keyword
https://read.qxmd.com/read/38514037/high-value-epilepsy-care-in-the-united-states-predictors-of-increased-costs-and-complications-from-the-national-inpatient-sample-database-2016-2019
#1
JOURNAL ARTICLE
Rohin Singh, Cameron Zamanian, George Bcharah, Henry Stonnington, Derek D George, Archis R Bhandarkar, Shane Shahrestani, Nolan Brown, Mickey E Abraham, Antonios Mammis, Mohamad Bydon, David Gonda
INTRODUCTION: For patients with medically refractory epilepsy newer minimally invasive techniques such as Laser Interstitial Thermal Therapy (LITT) have been developed in recent years. This study aims to characterize trends in the utilization of surgical resection versus LITT to treat medically refractory epilepsy, characterize complications, and understand the cost of this innovative technique to the public. METHODS: The National Inpatient Sample (NIS) database was queried from 2016 to 2019 for all patients admitted with a diagnosis of medically refractory epilepsy...
March 19, 2024: World Neurosurgery
https://read.qxmd.com/read/38511734/repercussions-of-moving-patients-on-the-context-of-practice-perspectives-of-the-nursing-team
#2
JOURNAL ARTICLE
Mariana Santos de Campos, Danielle Fabiana Cucolo, Marcia Galan Perroca
OBJECTIVE: to examine the nursing team's view of the repercussions of moving patients (admissions, transfers and discharges) on the organization of work and the delivery of care. METHOD: this is a qualitative study using the focus group technique, conducted with 23 professionals - 12 nurses, eight nurse technicians and three nurse assistants working in three inpatient units at a teaching hospital in the countryside of Sao Paulo. Four meetings took place between November 2021 and March 2022...
2024: Revista Latino-americana de Enfermagem
https://read.qxmd.com/read/38501327/inpatient-education-reduces-length-of-outpatient-oxygen-therapy-in-bronchopulmonary-dysplasia-a-quality-improvement-project
#3
JOURNAL ARTICLE
Kathryn E K Berlin, Joanne Lagatta, Sara Dawson, Margaret Malnory, William Scott, Alicia Sprecher
BACKGROUND: Patients discharged on home oxygen therapy (HOT) for bronchopulmonary dysplasia (BPD) often receive months of this therapy. A previous trial comparing two methods of HOT weaning showed that increased parent involvement in HOT weaning decreased HOT duration. Our outpatient team uses a standard protocol for outpatient HOT weaning, starting at the first clinic visit 4-6 weeks after discharge. AIM: To shorten HOT duration by teaching parents the outpatient HOT weaning process before neonatal intensive care unit (NICU) discharge...
March 19, 2024: Pediatric Pulmonology
https://read.qxmd.com/read/38438279/melatonin-does-not-reduce-delirium-severity-in-hospitalized-older-adults-results-of-a-randomized-placebo-controlled-trial
#4
JOURNAL ARTICLE
Peter W Lange, Alisa Turbić, Cheng Hwee Soh, Daniel Clayton-Chubb, Wen Kwang Lim, Rachel Conyers, Rosie Watson, Andrea B Maier
BACKGROUND: Delirium is common in older inpatients, causing distress, cognitive decline, and death. Current therapies are unsatisfactory, limited by lack of efficacy and adverse effects. There is an urgent need for effective delirium treatment. Sleep wake cycle is disturbed in delirium; endogenous Melatonin is perturbed, and exogenous Melatonin is a safe and effective medication for sleep disorders. This study aims to determine the effect of oral Melatonin 5 mg immediate release (IR) nightly for five nights on the severity of delirium in older (≥65 years) medical inpatients...
March 4, 2024: Journal of the American Geriatrics Society
https://read.qxmd.com/read/38415092/a-mixed-methods-needs-assessment-for-an-antimicrobial-stewardship-curriculum-in-pediatrics
#5
JOURNAL ARTICLE
Cora Constantinescu, John Conly, Joseph Vayalumkal, Elaine Gilfoyle, Chinelo Oguaju, Aliya Kassam
OBJECTIVE: Antimicrobial stewardship (AS) education initiatives for multidisciplinary teams are most successful when addressing psychosocial factors driving antimicrobial prescribing (AP) and when they address the needs of the team to allow for a tailored approach to their education. DESIGN: We conducted a mixed-methods embedded study as a needs assessment, involving quantitative analysis of AS concerns observed by pharmacists through an audit while attending clinical team rounds, as well as qualitative semi-structured interviews based on the Theoretical Domain Framework (TDF) to identify psychosocial barriers and facilitators for antimicrobial prescribing for an inpatient general pediatric service...
