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Silva Junior DDN, de Sousa Mata ÁN, Silva de Medeiros GCB, Marques MV, dos Santos TT, de Sousa Monteiro ME, Costa GG, d´Orsi E, Parra EV, Piuvezam G. Factors associated with mortality of elderly people due to COVID-19: Protocol for systematic review and meta-analysis. PLoS One 2024; 19:e0289576. [PMID: 38635760 PMCID: PMC11025961 DOI: 10.1371/journal.pone.0289576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2023] [Accepted: 03/06/2024] [Indexed: 04/20/2024] Open
Abstract
INTRODUCTION The COVID-19 pandemic has become a significant health crisis, marked by high mortality rates on a global scale, with mortality from the disease being notably concentrated among the elderly due to various factors. OBJECTIVE This study aims to investigate the biological and non-biological factors associated with COVID-19 mortality rates among the elderly worldwide. METHODS The following databases will be consulted: PubMed, Scopus, EMBASE, Web of Science and ScienceDirect. Longitudinal observational studies (cohort and case-control-risk factors) will be included. The risk of bias, defined as low, moderate, high, will be assessed using the National Heart, Lung and Blood Institute (NHLBI) Quality Assessment Tool for observational cohort and cross-sectional studies. Two independent authors will conduct the searches, and any possible disagreements will be resolved by a third author. Heterogeneity between study results will be assessed using a standard X2 test with a significance level of 0.05, and an I2 value will be calculated to further assess heterogeneity. The random effects model for meta-analyses will be adopted to distribute the weight between the studies and standardize their contributions. The meta-analyses will be conducted using RevMan software. DISCUSSION Despite the numerous publications on COVID-19 mortality among the elderly, there is still a gap in knowledge, as there is no systematic review and meta-analysis that summarizes the main biological and non-biological associated factors globally. CONCLUSION The results of this study will consolidate the latest evidence and address gaps in the overall understanding of biological or non-biological associated factors. This knowledge will facilitate the development of appropriate health strategies for this demographic group and pave the way for further research. TRIAL REGISTRATION PROSPERO (CRD42023400873).
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Affiliation(s)
- Danyllo do Nascimento Silva Junior
- Postgraduate Program of Public Health, Federal University of Rio Grande do Norte (UFRN), Natal, RN, Brazil
- Systematic Review and Meta-Analysis Laboratory (Lab-Sys/CNPq), UFRN, Natal, RN, Brazil
| | - Ádala Nayana de Sousa Mata
- Systematic Review and Meta-Analysis Laboratory (Lab-Sys/CNPq), UFRN, Natal, RN, Brazil
- Postgraduate Program in Education, Work and Innovation in Medicine, Federal University of Rio Grande do Norte (PPGETIM), UFRN, Caicó, RN, Brazil
- Multicampi School of Medical Sciences of Rio Grande do Norte, Federal University of Rio Grande do Norte (UFRN), Caicó, RN, Brazil
| | - Gidyenne Christine Bandeira Silva de Medeiros
- Postgraduate Program of Public Health, Federal University of Rio Grande do Norte (UFRN), Natal, RN, Brazil
- Systematic Review and Meta-Analysis Laboratory (Lab-Sys/CNPq), UFRN, Natal, RN, Brazil
- Department of Nutrition, Federal University of Rio Grande do Norte (UFRN), Natal, RN, Brazil
| | - Marilane Vilela Marques
- Postgraduate Program of Public Health, Federal University of Rio Grande do Norte (UFRN), Natal, RN, Brazil
- Systematic Review and Meta-Analysis Laboratory (Lab-Sys/CNPq), UFRN, Natal, RN, Brazil
| | - Thais Teixeira dos Santos
- Postgraduate Program of Public Health, Federal University of Rio Grande do Norte (UFRN), Natal, RN, Brazil
- Systematic Review and Meta-Analysis Laboratory (Lab-Sys/CNPq), UFRN, Natal, RN, Brazil
| | - Maria Eduarda de Sousa Monteiro
- Systematic Review and Meta-Analysis Laboratory (Lab-Sys/CNPq), UFRN, Natal, RN, Brazil
- Multicampi School of Medical Sciences of Rio Grande do Norte, Federal University of Rio Grande do Norte (UFRN), Caicó, RN, Brazil
| | - Gabriela Góis Costa
- Systematic Review and Meta-Analysis Laboratory (Lab-Sys/CNPq), UFRN, Natal, RN, Brazil
- Multicampi School of Medical Sciences of Rio Grande do Norte, Federal University of Rio Grande do Norte (UFRN), Caicó, RN, Brazil
| | - Eleonora d´Orsi
- Department of Public Health, Federal University of Santa Catarina (UFSC), Florianópolis, SC, Brazil
| | - Eva Vegue Parra
- Universidad Católica San Antonio de Murcia (UCAM), Murcia, Spain
