384,259 results match your criteria inpatient care

Associations between surgical start time (regular vs after hours) and morbidity and mortality during hospitalization in dogs and cats.

J Vet Emerg Crit Care (San Antonio) 2021 Jul 30. Epub 2021 Jul 30.

Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida, USA.

Objective: To examine the relationship between after-hours (ie, nights and weekends) emergency general surgery and morbidity or mortality in dogs and cats during hospitalization.

Design: Cross-sectional study from September 1, 2013 to May 31, 2017.

Setting: University teaching hospital. Read More

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Healthcare Utilization for Stroke Patients at the End of Life: Nationally Representative Data.

J Stroke Cerebrovasc Dis 2021 Jul 27;30(10):106008. Epub 2021 Jul 27.

Department of Neurology, Icahn School of Medicine at Mount Sinai, 1468 Madison Ave, Annenberg 301B, New York 10029, United States. Electronic address:

Objectives Stroke and post-stroke complications are associated with high morbidity, mortality, and cost. Our objective was to examine healthcare utilization and hospice enrollment for stroke patients at the end of life. Materials and methods The 2014 Nationwide Readmissions Database is a national database of > 14 million admissions. Read More

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Are We Underestimating the Morbidity of Single Rib Fractures?

J Surg Res 2021 Jul 27;268:174-180. Epub 2021 Jul 27.

Department of Surgery, Division of Thoracic and Esophageal Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio 44106; Case Western Reserve University, School of Medicine, Cleveland, Ohio 44106.

Purpose: Previous studies suggest that patients with multiple rib fractures have poor outcomes, but it is unknown how isolated single rib fractures (SRF) are associated with morbidity or mortality. We hypothesized that patients with poor outcomes after SRF can be identified by demographics and comorbidities. The purpose of this study was to model adverse outcome after single rib fractures. Read More

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Did COVID-19 Quarantine redirect habitual patient visits in the gynecology emergency room?

J Gynecol Obstet Hum Reprod 2021 Jul 27:102199. Epub 2021 Jul 27.

Department of Obstetrics and Gynecology, Meir Medical Center, Kfar Saba, Israel, affiliated with the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.

Objective: COVID-19 pandemic caused a dramatic decline in the gynecology emergency department (ED) visits. The Israeli government took a determined step of quarantine to suppress and control the spread. This study evaluates the effect of the COVID -19 quarantine on gynecology emergency department (ED) visits compared to the previous year. Read More

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Social Determinants of Health Needs and Pediatric Health Care Use.

J Pediatr 2021 Jul 27. Epub 2021 Jul 27.

Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH USA; The Ohio State University College of Medicine, Department of Pediatrics, and College of Nursing, and College of Public Health, Columbus, OH USA.

Objective: To examine the associations between family-reported social needs in primary care settings and pediatric health care use.

Study Design: Data were used from a sample of 56,253 children (ages 0-21) who received primary care at a large hospital-based pediatric institution between June 2018 and October 2019 to estimate a propensity score for the probability of being seen in a primary care clinic. Inverse probability weighted regression specifications were used to understand the associations between reported social needs and health care use. Read More

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Clinical and service delivery implications of omitting ultrasound before medication abortion provided via direct-to-patient telemedicine and mail.

Contraception 2021 Jul 27. Epub 2021 Jul 27.

Gynuity Health Projects, 220 East 42nd Street #710, New York, NY 10017. Electronic address:

Objectives: To compare outcomes among patients who did or did not have pre-abortion ultrasound or pelvic exam before obtaining medication abortion (MA) via direct-to-patient telemedicine and mail.

Study Design: We analyzed data from participants screened for enrollment into the TelAbortion study at five sites from March 25-September 15, 2020. We compared participants who had pre-abortion ultrasound or pelvic exam ("test-MA") to those who did not ("no-test MA"). Read More

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Efficacy of endoscopic large balloon dilation extended for 2 minutes in bile duct stone removal: A multicenter retrospective study.

J Hepatobiliary Pancreat Sci 2021 Jul 30. Epub 2021 Jul 30.

