Search results for "Bleed"

Accuracy of risk tools to predict critical bleeding in major trauma: A systematic review with meta-analysis.

2021

BACKGROUND Early detection of critical bleeding by accurate tools can help ensure rapid delivery of blood products to improve outcomes in major trauma patients. We conducted a systematic review to evaluate the accuracy of risk tools to predict critical bleeding in patients with major trauma. METHODS PubMed, Embase, and CENTRAL were searched up to February 2021 for studies investigating risk tools to predict critical bleeding for major trauma people in prehospital and emergency department. We followed the Preferred Reporting Items for Systematic Review and Meta-Analysis of Diagnostic Test Accuracy study guidelines. Two independent authors included studies, extracted data, appraised the quali…

Laika ietekme ārkārtas gastroendoskopijas veikšanā uz ārstēšanas iznākumu nevarikozas augšējas GI asiņošanas gadījumā

2018

Darba nosaukums: Laika ietekme ārkārtas gastroendoskopijas veikšanā uz ārstēšanas iznākumu nevarikozas augšējās GI asiņošanas gadījumā. Ievads: Akūta nevarikoza augšējā gastrointestinālā trakta asiņošana ir nopietna medicīniska patoloģija, kas var veicināt tālāku veselības pasliktināšanos un pat nāvi. Šī iemesla dēļ ir svarīgi analizēt agrīnas un vēlīnas ārkārtas endoskopijas ietekmi uz ārstēšanas iznākumu nevarikozas augšējās GI asiņošanas gadījumos. Darba mērķis: Mērķis ir izpētīt, vai agrīna endoskopisko izmeklējumu veikšana pacientam samazina negatīvu iznākumu riskus. Materiāli un metodes: Darbs ir veikts kā retrospektīvs kohortas pētījums. Dati tika ievākti no 2010. līdz 2017. gadam. P…

Systematic review: the presenting international normalised ratio (INR) as a predictor of outcome in patients with upper nonvariceal gastrointestinal …

2011

Aliment Pharmacol Ther 2011; 33: 1010–1018 Summary Background  The prognostic value of an elevated international normalised ratio (INR) as part of initial risk stratification in nonvariceal upper gastrointestinal bleeding (NVUGIB) remains poorly characterised. Aim  To assess the usefulness of the initial INR in patients with NVUGIB. Method  After a systematic review, we included the presenting INR and other validated prognosticators in multivariable models predicting rebleeding and mortality. Data are reported as odd ratios and 95% confidence intervals. Results  Only two of 769 candidate studies were useful, but reported disparate, highly selected NVUGIB patients with varying threshold init…

valutazione isteroscopica della cicatrice isterotomica post-cesareo:classificazione,patologie ad essa correlate e trattamento

2010

Use of low dose of rFVIIa (recombinant Factor VII activated) to control late bleeding after percutaneous dilational tracheostomy

2019

Key Clinical Message In our case, the use of a low intravenous bolus dose of rFVIIa (recombinant factor VII activated; 15‐20 mcg/kg) was effective and uneventful in controlling late postprocedural PDT bleeding associated with thrombocytopenia that cannot be corrected and after all other treatments failed.

A pouch in the cervix: a strange diagnosis

2016

Anechoic cervical lesions are uncommon findings which may entail diagnostic and, therefore, management difficulties. Chronic cervicitis, bulky nabothian cysts, adenomyomas, niches (cesarean scar defects), congenital malformations, and pseudo-neoplastic glandular cervical lesions often raise diagnostic dilemmas; they may also mimic malignant lesions [1–4]. Other anechoic images worth considering are those produced by cystic changes after cervical trauma, lacerations, or extremely rare false passages resulting from cervical dilatation [5]. Methods

Derivation and validation of a novel bleeding risk score for elderly patients with venous thromboembolism on extended anticoagulation

2017

SummaryExisting clinical scores do not perform well in predicting bleeding in elderly patients with acute venous thromboembolism (VTE). We sought to derive an easy-to-use clinical score to help physicians identify elderly patients with VTE who are at high-risk of bleeding during extended anticoagulation (>3 months). Our derivation sample included 743 patients aged ≥65 years with VTE who were enrolled in a prospective multicenter cohort study. All patients received extended anticoagulation with vitamin K antagonists. We derived our score using competing risk regression, with the time to a first major bleeding up to 36 months of extended anticoagulation as the outcome, and 17 candidate var…

Hemorragia y transfusión masivas. Recomendaciones para la elaboración de un protocolo

2013

Because of the substantial morbidity and mortality provoked by massive bleeding, a protocol to guide treatment of this event in each hospital is required. The present article reviews the physiopathology of massive bleeding. The literature on massive hemorrhage and transfusion is extensively reviewed with a view to designing a practical document that could serve as a template to be adapted to the specific needs and resources of each center.

Comparison of physical activity and sedentary behaviours between young haemophilia A patients and healthy adolescents

2011

In recent studies, adolescent haemophilia A patients and healthy adolescents have been encouraged to participate in physical activity (PA) based on its many established health benefits. However, none of the studies to date has used objective measures of PA and sedentary behaviour. The aims of the current study included: (i) to determine the amount and intensity of habitual PA among haemophilia A and healthy adolescents, and in haemophilia A patients with and without bleeding episodes in the previous year, and (ii) to identify the type and determine the time spent in sedentary activities in which both groups participate to obtain a broadened view of their daily activities. A total of 41 adol…

The orthopaedic status of severe haemophiliacs in Spain

2000

Summary. This paper provides an outline of the results obtained in a cross-sectional study conducted primarily with the aim of ascertaining orthopaedic complications in a group of young severe A and B haemophiliacs, the effects which these complications have on the medical resources used with these patients, and the impact of severe haemophilia on their quality of life. Its secondary aim was to link their current orthopaedic status to the type of treatment they had received prior to the study. Eleven Spanish hospitals took part in this study, monitoring 70 severe haemophiliacs (FVIII:C 6 months). In 40 cases (57.1%) the patients underwent one or more periods of prophylaxis. Thirty-three pat…