2024: Antimicrob Steward Healthc Epidemiol
https://read.qxmd.com/read/38378239/mapping-geographic-disparities-in-treatment-and-clinical-outcomes-of-high-grade-aneurysmal-subarachnoid-hemorrhage-in-the-united-states
#6
JOURNAL ARTICLE
Alis J Dicpinigaitis, Michael P Fortunato, Anjali Goyal, Shoaib A Syed, Rohan Patel, Galadu Subah, Jon B Rosenberg, Christian A Bowers, Stephan A Mayer, Brian Jankowitz, Chirag D Gandhi, Fawaz Al-Mufti
BACKGROUND AND OBJECTIVE: Although high-grade (Hunt and Hess 4 and 5) aneurysmal subarachnoid hemorrhage (aSAH) typically portends a poor prognosis, early and aggressive treatment has previously been demonstrated to confer a significant survival advantage. This study aims to evaluate geographic, demographic, and socioeconomic determinants of high-grade aSAH treatment in the United States. METHODS: The National Inpatient Sample (NIS) was queried to identify adult high-grade aSAH hospitalizations during the period of 2015 to 2019 using the International Classification of Diseases, 10th Revision, Clinical Modification (ICD) codes...
February 20, 2024: Journal of Neurointerventional Surgery
https://read.qxmd.com/read/38364865/the-association-of-high-quality-hospital-use-on-health-care-outcomes-for-pediatric-congenital-heart-defects-in-a-universal-health-care-system
#7
JOURNAL ARTICLE
Amber El-Amin, Tracey Koehlmoos, Dahai Yue, Jie Chen, Nam Yong Cho, Peyman Benharash, Luisa Franzini
INTRODUCTION: Congenital heart disease (CHD) has an incidence of 0.8% to 1.2% worldwide, making it the most common birth defect. Researchers have compared high-volume to low-volume hospitals and found significant hospital-level variation in major complications, health resource utilization, and mortality after CHD surgery. In addition, researchers found critical CHD patients at low-volume/non-teaching facilities to be associated with higher odds of inpatient mortality when compared to CHD patients at high-volume/teaching hospitals (odds ratio 1...
February 14, 2024: Military Medicine
https://read.qxmd.com/read/38363722/educating-families-of-brain-injury-patients-during-acute-rehabilitation-a-quality-improvement-project
#8
JOURNAL ARTICLE
Yi Zhou, Stacey Jou, Kathryn A Altonji, Hayk Petrosyan, Lei Lin, Brian D Greenwald
Lack of information is cited as a source of distress for caregivers of patients with brain injury during the recovery process. This is a quality improvement project with the purpose of educating family members of brain injury patients about acute inpatient rehabilitation and providing a reliable source of information through the Model Systems Knowledge Translation Center (MSKTC) Traumatic Brain Injury Model Systems (TBIMS) Factsheets. The study was conducted in the brain injury unit of an acute inpatient rehabilitation facility and a total of n = 32 family members participated in the study...
February 14, 2024: American Journal of Physical Medicine & Rehabilitation
https://read.qxmd.com/read/38344051/an-appy-that-needs-epi-an-atypical-presentation-of-anaphylaxis
#9
JOURNAL ARTICLE
Ryan O'Neill, Cyrus Adeli, Christopher E San Miguel
AUDIENCE: This simulation is intended for 4th year medical students. BACKGROUND: Shock is the result of inadequate circulation and failure to perfuse tissues, leading to cellular and organ dysfunction.1 Anaphylactic shock specifically is a type of distributive shock secondary to an IgE (immunoglobulin E) dependent reaction, which can result in respiratory compromise and cardiovascular collapse. The National Institute of Allergy and Infectious Diseases/Food Allergy and Anaphylaxis Network (NIAID/FAAN) laid out three diagnostic criteria for the diagnosis of anaphylaxis...
January 2024: Journal of education & teaching in emergency medicine
https://read.qxmd.com/read/38336606/association-between-peripheral-intravenous-catheters-and-clinical-characteristics-in-the-development-of-phlebitis
#10
JOURNAL ARTICLE
Gonca Ertaş Akyüz, Nuray Turan
BACKGROUND: Serious complications can develop from erroneous insertion of a peripheral intravenous catheter (PIVC). Successful PIVC insertion has a great place in the continuation of IV treatment without causing complications that may require the removal of the PIVC. METHODS: The population for this prospective observational study included patients who had undergone PIVC insertion in the surgical, intensive care, and inpatient units of a large teaching and research hospital in Istanbul...
