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Does Robotic Segmentectomy Improve Long-Term Outcomes in Non-Small Cell Lung Cancer?

OBJECTIVES: Lung cancer remains the leading cause of cancer-related death globally. While lobectomy is the standard treatment for early-stag … vival (OS), disease-free survival (DFS), and recurrence. Secondary outcomes included complications, length of stay, length of drainage, and lymph-node stations harvested. RESULTS: A total of 144 patients were included (RATS n = 86; VATS n = 58). Baseline characteristics were comparable across groups. RATS was associated with a significantly greater number of ly …

Outcomes of acute inpatient rehabilitation of patients with left ventricular assist devices.

OBJECTIVE: To investigate the benefits of comprehensive inpatient rehabilitation for patients after left ventricular assist device (LVAD) implantation. DESIGN: A retrospective cohort study. SETTING: An urban academic inpatient rehabilitation hospital. PATIENTS: This study included 58 patients admitted to inpatient rehabilitation after LVAD implantation between 2009 and 2012. METHODS: Chart review of demographic, clinical, and functional data for patients admitted to inpatient rehabilitation after LVAD implantation was performed. MAIN OUTCOME MEASUREMENTS: Length of stay, admission and dis…

22-Modifier Designation Accurately Predicts Perioperative Resource Utilization and Outcomes in Liver Transplantation.

INTRODUCTION: Significant ambiguity exists regarding the diagnostic accuracy of a 22-modifier designation, especially in technically complex operations such as liver transplantation (LT). We sought to evaluate the diagnostic accuracy of 22-modifier in LT by correlating 22-modifier designation with LT outcomes. METHODS: All adult liver transplants between January 1, 2015, and December 31, 2022, at a single academic medical center were reviewed. Hospital billing records were queried, and patients were stratified into two groups - with and without a procedural 22-modifier reimbursed. RESULTS: A

Impact of COVID-19 in nutritional and functional status of survivors admitted in intensive care units during the first outbreak. Preliminary results of the NUTRICOVID study.

BACKGROUND & AIMS: COVID-19 patients present a high hospitalization rate with a high mortality risk for those requiring intensive care. When … s, who suffered an average (SD) weight loss of 16.6% (8.3%) during the hospital stay, with a median length of stay of 53 (27-89.5) days and a median ICU stay of 24.5 (11-43.5) days. At discharge, 83.5% and 86.9% of the patients were at risk of malnutrition and sarcopenia, respectively, but only 38% were prescribed MNT. In addition, more than 70% of patients had …

Effects of Sugammadex Versus Neostigmine on Postoperative Oxygenation and Pulmonary Complications in Elderly Patients Undergoing Lower Abdominal Surgery.

AIM: Neostigmine is a competitive inhibitor of acetylcholinesterase commonly used in neuromuscular blockade (NMB). Sugammadex is a new drug for rapid and reliable reversal of NMB. This study evaluated the effects of sugammadex versus neostigmine on postoperative oxygenation and pulmonary in elderly patients undergoing lower abdominal surgery. METHODS: A retrospective analysis of 279 patients who underwent lower abdominal surgery in the Quzhou Affiliated Hospital of Wenzhou Medical University from July 2023 to February 2025 was performed. Patients were divided into two groups based on the NMB

Nosocomial Infections After Pediatric Congenital Heart Disease Surgery: Data from National Center for Cardiovascular Diseases in China.

PURPOSE: Infection prevention and control (IPC) has a significant impact on the prognosis after pediatric cardiac surgery. This study aimed to provide surveillance data on the incidence and density of various infections during the COVID-19 epidemic and explore the influence of multi-drug resistant organisms (MDRO) on in-hospital prognosis after congenital heart disease surgery. METHODS: This single-center retrospective study included pediatric patients who underwent cardiac surgery between 2021 and 2022. The results of the postoperative bacterial and fungal cultures and antimicrobial stewards

Prevalence, clinical and economic burden of mucormycosis-related hospitalizations in the United States: a retrospective study.

