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Effect of prehospital respiratory interventions on pediatric drowning outcomes.

BACKGROUND: Initial respiratory management is critical during drowning resuscitation. We studied the effect of prehospital airway adjuncts and supplemental oxygen on pediatric drowning outcomes. METHODS: This cross-sectional study was a sub-analysis of children 0-18 years old who presented post-drowning to one of 32 pediatric emergency departments from 2010 to 2017. Submersion and clinical data were obtained from prehospital and medical records. Patients were categorized based on presence of out-of-hospital cardiac arrest (OHCA). Airway adjuncts included prehospital bag-valve mask (BVM) or en

Association of Preoperative Potassium Levels with 30-Day Mortality and Other Postoperative Outcomes in Noncardiac Surgery at a Tertiary Care Center: A Retrospective Study.

BACKGROUND: Imbalances in serum potassium levels increase morbidity, but data on their impact on outcomes in noncardiac surgery patients remain limited. OBJECTIVE: The aim of this surgery was to assess the association between preoperative potassium levels and postoperative outcomes in noncardiac surgery patients. METHODS: We conducted a retrospective study of patients who underwent noncardiac surgery at Cooper Hospital between 2010 and 2022. Clinical data were obtained from the NSQIP database, while preoperative potassium values were extracted from the electronic medical records. RESULTS: T

Spinal infection: an evolving clinical and public health challenge.

OBJECTIVE: Anecdotal and international evidence suggests an increasing incidence of spinal infection. Our primary aim was to assess the changing incidence and referral patterns for spinal infection at a quaternary public hospital neurosurgery unit. Our secondary aim was to analyze the clinical characteristics and service requirements of this patient population. METHODS: Data spanning 2013-2022 was derived from patient records at The Royal Melbourne Hospital, a quaternary public hospital and one of five adult public neurosurgical units in the state of Victoria, Australia. Logistic and negative

One in six admitted patients with low back pain received high daily opioid dosage in Australian hospitals: a cross-sectional study.

AIM: To examine the amount of opioids administered to patients with low back pain in the hospital setting and to determine factors associated with high daily dosage. METHODS: This cross-sectional study analysed medical records of three public hospitals in Sydney, NSW, Australia. We included adult patients who presented to the emergency department (ED) from January 2016 to October 2021 with non-specific low back pain or radiculopathy. The opioid dose administered in the ED and the daily dosage during hospital stay (if admitted) were estimated using opioid orders measured by milligram of morphi

Impact of Pre-Existing and Newly Diagnosed Atrial Fibrillation on Clinical Outcomes of Patients with Ischaemic Stroke Undergoing Endovascular Thrombectomy: Analysis of Local Data.

Background: Atrial fibrillation (AF) is a major risk factor for ischaemic stroke (IS) and adverse long-term outcomes. The impact of pre-existing versus newly diagnosed AF on prognosis after endovascular thrombectomy (EVT) is uncertain. Methods: We conducted a retrospective analysis of patients with IS admitted to Mersey and West Lancashire Teaching Hospitals NHS Trust between January 2016 and November 2023 who underwent EVT. Data were extracted from the Sentinel Stroke National Audit Programme and cross-referenced with hospital medical records. Patients were categorised into three groups based

Postoperative hospitalization time in laparoscopic and laparotomic Roux-En-Y gastric bypass: a retrospective observational cohort study.

BACKGROUND: Obesity is a growing problem both in Brazil and worldwide, and bariatric surgery is a well-established method for reducing weight and, consequently, reducing the risk of death attributed to cardiovascular and metabolic problems. Roux-en-Y gastric bypass is currently the most popular surgical technique in Brazil, performed via either laparotomy or laparoscopy. AIMS: To compare the length of hospital stay after Roux-en-Y gastric bypass performed via laparoscopic and laparotomic approaches. METHODS: An observational study using retrospective data from medical records, comparing pati

Смертность среди лиц, находящихся на длительном лечении: ретроспективное национальное когортное исследование.

