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long-term hospitalization

Revital Kariv, Dan Turner, Joseph Rosenblum, Vered Morad, Nir Zigman, Mira Friedman, Gili Focht, Oren Leder, Malka Avitzour, Iris Goren
INTRODUCTION: Inflammatory bowel diseases (IBD) are becoming a significant cause for chronic long term complex morbidity, particularly among adolescents and young adults. IBD patients require multidisciplinary management and considerable health resources. Recent advances and developments in the diagnostics and therapeutic options require identification and tight monitoring of these patients at both hospital and community level for better management and care. AIMS: To establish at Maccabi Healthcare Services (MHS) a dedicated registry for inflammatory bowel disease patients for long term monitoring in order to optimize care, better use of health resources and to promote high quality research...
October 2018: Harefuah
G Vicenti, L Moretti, M Carrozzo, V Pesce, G Solarino, B Moretti
BACKGROUND: Despite arthroscopic repair of the rotator cuff is an increasingly popular procedure, the mini-open (MO) repair still remains a viable and appreciated technique. The purpose of the study was to analyze the long-term clinical outcomes of patients with isolated supraspinatus tear undergoing MO or arthroscopic surgery (AS) repair. PATIENTS AND METHODS: Forty-six patients underwent supraspinatus repair with anchors: 24 with MO technique and 22 with AS procedure...
October 2018: Musculoskeletal Surgery
Justin Godown, Cary Thurm, Matt Hall, Debra A Dodd, Brian Feingold, Jonathan H Soslow, Bret A Mettler, Andrew H Smith, David W Bearl, Kurt R Schumacher
There are limited published data addressing the costs associated with pediatric heart transplantation and no studies evaluating the variation in costs across centers. We aimed to describe center variation in pediatric heart transplant costs and assess the association of transplant hospitalization costs with patient outcomes. Using a linkage between the Pediatric Health Information System and Scientific Registry of Transplant Recipients databases, hospital costs were assessed for patients (< 18 years of age) undergoing heart transplantation (2007-2016)...
October 20, 2018: Pediatric Cardiology
Alexander C Egbe, William R Miranda, Sameh M Said, Sorin V Pislaru, Patricia A Pellikka, Barry A Borlaug, Srikanth Kothapalli, Heidi M Connolly
BACKGROUND: To determine if RV volume was predictive of survival and cardiovascular adverse event (CAE) after pulmonary valve replacement (PVR). METHODS: We reviewed the MACHD (Mayo Adult Congenital Heart Disease) database for patients with tetralogy of Fallot (TOF) undergoing PVR, 2000-2015. The patients were divided into quartiles based on RV end-diastolic volume index (RVEDVI); those in the lowest quartile (Group A, n = 46) and the top quartile (Group B, n = 42) were selected as the study cohort...
September 29, 2018: American Heart Journal
Harun Kundi, Jordan B Strom, Linda R Valsdottir, Sammy Elmariah, Jeffrey J Popma, Changyu Shen, Robert W Yeh
OBJECTIVES: This study sought to evaluate the trends in isolated surgical aortic valve replacement (SAVR) procedures across hospitals with different transcatheter aortic valve replacement (TAVR) volumes among Medicare beneficiaries. BACKGROUND: The volume of TAVR has increased in the United States since its approval, now exceeding that of isolated SAVR. METHODS: Hospitalizations of adults (≥18 years) with International Classification of Diseases, Ninth Revision, Clinical Modification procedure codes for SAVR (35...
October 12, 2018: JACC. Cardiovascular Interventions
Ester Marco, Dolores Sánchez-Rodríguez, Vanesa N Dávalos-Yerovi, Xavier Duran, Eva M Pascual, Josep M Muniesa, Diego A Rodríguez, Ana Aguilera-Zubizarreta, Ferran Escalada, Esther Duarte
BACKGROUND: Nutritional disorders are frequent in patients with chronic pulmonary obstructive disease (COPD) and have negative health impacts. This study aimed to explore the value of the European Society of Clinical Nutrition and Metabolism (ESPEN) definition of malnutrition (and/or its individual components) to predict hospitalizations and mortality at 2 years, and to determine the prevalence of malnutrition in COPD patients referred to pulmonary rehabilitation. METHODS: The study was a prospective analysis of 118 patients with COPD free of exacerbations and/or hospital admissions in the previous two months...
September 28, 2018: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
Seong-Ho Choi, Eun Been Cho, Jin-Won Chung, Mi-Kyung Lee
BACKGROUND: In the past decade, carbapenem-resistant Acinetobacter baumannii (CRAB) has emerged as a major pathogen of serious infections in critically ill adult patients. Despite very limited antimicrobial options, clinicians have sought to reduce the mortality of patients with serious CRAB infections. To determine whether these long-term efforts effectively lessened the mortality of such patients, we investigated changes in the early mortality of adult patients with CRAB bacteremia and related clinical factors...