BACKGROUND: Mucormycosis is a rare but devastating fungal infection primarily affecting immunocompromised patients such as those with hemato … on of mucormycosis was relaxed to not require the use of amphotericin B or posaconazole. The median length of stay was 17 days, with 23% dead at discharge; readmission rates were high, with 30 and 37% of patients readmitted within one and three months of discharge, respectively. The average cost per hospital stay was $112,419, and the average per diem cost was $ …

Postacute Care Utilization in Postsurgical Orthogeriatric Hip Fracture Care.

INTRODUCTION: Among surgical patients, utilization of institutional-based postacute care (PAC) presents a notable financial burden and is as … 46 [1.14 to 1.85], P = 0.002), hypertension (OR 1.32 [1.10 to 1.58], P = 0.002), and total hospital length of stay (OR 1.04 [1.01 to 1.08], P = 0.006) were independent risk factors for discharge to PAC. Age (OR 1.05 [1.04 to 1.06], P < 0.001), partial (OR 2.86 [1.93 to 3.79], P < 0.001) or total dependence (OR 3.12 [1.45 to 4.79], P < 0.001) for activities of da …

[Prenatal care and postnatal outcome for fetuses with laparoschisis].

OBJECTIVES: To assess the relevance and the quality of gastroschisis's care in a mid level referral centre. METHOD: A retrospective analysi … urinary or haematological complications. Hospital stay range from 19 to 378 days (median, 51 days). Length of stay and time to full enteral feeding were longer if oligohydramnios or sonographic signs of intestinal damage were found. Among infants born before 35 weeks, only those with intestinal damage at birth had length of stay or time to full enteral feeding l …

Diabetes in Patients With Heart Failure With Reduced Ejection Fraction During Hospitalization: A Retrospective Observational Study.

BACKGROUND: Diabetes is prevalent worldwide including hospitalized patients with heart failure with reduced ejection fraction (HFrEF). This retrospective study investigated the association of diabetes with in-hospital adverse events in patients with HFrEF. METHODS: We analyzed data from electronic medical records of patients hospitalized with HFrEF in West China Hospital of Sichuan University from January 1, 2011, to September 30, 2018. Propensity score matching balances the baseline characteristics between patients with and without diabetes. Logistic and Poisson regressions investigated the

Cost impact of hydroxocobalamin in the treatment of patients with known or suspected cyanide poisoning due to smoke inhalation from closed-space fires.

BACKGROUND & OBJECTIVES: Cyanide poisoning can occur due to exposure to smoke in closed-space fires. With no point of care cyanide test at t … 2,607 with no cyanide antidote). The most substantive cost-savings resulted from decreased hospital length of stay (i.e., intensive care unit [ICU] and non-ICU). Costs attributed to mechanical ventilation also decreased with use of hydroxocobalamin. A univariate sensitivity analysis demonstrated that the most impactful variables in the cost analysis were related …

Current experience with pancreatogastrostomy.

BACKGROUND: The reconstruction technique for the pancreatic remnant remaining after pancreatoduodenectomy has most frequently been pancreato … ed to the anastomosis occurred in the group of 23 patients with pancreatojejunostomies. The average length of stay was 14.2 days for the pancreatojejunostomy group and 15.5 days for the pancreatogastrostomy group, excluding duration data from those who died or experienced leakage. There was no significant difference in the length of stay between pancreatojejunos …

Effect of intraoperative subhypnotic infusion of propofol on postoperative nausea and vomiting: A retrospective analysis.

STUDY OBJECTIVE: To measure the possible association between subhypnotic propofol infusion during general balanced anesthesia and the incidence of PONV. DESIGN: Retrospective Cohort Analysis Using Propensity Score Matching. SETTING: Postanesthesia care unit and inpatient unit. PATIENTS: Patients with American Society of Anesthesiologists (ASA) physical status I-IV, undergoing non-cardiac surgery lasting >2 h were included. Patients were excluded if transferred to the intensive care unit after surgery or received ketamine. Initially 70,976 patients were screened, and a cohort of 51,707 eligi

Treating incomplete abortion in El Salvador: cost savings with manual vacuum aspiration.

