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ASA classification

F Zhang, S D Zhang, C L Xiao, Y Huang, L L Ma
OBJECTIVE: To assess the perioperative outcome, continence recovery and oncologic outcome of Chinese patients aged 80 years or older treated with radical prostatectomy for prostate cancer. METHODS: We retrospectively evaluated the octogenarian patients who recieved biopsy for prostatic carcinoma and underwent laparoscopic radical prostatectomy from 2007 to 2016. We collected the data of clinical variables, perioperative parameters and postoperative pathological results for the octogenarian patients...
October 18, 2018: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
Pedro Godinho, Lúcia Gonçalves, Paulo Muendane, Maria Dos Anjos Dixe, Elisabete Valente
Aim The American Society of Anesthesiologists scale is used worldwide for the assessment of the physical status of patients proposed for anaesthesia interventions. This study aims to assess the level of agreement of the last updated American Society of Anesthesiologists classification version, with the introduction of examples for each class, and search for variables that could promote inconsistency. Methods An online questionnaire was sent to anaesthesiology specialists and residents in Portugal, describing 10 fictitious clinical cases...
October 18, 2018: Journal of Perioperative Practice
Fatih Yanaral, Faruk Ozgor, Onur Kucuktopcu, Omer Sarilar, Ali Ayranci, Metin Savun, Bahar Yuksel, Murat Binbay
PURPOSE: To evaluate the efficacy and safety of flexible ureterorenoscopy (f-URS) and mini percutaneous nephrolithotomy (mini-perc) in the management of 10-30 millimeter multiple renal stones. MATERIALS AND METHODS: The charts of patients who underwent f-URS or mini-perc for multiple kidney stones between January 2011 and July 2015 were retrospectively analyzed. Patients with multiple 10-30-mm-sized renal stones were enrolled in the study. A total of 374 patients underwent mini-perc and 85 patients met the study inclusion criteria...
October 18, 2018: Urology Journal
Sophia Y Chen, Miloslawa Stem, Marcelo Cerullo, Joseph K Canner, Susan L Gearhart, Bashar Safar, Sandy H Fang, Jonathan E Efron
BACKGROUND: All-cause readmission rates in patients undergoing ileostomy formation are as high as 20% to 30%. Dehydration is a leading cause. No predictive model for dehydration readmission has been described. OBJECTIVE: The purpose of this study was to develop and validate the Dehydration Readmission After Ileostomy Prediction scoring system to predict the risk of readmission for dehydration after ileostomy formation. DESIGN: Patients who underwent ileostomy formation were identified using the American College of Surgeons National Surgical Quality Improvement Program data set (2012-2015)...
October 9, 2018: Diseases of the Colon and Rectum
Juergen Braun, Xenofon Baraliakos, Bjoern Buehring, Uta Kiltz, Martin Fruth
Axial spondyloarthritis (axSpA) is a chronic rheumatic disease characterised by inflammatory back pain and several other disease manifestations and comorbidities. The 2009 ASAS classification criteria differentiate between the classical ankylosing spondylitis or radiographic axSpA and non-radiographic axSpA based on the presence or absence of definite radiographic changes in the sacroiliac joints. Importantly, back pain in patients with axSpA may well have reasons other than axial inflammation or new bone formation...
September 2018: Clinical and Experimental Rheumatology
Solomon L Woldu, Oner Sanli, Timothy N Clinton, Yair Lotan
BACKGROUND: An assessment of surgical risk is essential for patient counseling and decision making, and it can provide rationale adjustment for patient populations as health care moves from a fee-for-service to a value-based reimbursement model. The modified Frailty Index (mFI) has been proposed as a risk-stratification tool for radical cystectomy (RC), and the objective of the current study was to validate this potential use of the mFI using an institutional cohort. METHODS: A retrospective review of all patients who underwent RC for bladder cancer was conducted at the authors' institution from 2012 to 2016...
October 6, 2018: Cancer
Scott G Erpelding, Adam Dugan, Sudhir Isharwal, Stephen Strup, Andrew James, Shubham Gupta
INTRODUCTION: We sought to elucidate outcomes and risks associated with cystectomy and urinary diversion for benign urological conditions compared to malignant conditions. MATERIALS AND METHODS: We identified patients who underwent cystectomy and urinary diversion for benign and malignant diseases through the American College of Surgeons National Surgery Quality Improvement Program database for the period 2007-2015. Patients were selected for inclusion based upon their current procedure terminology and International Classification of Disease, Ninth revision codes...
October 2018: Canadian Journal of Urology
Anne Marie Nyholm, Henrik Palm, Håkon Sandholdt, Anders Troelsen, Kirill Gromov
BACKGROUND: The purpose of this study was to estimate the incidence of reoperation and the effect of implant position on the risk of reoperation within 12 months following osteosynthesis with use of parallel implants for femoral neck fractures. METHODS: From cases registered in the Danish Fracture Database, 1,206 consecutive surgeries for a primary femoral neck fracture treated with use of parallel implants during the period of December 2011 to November 2015, and having available radiographs and follow-up data, were reviewed...