October 18, 2018: Journal of Infection and Chemotherapy: Official Journal of the Japan Society of Chemotherapy
Sinan Ates, Mahmut Alp Karahan, Nuray Altay, Kazim Akelci, Nagehan Ikiz, Bulent Guzel, Mandeley Wilhelmina Ozer, Haci Durmus Yilmaz
OBJECTIVE: Scorpion stings remain a serious health problem in many parts of the world. There is very limited information regarding the effects of therapies delivered for scorpion stings in pregnant women on the mother and fetus. They can cause acute conditions such as fetal loss, preterm delivery, or placental abnormalities and can also result in other conditions that may have an effect on the baby in the long term. MATERIALS AND METHODS: In this study the medical records of 24 pregnant women who were admitted to the emergency room at Suruç State Hospital due to scorpion stings between January 1, 2013 and January 1, 2014 were retrospectively reviewed...
October 2018: Taiwanese Journal of Obstetrics & Gynecology
Fuxi Song, Chunmiao Ye, Feng Qi, Ping Zhang, Xuexiang Wang, Yanfeng Lü, Alejandro Fernandez-Escobar, Chao Zheng, Liang Li
BACKGROUND: Postoperative pain is one of the most common symptoms after surgery, which brings physical discomfort to patients. In addition, it may cause a series of complications, and even affect the long-term quality of life. The purpose of this prospective, randomized, double-blinded, controlled trial is to investigate the efficacy and safety of dexmedetomidine combined with sufentanil to attenuate postoperative pain in patients after laparoscopic nephrectomy. METHODS: Ninety patients undergoing laparoscopic nephrectomy were randomized into three groups: the control (sufentanil 0...
October 20, 2018: BMC Anesthesiology
Lars Kihlström Burenstam Linder, Ulrik Birgersson, Kalle Lundgren, Christopher Illies, Thomas Engstrand
BACKGROUND: Reconstruction of complex cranial defects is challenging and associated with a high complication rate. The development of a patient specific, titanium reinforced, calcium phosphate based (CaP-Ti) implant with bone regenerative properties has previously been described in two case studies with the hypothesis that the implant may improve clinical outcome. OBJECTIVE: To identify whether the introduction of CaP-Ti implant has the potential to improve clinical outcome...
October 17, 2018: World Neurosurgery
Jiuhong Li, Si Zhang, Qiguang Wang, Jian Cheng, Xueyun Deng, Yanchao Wang, Xuhui Hui
BACKGROUND: Clear cell meningioma (CCM) is a rare histologic subtype of meningioma, and the features of CCMs are commonly based on the intracranial cases. However, CCMs in spinal cord are even rarer, and the natural history, management and prognosis of them remain ill defined. METHODS: From January 2006 to January 2018, twelve patients with spinal CCM were treated in our hospital. The clinical features, radiologic findings, diagnosis, treatment, and outcome of these patients were analyzed retrospectively...
October 17, 2018: World Neurosurgery
Xavier Untereiner, Audrey Cagniet, Riccardo Memeo, Zineb Cherkaoui, Tullio Piardi, François Severac, Didier Mutter, Reza Kianmanesh, Taiga Wakabayashi, Daniele Sommacale, Patrick Pessaux
OBJECTIVES: The aim of this study was to compare the results between laparoscopic hepatectomy and open hepatectomy in two French university hospitals, for the management of hepatocellular carcinoma (HCC) using a propensity score matching. MATERIALS AND METHODS: A patient in the laparoscopic surgery group (LA) was randomly matched with another patient in the open approach group (OA) using a 1:1 allocated ratio with the nearest estimated propensity score. Matching criteria included age, presence of comorbidities, American Society of Anesthesiologists score, and resection type (major or minor)...
October 19, 2018: World Journal of Surgery
Ana Kowark, Christian Adam, Jörg Ahrens, Malek Bajbouj, Cornelius Bollheimer, Matthias Borowski, Richard Dodel, Michael Dolch, Thomas Hachenberg, Dietrich Henzler, Frank Hildebrand, Ralf-Dieter Hilgers, Andreas Hoeft, Susanne Isfort, Peter Kienbaum, Mathias Knobe, Pascal Knuefermann, Peter Kranke, Rita Laufenberg-Feldmann, Carla Nau, Mark D Neuman, Cynthia Olotu, Christopher Rex, Rolf Rossaint, Robert D Sanders, Rene Schmidt, Frank Schneider, Hartmut Siebert, Max Skorning, Claudia Spies, Oliver Vicent, Frank Wappler, Dieter Christian Wirtz, Maria Wittmann, Kai Zacharowski, Alexander Zarbock, Mark Coburn
INTRODUCTION: Hip fracture surgery is associated with high in-hospital and 30-day mortality rates and serious adverse patient outcomes. Evidence from randomised controlled trials regarding effectiveness of spinal versus general anaesthesia on patient-centred outcomes after hip fracture surgery is sparse. METHODS AND ANALYSIS: The iHOPE study is a pragmatic national, multicentre, randomised controlled, open-label clinical trial with a two-arm parallel group design...
