scholarly journals The Impact of COVID-19 Surge on Clinical Palliative Care: A Descriptive Study From a New York Hospital System

2021 ◽  
Author(s):  
Derek Moriyama ◽  
Jennifer S. Scherer ◽  
Ryan Sullivan ◽  
Joseph Lowy ◽  
Jeffrey T. Berger
Keyword(s):  
New York ◽  
Palliative Care ◽  
Descriptive Study ◽  
Hospital System ◽  
York Hospital ◽  
The Impact

scholarly journals Data-Driven Patterns in Protective Effects of Ibuprofen and Ketorolac on Hospitalized Covid-19 Patients

2021 ◽  
Author(s):  
Benjamin J Lengerich ◽  
Rich Caruana ◽  
Yin J Aphinyanaphongs
Keyword(s):  
New York ◽  
Protective Effect ◽  
Data Driven ◽  
Patient Treatment ◽  
Protective Effects ◽  
Hospital System ◽  
York Hospital ◽  
Inflammatory Drugs ◽  
The Impact ◽  
The Relationship

The impact of nonsteroidal anti-inflammatory drugs (NSAIDs) on patients with Covid-19 has been unclear. A major reason for this uncertainty is the confounding between treatments, patient comorbidities, and illness severity. Here, we perform an observational analysis of over 3000 patients hospitalized for Covid-19 in a New York hospital system to identify the relationship between in-patient treatment with Ibuprofen or Ketorolac and mortality. Our analysis finds evidence consistent with a protective effect for Ibuprofen and Ketorolac, with evidence stronger for a protective effect of Ketorolac than for a protective effect of Ibuprofen.

scholarly journals Gastrointestinal endoscopy during the coronavirus pandemic in the New York area: results from a multi-institutional survey

2020 ◽  
Vol 08 (12) ◽  
pp. E1865-E1871
Author(s):  
Srihari Mahadev ◽  
Olga C. Aroniadis ◽  
Luis H. Barraza ◽  
Emil Agarunov ◽  
Michael S. Smith ◽  
...  
Keyword(s):  
New York ◽  
Clinical Care ◽  
Patient Characteristics ◽  
Feeding Tube ◽  
Tube Placement ◽  
Peak Time ◽  
City Region ◽  
Peak Period ◽  
Hospital System ◽  
The Impact

Abstract Background and study aims The coronavirus disease 2019 (COVID-19), and measures taken to mitigate its impact, have profoundly affected the clinical care of gastroenterology patients and the work of endoscopy units. We aimed to describe the clinical care delivered by gastroenterologists and the type of procedures performed during the early to peak period of the pandemic. Methods Endoscopy leaders in the New York region were invited to participate in an electronic survey describing operations and clinical service. Surveys were distributed on April 7, 2020 and responses were collected over the following week. A follow-up survey was distributed on April 20, 2020. Participants were asked to report procedure volumes and patient characteristics, as well protocols for staffing and testing for COVID-19. Results Eleven large academic endoscopy units in the New York City region responded to the survey, representing every major hospital system. COVID patients occupied an average of 54.5 % (18 – 84 %) of hospital beds at the time of survey completion, with 14.5 % (2 %-23 %) of COVID patients requiring intensive care. Endoscopy procedure volume and the number of physicians performing procedures declined by 90 % (66 %-98 %) and 84.5 % (50 %-97 %) respectively following introduction of restricted practice. During this period the most common procedures were EGDs (7.9/unit/week; 88 % for bleeding; the remainder for foreign body and feeding tube placement); ERCPs (5/unit/week; for cholangitis in 67 % and obstructive jaundice in 20 %); Colonoscopies (4/unit/week for bleeding in 77 % or colitis in 23 %) and least common were EUS (3/unit/week for tumor biopsies). Of the sites, 44 % performed pre-procedure COVID testing and the proportion of COVID-positive patients undergoing procedures was 4.6 % in the first 2 weeks and up to 19.6 % in the subsequent 2 weeks. The majority of COVID-positive patients undergoing procedures underwent EGD (30.6 % COVID +) and ERCP (10.2 % COVID +). Conclusions COVID-19 has profoundly impacted the operation of endoscopy units in the New York region. Our data show the impact of a restricted emergency practice on endoscopy volumes and the proportion of expected COVID positive cases during the peak time of the pandemic.

