Postoperative complications in dermatological patients undergoing microscopically controlled surgery in inpatient setting (next‐day surgery): A single‐center epidemiological study

2020 ◽  
Vol 18 (12) ◽  
pp. 1437-1446
Author(s):  
Inga Artamonova ◽  
Laurenz Schmitt ◽  
Amir S. Yazdi ◽  
Mosaad Megahed ◽  
Verena Felbert ◽  
...  





2020 ◽  
Vol 27 (2) ◽  
pp. 173-180
Author(s):  
Deliang Yu ◽  
Qingchuan Zhao

Objective. A Perioperative Safety Checklist (PSC) for gastric cancer (GC) was established to evaluate the effects of PSC on the clinical outcomes of GC. Methods. This single-center preliminary observational study conducted at a tertiary referral hospital included patients with GC who underwent surgery from January 1, 2016, to June 30, 2016, treated without PSC (allocated to the control group) and those who underwent surgery between January 1, 2017, and June 30, 2017, managed according to the PSC designated as the PSCGC (Perioperative Safety Checklist for Gastric Cancer) group. Results. Overall, 1072 cases were enrolled, 556 cases in PSCGC group and 526 cases in control group. After matching, there were 474 patients in each group. PSC intervention led to significant reductions of the incidence of postoperative intestinal fistula formation ( P = .034), the incidence of unplanned secondary surgery ( P = 0.039), and the total hospitalization expenses ( P < .001). Total completion rate of all 14 checklists items was 79.1%. Intraoperative blood loss in the complete and partial implementation groups was significantly lower than the complete nonimplementation group ( P = .002), whereas hospitalization cost showed an opposite trend, which was significantly higher in the incomplete nonimplementation group ( P = .015). Conclusion. PSC implementation was associated with a decreased incidence of gastrointestinal fistula formation, unplanned secondary surgery, and hospitalization cost in patients with GC. However, it had no effect on the in-hospital mortality, the incidence of postoperative complications during hospitalization (ie, incision complications and lung infections), unplanned secondary admission, and the duration of postoperative hospital stay.



2015 ◽  
Vol 30 (1) ◽  
pp. 20-25 ◽  
Author(s):  
Takuma Kishimoto ◽  
Takamori Kanazawa ◽  
Tatsuya Kawasaki ◽  
Ikuya Ueta ◽  
Susam Park ◽  
...  




2018 ◽  
Vol 43 (1) ◽  
pp. 211-216 ◽  
Author(s):  
Patrick Schuss ◽  
Ági Güresir ◽  
Matthias Schneider ◽  
Markus Velten ◽  
Hartmut Vatter ◽  
...  


2020 ◽  
pp. 001857872092080
Author(s):  
Rim M. Hadgu ◽  
Amne Borghol ◽  
Christopher Gillard ◽  
Candice Wilson ◽  
Suzan Elqess Mossa ◽  
...  

Background: Amantadine has been used off-label to improve alertness after traumatic brain injury (TBI). The goal of this study is to assess the mean change at 72 hours and in course of therapy (COT) Glasgow Coma Scale (GCS) score after amantadine initiation and to correlate the change in GCS score with participation in physical therapy (PT) and occupational therapy (OT) among patients with TBI receiving amantadine during the first hospitalization. Methods: This single-center, retrospective, cohort study included patients ≥18 years old hospitalized for a TBI from August 2012 to February 2018 and received ≥1 dose of amantadine to increase alertness. The primary endpoint is the mean change in 72-hour GCS score after amantadine initiation. The secondary endpoint is the mean change in COT GCS score after amantadine initiation and the correlation between the change in GCS score and percent PT and OT participation at 72 hours and during the COT. Results: Seventy-nine patients were included. The mean age of patients was 41 years, and 79.8% of the patients were men. The mean change in 72-hour GCS score was +0.75 (95% confidence interval [CI] = 0.09-1.42, P = .027), and the mean change in COT GCS score was +2.29 (95% CI = 1.68-2.90, P < .001). There was no significant correlation between the increase in GCS score and percent PT/OT session participation at 72 hours and during the COT, r = −0.15 ( P = .24) and r = −0.02 ( P = .74), respectively. The percent PT/OT session participation at 72-hour post-amantadine initiation was 61.3% compared with 65.9% during the COT. Conclusion: There were small but statistically significant increases in the mean change at 72 hours and in COT GCS score; however, they were not correlated with percent PT/OT participation. Other studies are needed to determine the appropriate time and GCS score to initiate amantadine along with the optimal dose in the inpatient setting.



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