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[PMID]:28749334
[Au] Autor:Crabbe H; Saavedra-Campos M; Verlander NQ; Leonard A; Morris J; Wright A; Balasegaram S
[Ad] Endereço:Field Epidemiology Training Programme, Public Health England, London, United Kingdom.
[Ti] Título:Are pertussis cases reported too late for public health interventions? Retrospective analysis of cases in London and South East England, 2010 to 2015.
[So] Source:Euro Surveill;22(29), 2017 Jul 20.
[Is] ISSN:1560-7917
[Cp] País de publicação:Sweden
[La] Idioma:eng
[Ab] Resumo:In the United Kingdom, pertussis guidance recommends prophylaxis for household contacts within 21 days of case symptom onset if the household includes a vulnerable contact. The aim of our study was to identify characteristics associated with cases reported late for public health action. We reviewed the epidemiology of cases reported in London and South East England for the period 2010 to 2015. We characterised risk factors associated with late reporting of cases and described public health actions taken on timely reported cases. From 2010 to 2015, 9,163 cases of pertussis were reported to health protection teams. Only 11% of cases were reported within 21 days of onset, limiting opportunities for secondary prevention. Timely reporting was associated with younger age groups, pregnancy, being a healthcare worker and being reported by schools or hospital clinicians. Late reporting was associated with older age groups and general practitioner or laboratory reporting. Delays, such as those due to insidious onset and late presentation to healthcare, may be unavoidable; however, delay in reporting once a patient presents can be reduced since cases can be reported before laboratory confirmation. Thus we recommend working with clinicians and laboratories to determine causes and improve early reporting to public health.
[Mh] Termos MeSH primário: Notificação de Doenças/estatística & dados numéricos
Saúde Pública
Coqueluche/diagnóstico
[Mh] Termos MeSH secundário: Criança
Pré-Escolar
Inglaterra/epidemiologia
Feminino
Seres Humanos
Incidência
Lactente
Recém-Nascido
Londres
Masculino
Análise Multivariada
Estudos Retrospectivos
Fatores de Tempo
Coqueluche/epidemiologia
Coqueluche/prevenção & controle
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170728
[St] Status:MEDLINE


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[PMID]:28743253
[Au] Autor:Greenwood N; Smith R; Akhtar F; Richardson A
[Ad] Endereço:Faculty of Health, Social Care and Education, Kingston University and St George's, University of London, 6th Floor Hunter Wing, St George's, University of London, Cranmer Terrace, London, SW17 0RE, UK. Nan.Greenwood1@gmail.com.
[Ti] Título:A qualitative study of carers' experiences of dementia cafés: a place to feel supported and be yourself.
[So] Source:BMC Geriatr;17(1):164, 2017 Jul 25.
[Is] ISSN:1471-2318
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Unpaid, informal carers or caregivers play an important role in supporting people living with dementia but the role can be challenging and carers themselves may benefit from support. Alzheimer's, dementia or memory cafés are one such form of support . These cafés are usually provided in the voluntary sector and are a place where people with dementia and those supporting them, usually family carers, can meet with others in similar situations. METHODS: Using semi-structured interviews, this qualitative study explored the experiences of 11 carers from five dementia cafés in and around London, England. RESULTS: Thematic analysis resulted in the identification of four key themes. Cafés provide a relaxed, welcoming atmosphere where carers can go where they feel supported and accepted. Café attendance often brought a sense of normality to these carers' lives. Carers and those they care for look forward to going and often enjoy both the activities provided and socialising with others. Other highlighted benefits included peer support from other carers, information provision and support from the volunteer café coordinators. Despite diversity in how the cafés were run and in the activities offered, there were many reported similarities amongst carers in the value ascribed to attending the cafés. CONCLUSIONS: Dementia cafés appear to be a valuable, perhaps unique form of support for carers giving them brief respite from their caring role. Future research incorporating mixed methods is needed to understand the perspectives of those living with dementia.
[Mh] Termos MeSH primário: Cuidadores/psicologia
Cuidadores/normas
Demência/psicologia
Demência/terapia
Pesquisa Qualitativa
Apoio Social
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Aconselhamento/métodos
Inglaterra/epidemiologia
Feminino
Seres Humanos
Londres/epidemiologia
Masculino
Meia-Idade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170727
[St] Status:MEDLINE
[do] DOI:10.1186/s12877-017-0559-4


