41,849 results match your criteria retrospective chart

F-FDG-PET/CT interpretation pitfalls in patients with head and neck cancer.

Am J Otolaryngol 2021 Sep 10;43(1):103209. Epub 2021 Sep 10.

Department of Otorhinolaryngology-Head and Neck Surgery, Medical School, Democritus University of Thrace, Alexandroupolis, Greece.

Aim: The aim of the present study is to raise awareness of ENT Surgeons on the limitations of F-FDG PET/CT in head and neck cancer by presenting illustrative cases from our department archives.

Materials And Methods: A retrospective chart review was conducted for all patients with head and neck cancer treated in our ENT department from 2015 to 2020. Cases with various interpretation pitfalls due to false-positive and false-negative PET/CT results that lead to diagnostic dilemmas and treatment delays either in their pre-therapeutic work-up or in their post-therapeutic monitoring were included. Read More

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September 2021

Maternal disease activity and serological activity as predictors of adverse pregnancy outcomes in women with systemic lupus erythematosus: a retrospective chart review.

Arch Gynecol Obstet 2021 Sep 17. Epub 2021 Sep 17.

Department of Obstetrics and Gynecology, Fukushima Medical University School of Medicine, 1 Hikarigaoka, Fukushima, 960-1295, Japan.

Purpose: To evaluate the association between disease activity, serological activity, and adverse pregnancy outcomes (APOs) in women with systemic lupus erythematosus (SLE) and determine the cut-off values of complements to predict APOs in live birth cases.

Methods: This retrospective chart review included pregnant women with SLE who had singleton live births after 22 weeks between 2006 and 2020. First trimester maternal disease activity was assessed for SLE onset during pregnancy, antiphospholipid syndrome, SLE pregnancy disease activity index (SLEPDAI), disease flare-ups, lupus nephritis, pancytopenia, and daily prednisolone dosage. Read More

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September 2021

Reducing Ataxic Side Effects from Ventral Intermediate Nucleus of the Thalamus Deep Brain Stimulation Implantation in Essential Tremor: Potential Advantages of Directional Stimulation.

Stereotact Funct Neurosurg 2021 Sep 15:1-9. Epub 2021 Sep 15.

Department of Neurology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.

Objective: The aim of the study was to retrospectively evaluate the effect of directional deep brain stimulation (DBS) on ataxia in an essential tremor patient population.

Materials And Methods: A retrospective chart review of documented Scale for Assessment and Rating of Ataxia (SARA) scores were analyzed using a case-control design. All subjects we evaluated were treated at a single, tertiary care academic center. Read More

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September 2021

Delirium and neuropsychological outcomes in critically Ill patients with COVID-19: a cohort study.

BMJ Open 2021 Sep 17;11(9):e050045. Epub 2021 Sep 17.

Anesthesiology, Michigan Medicine, Ann Arbor, Michigan, USA

Objective: To characterise the clinical course of delirium for patients with COVID-19 in the intensive care unit, including postdischarge neuropsychological outcomes.

Design: Retrospective chart review and prospective survey study.

Setting: Intensive care units, large academic tertiary-care centre (USA). Read More

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September 2021

Effect of ethnicity and other sociodemographic factors on attendance at diabetic eye screening: a 12-month retrospective cohort study.

BMJ Open 2021 Sep 17;11(9):e046264. Epub 2021 Sep 17.

Homerton University Hospital NHS Foundation Trust, London, UK

Objectives: To examine the association of sociodemographic characteristics with attendance at diabetic eye screening in a large ethnically diverse urban population.

Design: Retrospective cohort study.

Setting: Screening visits in the North East London Diabetic Eye Screening Programme (NELDESP). Read More

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September 2021

Multidisciplinary, early mobility approach to enhance functional independence in patients admitted to a cardiothoracic intensive care unit: a quality improvement programme.

BMJ Open Qual 2021 Sep;10(3)

Cardiac Rehabilitation Department, Heart Hospital, Hamad Medical Corporation, Doha, Qatar.