scholarly journals (Sub)titles in cinematic virtual reality: a descriptive study

2021 ◽  
Author(s):  
Belén Agulló ◽  
◽  
Anna Matamala ◽  
Keyword(s):  
New York ◽  
Virtual Reality ◽  
State Of The Art ◽  
New York Times ◽  
Descriptive Study ◽  
The State ◽  
Corpus Analysis ◽  
Content Creation ◽  
Standard Practices ◽  
The Impact

Virtual reality has attracted the attention of industry and researchers. Its applications for entertainment and audiovisual content creation are endless. Filmmakers are experimenting with different techniques to create immersive stories. Also, subtitle creators and researchers are finding new ways to implement (sub)titles in this new medium. In this article, the state-of-the-art of cinematic virtual reality content is presented and the current challenges faced by filmmakers when dealing with this medium and the impact of immersive content on subtitling practices are discussed. Moreover, the different studies on subtitles in 360º videos carried out so far and the obtained results are reviewed. Finally, the results of a corpus analysis are presented in order to illustrate the current subtitle practices by The New York Times and the BBC. The results have shed some light on issues such as position, innovative graphic strategies or the different functions, challenging current subtitling standard practices in 2D content.

scholarly journals Case Fatality Rate of Cancer Patients with COVID-19 in a New York Hospital System

2020 ◽  
Vol 10 (7) ◽  
pp. 935-941 ◽  
Author(s):  
Vikas Mehta ◽  
Sanjay Goel ◽  
Rafi Kabarriti ◽  
Daniel Cole ◽  
Mendel Goldfinger ◽  
...  
Keyword(s):  
New York ◽  
Cancer Patients ◽  
Case Fatality Rate ◽  
Case Fatality ◽  
Fatality Rate ◽  
Hospital System ◽  
York Hospital

scholarly journals Breast cancer survivorship care during the COVID-19 pandemic within an urban New York Hospital System

The Breast ◽  
2021 ◽  
Author(s):  
Allen Mo ◽  
Julie Chung ◽  
Jeremy Eichler ◽  
Sarah Yukelis ◽  
Sheldon Feldman ◽  
...  
Keyword(s):  
Breast Cancer ◽  
New York ◽  
Cancer Survivorship ◽  
Survivorship Care ◽  
Breast Cancer Survivorship ◽  
Hospital System ◽  
York Hospital

Development of a Risk Tool to Support Discussions of Care for Older Adults Admitted to the ICU With Pneumonia

2018 ◽  
Vol 35 (9) ◽  
pp. 1201-1206
Author(s):  
Nikhil Satchidanand ◽  
Timothy J. Servoss ◽  
Ranjit Singh ◽  
Angela M. Bosinski ◽  
Penny Tirpak ◽  
...  
Keyword(s):  
New York ◽  
Palliative Care ◽  
Care Delivery ◽  
External Validation ◽  
Mortality Prediction ◽  
Receiver Operating Curve ◽  
Mortality Data ◽  
Chronic Obstructive ◽  
Hospital System ◽  
Predicted Probability

Background: Early, data-driven discussion surrounding palliative care can improve care delivery and patient experience. Objective: To develop a 30-day mortality prediction tool for older patients in intensive care unit (ICU) with pneumonia that will initiate palliative care earlier in hospital course. Design: Retrospective Electronic Health Record (EHR) review. Setting: Four urban and suburban hospitals in a Western New York hospital system. Participants: A total of 1237 consecutive patients (>75 years) admitted to the ICU with pneumonia from July 2011 to December 2014. Measurements: Data abstracted included demographics, insurance type, comorbidities, and clinical factors. Thirty-day mortality was also determined. Logistic regression identified predictors of 30-day mortality. Area under the receiver operating curve (ROC) was calculated to quantify the degree to which the model accurately classified participants. Using the coordinates of the ROC, a predicted probability was identified to indicate high risk. Results: A total of 1237 patients were included with 30-day mortality data available for 100% of patients. The mortality rate equaled 14.3%. Age >85 years, having active cancer, Congestive Heart Failure (CHF), Chronic Obstructive Pulmonary Disease (COPD), sepsis, and being on a vasopressor all predicted mortality. Using the derived index, with a predicted probability of mortality >0.146 as a cutoff, sensitivity equaled 70.6% and specificity equaled 65.6%. The area under the ROC was 0.735. Conclusion: Our risk tool can help care teams make more informed decisions among care options by identifying a patient group for whom a careful review of goals of care is indicated both during and after hospitalization. External validation and further refinement of the index with a larger sample will improve prognostic value.

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