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ASA classification

Daniel-Diaz Aguilar, Harsimran S Brara, Shayan Rahman, Jessica Harris, Heather A Prentice, Kern H Guppy
OBJECTIVES: Reported incidence of dysphagia after ACDFs has been as high as 79%. There, however, have been no studies that have specifically looked at developing a criteria for reducing the incidence of dysphagia for outpatient ACDFs. The aim of this study was to determine the risks factors for significant dysphagia that will exclude patients from outpatient single-level anterior cervical discectomy and fusions (ACDFs). PATIENTS AND METHODS: Using the Kaiser Permanente Spine registry database, between January 2009 and September 2013, we identified all inpatients (there were no outpatients) who underwent primary elective one-level ACDFs...
March 11, 2019: Clinical Neurology and Neurosurgery
Bhowmik Meghnathi, Alain Saraux, Maxime Dougados, Anna Moltó
OBJECTIVES: To evaluate the predictive validity of the Assessment of SpondyloArthritis international Society (ASAS) axial spondyloarthritis (axSpA), Amor, European Spondylarthropathy Study Group (ESSG) and modified New York (mNY) classification criteria. METHODS: Patients from the DESIR cohort (inflammatory back pain suggestive of axSpA for >3 months but <3 years duration), followed for up to 5 years. Positive predictive value (PPV) of the set of criteria collected at baseline (ASAS, and its arms, Amor, ESSG and mNY: fulfilled/not fulfilled) were tested against the rheumatologist's axSpA diagnosis (fulfilled/not fulfilled) after 5 years of follow-up...
March 7, 2019: Clinical and Experimental Rheumatology
Małgorzata Kołpa, Marta Wałaszek, Anna Różańska, Zdzisław Wolak, Jadwiga Wójkowska-Mach
Introduction : The objective of the analysis was to determine the epidemiology of healthcare-associated infections (HAIs) in neurosurgical patients, paying special attention to two time points, 2003 and 2017, in order to evaluate the effectiveness of a surveillance program introduced in 2003 and efforts to reduce infection rates. Materials and methods : Continuous surveillance during 2003⁻2017 carried out using the HAI-Net methodology allowed us to detect 476 cases of HAIs among 10,332 patients staying in a 42-bed neurosurgery unit...
March 13, 2019: International Journal of Environmental Research and Public Health
Ana Lucia Seminario, Ketan Jumani, Elizabeth Velan, JoAnna M Scott, Jessica Latimer, Robert J Schroth
Purpose: To investigate the association between suboptimal serum vitamin D and early childhood caries (ECC) among children who received care at Seattle Children's Hospital (SCH) between 1999 and 2014. Methods: This cross-sectional study examined one- to six-year-old children in their primary dentition, with an American Society of Anesthesiologists (ASA) health status of II to IV, serum vitamin D, and dental data. Serum vitamin D was categorized as optimal (at least 75 nanomoles per liter) or suboptimal (less than 75 nanomoles per liter)...
September 15, 2018: Journal of Dentistry for Children
Alain Saraux
Definition, classification and epidemiology of spondyloarthritis. This group of inflammatory rheumatic diseases is characterized by an axial and/or peripheral tropism for enthesis, a genetic pattern, extra articular manifestations (uveitis, psoriasis, MICI) without any auto antibodies. The phenotypic classification separate axial and peripheral forms. Classification criteria have been published by the ASAS group. Prevalence is between 0.20% in South East Asia and 1.61% in Northern Arctic communities.
September 2018: La Revue du Praticien
Michael Longo, Chaim Feigen, Rafael De la Garza Ramos, Yaroslav Gelfand, Murray Echt, Vijay Agarwal
OBJECTIVES: There is a paucity of literature that examines predictors of reoperation and noninfectious complications following treatment of cerebral abscess with craniotomy. The goal of the present study is to identify predictors for each of these outcomes. PATIENTS AND METHODS: The American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database 2012-2016 file was the data source. Patients were identified using a combination of CPT and ICD-9/10 codes...
February 27, 2019: Clinical Neurology and Neurosurgery
Elia Psouni
Despite increased engagement of men in parenting, paternal caregiving representations have not been investigated, and potential gender differences in the links between parents' attachment representations and their caregiving representations are unexplored. The present study investigated fathers' and mothers' (N = 77) representations of caregiving, and links to their own and their co-parents' current mental representations of attachment. Parents were interviewed with the Adult Attachment Interview (AAI) and the Parental-Caregiving Attachment Interview (P-CAI), and co-parents' attachment scripts were measured with the Attachment Script Assessment (ASA)...
