/1413-785220243201e277229

Thomas Yi Teh Lee, Lucas Alves Nemer, Alessandro Ayres Vianna, Yussef Ali Abdouni, Fabrício Luz Cardoso, Antonio Carlos da Costa

{"title":"WHAT IS THE EPIDEMIOLOGICAL PROFILE OF ACUTE HAND INFECTIONS AT A HOSPITAL IN SAO PAULO?","authors":"Thomas Yi Teh Lee, Lucas Alves Nemer, Alessandro Ayres Vianna, Yussef Ali Abdouni, Fabrício Luz Cardoso, Antonio Carlos da Costa","doi":"10.1590/1413-785220243201e277229","DOIUrl":"10.1590/1413-785220243201e277229","url":null,"abstract":"Objective: To determine the epidemiological profile of patients treated at a philanthropic hospital specialized in Orthopedics and Traumatology, located in a significant urban center, and evaluate the efficacy of initial empirical antibiotic treatment.Methods: Patients diagnosed with hand infections from September 2020 to September 2022 were included, excluding cases related to open fractures or post-surgical infections and those with incomplete medical records. The chi-square test was performed using STATISTICA ® software to correlate various variables.Results: A total of 34 patients participated, including 24 men and 10 women, with an average age of 41.9 years. Most male patients had Diabetes Mellitus, HIV, and drug addiction, and they resided in urban areas. Half of the patients did not report any apparent trauma. The most common infectious agent was Staphylococcus aureus*. Nearly 62% of patients required a change in the initial antibiotic regimen, with Penicillin being the most frequently substituted medication. Beta-lactam antibiotics and Quinolones were the most effective.Conclusion: These results suggest the importance of carefully evaluating the epidemiological profile of patients with acute hand infections and improving initial empirical treatment to ensure appropriate and effective therapy. Level of Evidence IV, Cross-Sectional Observational Study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"32 spe1","pages":"e277229"},"PeriodicalIF":0.7,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11073522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0