When manual vacuum aspiration (MVA) was introduced to treat incomplete abortion at a regional training hospital in El Salvador, this study evaluated the impact of replacing sharp curettage with MVA. Hospital cost, length of hospital stay, complication rates and postabortion contraceptive acceptance were compared in a prospective, nonrandomized, controlled study of 154 women assigned to either traditional sharp curettage services or MVA services plus contraceptive counseling. Assignment depended on availability of trained providers. Compared to sharp curettage, use of MVA and associated changes

[Epidemiological characteristics and trend of hospitalization of patients with herpes zoster in Beijing, 2017-2022].

Objective: To analyze the epidemiological characteristics and trend of hospitalization of the patients with herpes zoster in Beijing from 2017 to 2022. Methods: In this retrospective study, the information of hospitalization of herpes zoster patients were collected from all medical institutions at the first level and above in Xicheng, Changping, and Miyun districts of Beijing. The age and gender specific hospitalization rates and age-standardized hospitalization rates were calculated. Joinpoint regression model was used to explore the trend of the hospitalization rates, and the influencing fac

Efficacy and safety of enhanced recovery after surgery protocol on liver transplantation: A meta-analysis.

BACKGROUND: Enhanced recovery after surgery (ERAS), a multidisciplinary and multimodal perioperative care protocol, has been widely used in … C group). The primary outcomes evaluated included intensive care unit (ICU) stay duration, hospital length of stay, overall complication rates, mortality, and 30-day readmission rates. Our findings showed that ERAS protocols significantly reduced ICU stay duration (MD: -1.21 days, 95%CI: -2.08 to -0.34; P = 0.006), hospital length of stay (MD: -4.91 days, 95%CI: …

Tranexamic acid given into wound reduces postoperative drainage, blood loss, and hospital stay in spinal surgeries: a meta-analysis.

BACKGROUND: Although intravenous tranexamic acid administration (ivTXA) has prevailed in clinical antifibrinolytic treatment, whether it increases thromboembolic risks has remained controversial. As a potent alternative to ivTXA, topical use of TXA (tTXA) has been successfully applied to attenuate blood loss in various surgical fields while minimizing systemic exposure to TXA. This meta-analysis was conducted to gather scientific evidence for tTXA efficacy on reducing postoperative drainage, blood loss, and the length of hospital stay in spine surgeries. OBJECTIVES: To examine whether topical

Pregnancy outcomes and superiorities of prophylactic cervical cerclage and therapeutic cervical cerclage in cervical insufficiency pregnant women.

PURPOSE: To compare the clinical effect of prophylactic cervical cerclage and therapeutic cervical cerclage on pregnancy outcome and operative factors in cervical insufficiency pregnant women. METHODS: A retrospective study was conducted between June 2014 and September 2016 in a maternity ward, which included women who have had a single pregnancy and have been carried out a McDonald cerclage. All maternal medical records were reviewed. The efficacy of cerclage for preventing late foetal loss was assessed using multivariable logistic regression analysis. RESULTS: The results showed that there

Artificial intelligence system can achieve comparable results to experts for bone age assessment of Chinese children with abnormal growth and development.

BACKGROUND: Lateral lumbar interbody fusion has proven effective for various spinal pathologies, and ambulatory surgery centers (ASCs) offer … ding ASC without overnight-stay capabilities. Data on operative time, intraoperative complications, length of stay, hospital admissions, and return to the operating room within 6 months were collected and analyzed. Radiographic measurements were performed pre- and postoperatively. RESULTS: All cases were completed in less than 2 hours with a mean length of stay …

Home infusion services in Saudi Arabia: Where are we standing?

Diseases management has reached the highest level of complexity and cost in history, worldwide, and in Saudi Arabia in particular, which led to prolonged, unnecessary hospital stays. There have been many recent innovative measures to reduce these issues. One is to provide home infusion services. Hence, this narrative review emphasizes the expected benefits and challenges of such services and the applicability of their implementation in Saudi Arabia. A literature search was conducted via PubMed database, involving all published studies from inception until March 24th, 2023. Many studies showed

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… The authors found that the mean length of stay for patients treated at hospitals was 4.9 days compared to 3.2 days for those treated at the home care program ( Leff et al., 2005 ). … Table 1 Summary of Home Infusion impact on length of stay. …