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40
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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/s11325-018-1645-3" target="_blank" rel="noreferrer noopener">http://doi.org/10.1007/s11325-018-1645-3</a>
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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
1117-1124
Issue
4
Volume
22
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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
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High risk for obstructive sleep apnea hypopnea syndrome predicts new onset atrial fibrillation after cardiac surgery: a retrospective analysis
Publisher
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Sleep and Breathing
Date
A point or period of time associated with an event in the lifecycle of the resource
2018
2018-12
Subject
The topic of the resource
arrhythmias; Atrial fibrillation; c-reactive protein; Coronary artery bypass graft surgery; cost; Length of; mortality; Neurosciences & Neurology; outcomes; recurrence; Respiratory System; Screening; Sleep apnea; stay
Creator
An entity primarily responsible for making the resource
Patel S V; Gill H; Shahi D; Rajabalan A; Patel P; Sonani R; Bhatt P; Rodriguez R D; Bautista M; Deshmukh A; Gonzalez J V; Patel S
Description
An account of the resource
Purpose Obstructive sleep apnea hypopnea syndrome (OSAHS) is highly prevalent in patients undergoing coronary artery bypass surgery (CABG). OSAHS is a risk factor for the development of atrial fibrillation (AF), but the risk of AF in patients who are high risk for OSAHS is unclear. Methods A retrospective study was conducted on consecutive patients undergoing CABG from 2013 to 2015 without AF pre-operatively. Patients were categorized as low risk for OSAHS, high risk for OSAHS, or diagnosed OSAHS based on medical records review. All diagnosed OSAHS patients were on active treatment with positive airway pressure. Outcomes assessed were postoperative AF (POAF), postoperative length of stay, re-intubation, in-hospital mortality, and cost of hospitalization. Results Out of 209 eligible patients, 66.5% were low-risk for OSAHS, 18.7% high-risk for OSAHS, and 14.8% diagnosed/treated for OSAHS. POAF developed in 96 patients (45.9%) with greater frequency in high-risk OSAHS patients (69.2% high risk, 41.9% low risk, 40.3% diagnosed/treated, p = 0.01). In analyses adjusted for age, sex, ethnicity and comorbidities, high risk for OSAHS was associated with 2.9 greater odds (95% CI [1.2, 7.3], p = 0.02) for POAF while diagnosed/treated OSAHS was not associated with elevated risk (OR = 1.4, 95% CI [0.6, 3.6], p = 0.50) compared to patients at low risk for OSAHS. Conclusions High risk for OSAHS is an independent predictor for POAF in patients undergoing CABG. In contrast, patients diagnosed and treated for their OSAHS are not at elevated risk of POAF. These findings support evaluation of a standardized OSAHS screening and treatment program as part of the pre-operative evaluation for elective CABG.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1007/s11325-018-1645-3" target="_blank" rel="noreferrer noopener">10.1007/s11325-018-1645-3</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article
2018
Arrhythmias
Atrial fibrillation
Bautista M
Bhatt P
C-Reactive Protein
Coronary artery bypass graft surgery
Cost
Department of Family & Community Medicine
Deshmukh A
Gill H
Gonzalez J V
Journal Article
Length of
Mortality
NEOMED College of Medicine
Neurosciences & Neurology
outcomes
Patel P
Patel S
Patel S V
Rajabalan A
Recurrence
Respiratory System
Rodriguez R D
screening
Shahi D
Sleep and Breathing
Sleep apnea
Sonani R
stay
-
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.12654" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/acem.12654</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
542-553
Issue
5
Volume
22
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
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Emergency Department Performance Measures Updates: Proceedings of the 2014 Emergency Department Benchmarking Alliance Consensus Summit
Publisher
An entity responsible for making the resource available
Academic Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2015
2015-05
Subject
The topic of the resource
care; costs; Emergency Medicine; operations; outcomes; patient satisfaction; project; publication guidelines; quality improvement; risk; stay
Creator
An entity primarily responsible for making the resource
Wiler J L; Welch S; Pines J; Schuur J; Jouriles N; Stone-Griffith S
Description
An account of the resource
ObjectivesThe objective was to review and update key definitions and metrics for emergency department (ED) performance and operations. MethodsForty-five emergency medicine leaders convened for the Third Performance Measures and Benchmarking Summit held in Las Vegas, February 21-22, 2014. Prior to arrival, attendees were assigned to workgroups to review, revise, and update the definitions and vocabulary being used to communicate about ED performance and operations. They were provided with the prior definitions of those consensus summits that were published in 2006 and 2010. Other published definitions from key stakeholders in emergency medicine and health care were also reviewed and circulated. At the summit, key terminology and metrics were discussed and debated. Workgroups communicated online, via teleconference, and finally in a face-to-face meeting to reach consensus regarding their recommendations. Recommendations were then posted and open to a 30-day comment period. Participants then reanalyzed the recommendations, and modifications were made based on consensus. ResultsA comprehensive dictionary of ED terminology related to ED performance and operation was developed. This article includes definitions of operating characteristics and internal and external factors relevant to the stratification and categorization of EDs. Time stamps, time intervals, and measures of utilization were defined. Definitions of processes and staffing measures are also presented. Definitions were harmonized with performance measures put forth by the Centers for Medicare and Medicaid Services (CMS) for consistency. ConclusionsStandardized definitions are necessary to improve the comparability of EDs nationally for operations research and practice. More importantly, clear precise definitions describing ED operations are needed for incentive-based pay-for-performance models like those developed by CMS. This document provides a common language for front-line practitioners, managers, health policymakers, and researchers. (C) 2015 by the Society for Academic Emergency Medicine
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1111/acem.12654" target="_blank" rel="noreferrer noopener">10.1111/acem.12654</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article
2015
Academic Emergency Medicine
care
costs
Emergency Medicine
Jouriles N
Journal Article
operations
outcomes
Patient Satisfaction
Pines J
project
publication guidelines
Quality Improvement
Risk
Schuur J
stay
Stone-Griffith S
Welch S
Wiler J L