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1.
Osteoporos Sarcopenia ; 7(3): 103-109, 2021 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-34632113

RESUMEN

Objectives: To investigate trends of osteoporosis treatment rates, and factors affecting osteoporosis treatment after hip fracture admission within a single health care system in Hawaii. Methods: A retrospective chart review was conducted of patients aged 50 years or older and hospitalized for hip fractures between January 1, 2011 and December 31, 2019 at Hawaii Pacific Health, a large health care system in Hawaii. We collected data on basic demographics and osteoporosis medication prescription from electronic medical records. We evaluated trends of osteoporosis treatment rates and performed logistic regression to determine factors associated with osteoporosis treatment. Results: The mean for treatment rates for osteoporosis from 2011 to 2019 was 17.2% (range 8.8%-26.0%). From 2011 to 2019 there was a small increase in treatment rates from 16.3% in 2011 to 24.1% in 2019. Men were less likely to receive osteoporosis treatment after admission for hip fracture. Patients discharged to a facility were more likely to receive osteoporosis treatment. As compared to women, men who had a hip fracture were less likely to receive dual-energy X-ray absorptiometry scan, and osteoporosis medication before hip fracture admission. Conclusions: The use of osteoporosis medication for secondary prevention after admission for hip fracture in Hawaii from 2011 to 2019 was low. However, there was a small increase in treatment rates from 2011 to 2019. Disparities in treatment of osteoporosis after hip fracture were noted in men. Significant work is needed to increase treatment rates further, and to address the disparity in osteoporosis treatment between men and women.

3.
BMJ ; 374: n2349, 2021 Sep 23.
Artículo en Inglés | MEDLINE | ID: mdl-34556465
4.
BMJ ; 374: n2343, 2021 09 27.
Artículo en Inglés | MEDLINE | ID: mdl-34580081
5.
BMJ ; 374: n2397, 2021 Sep 29.
Artículo en Inglés | MEDLINE | ID: mdl-34588167
6.
BMJ ; 374: n2161, 2021 09 02.
Artículo en Inglés | MEDLINE | ID: mdl-34475017
7.
J Paediatr Child Health ; 57(10): 1564-1571, 2021 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-34463966

RESUMEN

Paediatric atrial fibrillation (AF) is an infrequent entity in the absence of congenital heart disease as children are unlikely to have the structural and functional changes in their myocardium to sustain the arrhythmia. Any child presenting with this arrhythmia needs to be carefully evaluated for concealed cardiac pathology such as cardiomyopathy or inherited arrhythmia syndromes. AF leading to a haemodynamically unstable patient is rare and should prompt synchronised cardioversion, while stable patients can be discussed with a paediatric cardiologist. Tachycardia-induced cardiomyopathy and thromboembolism are possible complications of sustained AF and anticoagulation is usually indicated to prevent the latter. Risk of AF increases with age and body mass index. Obesity and athletics are known risk factors and recurrence can be seen even in the absence of any identifiable underlying pathology.


Asunto(s)
Fibrilación Atrial , Fibrilación Atrial/etiología , Fibrilación Atrial/terapia , Niño , Cardioversión Eléctrica , Corazón , Humanos , Pediatras , Recurrencia
8.
BMJ ; 374: n2047, 2021 Aug 18.
Artículo en Inglés | MEDLINE | ID: mdl-34407951
10.
BMJ ; 374: n1912, 2021 08 05.
Artículo en Inglés | MEDLINE | ID: mdl-34353811
11.
BMJ ; 374: n1962, 2021 Aug 05.
Artículo en Inglés | MEDLINE | ID: mdl-34353851
12.
BMJ ; 374: n1871, 2021 07 22.
Artículo en Inglés | MEDLINE | ID: mdl-34301633
13.
BMJ ; 374: n1724, 2021 07 06.
Artículo en Inglés | MEDLINE | ID: mdl-34230006
14.
15.
BMJ ; 373: n1587, 2021 Jun 18.
Artículo en Inglés | MEDLINE | ID: mdl-34144947
17.
BMJ ; 373: n1181, 2021 May 07.
Artículo en Inglés | MEDLINE | ID: mdl-33962975
19.
New Sci ; 250(3335): 11, 2021 May 22.
Artículo en Inglés | MEDLINE | ID: mdl-34054177
20.
BMJ ; 373: n1227, 2021 May 20.
Artículo en Inglés | MEDLINE | ID: mdl-34016644
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