Early mobilisation following cardiac surgery is vital for improved patient outcomes, as it has a positive effect on a patient's physical and psychological recovery following surgery. We observed that patients admitted to the cardiothoracic intensive care unit (CTICU) following cardiac surgery had only bed exercises and were confined to bed until the chest tubes were removed, which may have delayed patients achieving functional independence. Therefore, the CTICU team implemented a quality improvement (QI) project aimed at the early mobilisation of patients after cardiac surgery. Read More

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September 2021

Protracted respiratory findings in children post-SARS-CoV-2 infection.

Pediatr Pulmonol 2021 Sep 17. Epub 2021 Sep 17.

Division of Pulmonary Medicine, The Perelman School of Medicine at the University of Pennsylvania, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.

Introduction: Although prolonged respiratory symptoms following severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection have been described in adults, data are emerging that children also experience long-term sequelae of coronavirus disease 2019 (COVID-19). The respiratory sequelae of COVID-19 in children remain poorly characterized. In this study we describe health data and respiratory findings in pediatric patients presenting with persistent respiratory symptoms following COVID-19. Read More

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September 2021

Time-of-day changes in physician clinical decision making: A retrospective study.

PLoS One 2021 17;16(9):e0257500. Epub 2021 Sep 17.

Department of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, United States of America.

Background: Time of day has been associated with variations in certain clinical practices such as cancer screening rates. In this study, we assessed how more general process measures of physician activity, particularly rates of diagnostic test ordering and diagnostic assessments, might be affected by time of day.

Methods: We conducted a retrospective chart review of 3,342 appointments by 20 attending physicians at five outpatient clinics, matching appointments by physician and comparing the average diagnostic tests ordered and average diagnoses assessed per appointment in the first hour of the day versus the last hour of the day. Read More

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September 2021

Reduction of opioid use using regional anesthetic blocks after inguinal hernia repair in a high risk, safety net population.

J Opioid Manag 2021 Jul-Aug;17(4):327-335

Department of Surgery, Rutgers New Jersey Medical School, Newark, New Jersey. ORCID: https://orcid.org/0000-0003-1091-938X.

Objective: The transversus abdominis plane (TAP) block is currently being used perioperatively to reduce postoperative opioid requirements. It is unclear whether TAP blocks reduce postoperative opioid requirements for inguinal hernia repairs. The purpose of this retrospective chart study was to determine whether a TAP block reduces postoperative opioid requirements after an inguinal hernia repair in a safety net hospital. Read More

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September 2021

Examining the relationship between pain interference, pain intensity, and mental health symptoms among veterans receiv-ing long-term opioid therapy for chronic noncancer pain in primary care.

J Opioid Manag 2021 Jul-Aug;17(4):289-299

VA Salt Lake City Health Care System, Salt Lake City, Utah.

Objective: As part of the evaluation of the Whole Health Primary Care Pain Education and Opioid Monitoring Program (PC-POP), we examined the relationship between pain intensity, pain interference, and mental health symptoms among PC-POP enrollees.

Design/methods: Retrospective cohort study examining self-reported symptoms of pain intensity, pain interference, anxiety, depression, substance use, and quality of life. Data were retrieved through a combination of chart review and data extracted from the VA Informatics and Computing Infrastructure. Read More

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September 2021

Impact of telehealth visits on hydroxyurea response in sickle cell anemia.

Pediatr Blood Cancer 2021 Sep 17:e29354. Epub 2021 Sep 17.

Division of Pediatric Hematology and Oncology, University of Alabama at Birmingham, Birmingham, Alabama.

Background: It is important to ensure access to hydroxyurea (HU) for patients with sickle cell anemia (SCA) living in rural areas. The University of Alabama at Birmingham (UAB) Pediatric Sickle Cell program's satellite clinics reduce the barrier of transportation to the university-based clinic. However, as compared with the university clinic, these satellite clinics do not offer immediate access to HU dosing laboratory results and a nurse clinician calls families with HU dose adjustments after the clinic visit. Read More

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September 2021

FSH levels and testicular volumes are associated with the severity of testicular histopathology in men with non-obstructive azoospermia.

J Assist Reprod Genet 2021 Sep 17. Epub 2021 Sep 17.

Austin Fertility & Reproductive Medicine/Westlake IVF, 300 Beardsley Lane, Building B, Suite 200, Austin, TX, 78746, USA.