| | - Grasiela Piuvezam
- Postgraduate Program of Public Health, Federal University of Rio Grande do Norte (UFRN), Natal, RN, Brazil
- Systematic Review and Meta-Analysis Laboratory (Lab-Sys/CNPq), UFRN, Natal, RN, Brazil
- Department of Public Health, Federal University of Rio Grande do Norte (UFRN), Natal, RN, Brazil
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Lo Presti M, Costa GG, Vasco C, Agrò G, Poggi A, Neri MP, Zaffagnini S. Küntscher nails with static cement spacer: A simple technique in periprosthetic knee infections with massive bone loss and instability. Knee 2021; 29:580-588. [PMID: 33736904 DOI: 10.1016/j.knee.2021.01.025] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/29/2020] [Revised: 12/20/2020] [Accepted: 01/24/2021] [Indexed: 02/02/2023]
Abstract
BACKGROUND Two-stage revision for periprosthetic knee infection is challenging in cases of massive bone loss and instability. The present study aims to describe our experience with an alternative technique of reinforced cement spacer, usually necessary in these situations, focusing on its advantages and clinical results. METHODS We retrospectively identified all patients who underwent a two-stage revision for periprosthetic knee infection using two intramedullary Küntscher nails as reinforcement from January 2010 to September 2018. From each medical record, we extracted the type of explanted prosthesis, isolated micro-organism, number of cement spacers before index procedure (and related episodes of spacer dislocation) and final treatment. RESULTS Twelve patients were identified, mean age of 64.0 years (range 39-85). In four of them, the reinforced spacer was used twice for persistent infection, with a total of 16 procedures performed and no cases of dislocation. Ten patients were finally treated with reimplantation or arthrodesis with intramedullary nails, whereas an above-knee amputation was necessary for two patients. Infection was eradicated in 10 patients out of 12 (83%) at a mean follow up of 34.3 months (range 10-62). CONCLUSIONS This technique is an effective alternative to traditional spacers in cases of massive bone loss, producing a mechanically stable joint and preserving adequate tissue tensions. The construct is technically easy to perform and, not less importantly, to remove during stage 2. Further studies, with larger groups, are necessary to determine its validity.
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Affiliation(s)
- M Lo Presti
- 2nd Orthopaedic Clinic, IRCCS Rizzoli Orthopaedic Institute, Bologna, Italy
| | | | - C Vasco
- 2nd Orthopaedic Clinic, IRCCS Rizzoli Orthopaedic Institute, Bologna, Italy.
| | - G Agrò
- 2nd Orthopaedic Clinic, IRCCS Rizzoli Orthopaedic Institute, Bologna, Italy
| | - A Poggi
- 2nd Orthopaedic Clinic, IRCCS Rizzoli Orthopaedic Institute, Bologna, Italy
| | - M P Neri
- 2nd Orthopaedic Clinic, IRCCS Rizzoli Orthopaedic Institute, Bologna, Italy
| | - S Zaffagnini
- 2nd Orthopaedic Clinic, IRCCS Rizzoli Orthopaedic Institute, Bologna, Italy
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Caravelli S, Mosca M, Massimi S, Costa GG, Lo Presti M, Fuiano M, Grassi A, Zaffagnini S. Percutaneous treatment of hallux valgus: What's the evidence? A systematic review. Musculoskelet Surg 2018; 102:111-117. [PMID: 29081030 DOI: 10.1007/s12306-017-0512-x] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2017] [Accepted: 10/08/2017] [Indexed: 06/07/2023]
Abstract
Hallux and first MTP joint have a fundamental role in the transfer of the weight-bearing load during the normal ambulation. The aim of this paper is to review and analyze the available literature about the percutaneous surgical management of the hallux valgus to highlight its strengths and weakness, also comparing with other minimal invasive techniques. A systematic search of PubMed and Google Scholar databases has been performed, covering the period between 1981 and 2016. Various combinations of the keyword terms "PDO," "hallux valgus," "bunion," "percutaneous," "surgery," "non-invasive," "minimal invasive," "burr," "osteotomy," "distal," "linear," "saw" have been used.Four papers, published from 2005 to 2015, fulfilled the inclusion criteria. A total of 464 hallux valgus has been treated with a properly percutaneous distal first metatarsal osteotomy. Mean AOFAS score, retrieved from the 4 studies included in our review, has been recorded. There are different aspects that the foot and ankle non-experienced surgeon has to consider about percutaneous surgery: limitation of the tools, radioexposure, lack of direct visual control of the osteotomy and higher costs and patient risk due to surgical time.
