Article
Critical Care Medicine
Valerie G. Press, Laura C. Myers, Laura C. Feemster
Summary: The HRRP aims to reduce 30-day hospital readmissions for certain conditions, with COPD being one of the target diseases. While hospital policies have shown some impact in reducing readmission rates for COPD, interventions for this condition have had mixed results. Further research is needed to understand the long-term effects of the policy, the role of competing risks, optimal postdischarge care for COPD patients, and the integrated use of predictive modeling and advanced technologies to prevent readmissions.
Review
Health Care Sciences & Services
Rachana Gudipudi, Walter Nicholas Jungbauer, Emily Brennan, Phayvanh P. Pecha
Summary: This systematic review examines the implementation of telehealth in pediatric surgical specialties and the satisfaction rates of both parents and physicians. The results show that telehealth interventions have been widely adopted and received high satisfaction rates. Expanding telehealth applications can improve access to specialized surgical services and reduce travel costs.
JOURNAL OF TELEMEDICINE AND TELECARE
(2022)
Article
Surgery
Catherine C. Beauharnais, Susanna S. Hill, Paul R. Sturrock, Jennifer S. Davids, Karim Alavi, Justin A. Maykel
Summary: This study assessed the reliability and satisfaction of a web-based questionnaire for post-operative visits following abdominal colorectal surgery. The results showed that while colorectal surgeons found this format acceptable, only half of the patients embraced it despite the significant time savings.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Cardiac & Cardiovascular Systems
Lin Huang, Mikkel Nicklas Frandsen, Henrik Kehlet, Rene Horsleben Petersen
Summary: This study aimed to describe the incidence and reasons for early and late readmissions after enhanced recovery video-assisted thoracoscopic surgery lobectomy. The results showed that pulmonary complications and adjuvant chemotherapy were the predominant reasons for readmissions.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Article
Medicine, General & Internal
Carlos Riveros, Sanjana Ranganathan, Yash B. Shah, Emily Huang, Jiaqiong Xu, Michael Geng, Zachary Melchiode, Siqi Hu, Brian J. Miles, Nestor Esnaola, Dharam Kaushik, Angela Jerath, Christopher J. D. Wallis, Raj Satkunasivam
Summary: The discharge destination is associated with the 30-day outcomes of surgical patients, and non-home discharge is more closely related to adverse outcomes.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Surgery
Ruiqi Tang, Katherine B. Santosa, Joceline V. Vu, Lewei A. Lin, Yen-Ling Lai, Michael J. Englesbe, Chad M. Brummett, Jennifer F. Waljee
Summary: Preoperative opioid exposure is associated with increased risk of readmissions after surgery.
Article
Surgery
Anahita Jalilvand, Katelyn A. Levene, Kejal Shah, Bradley Needleman, Sabrena F. Noria
Summary: This study aimed to identify predictors of urgent readmissions and non-urgent readmissions after bariatric surgery. The results showed that non-urgent readmitted patients were more likely to be female, while urgent readmitted patients had higher baseline BMI and more complications. Public insurance was found to be an independent predictor of non-urgent readmissions, while length of stay predicted urgent readmissions.
SURGERY FOR OBESITY AND RELATED DISEASES
(2021)
Article
Cardiac & Cardiovascular Systems
Luca Koechlin, Jules Miazza, Brigitta Gahl, David Santer, Luise Voehringer, Denis Berdajs, Friedrich S. Eckstein, Oliver Reuthebuch
Summary: The study found no significant difference in 30-day readmission rates and reasons for readmission after major cardiac surgery between male and female patients. Female patients were older with lower BMI and fewer cardiovascular risk factors compared to male patients.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2023)
Article
Gastroenterology & Hepatology
Florence E. Turrentine, Timothy L. McMurry, Mark E. Smolkin, R. Scott Jones, Victor M. Zaydfudim
Summary: Specialty-specific readmission risk models using 30-day subspecialty-specific data outperform general readmission risk tools, providing potential strategies for reducing readmissions in hepatopancreatobiliary surgery patients.
JOURNAL OF GASTROINTESTINAL SURGERY
(2021)
Article
Public, Environmental & Occupational Health
MeiLing Montross, Sabra Douthit, Leonard Learn, Sarah Krahe Dombrowski, Christina Hanna, Brenda Gruver
Summary: A study found that collaboration between pharmacists and case managers in post-discharge telephone calls has a positive impact on the 30-day hospital readmission rate. Although the effectiveness of separate telephone calls by each specialty has not been clearly studied, the combined group had a lower readmission rate compared to the individual call groups. In addition, pharmacists identified 120 medication therapy problems during their calls. Therefore, health systems should strive to integrate interdisciplinary care transition services.
