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Kosanovic-Jakovic N.,University of Belgrade | Resan M.,Military Medical Academy Belgrade | Dimitrijevic-Sreckovic V.,University of Belgrade | Vukosavljevic M.,Military Medical Academy Belgrade | And 5 more authors.
Spektrum der Augenheilkunde | Year: 2010

AIM: To evaluate the correlation between metabolic control and the presence and severity level of diabetic retinopathy (DR) in patients with diabetes type 2. METHODS: This cross-sectional study included 80 patients divided into four groups according to the duration of the disease: de novo; up to 10 years; from 11 to 20 years; and over 20 years. In order to evaluate the metabolic control each patient was tested for: glycosylated hemoglobin (HbA1c), total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C) and triglycerides (TG). According to eye fundus changes patients were classified following the American Academy of Ophthalmology classification. RESULTS: The patients with DR had significantly increased values of HbA1c. (9.5 ± 1.83%) and decreased values of HDL-C (1.1 ± 0.21 mmol/L) compared to patients without DR (6.9 ± 1.29%, t = 5.088; p < 0,001) and (1.3 ± 0.25 mmol/L, t = 3.022; p < 0.01) respectively. The presence and severity level of DR correlated positively with HbA1c values (p < 0.001) and poor glycaemic control (p < 0.001) while HDL-C values correlated inversely with the presence (p < 0.01) and severity level of DR (p < 0.05). CONCLUSION: Poor metabolic control determined by the increased values of HbA1cand decreased values of HDL-C correlates with the presence and severity of DR. © 2010 Springer-Verlag.

Radoicic D.,Surgery Academy | Popovic Z.,Surgery Academy | Slavkovic Z.,Military Medical Academy Belgrade
Minerva Ortopedica e Traumatologica | Year: 2013

Aim: Hip fractures are a major problem for health care systems because of high mortality and often long-term hospitalization. Operative management is the treatment of choice, but the timing of surgery is still disputable. The aim of this paper was to determine the impact of operative treatment of the hip fractures in less than 12 hours of admission on postoperative complications, 30 day and one year mortality after fracture and length of hospital stay in comparison to the delayed procedure. Methods: Prospective study of 702 patients with hip fracture, who were treated operatively in 24 months period; 224 were operated in less than 12h of admission, 478 patients underwent the operation after an average delay of 3.6 days after admission. Recorded and analyzed data included age, sex, type of fracture, postoperative complications, length of hospitalization, 30 day mortality and one year mortality. Results: In group of patients operated in less than 12 hours of admission mortality at 30 days was 6,70% one year mortality was 13.8%, in the group of patients treated in the delayed procedure 30 day mortality was 9.41% and one year 19-2%. We noted average 8.9 days of hospital stay in the first group compared to 13.8 days of hospital stay for patients operated in delayed procedure. Conclusion: Surgical treatment of the hip fractures in the first 12 hours of admission, if adequate selection of patients and thorough preoperative preparation is conducted, can be a credible and viable option. It could positively affect the mortality rate compared to a delayed procedure, and reduce the number of hospitalization days.

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