Titre : Abcès épidural

Abcès épidural : Questions médicales fréquentes

Termes MeSH sélectionnés :

Randomized Controlled Trials as Topic
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épidural ?\nQuels tests sanguins sont utiles ?\nQuels symptômes indiquent un abcès épidural ?\nL'IRM est-elle toujours nécessaire ?\nPeut-on diagnostiquer sans imagerie ?", "url": "https://questionsmedicales.fr/mesh/D020802?mesh_terms=Randomized+Controlled+Trials+as+Topic&page=3#section-diagnostic" }, { "@type": "MedicalWebPage", "name": "Symptômes", "headline": "Symptômes sur Abcès épidural", "description": "Quels sont les symptômes principaux ?\nLes symptômes varient-ils selon l'âge ?\nY a-t-il des signes neurologiques ?\nComment la douleur se manifeste-t-elle ?\nPeut-on avoir des symptômes sans fièvre ?", "url": "https://questionsmedicales.fr/mesh/D020802?mesh_terms=Randomized+Controlled+Trials+as+Topic&page=3#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Abcès épidural", "description": "Comment prévenir un abcès épidural ?\nLes patients à risque doivent-ils être surveillés ?\nLes soins post-opératoires sont-ils importants ?\nLes vaccinations aident-elles à prévenir ?\nFaut-il éviter certaines activités ?", "url": "https://questionsmedicales.fr/mesh/D020802?mesh_terms=Randomized+Controlled+Trials+as+Topic&page=3#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Abcès épidural", "description": "Quel est le traitement principal ?\nLes antibiotiques sont-ils toujours nécessaires ?\nQuand faut-il envisager une intervention chirurgicale ?\nY a-t-il des traitements non chirurgicaux ?\nCombien de temps dure le traitement ?", "url": "https://questionsmedicales.fr/mesh/D020802?mesh_terms=Randomized+Controlled+Trials+as+Topic&page=3#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Abcès épidural", "description": "Quelles sont les complications possibles ?\nPeut-on avoir des séquelles après traitement ?\nComment la septicémie se développe-t-elle ?\nLes complications sont-elles fréquentes ?\nY a-t-il un risque de récidive ?", "url": "https://questionsmedicales.fr/mesh/D020802?mesh_terms=Randomized+Controlled+Trials+as+Topic&page=3#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Abcès épidural", "description": "Quels sont les principaux facteurs de risque ?\nLes diabétiques sont-ils plus à risque ?\nLe tabagisme influence-t-il le risque ?\nLes personnes âgées sont-elles plus vulnérables ?\nLes antécédents d'abcès augmentent-ils le risque ?", "url": "https://questionsmedicales.fr/mesh/D020802?mesh_terms=Randomized+Controlled+Trials+as+Topic&page=3#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostique-t-on un abcès épidural ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Le diagnostic se fait par IRM ou scanner, en plus des symptômes cliniques." } }, { "@type": "Question", "name": "Quels tests sanguins sont utiles ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Des tests de laboratoire peuvent montrer une élévation des globules blancs et des marqueurs inflammatoires." } }, { "@type": "Question", "name": "Quels symptômes indiquent un abcès épidural ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Douleurs dorsales, fièvre, faiblesse, et parfois des troubles neurologiques." } }, { "@type": "Question", "name": "L'IRM est-elle toujours nécessaire ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "L'IRM est souvent recommandée, mais un scanner peut suffire dans certains cas." } }, { "@type": "Question", "name": "Peut-on diagnostiquer sans imagerie ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Un diagnostic préliminaire peut être fait cliniquement, mais l'imagerie est cruciale." } }, { "@type": "Question", "name": "Quels sont les symptômes principaux ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent douleur intense, fièvre, et parfois des troubles moteurs." } }, { "@type": "Question", "name": "Les symptômes varient-ils selon l'âge ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les symptômes peuvent être plus subtils chez les personnes âgées." } }, { "@type": "Question", "name": "Y a-t-il des signes neurologiques ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des signes comme la faiblesse ou des engourdissements peuvent apparaître." } }, { "@type": "Question", "name": "Comment la douleur se manifeste-t-elle ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "La douleur est souvent localisée dans le dos et peut irradier vers les membres." } }, { "@type": "Question", "name": "Peut-on avoir des symptômes sans fièvre ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Oui, certains patients peuvent ne pas présenter de fièvre malgré un abcès." } }, { "@type": "Question", "name": "Comment prévenir un abcès épidural ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Maintenir une bonne hygiène et traiter rapidement les infections cutanées." } }, { "@type": "Question", "name": "Les patients à risque doivent-ils être surveillés ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les patients immunodéprimés ou ayant des antécédents d'infections doivent être surveillés." } }, { "@type": "Question", "name": "Les soins post-opératoires sont-ils importants ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des soins appropriés après une chirurgie peuvent prévenir les infections." } }, { "@type": "Question", "name": "Les vaccinations aident-elles à prévenir ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Certaines vaccinations peuvent réduire le risque d'infections, mais pas spécifiquement d'abcès." } }, { "@type": "Question", "name": "Faut-il éviter certaines activités ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Éviter les activités à risque qui pourraient entraîner des infections est conseillé." } }, { "@type": "Question", "name": "Quel est le traitement principal ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Le traitement principal est la chirurgie pour drainer l'abcès, souvent suivi d'antibiotiques." } }, { "@type": "Question", "name": "Les antibiotiques sont-ils toujours nécessaires ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les antibiotiques sont essentiels pour traiter l'infection sous-jacente." } }, { "@type": "Question", "name": "Quand faut-il envisager une intervention chirurgicale ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Une intervention chirurgicale est nécessaire si l'abcès provoque des symptômes neurologiques." } }, { "@type": "Question", "name": "Y a-t-il des traitements non chirurgicaux ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Dans certains cas, un traitement médical peut être suffisant, mais c'est rare." } }, { "@type": "Question", "name": "Combien de temps dure le traitement ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "La durée du traitement dépend de la gravité, mais peut durer plusieurs semaines." } }, { "@type": "Question", "name": "Quelles sont les complications possibles ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent des lésions nerveuses, une septicémie, et des douleurs chroniques." } }, { "@type": "Question", "name": "Peut-on avoir des séquelles après traitement ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des séquelles comme des douleurs chroniques ou des déficits neurologiques peuvent survenir." } }, { "@type": "Question", "name": "Comment la septicémie se développe-t-elle ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "La septicémie peut se développer si l'infection se propage dans le sang, nécessitant une attention urgente." } }, { "@type": "Question", "name": "Les complications sont-elles fréquentes ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Les complications sont rares mais peuvent être graves, surtout si le traitement est retardé." } }, { "@type": "Question", "name": "Y a-t-il un risque de récidive ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le risque de récidive existe, surtout si les facteurs de risque ne sont pas gérés." } }, { "@type": "Question", "name": "Quels sont les principaux facteurs de risque ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les facteurs incluent l'immunodépression, les infections cutanées, et les antécédents chirurgicaux." } }, { "@type": "Question", "name": "Les diabétiques sont-ils plus à risque ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les patients diabétiques ont un risque accru d'infections et d'abcès épiduraux." } }, { "@type": "Question", "name": "Le tabagisme influence-t-il le risque ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le tabagisme peut affaiblir le système immunitaire et augmenter le risque d'infections." } }, { "@type": "Question", "name": "Les personnes âgées sont-elles plus vulnérables ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les personnes âgées sont plus susceptibles en raison d'un système immunitaire affaibli." } }, { "@type": "Question", "name": "Les antécédents d'abcès augmentent-ils le risque ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Oui, avoir des antécédents d'abcès épiduraux augmente le risque de récidive." } } ] } ] }

