• Pediatric Unintentional Fall-Related Injuries in a Statewide Trauma Registry

    1 month ago - By Pediatric Emergency Care

    Objectives
    The purpose of the study was to evaluate patterns of fall-related injury through childhood and identify risk factors for more severe fall-related injuries with the goal of informing targeted prevention strategies for different ages.
    Methods
    The study population consisted of pediatric patients in the Iowa Trauma Registry from January 1, 2010, to December 31, 2014, who sustained an unintentional fall-related injury. Multinomial logistic regression analysis was used to predict injury severity. Adjusted odds ratios were calculated characterizing the relationship between fall...
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  • Evaluation of Unscheduled Return Visits to the Pediatric Emergency Department and Risk Factors for Admission After Return Visit

    1 month ago - By Pediatric Emergency Care

    Objective
    Unscheduled return visits to the emergency department increase both the workload and overcrowding in the emergency department. The aim in the present study is to identify the patient groups that require more careful and closer follow-up to reduce the rates of unscheduled RTED and hospital admissions after a return visit.
    Methods
    Among the patients admitted to the emergency department of our hospital between 2016 and 2017, those who made an unscheduled RTED within 72 hours after their first visit to the emergency department were evaluated retrospectively.
    Results
    Of the 137,787...
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  • Even low-dose glucocorticoids greatly increase vertebral fracture risk in RA

    Even low-dose glucocorticoids greatly increase vertebral fracture risk in RA

    1 month ago - By Healio

    Patients with rheumatoid arthritis who receive even low daily doses of glucocorticoids are at a 59% increased risk for clinical vertebral fracture, according to data published in Rheumatology.
    The risk for non-vertebral fractures, however, was unaffected by low-dose glucocorticoids, the researchers added.
    “There has been, so far, little information on the association of low daily doses of oral glucocorticoids and osteoporotic fracture risk in patients with rheumatoid arthritis,” Shahab Abtahi, MD, PhD, MSc, of Maastricht University Medical Center, in the Netherlands,
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  • Optimization of modifiable factors may prevent persistently poor knee confidence

    Optimization of modifiable factors may prevent persistently poor knee confidence

    1 month ago - By Healio

    By addressing modifiable factors, clinicians may prevent a long-term course of persistently poor knee confidence in patients with or at elevated risk for knee osteoarthritis, according to published results.
    Alison H. Chang, PT, DPT, MS, and colleagues assessed knee confidence in 4,515 participants with or at elevated risk for knee OA by using the KOOS knee-related quality of life subscale to query how much individuals were troubled by lack of confidence in their knees (rated as not at all, mildly, moderately, severely or extremely troubled). Researchers collected patients' self-reported
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  • Delay in ACL surgery may increase risk of medial meniscus injury in pediatric patients

    Delay in ACL surgery may increase risk of medial meniscus injury in pediatric patients

    1 month ago - By Healio

    Pediatric and adolescent patients with ACL tears had a 2% increase in the risk of medial meniscal injury each week that a surgical procedure was delayed following the initial injury, according to published results.
    David A. Kolin, BA, MSc, and colleagues retrospectively identified 546 patients 18 years of age or younger who had undergone an ACL reconstruction between 2006 and 2018. Researchers considered arthroscopically confirmed medial meniscal or lateral meniscal tears and if any meniscal tear was present in general as primary outcomes. Researchers used multivariable Poisson regression
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