Inpatient Burden of Prurigo Nodularis in the United States

Background: Although prurigo nodularis (PN) has a significant burden of disease, little is known about its epidemiology and disease burden within the United States. We describe the characteristics of hospitalized patients diagnosed with PN and assess the factors associated with hospitalization. Methods: We performed a cross-sectional study of the 2016 National Inpatient Sample, a representative sample of 20% of hospital discharges nationally. Results: Patients diagnosed with PN accounted for 3.7 inpatient visits per 100,000 discharges nationally in 2016. Patients with PN were more likely to be black (odds ratio (OR) 4.43, 95% CI (3.33–6.08), p < 0.001) or Asian (OR 3.44, 95% CI (1.39–5.08), p = 0.003) compared with white patients. Patients diagnosed with PN had both a longer length of hospital stay (mean ± SD, 6.51 ± 0.37 days vs. 4.62 ± 0.02 days, p < 0.001) and higher cost of care ($14,772 ± $964 vs. $11,728 ± $106, p < 0.001) compared with patients without PN. Patients with PN were significantly more likely to be admitted for HIV complications (OR 78.2, 95% CI (46.4–131.8), p < 0.001). PN contributes to increased inpatient cost of care and length of hospitalization. Conclusions: There are racial disparities associated with hospital admission of patients diagnosed with PN.

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Trends in Cervical Cancer Among Delivery-Related Discharges and its Impact on Maternal-Infant Birth Outcomes (United States, 1998-2009)

The Open Nursing Journal ◽

10.2174/1874434601509010042 ◽

2015 ◽

Vol 9 (1) ◽

pp. 42-50 ◽

Cited By ~ 2

Author(s):

Mulubrhan F Mogos ◽

Jason L Salemi ◽

Dawood H Sultan ◽

Melissa M Shelton ◽

Hamisu M Salihu

Keyword(s):

United States ◽

Cervical Cancer ◽

Hospital Stay ◽

Birth Outcomes ◽

Length Of Hospital Stay ◽

The United States ◽

Reproductive Age ◽

Hospital Discharges ◽

Cross Sectional ◽

Infant Birth

Objectives : To estimate the national prevalence of cervical cancer (CCA) in women discharged from hospital after delivery, and to examine its associations with birth outcomes. Methods : We did a retrospective cross-sectional analysis of maternal hospital discharges in the United States (1998-2009). We used the Nationwide Inpatient Sample (NIS) database to identify hospital stays for women who gave birth. We determined length of hospital stay, in-hospital mortality, and used ICD-9-CM codes to identify CCA and all outcomes of interest. Multivariable logistic regression modeling was used to calculate adjusted odds ratios (AOR) and 95% confidence intervals (CI) for the associations between CCA and feto-maternal outcome. Results : In the 12-year period from 1998 to 2009, there were 8,387 delivery hospitalizations with a CCA diagnosis, a prevalence rate of 1.8 per 100,000 (95% CI=1.6, 1.9). After adjusting for potential confounders, CCA was associated with increased odds of maternal morbidities including: anemia (AOR, 1.78, 95% CI, 1.54-2.06), anxiety (AOR, 1.95, 95% CI, 1.11-3.42), cesarean delivery (AOR, 1.67, 95% CI, 1.46-1.90), and prolonged hospital stay (AOR, 1.51, 95% CI, 1.30-1.76), and preterm birth (AOR, 1.69, 95% CI, 1.46-1.97). Conclusion : There is a recent increase in the prevalence of CCA during pregnancy. CCA is associated with severe feto-maternal morbidities. Interventions that promote safer sexual practice and regular screening for CCA should be promoted widely among women of reproductive age to effectively reduce the prevalence of CCA during pregnancy and its impact on the health of mother and baby.

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Faculty Opinions recommendation of A cross-sectional study of the current treatment patterns in noninfectious uveitis among specialists in the United States.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.9572964.10234062 ◽

2011 ◽

Author(s):

Ilknur Tugal-Tutkun ◽

F Nilüfer Yalcindag

Keyword(s):

United States ◽

The United States ◽

Cross Sectional Study ◽

Current Treatment ◽

Treatment Patterns ◽

Sectional Study ◽

Cross Sectional

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Sexual orientation identity disparities in health behaviors, outcomes, and services use among men and women in the United States: a cross-sectional study

BMC Public Health ◽

10.1186/s12889-016-3467-1 ◽

2016 ◽

Vol 16 (1) ◽

Cited By ~ 48

Author(s):

Chandra L. Jackson ◽

Madina Agénor ◽

Dayna A. Johnson ◽

S. Bryn Austin ◽

Ichiro Kawachi

Keyword(s):