Department of Gastroenterology and Hepatology, St. Marianna University, School of Medicine, 2-16-1, Sugao, Miyamae-ku, Kawasaki, 216-8511, Japan.

Background/purpose: There is no evidence regarding the optimal balloon dilation time during endoscopic papillary large balloon dilation (EPLBD). The study aim was to evaluate the efficacy of 2-min extended balloon dilation for EPLBD.

Methods: 205 patients who underwent EPLBD during endoscopic retrograde cholangiopancreatography (ERCP) for bile duct stones at three tertiary centers were included in the analysis. Read More

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Evaluating real-world national and regional trends in definitive closure in US burn care: A survey of US Burn Centers.

J Burn Care Res 2021 Jul 30. Epub 2021 Jul 30.

Avita Medical, Valencia, CA.

To better understand trends in burn treatment patterns related to definitive closure, this study sought benchmark real-world survey data with national data contained within the National Burn Repository version 8.0 (NBR v8.0) across key burn center practice patterns, resource utilization, and clinical outcomes. Read More

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Comparison of clinical outcomes of lower extremity burns in diabetic and non-diabetic patients: a retrospective analysis.

J Burn Care Res 2021 Jul 30. Epub 2021 Jul 30.

Ross Tilley Burn Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.

Diabetes mellitus is an increasingly prevalent chronic disease that leads to long-term health consequences. Some long-term clinical sequelae of diabetes include coronary artery disease, peripheral vascular disease, peripheral neuropathy, and impaired wound healing. These can increase hospital stay and complications such as wound infections and amputations among patients with lower extremity burns. Read More

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Provider Experience and Satisfaction with a Novel 'Virtual Team Rounding' Program During the COVID-19 Pandemic.

Int J Qual Health Care 2021 Jul 30. Epub 2021 Jul 30.

Department of Medicine, Brigham and Women's Hospital, USA.

Background: New inpatient virtual care models have proliferated in response to the challenges presented by the COVID-19 pandemic, however, few of these programs have yet been evaluated for acceptability and feasibility. We present the results of a survey of feasibility and provider experience with the Virtual Team Rounding Program (VTRP), a quality improvement project developed and rapidly scaled at Brigham and Women's Hospital in Boston, MA, in response to the surge of COVID-19 patients in the spring of 2020.

Methods: We surveyed 777 inpatient providers and 41 providers who served as "virtual rounders" regarding their experience with the program. Read More

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Variation in Hospital Performance Measures from the Turkey Ministry of Health.

Int J Qual Health Care 2021 Jul 30. Epub 2021 Jul 30.

Precision Vaccines Program, Department of Pediatrics, Harvard Medical School, Boston Children's Hospital, Boston, MA, USA.

Background: The Turkish healthcare system has seen broad population-based improvements in expanded health insurance coverage and access to healthcare services. Hospital performance in this national system is understudied. We aimed to identify trends in hospital performance over time following implementation of the Health Transformation Program and describe how regional outcomes correlate with regional vital statistics. Read More

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Combined video-assisted thoracoscopy surgery and posterior midline incision for en bloc resection of non-small-cell lung cancer invading the spine.

Interact Cardiovasc Thorac Surg 2021 Jul 30. Epub 2021 Jul 30.

Department of Thoracic and Vascular Surgery, Arnaud de Villeneuve Hospital, Montpellier, France.

Objectives: This article aims to evaluate the feasibility and safety of a hybrid video-assisted thoracic surgery (VATS) approach to achieve en bloc lobectomy and spinal resection for non-small-cell lung cancer (NSCLC).

Methods: Between October 2015 and November 2020, 10 patients underwent VATS anatomical lobectomy and en bloc chest wall and spinal resection through a limited posterior midline incision as a single operation for T4 (vertebral involvement) lung cancer. Nine patients had Pancoast syndrome without vascular involvement and 1 patient had NSCLC of the right lower lobe with invasion of T9 and T10. Read More

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New-onset Hypogammaglobulinemia and Infectious Complications Associated with Rituximab Use in Childhood-onset Rheumatic Diseases.

