1
40
24
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1097/mpa.0000000000001430" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/mpa.0000000000001430</a>
Pages
1386-1392
Issue
10
Volume
48
ISSN
1536-4828 0885-3177
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.1097/mpa.0000000000001430" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.1097/mpa.0000000000001430</a>
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Update Year & Number
Hospital List
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Rising Prevalence of Opioid Use Disorder and Predictors for Opioid Use Disorder Among Hospitalized Patients With Chronic Pancreatitis.
Publisher
An entity responsible for making the resource available
Pancreas
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
2019-12
Subject
The topic of the resource
Aged; Humans; Male; Adult; Female; Hospitalization; Middle Aged; Adolescent; Young Adult; Length of Stay; Retrospective Studies; Prevalence; Health Resources; Opioid-Related Disorders/epidemiology; Pancreatitis Chronic/drug therapy
Creator
An entity primarily responsible for making the resource
Bilal M; Chatila A; Siddiqui MT; Al-Hanayneh M; Shah AR; Desai M; Wadhwa V; Parupudi S; Casey BW; Krishnan K; Hernandez-Barco YG
Description
An account of the resource
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 database from 2005 to 2014. Patients with a primary diagnosis of CP and OUD were included. The primary outcome was evaluating the prevalence and trend of OUD in patients hospitalized with CP. Secondary outcomes were to (1) assess the impact of OUD on health care resource utilization and (2) identify predictors of OUD in hospitalized CP patients. RESULTS: A total of 176,857 CP patients were included, and OUD was present in 3.8% of patients. The prevalence of OUD in CP doubled between 2005 and 2014. Patients with CP who had OUD were found to have higher mean length of stay (adjusted mean difference, 1.2 days; P < 0.001) and hospitalization costs (adjusted mean difference, US $1936; P < 0.001). Independent predictors of OUD in CP patients were obesity, presence of depression, and increased severity of illness. CONCLUSIONS: Opioid use disorder-related diagnoses are increasing among CP patients and are associated with increased health care resource utilization. Our study identifies patients at high-risk for OUD whose pain should be carefully managed.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/mpa.0000000000001430" target="_blank" rel="noreferrer noopener">10.1097/mpa.0000000000001430</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Format
The file format, physical medium, or dimensions of the resource
journalArticle
2019
Adolescent
Adult
Aged
Al-Hanayneh M
Bilal M
Casey BW
Chatila A
Desai M
Female
Health Resources
Hernandez-Barco YG
Hospital List
Hospitalization
Humans
journalArticle
Krishnan K
Length of Stay
Male
Middle Aged
Opioid-Related Disorders/epidemiology
Pancreas
Pancreatitis Chronic/drug therapy
Parupudi S
Prevalence
Retrospective Studies
Shah AR
Siddiqui MT
Wadhwa V
Young Adult
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.amjsurg.2016.10.015" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.amjsurg.2016.10.015</a>
Pages
299–306
Issue
2
Volume
213
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Patient Hand-Off iNitiation and Evaluation (PHONE) study: A randomized trial of patient handoff methods.
Publisher
An entity responsible for making the resource available
American journal of surgery
Date
A point or period of time associated with an event in the lifecycle of the resource
2017
2017-02
Subject
The topic of the resource
*Internship and Residency; *Medical errors; *Patient handoff; *Patient outcomes; *Patient safety; *Physician communication; *Sign-out; Female; Hospitals; Humans; Length of Stay; Male; Medical Errors/prevention & control; Middle Aged; Patient Handoff/*organization & administration; Patient Outcome Assessment; Patient Safety; Prospective Studies; Teaching; United States
Creator
An entity primarily responsible for making the resource
Clanton Jesse; Gardner Aimee; Subichin Michael; McAlvanah Patrick; Hardy William; Shah Amar; Porter Joel
Description
An account of the resource
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. We sought to compare the effect of a rigorous formal handoff approach to a minimized but focused handoff process on patient outcomes. METHODS: A randomized prospective trial was conducted at a large teaching hospital over ten months. Patients were assigned to services employing either formal or focused handoffs. Residents were trained on handoff techniques and then observed by trained researchers. Outcome data including mortality, negative events, adverse events, and length of stay were collected and compared between formal and focused handoff groups using t-tests and a multivariate regression analysis. RESULTS: A total of 5157 unique patient-admissions were stratified into the two study groups. Focused handoffs were significantly shorter and included fewer patients (mean 6.3 patients discussed over 6.7 min vs. 35.2 patients over 20.6 min, both p \textless 0.001). Adverse events occurred during 16.7% of patient admissions. While overall length of stay was slightly shorter in the formal handoff group (5.50 days vs 5.88 days, p = 0.024) in univariate analysis only, there were no significant differences in patient outcomes between the two handoff methods (all p \textgreater 0.05). CONCLUSIONS: This large randomized trial comparing two contrasting handoff techniques demonstrated no clinically significant differences in patient outcomes. A minimalistic handoff process may save time and resources without negatively affecting patient outcomes.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.amjsurg.2016.10.015" target="_blank" rel="noreferrer noopener">10.1016/j.amjsurg.2016.10.015</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Internship and Residency
*Medical errors
*Patient handoff
*Patient outcomes
*Patient safety
*Physician communication
*Sign-out
2017
American journal of surgery
Clanton Jesse
Female
Gardner Aimee
Hardy William
Hospitals
Humans
Length of Stay
Male
McAlvanah Patrick
Medical Errors/prevention & control
Middle Aged
Patient Handoff/*organization & administration
Patient Outcome Assessment
Patient Safety
Porter Joel
Prospective Studies
Shah Amar
Subichin Michael
Teaching
United States
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1093/ajhp/zxaa081" target="_blank" rel="noreferrer noopener">http://doi.org/10.1093/ajhp/zxaa081</a>
ISSN
1535-2900 1079-2082
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.1093/ajhp/zxaa081" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.1093/ajhp/zxaa081</a>
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Update Year & Number
June 2020 Update II
NEOMED College
NEOMED College of Pharmacy
NEOMED Department
Department of Pharmacy Practice
NEOMED Student Publications
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Effects of pharmacy interventions at transitions of care on patient outcomes.
Publisher
An entity responsible for making the resource available
American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists
Date
A point or period of time associated with an event in the lifecycle of the resource
2020
2020-05-06
Subject
The topic of the resource
discharge medication reconciliation; length of stay; medication adherence; medication errors; pharmacists; readmissions
Creator
An entity primarily responsible for making the resource
Fosnight S; King Philip; Ewald Jacqueline; Feucht John; Lamtman Angela; Kropp D; Dittmer Alison; Sampson Jordan; Shah Morali
Description
An account of the resource
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 medication adherence barriers, medication recommendations, and time spent performing interventions were prospectively collected for 284 consecutive patients over 54 days after the pharmacy participation was completely implemented. Outcome data, including 30-day readmission rates and length of stay, were retrospectively collected. RESULTS: When comparing metrics for all intervention patients to baseline metrics from the same months of the previous year, the readmission rate was decreased from 21.0% to 15.3% and mean length of stay decreased from 5.3 days to 4.4 days. Further improvement to a 10.2% readmission rate and a 3.6-day average length of stay were observed in the subgroup of intervention patients who received all components of the pharmacy intervention. Additionally, greater improvements were observed in intervention-period patients who received the full pharmacy intervention, as compared to those receiving only parts of the pharmacy intervention, with a 10.2-percentage-point lower readmission rate (10.2% vs 20.4%, P = 0.016) and a 1.7-day shorter length of stay (3.6 days vs. 5.3 days; 95% confidence interval, 0.814-2.68 days; P = 0.0003). For patients receiving any component of the pharmacy intervention, an average of 9.56 medication recommendations were made, with a mean of 0.89 change per patient deemed to be required to avoid harm and/or increased length of stay. CONCLUSION: A comprehensive pharmacy intervention added to a transitions intervention resulted in an average of nearly 10 medication recommendations per patient, improved length of stay, and reduced readmission rates.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1093/ajhp/zxaa081" target="_blank" rel="noreferrer noopener">10.1093/ajhp/zxaa081</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Format
The file format, physical medium, or dimensions of the resource
journalArticle
2020
American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists
Department of Pharmacy Practice
discharge medication reconciliation
Dittmer Alison
Ewald Jacqueline
Feucht John
Fosnight S
journalArticle
June 2020 Update II
King Philip
Kropp D
Lamtman Angela
Length of Stay
medication adherence
Medication Errors
NEOMED College of Pharmacy
NEOMED College of Pharmacy Student
NEOMED Student Publications
Pharmacists
readmissions
Sampson Jordan
Shah Morali
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1111/acem.13414" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/acem.13414</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Outcomes of Patients With Syncope and Suspected Dementia.