March 1, 2019: Attachment & Human Development
Marie Josée Mukagendaneza, Emmanuel Munyaneza, Esperance Muhawenayo, Dancilla Nyirasebura, Egide Abahuje, John Nyirigira, Jean De Dieu Harelimana, Thierry Zawadi Muvunyi, Florence Masaisa, Jean Claude Byiringiro, Théobald Hategekimana, Claude Mambo Muvunyi
Background: Surgical Site Infections (SSI) are the most reported health acquired infection and common surgical complication in both developed and developing countries. In developing countries such as Rwanda, there is a paucity of published reports on the pattern of SSI, therefore this study aimed at assessing the incidence, risk factors and the antibiotic profile of pathogens responsible of SSI. Methods: This prospective study included 294 patients admitted between October 10, 2017 and February 12, 2018 to the surgical department of the University Teaching Hospital of Kigali...
2019: Patient Safety in Surgery
Yiwen Wang, Dai Gao, Xiaojian Ji, Jie Zhang, Xiuru Wang, Jingyu Jin, Zheng Zhao, Xiaohu Deng, Chunhua Yang, Jian Zhu, Jianglin Zhang, Feng Huang
OBJECTIVES: To distinguish brucellosis patients fulfilling the Assessment of SpondyloArthritis international Society (ASAS) classification criteria for spondyloarthritis (SpA) from SpA patients. METHODS: Brucellosis patients diagnosed from September 2012 to December 2017 who met the ASAS classification criteria for SpA were analyzed with clinical characteristics and laboratory and imaging examinations. Axial or peripheral SpA patients were respectively included into the comparative analysis with a 4:1 ratio...
February 26, 2019: Clinical Rheumatology
N Akasbi, N Siar, S Zoukal, K El Kohen, T Harzy
BACKGROUND: According to the new classification criteria developed by The Assessment of SpondyloArthritis International Society, patients with axial spondyloarthritis (axSpA) can be classified in 2 subgroups: patients with radiographic axial spondyloarthritis: ankylosing spondylitis patients (AS) and those with non-radiographic axial spondyloarthritis (nr-axSpA). OBJECTIVE: The aim of the present study is to describe and discuss the differences and similarities between the two subgroups...
February 22, 2019: Current Rheumatology Reviews
Francesca Dimou, Samantha Huynh, Gregory Dakin, Alfons Pomp, Zachary Turnbull, Jon D Samuels, Cheguevara Afaneh
INTRODUCTION: Pre-operative esophagogastroduodenoscopy (EGD) is becoming routine practice in patients undergoing bariatric surgery. Many patients with morbid obesity have obstructive sleep apnea (OSA), which can worsen hypoxia during an EGD. In this study, we report our outcomes using the SuperNO2 VA™ device, a sealed nasal positive airway pressure mask designed to deliver high-fraction inhaled oxygen and titratable positive pressure compared to conventional nasal cannula. METHODS: Between June 2016 and August 2017, we conducted a prospective observational study that included 56 consecutive patients who presented for EGD prior to bariatric surgery...
February 25, 2019: Surgical Endoscopy
Emil H Schemitsch, Sheila Sprague, Martin J Heetveld, Sofia Bzovsky, Diane Heels-Ansdell, Qi Zhou, Marc Swiontkowski, Mohit Bhandari
OBJECTIVES: The FAITH trial evaluated effects of sliding hip screw versus cancellous screws in femoral neck fracture patients. Using FAITH trial data, we quantified changes in living status, use of aids, and investigated factors associated with living and walking independently 12-months post-fracture. METHODS: We conducted a descriptive analysis to quantify patients' changes in living status, use of aids, and used multivariable Cox regression analyses to determine factors associated with living and walking independently post-fracture...
February 18, 2019: Journal of Orthopaedic Trauma
Mia W Steffenssen, Issam Al-Najami, Gunnar Baatrup
OBJECTIVE: The purpose of this systematic review was to investigate the incidence and nature of minor adverse events (MAEs) after colonoscopy, and response rates to questionnaires concerning MAEs in patients undergoing colonoscopy. MATERIALS AND METHODS: A systematic literature search was conducted in the databases PubMed and Embase. Predictor variables were patient-reported MAEs after colonoscopy. The outcome was frequency and types of MAEs and the patients' response rate to questionnaires after colonoscopy...
February 20, 2019: Acta Oncologica
Tjark Tassemeier, Marcel Haversath, Moritz Schutzbach, Marcus Jäger
Purpose: Osteoporotc fractures with posterior wall injury are commonly treated with a pedicle srcrew instrumentation (PSI) or a ballonkyphoplasty (BKP). A predictor for complications for these patients is the American Society of Anesthesiologists (ASA) class. Clinical results in ASA II/III patients who underwent BKP and PSI due to OF were evaluated to find the optimal treatment regimen. Materials and Methods: In a retrospective study design, ASA Class II and III patients with OF type OF 2 and OF 3 according to the German Society of Orthopedics and Trauma Surgery classification who underwent surgery between 2011 and 2016 were enrolled...