Rheumatology (Oxford) 2021 Jul 30. Epub 2021 Jul 30.

Pediatric Rheumatology, Massachusetts General Hospital, Boston MA, United States.

Objective: To investigate the incidence and risk factors for hypogammaglobulinemia and infectious complications associated with rituximab treatment in childhood-onset rheumatic diseases.

Methods: We performed a single-center retrospective study of patients (n = 85) treated at Boston Children's Hospital (BCH) from 2009 to 2019. Study subjects included patients (ages 6 to 24) who received rituximab for the treatment of a childhood-onset rheumatic disease. Read More

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SARS-CoV-2 Antibodies and Associated Factors at Different Hospitalization Time Points in 192 COVID-19 Cases.

J Appl Lab Med 2021 Jul 30. Epub 2021 Jul 30.

Guangzhou Eighth People's Hospital, Guangzhou Medical University, Guangzhou, China.

Background: We launched a retrospective analysis of SARS-CoV-2 antibodies in 192 patients with COVID-19, aiming to depict the kinetic profile of SARS-CoV-2 antibodies and explore the factors related to SARS-CoV-2 antibody expression.

Methods: Data on 192 confirmed patients with COVID-19 between January and February 2020 was collected from the designated hospital that received patients with COVID-19 in Guangzhou, China. Moreover, a cohort of 130 suspected patients with COVID-19 and 209 healthy people were also enrolled in this study. Read More

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Risk of Healthcare-Associated Transmission of SARS-CoV-2 in Hospitalized Cancer Patients.

Clin Infect Dis 2021 Jul 30. Epub 2021 Jul 30.

Infection Control, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Background: There is limited information on the risk of hospital-acquired COVID-19 among high-risk hospitalized patients after exposure to an infected patient or healthcare worker (HCW) in a non-outbreak setting.

Methods: This study was conducted at a tertiary care cancer center in New York City from March 10, 2020, until February 28, 2021. In early April 2020, the study institution implemented universal SARS-CoV-2 testing at admission and retesting every three days through the hospital stay. Read More

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Prognostic value of high-sensitivity cardiac troponin I in heart failure patients with mid-range and reduced ejection fraction.

PLoS One 2021 30;16(7):e0255271. Epub 2021 Jul 30.

Department of Internal Medicine and Cardiology, University Hospital Brno, Brno, Czech Republic.

Background: The identification of high-risk heart failure (HF) patients makes it possible to intensify their treatment. Our aim was to determine the prognostic value of a newly developed, high-sensitivity troponin I assay (Atellica®, Siemens Healthcare Diagnostics) for patients with HF with reduced ejection fraction (HFrEF; LVEF < 40%) and HF with mid-range EF (HFmrEF) (LVEF 40%-49%).

Methods And Results: A total of 520 patients with HFrEF and HFmrEF were enrolled in this study. Read More

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Description and analysis of representative COVID-19 cases-A retrospective cohort study.

PLoS One 2021 30;16(7):e0255513. Epub 2021 Jul 30.

Heidelberg Institute of Global Health, Heidelberg University Hospital, Heidelberg, Germany.

Background: Most data on COVID-19 was collected in hospitalized cases. Much less is known about the spectrum of disease in entire populations. In this study, we examine a representative cohort of primarily symptomatic cases in an administrative district in Southern Germany. Read More

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Characteristics of aspiration pneumonia patients in acute care hospitals: A multicenter, retrospective survey in Northern Japan.

PLoS One 2021 30;16(7):e0254261. Epub 2021 Jul 30.

Department of Otolaryngology, Sendai City Hospital, Sendai, Japan.

Background: Pneumonia is a common cause of illness and death of the elderly in Japan. Its prevalence is escalating globally with the aging of population. To describe the latest trends in pneumonia hospitalizations, especially aspiration pneumonia (AP) cases, we assessed the clinical records of pneumonia patients admitted to core acute care hospitals in Miyagi prefecture, Japan. Read More

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Development and validation of a prognostic 40-day mortality risk model among hospitalized patients with COVID-19.

