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A ten year analysis of the reasons for death following ambulatory surgery: Nine closed claims declared to SHAM insurance.
Conclusion There was only one case where the complication was aggravated due to the delay of care provision and this was because of a lack of information on the complications requiring an emergency return (abdominal pain after laparoscopy). In all the other cases, death would also probably have occurred during conventional hospitalisation, either because it was unavoidable or because the patient was too far from the surgery.
Source: Anaesthesia, Critical Care and Pain Medicine - March 20, 2018 Category: Anesthesiology Source Type: research

A ten-year analysis of the reasons for death following ambulatory surgery: Nine closed claims declared to the SHAM insurance
Discussion–conclusion There was only one case where the complication was aggravated due to the delay of care provision and this was because of a lack of information on the complications requiring an emergency return (abdominal pain after laparoscopy). In all the other cases, death would also probably have occurred during conventional hospitalisation, either because it was unavoidable or because the patient was too far from the surgery.
Source: Anaesthesia, Critical Care and Pain Medicine - April 5, 2018 Category: Anesthesiology Source Type: research

A Change in Tactics
This article is not the first to suggest health care as a basic human right. It is recognized as such by developed nations across the globe, but we fail to recognize the tactical value in viewing healthcare as a right. In the US, health care is viewed as a transactional exercise. The economic foundation of health care in this country, the fee for service model, reinforces the concept of healthcare as transactional. When conceived in this way, arguments to improve healthcare are provided in the language of commerce. We argue about cost. We argue about quality. Efforts to improve care become arguments about what changes are ...
Source: The Health Care Blog - March 6, 2019 Category: Consumer Health News Authors: matthew holt Tags: Health Policy healthcare reform Robert Pretzlaff Source Type: blogs

Evaluation of General and Musculoskeletal Health Literacy Disparities in Pediatric Sports Injury Patient and Guardian Populations
Background: Increased participation of adolescents in organized sports has led to an increase in pediatric sports injury. Limited health literacy puts patients at risk for worse outcomes through decreased compliance. We aim to evaluate the extent of health literacy disparities in pediatric sports medicine populations. Methods: Patients aged 10 to 17 years and their consenting guardians visiting clinic for treatment of a sports-related injury completed a unique questionnaire including self-reported health literacy measures and direct assessment of knowledge regarding care for musculoskeletal injuries. Statistical analy...
Source: Journal of Pediatric Orthopaedics - March 7, 2020 Category: Orthopaedics Tags: Online Articles: Sports Medicine Source Type: research

Does Our Healthcare System Work for the Most Vulnerable Americans?
By DEBORAH AFEZOLLI, CARL-PHILIPPE ROUSSEAU, HELEN FERNANDEZ, ELIZABETH LINDENBERGER “Why did you choose this field?” Most physicians are asked this question at some point in their early careers. We are geriatrics and palliative medicine physicians, so when that question is posed to us, it is invariably followed by another: “Isn’t your job depressing?” No, our job is not depressing. We are trained in the care of older adults and those with serious illness, and we find this work very rewarding.  What truly depresses us is how many vulnerable patients died during the pandemic, and how the scourge of COVI...
Source: The Health Care Blog - September 3, 2021 Category: Consumer Health News Authors: Christina Liu Tags: COVID-19 Medical Practice Patients Physicians Carl-Philippe Rousseau Deborah Afezolli Elizabeth Lindenberger Geriatrics Health policy Helen Fernandez Palliative Care Source Type: blogs

Identifying Long-Term Morbidities and Health Trajectories After Prolonged Mechanical Ventilation in Children Using State All Payer Claims Data*
CONCLUSIONS: New morbidities are common after prolonged mechanical ventilation. Identifying phenotypes at high risk of postdischarge morbidity may facilitate prognostic enrichment in clinical trials.
Source: Pediatric Critical Care Medicine - April 1, 2022 Category: Pediatrics Tags: Online Clinical Investigation Source Type: research

Relationships between socioeconomic deprivation and pediatric firearm-related injury at the neighborhood level
BACKGROUND Disparities in pediatric injury are widely documented and partly driven by differential exposures to social determinants of health (SDH). Here, we examine associations between neighborhood-level SDH and pediatric firearm-related injury admissions as a step to defining specific targets for interventions to prevent injury. METHODS We conducted a retrospective review of patients 16 years or younger admitted to our Level I pediatric trauma center (2010–2019) after a firearm-related injury. We extracted patients’ demographic characteristics and intent of injury. We geocoded home addresses to enable qua...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - September 1, 2022 Category: Orthopaedics Tags: PTS PODIUM 2021 Source Type: research

