Injury
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Review Meta Analysis
Do compensation processes impair mental health? A meta-analysis.
Victims who are involved in a compensation processes generally have more health complaints compared to victims who are not involved in a compensation process. Previous research regarding the effect of compensation processes has concentrated on the effect on physical health. This meta-analysis focuses on the effect of compensation processes on mental health. ⋯ Being involved in a compensation process is associated with higher mental health complaints but three-quarters of the difference appeared to be already present at baseline. The findings of this study should be interpreted with caution because of the limited quality of evidence. The difference at baseline may be explained by a selection bias or more anger and blame about the accident in the compensation group. The difference between baseline and follow-up may be explained by secondary gain and secondary victimisation. Future research should involve assessment of exposure to compensation processes, should analyse and correct for baseline differences, and could examine the effect of time, compensation scheme design, and claim settlement on (mental) health.
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Review Meta Analysis Comparative Study
External fixation versus open reduction with plate fixation for distal radius fractures: a meta-analysis of randomised controlled trials.
Both external fixation and open reduction with internal fixation (ORIF) using plates have been recommended for treatment of distal radius fractures. We conducted a systematic review and meta-analysis of randomised controlled trials comparing external fixation to ORIF. ⋯ ORIF with plate fixation provides lower DASH scores, better restoration of radial length and reduced infection rates as compared to external fixation for treatment of distal radius fractures.
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Review Meta Analysis
Meta-analysis of predictive factors and outcomes for failure of non-operative management of blunt splenic trauma.
This study aimed to analyse predictive factors and outcomes of failure of non-operative management (NOM) following blunt splenic trauma. ⋯ fNOM leads to increased resource use and increased mortality. Methods of preventing fNOM, such as angioembolisation, warrant further assessment. Patients with increasing age, AAST scores and moderate or large haemoperitoneums may benefit from closer monitoring.
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Review Meta Analysis Comparative Study
Dynamic versus static external fixation for unstable distal radius fractures: an up-to-date meta-analysis.
Whether dynamic or static external fixation is more appropriate for distal radius fractures is still being debated, our aim is to determine the effect of dynamic versus static external fixation for unstable distal radius fractures in terms of postoperative complication, clinical results and radiological outcomes. ⋯ The final results show that there are some evidences supporting the use of dynamic external fixation, which may also have practical advantages over static fixation by allowing earlier limb mobility during the fixation period and enabling such patients to maintain their independence. Limitations remain, a cost-effectiveness analysis and DASH-score assessments at all follow-up evaluations should be more carefully considered and reported in a reliable, consistent and standardised manner.
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Review Meta Analysis
Routine blood tests as predictors of mortality in hip fracture patients.
The aim of this study was to assess the evidence for the association between different biochemical markers at admission and mortality through a meta-analysis. ⋯ Biochemical markers at admission are valid predictors of mortality in hip fracture patients.