PLoS One 2021 30;16(7):e0255228. Epub 2021 Jul 30.

Division of Outcomes and Value Research, John Theurer Cancer Center at Hackensack University Medical Center, Hackensack, New Jersey, United States of America.

Objectives: The development of a prognostic mortality risk model for hospitalized COVID-19 patients may facilitate patient treatment planning, comparisons of therapeutic strategies, and public health preparations.

Methods: We retrospectively reviewed the electronic health records of patients hospitalized within a 13-hospital New Jersey USA network between March 1, 2020 and April 22, 2020 with positive polymerase chain reaction results for SARS-CoV-2, with follow-up through May 29, 2020. With death or hospital discharge by day 40 as the primary endpoint, we used univariate followed by stepwise multivariate proportional hazard models to develop a risk score on one-half the data set, validated on the remainder, and converted the risk score into a patient-level predictive probability of 40-day mortality based on the combined dataset. Read More

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Impact of COVID-19 Pandemic on Rheumatology Practice in Latin America.

J Rheumatol 2021 Jun 15. Epub 2021 Jun 15.

This study was supported by an unrestricted grant from the Pan American League of Rheumatology Associations (PANLAR). D.G. Fernández-Ávila, MD, Unidad de Reumatología, Pontificia Universidad Javeriana - Hospital Universitario San Ignacio, Bogotá, Colombia; J. Barahona-Correa, MD, D. Romero-Alvernia, MD, Departamento de Medicina Interna, Pontificia Universidad Javeriana - Hospital Universitario San Ignacio, Colombia; S. Kowalski, MD, Universidade Federal do Paraná, Paraná, Brazil; A. Sapag, MD, Hospital Universitario Japonés, Santa Cruz, Bolivia; A. Cachafeiro-Vilar, MD, Pacífica Salud - Hospital Punta Pacífica, Panama City, Panama; B. Meléndez, MD, Hospital de la Policía Nacional N1 Quito, Quito, Ecuador; C. Santiago-Pastelín, MD, Instituto Hondureño de la Seguridad Social, Tegucigalpa, Honduras; D. Palleiro, MD, Instituto Nacional de Reumatología del Uruguay, Universidad de la República, Montevideo, Uruguay; D. Arrieta, MD, Hospital México, San José de Costa Rica, Costa Rica; G. Reyes, MD, Universidad de Ciencias Médicas de la Habana, Havana, Cuba; G.J. Pons-Estel, MD, Centro Regional de Enfermedades Autoinmunes y Reumáticas CREAR, Rosario, Argentina; J. Then-Báez, MD, Hospital Metropolitano de Santiago (HOMS), Santiago, Dominican Republic; M.F. Ugarte-Gil, MD, Hospital Nacional Guillermo Almenara Irigoyen, EsSalud - Universidad Científica del Sur, Lima, Peru; M.H. Cardiel, MD, Centro de Investigación Clínica de Morelia, Morelia, Mexico; N. Colman, MD, Hospital de Clínicas - Universidad Nacional de Asunción, Asunción, Paraguay; N. Chávez, MD, Instituto Guatemalteco de Seguridad Social - Universidad San Carlos de Guatemala, Ciudad de Guatemala, Guatemala; P.I. Burgos, MD, Pontificia Universidad Católica de Chile, Santiago de Chile, Chile; R. Montúfar, MD, Consultorio de Especialidades del Instituto Salvadoreño del Seguro Social, San Salvador, El Salvador; S. Sandino, MD, Instituto Médico Ganna, Managua, Nicaragua; Y.J. Fuentes-Silva, MD, Centro Clínico Universitario de Oriente - Universidad de Oriente, Ciudad Bolívar, Venezuela; E.R. Soriano, MD, Sección Reumatología, Servicio de Clinica Médica Hospital Italiano de Buenos Aires - Instituto Universitario Hospital Italiano de Buenos Aires, Buenos Aires, Argentina. The authors declare no conflicts of interest relevant to this article. Address correspondence to Dr. D.G. Fernández-Ávila, Cra 7 No. 40-62. Piso 7, Unidad de Reumatología, Hospital Universitario San Ignacio, Bogotá, Colombia. Email: Accepted for publication May 28, 2021.