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Affiliation(s)
- S Caravelli
- II Clinic of Orthopaedics and Traumatology, Istituto Ortopedico Rizzoli, Bologna, Italy.
| | - M Mosca
- II Clinic of Orthopaedics and Traumatology, Istituto Ortopedico Rizzoli, Bologna, Italy
| | - S Massimi
- II Clinic of Orthopaedics and Traumatology, Istituto Ortopedico Rizzoli, Bologna, Italy
| | - G G Costa
- II Clinic of Orthopaedics and Traumatology, Istituto Ortopedico Rizzoli, Bologna, Italy
| | - M Lo Presti
- II Clinic of Orthopaedics and Traumatology, Istituto Ortopedico Rizzoli, Bologna, Italy
| | - M Fuiano
- II Clinic of Orthopaedics and Traumatology, Istituto Ortopedico Rizzoli, Bologna, Italy
| | - A Grassi
- II Clinic of Orthopaedics and Traumatology, Istituto Ortopedico Rizzoli, Bologna, Italy
| | - S Zaffagnini
- II Clinic of Orthopaedics and Traumatology, Istituto Ortopedico Rizzoli, Bologna, Italy
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Lo Presti M, Costa GG, Cialdella S, Neri MP, Agrò G, Iacono F, Raspugli GF, Marcacci M. Concurrent femoral and tibial osteotomies versus soft tissue balance in total knee arthroplasty: A technical case report. J Orthop 2017; 14:363-369. [PMID: 28706381 DOI: 10.1016/j.jor.2017.06.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/22/2017] [Accepted: 06/22/2017] [Indexed: 10/19/2022] Open
Abstract
This case report outlines some of the challenges as well as limitations in correction of osteoarthritis of the knee in combination with extra-articular deformities,and provides a novel and straightforward surgical solution in overcoming these challenges. We describe the case of a 37-year-old male who suffered from advanced bilateral tri-compartmental knee arthritis due to untreated bloodstream-sourced osteomyelitis after birth. Radiographs and surgery confirmed extremely severe deformities. We performed two different surgical techniques in order to correct extra-articular deformities (one-stage approach of concurrent tibial and femoral osteotomy and total knee arthroplasty on one side, and soft tissue balancing with "pie-crusting technique" plus total knee arthroplasty on the other side), with description of subsequent results at 36-months follow-up.
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Affiliation(s)
| | - G G Costa
- Istituto Ortopedico Rizzoli, Bologna, Italy
| | | | - M P Neri
- Istituto Ortopedico Rizzoli, Bologna, Italy
| | - G Agrò
- Istituto Ortopedico Rizzoli, Bologna, Italy
| | - F Iacono
- Istituto Ortopedico Rizzoli, Bologna, Italy
| | | | - M Marcacci
- Istituto Ortopedico Rizzoli, Bologna, Italy
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Brito MJ, Afonso I, Flores H, Pinto S, Macedo AJ, Trindade L, Freitas O, Almeida T, Cruz A, Costa GG. [A resurgence of rheumatic fever. New causes or old attitudes?]. ACTA MEDICA PORT 1996; 9:401-5. [PMID: 9254542] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Bearing in mind that in the last years there has been an increase in rheumatic fever episodes, the authors evaluate the cases recently observed in the department. The data of 3 children born and living in Portugal, the first known outbreak of rheumatic fever observed between June 93 and March 94, were examined. One case presented polyarthritis, another polyarthritis and carditis and the third chorea and carditis. In just one case was the diagnosis of rheumatic fever considered in the beginning, and over-all, failures in the diagnosis and treatment of tonsillitis, and in echocardiographic diagnosis were detected. In view of these examples, the authors conclude that the increasing incidence and morbidity of rheumatic fever is more probably due to forgetfulness of old attitudes than to new causes. Delay in the diagnosis and errors in secondary prophylaxis may influence long term results.
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Affiliation(s)
- M J Brito
- Serviço Pediatria, Hospital de Da. Estefânia, Lisboa
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