Недостатки понимания тенденций в области развития среди лиц, живущих в условиях долгосрочного ухода за детьми. Увязка данных открывает возможности для осуществления последующей деятельности на национальном уровне в реальном и долгосрочном плане. Наша цель заключалась в том, чтобы описать модели и связи с смертностью среди лиц, переезжающих в дома по уходу в Шотландии. Эти данные были индексированы и увязаны с национальными данными в области здравоохранения и данными о смертности лиц, переехавших в детские дома в Шотландии в период между 1 апрель 2013 и 31 Март 2016. Сообщается о месте смерти,

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… Development and validation of a Hospital Frailty Risk Score focusing on older people in acute care settings using electronic hospital records: an observational study. The Lancet. 2018;391:1775–82. doi: 10.1016/S0140-6736(18)30668-8. 19. Stagg V. …

Associations between health-related quality of life and subsequent need for specialized palliative care and hospital utilization in patients with gastrointestinal cancer-a prospective single-center cohort study.

BACKGROUND: We lack knowledge of which factors are associated with the risk of developing complex palliative care needs. The aim of this study was to investigate the associations between patient-reported health-related quality of life and subsequent referral to specialized palliative care (SPC) and hospital utilization. METHODS: This was a prospective single-center cohort study. Data on patient-reported outcomes were collected through the European Organization of Research and Treatment of Cancer Questionnaire-Core-15-Palliative Care (EORTC QLQ-C15-PAL) at the time of diagnosis. Covariates and

Serum albumin level is associated with mortality and hospital stays: A real-world data analysis.

BACKGROUND & AIMS: The value of serum albumin might be underestimated, especially in cancer patients. We thus aimed to evaluate the association between serum albumin level at hospital admission and clinical outcomes in hospitalized patients with cancer. METHODS: This is a retrospective, cross-sectional, and real-world data analysis. Hospitalized adult patients with malignant cancer were recruited from two tertiary hospitals. Serum level of albumin, which was measured within 24 h after hospital admission, was the exposure. Length of hospital stays (LOS) was the primary and all-cause in-hospita

Effectiveness of a Customized Peritoneal Dialysis Training Program in Reducing Infection and Dropout Rates: Insights From a Singapore Hospital.

Introduction Peritoneal dialysis (PD) is an essential home-based treatment for end-stage kidney disease, known for enhancing patients' quality of life and being more cost-effective compared to hemodialysis. However, in Singapore, PD education lacks of standardization, with each unit adopting varied methods based on their own experiences and resources. To address this, our hospital developed a tailored four-day PD training program guided by the International Society for Peritoneal Dialysis guidelines, adapted to meet local needs and resource availability. Methodology This study employed a retro

Development of a novel nomogram for patients with SCLC and comparison with other models.

BACKGROUND: Though several nomograms have been established to predict the survival probability of patients with small-cell lung cancer (SCLC), none involved enough variables. This study aimed to construct a novel prognostic nomogram and compare its performance with other models. METHODS: Seven hundred twenty-two patients were pathologically diagnosed with SCLC in Shanxi Province Cancer Hospital, Shanxi Hospital Affiliated to Cancer Hospital, Chinese Academy of Medical Sciences, Cancer Hospital Affiliated to Shanxi Medical University from January 2016 to December 2018. We input Forty-one facto

A Descriptive Analysis of Hybrid Cannulated Extracorporeal Life Support.

BACKGROUND: Extracorporeal life support (ECLS) is pivotal for sustaining the function of failing hearts and lungs, and its utilization has risen. In cases where conventional cannulation strategies prove ineffective for providing adequate ECLS support, the implementation of an enhanced system with a third cannula may become necessary. Hybrid ECLS may be warranted in situations characterized by severe hypoxemia of the upper extremity, left ventricular congestion, and dilatation. Additionally, it may also be considered for patients requiring respiratory support or experiencing hemodynamic instabi

Invasive Listeriosis in End-Stage Kidney Disease (ESKD) Patients Receiving Long-Term Dialysis: A 21-Year Case Series.

BACKGROUND: Listeriosis is caused by the facultative anaerobic bacterium Listeria monocytogenes. Infection from Listeria-contaminated food or water is the main etiology. If Listeria travels outside the intestines, it can cause invasive listeriosis, such as sepsis, meningitis, and meningoencephalitis. Invasive illness is especially dangerous for pregnant women and their newborns, elderly people, and people with compromised immune systems or medical conditions such as end-stage kidney disease (ESKD) patients receiving long-term dialysis. PURPOSE: Describe the manifestations and hospital outcome

Pleural Effusion and Malnutrition Are Associated With Worse Early Outcomes After Liver Transplant.

