How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

1,308 results for

Cough fracture

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

123. Incontinence - urinary, in women

as any involuntary leakage of urine. The main types are: Stress urinary incontinence. Urgency urinary incontinence. Mixed urinary incontinence. The main risk factor for urinary incontinence is older age. The prevalence increases up to middle age, plateaus or decreases between 50 and 70 years of age, and rises again with advanced age. The complications of urinary incontinence include psychological problems and social isolation, sexual problems, loss of sleep due to nocturia, and falls and fractures (...) , particularly in older people. Identifying the type of urinary incontinence will determine management: Incontinence occurring when coughing, sneezing, or on effort or exertion is likely to be stress urinary incontinence. Sudden urgency with frequency and nocturia is likely to be urgency urinary incontinence associated with overactive bladder syndrome. If symptoms of stress urinary incontinence and urgency incontinence both occur, it is likely to be mixed urinary incontinence. Investigations to determine any

2019 NICE Clinical Knowledge Summaries

124. Review of information management practices in the HSE Computerised Infectious Disease Reporting (CIDR) system

Information and Quality Authority HPSC Health Protection Surveillance Centre HSE Health Service Executive ICGP Irish College General Practitioners IHFD Irish Hip Fracture Database IHR International Health Regulations ILI Influenza like illness Review of information management practices in the CIDR system Health Information and Quality Authority Page 6 of 146 IMD Invasive Meningococcal Disease ISMS Information Security Management System IMSRL Irish Meningitis and Sepsis Reference Laboratory KPI Key (...) be collected once and used many times. 4. Data collection should be ‘fit for purpose’ and cost-effective. National health and social care data collections provide a national overview of data relating to a particular health or social care service. Examples of national data collections include BreastCheck, the Hospital In-Patient Enquiry (HIPE) scheme and the Irish Hip Fracture Database (IHFD). There is little point in investing considerable time, effort and resources into producing a high-quality data

2019 HIQA Health Information

125. Urinary Incontinence

al. A prospective multicenter randomized trial of tension-free vaginal tape and colposuspension for primary urodynamic stress incontinence: two-year follow-up. Am J Obstet Gynecol, 2004. 190: 324. 81. Lewicky-Gaupp, C., et al. “The cough game”: are there characteristic urethrovesical movement patterns associated with stress incontinence? Int Urogynecol J Pelvic Floor Dysfunct, 2009. 20: 171. 82. Shek, K.L., et al. The effect of childbirth on urethral mobility: a prospective observational study. J

2019 European Association of Urology

126. Appropriate Use Criteria: Imaging of the Brain

features is present: ? Age 65 years or older ? Retrograde amnesia ? At least 2 episodes of emesis ? Evidence of open, depressed, or basilar skull fracture ? Focal neurologic findings ? Glasgow coma scale less than 15 or altered mental status ? High-risk mechanism of injury ? Seizure IMAGING STUDY - CT brain for initial evaluation - MRI brain (following CT, when required to direct management or inform prognosis) PEDIATRIC Advanced imaging is considered medically necessary in the initial evaluation (...) of head trauma when EITHER of the following is present: ? Non-accidental injury ? Trauma associated with ANY of the following features: o Altered mental status Imaging of the Brain Copyright © 2019. AIM Specialty Health. All Rights Reserved. 12 o Change in behavior o Vomiting o Loss of consciousness o History of high-risk motor vehicle accident or other mechanism of injury o Scalp hematoma when younger than age 2 years o Evidence of basilar skull fracture IMAGING STUDY - CT or MRI brain Rationale AIM

2019 AIM Specialty Health

128. Headache

be appropriate; 7,8,9 Usually appropriate *Relative Radiation Level ACR Appropriateness Criteria ® 9 Headache Clinical Condition: Headache Variant 15: Headache associated with cough, exertion or sexual activity. Radiologic Procedure Rating Comments RRL* MRI head without and with IV contrast 8 O MRI head without IV contrast 7 O CT head without IV contrast 7 ??? MRA head without IV contrast 6 O MRA head without and with IV contrast 6 O CT head without and with IV contrast 6 ??? CT head with IV contrast 5 (...) of the following should indicate a diagnosis of spontaneous intracranial hypotension: low opening pressure on lumbar puncture, meningeal diverticulum, or improvement of symptoms with epidural blood patch. Headache Associated With Cough, Exertion, or Sexual Activity Benign cough headache, benign exertional headache, and headache associated with sexual activity are very uncommon and may be a primary headache syndrome or may herald potentially serious underlying disease. Primary cough headache is provoked

