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Diabetic And hospital discharge

Hesham Mostafa Zakaria, Michael Bazydlo, Lonni Schultz, Markian A Pahuta, Jason M Schwalb, Paul Park, Ilyas Aleem, David R Nerenz, Victor Chang
OBJECTIVEThe Michigan Spine Surgery Improvement Collaborative (MSSIC) is a statewide, multicenter quality improvement initiative. Using MSSIC data, the authors sought to identify 90-day adverse events and their associated risk factors (RFs) after cervical spine surgery.METHODSA total of 8236 cervical spine surgery cases were analyzed. Multivariable generalized estimating equation regression models were constructed to identify RFs for adverse events; variables tested included age, sex, diabetes mellitus, disc herniation, foraminal stenosis, central stenosis, American Society of Anesthesiologists Physical Classification System (ASA) class > II, myelopathy, private insurance, anterior versus posterior approach, revision procedures, number of surgical levels, length of procedure, blood loss, preoperative ambulation, ambulation day of surgery, length of hospital stay, and discharge disposition...
February 15, 2019: Journal of Neurosurgery. Spine
C Roberto Simons-Linares, Sunguk Jang, Madhusudan Sanaka, Amit Bhatt, Rocio Lopez, John Vargo, Tyler Stevens, Prabhleen Chahal
The triad of acute pancreatitis (AP) coexisting with diabetes ketoacidosis (DKA) and hypertriglyceridemia (HTG) has been reported, but no impact on mortality has been found to date. We aim to assess if patients with this triad are at a higher inpatient mortality compared to patients with acute pancreatitis only.Retrospective cohort. The National Inpatient Sample (NIS) database from 2003 to 2013 was queried for patients with a discharge diagnosis of AP and presence of DKA and HTG was ascertained based on International Classification of Diseases, 9th revision (ICD9) codes...
February 2019: Medicine (Baltimore)
Sandra Korol, Michel White, Eileen O'Meara, Jean-Lucien Rouleau, Brian White-Guay, Marc Dorais, Ali Ahmed, Simon de Denus, Sylvie Perreault
PURPOSE: Some evidence suggests that spironolactone may have a deleterious effect on glucose homeostasis. The objective of this study was to assess whether spironolactone use is associated with a higher risk of developing diabetes in a large cohort of patients with heart failure (HF). METHODS: Two Quebec government administrative databases were used to identify a cohort of hospitalized patients discharged between January 1995 and December 2009 with a primary discharge diagnosis of HF and without secondary discharge diagnosis of diabetes...
February 13, 2019: European Journal of Clinical Pharmacology
Jessica Selter, Timothy Wen, Katherine L Palmerola, Alexander M Friedman, Zev Williams, Eric J Forman
BACKGROUND: Ovarian hyperstimulation syndrome (OHSS) is a potentially life-threatening clinical condition. OBJECTIVE: The objective of this study was to evaluate risk factors for life-threatening complications for patients with severe OHSS in a United States nationwide sample. MATERIALS AND METHODS: OHSS admissions from 2002-2011 from the Nationwide Inpatient Sample (NIS) were included in this study. The association between patient and hospital factors and life-threatening complications (deep vein thrombosis/pulmonary embolism [DVT/PE], acute respiratory distress syndrome [ARDS], acute renal failure [ARF], intubation), non-routine discharge (discharge to skilled nursing facility, transfer hospital), prolonged length of stay (LOS), and total hospital charges were analyzed...
February 8, 2019: American Journal of Obstetrics and Gynecology
Christina M Ackerman, Marissa H Platner, Erica S Spatz, Jessica L Illuzzi, Xiao Xu, Katherine H Campbell, Graeme N Smith, Michael J Paidas, Heather S Lipkind
BACKGROUND: Cardiovascular disease (CVD) is the leading cause of pregnancy-related death in the United States. (1) Identification of short-term indicators of cardiovascular morbidity has the potential to alter the course of this devastating disease among women. It has been established that hypertensive disorders of pregnancy (HDP) are associated with increased risk of cardiovascular disease 10-30 years after delivery; however, little is known about the association of hypertensive disorders of pregnancy with cardiovascular (CV) morbidity during the delivery hospitalization...