INTRODUCTION: Pulmonary complications after liver transplantation (LT) have previously been associated with longer hospital stays and ventilator time, and higher mortality. This study reports the outcomes for a specific pulmonary complication, pleural effusion, in LT recipients. METHODS: Records from a single transplant center were analyzed retrospectively for all adult LT patients. Patients with documented pleural effusion by radiographic imaging within 30 days pre- or post-transplant were considered as cases. Outcomes included length of hospital stay, discharge disposition, hospital readmis

Outcome of patients admitted with oxygen mismatch and myocardial injury or infarction in emergency departments.

AIMS: To describe the outcomes and associated factors in a population of patients admitted to emergency departments with at least one condition of oxygen supply/demand imbalance, regardless of the troponin result or restrictive criteria for type 2 myocardial infarction. METHODS: We constituted a retrospective cohort of 824 patients. Medical records of patients having undergone a troponin assay were reviewed for selection and classification, and data including in-hospital stay and readmissions were collected. The reported outcomes are in-hospital mortality, 3-year mortality, and major adverse

Assessing the Quality of Antenatal Care in King Abdulaziz University Hospital: A Retrospective Study.

BACKGROUND: Antenatal care is vital for pregnant women and fetuses. However, the coronavirus disease 2019 (COVID-19) pandemic has hindered access to care worldwide, resulting in missed appointments. Therefore, assessing the quality of antenatal care during the pandemic is crucial. This study evaluated the care provided at King Abdulaziz University Hospital in Saudi Arabia and suggested areas for improvement. METHODS: This retrospective medical records review involved 400 pregnant patients who received antenatal care at King Abdulaziz University Hospital in the past two years. A checklist was

Incidence and Outcomes of Life-Threatening Events During Hospitalization: A Retrospective Study of Patients Treated with Naloxone.

BACKGROUND: We describe the clinical course of medical and surgical patients who received naloxone on general hospital wards for suspected opioid-induced respiratory depression (OIRD). METHODS: From May 2018 through October 2020, patients who received naloxone on hospital wards were identified and their records reviewed for incidence and clinical course. RESULTS: There were 86,030 medical and 106,807 surgical admissions. Naloxone was administered to 99 (incidence 11.5 [95% confidence interval 9.4-14.0] per 10,000 admissions) medical and 63 (5.9 [95% confidence interval 4.5-7.5]) surgical pat

Association between pre-operative complications, comorbidities, and in-hospital mortality in a hip fracture cohort: a register study in a tertiary hospital in Brazil.

PURPOSE: The incidence of hip fractures is increasing exponentially due to an aging Brazilian population. Older people had significant comorbidities which increases the risk of post-operative mortality. Our purpose was to examine the association between pre-operative infections and comorbidities on the risk of post-operative in-hospital mortality after proximal femur fracture surgery's, beyond that, to evaluate the association between comorbidities and time to surgery. METHODS: This is a population-based cohort retrospective study, using medical records of all six year consecutive surgical pr

Delivery of drinking, eating and mobilising (DrEaMing) and its association with length of hospital stay after major noncardiac surgery: observational cohort study.

BACKGROUND: Enhanced recovery pathways are associated with improved postoperative outcomes. However, as enhanced recovery pathways have become more complex and varied, compliance has reduced. The 'DrEaMing' bundle re-prioritises early postoperative delivery of drinking, eating, and mobilising. We investigated relationships between DrEaMing compliance, postoperative hospital length of stay (LOS), and complications in a prospective multicentre major surgical cohort. METHODS: We interrogated the UK Perioperative Quality Improvement Programme dataset. Analyses were conducted in four stages. In an

Acute illness in children with secondary adrenal insufficiency.

OBJECTIVE AND BACKGROUND: Secondary adrenal insufficiency (SAI) is a rare condition in childhood which can be associated with high levels of morbidity in some patients. The causes of increased levels of illness are not well defined and warrant further investigation. METHODS: A retrospective cohort of patients with SAI was constructed by examining records of all attendances for acute illness by SAI patients at the emergency department of the two specialist paediatric hospitals in Sydney, Australia between 2004 and 2016. Demographic, clinical, and physiological characteristics together with pre