February 9, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38320006/updated-trends-and-outcomes-in-autologous-breast-reconstruction-in-the-united-states-2016-2019
#11
JOURNAL ARTICLE
Jennifer K Shah, Uchechukwu O Amakiri, Priscila Cevallos, Pooja Yesantharao, Haripriya Ayyala, Clifford C Sheckter, Rahim Nazerali
INTRODUCTION: Autologous breast reconstruction (ABR) has increased in recent decades, although concerns for access remain. As such, our goal is to trend national demographics and operative characteristics of ABR in the United States. METHODS: Using the National Inpatient Sample, 2016-2019, the International Classification of Disease, Tenth Edition codes identified adult female encounters undergoing ABR. Demographics and procedure-related characteristics were recorded...
January 12, 2024: Annals of Plastic Surgery
https://read.qxmd.com/read/38270423/improving-the-timing-of-acute-care-insulin-delivery
#12
JOURNAL ARTICLE
Sara Cohen, Rebecca R S Clark
LOCAL PROBLEM: Variations in nursing practice were observed across our hospital, a 520-bed acute care teaching facility in the northeast United States, regarding the timing and frequency of insulin administration in adult patients with diabetes. Chart audits noted that RNs administered insulin more than one hour after blood glucose results were obtained 97% of the time. In addition, insulin was given at bedtime only 37% of the time. PURPOSE: The purpose of this quality improvement (QI) project was to improve the care of inpatients requiring insulin by implementing protocols and adjusting practice to align with best practice recommendations...
February 1, 2024: American Journal of Nursing
https://read.qxmd.com/read/38242265/racial-and-ethnic-disparities-in-heart-transplantation-for-end-stage-heart-failure-an-analysis-of-the-national-inpatient-sample-nis-database
#13
REVIEW
Mohamed F Ismail, Saeed Abughazaleh, Omar Obeidat, Hamza Alzghoul, Zubair Hassan Bodla, Hashim Al-Ani, Mohammad Al-Ani, Khaled Ismail, Mohammed Tarawneh
PURPOSE: This study aims to examine disparities among heart transplant recipients in the United States, utilizing the latest data from the National Inpatient Sample (NIS). METHODS: We conducted a retrospective cohort analysis of NIS discharge data (2017-2020), focusing on adult end-stage heart failure (ESHF) patients, identified using the ICD-10 CM code I50.84. Our analysis included four racial groups: White, Black, Hispanic, and Asian. We employed univariable and multivariate regression analyses to determine the unadjusted and adjusted odds of heart transplantation across these racial groups, using Stata version 14...
January 17, 2024: Current Problems in Cardiology
https://read.qxmd.com/read/38241047/automated-electronic-alert-for-the-care-and-outcomes-of-adults-with-acute-kidney-injury-a-randomized-clinical-trial
#14
JOURNAL ARTICLE
Ting Li, Buyun Wu, Li Li, Ao Bian, Juan Ni, Kang Liu, Zhongke Qin, Yudie Peng, Yining Shen, Mengru Lv, Xinyi Lu, Changying Xing, Huijuan Mao
IMPORTANCE: Despite the expansion of published electronic alerts for acute kidney injury (AKI), there are still concerns regarding their effect on the clinical outcomes of patients. OBJECTIVE: To evaluate the effect of the AKI alert combined with a care bundle on the care and clinical outcomes of patients with hospital-acquired AKI. DESIGN, SETTING, AND PARTICIPANTS: This single-center, double-blind, parallel-group randomized clinical trial was conducted in a tertiary teaching hospital in Nanjing, China, from August 1, 2019, to December 31, 2021...
January 2, 2024: JAMA Network Open
https://read.qxmd.com/read/38227722/characterization-of-psychiatric-inpatients-the-role-of-gender-differences-in-clinical-and-pharmacological-patterns
#15
JOURNAL ARTICLE
Isabella Berardelli, Andrea Aguglia, Andrea Amerio, Salvatore Sarubbi, Elena Rogante, Maria A Trocchia, Davide Zelletta, Ludovica Longhini, Denise Erbuto, Fabrizio Pastorino, Dorian A Lamis, Marco Innamorati, Gianluca Serafini, Maurizio Pompili
BACKGROUND: Severe mental disorders that require hospitalization are disabling conditions that contribute to the burden of mental diseases. They pose increased clinical challenges and highlight the need to thoroughly explore variables emerging from daily clinical practice. In this study, we assessed to what extent gender differences may characterize a large population of psychiatric inpatients. METHODS: We conducted a cross-sectional study in 2 Italian teaching medical centers, which included 2358 patients who were consecutively admitted to the psychiatric emergency units...