Publisher
An entity responsible for making the resource available
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2018
2018-03
Subject
The topic of the resource
80 and Over; Aged; Dementia – Diagnosis – In Old Age; Dementia – Risk Factors; Dementia – Therapy; Emergency; Human; Iatrogenic Disease; Inpatients; Interviews; Length of Stay; Middle Age; Office Visits; Outcome Assessment; Outcomes (Health Care); Patient Assessment; Patient Discharge; Physicians; Prospective Studies; Surveys; Syncope – Diagnosis; Syncope – In Old Age; Syncope – Mortality
Creator
An entity primarily responsible for making the resource
Holden Timothy R; Shah Manish N; Gibson Tommy A; Weiss Robert E; Yagapen Annick N; Malveau Susan E; Adler David H; Bastani Aveh; Baugh Christopher W; Caterino Jeffrey M; Clark Carol L; Diercks Deborah B; Hollander Judd E; Nicks Bret A; Nishijima Daniel K; Stiffler Kirk A; Storrow Alan B; Wilber Scott T; Sun Benjamin C
Description
An account of the resource
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 outcomes of patients who presented to the ED with syncope or near-syncope and were assessed by their ED provider to have dementia. METHODS: This multisite prospective cohort study included patients 60 years of age or older who presented to the ED with syncope or near-syncope between 2013 and 2016. We analyzed a subcohort of 279 patients who were identified by the treating ED provider to have baseline dementia. We collected comprehensive patient-level, utilization, and outcomes data through interviews, provider surveys, and chart abstraction. Outcome measures included serious conditions related to syncope and death. RESULTS: Overall, 221 patients (79%) were hospitalized with a median length of stay of 2.1 days. A total of 46 patients (16%) were diagnosed with a serious condition in the ED. Of the 179 hospitalized patients who did not have a serious condition identified in the ED, 14 (7.8%) were subsequently diagnosed with a serious condition during the hospitalization, and an additional 12 patients (6.7%) were diagnosed postdischarge within 30 days of the index ED visit. There were seven deaths (2.5%) overall, none of which were cardiac-related. No patients who were discharged from the ED died or had a serious condition in the subsequent 30 days. CONCLUSIONS: Patients with perceived dementia who presented to the ED with syncope or near-syncope were frequently hospitalized. The diagnosis of a serious condition was uncommon if not identified during the initial ED assessment. Given the known iatrogenic risks of hospitalization for patients with dementia, future investigation of the impact of goals of care discussions on reducing potentially preventable, futile, or unwanted hospitalizations while improving goal-concordant care is warranted.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1111/acem.13414" target="_blank" rel="noreferrer noopener">10.1111/acem.13414</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
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
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.4037/ajcc2015335" target="_blank" rel="noreferrer noopener">http://doi.org/10.4037/ajcc2015335</a>
Pages
440–445
Issue
5
Volume
24
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Mechanical Ventilation Antioxidant Trial.
Publisher
An entity responsible for making the resource available
American journal of critical care : an official publication, American Association of Critical-Care Nurses
Date
A point or period of time associated with an event in the lifecycle of the resource
2015
2015-09
Subject
The topic of the resource
Adult; Female; Humans; Male; Middle Aged; Time Factors; Aged; Length of Stay; Treatment Outcome; Prospective Studies; Oxidative Stress; Double-Blind Method; Intensive Care Units; Antioxidants/*therapeutic use; Antioxidants; Oxidative Stress/*drug effects; Critical Care/*methods; Human; Chi Square Test; Funding Source; Data Analysis Software; Middle Age; T-Tests; Ascorbic Acid/therapeutic use; Critical Illness; Cystine/analogs & derivatives/therapeutic use; Inflammation/*drug therapy/*etiology; Vitamin E/therapeutic use; Vitamins/therapeutic use; 80 and over; Artificial; Respiration; Artificial/*adverse effects; Randomized Controlled Trials; Double-Blind Studies; Acetylcysteine; Critically Ill Patients; Dietary Supplementation; Log-Rank Test; Mantel-Haenszel Test; Ventilator Weaning; Vitamin E; 80 and Over; Ascorbic Acid – Administration and Dosage
Creator
An entity primarily responsible for making the resource
Howe Kimberly P; Clochesy John M; Goldstein Lawrence S; Owen Hugh
Description
An account of the resource
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 and contractile dysfunction of diaphragmatic myofibers. Antioxidant supplementation might mitigate the harmful effects of the oxidative stress induced by mechanical ventilation. OBJECTIVE: To test the clinical effectiveness of antioxidant supplementation in reducing the duration of mechanical ventilation. METHODS: A randomized, prospective, placebo-controlled double-blind design was used to test whether enterally administered antioxidant supplementation would decrease the duration of mechanical ventilation, all-cause mortality, and length of stay in the intensive care unit and hospital. Patients received vitamin C 1000 mg plus vitamin E 1000 IU, vitamin C 1000 mg plus vitamin E 1000 IU plus N-acetylcysteine 400 mg, or placebo solution as a bolus injection via their enteral feeding tube every 8 hours. RESULTS: Clinical and statistically significant differences in duration of mechanical ventilation were seen among the 3 groups (Mantel-Cox log rank statistic = 5.69, df = 1, P = .017). The 3 groups did not differ significantly in all-cause mortality during hospitalization or in the length of stay in the intensive care unit or hospital. CONCLUSIONS: Enteral administration of antioxidants is a simple, safe, inexpensive, and effective intervention that decreases the duration of mechanical ventilation in critically ill adults.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.4037/ajcc2015335" target="_blank" rel="noreferrer noopener">10.4037/ajcc2015335</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
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
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/" target="_blank" rel="noreferrer noopener">http://doi.org/</a>
Pages
64-72
Issue
3
Volume
31
ISSN
1557-2501 1042-3931
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<a href="http://neomed.idm.oclc.org/login?url=http://doi.org/" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: </a>
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Update Year & Number
June2020SubmittedList
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of Internal Medicine
Affiliated Hospital
Cleveland Clinic Akron General Hospital
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Feasibility and safety of adopting next-day discharge as first-line option after transfemoral transcatheter aortic valve replacement.