RESEARCH IN SOCIAL & ADMINISTRATIVE PHARMACY
(2023)
Article
Clinical Neurology
Christopher Elia, Ariel Takayanagi, Varun Arvind, Ryan Goodmanson, Alexander von Glinski, Clifford Pierre, Jeanju Sung, Bilal Qutteineh, Edward Jung, Jens Chapman, Rod Oskouian
Summary: The study found that the readmission rate for nonelective occipitocervical fusion (OCF) was almost 2 1/2 times that of elective OCF. Readmitted patients had significantly higher average age and comorbidity indices compared to nonreadmitted patients. Nonelective OCF and Medicare/Medicaid patients demonstrated higher readmission rates.
WORLD NEUROSURGERY
(2021)
Article
Clinical Neurology
Naresh Kumar, Andrew Thomas, Sirisha Madhu, Miguel Rafael David Ramos, Liang Shen, Joel Yong Hao Tan, Andre Villanueva, Nivetha Ravikumar, Gabriel Liu, Hee Kit Wong
Summary: The aim of this study was to investigate the rates, causes, and risk factors of unplanned hospital readmissions (UHR) within specific timeframes after metastatic spine tumour surgery (MSTS). The majority of readmissions were found to be due to disease-related causes, emphasizing the importance of careful surveillance and early intervention. Major risk factors for UHR included ECOG >1, CCI >7, and primary lung tumor.
EUROPEAN SPINE JOURNAL
(2021)
Article
Surgery
Christopher A. Latz, Linda J. Wang, Laura Boitano, Charles DeCarlo, Anna A. Pendleton, Brandon Sumpio, Samuel Schwartz, Anahita Dua
Summary: This study compares the 30-day unplanned readmission rates of CLI patients who underwent LEB and IEI treatments, finding LEB to be independently associated with readmissions. Several independent predictors of readmission were identified in the study. Further research is needed to understand the economic impact of these readmissions.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Vinay Badhwar, Lawrence M. Wei, Arnar Geirsson, Joseph A. Dearani, Eugene A. Grossi, T. Sloane Guy, Husam H. Balkhy, A. Marc Gillnov, Francis P. Sutter, Serguei Melnitchouk, Johannes Bonatti, Douglas A. Murphy, W. Randolph Chitwood
Summary: Since the first robotic cardiac operation, there have been advancements in robotic telemanipulation technology, leading to a need for refined education and training. Both AATS and STS have established postgraduate training fellowships to address the growing interest in robotic cardiac surgery. This review aims to provide consensus recommendations for team-based robotic cardiac training.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2023)
Article
Surgery
Sachit Sharma, Muhammad Aziz, Ishaan Vohra, Faisal Kamal, Ashu Acharya, Zubair Khan, Simcha Weissman, Ali Nawras
Summary: The study found that nearly 5% of patients undergoing bariatric surgery in the US are readmitted within 30 days of discharge. Readmitted patients had higher in-hospital mortality, longer length of stay, but lower hospitalization costs. Age, length of stay, comorbidity score, congestive heart failure, and acute kidney injury were independently associated with an increased likelihood of 30-day readmission.
Letter
Surgery
Emily D. Dubina, D. Xuan-Binh, Alexander C. Schwed, Hoover Wu, Imani McElroy, Amy H. Kaji, Christian de Virgilio
Editorial Material
Surgery
Imani McElroy
Article
Surgery
Thomas F. X. O'Donnell, Imani E. McElroy, Laura T. Boitano, Jahan Mohebali, Glenn M. Lamuraglia, Christopher J. Kwolek, Mark F. Conrad
Summary: Treatment outside device-specific IFU is associated with adverse long-term outcomes. Open surgical repair is associated with higher long-term survival in patients who fall outside of the EVAR IFU and should be favored over EVAR or ZFEN in suitable patients. A three-vessel-based fenestrated strategy may not be a durable solution for difficult aortic necks, but more data are needed to evaluate the performance of newer, four-vessel devices.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Surgery
Young Kim, Al-Faraaz Kassam, Imani E. McElroy, Sujin Lee, Adam Tanious, Elizabeth L. Chou, Shiv S. Patel, Anna Alaska Pendleton, Anahita Dua
Summary: The study reveals racial/ethnic disparities in the recruitment and retention of surgical residents, with overrepresentation of White residents in most specialties and underrepresentation of Black residents in many specialties. Asian and Hispanic representation varied across specialties. Efforts should focus on mentorship and development of minority medical students to create a more equitable learning environment.
AMERICAN JOURNAL OF SURGERY
(2022)
Article
Surgery
Thomas F. X. O'Donnell, Imani E. McElroy, Jahan Mohebali, Laura T. Boitano, Glenn M. Lamuraglia, Christopher J. Kwolek, Mark F. Conrad
Summary: Late appearing Type 1A endoleaks have a high rate of rupture and present significant diagnostic and management challenges. Careful surveillance is needed in patients with hostile neck anatomy and those who undergo intervention for other endoleaks.