  3 / 16914 MEDLINE  
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[PMID]:28468613
[Au] Autor:Ostermann M; Hall A; Crichton S
[Ad] Endereço:Department of Critical Care, King's College London, Guy's & St Thomas' NHS Foundation Trust, Westminster Bridge Road SE1 7 EH, London, UK. Marlies.Ostermann@gstt.nhs.uk.
[Ti] Título:Low mean perfusion pressure is a risk factor for progression of acute kidney injury in critically ill patients - A retrospective analysis.
[So] Source:BMC Nephrol;18(1):151, 2017 May 03.
[Is] ISSN:1471-2369
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The aim was to investigate whether mean perfusion pressure (MPP) calculated as the difference between mean arterial pressure (MAP) and central venous pressure (CVP) was associated with risk of progression from AKI I to AKI III in critically ill patients. METHODS: Retrospective analysis of adult patients admitted to a multi-disciplinary adult intensive care unit (ICU) between July 2007 and June 2009 who developed AKI I and in whom advanced haemodynamic monitoring was initiated within 12 h of diagnosis of AKI I. We compared patients with a MPP above and below the median value in the first 12 h of diagnosis of AKI. Multivariable logistic regression analyses were performed to identify independent risk factors for progression to AKI III, to explore the impact of MAP and CVP separately, and to investigate the impact of MPP in pre-defined sub-groups. RESULTS: Among 2118 ICU patients, 790 patients (37%) developed AKI I of whom 205 underwent advanced haemodynamic monitoring within 12 h of AKI stage I. Their median MPP was 59 mmHg. AKI I patients with a MPP ≤59 mmHg had a significantly higher risk of progressing to AKI stage III (48.6% versus 34%, respectively; p = 0.0034). This association was stronger in patients with ischemic heart disease, congestive cardiac failure or without pre-existing hypertension and in patients with a MAP <65 mmHg for >1 h. As individual components, a raised CVP was independently associated with progression to AKI stage III but MAP alone was not an independent risk factor for AKI progression. CONCLUSION: MPP <60 mmHg was independently associated with AKI progression. CVP was the key component of MPP.
[Mh] Termos MeSH primário: Lesão Renal Aguda/diagnóstico
Lesão Renal Aguda/epidemiologia
Pressão Sanguínea
Pressão Venosa Central
Estado Terminal/mortalidade
Progressão da Doença
[Mh] Termos MeSH secundário: Lesão Renal Aguda/fisiopatologia
Idoso
Comorbidade
Feminino
Cardiopatias
Seres Humanos
Londres/epidemiologia
Masculino
Meia-Idade
Prevalência
Estudos Retrospectivos
Fatores de Risco
Taxa de Sobrevida
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1186/s12882-017-0568-8


  4 / 16914 MEDLINE  
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[PMID]:29377897
[Au] Autor:Werbeloff N; Osborn DPJ; Patel R; Taylor M; Stewart R; Broadbent M; Hayes JF
[Ad] Endereço:UCL Division of Psychiatry, University College London, London, United Kingdom.
[Ti] Título:The Camden & Islington Research Database: Using electronic mental health records for research.
[So] Source:PLoS One;13(1):e0190703, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Electronic health records (EHRs) are widely used in mental health services. Case registers using EHRs from secondary mental healthcare have the potential to deliver large-scale projects evaluating mental health outcomes in real-world clinical populations. METHODS: We describe the Camden and Islington NHS Foundation Trust (C&I) Research Database which uses the Clinical Record Interactive Search (CRIS) tool to extract and de-identify routinely collected clinical information from a large UK provider of secondary mental healthcare, and demonstrate its capabilities to answer a clinical research question regarding time to diagnosis and treatment of bipolar disorder. RESULTS: The C&I Research Database contains records from 108,168 mental health patients, of which 23,538 were receiving active care. The characteristics of the patient population are compared to those of the catchment area, of London, and of England as a whole. The median time to diagnosis of bipolar disorder was 76 days (interquartile range: 17-391) and median time to treatment was 37 days (interquartile range: 5-194). Compulsory admission under the UK Mental Health Act was associated with shorter intervals to diagnosis and treatment. Prior diagnoses of other psychiatric disorders were associated with longer intervals to diagnosis, though prior diagnoses of schizophrenia and related disorders were associated with decreased time to treatment. CONCLUSIONS: The CRIS tool, developed by the South London and Maudsley NHS Foundation Trust (SLaM) Biomedical Research Centre (BRC), functioned very well at C&I. It is reassuring that data from different organizations deliver similar results, and that applications developed in one Trust can then be successfully deployed in another. The information can be retrieved in a quicker and more efficient fashion than more traditional methods of health research. The findings support the secondary use of EHRs for large-scale mental health research in naturalistic samples and settings investigated across large, diverse geographical areas.
[Mh] Termos MeSH primário: Bases de Dados Factuais/utilização
Transtornos Mentais/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Pesquisa Biomédica
Estudos de Coortes
Registros Eletrônicos de Saúde/utilização
Feminino
Fundações
Hospitalização
Seres Humanos
Londres/epidemiologia
Masculino
Saúde Mental
Serviços de Saúde Mental
Meia-Idade
Sistema de Registros
Reino Unido/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180130
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190703