Purpose: The purpose of this study is to assess a potential association between FSH levels and testicular volumes with the severity of testicular histopathology on testicular biopsy in men with non-obstructive azoospermia (NOA) undergoing microdissection testicular sperm extraction (microTESE).

Methods: A retrospective chart review was performed from the electronic health records of men who underwent microTESE with NOA.

Results: Eighty-six men with NOA underwent microTESE with concomitant testicular biopsy for permanent section to assess the testicular cellular architecture. Read More

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September 2021

The Association Between Service Connection and Treatment Outcome in Veterans Undergoing Residential PTSD Treatment.

Psychiatr Q 2021 Sep 17. Epub 2021 Sep 17.

VA Center for Clinical Management Research, VA Ann Arbor Healthcare System/Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA.

The Department of Veterans Affairs has invested significant time and resources into the treatment of posttraumatic stress disorder (PTSD). Despite concerted efforts, a significant portion of patients do not respond optimally to trauma-focused treatment. One of the factors that has been hypothesized to be associated with treatment response is participation in the Veterans Benefits Administration service-connected disability process. Read More

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September 2021

A single-center descriptive study of untraced sources of infection among new cases of coronavirus disease in Tokyo, Japan.

Glob Health Med 2021 Aug;3(4):236-239

Disease Control and Prevention Center, National Center for Global Health and Medicine Hospital, Tokyo, Japan.

We investigated possible sources of newly infected patients with coronavirus disease (COVID-19) after the fourth wave in order to explore unknown sources. Retrospective chart review on all the confirmed patients with COVID-19 admitted to the National Center for Global Health and Medicine (NCGM) in Tokyo, Japan was conducted from May 22 through June 29, 2021. Among the 22 participants, 14 (64%) had a history of known high-risk infection behaviors. Read More

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Female chronic posterior urethritis is underestimated in patients with lower urinary tract symptoms.

Transl Androl Urol 2021 Aug;10(8):3456-3464

Department of Urology, The First Affiliated Hospital of Guangxi Medical University, Guangxi Medical University, Nanning, China.

Background: As one of the causes of urethral symptoms, female chronic posterior urethritis is a common and distressing disease; however, it is often neglected and misdiagnosed as overactive bladder (OAB) or interstitial cystitis/bladder pain syndrome (IC/BPS). Currently, little is known about the urothelium and lamina propria of the bladder neck and proximal urethra. Thus, identifying urethral lesions is necessary for the diagnosis and treatment of female chronic posterior urethritis. Read More

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Clinicopathologic differences and mortality among Latinos and non-Latino whites with gastric cancer at a majority-minority cancer center in South Texas.

J Gastrointest Oncol 2021 Aug;12(4):1301-1307

Division of Hematology/Oncology, Department of Internal Medicine, Mays Cancer Center, University of Texas Health San Antonio, San Antonio, TX, USA.

Background: Latino patients have a higher incidence of gastric cancer compared to non-Latino white patients nationwide, with greater disparities in South Texas. However, the impact of Latino ethnicity on mortality in gastric cancer is controversial. We evaluated clinicopathological characteristics and survival outcomes in Latino . Read More

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Treatment Patterns and Outcomes of Patients With Advanced Pleural Mesothelioma at an Academic Referral Centre.

Clin Lung Cancer 2021 Aug 10. Epub 2021 Aug 10.

Princess Margaret Cancer Centre, University Health Network, Toronto, Canada. Electronic address:

Background: Overall survival (OS) for malignant pleural mesothelioma (MPM) in vulnerable subgroups remains poorly understood with scarce data available to guide treatment decisions. The study describes real-world detailed treatment patterns and outcomes of patients with advanced MPM overall and specifically in elderly and poor performance status (PS) patients.

Methods: Retrospective chart review was performed for all patients with histologically confirmed MPM seen at University Health Network/Princess Margaret Cancer Centre (UHN-PM). Read More

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Validation of algorithms using International Classification of Diseases for the identification of herpes zoster episodes requiring hospitalization in Quebec, Canada.

Vaccine 2021 Sep 13. Epub 2021 Sep 13.

