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Anand Veeravagu, Yi-Ren Chen, Cassie Ludwig, Fred Rincon, Mitchell Maltenfort, Jack Jallo, Omar Choudhri, Gary K Steinberg, John K Ratliff
OBJECTIVE: To determine national trends for patients with subarachnoid hemorrhage (SAH) and pulmonary complications including acute respiratory distress syndrome (ARDS). METHODS: The Nationwide Inpatient Sample database was used to sample 193,209 admissions for SAH with and without ARDS during the period 1993-2008 using International Classification of Diseases, Ninth Revision, Clinical Modification coding. A multivariate stepwise regression analysis was performed...
July 2014: World Neurosurgery
Fred Rincon, Mitchell Maltenfort, Saugat Dey, Sayantani Ghosh, Matthew Vibbert, Jaqueline Urtecho, Jack Jallo, John K Ratliff, John William McBride, Rodney Bell
PURPOSE: To determine the epidemiology of the acute respiratory distress syndrome (ARDS) and impact on in-hospital mortality in admissions of patients with acute ischemic stroke (AIS) in the United States. METHODS: Retrospective cohort study of admissions with a diagnosis of AIS and ARDS from 1994 to 2008 identified through the Nationwide Inpatient Sample. RESULTS: During the 15-year study period, we found 55 58 091 admissions of patients with AIS...
November 2014: Journal of Intensive Care Medicine
A Veeravagu, B Jiang, F Rincon, M Maltenfort, J Jallo, J K Ratliff
STUDY DESIGN: Retrospective Nationwide Inpatient Sample (NIS) study. OBJECTIVES: To determine national trends in prevalence, risk factors and mortality for vertebral column fracture (VCF) and spinal cord injury (SCI) patients with and without acute respiratory distress syndrome/acute lung injury (ARDS/ALI). SETTING: United States of America, 1988 to 2008. METHODS: The NIS was utilized to select 284 612 admissions for VCF with and without acute SCI from 1988 to 2008 based on ICD-9-CM...
June 2013: Spinal Cord
Fred Rincon, Sayantani Ghosh, Saugat Dey, Mitchell Maltenfort, Matthew Vibbert, Jacqueline Urtecho, William McBride, Michael Moussouttas, Rodney Bell, John K Ratliff, Jack Jallo
BACKGROUND: Traumatic brain injury (TBI) is a major cause of disability, morbidity, and mortality. The effect of the acute respiratory distress syndrome and acute lung injury (ARDS/ALI) on in-hospital mortality after TBI remains controversial. OBJECTIVE: To determine the epidemiology of ARDS/ALI, the prevalence of risk factors, and impact on in-hospital mortality after TBI in the United States. METHODS: Retrospective cohort study of admissions of adult patients>18 years with a diagnosis of TBI and ARDS/ALI from 1988 to 2008 identified through the Nationwide Inpatient Sample...
October 2012: Neurosurgery
Jason Phua, Phua Jason, Tow Keang Lim, Lim Tow Keang, Kang Hoe Lee, Lee Kang Hoe
OBJECTIVE: B-type natriuretic peptide (BNP) and N-terminal pro-BNP (NT-proBNP), although promising as biomarkers for heart failure, are affected by multiple confounders. The purpose of this article is to review the literature on the utility of BNP and NT-proBNP as biomarkers, with a focus on their role in critical illness and pulmonary diseases. DATA SOURCE: Published articles on BNP and NT-proBNP. DATA ANALYSIS: Multiple disorders in the intensive care unit cause elevated BNP and NT-proBNP levels, including cardiac diseases, shock, pulmonary hypertension, acute respiratory distress syndrome, acute pulmonary embolism, chronic obstructive pulmonary disease, renal failure, and other conditions...
September 2005: Critical Care Medicine
Micha Maeder, Peter Ammann, Hans Rickli, Markus Diethelm
BACKGROUND: B-type natriuretic peptide (BNP) has been proven to be a biochemical marker of severity of congestive heart failure. We are aware of only few papers reporting the association of BNP elevation and pulmonary hypertension (primary, thromboembolic, or as a consequence of chronic obstructive pulmonary disease). Less is known about BNP in patients with acute respiratory distress syndrome (ARDS). CASE DESCRIPTION AND RESULTS: We present the case of a previously healthy 27-year-old man with parapneumonic ARDS and an extraordinarily increased BNP level...
September 26, 2003: Swiss Medical Weekly
M J Moulton, L L Creswell, M E Mackey, J L Cox, M Rosenbloom
BACKGROUND: Obese patients undergoing cardiac surgery are often thought to have prohibitive perioperative risk despite the lack of sufficient data to support this assumption. METHODS AND RESULTS: To assess the significance of obesity as a risk factor in patients undergoing cardiac surgery, we analyzed data from 2299 patients undergoing procedures requiring cardiopulmonary bypass from January 1, 1991, to December 31, 1993. Obesity was defined by use of the body mass index, defined as weight in kilograms divided by height in meters squared...
November 1, 1996: Circulation
M J Moulton, L L Creswell, M E Mackey, J L Cox, M Rosenbloom
OBJECTIVE: Although previous studies have included early reexploration for bleeding as a risk factor in analyzing adverse outcomes after cardiac operations, reexploration for bleeding has not been systematically examined as a multivariate risk factor for increased morbidity and mortality after cardiac surgery. Furthermore, multivariate predictors of the need for reexploration have not been identified. Accordingly, we performed a retrospective analysis of 6100 patients requiring cardiopulmonary bypass from January 1, 1986, to December 31, 1993...
May 1996: Journal of Thoracic and Cardiovascular Surgery
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