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Hospital Practice (Minneapolis)

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https://www.readbyqxmd.com/read/28990811/evaluation-of-hospitalization-costs-and-associated-factors-among-maternity-stays-involving-low-risk-and-moderate-to-high-risk-childbirths-in-the-united-states
#1
Amy Law, Justin Yu, Wenlong Lin, Richard Lynen, Jay Lin
OBJECTIVES: This study aimed to assess the costs of childbirth and to identify factors associated with such hospital costs for low- and moderate/high-risk childbirth groups. METHODS: All hospitalizations for childbirth between 2010-2014 in the Premier Perspective Hospital Database were identified. Risk category for each birth was defined by the age of the subject and/or presence of specific maternal comorbidities and obstetric risk factors. Hospital childbirth costs were determined and stratified by risk groups...
October 9, 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28952403/burden-and-contributing-factors-associated-with-tricuspid-regurgitation-a-hospital-based-study
#2
Kai-Hang Yiu, Yan Chen, Ju-Hua Liu, Qingshan Lin, Mingya Liu, Min Wu, Run Wang, Zhe Zhen, Yuan Zou, Yui-Ming Lam, Ming-Yen Ng, Chu-Pak Lau, Hung-Fat Tse
OBJECTIVES: Tricuspid regurgitation (TR) is common in patients referred for cardiac assessment. Nonetheless, current estimates of its prevalence and contributing factors are limited. The aim of the present study was to evaluate the prevalence and demographics of TR in patients referred for echocardiography assessment at two University-affiliated hospitals. METHODS: A total of 6711 consecutive Chinese patients were recruited as part of the Chinese Valvular Heart Disease Study (CVATS)...
September 27, 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28944703/hospital-costs-for-patients-with-lower-extremity-cellulitis-a-retrospective-population-based-study
#3
Douglas Challener, Jasmine Marcelin, Sue Visscher, Larry Baddour
OBJECTIVES: Hospital admissions for non-purulent lower extremity cellulitis (NLEC) are common and can be prolonged and costly. Newer treatment options and preventive strategies are expected to result in cost savings before implementation, but few studies have quantified the cost of conventional treatment. METHODS: Using the Rochester Epidemiology Project, the incidence of NLEC in Olmsted County, MN in 2013 was 176.6 per 100,000 persons. The subset of patients who required hospitalization for NLEC in 2013 was determined...
September 27, 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28942686/fibrin-glue-for-local-haemostasis-in-haemophilia-surgery
#4
E Carlos Rodriguez-Merchan
INTRODUCTION: Local fibrin glue (FG) appears to be a useful local haemostatic agent for severe haemorrhage in people with haemophilia (PWH) undergoing surgical procedures. AIM: To evaluate the role of local FG in PWH. METHODS: A review of the literature on the topic has been performed. RESULTS: Local FG is not always necessary to achieve haemostasis in all surgical procedures performed in PWH. However, it could be a good adjunct therapy, primarily when a surgical field will bleed more than expected (e...
September 23, 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28914115/knowledge-attitudes-and-perspective-on-adverse-drug-reaction-reporting-in-a-public-sector-hospital-in-south-africa-baseline-analysis
#5
Antionette Terblanche, Johanna Catharina Meyer, Brian Godman, Robert Stanley Summers
BACKGROUND AND AIMS: Adverse drug reactions (ADRs) can cause significant harm in patients; however, ADRs are under-reported in many countries, including South Africa, where evidence of a pharmacovigilance (PV) system to monitor and manage ADRs is a requirement for compliance with norms and standards for quality healthcare delivery. We conducted an analysis amongst health care professionals (HCPs) at Sebokeng Hospital to assess the situation there. METHODS: Data were collected using a structured self-administered questionnaire, targeting all medical practitioners, nurses, pharmacists and pharmacist assistants in the hospital...
September 15, 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28891374/spontaneous-dissection-of-the-celiac-artery-in-the-young-a-case-report-and-literature-review
#6
Marco Tana, Claudio Tana, Cosima Schiavone, Valerio Verdiani, Carlo Palermo, Massimo Alessandri, Maria Adele Giamberardino, Andrea Montagnani
Introduction The spontaneous isolated celiac artery dissection (siCAD) represents a challenging cause of abdominal pain and complete information regarding incidence, etiology and risk factors in the young is still lacking. In this study, we report a case of siCAD occurred in a young woman and we systematically searched for information on siCADs in literature databases. Methods PubMed/Embase and Cochrane were searched for, using the following terms: Isolated celiac trunk dissection, isolated celiac artery dissection, celiac artery dissection, celiac trunk dissection, spontaneous isolated visceral artery dissection, spontaneous isolated dissection of visceral arteries, isolated celiac artery dissection in the young, isolated celiac trunk dissection in the young...
