Comparing the Incidence and Clinical Data for Simultaneous Bilateral Versus Unilateral Total Hip Arthroplasty in New York State Between 1990 and 2010

2015 ◽  
Vol 30 (11) ◽  
pp. 1887-1891 ◽  
Author(s):  
Sergio A. Glait ◽  
Omar N. Khatib ◽  
Ankit Bansal ◽  
Jason P. Hochfelder ◽  
James D. Slover
Keyword(s):  
New York ◽  
Total Hip Arthroplasty ◽  
Clinical Data ◽  
Hip Arthroplasty ◽  
New York State ◽  
York State ◽  
Total Hip

scholarly journals Clinical and Ethical Considerations in Allocation of Ventilators in an Influenza Pandemic or Other Public Health Disaster: A Comparison of the 2007 and 2015 New York State Ventilator Allocation Guidelines

2020 ◽  
pp. 1-10
Author(s):  
Susie A. Han ◽  
Valerie Gutmann Koch
Keyword(s):  
New York ◽  
Clinical Data ◽  
Task Force ◽  
Influenza Pandemic ◽  
New York State ◽  
Evidence Based ◽  
Ethical Considerations ◽  
Term Survival ◽  
York State ◽  
Triage Protocol

ABSTRACT Objectives: During an influenza or coronavirus disease 2019 (COVID-19) pandemic that results in acute respiratory distress, the number of available ventilators will not meet demand. In 2007, the New York State Task Force on Life and the Law and Department of Health released draft Guidelines for ethical allocation of ventilators for adults. In 2015, updated guidelines were released to ensure that: (1) revisions reflect the public’s values and (2) the triage protocol is substantiated by evidence-based clinical data. We summarize the development and content of the 2015 Guidelines compared with the 2007 version, emphasizing new/revised aspects of the ethical considerations and clinical protocol. Methods: We compared the 2007 and 2015 guidelines, with particular emphasis on the ethical issues and clinical protocols. Results: The 2015 Guidelines retained much of the ethical and clinical framework of the 2007 draft. The triage protocol was revised using evidence-based clinical data. Patients with the highest likelihood of short-term survival with ventilator therapy have priority access. Protocol consists of exclusion criteria, the sequential organ failure assessment (SOFA) score, and periodic clinical assessments. Guidance is provided on secondary triage criteria. Other forms of medical intervention/palliative care and review of triage decisions are discussed. Conclusions: The 2015 Guidelines reflect advances in medicine and societal values and provide an evidenced-based framework to save the most lives. The framework could be adapted in other emergencies, such as the COVID-19 pandemic, that require ventilators.

Variation in Diagnoses for Hip Arthroplasty Among New York State Hospitals: Implications for the Comprehensive Care for Joint Replacement Model

2017 ◽  
Vol 32 (4) ◽  
pp. 1117-1120 ◽  
Author(s):  
John A. Buza ◽  
Jeffrey M. Jancuska ◽  
James D. Slover ◽  
Richard Iorio ◽  
Joseph A. Bosco
Keyword(s):  
New York ◽  
Hip Arthroplasty ◽  
Joint Replacement ◽  
New York State ◽  
Comprehensive Care ◽  
York State ◽  
State Hospitals ◽  
Replacement Model

scholarly journals Application of a Novel Osteotomy Instrumentation as a Substitute Tool in Total Hip Arthroplasty

2021 ◽  
Author(s):  
Yuehao Hu ◽  
Jingwei Zhang ◽  
Ziyang Sun ◽  
Degang Yu ◽  
Huiwu Li ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Femoral Neck ◽  
Clinical Data ◽  
Hip Arthroplasty ◽  
Alternative Solution ◽  
Harris Hip Score ◽  
Total Hip ◽  
Femoral Neck Osteotomy ◽  
Oscillating Saw ◽  
The Mean

Abstract Background: Mechanical failure, power shortage, and unexpected contamination of oscillating saw occasionally happened in actualizing femoral neck osteotomy during total hip arthroplasty, while no appropriate alternative solution be available presently. This study aimed to introduce a novel osteotomy instrumentation (fretsaw, jig, cable passer hook) as a substitute tool while oscillating saw was unavailable in THA.Methods: This study included 40 patients (40 hips) who underwent femoral neck osteotomy during primary THA using the new osteotomy instrumentation (n=20) and oscillating saw (n=20). Clinical data and intraoperative findings of all patients were evaluated.Results: The mean osteotomy time was 22.3 ± 3.1 s (range, 17–30 s) and 29.4 ± 3.7 s (range, 25–39 s) in the oscillating saw group and the new osteotomy instrumentation group, respectively (P<0.001). The Harris Hip Score (HHS) improved in both groups; the mean HSS was 82.3 ± 2.5 and 83.3 ± 3.5 in the oscillating saw group and new osteotomy instrumentation group at 6 months after surgery, respectively (P=0.297).Conclusion: The original osteotomy instrumentation can be an ideal substitute tool for femoral neck osteotomy in THA, especially when the oscillating saw is unavailable or malfunctional.

scholarly journals Hospital safety net burden is associated with increased inpatient mortality and postoperative morbidity after total hip arthroplasty: a retrospective multistate review, 2007–2014

2019 ◽  
Vol 44 (9) ◽  
pp. 839-846 ◽  
Author(s):  
Melvin La ◽  
Virginia Tangel ◽  
Soham Gupta ◽  
Tiffany Tedore ◽  
Robert S White
Keyword(s):  
New York ◽  
Total Hip Arthroplasty ◽  
Hospital Mortality ◽  
Hip Arthroplasty ◽  
Linear Models ◽  
Patient Discharge ◽  
Safety Net ◽  
Mixed Effect ◽  
Total Hip ◽  
Hospital Safety

BackgroundTotal hip arthroplasty (THA) is one of the most widely performed surgical procedures in the USA. Safety net hospitals, defined as hospitals with a high proportion of cases billed to Medicaid or without insurance, deliver a significant portion of their care to vulnerable populations, but little is known about the effects of a hospital’s safety net burden and its role in healthcare disparities and outcomes following THA. We quantified safety net burden and examined its impact on in-hospital mortality, complications and length of stay (LOS) in patients who underwent THA.MethodsWe analyzed 500 189 patient discharge records for inpatient primary THA using data from the Healthcare Cost and Utilization Project’s State Inpatient Databases for California, Florida, New York, Maryland and Kentucky from 2007 to 2014. We compared patient demographics, present-on-admission comorbidities and hospital characteristics by hospital safety net burden status. We estimated mixed-effect generalized linear models to assess hospital safety burden status’ effect on in-hospital mortality, patient complications and LOS.ResultsPatients undergoing THA at a hospital with a high or medium safety net burden were 38% and 30% more likely, respectively, to die in-hospital compared with those in a low safety net burden hospital (high adjusted OR: 1.38, 95% CI 1.10 to 1.73; medium adjusted OR: 1.30, 95% CI 1.07 to 1.57). Compared with patients treated in hospitals with a low safety net burden, patients treated in high safety net hospitals were more likely to develop a postoperative complication (adjusted OR: 1.11, 95% CI 1.00 to 1.24) and require a longer LOS (adjusted IRR: 1.06, 95% CI 1.05, 1.07).ConclusionsOur study supports our hypothesis that patients who underwent THA at hospitals with higher safety net burden have poorer outcomes than patients at hospitals with lower safety net burden.

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