February 8, 2019: American Journal of Obstetrics and Gynecology
Ibrahim Al-Zakwani, Ekram Al-Siyabi, Najib Alrawahi, Arif AlMulla, Abdullah Alnaeemi, Abdulla Shehab, Mohammed Zubaid
OBJECTIVE: To evaluate the association between peripheral artery disease (PAD) and major adverse cardiovascular events (MACE) in patients with acute coronary syndrome (ACS) in the Arabian Gulf. METHODS: Data was analyzed from 4044 consecutive patients diagnosed with ACS admitted to 29 hospitals in four Arabian Gulf countries from January 2012 to January 2013. PAD was defined as any of the following: claudication, amputation for arterial vascular insufficiency, vascular reconstruction, bypass surgery, or percutaneous intervention in the extremities, documented aortic aneurysm or ankle brachial index of < 0...
February 10, 2019: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
Ming-Yueh Tseng, Yueh-Fang Huang, Jersey Liang, Jong-Shyan Wang, Ching-Tzu Yang, Chi-Chuan Wu, Huey-Shinn Cheng, Ching-Yen Chen, Yueh-E Lin, Woan-Shyuan Wang, Yea-Ing L Shyu
BACKGROUND/OBJECTIVES: To explore the impact of diabetic peripheral neuropathy (DPN) on the recovery of older persons with diabetes mellitus (DM) after hip-fracture surgery. DESIGN, SETTING, PARTICIPANTS: Secondary data for this study came from a clinical trial on the effectiveness of a DM-specific care model for 176 older persons (age ≥ 60) with DM over 2 years following hip-fracture surgery at a medical center in Taiwan. In the original trial, the experimental group (n = 88) received DM-specific care comprising diabetes care plus subacute care, and the control group (n = 88) received only usual care...
February 7, 2019: Experimental Gerontology
Alexandre Hideo-Kajita, Toby Rogers, Kyle Buchanan, Micaela Iantorno, Deepakraj Gajanana, Yuichi Ozaki, Kazuhiro Dan, Paul Kolm, Echo Brathwaite, Solomon Beyene, Gebremedhin Melaku, Yael Meirovich, Aaphtaab Dheendsa, Hector M Garcia-Garcia, Rebecca Torguson, Ron Waksman
Percutaneous coronary intervention (PCI) in patients with angiographic evidence of intracoronary thrombus is associated with in-hospital and 30-day adverse clinical outcomes. Cangrelor, a direct, rapid-onset acting intravenous P2Y12 receptor inhibitor, has been proved to be effective by reducing peri-PCI ischemic complications in subjects who underwent PCI. This study aimed to assess the angiographic and in-hospital clinical outcomes in all-comer patients receiving cangrelor immediately before PCI at a tertiary care center...
January 25, 2019: American Journal of Cardiology
Lucretia M Wiltz-James, James Foley
Peripheral disease affects both arteries and veins and encompasses pathophysiologic conditions that affect arterial, venous, and lymphatic circulations. This article discusses disorders of peripheral vascular disease (PVD) that affect the lower extremity. PVD is an obstruction in the arteries known as arteriosclerosis obliterans, a condition that manifests from insufficient tissue perfusion that results in hardening of the arteries. Peripheral artery disease leads to an inflammatory condition called atherosclerosis...
March 2019: Critical Care Nursing Clinics of North America
Vivienne Souter, Ian Painter, Kristin Sitcov, Aaron B Caughey
BACKGROUND: A growing body of evidence supports improved or not worsened birth outcomes with non-medically indicated induction of labor at 39 weeks compared to expectant management. This evidence includes two recent randomized control trials. However, concern has been raised as to whether these studies are applicable to a broader US pregnant population. OBJECTIVE: Our goal was to compare outcomes for electively induced births at 39 weeks or beyond with those that were not electively induced...