Department of Microbiology and Infectious Diseases, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Québec, Canada; Centre de recherche du CHUS, Centre Intégré Universitaire de Santé et des Services Sociaux de l'Estrie, Sherbrooke, Québec, Canada. Electronic address:

Objective: We determined secular changes in the incidence of hospitalizations due to herpes zoster (HZh) and assessed the validity of HZ International Classification of Diseases (ICD) code algorithms for identifying HZh in a region of Quebec, Canada.

Methods: We performed a validation study as part of a retrospective cohort study of adult HZ patients hospitalized at Centre Hospitalier Universitaire de Sherbrooke during 2000-2017. Cases were identified using ICD codes from an inpatient administrative database. Read More

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September 2021

Machine Learning Technique Reveals Prognostic Factors of Vibrant Soundbridge for Conductive or Mixed Hearing Loss Patients.

Otol Neurotol 2021 Oct;42(9):e1286-e1292

Department of Otolaryngology, Kindai University Faculty of Medicine, 377-2 Ohno-Higashi, Osakasayama-city, Osaka.

Objectives: Vibrant Soundbridge (VSB) was developed for treatment of hearing loss, but clinical outcomes vary and prognostic factors predicting the success of the treatment remain unknown. We examined clinical outcomes of VSB for conductive or mixed hearing loss, prognostic factors by analyzing prediction models, and cut-off values to predict the outcomes.

Study Design: Retrospective chart review. Read More

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October 2021

Sleep Endoscopy Findings in Children With Obstructive Sleep Apnea and Small Tonsils.

Ann Otol Rhinol Laryngol 2021 Sep 16:34894211045645. Epub 2021 Sep 16.

Department of Otolaryngology-Head Neck Surgery, Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo, Buffalo, NY, USA.

Objective: Obstructive Sleep Apnea (OSA) in children is treated primarily with adenotonsillectomy (AT). When clinical exam demonstrates small tonsils, the success of AT in resolving OSA is uncertain. The purpose of this study is to determine the utility of Drug induced Sleep Endoscopy (DISE) for children with OSA and small tonsils (Brodsky scale 1+) and to identify what obstructive trends exist in this subset of patients and to determine the utility of DISE-directed surgical intervention in patients with small tonsils. Read More

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September 2021

A clinical decision rule predicting outcomes of emergency department patients with altered mental status.

J Am Coll Emerg Physicians Open 2021 Oct 10;2(5):e12522. Epub 2021 Sep 10.

Department of Neurology University of California, Davis Sacramento California USA.

Study Objective: Approximately 5% of emergency department patients present with altered mental status (AMS). AMS is diagnostically challenging because of the wide range of causes and is associated with high mortality. We sought to develop a clinical decision rule predicting admission risk among emergency department (ED) patients with AMS. Read More

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October 2021

Emergent needle thoracostomy in prehospital trauma patients: a review of procedural execution through computed tomography scans.

Trauma Surg Acute Care Open 2021 27;6(1):e000752. Epub 2021 Aug 27.

Department of Emergency Medicine, Arrowhead Regional Medical Center, Colton, California, USA.

Background: Traumatic tension pneumothoraces (TPT) are among the most serious causes of death in traumatic injuries, requiring immediate treatment with a needle thoracostomy (NT). Improperly placed NT insertion into the pleural cavity may fail to treat a life-threatening TPT. This study aimed to assess the accuracy of prehospital NT placements by paramedics in adult trauma patients. Read More

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A nomogram for predicting overall-specific survival in thyroid cancer patients with total thyroidectomy: a SEER database analysis.

Gland Surg 2021 Aug;10(8):2546-2556

Department of Thyroid Surgery, Hwa Mei Hospital, University of Chinese Academy of Sciences, Ningbo, China.

Background: A good predictive model requires patients to attend consultations for prognosis and subsequent clinical follow up. The aim of the present study was to build a nomogram chart with independent prognostic factors for thyroid cancer (TC) patients with total thyroidectomy.

Methods: This was a retrospective, observational study. Read More

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Long term mortality and readmissions after transcatheter aortic valve replacement.

Cardiovasc Diagn Ther 2021 Aug;11(4):1002-1012

Heart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

Background: Readmissions following transcatheter aortic valve replacement (TAVR) are common but detailed analysis of cardiac and non-cardiac inpatient readmissions beyond thirty days to different levels of care are limited.