Objective: To describe the effect of the coronavirus disease 2019 (COVID-19) pandemic on Latin American rheumatologists from a professional, economic, and occupational point of view.

Methods: We conducted an observational cross-sectional study using an online survey sent to rheumatologists of each non-English-speaking country member of the Pan American League of Rheumatology Associations (PANLAR). A specific questionnaire was developed. Read More

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Incidentally Detected SARS-COV-2 Among Hospitalized Patients in Los Angeles County, August to October 2020.

J Hosp Med 2021 Jul 21. Epub 2021 Jul 21.

Hospital Surveillance Team, Los Angeles County Department of Public Health, Los Angeles, California.

We aimed to determine the percentage of COVID-19- associated hospitalizations reported to Los Angeles County (LAC) Public Health that might have been misclassified because of incidentally detected SARS-CoV-2. We retrospectively reviewed medical records from a randomly selected set of hospital discharges reported to LAC Public Health from August to October 2020 for a clinical diagnosis of COVID-19 or a positive SARS-CoV-2 test result. Among the 13,813 discharges from 85 hospitals reported to LAC Public Health as COVID-19-associated hospitalizations from August to October 2020, 346 were randomly selected and reviewed. Read More

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Trends and Variation in the Use of Observation Stays at Children's Hospitals.

J Hosp Med 2021 Jul 21. Epub 2021 Jul 21.

Surgical Outcomes Quality Improvement Center, Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.

Background: Observation status could improve efficiency of healthcare resource use but also might shift financial burdens to patients and hospitals. Although the use of observation stays has increased for adult patient populations, the trends are unknown among hospitalized children.

Objective: The goal of this study was to describe recent trends in observation stays for pediatric populations at children's hospitals. Read More

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Inpatient Glycemic Control With Sliding Scale Insulin in Noncritical Patients With Type 2 Diabetes: Who Can Slide?

J Hosp Med 2021 Jul 21. Epub 2021 Jul 21.

Department of Medicine, Emory University, Atlanta, Georgia.

Objective: Despite clinical guideline recommendations, sliding scale insulin (SSI) is widely used for the hospital management of patients with type 2 diabetes (T2D). We aimed to determine which patients with T2D can be appropriately managed with SSI in non-critical care settings.

Methods: We used electronic health records to assess inpatient glycemic control in medicine and surgical patients treated with SSI according to admission blood glucose (BG) concentration between June 2010 and June 2018. Read More

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A Longitudinal Analysis of Functional Disability, Recovery, and Nursing Home Utilization After Hospitalization for Ambulatory Care Sensitive Conditions Among Community-Living Older Persons.

J Hosp Med 2021 Jul 21. Epub 2021 Jul 21.

Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut.

Background/objective: Hospitalizations for ambulatory care sensitive conditions (ACSCs) are considered potentially preventable. With little known about the functional outcomes of older persons after ACSC-related hospitalizations, our objectives were to describe: (1) the 6-month course of postdischarge functional disability, (2) the cumulative monthly probability of functional recovery, and (3) the cumulative monthly probability of incident nursing home (NH) admission.

Methods: The analytic sample included 251 ACSC-related hospitalizations from a cohort of 754 nondisabled, community-living persons aged 70 years and older who were interviewed monthly for up to 19 years. Read More

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Improving Healthcare Value: Effectiveness of a Program to Reduce Laboratory Testing for Non-Critically-Ill Patients With COVID-19.

J Hosp Med 2021 Jul 21. Epub 2021 Jul 21.

Department of Internal Medicine, Dell Medical School at The University of Texas at Austin.

Avoiding routine, repetitive inpatient laboratory testing is a Choosing Wisely recommendation, with benefits that may be even more pronounced in the setting of the COVID-19 pandemic, considering the need to limit unnecessary exposure, use of personal protective equipment, and laboratory resources. However, the COVID-19 pandemic presented a unique challenge: how to efficiently develop and standardize care for a disease process that had yet to be fully characterized. This article describes the development of a local committee to critically review evidence-based practices, reach consensus, and guide practice patterns, with the aim of delivering high-value care. Read More

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COVID-19 and Immunosuppressive Therapy in Ocular Inflammatory Disease, a Telemedicine Survey.

