BACKGROUND AND PURPOSE Delirium is common after hip fracture. Previous work has shown that a simple delirium risk factor tool, the Delirium Elderly At Risk instrument (DEAR), has a high inter-rater reliability in this population. Little research has looked at the ability of risk factor screening tools to identify patients at high risk of pre-operative delirium. This study investigates the abili...

OBJECTIVE To assess the burden of anaemia and osteoporosis in hip fracture patients, to determine the rate of blood transfusion per-operatively, to assess the use of calcium and vitamin D supplements and the use of anti-osteoporotic medications postoperatively. METHODS A retrospective study was conducted at Aga Khan University and Hospital (AKUH) between June 2009 and May 2011, and comprised ...

BACKGROUND In patients undergoing cardiac surgery, a reduced preoperative left ventricular ejection fraction (LVEF) is common and is associated with a worse outcome. Available outcome data for these patients address specific surgical procedures, mainly coronary artery bypass graft (CABG). Aim of our study was to investigate perioperative outcome of surgery on patients with low pre-operative LVE...

High tibia osteotomy is a common procedure in orthopedic surgery. A precise overview on indications, patients selection, pre-operative planning, surgical technique, methods of fixation, and complications have been presented. This paper focused on the points that should be considered to achieve good long-term outcomes. High tibia osteotomy is a common procedure in orthopedic surgery. A precise o...

The success of pre-operative therapy over post-operative treatments means that a technique identifying prognostic factors pre-operatively is of potential benefit in modifying the intensity of pre-operative therapy according to risk of local or distant failure. Clinical trials incorporating robust and accurate assessment of prognostic factors and appropriate stratification of patients prior to t...

One hundred and sixty-seven patients with adolescent idiopathic scoliosis were allocated prospectively to one of three different groups for correction before undergoing posterior spinal fusion and Harrington instrumentation, In group 1 single curves were corrected by a Risser turnbuckle plaster jacket and double curves by halo-pelvic traction. In Group 2 patients performed Cotrel dynamic tracti...

In the living brain, vital structures include cortical areas as well as neuronal pathways connecting these. If pathologies, for example a tumor are present and derogate essential functionalities, neurosurgical treatment is needed. Neurosurgeries are tailored to the patient-specific anatomy and pathology: Within an individual preoperative planning phase the most adequate access path to a lesion ...

Introduction: Chronic otitis media (COM) has been broadly classified into mucosal and squamous subtypes. COM types are associated with erosion of the ossicular chain. The aim of the present study was to correlate the type of COM, the site of perforation/retraction, and the type of disease pathology with the pattern and degree of ossicular chain necrosis.   Materials and Methods: A prospecti...

The aim of our study was to verify the reliability of transvaginal ultrasonography in the pre-operative evaluation of bladder endometriosis. Six patients with suspected bladder endometriosis were studied. At referral to our department all six women underwent magnetic resonance imaging (MRI), transabdominal and transvaginal ultrasonography, cystoscopy and descending urography. Subsequently all t...

Patients due to undergo elective surgery who are not considered to be medically fit, may have their operation postponed or even cancelled. Not only will this result in significant anxiety for the person, but it will also have financial implications for the hospital, in terms of lost theatre time. In an attempt to prevent postponing or cancelling scheduled surgery, pre-operative assessment is es...