October 3, 2018: Journal of Bone and Joint Surgery. American Volume
Magnus H Jonsson, Ami Hommel, Aleksandra Turkiewicz, Ulf Ekelund, Olle Melander, Martin Englund, Peter Bentzer
Hip fractures in elderly carry a high mortality. Our objective was to test the hypothesis that plasma lactate concentration at hospital admission can be used to identify patients with a high risk for poor outcome. Hip fracture patients admitted to a university hospital in Sweden from January 2011 to August 2014 in whom a venous lactate was obtained at admission were included in this prospective observational study. Primary outcome measure was 30-d mortality and secondary outcome measure was a composite outcome of 30-d mortality and postoperative complications...
October 1, 2018: Scandinavian Journal of Clinical and Laboratory Investigation
Ryan P McLynn, Nathaniel T Ondeck, Jonathan N Grauer, Dieter M Lindskog
BACKGROUND: Prophylactic surgical treatment of the femur is commonly offered to patients with metastatic disease who have a high risk of impending pathologic fracture. Prophylactic fixation is associated with improved functional outcomes in appropriate patients selected based on established criteria, but the perioperative complication profile has received little attention. Given the substantial comorbidity in this population, it is important to characterize surgical risks for surgeons and patients to improve treatment decisions...
September 20, 2018: Clinical Orthopaedics and related Research
Masano Sagawa, Kazuhiko Yoshimatsu, Hajime Yokomizo, Yuki Yano, Sachiyo Okayama, Yasufumi Yamada, Takebumi Usui, Kentaro Yamaguchi, Shunichi Shiozawa, Takeshi Shimakawa, Takao Katsube, Hiroyuki Kato, Yoshihiko Naritaka
OBJECTIVE: We evaluated the preoperative patient status including nutrition, immunity, and inflammation as a predictive factor of remote infection (RI) in colorectal cancer surgery. SUBJECTS AND METHODS: A total of 351 patients who underwent colorectal cancer resection were retrospectively analyzed. Factors correlated with RI incidence were identified by logistic analysis and stepwise selection. RESULTS: RI occurred in 27 patients, with an incidence of 7...
2018: Journal of Nippon Medical School, Nippon Ika Daigaku Zasshi
Diana L Cousminer, Emma Ahlqvist, Rajashree Mishra, Mette K Andersen, Alessandra Chesi, Mohammad I Hawa, Asa Davis, Kenyaita M Hodge, Jonathan P Bradfield, Kaixin Zhou, Vanessa C Guy, Mikael Åkerlund, Mette Wod, Lars G Fritsche, Henrik Vestergaard, James Snyder, Kurt Højlund, Allan Linneberg, Annemari Käräjämäki, Ivan Brandslund, Cecilia E Kim, Daniel Witte, Elin Pettersen Sørgjerd, David J Brillon, Oluf Pedersen, Henning Beck-Nielsen, Niels Grarup, Richard E Pratley, Michael R Rickels, Adrian Vella, Fernando Ovalle, Olle Melander, Ronald I Harris, Stephen Varvel, Valdemar E R Grill, Hakon Hakonarson, Philippe Froguel, John T Lonsdale, Didac Mauricio, Nanette C Schloot, Kamlesh Khunti, Carla J Greenbaum, Bjørn Olav Åsvold, Knud B Yderstræde, Ewan R Pearson, Stanley Schwartz, Benjamin F Voight, Torben Hansen, Tiinamaija Tuomi, Bernhard O Boehm, Leif Groop, R David Leslie, Struan F A Grant
OBJECTIVE: Latent autoimmune diabetes in adults (LADA) shares clinical features with both type 1 and type 2 diabetes; however, there is ongoing debate regarding the precise definition of LADA. Understanding its genetic basis is one potential strategy to gain insight into appropriate classification of this diabetes subtype. RESEARCH DESIGN AND METHODS: We performed the first genome-wide association study of LADA in case subjects of European ancestry versus population control subjects ( n = 2,634 vs...
September 25, 2018: Diabetes Care
Andrew Bennett, Hsin Li, Aakash Patel, Kevin Kang, Piyush Gupta, Jack Choueka, Dennis E Feierman
Introduction: Hip fractures are common in elderly patients. However, this population frequently presents with significant medical comorbidities requiring extensive medical optimization. Methods: This study sought to elucidate optimal time to surgery and evaluate its effect on postoperative morbidity, mortality, and length of stay (LOS). We performed a retrospective analysis of data collected from 2008 to 2010 on 841 patients who underwent hip fracture surgery. Patients were classified based on time to surgery and were also classified and analyzed according to the American Society of Anesthesiologists (ASA) physical classification system...