Publisher
An entity responsible for making the resource available
The Journal of invasive cardiology
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
2019-03
Subject
The topic of the resource
Female; Humans; Male; Aged; Retrospective Studies; Cohort Studies; Follow-Up Studies; Severity of Illness Index; Time Factors; United States; Aged 80 and over; Survival Analysis; Patient Readmission/statistics & numerical data; Propensity Score; Ohio; Academic Medical Centers; Risk Assessment; Feasibility Studies; Patient Discharge; aortic stenosis; transcatheter aortic valve replacement; Length of Stay; early discharge; minimalist approach; next-day discharge; Patient Safety; Aortic Valve Stenosis/diagnosis/surgery; Transcatheter Aortic Valve Replacement/methods/mortality
Creator
An entity primarily responsible for making the resource
Ichibori Y; Li J; Davis A; Patel TM; Lipinski J; Panhwar M; Saric P; Qureshi G; Patel SM; Sareyyupoglu B; Markowitz AH; Bezerra HG; Costa MA; Zidar DA; Kalra A; Attizzani GF
Description
An account of the resource
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 the early-discharge (ED) strategy (2-3 days as a first-line option) after TAVR. METHODS: We reviewed 611 consecutive patients who had minimalist TAVR (transfemoral approach under conscious sedation) and no in-hospital mortality; a total of 418 patients underwent ED strategy (since December 2013) and 193 patients underwent VED strategy (as part of a hospital initiative to reduce length of stay, since August 2016). NDD in the VED strategy was performed with heart team consensus in patients without significant complications. The primary outcome was a composite of 30-day all-cause mortality/rehospitalization. RESULTS: Sixty-five patients (33.7%) in the VED strategy and 10 patients (2.4%) in the ED strategy were discharged the next day (P<.001). NDD patients had received balloon-expandable (n = 30) or self-expanding valves (n = 45) and showed a similar primary outcome rate compared with non-NDD patients. After adjustment using propensity score matching (172 pairs), post-TAVR length of stay was significantly shorter in the VED group (3.2 ± 3.1 days) than in the ED group (3.5 ± 2.7 days; P<.01). The primary outcome did not differ between the two groups (7.0% vs 11.6%; P=.14), with comparable 30-day mortality rate (1.2% vs 2.3%; P=.68) and rehospitalization rate (5.8% vs 11.1%; P=.08). CONCLUSIONS: Utilization of NDD as a first-line option after minimalist TAVR is feasible and safe, and leads to further reduction in length of stay compared with an ED strategy.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/" target="_blank" rel="noreferrer noopener"></a>
PMID: 30819977
Rights
Information about rights held in and over the resource
© 2019 The Authors. Clinical Cardiology published by Wiley Periodicals, Inc.
Format
The file format, physical medium, or dimensions of the resource
journalArticle
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
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/" target="_blank" rel="noreferrer noopener">http://doi.org/</a>
Pages
E30-E36
Issue
2
Volume
31
ISSN
1557-2501 1042-3931
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<a href="http://neomed.idm.oclc.org/login?url=http://doi.org/" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: </a>
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Update Year & Number
June2020SubmittedList
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of Internal Medicine
Affiliated Hospital
Cleveland Clinic Akron General Hospital
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Short-term and long-term outcomes of patients undergoing urgent transcatheter aortic valve replacement under a minimalist strategy.
Publisher
An entity responsible for making the resource available
The Journal of invasive cardiology
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
2019-02
Subject
The topic of the resource
Female; Humans; Male; Retrospective Studies; Treatment Outcome; Risk Factors; United States/epidemiology; Follow-Up Studies; Severity of Illness Index; Time Factors; Aged 80 and over; Length of Stay; transcatheter aortic valve replacement; Transcatheter Aortic Valve Replacement/methods; minimalist approach; Hospital Mortality/trends; severe aortic stenosis; urgent procedure; Aortic Valve Stenosis/diagnosis/mortality/surgery; Aortic Valve/diagnostic imaging/surgery; Cardiac Catheterization/methods; Echocardiography Transesophageal; Elective Surgical Procedures/methods; Femoral Artery
Creator
An entity primarily responsible for making the resource
Ichibori Y; Li J; Patel T; Lipinski J; Ladas T; Saric P; Kobe D; Tsushima T; Peters M; Patel S; Davis A; Markowitz AH; Bezerra HG; Costa MA; Kalra A; Attizzani GF
Description
An account of the resource
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. This study investigated the short-term and long-term outcomes of urgent TAVR compared with elective TAVR under a minimalist strategy (transfemoral [TF] approach with conscious sedation and no transesophageal echocardiography guidance). METHODS: After excluding 2 emergent patients requiring immediate procedures, a total of 474 consecutive patients underwent elective TF-TAVR (396 patients; 83.6%) or urgent
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/" target="_blank" rel="noreferrer noopener"></a>
PMID: 30700628
Rights
Information about rights held in and over the resource
Copyright © 2019 Elsevier Inc. All rights reserved.
Format
The file format, physical medium, or dimensions of the resource
journalArticle
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
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1161/CIRCINTERVENTIONS.116.004472" target="_blank" rel="noreferrer noopener">http://doi.org/10.1161/CIRCINTERVENTIONS.116.004472</a>
Issue
1
Volume
10
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Thirty-Day Readmissions After Transcatheter Aortic Valve Replacement in the United States: Insights From the Nationwide Readmissions Database.
Publisher
An entity responsible for making the resource available
Circulation. Cardiovascular interventions
Date
A point or period of time associated with an event in the lifecycle of the resource
2017
2017-01
Subject
The topic of the resource
*aortic stenosis; *costs and cost analysis; *length of stay; *Patient Readmission/economics; *readmission; *rehospitalization; *transcatheter aortic valve implantation; *transcatheter aortic valve replacement; 80 and over; Aged; Aortic Valve Stenosis/diagnosis/economics/*surgery; Comorbidity; Databases; Factual; Female; Hospital Costs; Humans; Length of Stay; Male; Patient Discharge; Postoperative Complications/etiology; Risk Factors; Skilled Nursing Facilities; Time Factors; Transcatheter Aortic Valve Replacement/*adverse effects/economics; Treatment Outcome; United States
Creator
An entity primarily responsible for making the resource
Kolte Dhaval; Khera Sahil; Sardar M Rizwan; Gheewala Neil; Gupta Tanush; Chatterjee Saurav; Goldsweig Andrew; Aronow Wilbert S; Fonarow Gregg C; Bhatt Deepak L; Greenbaum Adam B; Gordon Paul C; Sharaf Barry; Abbott J Dawn
Description
An account of the resource
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 undergoing TAVR (International Classification of Diseases-Ninth Revision-CM codes 35.05 and 35.06) between January and November 2013 who survived the index hospitalization were identified in the Nationwide Readmissions Database. Incidence, predictors, causes, and costs of 30-day readmissions were analyzed. Of 12 221 TAVR patients, 2188 (17.9%) were readmitted within 30 days. Length of stay \textgreater5 days during index hospitalization (hazard ratio [HR], 1.47; 95% confidence interval [CI], 1.24-1.73), acute kidney injury (HR, 1.23; 95% CI, 1.05-1.44), \textgreater4 Elixhauser comorbidities (HR, 1.22; 95% CI, 1.03-1.46), transapical TAVR (HR, 1.21; 95% CI, 1.05-1.39), chronic kidney disease (HR, 1.20; 95% CI, 1.04-1.39), chronic lung disease (HR, 1.16; 95% CI, 1.01-1.34), and discharge to skilled nursing facility (HR, 1.16; 95% CI, 1.01-1.34) were independent predictors of 30-day readmission. Readmissions were because of noncardiac causes in 61.8% of cases and because of cardiac causes in 38.2% of cases. Respiratory (14.7%), infections (12.8%), bleeding (7.6%), and peripheral vascular disease (4.3%) were the most common noncardiac causes, whereas heart failure (22.5%) and arrhythmias (6.6%) were the most common cardiac causes of readmission. Median length of stay and cost of readmissions were 4 days (interquartile range, 2-7 days) and $8302 (interquartile range, $5229-16 021), respectively. CONCLUSIONS: Thirty-day readmissions after TAVR are frequent and are related to baseline comorbidities, TAVR access site, and post-procedure complications. Awareness of these predictors can help identify and target high-risk patients for interventions to reduce readmissions and costs.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1161/CIRCINTERVENTIONS.116.004472" target="_blank" rel="noreferrer noopener">10.1161/CIRCINTERVENTIONS.116.004472</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*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
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1542/peds.2016-3876" target="_blank" rel="noreferrer noopener">http://doi.org/10.1542/peds.2016-3876</a>
Issue
2
Volume
139
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
The Hidden Value of Variation in Practice.