  5 / 16914 MEDLINE  
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[PMID]:29208602
[Au] Autor:Smith RB; Fecht D; Gulliver J; Beevers SD; Dajnak D; Blangiardo M; Ghosh RE; Hansell AL; Kelly FJ; Anderson HR; Toledano MB
[Ad] Endereço:MRC-PHE Centre for Environment and Health, Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, St Mary's Campus, Norfolk Place, London W2 1PG, UK.
[Ti] Título:Impact of London's road traffic air and noise pollution on birth weight: retrospective population based cohort study.
[So] Source:BMJ;359:j5299, 2017 12 05.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo: To investigate the relation between exposure to both air and noise pollution from road traffic and birth weight outcomes. Retrospective population based cohort study. Greater London and surrounding counties up to the M25 motorway (2317 km ), UK, from 2006 to 2010. 540 365 singleton term live births. Term low birth weight (LBW), small for gestational age (SGA) at term, and term birth weight. Average air pollutant exposures across pregnancy were 41 µg/m nitrogen dioxide (NO ), 73 µg/m nitrogen oxides (NO ), 14 µg/m particulate matter with aerodynamic diameter <2.5 µm (PM ), 23 µg/m particulate matter with aerodynamic diameter <10 µm (PM ), and 32 µg/m ozone (O ). Average daytime (L ) and night-time (L ) road traffic A-weighted noise levels were 58 dB and 53 dB respectively. Interquartile range increases in NO , NO , PM , PM , and source specific PM from traffic exhaust (PM ) and traffic non-exhaust (brake or tyre wear and resuspension) (PM ) were associated with 2% to 6% increased odds of term LBW, and 1% to 3% increased odds of term SGA. Air pollutant associations were robust to adjustment for road traffic noise. Trends of decreasing birth weight across increasing road traffic noise categories were observed, but were strongly attenuated when adjusted for primary traffic related air pollutants. Only PM and PM were consistently associated with increased risk of term LBW after adjustment for each of the other air pollutants. It was estimated that 3% of term LBW cases in London are directly attributable to residential exposure to PM >13.8 µg/m during pregnancy. The findings suggest that air pollution from road traffic in London is adversely affecting fetal growth. The results suggest little evidence for an independent exposure-response effect of traffic related noise on birth weight outcomes.
[Mh] Termos MeSH primário: Poluição do Ar/efeitos adversos
Peso ao Nascer
Exposição Ambiental/efeitos adversos
Ruído dos Transportes/efeitos adversos
Emissões de Veículos
[Mh] Termos MeSH secundário: Exposição Ambiental/estatística & dados numéricos
Feminino
Seres Humanos
Recém-Nascido de Baixo Peso
Recém-Nascido
Recém-Nascido Pequeno para a Idade Gestacional
Londres
Masculino
Análise de Regressão
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Vehicle Emissions)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180222
[Lr] Data última revisão:
180222
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j5299


  6 / 16914 MEDLINE  
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[PMID]:29188974
[Au] Autor:Dimbi K; Sloper B
[Ti] Título:Alternative Pathways: London Ambulance Service's innovative response for patients presenting with mental health problems.
[So] Source:JEMS;41(11):61-2, 66, 2016 11.
[Is] ISSN:0197-2510
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Serviços Médicos de Emergência/organização & administração
Transtornos Mentais/terapia
[Mh] Termos MeSH secundário: Ambulâncias
Seres Humanos
Londres
Inovação Organizacional
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:171201
[St] Status:MEDLINE


