Objective:To analyze the incidence of orthopedic injuries which occurred during a professional soccer championship in São Paulo, Brazil in 2010. Methods:This assessment collected data from the pre-season until the final stage of the championship. Results:We analyzed 227 professional players from eight of the top teams in this championship. Data were obtained for 71.02% of all games. The athletes were all male with a mean age of 23.1 years; the average number of injuries was 1.6 per athlete, with muscle injuries and sprains resulting from indirect origin predominating in the legs. Conclusion:Injuries were more frequent in forwards and outside backs, and players generally returned to play within one week of treatment. Level of Evidence III, Study of Non Consecutive Patients; Without Consistently Applied Reference “Gold” Standard.
Introdução: A Síndrome de Klippel-Trenaunay é uma afecção congênita da mesoderme, infrequente, a qual se caracteriza por uma tríade composta por hemangiomas cutâneos, veias varicosas e hipertrofia dos tecidos ósseos e/ou das partes moles; quando combinada com fístulas arteriovenosas passa a ser denominada Klippel-Trenaunay-Weber-Parkes. Relato de caso: Os autores apresentaram um paciente portador da síndrome de Klippel-Trenaunay associada à deformidade angular de joelho, geno valgo, e gonartrose. Discussão: Em virtude da necessidade do diagnóstico precoce dessa afecção, com a finalidade de prevenção de sequelas,foram apresentados os resultados dos exames imagem para avaliação pré-operatória e a metodologia terapêutica adotada. O tratamento consistiu da realização de osteotomia supracondiliana do fêmur, com cunha medial de subtração.
culated. Per patient per month (PPPM) utilization rates were calculated based on inpatient, outpatient and prescription data, and costs were estimated using Medicare reimbursement rates and Average Wholesale Price. RESULTS: A total of 5741 patients met the inclusion criteria. At least one HF re-hospitalization was observed in 25% of patients, representing Ն85% of all-cause hospitalizations. Mean HF hospital length of stay was 6.7 days at IH and 7.2 days at fourth HF re-hospitalization. IH was most costly ($12,426) relative to the mean cost per subsequent HF re-hospitalization ($9,832). HF re-hospitalization rates peaked at 0.062 PPPM 3-6 months post IH. All-cause and HF-related outpatient visit rates peaked at 4.1 and 0.65 visits PPPM, respectively, within three months after IH. Mean outpatient visit cost ranged from $668 (0-3 months) to $224 (18-24 months post IH). Total pharmacy costs varied from $593 PPPM (baseline period) to $848 PPPM (0-3 months post IH); of these, cardiovascular drugs accounted for about one third ranging from $162 (baseline) to $221 PPPM (0-3 months post IH). CONCLUSIONS: Treating elderly chronic HF patients is resource intensive and costly. Utilization and cost peak in the first three months post IH. New interventions to improve health outcomes in the elderly HF population hold the potential to decrease post IH resource utilization and save costs.OBJECTIVES: Patients undergoing total knee or hip replacement are at high risk of experiencing venous thromboembolism (VTE) -deep vein thrombosis (DVT) and pulmonary embolism (PE), therefore, the aim of this study was to estimate resource utilization and associated costs of VTE following TKR under SUS perspective. METHODS: Data analysis was conducted through a review of a government administrative claims database (DATASUS). A cohort of patients who underwent TKR surgery in the public healthcare system was defined (1/2010 -9/2010) and followed for 6 months after surgery. Data regarding total hospitalization costs were compared for patients who didn't present complications with patients who presented VTE events. RESULTS: A total of 4736 patients were identified between January 2010 to September 2010 with average age of 65,6 years (SD 10,3), being 72.1% female. Mean hospitalization costs per patient were $BRL4,036 (SD 2,063) for the population analyzed. VTE episodes were experienced by 42 patients (0,89%, 32 cases of DVT and 10 of PE) and were associated with higher hospitalizations costs than patients without any complication: $BRL3,919 (SD 1,811), $BRL4,581 (SD 2,362) and $BRL7,715 (SD 6,777) for patients without complication, DVT and PE respectively. CONCLUSIONS: Patients experiencing VTE following TKR surgery represents a significant economic burden for the Brazilian public health care system. Our study suggests that a patient who presents PE following TKR surgery can cost twice more than a patient without complications.
Resumo Objetivo Avaliar radiograficamente a existência de sinais de soltura precoce das artroplastias totais de joelho não cimentadas Score (Amplitude Surgical SAS, Valence, France), verificadas com um tempo de seguimento que variou de 2 a 5,75 anos (média de 3,75 anos). Métodos Investigação longitudinal descritiva de caráter observacional, não comparativa, realizada através de estudo radiográfico estático de controle anual, de uma série de casos, em um único centro, todos operados pelo mesmo cirurgião (S.M.). Foram incluídas todas as artroplastias não cimentadas que se enquadraram nos critérios de inclusão e exclusão realizadas no período de março de 2012 a outubro de 2014. Resultados Dentre as 46 artroplastias de joelho não cimentadas avaliadas em 40 pacientes, não foram verificados sinais radiográficos de soltura precoce. Conclusão A artroplastia não cimentada promove ótima osteointegração, não havendo soltura precoce, sendo fundamental que a técnica cirúrgica seja perfeitamente respeitada.
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