Methods: Our study population was 1,037 consecutive patients who underwent TAVR between 2011-2017 within a multi-hospital quaternary health system. A retrospective chart review was performed and readmissions were adjudicated and classified based on primary readmission diagnosis (cardiac versus noncardiac) and level of care [intensive care unit (ICU) admission non-ICU admission]. Read More

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Outcomes and prognostic contributors in patients with mutated non-small cell pulmonary adenocarcinomas: a single institution experience.

J Thorac Dis 2021 Aug;13(8):4785-4796

Houston Methodist Cancer Center, 6445 Main St. Outpatient Center, Houston, TX, USA.

Background: is the most frequently encountered driver mutation in advanced non-small cell lung cancer (NSCLC). With targeted therapy for the most common mutation p.G12C on the horizon, the aim of this study is to retrospectively report outcomes in patients with mutated NSCLC. Read More

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Comparative analysis of the effectiveness of narrow-spectrum versus broad-spectrum antibiotics for the treatment of childhood pneumonia.

SAGE Open Med 2021 9;9:20503121211044379. Epub 2021 Sep 9.

Department of Pharmaceutics and Social Pharmacy, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Objectives: The main objective of this study was to compare the effectiveness of empiric treatment with narrow-spectrum therapy versus broad-spectrum therapy for children hospitalized with community-acquired pneumonia (CAP) at the University of Gondar Referral Hospital, Gondar, Ethiopia.

Methods: Institutional-based retrospective chart review was conducted at the University of Gondar Referral Hospital (GURH) pediatrics ward from 1 February 2016 to 30 April 2016. The collected data were entered and analyzed using Statistical Package for Social Sciences (SPSS) version 20. Read More

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September 2021

Dosing of Opioid Medications During and After Pediatric Cardiac Surgery for Children With Down Syndrome.

J Cardiothorac Vasc Anesth 2021 Aug 15. Epub 2021 Aug 15.

Department of Anesthesiology, Critical Care, and Pain Medicine, Boston Children's Hospital, 300 Longwood Ave, Boston, MA. Electronic address:

Objective: To determine whether children with Down syndrome (DS) receive higher doses of opioid medications compared with children without DS for repair of complete atrioventricular canal (CAVC).

Design: A retrospective chart review of children with and without DS who underwent primary repair of CAVC. The exclusion criteria included unbalanced CAVC and patients undergoing biventricular staging procedures. Read More

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Understanding factors in burn patient follow-up.

J Burn Care Res 2021 Sep 15. Epub 2021 Sep 15.

Department of Surgery, Division of Burn Surgery, University of California, Davis, Sacramento, CA,. Stockton Blvd, Sacramento, CA.

Follow-up rates (FUR) are concerningly low among burn-injured patients. This study investigates the factors associated with low FUR and missed appointments (MA). We hypothesize that patients who are homeless, use illicit substances, and have psychiatric comorbidities will have lower rates of follow-up (FU) and more MAs. Read More

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September 2021

Physician Prescribing and Referral Patterns in Children with Cerebral Visual Impairment.

Optom Vis Sci 2021 Sep 14. Epub 2021 Sep 14.

Division of Pediatric Ophthalmology/Abrahamson Pediatric Eye Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio Department of Ophthalmology, University of Cincinnati College of Medicine, Cincinnati, Ohio

Significance: Cerebral visual impairment (CVI) is the leading cause of visual impairment in the developed world. Providing children with CVI with the appropriate treatment ensures the best possible visual outcome and potentially improves quality of life.

Purpose: The purpose of this study was to determine physician prescribing and visual rehabilitation referral patterns in children with CVI. Read More

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September 2021

Examining the Use of Web-Based Health Education and Information Among Ambulatory Care Clinic Diabetic Patients.

J Ambul Care Manage 2021 Sep 14. Epub 2021 Sep 14.

The MetroHealth System, Cleveland, Ohio.

Web-based health education provides access to information and better coordination of care. Demographic and geographical factors may impact use and effectiveness of these services. The purpose of this study was to identify factors associated with use of web-based health education programs among diabetic patients at ambulatory clinics of a safety-net hospital. Read More

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September 2021