Publisher
An entity responsible for making the resource available
Pediatrics
Date
A point or period of time associated with an event in the lifecycle of the resource
2017
2017-02
Subject
The topic of the resource
Length of Stay; Hospitals; Pediatric; ANTIBIOTICS; CHILDREN'S hospitals; CYSTIC fibrosis; DISEASE exacerbation; LENGTH of stay in hospitals; LUNG diseases; Antibiotics – Administration and Dosage; Cystic Fibrosis – Drug Therapy; Disease Exacerbation – Drug Therapy; Lung Diseases – Drug Therapy
Creator
An entity primarily responsible for making the resource
McBride John T; Stokes Dennis C
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1542/peds.2016-3876" target="_blank" rel="noreferrer noopener">10.1542/peds.2016-3876</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
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
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/s0002-9610(99)00153-1" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/s0002-9610(99)00153-1</a>
Pages
121–124
Issue
2
Volume
178
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Awake aortic aneurysm repair in patients with severe pulmonary disease.
Publisher
An entity responsible for making the resource available
American journal of surgery
Date
A point or period of time associated with an event in the lifecycle of the resource
1999
1999-08
Subject
The topic of the resource
*Consciousness; Abdominal/*surgery; Administration; Aged; Albuterol/administration & dosage/therapeutic use; Anesthesia; Aortic Aneurysm; Blood Loss; Bronchodilator Agents/administration & dosage/therapeutic use; Critical Care; Epidural; Forced Expiratory Volume/physiology; General; Home Care Services; Hospitalization; Humans; Hypnotics and Sedatives/administration & dosage; Iliac Aneurysm/*surgery; Inhalation; Intravenous; Length of Stay; Lung Diseases/*complications/drug therapy/therapy; Oxygen Inhalation Therapy; Retroperitoneal Space; Retrospective Studies; Risk Factors; Safety; Steroids/administration & dosage/therapeutic use; Surgical; Theophylline/administration & dosage/therapeutic use; Time Factors; Vital Capacity/physiology
Creator
An entity primarily responsible for making the resource
McGregor W E; Koler A J; Labat G C; Perni V; Hirko M K; Rubin J R
Description
An account of the resource
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 disease was diagnosed by clinical history and pulmonary function tests. Patients received intravenous sedation and regional anesthesia. Retroperitoneal aortoiliac aneurysm repair was performed. RESULTS: All patients used inhaled steroids and albuterol. Three required theophylline and home oxygen. FEV1 = 23% +/- 5% predicted, FVC = 34% +/- 5% predicted, and PO2 = 62 +/- 2 mm Hg. Operative time was 247 +/- 25 minutes. Blood loss was 840 +/- 479 mL. Five of six patients (83%) tolerated awake aneurysm repair and had intensive care unit stays of 2.4 +/- 0.6 days, and postoperative hospital stays of 8.2 +/- 1.8 days. One patient was converted to general anesthesia and had a prolonged hospital stay. CONCLUSIONS: With thorough patient communication, awake retroperitoneal aortic aneurysm repair can be safely performed in select patients with severe pulmonary disease.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/s0002-9610(99)00153-1" target="_blank" rel="noreferrer noopener">10.1016/s0002-9610(99)00153-1</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*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
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.ajem.2017.02.007" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.ajem.2017.02.007</a>
Pages
983–985
Issue
7
Volume
35
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Transfer of DNR orders to the ED from extended care facilities.
Publisher
An entity responsible for making the resource available
The American journal of emergency medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2017
2017-07
Subject
The topic of the resource
*Advance Directives; *Critical Illness; *Health Services for the Aged; *Skilled Nursing Facilities; 80 and over; 80 and Over; Advance Directives; Aged; 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; Health Services for the Aged; Hospital; Human; Humans; Length of Stay; Male; 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
Creator
An entity primarily responsible for making the resource
McQuown Colleen M; Frey Jennifer A; Amireh Ahmad; Chaudhary Ali
Description
An account of the resource
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 with the patient when they leave an extended care facility (ECF). We reviewed the charts of ECF patients to evaluate which patients presenting to the ED had their DNR status recognized by the physician and DNR orders that were made during their hospital stay. METHODS: We prospectively enrolled patients presenting from ECFs to the ED, blinding the treating team to the purpose. We did a chart review for the presence of a DNR form, demographic data and acknowledgement of the DNR forms. RESULTS: Fifty patients were enrolled in this study. The mean age was 77.6years and 56% were female. Twenty-eight percent had a DNR order transported to the ED, but 68% had a DNR preference noted in their ECF notes. Registration only noted an advanced directive on 32% of patients (p=0.09). Eighteen percent had a DNR noted by the ED physician (p=0.42). Sixteen percent of patients had a DNR order written by an ED physician while 28% had a DNR order written by a non-ED physician during their inpatient evaluation. Thirty percent had a palliative care consult while in the hospital, but there was no significant association between DNR from the ECF and these consults. CONCLUSIONS: Hospital staff did a poor job of noting DNR preferences and ECFs were inconsistent with sending Ohio DNR forms.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.ajem.2017.02.007" target="_blank" rel="noreferrer noopener">10.1016/j.ajem.2017.02.007</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*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
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1097/mjt.0000000000000170" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/mjt.0000000000000170</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
E345-E349
Issue
2
Volume
23
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Effect of Intravenous Versus Subcutaneous Phytonadione on Length of Stay for Patients in Need of Urgent Warfarin Reversal
Publisher
An entity responsible for making the resource available
American Journal of Therapeutics
Date
A point or period of time associated with an event in the lifecycle of the resource
2016
2016-03
Subject
The topic of the resource
coagulopathy; controlled trial; excessive anticoagulation; Length of Stay; Pharmacology & Pharmacy; phytonadione; vitamin-k; warfarin
Creator
An entity primarily responsible for making the resource
Mottice B L; Soric M M; Legros E
Description
An account of the resource
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 older, on warfarin therapy with an international normalized ratio (INR) between 3.1 and 10.0, and had warfarin therapy restarted at discharge. Patients who received intramuscular or oral phytonadione, phytonadione by more than 1 route, fresh frozen plasma, or any other blood products containing clotting factors, patients with active or severe liver disease, and patients who received other forms of anticoagulation were excluded. A total of 4425 patients receiving phytonadione were evaluated and 79 patients were included. Baseline characteristics were similar between the intravenous and subcutaneous groups, including mean age, gender, warfarin indication, Charlson comorbidity index, and indication for phytonadione. Geometric mean length of stay in the intravenous group was 211.7 hours compared with 191.0 hours in the subcutaneous group (P = 0.47). Though intravenous phytonadione administration resulted in significantly lower INRs at all time points <36 hours, geometric mean time to restart of warfarin therapy was not impacted (66.3 hours vs. 64.1 hours, P = 0.72). Despite demonstrating significantly greater INR reductions, hospital length of stay and time to restart of warfarin therapy were not improved with the administration of intravenous over subcutaneous phytonadione.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/mjt.0000000000000170" target="_blank" rel="noreferrer noopener">10.1097/mjt.0000000000000170</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article
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
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1097/phm.0000000000000453" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/phm.0000000000000453</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
597-607
Issue
8
Volume
95
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Effect of Hospital Length of Stay on Functional Independence Measure Score in Trauma Patients
Publisher
An entity responsible for making the resource available
American Journal of Physical Medicine & Rehabilitation
Date
