XXVIII Highlights AMP-S

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Originals

Randomized clinical trial of Appendicitis Inflammatory Response score-based management of patients with suspected appendicitis
Andersson M, Kolodziej B, Andersson RE. Randomized clinical trial of Appendicitis Inflammatory Response score-based management of patients with suspected appendicitis. Br J Surg. 2017 Oct;104(11):1451-1461. doi: 10.1002/bjs.10637. Epub 2017 Jul 21. (Original) PMID: 28730753

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«The role of imaging in the diagnosis of appendicitis is controversial. This prospective interventional study and nested randomized trial analysed the impact of implementing a risk stratification algorithm based on the Appendicitis Inflammatory Response (AIR) score, and compared routine imaging with selective imaging after clinical reassessment.»

Patent Foramen Ovale Closure or Anticoagulation vs. Antiplatelets after Stroke
Mas JL, Derumeaux G, Guillon B, et al. Patent Foramen Ovale Closure or Anticoagulation vs. Antiplatelets after Stroke. N Engl J Med. 2017 Sep 14;377(11):1011-1021. doi: 10.1056/NEJMoa1705915. (Original) PMID: 28902593

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«Trials of patent foramen ovale (PFO) closure to prevent recurrent stroke have been inconclusive. We investigated whether patients with cryptogenic stroke and echocardiographic features representing risk of stroke would benefit from PFO closure or anticoagulation, as compared with antiplatelet therapy.»

Reviews

Systematic Review and Meta-Analysis of Epidural Analgesia Versus Different Analgesic Regimes Following Oesophagogastric Resection
Hughes M, Yim I, Deans DAC, et al. Systematic Review and Meta-Analysis of Epidural Analgesia Versus Different Analgesic Regimes Following Oesophagogastric Resection. World J Surg. 2017 Jul 24. doi: 10.1007/s00268-017-4141-1. (Review) PMID: 28741191

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«Effective analgesia following open oesophagogastric (OG) resection is considered a key determinant of recovery. This review aimed to compare epidural to alternative analgesic techniques in patients undergoing major open resection for OG cancer.»

Pharmacological and mechanical interventions for labour induction in outpatient settings
Vogel JP;Osoti AO;Kelly AJ;Livio S;Norman JE;Alfir. Pharmacological and mechanical interventions for labour induction in outpatient settings. Cochrane Database Syst Rev. 2017 Sep 13;9:CD007701. doi: 10.1002/14651858.CD007701.pub3. (Review) PMID: 28901007

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«Induction of labour is carried out for a variety of indications and using a range of methods. For women at low risk of pregnancy complications, some methods of induction of labour or cervical ripening may be suitable for use in outpatient settings.»