Article
Obstetrics & Gynecology
Koji Matsuo, Rachel S. Mandelbaum, David J. Nusbaum, Shinya Matsuzaki, Maximilian Klar, Lynda D. Roman, Jason D. Wright
Summary: The study revealed that the rates of obesity and morbid obesity have significantly increased among women undergoing benign hysterectomy in the USA, leading to higher risks of perioperative complications and total charges. National and society-based approaches are necessary to reduce the obesity rate and improve hysterectomy outcomes.
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA
(2021)
Article
Medicine, General & Internal
Jean-Eric Tarride, Aristithes G. Doumouras, Dennis Hong, J. Michael Paterson, Semra Tibebu, Francis Nguyen, Richard Perez, Valerie H. Taylor, Feng Xie, Vanessa Boudreau, Eleanor Pullenayegum, David R. Urbach, Mehran Anvari
Summary: This study compared 4-year health care expenditures after RYGB and sleeve gastrectomy, finding no significant differences in all-cause mortality and number of hospital admissions between the two procedures, but more frequent nonelective hospitalizations with RYGB. Patients who underwent RYGB had a lower rate of subsequent bariatric procedures.
Article
Obstetrics & Gynecology
Marissa H. Platner, Christina M. Ackerman, Renata E. Howland, Jessica Illuzzi, Uma M. Reddy, Ghada Bourjeily, Xiao Xu, Heather S. Lipkind
Summary: This study investigated the relationship between increasing classes of obesity and the risk of severe maternal morbidity at delivery hospitalization, finding a significant dose-response relationship with higher risks for super obesity. Women with obesity classes II, III, and super obesity were all significantly more likely to experience severe maternal morbidity than normal weight or overweight women. This highlights the importance of counseling women with prepregnancy obesity on specific risks associated with pregnancy to optimize outcomes.
AMERICAN JOURNAL OF OBSTETRICS & GYNECOLOGY MFM
(2021)
Article
Obstetrics & Gynecology
Drew Hensel, Fan Zhang, Ebony B. Carter, Antonina Frolova, Anthony O. Odibo, Jeannie C. Kelly, Alison G. Cahill, Nandini Raghuraman
Summary: This study analyzed the relationship between severity of intrapartum fever and duration from reaching maximum temperature to delivery with neonatal and maternal morbidity. It found that the severity of intrapartum fever was associated with an increased risk of neonatal morbidity, in a potentially dose-dependent manner. However, this association was independent of the duration between reaching maximum intrapartum temperature and delivery.
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
(2022)
Article
Public, Environmental & Occupational Health
Jim Abi Frem, Marwan Ghanem, George Doumat, Zeina A. Kanafani
Summary: This study aims to identify potential risk factors, complications, and mortality predictors for vancomycin-resistant enterococci (VRE) and vancomycin-susceptible enterococci (VSE) infections in a hospital setting. The results showed that patients with diabetes mellitus were more susceptible to VSE infection, while patients who received steroid therapy within 30 days and had a preceding infection were more susceptible to VRE infection.
JOURNAL OF INFECTION AND PUBLIC HEALTH
(2023)
Article
Orthopedics
Akhil Katakam, Isabella S. Florissi, Yhan E. Colon Iban, Charles R. Bragdon, Antonia F. Chen, Christopher M. Melnic, Hany S. Bedair
Summary: This study identified an association between increasing BMI and failure to achieve the 1-year HOOS-PS MCID. Obese class III patients (>40 kg/m²) have a nearly 3-fold increased risk of not achieving the desired treatment outcome.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Nutrition & Dietetics
Karolina Hoffmann, Dorota Kopciuch, Michal Michalak, Wieslaw Bryl, Krzysztof Kus, Kinga Marzec, Jonas Raakow, Matthias Pross, Rafael Berghaus, Elzbieta Nowakowska, Magdalena Kostrzewska, Tomasz Zaprutko, Piotr Ratajczak, Anna Paczkowska
Summary: This study compared patient adherence in morbid obesity treatment between Poland and Germany, finding higher adherence among Polish patients but no statistically significant difference. Adherence was associated with various factors including gender, age, education level, duration of obesity, healthcare professionals involved, and type of treatment. Adherent patients had better weight loss outcomes and lower levels of anxiety, stress, and depression.
