Increased Prevalence, Complications, and Costs of Smokers Undergoing Total Knee Arthroplasty

J Knee Surg DOI: 10.1055/s-0040-1713128Given a national push toward bundled payment models, the purpose of this study was to examine the prevalence as well as the effect of smoking on early inpatient complications and cost following elective total knee arthroplasty (TKA) in the United States across multiple years. Using the nationwide inpatient sample, all primary elective TKA admissions were identified from 2012 to 2014. Patients were stratified by smoking status through a secondary diagnosis of “tobacco use disorder.” Patient characteristics as well as prevalence, costs, and incidence of complications were compared. There was a significant increase in the rate of smoking in TKA from 17.9% in 2012 to 19.2% in 2014 (p 
Source: Journal of Knee Surgery - Category: Orthopaedics Authors: Tags: Original Article Source Type: research

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Publication date: Available online 7 July 2020Source: Journal of Cardiology CasesAuthor(s): Adrienn Tünnemann-Tarr, Stephan Stöbe, Ulrich Laufs, Andreas Hagendorff, Bhupendar Tayal
Source: Journal of Cardiology Cases - Category: Cardiology Source Type: research
David J. BierPresident Trumpannounced last month that he would ban nearly all immigrants and temporary workers for the remainder of 2020. There are still many unknowns about how this order will be implemented and how applicants will respond to it, but the White Houseestimated that the ban would block about 525,000 work authorized immigrants from working in the United States. It did not reveal its methodology for estimating this figure, but if consulates were open, and world migration returned to normal, it would likely ban more than that —about 545,000—but withconsulates closed, other travel restrictions in pla...
Source: Cato-at-liberty - Category: American Health Authors: Source Type: blogs
Authors: Vadehra D, Salibi PN, McHaffie DR, Sulzer J, Iannitti DA, Hwang JJ Abstract Pancreatic adenocarcinoma is one of the most lethal cancers in oncology. Pancreatic cancer is the third most common cause of cancer-related mortality in the United States. As the years have progressed, the importance of a multidisciplinary and multimodal approach to pancreatic cancer care has been recognized and is now recommended in all major society guidelines. A subset of pancreatic cancer, borderline resectable pancreatic cancer (BRPC), has emerged as a distinct clinical entity for which specialized treatment plans are now bein...
Source: Clinical Advances in Hematology and Oncology - Category: Cancer & Oncology Tags: Clin Adv Hematol Oncol Source Type: research
Authors: Mulherkar R, Grewal AS, Berman AT Abstract Non-small cell lung cancer (NSCLC) accounts for 85% of the cases of lung cancer in the United States, and 70% of patients with NSCLC have locally advanced or metastatic disease at the time of diagnosis. The 5-year overall survival rate for patients with locally advanced NSCLC is 15% to 20%. The traditional treatment paradigm for unresectable locally advanced NSCLC consists of platinum-based chemotherapy with concurrent radiation. Evidence from phase 3 clinical trials has established a role for immunotherapy after chemoradiation, and emerging data continue to eluci...
Source: Clinical Advances in Hematology and Oncology - Category: Cancer & Oncology Tags: Clin Adv Hematol Oncol Source Type: research
Authors: Tracol C, Vannier S, Hurel C, Tuffier S, Eugene F, Le Reste PJ Abstract INTRODUCTION: Several predictors have been described to early diagnose malignant middle cerebral artery infarction (MMI) and select patient for hemicraniectomy. Nevertheless, few studies have assessed them among patients with acute ischemic stroke undergoing mechanical endovascular thrombectomy (MET). The overall objective in this study was to evaluate these predictors in patients undergoing MET in the purpose to guide the medical care in the acute phase. METHODS: We selected patients from a prospective local database which referen...
Source: Revue Neurologique - Category: Neurology Tags: Rev Neurol (Paris) Source Type: research
New study provides further support for as well as more insight on stroke risk associated with COVID-19.Medscape Medical News
Source: Medscape Cardiology Headlines - Category: Cardiology Tags: Neurology & Neurosurgery News Source Type: news
Daniel J. IkensonWhile collecting materials to offer a retort to arguments favoring robust U.S. industrial policy, I came across anarticle I wrote on the subject published inChina-U.S. Focus on March 15, 2011. I am struck by how much of that piece is still relevant to today ’s debate. The article also notes that perceptions developed during the Great Recession (particularly among U.S. policymakers) were the catalyst for the steady decline in the U.S.-China relationship during the Obama administration, which accelerated with rise of Xi Jinping and the election of Dona ld Trump (a chronology covered in more detail inth...
Source: Cato-at-liberty - Category: American Health Authors: Source Type: blogs
Authors: Yarlagadda M, Shen M, Abraham A, Mousavi I, Sethi MK Abstract The purpose of this study was to identify those complications for which patients with adverse cardiac events are at risk within the 30-day postoperative period following treatment oforthopaedic trauma cases. This was a retrospective cohort study of orthopaedic trauma patients in the United States between 2006 and 2013. A total of 56,336 patients meeting any one of 89 CPT codes in the American College of Surgeons National Surgical Quality Improvement Program database were used. The main outcome measure was myocardial infarction or cardiac arrest ...
Source: Journal of surgical orthopaedic advances - Category: Orthopaedics Tags: J Surg Orthop Adv Source Type: research
Conclusions—Despite significant mortality reduction, ARF and DVT risk after ICH have increased, whereas odds of sepsis and pneumonia have declined over the last decade. All complications were associated with increased cost and length of stay, but their associations with mortality were variable, likely due in part to survival bias. Innovative strategies are needed to prevent ICH-associated medical complications.
Source: Stroke - Category: Neurology Authors: Tags: Complications, Mortality/Survival, Intracranial Hemorrhage Original Contributions Source Type: research
Conclusion. Risk factors for the development of postoperative medical complications after correction of ASD include smoking, hypertension, and duration of symptoms. Patients who have one or more of these risk factors should be identified and informed during informed consent of their increased risks. They should be optimized preoperatively, and followed closely during the postoperative period. Level of Evidence: 3
Source: Spine - Category: Orthopaedics Tags: Deformity Source Type: research
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