A point or period of time associated with an event in the lifecycle of the resource
2016
2016-08
Subject
The topic of the resource
after-discharge; alcohol; anemia; association; brain-injury; Function; injury severity score; intensive-care-unit; Length of Stay; life; outcomes; Patient Outcome Assessment; Recovery of; Rehabilitation; Rehabilitation; Sport Sciences; survival
Creator
An entity primarily responsible for making the resource
Muakkassa F F; Marley R A; Billue K L; Marley M; Horattas S; Yetmar Z; Salvator A; Hayek A
Description
An account of the resource
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 less than 76 (LFIM) at rehabilitation facility (RF) discharge. Design: This study analyzed retrospective data collected between 2002 and 2009 on 326 patients in a trauma center and affiliated RF. Factors predicting LFIM at RF discharge were determined using multivariate logistic regression, chi(2) tests, and t tests. Results: Significant multivariate predictors of LFIM included age (odds ratio [OR], 1.05; 95% confidence interval [CI], 1.02-1.07; P < 0.0001), spinal cord injury (OR, 7.22; 95% CI, 2.73-19.02; P = 0.000), female sex (OR, 2.34; 95% CI, 1.17-4.65; P = 0.01), and RF admission FIM (OR, 0.93; 95% CI, 0.91Y0.95; P < 0.001). An increased risk of LFIM (OR, 2.21; 95% CI, 1.41Y3.45; P = 0.001) was observed with an increased ratio of HLOS/RLOS after adjusting for injury severity score. Conclusion: An increased ratio of HLOS/RLOS increases the risk of LFIM more than 2-fold after adjusting for injury severity score, spinal cord injury, and FIM upon RF admission. Delays in transfer to an RF negatively affect patient functional outcomes. Studies to identify factors affecting delays in transfer from hospitals to RF should be conducted.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/phm.0000000000000453" target="_blank" rel="noreferrer noopener">10.1097/phm.0000000000000453</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article
2016
after-discharge
Alcohol
American journal of physical medicine & rehabilitation
Anemia
association
Billue K L
brain-injury
Department of Internal Medicine
Function
Hayek A
Horattas S
Injury Severity Score
intensive-care-unit
Journal Article
Length of Stay
life
Marley M
Marley R A
Muakkassa F F
NEOMED College of Medicine
outcomes
Patient Outcome Assessment
Recovery of
Rehabilitation
Salvator A
Sport Sciences
Survival
Yetmar Z
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1097/MEJ.0b013e3280b17ea0" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/MEJ.0b013e3280b17ea0</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
19-25
Issue
1
Volume
15
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
The relationship between psychiatric medication and course of hospital stay among intoxicated trauma patients
Publisher
An entity responsible for making the resource available
European Journal of Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2008
2008-02
Subject
The topic of the resource
acute; brain-injury; chronic alcohol-abuse; comorbidity; cost; disorders; Emergency Medicine; ethanolism; general hospitals; hospitalization; inpatients; intoxication; Length of Stay; pneumonia; prevalence; Psychiatry; trauma
Creator
An entity primarily responsible for making the resource
Muakkassa F F; Marley R A; Dolinak J; Salvator A E; Workman M C
Description
An account of the resource
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. Methods Data were retrospectively collected from 1997 through 2003 on patients with positive alcohol or drug screen who also received psychiatric medication during their hospital stay in a trauma center. Patients were matched by age, injury severity score, and injury to controls who had negative alcohol and toxicology screens and no psychiatric medication. An additional group consisted of positive alcohol or drug-screen trauma patients without psychiatric medication during hospitalization. Each group had 25 patients. Results No significant differences between the three groups regarding comorbidities or pain-medication doses given per day were found. The patients with positive alcohol and with psychiatric medication were more likely to have respiratory complications such as pneumonia or respiratory failure requiring ventilator support (36 versus 4%, P=0.005), to develop other infections (8 versus 0%), or other complications (26 versus 4%, P=0.0007) compared with the controls. A significant difference in hospital length of stay between the group with positive toxicity and psychiatric medication and that with negative toxicity and psychiatric medication (mean: 12.8 and 5.5 days, respectively; P=0.01) was found. Conclusion Psychiatric medication and positive drug or alcohol screens are associated with longer length of stay and increased respiratory complications. Factors influencing these outcomes need more clarification and prospective studies.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/MEJ.0b013e3280b17ea0" target="_blank" rel="noreferrer noopener">10.1097/MEJ.0b013e3280b17ea0</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article
2008
acute
brain-injury
chronic alcohol-abuse
Comorbidity
Cost
disorders
Dolinak J
Emergency Medicine
ethanolism
European Journal of Emergency Medicine
general hospitals
Hospitalization
Inpatients
intoxication
Journal Article
Length of Stay
Marley R A
Muakkassa F F
Pneumonia
Prevalence
Psychiatry
Salvator A E
trauma
Workman M C
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/" target="_blank" rel="noreferrer noopener">http://doi.org/</a>
Pages
15-20
Issue
3
Volume
31
ISSN
1557-2501
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<a href="http://neomed.idm.oclc.org/login?url=http://doi.org/" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: </a>
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Update Year & Number
June2020SubmittedList
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of Internal Medicine
Affiliated Hospital
Cleveland Clinic Akron General Hospital
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Outcomes among patients with heart failure with reduced ejection fraction undergoing transcatheter aortic valve replacement: Minimally invasive strategy versus conventional strategy.
Publisher
An entity responsible for making the resource available
The Journal of invasive cardiology
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
2019-03
Subject
The topic of the resource
Female; Humans; Male; Aged; Retrospective Studies; Treatment Outcome; Prognosis; Cohort Studies; Severity of Illness Index; Aged 80 and over; Logistic Models; Survival Rate; Length of Stay; Multivariate Analysis; Risk Assessment; Reference Values; Hospital Mortality; aortic stenosis; transcatheter aortic valve replacement; heart failure; Transcatheter Aortic Valve Replacement/methods/mortality; anesthesia; conscious sedation; Aortic Valve Stenosis/diagnostic imaging/epidemiology/therapy; Cardiac Catheterization/methods; Cardiac Output Low/diagnostic imaging; Conscious Sedation/methods; Echocardiography Transesophageal/methods; Heart Failure/diagnosis/epidemiology/therapy; Minimally Invasive Surgical Procedures/methods; Surgery Computer-Assisted/methods
Creator
An entity primarily responsible for making the resource
Panhwar MS; Li J; Zidar DA; Clevenger J; Lipinski J; Patel TR; Karim A; Saric P; Patel SM; Kalra A; Attizzani GF
Description
An account of the resource
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 hemodynamic effects from general anesthesia utilized in transcatheter aortic valve replacement (TAVR) via the conventional strategy (CS). These patients may be better suited for the minimally invasive strategy (MIS), which employs conscious sedation. However, data are lacking that compare MIS to CS in patients with AS and concomitant low EF. METHODS: In this retrospective study, we identified all patients with low EF (<50%) undergoing transfemoral MIS-TAVR vs CS-TAVR between March 2011 and May 2018. Our primary endpoint was defined as the composite of in-hospital mortality and major periprocedural bleeding or vascular complications. RESULTS: Two hundred and seventy patients had EF <50%, while 154 patients had EF ≤35%. Overall, a total of 236 patients were in the MIS group and 34 were in the CS group. Baseline characteristics between the two groups were similar except for Society of Thoracic Surgeons (STS) score (MIS 8.4 ± 5.1 vs CS 11.7 ± 6.8; P<.01). There were no differences between the two groups in incidence of the primary endpoint (MIS 5.5% vs CS 8.8%; odds ratio for MIS, 0.60; 95% confidence interval, 0.16-2.23; P=.45). CONCLUSIONS: In patients with severe AS and reduced EF, MIS was not associated with adverse in-hospital or 30-day clinical outcomes compared with CS. In these patients, MIS may be a suitable alternative to CS without compromising clinical outcomes.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/" target="_blank" rel="noreferrer noopener"></a>
PMID: 30555054
Rights
Information about rights held in and over the resource
Copyright © 2019 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.
