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Is anemia at admission related to short-term outcomes of elderly hip fracture patients?

100%

Dubljanin-Raspopović E., Marković-Denić L., Nikolić D., Tulić G., Kadija M., Bumbaširević M.

Open Medicine

2011

vol. 6

issue 4

483-489

Hip fracture in elderly people is associated with high morbidity and mortality. Therefore, it is important to identify risk factors that potentially influence outcomes after hip surgery. The main purpose of this study was to evaluate the relationship of anemia at admission and short-term outcomes after hip fracture. We studied 343 community-dwelling patients who underwent surgery for hip fracture from March 2009 to March 2010. Functional mobility at discharge, postoperative complications, hospital length of stay and in-hospital mortality were analyzed in respect to presence and severity of anemia at admission. Anemia (defined as hemoglobin levels < 13.0 g/dl for men and < 12.0g/dl for women) was present in 185 (53.9%) patients, of whom 54 (29.2%) were severely anemic (defined as hemoglobin level 10.0g/dl or below). In multivariate analysis anemia was associated with age, gender (female), type of fracture (intertrochanteric) and American Society of Anesthesiologists (ASA) classification (3 or 4), while severity of anemia was associated with recovery of ambulatory ability at discharge. There was no difference in the incidence of postoperative complication, in-hospital mortality and length of hospital stay between the groups at discharge. Overall anemia at admission is an indicator of poor general health status. Ambulatory recovery in hip fracture patients is independently related to severity of anemia at admission.

Breast angiosarcoma one year after adenosquamous endometrial cancer - diagnostic pitfalls

68%

Zdravkovic D., Granic M., Zdravkovic M., Randjelović T., Bilanović D., Sredić B., Oprić S., Ivanović N., Nikolić D., Dikić S., Toskovic B.

Open Medicine

2013

vol. 8

issue 1

52-55

Angiosarcoma of the breast is a rare and very aggressive tumors originated from endothelial cells lining blood vessels. We report a case of a 55-year-old postmenopausal female with a primary breast angiosarcoma diagnosed just a one year after radical hysterectomy and radiation therapy due to endometrial cancer. The patient initially presented with postmenopausal bleeding. Cytology and biopsy of the endometrium were performed and endometrial adenosquamous carcinoma was diagnosed followed by radical hysterectomy and postoperative local radiatiotherapy (50 Gy). One year later patient presented with a great painful tumorous mass in the right breast. Physical examination revealed an oval tumor, located in upper and outer quadrant of the right breast, around 15 cm in diameter. Mammography and ultrasonography were performed. The angiosarcoma of the breast was confirmed by biopsy. The patient underwent radical mastectomy. Histopathology proved the diagnosis of angiosarcoma (high-grade, numerous mitoses over 10/10 HPF, necrosis, “blood lakes”, infiltrative borders). Differential diagnosis of a breast angiosarcoma should be considered in all painful breast tumours no mather the time and the location of the previous radiation treatment even if benign characteristics of these masses have been detected by mammography and breast ultrasound.

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2 Open Medicine

1 2013

1 2011

2 Nikolić D.

1 Bilanović D.

1 Bumbaširević M.

1 Dikić S.

1 Dubljanin-Raspopović E.

1 Granic M.

1 Ivanović N.

1 Kadija M.

1 Marković-Denić L.

1 Oprić S.

1 Randjelović T.

1 Sredić B.

1 Toskovic B.

1 Tulić G.

1 Zdravkovic D.

1 Zdravkovic M.

Search results

Is anemia at admission related to short-term outcomes of elderly hip fracture patients?

Breast angiosarcoma one year after adenosquamous endometrial cancer - diagnostic pitfalls