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We would like to thank Dr. Cattano for his comments regarding our article, “A Perioperative Systems Design to Improve Intraoperative Glucose Monitoring Is Associated with a Reduction in Surgical Site Infections in a Diabetic Patient Population.”1 Our local implementation of the glucose bundle primarily focused on (1) implementation of intraoperative decision support, (2) departmental agreement around the utility of intraoperative glucose monitoring, and (3) broadened availability of intraoperative glucose point-of-care testing. The implementation of this bundle was a free-standing initiative, not linked to any other quality improvement initiatives that occurred during the study time course. Glycosylated hemoglobin (HgbA1C) was only available for a subset of patients: 810 (20%) preintervention and 3,088 (26%) postintervention. HgbA1C was therefore not included in the propensity score because matching on HgbA1C resulted in a dramatic decrease in the number of matched pairs.
Source: Anesthesiology - Category: Anesthesiology Source Type: research

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CONCLUSION: There were significant differences (P
Source: Puerto Rico Health Sciences Journal - Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research
The objective of this study was to determine pCD incidence and risk factors in CEA patients. DESIGN We performed a systematic review and meta-analysis of both randomised and nonrandomised trials following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. DATA SOURCES We searched Cochrane, PubMed/Medline and Embase databases from the date of database inception to 1 December 2018. ELIGIBILITY CRITERIA We selected longitudinal studies including CEA patients with both pre-operative and postoperative cognitive assessments. Primary outcome was pCD incidence, differentiating delayed neurocogn...
Source: European Journal of Anaesthesiology - Category: Anesthesiology Tags: Perioperative medicine Source Type: research
Publication date: Available online 5 October 2020Source: Anaesthesia &Intensive Care MedicineAuthor(s): Catherine Robinson, Michael McGinlay, Swamy Mruthunjaya
Source: Anaesthesia and intensive care medicine - Category: Anesthesiology Source Type: research
Condition:   Cognitive Dysfunction Intervention:   Other: anaesthetic Sponsor:   Second Hospital of Shanxi Medical University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
AbstractPurposePeripheral gangrene (PG) is a known complication requiring limb amputation among sepsis survivors; however, its incidence and associated risk factors remain controversial. We aimed to examine the incidence of limb amputation among sepsis survivors, and to investigate factors independently associated with limb amputation.MethodsIn this population-based cohort study, data obtained from the South Korean national health insurance service database between 2015 and 2016 were analyzed. A sepsis survivor was defined as someone having survived  >  90 days after initiation of treatment for sepsis...
Source: Journal of Anesthesia - Category: Anesthesiology Source Type: research
Abstract OBJECTIVE: To describe rates of short-term morbidity following transcervical surgical treatment of hypopharyngeal diverticulum (HD) and analyze predictors of adverse events. METHODS: The 2005 to 2017 National Surgical Quality Improvement Program database was queried to identify patients diagnosed with HD undergoing open transcervical diverticulectomy. RESULTS: A total of 597 patients with a mean age of 71.4 ± 12.3 years were included. Thirty-day adverse events were experienced by 63 (10.6%) subjects, including 6.5% unplanned reoperations, 4.2% surgical complications, ...
Source: The Annals of Otology, Rhinology, and Laryngology - Category: ENT & OMF Authors: Tags: Ann Otol Rhinol Laryngol Source Type: research
This study had a power of 85% to detect a difference of 1% in 30-day readmission. Following 1:1 propensity score matching, 1714 patients who underwent inpatient TSA and 1714 patients who underwent out-patient TSA were analyzed. All-cause 30-day readmission rates were 3.4% in the outpatient group and 1.7% in the inpatient group (P
Source: Orthopedics - Category: Orthopaedics Authors: Tags: Orthopedics Source Type: research
In this study, we aimed to evaluate whether GNRI is a reliable predictive marker for PPH following PD. The present study retrospectively evaluated 121 patients treated with PD at Ageo Central General Hospital in Japan between January 2015 and March 2020. We investigated the potential of age, gender, body mass index, serum albumin, American Society of Anesthesiologists classification (ASA), diabetes mellitus and smoking status, time taken for the operation, estimated blood loss, and postoperative complications (POPF, bile leak, and surgical site infections) to predict the risk of PPH following PD using univariate and multiv...
Source: Cancers - Category: Cancer & Oncology Authors: Tags: Article Source Type: research
The objective of the narrative review is to describe what is COVID-19-related coronavirus (CoV), its structure and particle size, potential transmission routes, the risk of infection in patients undergoing blood transfusion or in patients with diabetes and cancer, and recommendations to prevent its spread in office settings, travel / recreation settings, residential and health facilities. This paper also discusses several groundbreaking approaches that are used to counter COVID-19. With this narrative review, we hope to raise awareness of the usual and unusual pathways of transmission and prevent the spread of this pandemic disease.
Source: Saudi Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
Conclusion: During COVID-19 lockdown, vitreoretinal surgeries were most commonly performed for retinal detachment and diabetic complications. Proper implementation of infection control protocols helps in delivering adequate patient care while ensuring the safety of caregivers during this pandemic.
Source: Indian Journal of Ophthalmology - Category: Opthalmology Authors: Source Type: research
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