  7 / 16914 MEDLINE  
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[PMID]:28876989
[Au] Autor:Roder CA; May SA
[Ti] Título:The Hidden Curriculum of Veterinary Education: Mediators and Moderators of Its Effects.
[So] Source:J Vet Med Educ;44(3):542-551, 2017.
[Is] ISSN:0748-321X
[Cp] País de publicação:Canada
[La] Idioma:eng
[Ab] Resumo:The "hidden curriculum" has long been supposed to have an effect on students' learning during their clinical education, and in particular in shaping their ideas of what it means to be a professional. Despite this, there has been little evidence linking specific changes in professional attitudes to the individual components of the hidden curriculum. This study aimed to recognize those components that led to a change in students' professional attitudes at a UK veterinary school, as well as to identify the attitudes most affected. Observations were made of 11 student groups across five clinical rotations, followed by semi-structured interviews with 23 students at the end of their rotation experience. Data were combined and analyzed thematically, taking both an inductive and deductive approach. Views about the importance of technical competence and communication skills were promoted as a result of students' interaction with the hidden curriculum, and tensions were revealed in relation to their attitudes toward compassion and empathy, autonomy and responsibility, and lifestyle ethic. The assessment processes of rotations and the clinical service organization served to communicate the messages of the hidden curriculum, bringing about changes in student professional attitudes, while student-selected role models and the student rotation groups moderated the effects of these influences.
[Mh] Termos MeSH primário: Estágio Clínico
Currículo/tendências
Educação em Veterinária/organização & administração
Avaliação de Programas e Projetos de Saúde
Faculdades de Medicina Veterinária/organização & administração
[Mh] Termos MeSH secundário: Educação em Veterinária/normas
Seres Humanos
Entrevistas como Assunto
Londres
Faculdades de Medicina Veterinária/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171207
[Lr] Data última revisão:
171207
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170907
[St] Status:MEDLINE
[do] DOI:10.3138/jvme.0416-082


  8 / 16914 MEDLINE  
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[PMID]:29050391
[Au] Autor:Harrison NA; Johnston K; Corno F; Casey SJ; Friedner K; Humphreys K; Jaldow EJ; Pitkanen M; Kopelman MD
[Ad] Endereço:King's College London, Academic Neuropsychiatry, Psychological Medicine, Institute of Psychiatry, Psychology, and Neuroscience, London, SE1 7EH UK.
[Ti] Título:Psychogenic amnesia: syndromes, outcome, and patterns of retrograde amnesia.
[So] Source:Brain;140(9):2498-2510, 2017 Sep 01.
[Is] ISSN:1460-2156
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:There are very few case series of patients with acute psychogenic memory loss (also known as dissociative/functional amnesia), and still fewer studies of outcome, or comparisons with neurological memory-disordered patients. Consequently, the literature on psychogenic amnesia is somewhat fragmented and offers little prognostic value for individual patients. In the present study, we reviewed the case records and neuropsychological findings in 53 psychogenic amnesia cases (ratio of 3:1, males:females), in comparison with 21 consecutively recruited neurological memory-disordered patients and 14 healthy control subjects. In particular, we examined the pattern of retrograde amnesia on an assessment of autobiographical memory (the Autobiographical Memory Interview). We found that our patients with psychogenic memory loss fell into four distinct groups, which we categorized as: (i) fugue state; (ii) fugue-to-focal retrograde amnesia; (iii) psychogenic focal retrograde amnesia following a minor neurological episode; and (iv) patients with gaps in their memories. While neurological cases were characterized by relevant neurological symptoms, a history of a past head injury was actually more common in our psychogenic cases (P = 0.012), perhaps reflecting a 'learning episode' predisposing to later psychological amnesia. As anticipated, loss of the sense of personal identity was confined to the psychogenic group. However, clinical depression, family/relationship problems, financial/employment problems, and failure to recognize the family were also statistically more common in that group. The pattern of autobiographical memory loss differed between the psychogenic groups: fugue cases showed a severe and uniform loss of memories for both facts and events across all time periods, whereas the two focal retrograde amnesia groups showed a 'reversed' temporal gradient with relative sparing of recent memories. After 3-6 months, the fugue patients had improved to normal scores for facts and near-normal scores for events. By contrast, the two focal retrograde amnesia groups showed less improvement and continued to show a reversed temporal gradient. In conclusion, the outcome in psychogenic amnesia, particularly those characterized by fugue, is better than generally supposed. Findings are interpreted in terms of Markowitsch's and Kopelman's models of psychogenic amnesia, and with respect to Anderson's neuroimaging findings in memory inhibition.
[Mh] Termos MeSH primário: Amnésia Retrógrada/classificação
Amnésia/classificação
[Mh] Termos MeSH secundário: Adulto
Idoso
Amnésia/complicações
Amnésia Retrógrada/complicações
Traumatismos Craniocerebrais/complicações
Traumatismos Craniocerebrais/epidemiologia
Depressão/complicações
Depressão/epidemiologia
Conflito Familiar
Feminino
Seres Humanos
Londres/epidemiologia
Masculino
Memória Episódica
Meia-Idade
Testes Neuropsicológicos
Autoimagem
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171030
[Lr] Data última revisão:
171030
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171021
[St] Status:MEDLINE
[do] DOI:10.1093/brain/awx186