September 11, 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28862873/increased-qt-dispersion-is-associated-with-reduced-overall-survival-in-patients-with-acute-exacerbations-of-chronic-obstructive-pulmonary-disease
#7
Yanna Lai, Anthony DeNardo, Selvanayagam Niranjan, Krishna B Sriram
OBJECTIVES: Chronic obstructive pulmonary disease (COPD), especially acute exacerbations of COPD, are associated with increased cardiovascular mortality, including sudden cardiac death. Previous studies have reported that ECG abnormalities are common in stable COPD patients. However, the prognostic utility of ECG taken at the time of AECOPD is not known. In this study we sought to address this gap in knowledge pertaining to ECG parameters at time of AECOPD and overall survival. METHODS: We conducted a retrospective cohort study of patients admitted to our institution with a primary diagnosis of AECOPD...
September 1, 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28828886/topiramate-and-metabolic-acidosis-an-evolving-story
#8
Shruti Gupta, Jennifer J Gao, Michael Emmett, Andrew Z Fenves
Topiramate is an anticonvulsant that is being increasingly used for a number of different off-label indications. Its inhibition of carbonic anhydrase isoenzymes can lead to metabolic acidosis, elevated urine pH, reduced urine citrate, and hypercalciuria, thereby creating a milieu that is ripe for calcium phosphate stone formation. In this review, we describe a case of topiramate-induced metabolic acidosis. We review the frequency of metabolic acidosis among children and adults, as well as the mechanism of hyperchloremic metabolic acidosis and renal tubular acidosis in topiramate users...
September 1, 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28835184/physician-failure-to-stratify-patients-hospitalized-with-acute-pulmonary-embolism
#9
Mitchell D Jacobs, Allison Greco, Umer Mukhtar, Jonathan Dunn, Michael L Scharf
OBJECTIVES: In 2011, the AHA recommended risk stratification of patients with acute pulmonary embolism (PE). Failure to risk stratify may cause under recognition of intermediate-risk PE and its attendant short- and long-term consequences. We sought to determine if patients hospitalized with acute PE were appropriately risk stratified according to the 2011 AHA Scientific Statement within our hospital system and whether differences exist in adherence to risk stratification by hospital or treating hospital service...
August 30, 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28799816/raceomose-spinal-cysticercosis
#10
Viroj Wiwanitkit
No abstract text is available yet for this article.
August 21, 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28836877/management-of-hyperglycemia-in-the-neurosurgery-patient
#11
REVIEW
Rene Daniel, Satya Villuri, Kevin Furlong
Hyperglycemia is associated with adverse outcomes in patients who are candidates for or underwent neurosurgical procedures. Specific concerns and settings that relate to these patients are preoperative glycemic control, intraoperative control, management in the neurological intensive care unit (NICU), and postoperative control. In each of these settings, physicians have to ensure appropriate glycemic control to prevent or minimize adverse events. The glycemic control is usually managed by a neurohospitalist in co-management with the neurosurgery team pre- and post-operatively, and by the neurocritical care team in the setting of NICU...
October 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28749248/update-in-perioperative-medicine-practice-changing-evidence-published-in-2016
#12
REVIEW
Dennis W Regan, Deanne Kashiwagi, Brian Dougan, Karna Sundsted, Karen Mauck
This summary reviews 18 key articles published in 2016 which have significant practice implications for the perioperative medical care of surgical patients. Due to the multi-disciplinary nature of the practice of perioperative medicine, important new evidence is published in journals representing a variety of medical and surgical specialties. Keeping current with the evidence that drives best practice in perioperative medicine is therefore challenging. We set out to identify, critically review, and summarize key evidence which has the most potential for practice change...
October 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28707548/geographical-assignment-of-hospitalists-in-an-urban-teaching-hospital-feasibility-and-impact-on-efficiency-and-provider-satisfaction
#13
Christine Bryson, Greta Boynton, Anna Stepczynski, Jane Garb, Reva Kleppel, Farzan Irani, Siva Natanasabapathy, Mihaela S Stefan
OBJECTIVE: To evaluate whether implementation of a geographic model of assigning hospitalists is feasible and sustainable in a large hospitalist program and assess its impact on provider satisfaction, perceived efficiency and patient outcomes. METHODS: Pre (3 months) - post (12 months) intervention study conducted from June 2014 through September 2015 at a tertiary care medical center with a large hospitalist program caring for patients scattered in 4 buildings and 16 floors...
October 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28679348/implementing-enhanced-recovery-pathways-a-literature-review-with-realist-synthesis
#14
REVIEW
Astrid Coxon, Karina Nielsen, Jane Cross, Chris Fox
OBJECTIVES: Enhanced Recovery Pathways (ERPs) are an increasingly popular, evidenced-based approach to surgery, designed to improve patient outcomes and reduce costs. Despite evidence demonstrating the benefits of these pathways, implementation and adherence have been inconsistent. METHODS: Using realist synthesis, this review explored the current literature surrounding the implementation of ERPs in the UK. Knowledge consolidation between authors and consulting with field experts helped to guide the search strategy...