Ocul Immunol Inflamm 2021 Jul 30:1-7. Epub 2021 Jul 30.

Ophthalmology Department, Tehran University of Medical Sciences, Tehran, Iran.

: Determine the risk of immunomodulatory therapy (IMT) for COVID-19 infection morbidity.: A telemedicine survey on patients of a referral uveitis clinic was performed. Signs of infection, habits, and hospitalizations during the 7 months of the COVID-19 pandemic prior to the study date were recorded. Read More

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Bamlanivimab Use in Mild-to-Moderate COVID-19 Disease: A Matched Cohort Design.

Pharmacotherapy 2021 Jul 30. Epub 2021 Jul 30.

Associate Professor of Medicine, Creighton University, USA.

Background: Bamlanivimab (LY-CoV555; BAM), a monoclonal antibody therapy for mild-to-moderate Severe Acute Respiratory Syndrome Coronavirus 2(SARS-CoV-2), has been granted an Emergency Use Authorization (EUA) in the United States. Our goal was to determine if BAM prevented emergency department (ED) visits, hospitalizations for SARS-CoV-2, or death within 60 days of a positive SARS-CoV-2 viral test.

Setting And Participants: Patients (N=2,107) eligible to receive BAM from November 1 to December 31, 2020, were identified. Read More

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Thrombolysis in acute ischaemic stroke patients with chronic kidney disease.

Acta Neurol Scand 2021 Jul 30. Epub 2021 Jul 30.

Keele Cardiovascular Research Group, Centre for Prognosis Research, Institute for Primary Care and Health Sciences, Keele University, Stoke-on-Trent, UK.

Objective: We aimed to determine whether chronic kidney disease (CKD) is associated with adverse in-hospital outcomes after acute ischaemic stroke (AIS) and whether this association is dependent on thrombolysis administration.

Methods: 885,537 records representative of 4,283,086 AIS admissions were extracted from the US National Inpatient Sample (2005-2015) and categorized into 3 mutually exclusive groups: no CKD, CKD without end-stage renal disease (ESRD) and ESRD. Outcomes (mortality, prolonged hospitalisation >4 days and disability on discharge-derived using discharge destination as a proxy) were compared between groups using multivariable logistic regressions. Read More

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Risk of fall-related injury and all-cause hospitalization of select concomitant central nervous system medication prescribing in older adult persistent opioid users: A case-time-control analysis.

Pharmacotherapy 2021 Jul 30. Epub 2021 Jul 30.

College of Pharmacy, University of Illinois at Chicago, Department of Pharmacy Systems, Outcomes and Policy, Chicago, Illinois, USA.

Background: Concomitant use of central nervous system (CNS) medications frequently occurs in older adults with persistent opioid use. The risks of adverse outcomes associated with combinations of opioids, sedative-hypnotics, or skeletal muscle relaxants have not been sufficiently described in this population.

Objective: To compare the overall and incremental risk of 1) fall-related injury and 2) all-cause hospitalization associated with sedative hypnotics and skeletal muscle relaxants among older persistent opioid users. Read More

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Post-COVID-19 acute sarcopenia: physiopathology and management.

Aging Clin Exp Res 2021 Jul 30. Epub 2021 Jul 30.

Department of Internal Medicine, Geriatrics Section, University of Palermo, Palermo, Italy.

In this review, we discuss the pathophysiologic and management aspects of acute sarcopenia in relation to SARS-CoV-2 infection. COVID-19 is as a multi-organ infectious disease characterized by a severe inflammatory and highly catabolic status, influencing the deep changes in the body build, especially the amount, structure, and function of skeletal muscles which would amount to acutely developed sarcopenia. Acute sarcopenia may largely impact patients' in-hospital prognosis as well as the vulnerability to the post-COVID-19 functional and physical deterioration. Read More

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