Medial Abrasion Syndrome

Lyu, Shaw-Ruey; Lee, Ching‐Chih; Hsu, Chia-Chen

doi:10.1097/md.0000000000000736

Cited by 23 publications

(4 citation statements)

References 48 publications

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“…This study assessed the effects of HS versus mannitol on clinical outcomes in TBI patients. There are few systematic reviews and meta-analyses of RCTs to compare the mortality rates associated with these two strategies [ 17 , 18 ]. Our meta-analysis revealed that the HS and mannitol strategies were not statistically different in terms of improved clinical outcomes and mortality reductions in TBI patients.…”

Section: Discussionmentioning

confidence: 99%

“…Although not entirely patient-centered as an outcome measure, ICP has been used as a prognostic indicator for determining the optimal HS type in some studies. A systematic review revealed that HS and mannitol effectively reduced ICP after TBI [ 17 ]. However, a retrospective study of the Brain Trauma Foundation TBI-trac New York State database revealed no significant difference between the HS and mannitol groups in the 2-week mortality rates, although HS was more effective for reducing the cumulative ICP, the daily ICP, and the length of ICU stay [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

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Effects of hypertonic saline versus mannitol in patients with traumatic brain injury in prehospital, emergency department, and intensive care unit settings: a systematic review and meta-analysis

et al. 2020

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Background: Intracranial pressure control has long been recognized as an important requirement for patients with severe traumatic brain injury. Hypertonic saline has drawn attention as an alternative to mannitol in this setting. The aim of this study was to assess the effects of hypertonic saline versus mannitol on clinical outcomes in patients with traumatic brain injury in prehospital, emergency department, and intensive care unit settings by systematically reviewing the literature and synthesizing the evidence from randomized controlled trials. Methods: We searched the MEDLINE database, the Cochrane Central Register of Controlled Trials, and the Igaku Chuo Zasshi (ICHUSHI) Web database with no date restrictions. We selected randomized controlled trials in which the clinical outcomes of adult patients with traumatic brain injury were compared between hypertonic saline and mannitol strategies. Two investigators independently screened the search results and conducted the data extraction. The primary outcome was all-cause mortality. The secondary outcomes were 90-day and 180-day mortality, good neurological outcomes, reduction in intracranial pressure, and serum sodium level. Random effects estimators with weights calculated by the inverse variance method were used to determine the pooled risk ratios.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Effects of hypertonic saline versus mannitol in patients with traumatic brain injury in prehospital, emergency department, and intensive care unit settings: a systematic review and meta-analysis

et al. 2020

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“…To date, however, only few studies have directly compared the two agents in adults and none has assessed their administration in the ED setting. More recently various meta-analyses have summarized the results of these trials [ 31 , 33 – 36 ]. Despite their methodological differences they all highlighted a trend favoring hypertonic saline as a more effective agent in lowering ICP.…”

Section: Recommendationsmentioning

confidence: 99%

Italian guidelines on the assessment and management of pediatric head injury in the emergency department

et al. 2018

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ObjectiveWe aim to formulate evidence-based recommendations to assist physicians decision-making in the assessment and management of children younger than 16 years presenting to the emergency department (ED) following a blunt head trauma with no suspicion of non-accidental injury.MethodsThese guidelines were commissioned by the Italian Society of Pediatric Emergency Medicine and include a systematic review and analysis of the literature published since 2005. Physicians with expertise and experience in the fields of pediatrics, pediatric emergency medicine, pediatric intensive care, neurosurgery and neuroradiology, as well as an experienced pediatric nurse and a parent representative were the components of the guidelines working group.Areas of direct interest included 1) initial assessment and stabilization in the ED, 2) diagnosis of clinically important traumatic brain injury in the ED, 3) management and disposition in the ED. The guidelines do not provide specific guidance on the identification and management of possible associated cervical spine injuries. Other exclusions are noted in the full text.ConclusionsRecommendations to guide physicians practice when assessing children presenting to the ED following blunt head trauma are reported in both summary and extensive format in the guideline document.

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“…In the article “Medial Abrasion Syndrome: A Neglected Cause of Knee Pain in Middle and Old Age”, 1 which appeared in Volume 94, Issue 16 of Medicine , Table 3 was incorrectly formatted. The issue has since been corrected online.…”

mentioning

confidence: 99%