October 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28675708/role-of-long-term-acute-care-in-reducing-hospital-readmission
#15
REVIEW
Jorge F Velazco, Shekhar Ghamande, Salim Surani
Long-term acute care hospitals (LTACs) are health care facilities capable of admitting complex patients with high acuity that are unable to return home after hospitalization in acute care. Its defining characteristic is to accommodate patients for a length of stay greater than 25 days, however, little is known about its role of preventing hospital readmissions. Created in the 1980s, these facilities were designed to help acute care facilities improve their resource management, expenditures, and quality of care...
October 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28657382/a-pilot-study-evaluating-the-prescribing-of-ceftriaxone-in-hospitals-in-ghana-findings-and-implications
#16
Daniel Kwame Afriyie, Seth Kwabena Amponsah, Justice Dogbey, Kwabena Agyekum, Samuel Kesse, Ilse Truter, Johanna C Meyer, Brian Godman
BACKGROUND AND OBJECTIVES: Widespread empiric use of antibiotics exists especially in developing countries. This is a concern since inappropriate use of antibiotics, including their extended inappropriate use, will increase resistance rates. Consequently, there is a need to evaluate antibiotic utilisation across healthcare sectors to improve future use. This includes ceftriaxone, widely used among hospitals including those in Ghana. METHODS: A cross-sectional study to evaluate the appropriateness of ceftriaxone prescribing in a leading hospital in Ghana...
October 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28618844/endovascular-treatment-of-malignant-superior-vena-cava-syndrome-secondary-to-lung-cancer
#17
Laura Calsina Juscafresa, Ignacio Gil Bazo, Lukasz Grochowicz, María Páramo Alfaro, José María López-Picazo González, Marta Moreno Jiménez, Jose Ignacio Bilbao Jaureguizar
OBJECTIVES: Superior Vena Cava obstruction results in severe oedema of the upper thorax. Endovascular treatment allows a rapid restoration of the blood flow with a rapid resolution of symptoms. We retrospectively report a single institution's experience in stent placement for malignant Superior Vena Cava Syndrome (SVCS) caused by lung cancer. METHODS: Thirty-three consecutive patients (23 men, 10 women; median age, 57.6 years; range 34-71 years) who underwent endovascular SVCS palliative treatment were enrolled between August 2002 and June 2015...
August 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28604136/updates-in-venous-thromboembolism-management-evidence-published-in-2016
#18
REVIEW
Matthew Bartlett, Karen F Mauck, Dennis M Bierle, Rayya A Saadiq, Paul R Daniels
The management of venous thromboembolic disease (VTE) is rapidly evolving and staying updated on practice-changing evidence can be challenging. In an attempt to alleviate this daunting task, we sought to determine the most important practice-informing articles published in 2016 relevant to the non-specialist provider managing VTE. We performed a systematic search of the literature, limiting the search to a publication date of 2016 (see Supplementary Appendix). Two reviewers screened the 3819 resulting abstracts to identify high-quality, clinically relevant publications related to VTE management...
August 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28510501/mechanical-ventilation-in-the-acute-respiratory-distress-syndrome
#19
REVIEW
Oleg Epelbaum, Wilbert S Aronow
The management of the acute respiratory distress syndrome (ARDS) patient is fundamental to the field of intensive care medicine, and it presents unique challenges owing to the specialized mechanical ventilation techniques that such patients require. ARDS is a highly lethal disease, and there is compelling evidence that mechanical ventilation itself, if applied in an injurious fashion, can be a contributor to ARDS mortality. Therefore, it is imperative for any clinician central to the care of ARDS patients to understand the fundamental framework that underpins the approach to mechanical ventilation in this special scenario...
August 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28490205/frequency-and-evaluation-of-the-perceptions-towards-caesarean-section-among-pregnant-women-attending-public-hospitals-in-pakistan-and-the-implications
#20
MULTICENTER STUDY
Rabia Ishaq, Nosheen Sikander Baloch, Qaiser Iqbal, Fahad Saleem, Mohamed Azmi Hassali, Javeid Iqbal, Fiaz Ud Din Ahmed, Mohammad Anwar, Sajjad Haider, Brian Godman
OBJECTIVES: There is increasing prevalence of caesarean sections (CS) worldwide; however, there are concerns about their rates in some countries, including potential fears among mothers. Consequently, we aimed to determine the frequency of CS, and explore patient's perception towards CS attending public hospitals in Pakistan, to provide future guidance. METHODS: A two-phased study design (retrospective and cross sectional) was adopted. A retrospective study was conducted to assess the frequency of CS over one year among four public hospitals...
August 2017: Hospital Practice (Minneapolis)
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