1,282 results match your criteria stay delays

The effect of intraoperative dexmedetomidine administration on length of stay in the post-anesthesia care unit in ambulatory surgery: A hospital registry study.

J Clin Anesth 2021 Apr 5;72:110284. Epub 2021 Apr 5.

Klinik für Anästhesiologie und Intensivmedizin, Universität Duisburg-Essen, Essen, Germany; Department of Anesthesiology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY, USA. Electronic address:

Study Objective: Dexmedetomidine, which is commonly used for procedural sedation and as adjunct to general anesthesia for ambulatory procedures, may affect patient discharge from the post-anesthesia care unit (PACU). We hypothesized that intraoperative dexmedetomidine use in ambulatory surgery is associated with delayed discharge from the PACU and that this is modified by surgical duration and anesthesia type.

Design: Retrospective cohort study. Read More

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Patient outcomes in Tropical North Queensland after implementation of a dedicated orthopaedic trauma list.

ANZ J Surg 2021 Apr 6. Epub 2021 Apr 6.

Orthopaedic Department, Cairns Hospital, Cairns, Queensland, Australia.

Background: To assess patient outcomes after the introduction of a regular orthopaedic-specific trauma list (OTL).

Methods: A retrospective analysis of 422 trauma cases was performed comparing patient outcomes after the introduction of the OTL. Four common traumatic injuries requiring operative intervention were considered; closed tibial fractures, intra-capsular neck of femur fractures, displaced paediatric supracondylar humeral fractures and hand tendon injuries. Read More

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Complications and Management of Eptifibatide-Induced Thrombocytopenia.

Ann Pharmacother 2021 Apr 3:10600280211006645. Epub 2021 Apr 3.

Advocate Lutheran General Hospital, Park Ridge, IL, USA.

Background: Eptifibatide is used in acute coronary syndromes to reversibly block platelet aggregation by inhibiting the platelet glycoprotein IIb/IIIa receptor. A serious adverse effect of eptifibatide is a profound drop in platelet count, termed eptifibatide-induced thrombocytopenia (EIT).

Objective: To provide insight into the types of complications and management of EIT. Read More

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An evaluation of antipseudomonal dosing on the incidence of treatment failure.

SAGE Open Med 2021 15;9:20503121211000927. Epub 2021 Mar 15.

Department of Pharmacy Practice, University of Mississippi School of Pharmacy, Jackson, MS, USA.

Introduction: Significant mortality is associated with delays in appropriate antibiotic therapy in infections. The impact of empiric dosing on clinical outcomes has been largely unreported.

Methods: This retrospective cohort compared treatment failure in patients receiving guideline-concordant or guideline-discordant empiric therapy with cefepime, meropenem, or piperacillin/tazobactam. Read More

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Early versus late sphenopalatine ganglion block with ropivacaine in postdural puncture headache: an observational study.

Braz J Anesthesiol 2021 Mar 21. Epub 2021 Mar 21.

Hospital Professor Dr. Fernando Fonseca, Department of Anesthesiology and Pain Medicine, Amadora, Portugal.

Background: Postdural puncture headache (PDPH) is a common complication of neuraxial techniques which delays patients' discharge. Sphenopalatine ganglion block (SPGB) is a safe bedside technique with comparable efficacy to Epidural Blood Patch, the gold-standard treatment. There is no evidence on the ideal timing for SPGB performance. Read More

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Quantifying the impact of patient boarding on emergency department length of stay: All admitted patients are negatively affected by boarding.

J Am Coll Emerg Physicians Open 2021 Apr 2;2(2):e12401. Epub 2021 Mar 2.

Geisinger Medical Center Geisinger Health Danville Pennsylvania USA.

Background: Patients boarding in the emergency department (ED) as a result of delays in bed placement are associated with increased morbidity and mortality. Prior literature on ED boarding does not explore the impact of boarding on patients admitted to the hospital from the ED. The objective of this study was to evaluate the impact of patient boarding on ED length of stay for all patients admitted to the hospital. Read More

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[What is the effect of social distancing on the course of COVID-19 epidemic?]

Pol Merkur Lekarski 2021 Feb;49(289):71-79

Department of Social Medicine and Public Health, Medical University of Warsaw, Faculty of Medicine, Warsaw, Poland.

COVID-19 pandemic challenged both public health specialists and authorities to implement non-pharmaceutical interventions aimed at limiting the spread of SARS-CoV-2 infections. The concept of social distancing is about limiting contacts between people, which breaks virus transmission chains, delays the increase in the number of infected people in the population and prevents overloading of health care systems. Many countries, including Poland, implemented a number of interventions aimed at limiting the number of infections and slowing down the tempo of the pandemic's spread. Read More

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February 2021

The virtual pediatric perioperative home, experience at a major metropolitan safety net hospital.