Article
Endocrinology & Metabolism
Michael Semyonov, Anastasiya Bartulovic, Nir Cohen, Baruch Berzon, Ekaterina Fedorina, Sofia Lerman, Anastasia Semionov, Michael Friger, Asaf Acker, Alexander Geftler, Alexander Zlotnik, Evgeni Brotfain
Summary: This study compared the effects of pre- and postincisional intravenous paracetamol administration in bariatric surgery patients. The results showed that early administration of intravenous paracetamol before surgical incision resulted in lower postoperative pain scores and reduced the need for additional analgesics.
Review
Pediatrics
Kelsey Olerich, David Soper, Shani Delaney, Mary Sterrett
Summary: This document focuses on the risks and considerations needed to care for pregnant women with obesity and their fetuses, paying specific attention to pregnancy in the setting of class III and super morbid obesity. It is important to provide meticulous care and attention to these patients.
FRONTIERS IN PEDIATRICS
(2022)
Article
Endocrinology & Metabolism
Anne-Laure Feral-Pierssens, Joane Matta, Claire Rives-Lange, Marcel Goldberg, Marie Zins, Claire Carette, Sebastien Czernichow
Summary: This study aimed to investigate the precise use of health care among people with different levels of obesity. The results showed that individuals with class III obesity had higher odds of visiting emergency departments and specialists, while those with class II obesity had lower odds of visiting general practitioners, dentists, and psychiatrists.
Article
Rheumatology
Lap Kiu Tsoi, Chi Chiu Mok, Bik Ling Man, Yat Pang Fu
Summary: Study shows that stroke in SLE patients more commonly presents as ischemic stroke with extensive infarction, leading to poorer functional recovery, higher recurrence rates, and increased mortality compared to non-SLE stroke patients.
JOURNAL OF RHEUMATOLOGY
(2021)
Article
Surgery
Kenley R. Unruh, Amir L. Bastawrous, Jennifer A. Kaplan, Ravi Moonka, Laila Rashidi, Vlad V. Simianu
Summary: The study found that patients with a BMI greater than or equal to 40 had higher rates of conversion, adverse events, and death after colorectal surgery. However, minimally invasive surgical approaches can partially mitigate these risks.
AMERICAN JOURNAL OF SURGERY
(2021)
Article
Obstetrics & Gynecology
Theepika Rajkumar, Annemarie Hennessy, Yumna Ali, Angela Makris
Summary: In this retrospective cohort study, the prevalence of intrapartum hypertension in previously normotensive women was found to be 14%. Older maternal age, higher body mass index, and higher diastolic blood pressure at the first antenatal visit were associated with intrapartum hypertension. Intrapartum hypertension was associated with longer inpatient admission and postpartum hypertension, but had no impact on fetal outcomes.
BMC PREGNANCY AND CHILDBIRTH
(2023)
Article
Obstetrics & Gynecology
Zhenfei Jiang, Xiaoyi Hu, Huabei Zeng, Xinghe Wang, Cheng Tan, Chunyan Ni, Lingyun Dai, Su Liu
Summary: This study identified risk factors for intrapartum fever, such as primiparity, epidural labour analgesia, premature rupture of membranes, and developed a nomogram to predict its occurrence. The nomogram showed good predictive performance in both the training and validation cohorts, suggesting its potential utility in clinical practice.
BMC PREGNANCY AND CHILDBIRTH
(2021)
Article
Surgery
Wael Shaalan, Ali El Emam, Hassan Lotfy, Ahmad Naga
Summary: Patients who have undergone weight loss after bariatric surgery showed significant improvements in chronic venous insufficiency compared to those who did not lose weight, including increased ulcer healing rate, decreased incidence of venous claudication, and improved quality of life.
JOURNAL OF VASCULAR SURGERY-VENOUS AND LYMPHATIC DISORDERS
(2021)