January 29, 2019: American Journal of Obstetrics and Gynecology
Lauren C Beauchamp, Lisa G Mostafavifar, David C Evans, Anthony T Gerlach
BACKGROUND: Necrotizing soft-tissue infection (NSTI) is a devastating disease associated with high rates of morbidity and mortality. Hyperglycemia is associated with poor wound healing; however, there are no studies evaluating glycemic control outcomes in patients with NSTI. The objective of this study was to examine disease progression and death in patients with NSTI who achieved early glycemic control (EGC) compared with patients that did not. METHODS: A retrospective chart review of patients with NSTI was conducted between November 2011 and August 2017...
February 4, 2019: Surgical Infections
Xiao-Guo Hua, Wen Jiang, Rui Hu, Cheng-Yang Hu, Kai Huang, Feng-Li Li, Xiu-Jun Zhang
OBJECTIVE: This study aims to estimate the prevalence and risk factors of macrosomia and LGA (large for gestational age) among non-GDM (gestational diabetes mellitus) pregnant women in Fuyang, Anhui Province of China. METHODS: A large population-based cohort study was conducted among non-GDM pregnant women aged 18-45 years. Maternal sociodemographic data prior to pregnancy were collected using interviewer-administered standardized questionnaire. Maternal obstetrical delivery records and newborn hospital records were extracted from antenatal care booklets and hospital discharge abstracts...
February 3, 2019: Journal of Maternal-fetal & Neonatal Medicine
Haibo Nie, Wei Wang, Yongbin Zhao, Xiaoming Zhang, Yuansong Xiao, Qinsong Zeng, Changzhen Zhang, Lei Zhang
BACKGROUND Diabetes mellitus (DM) is a risk factor for renal failure and possibly for renal cell carcinoma (RCC). Post-transplantation DM occurs frequently after solid organ transplantation. We investigated whether new-onset diabetes after renal transplantation (NODAT) is a risk factor for RCC or renal failure. MATERIAL AND METHODS Data of 96,699 discharged patients with and without NODAT were extracted from the 2005-2014 Nationwide Inpatient Sample (NIS) database, after excluding patients with DM diagnosed at least 1 year prior to renal transplantation...
February 4, 2019: Annals of Transplantation: Quarterly of the Polish Transplantation Society
Daniel J Friedman, Jeffrey G Gaca, Tongrong Wang, S Chris Malaisrie, David R Holmes, Jonathan P Piccini, Rakesh M Suri, Michael J Mack, Vinay Badhwar, Jeffrey P Jacobs, Eric D Peterson, Shein-Chung Chow, J Matthew Brennan
PURPOSE: Patients with atrial fibrillation (AF) undergoing cardiac surgery are at substantially increased risk for stroke. Increasing evidence has suggested that surgical left atrial appendage occlusion (S-LAAO) may have the potential to substantially mitigate this stroke risk; however, S-LAAO is performed in a minority of patients with AF undergoing cardiac surgery. We sought to identify factors associated with usage of S-LAAO. METHODS: In a nationally-representative, contemporary cohort (07/2011-06/2012) of older patients undergoing cardiac surgery with preoperative AF (n = 11,404) from the Medicare-linked Society of Thoracic Surgeons Adult Cardiac Surgery Database, we evaluated patient and hospital characteristics associated with S-LAAO use by employing logistic and linear regression models...
February 2, 2019: Journal of Interventional Cardiac Electrophysiology: An International Journal of Arrhythmias and Pacing
Yoshikazu Ogawa, Kuniyasu Niizuma, Teiji Tominaga
BACKGROUND:  Intracranial chondromas are extremely rare and represent only 0.2% of all intracranial primary neoplasms. The histologic appearance lacks nuclear atypism and mitoses, and it usually shows low growth potential, although these benign features do not necessarily imply a good prognosis. CASE DESCRIPTION:  A 44-year-old man was referred to our institution with a subarachnoid hemorrhage (SAH). He had a history of SAH 5 years previously that was diagnosed as unknown etiology at another hospital...