Declining influenza vaccination rates in an underserved pediatric primary care center during the COVID-19 pandemic
CONCLUSIONS: Influenza vaccination rates within one pediatric primary care center decreased during the COVID-19 pandemic and have not rebounded, particularly for older children, those identifying as Black, and those without insurance.PMID:36182616 | PMC:PMC9464574 | DOI:10.1016/j.vaccine.2022.09.016
Source: Vaccine - October 1, 2022 Category: Allergy & Immunology Authors: Melissa E Day Melissa Klein Heidi Sucharew Mary Carol Burkhardt Allison Reyner Destiney Giles Andrew F Beck Elizabeth P Schlaudecker Source Type: research

Another Sign of Resistance? - Doctors Sue Hospital Systems Alleged to Put Money Ahead of Mission
This article also described how money allegedly came before patient care:The court papers include email exchanges between Henderson and the other doctors in the ER group. In a November 2010 email, he discusses ways to punish doctors who do fewer patient transfers and reward those who tally more transfers:'(T)op quarter $1,000, next quarter $500. Bottom quarter up or out talk at annual evaluation.' In other words, according to doctors who received the email, Henderson proposed that doctors would be divided into strata based on who recommended the most transfers, with the top group winning bonus money while those who perform...
Source: Health Care Renewal - April 4, 2013 Category: Health Medicine and Bioethics Commentators Tags: Prime Healthcare organized resistance Dignity Health lawsuit mission-hostile management Catholic Healthcare West Source Type: blogs

Recurrent and High‐frequency Use of the Emergency Department by Pediatric Patients / Revisitas e Hiperfrecuentación del Servicio de Urgencias por Pacientes Pediátricos
ConclusionsRisk factors for recurrent ED use by children include age, race and ethnicity, and insurance status. Although asthma plays an important role in recurrent ED use, acute illnesses account for the majority of recurrent ED visits. Resumen ObjetivosDescribir la epidemiología y los factores de riesgo de revista e hiperfrecuentación del servicio de urgencias (SU) por parte de los pacientes pediátricos. MetodologíaEstudio de cohorte retrospectivo mediante una base de datos de niños entre 0 y 17 años inclusive, que acudieron a 22 SU de la Pediatric Emergency Care Applied Research Network durante 2007, con un segui...
Source: Academic Emergency Medicine - April 14, 2014 Category: Emergency Medicine Authors: Elizabeth R. Alpern, Amy E. Clark, Evaline A. Alessandrini, Marc H. Gorelick, Marlena Kittick, Rachel M. Stanley, J. Michael Dean, Stephen J. Teach, James M. Chamberlain, Tags: Original Contribution Source Type: research

Characteristics of Short Stay Critical Care Admissions from Emergency Departments in Maryland.
CONCLUSIONS: Over one-third of critical care admissions were short stay. Alternate strategies to manage these patients, including ED-based critical care units or other venues of inpatient care may be more cost-efficient for selected patients. This article is protected by copyright. All rights reserved. PMID: 28323374 [PubMed - as supplied by publisher]
Source: Accident and Emergency Nursing - March 21, 2017 Category: Emergency Medicine Authors: Chidi OO, Perman SM, Ginde AA Tags: Acad Emerg Med Source Type: research

Regionalization Patterns for Children with Serious Trauma in California (2005-2015): A Retrospective Cohort Study.
Conclusions: We demonstrate statewide primary triage and transfer patterns for pediatric trauma in a large and varied state. Specifically we identified previously unrecognized individual, hospital, and EMS system associations with pediatric trauma regionalization. Knowledge of these de facto trauma care access patterns has policy and process implications that could improve care for all injured children in need. PMID: 32091292 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - February 26, 2020 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research

Association of Socioeconomic Characteristics With Where Children Receive Emergency Care
Conclusions Nationally, children in lower-income neighborhoods tended to receive care in pediatric EDs with lower volume, an association that appears principally driven by urban-rural differences in access to emergency care.
Source: Pediatric Emergency Care - January 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research

Rates of Infection After ACL Reconstruction in Pediatric and Adolescent Patients: A MarketScan Database Study of 44,501 Patients
Conclusion: Utilizing an insurance database, this study demonstrated that rates of infection after ACL Reconstruction in a pediatric/adolescent population are low (0.52%) and similar to rates in young adults. Infection rates after ACLR reconstruction appear to be slightly lower in patients under 15 years of age (0.37%). Level of Evidence: Level III—Retrospective comparative study.
Source: Journal of Pediatric Orthopaedics - March 17, 2022 Category: Orthopaedics Tags: Sports Medicine Source Type: research

What’s New in Pediatric Orthopaedic Health Care Disparities?
Conclusions: Greater attention paid to health care disparities over the past several years has enabled progress toward achieving equitable pediatric orthopaedic care. However, delays in access to pediatric orthopaedic care among uninsured/publicly insured, and/or socially deprived individuals remain and consequently, so do differences in post-treatment outcomes. Reducing barriers to care, such as insurance status, transportation and health literacy, and promoting education among patients and parents, could help health care access become more equitable. Level of Evidence: Level IV—narrative review
Source: Journal of Pediatric Orthopaedics - September 13, 2022 Category: Orthopaedics Tags: Selected Topics Source Type: research