Development and validation of a clinical prediction rule for major adverse outcomes in coronary bypass grafting∗∗A list of the members of the Academic Medical Center Consortium Quality Measurement and Management Initiative Working Group appears in the Appendix.

2001 ◽  
Vol 88 (11) ◽  
pp. 1251-1258 ◽  
Author(s):  
Elizabeth B Fortescue ◽  
Katherine Kahn ◽  
David W Bates
Keyword(s):  
Medical Center ◽  
Academic Medical Center ◽  
Quality Measurement ◽  
Prediction Rule ◽  
Coronary Bypass ◽  
Clinical Prediction Rule ◽  
Adverse Outcomes ◽  
Clinical Prediction ◽  
Academic Medical ◽  
Development And Validation

scholarly journals Resection of the Atrial Appendages and its Impact in the Natriuretic Homeostasis: Development and Validation of an Animal Model in an Academic Medical Center

2020 ◽  
Vol 72 (2) ◽  
Author(s):  
Ricardo Marquez-Velasco ◽  
Maite Vallejo ◽  
Jorge M. Catrip-Torres ◽  
María del Carmen Lespron-Robles ◽  
Juan Villegas-Juache ◽  
...  
Keyword(s):  
Animal Model ◽  
Medical Center ◽  
Academic Medical Center ◽  
Academic Medical ◽  
Development And Validation

scholarly journals Development and validation of an algorithm to complete colonoscopy using standard endoscopes in patients with prior incomplete colonoscopy

2017 ◽  
Vol 05 (09) ◽  
pp. E886-E892 ◽  
Author(s):  
Melinda Rogers ◽  
Andrew Gawron ◽  
David Grande ◽  
Rajesh Keswani
Keyword(s):  
Medical Center ◽  
Academic Medical Center ◽  
Patient Characteristics ◽  
Cecal Intubation ◽  
Large Lesion ◽  
Incomplete Colonoscopy ◽  
Academic Medical ◽  
Flat Lesions ◽  
Repeat Colonoscopy ◽  
Development And Validation

Abstract Background and study aims Incomplete colonoscopy may occur as a result of colon angulation (adhesions or diverticulosis), endoscope looping, or both. Specialty endoscopes/devices have been shown to successfully complete prior incomplete colonoscopies, but may not be widely available. Radiographic or other image-based evaluations have been shown to be effective but may miss small or flat lesions, and colonoscopy is often still indicated if a large lesion is identified. The purpose of this study was to develop and validate an algorithm to determine the optimum endoscope to ensure completion of the examination in patients with prior incomplete colonoscopy. Patients and methods This was a prospective cohort study of 175 patients with prior incomplete colonoscopy who were referred to a single endoscopist at a single academic medical center over a 3-year period from 2012 through 2015. Colonoscopy outcomes from the initial 50 patients were used to develop an algorithm to determine the optimal standard endoscope and technique to achieve cecal intubation. The algorithm was validated on the subsequent 125 patients. Results The overall repeat colonoscopy success rate using a standard endoscope was 94 %. The initial standard endoscope specified by the algorithm was used and completed the colonoscopy in 90 % of patients. Conclusions This study identifies an effective strategy for completing colonoscopy in patients with prior incomplete examination, using widely available standard endoscopes and an algorithm based on patient characteristics and reasons for prior incomplete colonoscopy.

scholarly journals Effect of Obesity on Complications in Short-Scar Breast Reduction: A Retrospective Study of 236 Consecutive Patients

2018 ◽  
Vol 26 (4) ◽  
pp. 238-243
Author(s):  
Eleanor Rose Goldwasser Tomczyk ◽  
Ava Chappell ◽  
Nathaniel Erskine ◽  
Mustafa Akyurek
Keyword(s):  
Adverse Outcome ◽  
Medical Center ◽  
Reduction Mammaplasty ◽  
Academic Medical Center ◽  
Adverse Outcomes ◽  
Positive Trend ◽  
Academic Medical ◽  
Significant Difference ◽  
Short Scar

Background: Prior studies have examined the relationship between obesity and adverse outcomes after reduction mammaplasty, suggesting a correlation between increasing body mass index (BMI) and postoperative complications. However, there is little data published regarding such correlation with respect to short-scar technique. Methods: A total of 236 patients underwent short-scar mammaplasty with a superomedial pedicle from 2008 to 2014. The procedure was performed by a single surgeon at an academic medical center. Adverse outcomes included delayed healing, major wounds, nipple necrosis, fat necrosis, seroma, hematoma, infection, revision, and dog ear deformities. Univariate and multivariate logistic regression analyses were used to calculate crude and adjusted odds ratios for the association of BMI category with the development of any adverse outcome. Results: Patients were grouped by the following BMI categories: <25 kg/m2 (n = 27), 25 to <30 kg/m2 (n = 71), 30 to <35 kg/m2 (n = 73), 35 to <40 kg/m2 (n = 45), and >40 kg/m2 (n = 20). The mean follow-up period was 260 days. The total complication rate in each group was 22.2%, 23.9%, 27.4%, 33.3%, and 45.0%, respectively. Although the proportion of patients experiencing at least 1 adverse outcome increased across the ascending BMI categories ( P trend = .145), there was no statistically significant difference between the groups. Conclusion: This study of 236 patients who underwent short-scar reduction mammaplasty found a positive trend in the incidence of adverse outcomes as BMI increased. However, this was not statistically significant.

P-157 Development and validation of a clinical prediction rule for the diagnosis of lung cancer based in sex, age and serum tumor markers

Lung Cancer ◽  
2005 ◽  
Vol 49 ◽  
pp. S156-S157
Author(s):  
J. Hernandez-Hernandez ◽  
T. Martin-Casado ◽  
J. Tapias del Pozo ◽  
J. Sanchez-Marcos ◽  
A. Rodriguez-Puebla ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Tumor Markers ◽  
Prediction Rule ◽  
Clinical Prediction Rule ◽  
Clinical Prediction ◽  
Serum Tumor Markers ◽  
Diagnosis Of Lung Cancer ◽  
Development And Validation
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