Format
The file format, physical medium, or dimensions of the resource
journalArticle
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
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1007/s00464-006-9097-4" target="_blank" rel="noreferrer noopener">http://doi.org/10.1007/s00464-006-9097-4</a>
Pages
777–781
Issue
5
Volume
21
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Appendicitis in the elderly: a change in the laparoscopic era.
Publisher
An entity responsible for making the resource available
Surgical endoscopy
Date
A point or period of time associated with an event in the lifecycle of the resource
2007
2007-05
Subject
The topic of the resource
*Laparoscopy; 80 and over; Aged; Appendectomy/*methods; Appendicitis/diagnostic imaging/mortality/*surgery; Female; Humans; Length of Stay; Male; Middle Aged; Minimally Invasive Surgical Procedures; Retrospective Studies; Tomography; Treatment Outcome; X-Ray Computed
Creator
An entity primarily responsible for making the resource
Paranjape C; Dalia S; Pan J; Horattas M
Description
An account of the resource
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. METHODS: A retrospective review of 116 elderly patients (age \textgreater 60) from 1999 to 2004 is compared with the authors' previously published studies from 1978 to 1988 (n = 96) and from 1988 to 1998 (n = 113), respectively. RESULTS: In our current series (1999-2004), more cases were managed laparoscopically (n = 68) than with open surgery (n = 48). Perforated appendicitis cases resulted in significantly longer hospital stays, more complications, and longer operating time than nonperforated cases. The laparoscopic cases had significantly shorter lengths of hospital stay and fewer complications than open cases, and comparable operating times. As compared with our previous studies from 1978 to 1988) and from 1988 to 1998, the current series (1999-2004) consists of patients presenting with fewer classical symptoms. Computed tomography (CT) scanning was more accurate in the current study and more routinely used. The patients in the current series had more correct preoperative diagnoses. Perforated appendicitis was encountered less frequently and associated with fewer complications. The 4% mortality rate in the previous two series decreased to less than 1% in this series. CONCLUSION: Minimally invasive surgery combined with increased use and accuracy of preoperative CT scans has changed the clinical management of acute appendicitis in elderly patients, leading to decreased lengths of stay, decreased mortality, and more favorable outcomes.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1007/s00464-006-9097-4" target="_blank" rel="noreferrer noopener">10.1007/s00464-006-9097-4</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Laparoscopy
2007
80 and over
Aged
Appendectomy/*methods
Appendicitis/diagnostic imaging/mortality/*surgery
Dalia S
Female
Horattas M
Humans
Length of Stay
Male
Middle Aged
Minimally Invasive Surgical Procedures
Pan J
Paranjape C
Retrospective Studies
Surgical endoscopy
Tomography
Treatment Outcome
X-Ray Computed
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1371/journal.pone.0195536" target="_blank" rel="noreferrer noopener">http://doi.org/10.1371/journal.pone.0195536</a>
Pages
e0195536–e0195536
Issue
4
Volume
13
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Heparin free dialysis in critically sick children using sustained low efficiency dialysis (SLEDD-f): A new hybrid therapy for dialysis in developing world.
Publisher
An entity responsible for making the resource available
PloS one
Date
A point or period of time associated with an event in the lifecycle of the resource
2018
1905-07
Subject
The topic of the resource
Humans; Adolescent; Retrospective Studies; Child; Infant; *Critical Care/methods; Acute Kidney Injury/blood/mortality/*therapy; Critical Illness/*therapy; Developing Countries; Feasibility Studies; Follow-Up Studies; Length of Stay; Renal Dialysis/adverse effects/instrumentation/*methods; Treatment Outcome; Preschool
Creator
An entity primarily responsible for making the resource
Sethi Sidharth Kumar; Bansal Shyam B; Khare Anshika; Dhaliwal Maninder; Raghunathan Veena; Wadhwani Nikita; Nandwani Ashish; Yadav Dinesh Kumar; Mahapatra Amit Kumar; Raina Rupesh
Description
An account of the resource
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 recent studies from Taiwan (n = 11) and India (n = 68) showed benefits of SLED in critically sick children. AIMS AND OBJECTIVES: The objective of the study was to look at the feasibility and tolerability of sustained low efficiency daily dialysis-filtration [SLEDD-f] in critically sick pediatric patients. MATERIAL AND METHODS: Design: Retrospective study Inclusion criteria: All pediatric patients who had undergone heparin free SLEDD-f from January 2012 to October 2017. Measurements: Data collected included demographic details, vital signs, PRISM III at admission, ventilator parameters (where applicable), number of inotropes, blood gas and electrolytes before, during, and on conclusion of SLED therapy. Technical information was gathered regarding SLEDD-f prescription and complications. RESULTS: Between 2012-2017, a total of 242 sessions of SLEDD-f were performed on 70 patients, out of which 40 children survived. The median age of patients in years was 12 (range 0.8-17 years), and the median weight was 39 kg (range 8.5-66 kg). The mean PRISM score at admission was 8.77+/-7.22. SLEDD-f sessions were well tolerated, with marked improvement in fluid status and acidosis. Premature terminations had to be done in 23 (9.5%) of the sessions. There were 21 sessions (8.6%) terminated due to hypotension and 2 sessions (0.8%) terminated due to circuit clotting. Post- SLEDD-f hypocalcemia occurred in 15 sessions (6.2%), post- SLEDD-f hypophosphatemia occurred in 1 session (0.4%), and post- SLEDD-f hypokalemia occurred in 17 sessions (7.0%). CONCLUSIONS: This study is the largest compiled data on pediatric SLEDD-f use in critically ill patients. Our study confirms the feasibility of heparin free SLEDD-f in a larger pediatric population, and even in children weighing \textless20 kg on inotropic support.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1371/journal.pone.0195536" target="_blank" rel="noreferrer noopener">10.1371/journal.pone.0195536</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Critical Care/methods
2018
Acute Kidney Injury/blood/mortality/*therapy
Adolescent
Bansal Shyam B
Child
Critical Illness/*therapy
Department of Internal Medicine
Developing Countries
Dhaliwal Maninder
Feasibility Studies
Follow-Up Studies
Humans
Infant
Khare Anshika
Length of Stay
Mahapatra Amit Kumar
Nandwani Ashish
NEOMED College of Medicine
PloS one
Preschool
Raghunathan Veena
Raina Rupesh
Renal Dialysis/adverse effects/instrumentation/*methods
Retrospective Studies
Sethi Sidharth Kumar
Treatment Outcome
Wadhwani Nikita
Yadav Dinesh Kumar
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.jemermed.2014.09.005" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.jemermed.2014.09.005</a>
Pages
152–157
Issue
2
Volume
48
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Freestanding emergency departments and the trauma patient.
