Evaluation of Scoliosis Deviation with Clinical Measurements during Physical Therapy

Abstract Aim: Scoliosis is a 3D deformation, in a vast related medical literature, we can find quit a few scoliosis evaluation indices, which are based on back surface data and are generally measured along three planes. The purpose of this study was to assess the usefulness of surface clinical measurements for evaluation of condition by patients with scoliosis in shorter terms. Materials and Method: A total of 40 scoliosis patients, with an average age of 13 years, the average Risser sign 3 and an average angle of curvature of 23.67° according to Cobb were included in this study. In research were looking a correlation between convexity of curve by xray picture and asymmetry of measurement distances. Results: the data analyze is showing a correlation between decrease of clinical asymmetry and reduction of curve by treatment with significance p < 0.01. The trunk surface asymmetry is still difficult to objectify and it depended of new examination technique shall be done more. Conclusion: External measurements of some anatomical points can be use in physical therapy practice for evaluation of condition by patients with scoliosis with significant correlation of convexity of curve

Mortality after surgery in Europe: a 7 day cohort study

SummaryBackgroundClinical outcomes after major surgery are poorly described at the national level. Evidence of heterogeneity between hospitals and health-care systems suggests potential to improve care for patients but this potential remains unconfirmed. The European Surgical Outcomes Study was an international study designed to assess outcomes after non-cardiac surgery in Europe.MethodsWe did this 7 day cohort study between April 4 and April 11, 2011. We collected data describing consecutive patients aged 16 years and older undergoing inpatient non-cardiac surgery in 498 hospitals across 28 European nations. Patients were followed up for a maximum of 60 days. The primary endpoint was in-hospital mortality. Secondary outcome measures were duration of hospital stay and admission to critical care. We used χ2 and Fisher's exact tests to compare categorical variables and the t test or the Mann-Whitney U test to compare continuous variables. Significance was set at p<0·05. We constructed multilevel logistic regression models to adjust for the differences in mortality rates between countries.FindingsWe included 46 539 patients, of whom 1855 (4%) died before hospital discharge. 3599 (8%) patients were admitted to critical care after surgery with a median length of stay of 1·2 days (IQR 0·9–3·6). 1358 (73%) patients who died were not admitted to critical care at any stage after surgery. Crude mortality rates varied widely between countries (from 1·2% [95% CI 0·0–3·0] for Iceland to 21·5% [16·9–26·2] for Latvia). After adjustment for confounding variables, important differences remained between countries when compared with the UK, the country with the largest dataset (OR range from 0·44 [95% CI 0·19–1·05; p=0·06] for Finland to 6·92 [2·37–20·27; p=0·0004] for Poland).InterpretationThe mortality rate for patients undergoing inpatient non-cardiac surgery was higher than anticipated. Variations in mortality between countries suggest the need for national and international strategies to improve care for this group of patients.FundingEuropean Society of Intensive Care Medicine, European Society of Anaesthesiology