2019 American College of Radiology

129. Sub-conjunctival haemorrhage

Sub-conjunctival haemorrhage Sub-conjunctival haemorrhage submit The College submit You're here: Sub-conjunctival haemorrhage Sub-conjunctival haemorrhage The CMGs are guidelines on the diagnosis and management of a range of common and rare, but important, eye conditions that present with varying frequency in primary and first contact care. Share options Aetiology Usually idiopathic Valsalva manoeuvre (e.g. coughing, straining, vomiting) producing rise in central venous pressure Traumatic (may (...) be isolated or associated with ruptured globe or retrobulbar haemorrhage – see Clinical Management Guideline on ) Recent eye surgery History is important. Ask about hypertension, medications, acute or chronic cough, eye rubbing, heavy lifting, recent ocular or head trauma, bleeding or clotting abnormalities and recurrent subconjunctival haemorrhage Predisposing factors Systemic hypertension Bleeding abnormality (leukaemia, clotting disorders) Anticoagulant medication (e.g. aspirin, warfarin) Conjunctival

2020 College of Optometrists

130. Acute Pain Management in Trauma Patients

dependence on opioid medications or obvious functional limitations despite evidence of anatomic recovery for undiagnosed injuries or other occult causes of pain, such as deep wound infection. If none are found, it is appropriate to refer the patient to a pain specialist for ongoing treatment of chronic pain syndrome, including supervised tapering from opioid medications. References 1. Bot AG, Bekkers S, Arnstein PM, Malcom Smith R, Ring D. Opioid use after fracture surgery correlates with pain intensity (...) are noted. The patient is attributed the highest score for each domain during both periods. The possible score range is 0-8 with 8 indicating the most pain. 10-15 Table 1. Behavioral Pain Scale Indicator Score Description Facial expressions 1 Relaxed 2 Partially tightened 3 Fully tightened 4 Grimacing Upper limb movements 1 No movement 2 Partially bent 3 Fully bent with finger extension 4 Permanently retracted Compliance with mechanical ventilation 1 Tolerating movement 2 Coughing but tolerating

2020 American College of Surgeons

131. Deprescribing proton pump inhibitors

Kingdom. 4,14 Proton pump inhibitors are often viewed as safe and well tolerated medications, and while the incidence of side effects, such as diarrhea, 15 impaired B12 absorp- tion, 16 hypomagnesemia, 12,17 Clostridium difficile infec- tion, 18 hip fractures, 19 and pneumonia 20 might be small, older people might be at higher risk of these condi- tions. 21 When PPIs are inappropriately prescribed or used for too long, they can contribute to polypharmacy with its attendant risks of nonadherence (...) , and vitamin B12 and magnesium deficiency, as well as associations with increased risk of fractures, C diffi - cile infection, community-acquired pneumonia, gastric cancer, gastric atrophy, intestinal metaplasia, colorec- tal cancer, bacterial peritonitis, small intestine bacterial overgrowth, and possibly increased vascular events in those taking clopidogrel. (Frequency ratios of the harms are available at CFPlus.*) With regard to patient values and preferences, PPIs are considered to improve quality

2017 CPG Infobase

133. Palbociclib (breast cancer) - Addendum to commission A16-74

, the company additionally presented results on CTCAE grade 3 or 4 AEs. The choice concurs with the choice for all AEs (see above). This choice of outcomes was also incomplete because, on the one hand, the company again mostly did not present SOCs and, on the other, the company did not include some CTCAE grade 3 or 4 AEs, although they occurred with similar frequency as other AEs that were analysed by the company (e.g. ascites, pathological fracture and hypertension). Finally, neither Module 4B