Sources (10000 au total)

PGT-A: The biology and hidden failures of randomized control trials.

Preimplantation Genetic Testing - Aneuploidy (PGT-A) for embryo selection has undergone significant advancements in the last 2 decades and yet many studies still fail to demonstrate any clinical benef... All suitable blastocysts were biopsied and analyzed for chromosome copy number. Outcomes (positive beta hCG, implantation, ongoing pregnancy, and live birth rates) for Eu-S were compared to Mo-S using... Compared to Eu-S embryos, Mo-S embryos resulted in significant reduction of outcomes for positive beta hCG (p = 0.0005), implantation (p = 0.0008), ongoing pregnancy (p = 0.0046), livebirth (p = 0.011... Embryo chromosome status is central to improved embryo transfer outcomes and sole reliance on current morphology-based selection practices, without Eu-S, will always compromise outcomes. Often overloo...

Statistical Power of Randomized Controlled Trials in Trauma Surgery.

Our purpose was to conduct a bibliometric study investigating the prevalence of underpowered randomized controlled trials (RCTs) in trauma surgery.... A medical librarian conducted a search of RCTs in trauma published from 2000 to 2021. Data extracted included study type, sample size calculation, and power analyses. Post hoc calculations were perfor... In total 187 RCTs from multiple continents and 60 journals were examined. A total of 133 (71%) were found to have "positive" findings consistent with their hypothesis. When evaluating their methods, 5... A concerningly large proportion of recently published RCTs in trauma surgery do not report a priori sample size calculations, do not meet enrollment targets, and are not adequately powered to detect e...

Assessing transparency practices in dental randomized controlled trials.

To evaluate transparency practices in randomized controlled trials (RCTs) in dentistry.... This meta-research study included RCTs in dentistry regardless of topic, methods, or level of detail reported. Only studies in English were considered. We searched PubMed for RCTs in dentistry publish... A total of 844 RCTs were included. Only 12.86% of studies reported any information about data and code sharing. Protocol registration was reported for 50.36% of RCTs. Conflict of interest (83.41%) and... Considering the importance of RCTs for evidence-based dentistry, it is crucial that everyone who participates in the scientific production and dissemination process actively and consistently promotes ...

The Fragility Index of randomized controlled trials in pediatric anesthesiology.

The P value is a widely used measure of statistical importance but has many drawbacks and limitations, one being that it does not reflect the robustness of the results of a clinical trial. The Fragili... We conducted a comprehensive systematic search of high-impact anesthesia, surgical, and medical journals from the last 25 years for trials comparing an intervention between two groups with a statistic... The median [interquartile range] FI was 3 [1-7] and correlated positively with the number of participants (r... The FI of published trials in pediatric anesthesiology is similarly low as in other medical specialties. Larger trials with more events and P values ≤ 0.01 were associated with a higher FI....

Reproducing Statistics Performed in Published Randomized Controlled Trials.

Randomized controlled trials (RCT) represent evidence at the lowest potential risk for bias. Clinicians in all specialties depend upon RCTs to guide patient care. Issues such as statistical discordanc... PubMed was searched using "randomized controlled trial." Studies were selected using a random number generator. Studies were included if the primary outcome could be reproduced using the data and stat... Overall, 572 RCTs were selected involving six specialties. Of these, 45% were positive (p<0.05) studies. Eleven (2%) published results that differed from the reproduction analysis and crossed the p=0.... Less than 5% of published RCTs reported a discordant p-value that crossed the "p=0.05" threshold. Although the occurrence is uncommon, the existence of even one RCT publishing nonreproducible results ...