Publisher
An entity responsible for making the resource available
The Journal of emergency medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2015
2015-02
Subject
The topic of the resource
*Wounds and Injuries/diagnostic imaging/etiology/mortality; Adult; Aged; Ambulatory Care Facilities/*statistics & numerical data; Emergency Service; Female; freestanding emergency departments; Hospital/*statistics & numerical data; Humans; Length of Stay; Male; Middle Aged; Radiography; Retrospective Studies; tertiary care; trauma; Trauma Centers/*statistics & numerical data
Creator
An entity primarily responsible for making the resource
Simon Erin L; Medepalli Kantha; Williams Carolyn J; Yocum Andrew; Abrams Eric; Griffin Gregory; Orlik Kseniya
Description
An account of the resource
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 transferred to the main tertiary care ED for trauma team consult and admission. METHODS: This retrospective cohort descriptive study examined medical records of adult trauma patients who were initially seen at an FED and then transferred to the main ED. All patients who received a trauma consultation were included. Data collection included demographics, initial mode of transport to the ED, injury, mechanism of injury, ED, hospital course and outcome. RESULTS: Mean age was 61.8 +/- 23.8, 96.7% were Caucasian and 52.5% were male. Mode of transport to the FEDs included private vehicle (46.4%) and emergency medical services (53.6%). The main injury mechanisms were fall from standing (51.9%) and fall from an object (16%). A total of 12.7% were from motor vehicle accidents and 6.6% presented from bicycle and all-terrain vehicle accidents. Blunt traumatic injuries accounted for 97.8% (n = 177) patients. Computed tomography scanning was performed on 90.1% of patients. Median ED length of stay was 189 min. Mean hospital length of stay was 3 days and 2.2% (n = 4) of patients died from their injuries. CONCLUSIONS: Understanding the patients and traumatic injuries that present to FEDs will guide training and identify resources needed for patients requiring additional care at a trauma center.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.jemermed.2014.09.005" target="_blank" rel="noreferrer noopener">10.1016/j.jemermed.2014.09.005</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Wounds and Injuries/diagnostic imaging/etiology/mortality
2015
Abrams Eric
Adult
Aged
Ambulatory Care Facilities/*statistics & numerical data
Department of Emergency Medicine
Emergency Service
Female
freestanding emergency departments
Griffin Gregory
Hospital/*statistics & numerical data
Humans
Length of Stay
Male
Medepalli Kantha
Middle Aged
NEOMED College of Medicine
Orlik Kseniya
Radiography
Retrospective Studies
Simon Erin L
tertiary care
The Journal of emergency medicine
trauma
Trauma Centers/*statistics & numerical data
Williams Carolyn J
Yocum Andrew
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1002/emp2.12100" target="_blank" rel="noreferrer noopener">http://doi.org/10.1002/emp2.12100</a>
Pages
1052-1059
Issue
5
Volume
1
ISSN
2688-1152 2688-1152
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.1002/emp2.12100" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.1002/emp2.12100</a>
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Update Year & Number
December 2020 List
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of Emergency Medicine
Affiliated Hospital
Cleveland Clinic Akron General Hospital
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
The impact of hospital boarding on the emergency department waiting room.
Publisher
An entity responsible for making the resource available
Journal Of The American College Of Emergency Physicians Open
Date
A point or period of time associated with an event in the lifecycle of the resource
2020
2020-10
Subject
The topic of the resource
length of stay; crowding; emergency department boarding; emergency department wait times; hospital occupancy; waiting room
Creator
An entity primarily responsible for making the resource
Smalley CM; Simon EL; Meldon SW; Muir McKinsey R; Briskin I; Crane S; Delgado F; Borden BL; Fertel BS
Description
An account of the resource
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. Additionally, we determined whether facility type, patient acuity, time of day, or hospital occupancy impacted waiting rooms in 18 EDs across a large healthcare system. METHODS: This was a retrospective multicenter study that included all ED encounters between January 1, 2018, and September 30, 2019. Encounters with missing Emergency Severity Index (ESI) level were excluded. ESI levels were defined as high (ESI 1,2), middle (ESI 3), and low (ESI 4,5). Spearman correlation coefficients measured the relationship between boarded patients and number of patients in ED waiting room. A multivariable mixed effects model identified drivers of this relationship. RESULTS: A total of 1,134,178 encounters were included. Spearman correlation coefficient was significant between number of patients in the ED waiting room and patient boarding (0.54). For every additional patient boarded/hour, the number of patients waiting/hour in the waiting room increased by 8% (95% confidence interval [CI] = 1.08-1.09). The number of patients waiting for a room/hour was 2.28 times higher for middle than for high acuity. The number of patients in waiting room slightly decreased as hospital occupancy increased (95% CI = 0.997-0.997). CONCLUSION: Number of patients in ED waiting room are directly related to boarding times and hospital occupancy. ED waiting room times should be considered as not just an ED operational issue, but an aspect of hospital throughput.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1002/emp2.12100" target="_blank" rel="noreferrer noopener">10.1002/emp2.12100</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Format
The file format, physical medium, or dimensions of the resource
journalArticle
2020
Borden BL
Briskin I
Cleveland Clinic Akron General Hospital
Crane S
Crowding
December 2020 List
Delgado F
Department of Emergency Medicine
emergency department boarding
emergency department wait times
Fertel BS
hospital occupancy
Journal Of The American College Of Emergency Physicians Open
journalArticle
Length of Stay
Meldon SW
Muir McKinsey R
NEOMED College of Medicine
Simon EL
Smalley CM
waiting room
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Pages
1–2
Issue
10
Volume
12
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Antibiotics and Adverse Events: Doctors, Do No Harm!
Publisher
An entity responsible for making the resource available
Hospital Medicine Alert
Date
A point or period of time associated with an event in the lifecycle of the resource
2017
2017-12
Subject
The topic of the resource
Length of Stay; Patient Safety; Internal Medicine; Clostridium Infections; Adverse Drug Event; Drug Toxicity; Pruritus; Medical Practice; Evidence-Based; Antibiotics – Therapeutic Use; Antibiotics – Administration and Dosage; Antibiotics – Adverse Effects; Clostridium Infections – Etiology; Hospitalization – Statistics and Numerical Data; Adverse Drug Event – Classification; Adverse Drug Event – Etiology; Adverse Drug Event – Risk Factors; Anaphylaxis – Risk Factors
Creator
An entity primarily responsible for making the resource
Watkins Richard R
Description
An account of the resource
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 indicated, and 56 (20%) of these were associated with an adverse drug event.
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2017
adverse drug event
Adverse Drug Event – Classification
Adverse Drug Event – Etiology
Adverse Drug Event – Risk Factors
Anaphylaxis – Risk Factors
Antibiotics – Administration and Dosage
Antibiotics – Adverse Effects
Antibiotics – Therapeutic Use
Clostridium Infections
Clostridium Infections – Etiology
Department of Internal Medicine
Drug Toxicity
Evidence-Based
Hospital Medicine Alert
Hospitalization – Statistics and Numerical Data
Internal Medicine
Length of Stay
Medical Practice
NEOMED College of Medicine
Patient Safety
Pruritus
Watkins Richard R
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Pages
132–133
Issue
17
Volume
37
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Antibiotics for Acute Appendicitis.