  9 / 16914 MEDLINE  
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[PMID]:29031288
[Au] Autor:Patel TA; Scadding GK; Phillips DE; Lockwood DN
[Ad] Endereço:Hospital for Tropical Diseases, University College London Hospitals NHS Foundation Trust, London, United Kingdom.
[Ti] Título:Case Report: Old World Mucosal Leishmaniasis: Report of Five Imported Cases to the Hospital for Tropical Diseases, London, United Kingdom.
[So] Source:Am J Trop Med Hyg;97(4):1116-1119, 2017 Oct.
[Is] ISSN:1476-1645
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Old World species of typically cause visceral and cutaneous leishmaniasis. Mucosal involvement is typically seen with infection by species found in South America, usually after the healing of cutaneous leishmaniasis. We present five imported cases of mucosal leishmaniasis caused by Old World Mediterranean exclusively affecting the nasal mucosa or vocal cord. In only one case was there a recollection of a preceding cutaneous lesion compatible with cutaneous Leishmaniasis. Of significance was that four out of five cases were receiving local corticosteroids for chronic lung disorders and four were systemically immunosuppressed. This report highlights the importance of considering mucosal leishmaniasis in the differential diagnosis in those presenting with upper respiratory tract mucosal lesions with a relevant travel history to the Mediterranean and in whom malignancy has been excluded.
[Mh] Termos MeSH primário: Leishmania infantum/isolamento & purificação
Leishmaniose Visceral/epidemiologia
Leishmaniose Visceral/parasitologia
[Mh] Termos MeSH secundário: Idoso
Antiprotozoários/uso terapêutico
Feminino
Seres Humanos
Imunossupressores
Leishmaniose Visceral/tratamento farmacológico
Londres/epidemiologia
Masculino
Região do Mediterrâneo/epidemiologia
Meia-Idade
Fosforilcolina/análogos & derivados
Fosforilcolina/uso terapêutico
Viagem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antiprotozoal Agents); 0 (Immunosuppressive Agents); 107-73-3 (Phosphorylcholine); 53EY29W7EC (miltefosine)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171030
[Lr] Data última revisão:
171030
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171017
[St] Status:MEDLINE
[do] DOI:10.4269/ajtmh.17-0162


  10 / 16914 MEDLINE  
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[PMID]:28945822
[Au] Autor:Forbes AE; Schutzer-Weissmann J; Menassa DA; Wilson MH
[Ad] Endereço:Adult Intensive Care Unit, Department of Critical Care, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, United Kingdom.
[Ti] Título:Head injury patterns in helmeted and non-helmeted cyclists admitted to a London Major Trauma Centre with serious head injury.
[So] Source:PLoS One;12(9):e0185367, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Cycle use across London and the UK has increased considerably over the last 10 years. With this there has been an increased interest in cycle safety and injury prevention. Head injuries are an important cause of mortality and morbidity in cyclists. This study aimed to ascertain the frequency of different head injury types in cyclists and whether wearing a bicycle helmet affords protection against specific types of head injury. METHODS: A retrospective observational study of all cyclists older than 16 years admitted to a London Major Trauma Centre between 1st January 2011 and 31st December 2015 was completed. A cohort of patients who had serious head injury was identified (n = 129). Of these, data on helmet use was available for 97. Comparison was made between type of injury frequency in helmeted and non-helmeted cyclists within this group of patients who suffered serious head injury. RESULTS: Helmet use was shown to be protective against intracranial injury in general (OR 0.2, CI 0.07-0.55, p = 0.002). A protective effect against subdural haematoma was demonstrated (OR 0.14, CI 0.03-0.72, p = 0.02). Wearing a helmet was also protective against skull fractures (OR 0.12, CI 0.04-0.39, p<0.0001) but not any other specific extracranial injuries. This suggests that bicycle helmets are protective against those injuries caused by direct impact to the head. Further research is required to clarify their role against injuries caused by shearing forces. CONCLUSIONS: In a largely urban environment, the use of cycle helmets appears to be protective for certain types of serious intra and extracranial head injuries. This may help to inform future helmet design.
[Mh] Termos MeSH primário: Ciclismo/lesões
Traumatismos Craniocerebrais/etiologia
Traumatismos Craniocerebrais/prevenção & controle
Dispositivos de Proteção da Cabeça
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Traumatismos Craniocerebrais/epidemiologia
Feminino
Dispositivos de Proteção da Cabeça/utilização
Seres Humanos
Modelos Logísticos
Londres/epidemiologia
Masculino
Meia-Idade
Estudos Retrospectivos
Centros de Traumatologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170926
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0185367



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BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde