Browse Items · NEOMED Bibliography Database

The impact of hospital boarding on the emergency department waiting room.

BACKGROUND: Patient boarding in the emergency department (ED) is a significant issue leading to increased morbidity/mortality, longer lengths of stay, and higher hospital costs. We examined the impact of boarding patients on the ED waiting room. …

Rising Prevalence of Opioid Use Disorder and Predictors for Opioid Use Disorder Among Hospitalized Patients With Chronic Pancreatitis.

OBJECTIVES: We aimed to evaluate the prevalence, impact, and predictors of opioid use disorder (OUD) in hospitalized chronic pancreatitis (CP) patients. METHODS: A retrospective cohort study was performed using the National Inpatient Sample …

Outcomes among patients with heart failure with reduced ejection fraction undergoing transcatheter aortic valve replacement: Minimally invasive strategy versus conventional strategy.

OBJECTIVES: To investigate the effect of TAVR technique on in-hospital and 30-day outcomes in patients with aortic stenosis (AS) and reduced ejection fraction (EF). BACKGROUND: Patients with AS and concomitant low EF may be at risk for adverse …

Tags: 2019, Aged, Aged 80 and over, Anesthesia, aortic stenosis, Aortic Valve Stenosis/diagnostic imaging/epidemiology/therapy, Attizzani GF, Cardiac Catheterization/methods, Cardiac Output Low/diagnostic imaging, Cleveland Clinic Akron General Hospital, Clevenger J, Cohort Studies, Conscious Sedation, Conscious Sedation/methods, Department of Internal Medicine, Echocardiography Transesophageal/methods, Female, Heart failure, Heart Failure/diagnosis/epidemiology/therapy, Hospital Mortality, Humans, journalArticle, June2020SubmittedList, Kalra A, Karim A, Length of Stay, Li J, Lipinski J, Logistic Models, Male, Minimally Invasive Surgical Procedures/methods, Multivariate Analysis, NEOMED College of Medicine, Panhwar MS, Patel SM, Patel TR, Prognosis, Reference Values, Retrospective Studies, Risk Assessment, Saric P, Severity of Illness Index, Surgery Computer-Assisted/methods, Survival Rate, The Journal of invasive cardiology, transcatheter aortic valve replacement, Transcatheter Aortic Valve Replacement/methods/mortality, Treatment Outcome, Zidar DA

Short-term and long-term outcomes of patients undergoing urgent transcatheter aortic valve replacement under a minimalist strategy.

OBJECTIVES: Urgent transcatheter aortic valve replacement (TAVR) is associated with worse short-term outcomes compared with elective TAVR; however, little is known about long-term outcomes or the safety of the minimalist strategy in this setting. …

Tags: 2019, Aged 80 and over, Aortic Valve Stenosis/diagnosis/mortality/surgery, Aortic Valve/diagnostic imaging/surgery, Attizzani GF, Bezerra HG, Cardiac Catheterization/methods, Cleveland Clinic Akron General Hospital, Costa MA, Davis A, Department of Internal Medicine, Echocardiography Transesophageal, Elective Surgical Procedures/methods, Female, Femoral Artery, Follow-Up Studies, Hospital Mortality/trends, Humans, Ichibori Y, journalArticle, June2020SubmittedList, Kalra A, Kobe D, Ladas T, Length of Stay, Li J, Lipinski J, Male, Markowitz AH, minimalist approach, NEOMED College of Medicine, Patel S, Patel T, Peters M, Retrospective Studies, Risk Factors, Saric P, severe aortic stenosis, Severity of Illness Index, The Journal of invasive cardiology, Time Factors, transcatheter aortic valve replacement, Transcatheter Aortic Valve Replacement/methods, Treatment Outcome, Tsushima T, United States/epidemiology, urgent procedure

Feasibility and safety of adopting next-day discharge as first-line option after transfemoral transcatheter aortic valve replacement.

OBJECTIVES: Data on next-day discharge (NDD) after transcatheter aortic valve replacement (TAVR) are limited. This study investigated the feasibility and safety of NDD as a first-line option (the very-early discharge [VED] strategy) compared with…

Tags: 2019, Academic Medical Centers, Aged, Aged 80 and over, aortic stenosis, Aortic Valve Stenosis/diagnosis/surgery, Attizzani GF, Bezerra HG, Cleveland Clinic Akron General Hospital, Cohort Studies, Costa MA, Davis A, Department of Internal Medicine, early discharge, Feasibility Studies, Female, Follow-Up Studies, Humans, Ichibori Y, journalArticle, June2020SubmittedList, Kalra A, Length of Stay, Li J, Lipinski J, Male, Markowitz AH, minimalist approach, NEOMED College of Medicine, next-day discharge, Ohio, Panhwar M, Patel SM, Patel TM, Patient Discharge, Patient Readmission/statistics & numerical data, Patient Safety, Propensity Score, Qureshi G, Retrospective Studies, Risk Assessment, Sareyyupoglu B, Saric P, Severity of Illness Index, Survival Analysis, The Journal of invasive cardiology, Time Factors, transcatheter aortic valve replacement, Transcatheter Aortic Valve Replacement/methods/mortality, United States, Zidar DA

Effects of pharmacy interventions at transitions of care on patient outcomes.

PURPOSE: An interdisciplinary group developed a care transitions process with a prominent pharmacist role. METHODS: The new transitions process was initiated on a 32-bed medical/surgical unit. Demographics, reconciliation data, information on…

Altered Mental Status and Delirium

Older patients who present to the emergency department frequently have acute or chronic alterations of their mental status, including their level of consciousness and cognition. Recognizing both acute and chronic changes in cognition are important…

The relationship between psychiatric medication and course of hospital stay among intoxicated trauma patients

Introduction The purpose of this study was to determine whether trauma patients requiring psychiatric medication who were admitted with positive alcohol or drug screen require more pain medications or sedation resulting in longer length of stay.…

Effect of Hospital Length of Stay on Functional Independence Measure Score in Trauma Patients

Objective: The purpose of this study was to determine whether prolonged hospital length of stay (HLOS) and rehabilitation facility length of stay (RLOS) lead to poor functional outcomes, defined as a Functional Independence Measure (FIM) score of…

Effect of Intravenous Versus Subcutaneous Phytonadione on Length of Stay for Patients in Need of Urgent Warfarin Reversal

This institutional review board-approved retrospective cohort study evaluated the impact of intravenous versus subcutaneous phytonadione on length of stay in hospitalized patients requiring urgent warfarin reversal. All patients were 18 years or…

Tags: 2016, American journal of therapeutics, coagulopathy, controlled trial, Department of Pharmacy Practice, excessive anticoagulation, Journal Article, Legros E, Length of Stay, Mottice B L, NEOMED College of Pharmacy, Pharmacology & Pharmacy, phytonadione, Soric M M, vitamin-k, warfarin

Antibiotics for Acute Appendicitis.

The article reports that patients with uncomplicated acute appendicitis can fair well without surgery as compared to clinical trial patients who underwent surgery, and states that patients had lower risk of complications during the one-year follow-up…

Antibiotics and Adverse Events: Doctors, Do No Harm!

A retrospective study found that among 1,488 hospitalized patients who received an antibiotic, 298 (20%) experienced at least one antibiotic-associated adverse drug event. Furthermore, 287 (19%) of the antibiotic regimens were not clinically…

Mechanical Ventilation Antioxidant Trial.

BACKGROUND: Many patients each year require prolonged mechanical ventilation. Inflammatory processes may prevent successful weaning, and evidence indicates that mechanical ventilation induces oxidative stress in the diaphragm, resulting in atrophy…

Tags: 2015, 80 and over, Acetylcysteine, Adult, Aged, American journal of critical care : an official publication, American Association of Critical-Care Nurses, Antioxidants, Antioxidants/*therapeutic use, Artificial, Artificial/*adverse effects, Ascorbic Acid – Administration and Dosage, Ascorbic Acid/therapeutic use, Chi Square Test, Clochesy John M, Critical Care/*methods, Critical Illness, Critically Ill Patients, Cystine/analogs & derivatives/therapeutic use, Data Analysis Software, Department of Internal Medicine, Dietary Supplementation, Double-Blind Method, Double-Blind Studies, Female, Funding Source, Goldstein Lawrence S, Howe Kimberly P, Human, Humans, Inflammation/*drug therapy/*etiology, Intensive Care Units, Length of Stay, Log-Rank Test, Male, Mantel-Haenszel Test, Middle Age, Middle Aged, NEOMED College of Medicine, Owen Hugh, Oxidative Stress, Oxidative Stress/*drug effects, Prospective Studies, RANDOMIZED controlled trials, Respiration, T-Tests, Time Factors, Treatment Outcome, Ventilator Weaning, Vitamin E, Vitamin E/therapeutic use, Vitamins/therapeutic use

The Hidden Value of Variation in Practice.

Tags: 2017, Antibiotics, Antibiotics – Administration and Dosage, CHILDREN'S hospitals, CYSTIC fibrosis, Cystic Fibrosis – Drug Therapy, DISEASE exacerbation, Disease Exacerbation – Drug Therapy, Hospitals, Length of Stay, LENGTH of stay in hospitals, LUNG diseases, Lung Diseases – Drug Therapy, McBride John T, Pediatric, Pediatrics, Stokes Dennis C

Heparin free dialysis in critically sick children using sustained low efficiency dialysis (SLEDD-f): A new hybrid therapy for dialysis in developing world.

BACKGROUND: In critically sick adults, sustained low efficiency dialysis [SLED] appears to be better tolerated hemodynamically and outcomes seem to be comparable to CRRT. However, there is paucity of data in critically sick children. In children, two…

Admission to the Intensive Care Unit is Associated With Changes in the Oral Mycobiome.

A prospective exploratory study was conducted to characterize the oral mycobiome at baseline and determine whether changes occur after admission to the intensive care unit (ICU). We found that ICU admission is associated with alterations in the oral…

Prolonged Clostridium difficile Infection May Be Associated With Vitamin D Deficiency.

BACKGROUND: Clostridium difficile infection (CDI) is one of the leading causes of hospital-acquired infections, creating a financial burden for the U.S. healthcare system. Reports suggest that vitamin D-deficient CDI patients incur higher…

Tags: *adult, *gastroenterology, *immunonutrition, *life cycle, *nutrition, *research and diseases, *sepsis, *vitamins, 2016, 80 and over, Aged, Clostridium Infections – Etiology, Clostridium Infections – Mortality, Clostridium Infections – Physiopathology, Clostridium Infections/*etiology/mortality/physiopathology, Department of Internal Medicine, Diarrhea – Microbiology, Diarrhea – Physiopathology, Diarrhea/microbiology/physiopathology, Female, Haller Nairmeen A, Humans, Iatrogenic Disease – Epidemiology, Iatrogenic Disease/epidemiology, JPEN. Journal of parenteral and enteral nutrition, Lee Rebecca, Length of Stay, Male, Middle Age, Middle Aged, NEOMED College of Medicine, Nutritional Status, Psychological Tests, Recurrence, Retrospective Design, Retrospective Studies, Sepsis – Epidemiology, Sepsis/epidemiology, Severity of Illness Index, Severity of Illness Indices, Vitamin D, Vitamin D – Blood, Vitamin D Deficiency – Blood, Vitamin D Deficiency – Complications, Vitamin D Deficiency/blood/*complications, Vitamin D/analogs & derivatives/blood, Watkins Richard R, Wong Ken Koon

Thirty-Day Readmissions After Transcatheter Aortic Valve Replacement in the United States: Insights From the Nationwide Readmissions Database.

BACKGROUND: Readmissions after cardiac procedures are common and contribute to increased healthcare utilization and costs. Data on 30-day readmissions after transcatheter aortic valve replacement (TAVR) are limited. METHODS AND RESULTS: Patients…

Tags: *aortic stenosis, *costs and cost analysis, *length of stay, *Patient Readmission/economics, *readmission, *rehospitalization, *transcatheter aortic valve implantation, *transcatheter aortic valve replacement, 2017, 80 and over, Abbott J Dawn, Aged, Aortic Valve Stenosis/diagnosis/economics/*surgery, Aronow Wilbert S, Bhatt Deepak L, Chatterjee Saurav, Circulation. Cardiovascular interventions, Comorbidity, Databases, Department of Internal Medicine, Factual, Female, Fonarow Gregg C, Gheewala Neil, Goldsweig Andrew, Gordon Paul C, Greenbaum Adam B, Gupta Tanush, Hospital Costs, Humans, Khera Sahil, Kolte Dhaval, Length of Stay, Male, NEOMED College of Medicine, Patient Discharge, Postoperative Complications/etiology, Risk Factors, Sardar M Rizwan, Sharaf Barry, Skilled Nursing Facilities, Time Factors, Transcatheter Aortic Valve Replacement/*adverse effects/economics, Treatment Outcome, United States

Outcomes of Patients With Syncope and Suspected Dementia.

OBJECTIVES: Syncope and near-syncope are common in patients with dementia and a leading cause of emergency department (ED) evaluation and subsequent hospitalization. The objective of this study was to describe the clinical trajectory and short-term…

Tags: 2018, 80 and over, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, Adler David H, Aged, Bastani Aveh, Baugh Christopher W, Caterino Jeffrey M, Clark Carol L, Dementia – Diagnosis – In Old Age, Dementia – Risk Factors, Dementia – Therapy, Department of Emergency Medicine, Diercks Deborah B, Emergency, Gibson Tommy A, Holden Timothy R, Hollander Judd E, Human, Iatrogenic Disease, Inpatients, interviews, Length of Stay, Malveau Susan E, Middle Age, NEOMED College of Medicine, Nicks Bret A, Nishijima Daniel K, Office Visits, Outcome Assessment, Outcomes (Health Care), Patient Assessment, Patient Discharge, Physicians, Prospective Studies, Shah Manish N, Stiffler Kirk A, Storrow Alan B, Sun Benjamin C, Surveys, Syncope – Diagnosis, Syncope – In Old Age, Syncope – Mortality, Weiss Robert E, Wilber Scott T, Yagapen Annick N

Awake aortic aneurysm repair in patients with severe pulmonary disease.

BACKGROUND: We report the use of retroperitoneal aortic aneurysm repair utilizing exclusive regional anesthesia (no intubation or inhalation anesthetic) in high pulmonary risk patients. METHODS: Six patients were retrospectively reviewed. Pulmonary…

Tags: *Consciousness, 1999, Abdominal/*surgery, Administration, Aged, Albuterol/administration & dosage/therapeutic use, American journal of surgery, Anesthesia, Aortic Aneurysm, Blood Loss, Bronchodilator Agents/administration & dosage/therapeutic use, Critical Care, Epidural, Forced Expiratory Volume/physiology, General, Hirko M K, Home Care Services, Hospitalization, Humans, Hypnotics and Sedatives/administration & dosage, Iliac Aneurysm/*surgery, Inhalation, Intravenous, Koler A J, Labat G C, Length of Stay, Lung Diseases/*complications/drug therapy/therapy, McGregor W E, Oxygen Inhalation Therapy, Perni V, Retroperitoneal Space, Retrospective Studies, Risk Factors, Rubin J R, Safety, Steroids/administration & dosage/therapeutic use, Surgical, Theophylline/administration & dosage/therapeutic use, Time Factors, Vital Capacity/physiology

Freestanding emergency departments and the trauma patient.

BACKGROUND: Freestanding emergency departments (FEDs) continue to grow in number and more research is needed on these facilities. OBJECTIVE: We sought to characterize the types of injuries and patients who initially presented to two FEDs and were…

Patient Hand-Off iNitiation and Evaluation (PHONE) study: A randomized trial of patient handoff methods.

BACKGROUND: As residency work hour restrictions have tightened, transitions of care have become more frequent. Many institutions dedicate significant time and resources to patient handoffs despite the fact that the ideal method is relatively unknown.…

Transfer of DNR orders to the ED from extended care facilities.

PURPOSE/OBJECTIVE: With an elderly and chronically ill patient population visiting the emergency department, it is important to know patients' wishes regarding care preferences and advanced directives. Ohio law states DNR orders must be transported…

Tags: *Advance Directives, *Critical Illness, *Health Services for the Aged, *Skilled Nursing Facilities, 2017, 80 and over, Advance Directives, Aged, Amireh Ahmad, Chaudhary Ali, Coding – Administration, Coding – Standards, Critical Illness, Do-not-resuscitate, Emergency Medical Services – Administration, Emergency Medical Services/*organization & administration, Emergency Service, EMS, Extended care facilities, Female, Forms and Records Control/*organization & administration/standards, Frey Jennifer A, Health Services for the Aged, Hospital, Human, Humans, Length of Stay, Male, McQuown Colleen M, Medical Records – Statistics and Numerical Data, Medical Records/*statistics & numerical data, Middle Age, Middle Aged, Ohio, Outcome Assessment, Outcome Assessment (Health Care), Patient Advocacy, Physicians, Prospective Studies, Resuscitation Orders, Skilled Nursing Facilities, The American journal of emergency medicine

Appendicitis in the elderly: a change in the laparoscopic era.

BACKGROUND: Appendicitis in elderly patients is associated with significant morbidity and mortality. Early and correct diagnosis together with minimally invasive surgery can lead to more favorable outcomes than occurred in the prelaparoscopic era.…

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