Paediatr Anaesth 2021 Mar 12. Epub 2021 Mar 12.

Department of Anesthesiology, Boston Children's Hospital, Boston, MA, USA.

Introduction: Successes from anesthesiologist-led perioperative surgical homes in the adult patient population have inspired similar initiatives by pediatric hospitals. Typically the care coordination for these perioperative homes is run through hospital-funded, on-site, preanesthesia clinics. Preliminary data from pediatric perioperative homes have shown promising results in improved patient outcomes and decreased length of hospital stay. Read More

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Exploring the impacts of travel-implied policy factors on COVID-19 spread within communities based on multi-source data interpretations.

Health Place 2021 Feb 25;69:102538. Epub 2021 Feb 25.

Civil and Environmental Engineering Department, University of Hawaii at Manoa, Honolulu, HI, 96815, USA. Electronic address:

The global Coronavirus Disease 2019 (COVID-19) pandemic has led to the implementation of social distancing measures such as work-from-home orders that have drastically changed people's travel-related behavior. As countries are easing up these measures and people are resuming their pre-pandemic activities, the second wave of COVID-19 is observed in many countries. This study proposes a Community Activity Score (CAS) based on inter-community traffic characteristics (in and out of community traffic volume and travel distance) to capture the current travel-related activity level compared to the pre-pandemic baseline and study its relationship with confirmed COVID-19 cases. Read More

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February 2021

Barriers and financial impact of same-day discharge after atrial fibrillation ablation.

Pacing Clin Electrophysiol 2021 Apr 15;44(4):711-719. Epub 2021 Mar 15.

Helmsley Electrophysiology Center, Zena and Michael A. Weiner Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

Background: Same-day discharge (SDD) after atrial fibrillation (AF) ablation is increasingly being considered. This study examined the barriers and financial impact associated with SDD in a contemporary cohort of patients undergoing elective AF ablation.

Methods: A single center retrospective review was conducted of the 249 first case-of-the-day outpatient AF ablations performed in 2019 to evaluate the proportion of patients that could have undergone SDD. Read More

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Ischemia-Guided Approach Versus Early Invasive Approach for NSTE-ACS: How Early Is Early?

Ali E Denktas

Curr Cardiol Rep 2021 Mar 5;23(4):34. Epub 2021 Mar 5.

Baylor College of Medicine, Houston, TX, USA.

Purpose Of Review: Non-ST segment elevation acute coronary syndromes (NSTE-ACS) account for 70% of the patients with ACS. Most NSTE-ACS patients receive invasive therapies. Despite improvements in the systems of care and interventional techniques, the mortality of NSTE-ACS patients remains high, and delays in the treatment of NSTE-ACS patients continue to be a problem. Read More

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Picking sides: feeding on the abaxial leaf surface is costly for caterpillars.

Planta 2021 Mar 4;253(4):77. Epub 2021 Mar 4.

Department of Biology, The University of Texas Rio Grande Valley, Edinburg, TX, 78539, USA.

Main Conclusion: The study provides us with the evidence that caterpillars tend to feed on the abaxial leaf surface despite the damage caused to them because of higher trichome density. To defend against herbivory, plants have evolved physical and chemical defense mechanisms, including trichomes (hair like appendages on leaves and stem) being one of them. Caterpillars, a major group of insect herbivores are generally found to occupy the abaxial (underside) leaf surface, considered as an avoidance mechanism from biotic and abiotic stresses. Read More

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Delays in lumbar puncture are independently associated with mortality in cryptococcal meningitis: a nationwide study.

Infect Dis (Lond) 2021 May 4;53(5):361-369. Epub 2021 Mar 4.

Department of Internal Medicine, West Virginia University, Morgantown, WV, USA.

Background: Cryptococcal meningitis (CM) is the most serious presentation of invasive cryptococcosis. Seen in patients with and without HIV infection, CM is associated with significant morbidity and mortality. Early lumbar puncture is a cornerstone of treatment in cryptococcal meningitis. Read More

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The Pandemic's impacts on patients without Covid-19 on multidisciplinary aspects in emergency medicine care.

Intern Emerg Med 2021 Mar 1. Epub 2021 Mar 1.

Department of Medical Management, Sheba Medical Center, Ramat-Gan, Israel.

The emergence of Covid-19 has caused a pandemic and is a major public health concern. Covid-19 has fundamentally challenged the global health care system in all aspects. However, there is a growing concern for the subsequent detrimental effects of continuing delays or adjustments on time-dependent treatments for Covid-19 negative patients. Read More

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Transfer boarding delays care more in low-volume rural emergency departments: A cohort study.

J Rural Health 2021 Feb 28. Epub 2021 Feb 28.

Center for Comprehensive Access Delivery Research & Evaluation (CADRE), VA Iowa City Healthcare System, Iowa City, Iowa, USA.