October 18, 2018: BMJ Open
Zeyuan Fan, Yang Li, Hanhua Ji, Xinwen Jian
OBJECTIVES: This study aimed to evaluate prognostic value of the combination of monocyte-to-lymphocyte ratio (MLR) with neutrophil-to-lymphocyte ratio (NLR) for predicting long-term major adverse cardiac events (MACE) in patients with non-ST elevated myocardial infarction (NSTEMI) who underwent primary percutaneous coronary intervention (PCI). DESIGN: Retrospective cohort study. SETTING: Civil Aviation General Hospital, Beijing, China. PARTICIPANTS: 678 patients with NSTEMI undergoing primary PCI between July 2010 and July 2015 were enrolled...
October 18, 2018: BMJ Open
Mohammed Yousufuddin, Nathan Young, Jessica Shultz, Taylor Doyle, Karen M Fuerstenberg, Kelsey Jensen, Kogulavadanan Arumaithurai, Mohammad H Murad
BACKGROUND: We examined predictors of recurrent hospitalizations and the importance of these hospitalizations for subsequent mortality after incident transient ischemic attacks (TIA) that have not yet been investigated. METHODS: Adults hospitalized for TIA from 2000 through 2017 were examined for recurrent hospitalizations, days, and percentage of time spent hospitalized and long-term mortality. RESULTS: Of 266 patients hospitalized for TIA, 122 died, 212 had 826 anycondition hospitalization (59 from TIA-related conditions) corresponding to 3384 inpatient days during 1693 person-years of follow-up...
October 16, 2018: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
S Thukral, A Mazumdar, D S Ray
INTRODUCTION: As there is a paucity of literature regarding the long-term outcomes of complex living donors, we conducted this study to assess the effect of kidney donation on the complex living kidney donor. MATERIALS AND METHODS: This retrospective study was conducted in Narayan Health Hospital, Kolkata, Eastern India. The cohort consisted of complex living kidney donors who donated kidneys between the years 2007 and 2012. All donors were 60 years old or older, or were younger than 60 years and had comorbidities like hypertension and obesity...
June 27, 2018: Transplantation Proceedings
Sarah Lund, David Farley
BACKGROUND: Few studies have evaluated surgical outcomes in long-term follow-up for patients undergoing Laparoscopic Ventral Hernia Repair (LVHR). METHODS: A retrospective review of long-term follow-up of LVHR patients (2002-2005) at a single institution. RESULTS: Sixty-three patients (37 males; mean age = 63, mean BMI = 33, 41% for recurrence) underwent LVHR. Mean operative time was 164 min. Mean hospital stay was 3.7 days. Short- and long-term complications occurred in 19% and 44% of patients, respectively...
October 12, 2018: American Journal of Surgery
Xiaodong Guan, Huajie Hu, Chunxia Man, Luwen Shi
BACKGROUND: Essential medicines are those drugs that satisfy the priority health care needs of the population and help with functioning healthcare systems. Although many countries have formulated an essential medicine list, almost half of the global population still lack regular access to essential medicines. Research about the initiation of National Essential Medicines Policy in Chinese secondary and tertiary hospitals is inadequate, and the long-term effect on access after the reform is still unknown...
October 19, 2018: International Journal for Equity in Health
Jong Hwa Shin, Eun Yeon Joo, Dae-Won Seo, Young-Min Shon, Seung Bong Hong, Seung-Chyul Hong
OBJECTIVES: To investigate the long-term postoperative outcomes and predictive factors associated with poor surgical outcomes in mesial temporal lobe epilepsy (MTLE). MATERIALS AND METHODS: We enrolled patients with MTLE who underwent resective surgery at single university-affiliated hospital. Surgical outcomes were determined using a modified Engel classification at the 2nd and 5th years after surgery and the last time of follow-up. RESULTS: The mean duration of follow-up after surgery was 7...
2018: PloS One
Jose L Lepe-Zuniga, Virginia Ramirez-Nova
Childhood Lymphoblastic leukemia's (ALL) early mortality (EM) is an undesirable treatment outcome for a disease for which >90% long term success is achievable. In the Western world EM constitutes no >3%; yet, in Chiapas, Mexico, remains around 15%. With the objective of improving on EM, we determined associated elements in 28 ALL who died within 60 days of arriving at Hospital de Especialidades Pediátricas in Chiapas (HEP), by comparing them to those in 84 controls who lived beyond the first 90 days...
October 18, 2018: Journal of Pediatric Hematology/oncology
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