February 1, 2019: Journal of Neurological Surgery. Part A, Central European Neurosurgery
Rui Guo, Ruiqi Chen, Chao You, Lu Ma, Hao Li, Yuan Fang
OBJECTIVES: Hyperglycemia is reported to be associated with poor outcome in patients with spontaneous intracerebral hemorrhage (ICH), but the association between blood glucose level and outcomes in primary intraventricular hemorrhage (PIVH) remains unclear. We sought to identify the parameters associated with admission hyperglycemia and analyze the impact of hyperglycemia on clinical outcome in patients with PIVH. METHODS: Patients admitted to Department of Neurosurgery, West China Hospital with PIVH between 2010 and 2016 were retrospectively included in our study...
January 31, 2019: Current Neurovascular Research
Nadia Fehr, Fabienne Witassek, Dragana Radovanovic, Paul Erne, Milo Puhan, Hans Rickli
AIMS: To assess the impact of antidepressant (AD) prescription at discharge on 1-year outcome of patients presenting with acute myocardial infarction (AMI) in Switzerland. METHODS: We used data from the AMIS Plus registry including patients admitted between March 2005 and August 2016 with AMI to a Swiss hospital who were followed up by telephone, 12 months after discharge. We compared patients who received AD medication at discharge with those who did not, with regard to baseline characteristics and outcomes in 1-year follow-ups using logistic regression...
January 28, 2019: European Journal of Internal Medicine
Yutaka Kimura, Osamu Shiraishi, Hisato Kawakami, Hiroto Ueda, Tatsuya Okuno, Yoko Hiraki, Hiroaki Kato, Mitsuru Iwama, Atsushi Yasuda, Masayuki Shinkai, Takaaki Chikugo, Motohiro Imano, Haruhiko Imamoto, Kazuhiko Nakagawa, Takushi Yasuda
A 71-year-old man with a history of hypertension, diabetes mellitus, and cerebral infarction was admitted to our hospital with dysphagia. Gastroduodenoscopy, thoracoabdominal CT, and PET-CT findings showed type 2 advanced esophageal cancer( squamous cell carcinoma)with upper mediastinal and cervical lymph node(LN)metastasis: cT3N2M1(LYM #104L), cStage Ⅳ. Two courses of neoadjuvant UDONchemotherapy containing 5-FU(640mg/m / 2, days 1-5), docetaxel(28mg/m2, days 1 and 15), and nedaplatin(72mg/m2, day 1)were administered every 4 weeks...
December 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
Takeshi Shimakawa, Shinichi Asaka, Miki Miyazawa, Kentaro Yamaguchi, Minoru Murayama, Hajime Yokomizo, Kazuhiko Yoshimatsu, Takebumi Usui, Shunichi Shiozawa, Takao Katsube, Yoshihiko Naritaka
As the population ages, the elderly are increasingly affected by esophageal cancer. We reviewed the data of elderly patients, 80 years old or older, who underwent surgery for esophageal cancer to evaluate the safety of surgery in this particular patient population. Twenty-two patients aged 80 or above underwent surgery for esophageal cancer in our department. We analyzed their preoperative assessment, concurrent disorders, surgical techniques used, postoperative course, and complications. Median age of the patients was 83 years...
December 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
Beth A Mueller, Deborah Crane, David R Doody, Sally N Stuart, Melissa A Schiff
BACKGROUND: Pregnant women with intellectual disability (ID) may have greater levels of comorbidity and decreased care access, social support, or ability to monitor their status and communicate needs, but few studies have examined their pregnancy course and outcome, and little is known about their longer-term maternal and infant health. OBJECTIVE: We compared pre-pregnancy characteristics, pregnancy outcomes, and rehospitalization <2 years after delivery among women with and without ID...
January 20, 2019: Disability and Health Journal
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