Purpose: Emergency department (ED) crowding is increasing and is associated with adverse patient outcomes. The objective of this study was to measure the relative impact of ED boarding on timeliness of early ED care for new patient arrivals, with a focus on the differential impact in low-volume rural hospitals.

Methods: A retrospective cohort of all patients presenting to a Veterans Health Administration (VHA) ED between 2011 and 2014. Read More

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February 2021

Risk of primary graft dysfunction following lung transplantation in selected adults with connective tissue disease-associated interstitial lung disease.

J Heart Lung Transplant 2021 Jan 23. Epub 2021 Jan 23.

Division of Rheumatology, Department of Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, New York. Electronic address:

Background: Previous studies have reported similarities in long-term outcomes following lung transplantation for connective tissue disease-associated interstitial lung disease (CTD-ILD) and idiopathic pulmonary fibrosis (IPF). However, it is unknown whether CTD-ILD patients are at increased risk of primary graft dysfunction (PGD), delays in extubation, or longer index hospitalizations following transplant compared to IPF patients.

Methods: We performed a multicenter retrospective cohort study of CTD-ILD and IPF patients enrolled in the Lung Transplant Outcomes Group registry who underwent lung transplantation between 2012 and 2018. Read More

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January 2021

Robotic Salvage Lymph Node Dissection in Recurrent Prostate Cancer: Lessons Learned from 68 Cases and Implications for Future Clinical Management.

J Urol 2021 Feb 22:101097JU0000000000001697. Epub 2021 Feb 22.

Department of Urology, Saarland University, Homburg/Saar, Germany.

Purpose: Salvage lymph node dissection is a rescue treatment for patients with nodal recurrence after radical prostatectomy. Very limited data are available on robotic salvage lymph node dissection. Our purpose was to investigate perioperative and oncological outcomes of robotic salvage lymph node dissection in a large monocentric series. Read More

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February 2021

Symptoms to script: delays in tuberculosis treatment in the west of Ireland.

Ir J Med Sci 2021 Feb 16. Epub 2021 Feb 16.

Galway University Hospital, Galway, Ireland.

Background: The first pillar of the End-TB Strategy is "early diagnosis and prompt treatment". Nevertheless, long delays in starting tuberculosis (TB) treatment are reported. We aimed to describe the demographics and clinical features of TB in the west of Ireland and better understand the delays in treatment. Read More

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February 2021

Initiatives for improving delayed discharge from a hospital setting: a scoping review.

BMJ Open 2021 Feb 11;11(2):e044291. Epub 2021 Feb 11.

Institute for Better Health, Trillium Health Partners, Mississauga, Ontario, Canada.

Objective: The overarching objective of the scoping review was to examine peer reviewed and grey literature for best practices that have been developed, implemented and/or evaluated for delayed discharge involving a hospital setting. Two specific objectives were to review what the delayed discharge initiatives entailed and identify gaps in the literature in order to inform future work.

Design: Scoping review. Read More

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February 2021

Timeliness of pediatric surgical appendicitis care is associated with time of hospital admission.

Surgery 2021 Feb 8. Epub 2021 Feb 8.

Division of Pediatric Surgery, Department of Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL; Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL.

Background: Despite the frequency of acute appendicitis in children, there is no evidence-based consensus surrounding the urgency of the operation if a diagnosis is made after regular business hours. Although a modest delay in time to operation does not increase disease severity, postponing cases to the next calendar day may be associated with higher resource utilization. We aimed to evaluate the trend of delaying appendectomies to the next calendar day and its associated outcomes. Read More

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February 2021

Effect of the Timing of Nutritional Support Team Intervention on Nutritional Status on Patients Receiving Enteral Nutrition.

Clin Nutr Res 2021 Jan 22;10(1):1-13. Epub 2021 Jan 22.

Department of Food and Nutrition, Daegu University, Gyeongsan 38453, Korea.

Many hospitalized patients usually have a high risk of malnutrition, which delays the therapy process and can lead to severe complications. Despite of the potential benefits, the effects of timely intervention by nutrition support team (NST) on the nutritional status of admitted patients are not well established. This study aimed to compare the nutritional status between patients with early and delayed NST supports and to assess the effect of the timing of NST support initiation on the nutritional status of enteral nutrition patients. Read More

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January 2021

Hip fracture care and mortality among patients treated in dedicated COVID-19 and non-COVID-19 circuits.

Eur Geriatr Med 2021 Feb 7. Epub 2021 Feb 7.

Department of Traumatology and Orthopedic Surgery, Hospital Universitario 12 de Octubre, Avda Córdoba s/n, 28041, Madrid, Spain.

Introduction: To analyze the effect of the COVID-19 pandemic on the provision of fragility hip fracture care, comparing patients treated before cohorting and in separate COVID-19 and non-COVID-19 circuits with the corresponding months in 2018 and 2019.