2017 Institute for Quality and Efficiency in Healthcare (IQWiG)

136. Neck lump: History

. Unexplained fever. Weight loss. Generalized itching. Breathlessness. Unexplained bruising or bleeding. Unexplained persistent or recurrent infections. Bone pain (particularly back pain), unexplained fracture. Alcohol-induced lymph node pain. Generalized lymphadenopathy. Hepatosplenomegaly. Consider other features in the history suggesting a specific cause: The person's age — have a higher index of suspicion for malignancy if the person is 40 years of age or older. Symptoms indicative of an upper (...) respiratory tract infection causing lymphadenopathy — fever, cough, and sore throat. Other local potential causes of lymphadenopathy — for example earache, toothache, headlice. Recent travel, insect bites, or exposure to pets or other animals — suggestive of an inflammatory or infectious cause of neck lump. Smoking, heavy alcohol use, or previous radiation to the neck — increase the risk of malignancy. Trauma — may indicate haematoma, or if time has elapsed since the traumatic incident, fibrosis

2018 NICE Clinical Knowledge Summaries

137. Back pain - low (without radiculopathy): Red flag symptoms and signs

fracture. Red flags include: Sudden onset of severe central spinal pain which is relieved by lying down. A history of major trauma (such as a road traffic collision or fall from a height), minor trauma, or even just strenuous lifting in people with osteoporosis or those who use corticosteroids. Structural deformity of the spine (such as a step from one vertebra to an adjacent vertebra) may be present. There may be point tenderness over a vertebral body. Cancer. Red flags include: The person being 50 (...) years of age or more. Gradual onset of symptoms. Severe unremitting pain that remains when the person is supine, aching night pain that prevents or disturbs sleep, pain aggravated by straining (for example, at stool, or when coughing or sneezing), and thoracic pain. Localised spinal tenderness. No symptomatic improvement after four to six weeks of conservative low back pain therapy. Unexplained weight loss. Past history of cancer — breast, lung, gastrointestinal, prostate, renal, and thyroid cancers

2018 NICE Clinical Knowledge Summaries

138. Sciatica (lumbar radiculopathy): Red flag symptoms and signs

fracture. Red flags include: Sudden onset of severe central spinal pain which is relieved by lying down. There may be a history of major trauma (such as a road traffic collision or fall from a height), minor trauma, or even just strenuous lifting in people with osteoporosis or those who use corticosteroids. Structural deformity of the spine (such as a step from one vertebra to an adjacent vertebra) may be present. There may be point tenderness over a vertebral body. Cancer. Red flags include (...) : The person being 50 years of age or more. Gradual onset of symptoms. Severe unremitting pain that remains when the person is supine, aching night pain that prevents or disturbs sleep, pain aggravated by straining (for example, at stool, or when coughing or sneezing), and thoracic pain. Localised spinal tenderness. No symptomatic improvement after four to six weeks of conservative low back pain therapy. Unexplained weight loss. Past history of cancer — breast, lung, gastrointestinal, prostate, renal

2018 NICE Clinical Knowledge Summaries

139. Heart Failure Full Text available with Trip Pro

Hepatojugular reflux Third heart sound Laterally displaced apex beat Less typical symptoms Less specific signs Nocturnal cough Wheeze Abdominal bloating Anorexia Confusion (elderly) Depression Palpitations Dizziness Syncope Bendopnoea (shortness of breath when leaning forward) Weight gain (>2 kg/wk) Weight loss (in advanced heart failure) Peripheral oedema (ankle, sacrum) Pulmonary crackles Pleural effusions Cardiac murmur Tachycardia Tachypnoea Cheyne–Stokes respiration Ascites © Copyright European Society

2018 Cardiac Society of Australia and New Zealand

140. Hoarseness (Dysphonia) Full Text available with Trip Pro

, amyloidosis, granulomatosis with polyangiitis), allergic, pulmonary (eg, COPD), musculoskeletal (eg, muscle tension dysphonia [MTD], fibromyalgia, cervicalgia), psychological (functional voice disorders), traumatic (eg, laryngeal fracture, inhalational injury, iatrogenic injury, blunt/penetrating trauma), and infectious (eg, candidiasis), among others. Prevalence of dysphonia within these conditions varies. For example, patients with SD or other laryngeal dystonia almost universally manifest

2018 American Academy of Otolaryngology - Head and Neck Surgery

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>