Publisher
An entity responsible for making the resource available
Internal Medicine Alert
Date
A point or period of time associated with an event in the lifecycle of the resource
2015
2015-09-15
Subject
The topic of the resource
Postoperative Complications; Antibiotics; Length of Stay; Decision Making; Appendectomy; Tomography; Human; Multicenter Studies; X-Ray Computed; Intravenous; Administration; Treatment Outcomes; Patient Education; Randomized Controlled Trials; Emergency Treatment; Antibiotics – Therapeutic Use; Appendicitis – Ultrasonography; Appendicitis – Drug Therapy; Appendicitis – Surgery
Creator
An entity primarily responsible for making the resource
Watkins Richard R
Description
An account of the resource
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 period.
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2015
Administration
Antibiotics
Antibiotics – Therapeutic Use
Appendectomy
Appendicitis – Drug Therapy
Appendicitis – Surgery
Appendicitis – Ultrasonography
Decision Making
Department of Internal Medicine
Emergency Treatment
Human
Internal Medicine Alert
Intravenous
Length of Stay
Multicenter Studies
NEOMED College of Medicine
Patient Education
Postoperative Complications
RANDOMIZED controlled trials
Tomography
Treatment Outcomes
Watkins Richard R
X-Ray Computed
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1177/0885066615627757" target="_blank" rel="noreferrer noopener">http://doi.org/10.1177/0885066615627757</a>
Pages
278–282
Issue
4
Volume
32
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Admission to the Intensive Care Unit is Associated With Changes in the Oral Mycobiome.
Publisher
An entity responsible for making the resource available
Journal of intensive care medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2017
2017-05
Subject
The topic of the resource
*Intensive Care Units; 80 and over; Adult; Aged; Candida albicans; Candida Albicans; Candida albicans/*isolation & purification; Candidiasis; critical care; Critical Care; Cross Infection/microbiology/prevention & control/*transmission; Female; Human; Humans; Length of Stay; Male; Middle Aged; mycobiome; Mycobiome/*immunology; Mycological Typing Techniques; Mycoses; Oral Health; Oral/microbiology/prevention & control/*transmission; Prospective Studies; Risk Factors; United States/epidemiology; Young Adult
Creator
An entity primarily responsible for making the resource
Watkins Richard R; Mukherjee Pranab K; Chandra Jyotsna; Retuerto Mauricio A; Guidry Chrissy; Haller Nairmeen A; Paranjape Charudutt; Ghannoum Mahmoud A
Description
An account of the resource
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 mycobiome, including an overall increase in Candida albicans.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1177/0885066615627757" target="_blank" rel="noreferrer noopener">10.1177/0885066615627757</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Intensive Care Units
2017
80 and over
Adult
Aged
Candida albicans
Candida albicans/*isolation & purification
Candidiasis
Chandra Jyotsna
Critical Care
Cross Infection/microbiology/prevention & control/*transmission
Department of Internal Medicine
Female
Ghannoum Mahmoud A
Guidry Chrissy
Haller Nairmeen A
Human
Humans
Journal of intensive care medicine
Length of Stay
Male
Middle Aged
Mukherjee Pranab K
mycobiome
Mycobiome/*immunology
Mycological Typing Techniques
Mycoses
NEOMED College of Medicine
Oral Health
Oral/microbiology/prevention & control/*transmission
Paranjape Charudutt
Prospective Studies
Retuerto Mauricio A
Risk Factors
United States/epidemiology
Watkins Richard R
Young Adult
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.emc.2016.04.012" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.emc.2016.04.012</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
649-+
Issue
3
Volume
34
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Altered Mental Status and Delirium
Publisher
An entity responsible for making the resource available
Emergency Medicine Clinics of North America
Date
A point or period of time associated with an event in the lifecycle of the resource
2016
2016-08
Subject
The topic of the resource
adults; Altered mental status; cognitive impairment; confusion assessment method; delirium; Dementia; Elderly; elderly-patients; Emergency Medicine; Emergency Medicine; emergency-department patients; haloperidol; intensive-care-unit; Length of Stay; Medical decision-making capacity; scale; screening tools
Creator
An entity primarily responsible for making the resource
Wilber S T; Ondrejka J E
Description
An account of the resource
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 for emergency physicians. Delirium is an acute change in attention, awareness, and cognition. Numerous life threatening conditions can cause delirium; therefore, prompt recognition and treatment are critical. The authors discuss an organized approach that can lead to a prompt diagnosis within the time constraints of the emergency department.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.emc.2016.04.012" target="_blank" rel="noreferrer noopener">10.1016/j.emc.2016.04.012</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article
2016
adults
Altered mental status
cognitive impairment
confusion assessment method
delirium
dementia
Elderly
elderly-patients
Emergency Medicine
Emergency medicine clinics of North America
emergency-department patients
haloperidol
intensive-care-unit
Journal Article
Length of Stay
Medical decision-making capacity
Ondrejka J E
scale
screening tools
Wilber S T
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1177/0148607114568121" target="_blank" rel="noreferrer noopener">http://doi.org/10.1177/0148607114568121</a>
Pages
682–687
Issue
5
Volume
40
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Prolonged Clostridium difficile Infection May Be Associated With Vitamin D Deficiency.
Publisher
An entity responsible for making the resource available
JPEN. Journal of parenteral and enteral nutrition
Date
A point or period of time associated with an event in the lifecycle of the resource
2016
2016-07
Subject
The topic of the resource
*adult; *gastroenterology; *immunonutrition; *life cycle; *nutrition; *research and diseases; *sepsis; *vitamins; 80 and over; 80 and Over; Aged; Clostridium Infections – Etiology; Clostridium Infections – Mortality; Clostridium Infections – Physiopathology; Clostridium Infections/*etiology/mortality/physiopathology; Diarrhea – Microbiology; Diarrhea – Physiopathology; Diarrhea/microbiology/physiopathology; Female; Humans; Iatrogenic Disease – Epidemiology; Iatrogenic Disease/epidemiology; Length of Stay; Male; Middle Age; Middle Aged; 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
Creator
An entity primarily responsible for making the resource
Wong Ken Koon; Lee Rebecca; Watkins Richard R; Haller Nairmeen A
Description
An account of the resource
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 healthcare-associated expenses and longer lengths of stay compared to nondeficient counterparts. The objective here was to evaluate the relationship between vitamin D level and CDI recurrence. MATERIALS AND METHODS: A retrospective chart review was conducted for 112 patients with vitamin D level drawn within 3 months of CDI diagnosis. Recurrence, severity of disease, 30-day mortality, and course of CDI were assessed. RESULTS: The vitamin D-deficient group included 56 patients, and the normal group included 56 patients. The mean age of vitamin D-deficient and -sufficient groups was 68 +/- 15.7 and 71 +/- 14.4 years, respectively. The mean 25(OH) D level in the deficient group was 11.7 +/- 4.6 ng/mL, and it was 36.2 +/- 16.2 ng/mL in the normal group. A longer course of diarrhea was apparent in the vitamin D-deficient group compared to the normal group: 6.1 days (95% confidence interval [CI], 4.9-7.2) vs 4.2 days (95% CI, 3.5-4.9; P = .01). Sepsis rate was 24% in vitamin D-deficient group and 13% in normal group (P = .03). There were no differences in CDI recurrence, length of stay, severity of illness, and mortality with respect to vitamin D status. CONCLUSION: There may be an association between course of diarrhea and increased rate of sepsis in vitamin D-deficient CDI patients.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1177/0148607114568121" target="_blank" rel="noreferrer noopener">10.1177/0148607114568121</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*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