January 1, 2024: Journal of Psychiatric Practice
https://read.qxmd.com/read/38219609/amniotic-fluid-embolism-20-year-incidence-and-case-fatality-trends-in-the-united-states
#16
JOURNAL ARTICLE
Naomi Suissa, Nicholas Czuzoj-Shulman, Haim Arie Abenhaim
OBJECTIVE: To estimate incidence and case-fatality rates of amniotic fluid embolism (AFE) and to examine their temporal trends. STUDY DESIGN: Population-based retrospective cohort study using the 2000-2019 Health Care Cost and Utilization Project, Nationwide Inpatient Sample (HCUP-NIS). Annual population rates were estimated using HCUP-NIS specific weighting. Descriptive analyses and logistic regression described trends within the cohort. RESULTS: Over the study period, AFE incidence rate remained stable (mean 4...
March 2024: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://read.qxmd.com/read/38215297/evaluation-of-a-skin-barrier-ring-with-assisted-flow-a-prospective-cohort-study
#17
JOURNAL ARTICLE
Janice C Colwell, Joyce Pittman, Paul Rider, Helen Purtill, Taylor Duckworth
PURPOSE: The purpose of this study was to assess the effect of a skin barrier ring with assisted flow in preventing peristomal skin complications (PSCs) in patients with an ileostomy and to evaluate the participants' perceptions of the device. DESIGN: Single-group, prospective cohort study. SUBJECTS AND SETTING: Both inpatients and outpatients with newly created (n = 14) or established (n = 1) ileostomies were recruited from 2 clinical sites in the United States: one was an academic teaching hospital system in the Midwestern United States and the second was a teaching hospital located in the Southeastern United States...
January 2024: Journal of Wound, Ostomy, and Continence Nursing
https://read.qxmd.com/read/38162842/outcomes-among-patients-with-hepatorenal-syndrome-based-on-hospital-teaching-and-transplant-status-analysis-of-159%C3%A2-845-hospitalizations
#18
JOURNAL ARTICLE
Aalam Sohal, Hunza Chaudhry, Dino Dukovic, Kris V Kowdley
BACKGROUND AND AIM: Hepatorenal syndrome (HRS) is a life-threatening complication of advanced liver disease. This study aimed to examine the impact of hospital teaching/transplant status and availability of liver transplantation on survival among hospitalized patients with HRS in the United States. METHODS: Patients with HRS were identified from the national inpatient sample 2016-2019. Information was collected regarding patient demographics, hospital characteristics, liver disease etiology, presence of liver disease decompensations, Elixhauser comorbidities, and interventions...
December 2023: JGH Open: An Open Access Journal of Gastroenterology and Hepatology
https://read.qxmd.com/read/38160761/admission-rates-healthcare-utilization-and-inpatient-cost-of-radiation-cystitis-in-the-united-states
#19
JOURNAL ARTICLE
Sohrab Arora, Irene Chen, Chandler Bronkema, Giuseppe Chiarelli, Marco Finati, Giuseppe Cirulli, Sami E Majdalany, Ivan Rakic, Akshay Sood, Quoc-Dien Trinh, Craig G Rogers, James O Peabody, Mani Menon, Firas Abdollah
OBJECTIVES: To assess the incidence, cumulative healthcare burden, and financial impact of inpatient admissions for radiation cystitis (RC), while exploring practice differences in RC management between teaching and non-teaching hospitals. METHODS: We focused on 19,613 patients with a diagnosis of RC within the National Inpatient Sample (NIS) from 2008 to 2014. ICD-9 diagnosis and procedure codes were used. Complex-survey procedures were used to study the descriptive characteristics of RC patients and the procedures received during admission, stratified by hospital teaching status...
December 29, 2023: Urology
https://read.qxmd.com/read/38146897/a-comparative-study-of-spinal-cord-compression-management-in-metastatic-prostate-cancer-teaching-versus-non-teaching-hospitals-in-the-united-states
#20
JOURNAL ARTICLE
Omid Yazdanpanah, Aditya Mahadevan, Aditi Sharma, David J Benjamin, Arash Rezazadeh Kalebasty
BACKGROUND: Spinal cord compression (SCC) in metastatic prostate cancer (MPC) is a critical complication and multiple factors influence the optimal therapeutic strategy. We investigated the differences in practice patterns between teaching hospitals (TH) and non-teaching hospitals (NTH) across the United States. METHOD: Using the National Inpatient Sample Database (NIS), we performed a retrospective study on hospitalizations with MPC and SCC between 2016 and 2020 in US...
December 26, 2023: Cancer Medicine
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