2018: Geriatric Orthopaedic Surgery & Rehabilitation
Wei-Jun Guo, Ji-Qi Wang, Wei-Jiang Zhang, Wei-Kang Wang, Ding Xu, Peng Luo
Purpose: Several authors have reported the degree of total blood loss (TBL) following hemiarthroplasty for displaced femoral neck fracture; however, the research specifically investigating on hidden blood loss (HBL) after hip hemiarthroplasty is still lacking. The purpose of this study is to evaluate the HBL in patients who underwent hip hemiarthroplasty for displaced femoral neck fractures and to analyze its risk factors. Patients and methods: From January 2015 to December 2016, 212 patients (57 males and 155 females) with displaced femoral neck fracture undergoing hip hemiarthroplasty were included in this study...
2018: Clinical Interventions in Aging
N Eugene, C M Oliver, M G Bassett, T E Poulton, A Kuryba, C Johnston, I D Anderson, S R Moonesinghe, M P Grocott, D M Murray, D A Cromwell, K Walker
BACKGROUND: Among patients undergoing emergency laparotomy, 30-day postoperative mortality is around 10-15%. The risk of death among these patients, however, varies greatly because of their clinical characteristics. We developed a risk prediction model for 30-day postoperative mortality to enable better comparison of outcomes between hospitals. METHODS: We analysed data from the National Emergency Laparotomy Audit (NELA) on patients having an emergency laparotomy between December 2013 and November 2015...
October 2018: British Journal of Anaesthesia
Karine Portier, Keila Kazue Ida
Background: The effectiveness of the American Society of Anesthesiologists (ASA) Physical Status (PS) classification to identify the animals at a greater risk of anesthesia-related death and complications is controversial. In this systematic review, we aimed to analyze studies associating the ASA PS scores with the outcome of anesthesia and to verify whether there was any evidence for recommending the use of the ASA PS in veterinary patients. Methods: Research articles found through a systematic literature search were assessed for eligibility, and data were extracted and analyzed using random-effects analysis...
2018: Frontiers in Veterinary Science
Mihai D Vartolomei, Victor Matei Deliu, Giuseppe Renne, Valeria M Tringali, Nicolae Crișan, Gennaro Musi, Francesco A Mistretta, Andrea Russo, Andrea Conti, Gabriele Cozzi, Stefano Luzzago, Michele Catellani, Antonio Cioffi, Giovanni Cordima, Roberto Bianchi, Ettore Di Trapani, Alessandro Serino, Maurizio Delor, Raffaele Bianco, Danilo Bottero, Matteo Ferro, Ottavio De Cobelli
BACKGROUND: The aim of this study was to assess the long-term oncologic and functional outcomes in elderly patients having undergone robot-assisted partial nephrectomy (RAPN) for renal cancer (RC). METHODS: Sixty one patients out of 323 who underwent RAPN for localized RC between July 2009 and March 2016 in our high volume robotic surgery center (>800 procedures/year), had 70 years or more. Inclusion criteria of the study were age ≥70 years; pathological confirmed RCC and ASA score ≤3...
September 19, 2018: Minerva Urologica e Nefrologica, the Italian Journal of Urology and Nephrology
Nathan Belkin, Benjamin M Jackson, Paul J Foley, Scott M Damrauer, Venkat Kalapatapu, Michael A Golden, Ronald M Fairman, Rachel R Kelz, Grace J Wang
BACKGROUND: Length of stay (LOS) is a commonly used metric to optimize value in medical care. While pathways have been developed for some procedures in vascular surgery to reduce length of stay (LOS), they do not yet exist for TEVAR. The purpose of this study is to identify and define the risk factors for prolonged LOS in patients undergoing TEVAR to facilitate pathway development. METHODS: We included TEVAR patients in the National Surgical Quality Improvement Program (ACS-NSQIP) database from 2005-2015...
September 11, 2018: Annals of Vascular Surgery
Savino Occhionorelli, Dario Andreotti, Pierpaola Vallese, Lucia Morganti, Domenico Lacavalla, Elena Forini, Giovanni Pascale
BACKGROUND: Lymph node involvement is one of the most important prognostic factors in colon cancer. Twelve is considered the minimum number of lymph nodes necessary to retain reliable tumour staging, but several factors can potentially influence the lymph node harvesting. Emergent surgery for complicated colon cancer (perforation, occlusion, bleeding) could represent an obstacle to reach the benchmark of 12 nodes with an accurate lymphadenectomy. So, an efficient classification system of lymphatic involvement is crucial to define the prognosis, the indication to adjuvant therapy and the follow-up...
September 13, 2018: World Journal of Surgical Oncology
Xia Zheng, Zhiquan Lv, Kaiyu Yin, Mingqing Peng
Objective: To investigate the effect of epidural anesthesia combined with inhalation or intravenous anesthesia on intrapulmonary shunt and oxygenation in patients undergoing long term single lung ventilation. Methods: Eighty patients, aged 35-75, American Society of Anesthesiology (ASA) classification of I-III, undergoing thoracic surgery with one lung ventilation more than three hour, were randomly divided into propofol group (group Pro), propofol combined with epidural anesthesia group (group Pro+Epi), isoflurane group (group Iso) and isoflurane combined with epidural anesthesia group (group Iso+ Epi), 20 patients in each group...
July 2018: Pakistan Journal of Medical Sciences Quarterly
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