United States ◽

Sexual Orientation ◽

Health Behaviors ◽

The United States ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Men And Women ◽

Sexual Orientation Identity ◽

Services Use

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Family structure and multiple domains of child well-being in the United States: a cross-sectional study

Population Health Metrics ◽

10.1186/s12963-015-0038-0 ◽

2015 ◽

Vol 13 (1) ◽

Cited By ~ 24

Author(s):

Patrick M Krueger ◽

Douglas P Jutte ◽

Luisa Franzini ◽

Irma Elo ◽

Mark D Hayward

Keyword(s):

United States ◽

Family Structure ◽

Well Being ◽

The United States ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Multiple Domains

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Elevated cardiovascular risk among adults with obstructive and restrictive airway functioning in the United States: a cross-sectional study of the National Health and Nutrition Examination Survey from 2007–2010

Respiratory Research ◽

10.1186/1465-9921-13-115 ◽

2012 ◽

Vol 13 (1) ◽

pp. 115 ◽

Cited By ~ 19

Author(s):

Earl S Ford ◽

Anne G Wheaton ◽

David M Mannino ◽

Letitia Presley-Cantrell ◽

Chaoyang Li ◽

...

Keyword(s):

United States ◽

Cardiovascular Risk ◽

National Health ◽

The United States ◽

Cross Sectional Study ◽

Nutrition Examination Survey ◽

Sectional Study ◽

Cross Sectional ◽

Health And Nutrition

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Variability in Pediatric Brain Death Determination Protocols in the United States

Neurology ◽

10.1212/wnl.0000000000012225 ◽

2021 ◽

pp. 10.1212/WNL.0000000000012225

Author(s):

Conall Francoeur ◽

Matthew J Weiss ◽

Jennifer M Macdonald ◽

Craig Press ◽

David Matthew Greer ◽

...

Keyword(s):

United States ◽

Brain Injury ◽

Organ Procurement ◽

The United States ◽

Cross Sectional Study ◽

Neurologic Examination ◽

National Guidelines ◽

Cross Sectional ◽

Organ Procurement Organizations ◽

Death By Neurologic Criteria

Objective:To determine the variability in pediatric death by neurologic criteria (DNC) protocols between US pediatric institutions and compared to the 2011 DNC guidelines.Methods:Cross-sectional study of DNC protocols obtained from pediatric institutions in the United States (US) via regional organ procurement organizations. Protocols were evaluated across five domains: general DNC procedures, prerequisites, neurologic examination, apnea testing and ancillary testing. Descriptive statistics compared protocols to each other and the 2011 guidelines.Results:One hundred and thirty protocols were analyzed with 118 dated after publication of the 2011 guidelines. Of those 118 protocols, identification of a mechanism of irreversible brain injury was required in 97%, while 67% required an observation period after acute brain injury before DNC evaluation. Most protocols required guideline-based prerequisites such as exclusion of hypotension (94%), hypothermia (97%), and metabolic derangements (92%). On neurologic examination, 91% required a lack of responsiveness, 93% no response to noxious stimuli, and 99% loss of brainstem reflexes. 84% of protocols required the guideline-recommened two apnea tests. CO2 targets were consistent with guidelines in 64%. Contrary to guidelines, fifteen percent required ancillary testing for all patients and 15% permitted ancillary studies that are not validated in pediatrics.Conclusionsand Relevance: Variability exists between pediatric institutional DNC protocols in all domains of DNC determination, especially with respect to apnea and ancillary testing. Better alignment of DNC protocols with national guidelines may improve the consistency and accuracy of DNC determination.

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Examining the Relationship Between Food Insecurity and Academic Performance: Implications for Diversity and Equity in Higher Education

Journal of College Student Retention Research Theory & Practice ◽

10.1177/15210251211053863 ◽

2021 ◽

pp. 152102512110538

Author(s):

Heather Mechler ◽

Kathryn Coakley ◽

Marygold Walsh-Dilley ◽

Sarita Cargas

Keyword(s):

Higher Education ◽

United States ◽

Food Insecurity ◽

Educational Equity ◽

The United States ◽

Cross Sectional Study ◽

Drop Out ◽

Cross Sectional ◽

Professional Students ◽

The Relationship

In recent years, researchers have increasingly focused on the experience of food insecurity among students at higher education institutions. Most of the literature has focused on undergraduates in the eastern and midwestern regions of the United States. This cross-sectional study of undergraduate, graduate, and professional students at a Minority Institution in the southwestern United States is the first of its kind to explore food insecurity among diverse students that also includes data on gender identity and sexual orientation. When holding other factors constant, food-insecure students were far more likely to fail or withdraw from a course or to drop out entirely. We explore the role that higher education can play in ensuring students’ basic needs and implications for educational equity.

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