Comparison of Walking Quality Variables between End-Stage Osteonecrosis of Femoral Head Patients and Healthy Subjects by a Footscan Plantar Pressure System

Association Between Systemic Immune-Inflammation Index and Stress Urinary Incontinence in Adult Women: A Population-Based Study

Background

Systemic immune-inflammation index (SII) is a novel inflammatory marker, and inflammation may contribute significantly to the aetiology of stress urinary incontinence (SUI), in addition to recognized factors. This study aims to explore the association between SII and SUI in women.

Methods

Adult participants from the 2007-2018 NHANES were included. Weighted multivariate logistic regression and subgroup analysis were conducted to determine the relationship between SII and SUI. The non-linear relationship between SII and SUI risk was evaluated using restricted cubic splines (RCS), and the inflection point was determined by two-piecewise logistic regression.

Results

A total of 10,776 women were included, of whom 4407 (40.9%) had SUI. After adjusting for all confounders, a significant positive association between SII and SUI risk was observed (OR: 1.09; 95% CI: 1.01-1.19, P = 0.021); Moreover, when compared with the women in the lowest SII tertile, those in the highest SII tertile had a 15% increased risk of SUI (OR: 1.15; 95% CI: 1.00-1.31, P = 0.049). Subgroup analysis showed that there were consistent relationships between SII and SUI across most subgroups. A non-linear relationship between log2SII and SUI was observed by RCS analysis. Furthermore, the two-piecewise logistic regression demonstrated that the odds of being SUI increased with the SII level, and this rising trend gradually slowed down after passing the inflection point of 8.64.

Conclusion

Our findings suggest an association between elevated SII levels and an increased likelihood of SUI in women. Further well-designed prospective studies are needed to substantiate our results.

Comparison of outcomes after total hip arthroplasty between patients with osteonecrosis of the femoral head in Association Research Circulation Osseous stage III and stage IV: a five-year follow-up study

BACKGROUND

No large cohort study has evaluated the surgical outcomes of THA between different stages of ONFH patients. This study aimed to compare the surgical outcomes of ONFH patients who underwent THA in ARCO stage III versus IV, in terms of operative parameters, one-year hip function assessments and postoperative at least five-year complications, to inform optimized management of ONFH.

METHOD

From our prospectively collected database, 876 patients undergoing THA between October 2014 and April 2017 were analyzed and divided into ARCO stage III group (n = 383) and ARCO stage IV group(n = 493). Details of demographics, medical record information, adverse events and clinical scores of both groups were collected and compared. Proper univariate analysis was used for the analysis.

RESULT

There were no statistically significant differences in baseline characteristics between the two groups. Compared to ARCO stage IV patients, ARCO stage III patients showed a shorter operative time (p < 0.01), less bleeding (p < 0.01), fewer one-year readmissions (p = 0.026) and complications (p = 0.040), and significantly higher HHS (p < 0.01) one year after THA. In addition, ARCO stage IV patients seem more likely to suffer prosthesis dislocation (p = 0.031).

CONCLUSION

Although ARCO stage IV patients in the study cohorts appeared to suffer more one-year complications, no significant difference was observed at long-term follow-up. Enhanced clinical guidance on preventing early prosthesis dislocation may help improve the prognosis of final-stage ONFH patients.