October 2018: Journal of Craniovertebral Junction and Spine
Ruben Scholten, Wout Füssenich, Matthijs P Somford, Job L C van Susante
INTRODUCTION: Hardware removal preceding total hip arthroplasty may increase the risk of prosthetic joint infection (PJI). Whether hardware removal and total hip arthroplasty (THA) should be performed in a single- or two-stage procedure remains controversial. In this comparative retrospective study, the incidence of PJI following either single- or two-stage THA with hardware removal was assessed in a consecutive series. PATIENTS AND METHODS: All patients that underwent THA preceded by hardware removal from January 2006 until March 2018 were retrospectively reviewed and checked for the occurrence of early PJI...
February 18, 2019: Archives of Orthopaedic and Trauma Surgery
M Benedetti, P Ciano, I Pergolini, S Ciotti, G Guercioni, G Ruffo, F Borghi, A Patriti, P Del Rio, M Scatizzi, S Mancini, G Garulli, A Carrara, F Pirozzi, S Scabini, A Liverani, G Baiocchi, R Campagnacci, A Muratore, G Longo, M Caricato, R Macarone Palmieri, N Vettoretto, M Ceccaroni, S Guadagni, E Bertocchi, D Cianflocca, M Lambertini, U Pace, M Baraghini, L Pandolfini, R Angeloni, A Lucchi, G Martorelli, G Tirone, M Motter, A Sciuto, A Martino, A P Luzzi, T Di Cesare, S Molfino, A Maurizi, P Marsanic, F Tomassini, S Santoni, G T Capolupo, P Amodio, E Arici, M Clementi, B Ruggeri, M Catarci
BACKGROUND: Anastomotic leakage (AL) is a dreaded major complication after colorectal surgery. There is no uniform definition of anastomotic dehiscence and leak. Over the years many risk factors have been identified (distance of anastomosis from anal verge, gender, BMI, ASA score) but none of these allows an early diagnosis of AL. The DUtch LeaKage (DULK) score, C reactive protein (CRP) and procalcitonin (PCT) have been identified as early predictors for anastomotic leakage starting from postoperative day (POD) 2-3...
January 2019: Il Giornale di Chirurgia
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
Mitsumasa Kishimoto, Kazuki Yoshida, Naomi Ichikawa, Hisashi Inoue, Yuko Kaneko, Taku Kawasaki, Kazuo Matsui, Mitsuhiro Morita, Masei Suda, Kurisu Tada, Naoho Takizawa, Naoto Tamura, Atsuo Taniguchi, Yoshinori Taniguchi, Shigeyoshi Tsuji, Yoichiro Haji, Ryo Rokutanda, Haruyuki Yanaoka, Peter P Cheung, Jieruo Gu, Tae-Hwan Kim, Shue-Fen Luo, Masato Okada, Clementina López Medina, Anna Molto, Maxime Dougados, Shigeto Kobayashi, Désirée van der Heijde, Tetsuya Tomita
OBJECTIVE: To delineate clinical characteristics of patients with spondyloarthritis (SpA) in Japan in comparison to other areas of the world. METHODS: Using the ASAS-COMOSPA (Assessment of Spondyloarthritis international Society-COMOrbidities in SPondyloArthritis) data, an international cross-sectional observational study of patients with SpA, we analyzed information on demographics, disease characteristics, comorbidities, and risk factors. Patients were classified by region: Japan, other Asian countries (China, Singapore, South Korea, Taiwan), and non-Asian countries (Europe, the Americas, Africa)...
February 15, 2019: Journal of Rheumatology
Radek Vrba, David Vrána, Čestmír Neoral, Bohuslav Melichar, René Aujeský, Jana Tesarikova, Jan Cincibuch, Jana Zapletalová, Tomáš Jínek, Martin Stašek
Introduction: Respiratory complications (RC) including respiratory failure and adult respiratory distress syndrome (ARDS) affect the outcomes of esophagectomy substantially. In order to decrease their incidence, identification of important features of RC is necessary. Aim: To evaluate the incidence and risk factors of postoperative RC following hybrid esophagectomy. Material and methods: The retrospective analysis of consecutive hybrid esophagectomies for malignancies (transhiatal laparoscopic or thoracoscopic resection and limited open reconstruction phase) assessed the incidence and outcomes of RC in relation to the patients' age, ASA score, neoadjuvant therapy, type of surgical procedure, TNM stage, the incidence of anastomotic leak and Clavien-Dindo classification...
January 2019: Videosurgery and Other Miniinvasive Techniques
Vito Pavone, Claudia de Cristo, Antonio Di Stefano, Luciano Costarella, Gianluca Testa, Giuseppe Sessa
BACKGROUND: Periprosthetic femoral fractures (PFFs) following total hip arthroplasty are becoming more prevalent and management of these fractures is often demanding. The surgeon has to assess in detail implant loosening, bone loss and type of fracture. The aim of the study is to identify the suitability of a treatment algorithm, based on the Vancouver classification that takes into account the activity and comorbidity of each patient. PATIENTS AND METHODS: This study retrospectively assessed 38 patients who were surgically treated for a PFF around total hip arthroplasty between 2010 and 2014...
February 2, 2019: Injury
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