Trends in Life Expectancy in Romania between 1990 and 2018. A Territorial Analysis of Its Determinants

Muntele, Ionel; Istrate, Marinela; Bănică, Alexandru; Horea-Șerban, Raluca-Ioana

doi:10.3390/su12093802

Cited by 3 publications

(2 citation statements)

References 41 publications

(35 reference statements)

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“…The patients undergoing rTKA procedures were on average 67.81 (± 8.02) years old at the moment of surgery; additionally, 15.79% of patients required second revision surgery, and 2.83% of patients required a third intervention. This raises concerns, especially when considering the mean age of the patients who require rTKA surgery and the rising average life expectancy in our country [ 61 , 62 ]. Given the increasing number of patients living longer, healthier, and more active lives, it is becoming increasingly apparent that a large number of individuals who underwent primary TKA procedures will eventually require revision surgery for their primary implant.…”

Section: Discussionmentioning

confidence: 99%

Etiology of Total Knee Arthroplasty Revisions: A Two-Decade Institutional Perspective

Dragosloveanu,

Petre,

Cretu

et al. 2024

Cureus

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Total knee arthroplasty (TKA) implant survival time is determined by various patient and implant-related factors and varies significantly in recent worldwide reports. In our study, we have included 247 TKA revisions in 203 patients performed in our hospital over the last 20 years. Multiple etiologies of revisions were identified and classified into 10 categories. Time to failure was analyzed with regard to etiology, patient demographics, and other relevant data. The overall average time to revision was 44.08 months (95% confidence interval (CI) between 33.34 and 49.82 months). Age at primary implant was negatively correlated with time to revision (hazard ratio (HR) = 1.0521 and 95% CI of HR = 1.0359 to 1.0685) and female patients showed a 1.59 times higher risk of implant failure than males. Periprosthetic joint infection was the cause of 46.56% (n=115) of revisions (out of which 12.55% (n=31) were early infections, diagnosed within the first three months), while aseptic loosening was found in 31.98% (n=79) of cases. Infection correlated with a shorter time to revision compared to aseptic loosening (p<0.05). These findings emphasize the need to intensify efforts to deliver the best patient care, select the best antibiotic regimen, and improve surgical techniques to decrease the incidence of infectious complications.

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Section: Discussionmentioning

confidence: 99%

Etiology of Total Knee Arthroplasty Revisions: A Two-Decade Institutional Perspective

Dragosloveanu,

Petre,

Cretu

et al. 2024

Cureus

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“…Obviously, the presence of exceptional cases, which deviate from the main group, may raise discussion, as in the case of the Republic of Moldova or Hungary within the Eastern European countries. Romania’s position within the same group, close to Ukraine, at a significant distance from the more compact group of the other Eastern European countries, may also raise discussion, with some studies indicating a strong regional specificity at national level, closely linked to the level of development, the quality of health infrastructure or the particularities of the natural environment [ 57 ]. As the patterns of evolution of the causes of mortality at the global level have been highlighted, it can be concluded that they are the expression of distinct phases of the transition of public health systems, from a focus on prevention, typical of developed countries, to efforts to limit forms of morbidity considered to be a thing of the past but still common in developing countries.…”

Section: Discussionmentioning

confidence: 99%

Mortality Trends by Causes of Death and Healthcare during a Period of Global Uncertainty (1990–2017)

et al. 2021

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In this study we aim to highlight the spatial differences, intensity and frequency of causes of death associated with a range of diseases and the implications of the socio-economic impact on healthcare worldwide between 1990 and 2017: (1) Background: At the same time, an attempt was made to find regional spatial patterns that may be typical for a given geographical area, based on the assumption that global health care is in a permanent state of uncertainty as developed countries have a different morbidity profile than emerging or developing countries. (2) Methods: Using information provided by Global Burden of Disease Collaborative Network, Our World in Data and the World Bank, a multidimensional analysis was carried out, comprising four types of statistical models: grouping analysis, principal component analysis (PCA) Bravais–Pearson linear correlation and multivariate regression. (3) Results: The results confirm the hypothesis of significant correlations between the frequency of causes of death, quality of health care and quality of public health infrastructure, validated by incidence with socio-economic indicators. The study contributes to the literature by analysing trends in the spatial distribution of causes of death worldwide, detecting regional differentiations and testing how socio-economic factors may limit the incidence of morbidity.

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A Geographically Weighted Regression Model for Health Improvement: Insights from the Extension of Life Expectancy in China

et al. 2021

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Health improvement is an important social development goal for every country. By using a geographical weighted regression (GWR) model on the 5th and 6th censuses data, this paper analyzes the spatially varied influencing factors of the change in life expectancy of residents in Chinses cities. The results indicate that: (1) The initial level of life expectancy may have a negative correlation with its increase, indicating that life expectancy in different areas may eventually converge to a higher level; moreover, the degree of convergence of life expectancy in cities with different economic development levels is variant. (2) Results of geographically weighted regression model demonstrate significant spatial heterogeneity in the effects of the level of economic development, medical conditions, demographic structure, and natural environment on health improvement. Natural conditions, such as topography, dictate the change in life expectancy in most cities in the middle eastern region of China. Change of educational level is the leading factor in the vast western region while the change in birth rate is the most critical in Xinjiang. Thus, local-based strategies are critical for solving health problems, especially with a focus on promoting health conditions in middle-income and low-income areas.

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Trends in Life Expectancy in Romania between 1990 and 2018. A Territorial Analysis of Its Determinants

Cited by 3 publications

References 41 publications

Etiology of Total Knee Arthroplasty Revisions: A Two-Decade Institutional Perspective

Etiology of Total Knee Arthroplasty Revisions: A Two-Decade Institutional Perspective

Mortality Trends by Causes of Death and Healthcare during a Period of Global Uncertainty (1990–2017)

A Geographically Weighted Regression Model for Health Improvement: Insights from the Extension of Life Expectancy in China

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