Hypermobility among patients with greater trochanteric pain syndrome

Lisa C. U. Reimer; Julie Sandell Jacobsen; Inger Mechlenburg

Hypermobility among patients with greater trochanteric pain syndrome

Lisa C. U. Reimer, Julie Sandell Jacobsen, Inger Mechlenburg

Publikation: Bidrag til tidsskrift › Tidsskriftsartikel › Forskning › peer review

Abstract

INTRODUCTION: Greater trochanteric pain syndrome (GTPS)
is a common and disabling hip condition. Hypermobility has
been suggested as a possible cause of GTPS. The purpose
of this study was to report the prevalence of hypermobility
and to investigate its impact on hip-related function and
awareness in patients with GTPS.

METHODS: This cross-sectional study was based on a
cohort of patients diagnosed with GTPS in the 2013-2015
period. Hypermobility was investigated with the Beighton
Score and defined by a cut-off score ≥ 5. Data on patients‘
current hip function and awareness were collected with the
questionnaires the Copenhagen Hip and Groin Outcome
Score and the Forgotten Joint Score.

RESULTS: A total of 612 patients with GTPS were identified
based on the diagnosis system; out of those, 390 patients
were assessed for eligibility, and 145 (37%) were included.
The prevalence of hypermobility within this cohort was
estimated to be 11% (95% confidence interval (CI): 3-26%) for
males and 25% (95% CI: 17-34%) for females. No significant
association was found between hypermobility and selfreported
hip function and awareness.

CONCLUSIONS: The prevalence of hypermobility in patients
with GTPS was high, but the prevalence of hypermobility did
not influence hip function and awareness. The results were
based on a very low response rate and should be
interpreted with this in mind.

Originalsprog	Engelsk
Tidsskrift	Danish Medical Journal
Vol/bind	66
Udgave nummer	4
Sider (fra-til)	1-5
Antal sider	5
ISSN	2245-1919
Status	Udgivet - apr. 2019

Emneord

Sygdom, sundhedsvidenskab og sygepleje

Adgang til dokumentet

a5539_0Forlagets udgivne version, 148 KBLicens: CC BY-NC-ND

http://ugeskriftet.dk/dmj/hypermobility-among-patients-greater-trochanteric-pain-syndrome

Citationsformater

@article{aa3ff0e36f3841d688d75178265b48d7,

title = "Hypermobility among patients with greater trochanteric pain syndrome",

abstract = "INTRODUCTION: Bacteraemia in adult patients undergoing treatment for leukaemia is common and associated with profound morbidity and mortality. Infections related to the use of a central venous catheter (CVC) are difficult to eliminate with systemic antibiotics. Premature catheter removal is often due to retained biofilm infection. This study investigated if the additional use of hydrochloric acid (HCl) as an intraluminal lock solution may prolong the lifetime of the CVC. METHODS: The study was performed retrospectively based on a database including patients with a tunnelled Leonard 10 F dual or triple lumen CVC implanted who received HCl instillation due to bacteraemia during a five-year period. RESULTS: In a total of 71 cases of bacteraemia, HCl instillation was performed. Following HCI instillation, the CVC was not removed due to infection in 49 out of 71 patients (69%). Furthermore, 22 patients (31%) retained their CVC until the end of treatment. Non-infectious mortality (19/71), accidental pull (2/71) or mechanical CVC dysfunction (6/71) were other reasons for premature removal. Twenty-two catheters (31%) had to be removed due to ongoing infection. The median time from CVC placement until HCl instillation was 39 days. The median time from HCl instillation until removal of CVC was 58 days. The most common bacteriological findings were coagulase-negative staphylococci 34%, Enterococcus spp 14% and Escherichia coli 14%. CONCLUSIONS: The study{\textquoteright}s findings indicate that a prolonged use of CVC is possible following HCl instillation in adult haematologic patients with bacteraemia. ",

keywords = "disease, health science and nursing",

author = "Reimer, {Lisa C. U.} and Jacobsen, {Julie Sandell} and Inger Mechlenburg",

year = "2019",

month = apr,

language = "English",

volume = "66",

pages = "1--5",

journal = "Danish Medical Journal",

issn = "2245-1919",

publisher = "Den Almindelige Danske Laegeforening",

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TY - JOUR

T1 - Hypermobility among patients with greater trochanteric pain syndrome

AU - Reimer, Lisa C. U.

AU - Jacobsen, Julie Sandell

AU - Mechlenburg, Inger

PY - 2019/4

Y1 - 2019/4

N2 - INTRODUCTION: Bacteraemia in adult patients undergoing treatment for leukaemia is common and associated with profound morbidity and mortality. Infections related to the use of a central venous catheter (CVC) are difficult to eliminate with systemic antibiotics. Premature catheter removal is often due to retained biofilm infection. This study investigated if the additional use of hydrochloric acid (HCl) as an intraluminal lock solution may prolong the lifetime of the CVC. METHODS: The study was performed retrospectively based on a database including patients with a tunnelled Leonard 10 F dual or triple lumen CVC implanted who received HCl instillation due to bacteraemia during a five-year period. RESULTS: In a total of 71 cases of bacteraemia, HCl instillation was performed. Following HCI instillation, the CVC was not removed due to infection in 49 out of 71 patients (69%). Furthermore, 22 patients (31%) retained their CVC until the end of treatment. Non-infectious mortality (19/71), accidental pull (2/71) or mechanical CVC dysfunction (6/71) were other reasons for premature removal. Twenty-two catheters (31%) had to be removed due to ongoing infection. The median time from CVC placement until HCl instillation was 39 days. The median time from HCl instillation until removal of CVC was 58 days. The most common bacteriological findings were coagulase-negative staphylococci 34%, Enterococcus spp 14% and Escherichia coli 14%. CONCLUSIONS: The study’s findings indicate that a prolonged use of CVC is possible following HCl instillation in adult haematologic patients with bacteraemia.

AB - INTRODUCTION: Bacteraemia in adult patients undergoing treatment for leukaemia is common and associated with profound morbidity and mortality. Infections related to the use of a central venous catheter (CVC) are difficult to eliminate with systemic antibiotics. Premature catheter removal is often due to retained biofilm infection. This study investigated if the additional use of hydrochloric acid (HCl) as an intraluminal lock solution may prolong the lifetime of the CVC. METHODS: The study was performed retrospectively based on a database including patients with a tunnelled Leonard 10 F dual or triple lumen CVC implanted who received HCl instillation due to bacteraemia during a five-year period. RESULTS: In a total of 71 cases of bacteraemia, HCl instillation was performed. Following HCI instillation, the CVC was not removed due to infection in 49 out of 71 patients (69%). Furthermore, 22 patients (31%) retained their CVC until the end of treatment. Non-infectious mortality (19/71), accidental pull (2/71) or mechanical CVC dysfunction (6/71) were other reasons for premature removal. Twenty-two catheters (31%) had to be removed due to ongoing infection. The median time from CVC placement until HCl instillation was 39 days. The median time from HCl instillation until removal of CVC was 58 days. The most common bacteriological findings were coagulase-negative staphylococci 34%, Enterococcus spp 14% and Escherichia coli 14%. CONCLUSIONS: The study’s findings indicate that a prolonged use of CVC is possible following HCl instillation in adult haematologic patients with bacteraemia.

KW - disease, health science and nursing

M3 - Journal article

VL - 66

SP - 1

EP - 5

JO - Danish Medical Journal

JF - Danish Medical Journal

SN - 2245-1919

IS - 4

ER -