Materials And Methods: Retrospective single-center cohort study including 64 patients with fragility hip fractures treated during the COVID-19 pandemic (March 1st-May 1st, 2020), compared to 172 patients treated in 2018 and 2019. Dedicated COVID-19 and non-COVID-19 circuits were established on March 14th. Read More

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February 2021

Women's childbirth experiences: A content analysis from the Listening to Mothers in California survey.

Birth 2021 Feb 3. Epub 2021 Feb 3.

National Partnership for Women & Families, Washington, DC, USA.

Background: The World Health Organization's recent recommendations on intrapartum care regard women's experience of care as an essential aspect of high-quality maternity care. A better understanding of women's perspectives on their childbirth experiences in the United States is needed to place women in the center of care and optimize their experience of childbirth.

Methods: This study analyzed data from the Listening to Mothers in California survey completed by a representative sample of women who gave birth in 2016 in California hospitals. Read More

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February 2021

Activity Tracking After Surgery: Does It Correlate With Postoperative Complications?

Am Surg 2021 Jan 30:3134820988818. Epub 2021 Jan 30.

Department of General Surgery (Surgery B), Chaim Sheba Medical Center, Tel-Aviv University, Tel Hashomer, Israel.

Background: Postoperative ambulation is an important tenet in enhanced recovery programs. We quantitatively assessed the correlation of decreased postoperative ambulation with postoperative complications and delays in gastrointestinal function.

Methods: Patients undergoing major abdominal surgery were fitted with digital ankle pedometers yielding continuous measurements of their ambulation. Read More

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January 2021

Impact of preoperative echocardiography on surgical delays and outcomes among adults with hip fracture.

Bone Joint J 2021 Feb;103-B(2):271-278

Division of Orthopaedic Surgery, Department of Surgery, University of Toronto, Toronto, Canada.

Aims: Echocardiography is commonly used in hip fracture patients to evaluate perioperative cardiac risk. However, echocardiography that delays surgical repair may be harmful. The objective of this study was to compare surgical wait times, mortality, length of stay (LOS), and healthcare costs for similar hip fracture patients evaluated with and without preoperative echocardiograms. Read More

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February 2021

Treatment Modalities and the Role of Endoscopy for Delayed Gastric Emptying After Whipple Operation: Analysis of 53 Patients.

Am Surg 2021 Jan 31:3134821989037. Epub 2021 Jan 31.

Department of Gastroenterological Surgery, Ankara City Hospital, Health of Science University, Ankara, Turkey.

Background: Delayed gastric emptying (DGE) is one of the most common complications after Whipple surgery. This situation delays postoperative oral food intake and prolongs hospitalization. Postoperative DGE often develops due to complications such as intra-abdominal abscess, collections, and anastomosis leaks, and these are called secondary DGE. Read More

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January 2021

Pilot study assessing the effect of osteopathic manipulative treatment (OMT) on length of stay in neonates after therapeutic hypothermia.

J Osteopath Med 2021 Jan;121(1):97-104

Tufts University School of Medicine , Boston , MA , USA.

Context: Term neonates treated with therapeutic hypothermia (TH) may experience delays in acquiring skills for oral feeding, thus prolonging hospital admission.

Objective: To determine whether osteopathic manipulative treatment (OMT) can decrease the overall length of stay (LOS) for term neonates by accelerating the transition to full oral feeds.

Methods: A pilot study was conducted to compare LOS in term neonates treated with OMT to matched historical controls. Read More

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January 2021

Multi-Lateral Teleoperation Based on Multi-Agent Framework: Application to Simultaneous Training and Therapy in Telerehabilitation.

Front Robot AI 2020 11;7:538347. Epub 2020 Nov 11.

Electrical & Computer Engineering Department, University of Alberta, Edmonton, AB, Canada.

In this paper, a new scheme for multi-lateral remote rehabilitation is proposed. There exist one therapist, one patient, and several trainees, who are participating in the process of telerehabilitation (TR) in this scheme. This kind of strategy helps the therapist to facilitate the neurorehabilitation remotely. Read More

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November 2020

Quality improvement of services for inpatients after implementation of a pediatric nurse coordinator and porter.

J Pediatr Nurs 2021 Jan 22. Epub 2021 Jan 22.

Head of the Pediatric Emergency Department of the University Hospital Pellegrin, Bordeaux, France. Electronic address:

Background: Delays in finding inpatient beds and transferring patients lead to overcrowding in the Emergency Department (ED).

Local Problem: The emergency nurse coordinator role was implemented in the general or adult ED to optimize patient flow, but few studies are available for pediatric hospitals.

Objective: The aim was to assess the impact of a pediatric emergency nurse coordinator and an ED porter on the ED length of stay for inpatients. Read More

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January 2021