ANNALS OF VASCULAR SURGERY
(2022)
Article
Peripheral Vascular Disease
Imani E. McElroy, Eric B. Pillado, Adrienne J. Greene, Monica Majumdar, Amanda Kirshkaln, Kate Nuzzolo, Junaid Malek, Anahita Dua
Summary: Low socioeconomic status, distance lived from hospital, and insurance status have been found to increase the risk of post-operative complications and mortality for some disease processes, but data on their impact on patients with peripheral artery disease (PAD) are lacking. This study found that these factors are not associated with an increased risk of major graft failure in patients undergoing revascularization procedures for PAD.
Article
Surgery
Erin King-Mullins, Imani E. Mcelroy
Summary: Social media plays a crucial role in facilitating communication between doctors and patients, enhancing health literacy, alleviating patients’ fears, and providing them with the latest specialty-specific guidelines and recommendations.
Editorial Material
Surgery
Meghal Shah, Tejas S. Sathe, Sukriti Bansal, Anai N. Kothari, Sophie Dream
JOURNAL OF SURGICAL RESEARCH
(2024)
Letter
Surgery
Zafer Turkyilmaz, Ramazan Karabulut, Kaan Sonmez
JOURNAL OF SURGICAL RESEARCH
(2024)
Letter
Surgery
Priyanka Jadhav, Gerald Gollin
JOURNAL OF SURGICAL RESEARCH
(2024)
Review
Surgery
Kheira Hireche, Ludovic Canaud, Pierre Antoine Peyron, Linda Sakhri, Isabelle Serres, Sanaa Kamel, Youcef Lounes, Thomas Gandet, Pierre Alric
Summary: This study evaluated the elastic properties of commonly used vascular substitutes for pulmonary artery replacement and compared their compliance and stiffness indexes to human pulmonary artery. The results showed that allogenic arterial grafts appeared to be the most suitable vascular substitutes in terms of compliance and stiffness for PA replacement.
JOURNAL OF SURGICAL RESEARCH
(2024)
Article
Surgery
Margaret Siu, Aixa Perez Coulter, Heather M. Grant, Reginald Alouidor, Michael Tirabassi
Summary: There is no significant difference in adverse respiratory events between intubated, critically ill patients requiring operative intervention who are kept NPO for 6 hours or longer compared to those kept NPO for less than 6 hours. Patients commonly experience periods of fasting much longer than the recommended 6-hour period by the American Society of Anesthesiologists.
JOURNAL OF SURGICAL RESEARCH
(2024)
Article
Surgery
Whitney Elks, Allison G. McNickle, Matthew Kelecy, Kavita Batra, Shirley Wong, Shawn Wang, Lisa Angotti, Deborah A. Kuhls, Charles St Hill, Syed F. Saquib, Paul J. Chestovich, Douglas R. Fraser
Summary: This study aimed to compare the effects of early and late enteral feeding after PEG placement on achieving nutritional therapy goals and adverse outcomes. The results showed that patients with early initiation of feeds achieved a higher percentage of goals on day 0 without an increased rate of adverse events.
JOURNAL OF SURGICAL RESEARCH
(2024)
Article
Surgery
Manisha B. Bhatia, Cassandra M. Anderson, Abdiwahab N. Hussein, Brian Opondo, Nereah Aruwa, Otieno Okumu, Sarah G. Fisher, Tasha Sparks Joplin, JoAnna L. Hunter-Squires, Brian W. Gray, Peter W. Saula
Summary: This study aimed to understand postoperative pediatric nutrition practices in Kenya and the United States. The results showed that in the United States, patients initiated enteral nutrition earlier and had shorter hospital stays. However, in Kenya, patients initiated enteral nutrition earlier but had no significant difference in hospital stays.
JOURNAL OF SURGICAL RESEARCH
(2024)
Article
Surgery
David P. Stonko, Joseph Edwards, Hossam Abdou, Rebecca Treffalls, Patrick Walker, Jonathan J. Morrison
Summary: Raising mean arterial pressure (MAP) >90 mmHg with norepinephrine can increase gastroduodenal artery (GDA) flow and delay bowel ischemia.
JOURNAL OF SURGICAL RESEARCH
(2024)
Article
Surgery
David R. Mann, Kathryn E. Engelhardt, Barry C. Gibney, Macelyn E. Batten, Eric C. Klipsch, Rupak Mukherjee, Ian C. Bostock
Summary: Pathologic upstaging is associated with decreased overall survival in cT1b esophageal cancer. Esophagectomy has better survival outcomes compared to endoscopic local tumor excision. Neoadjuvant chemoradiation therapy does not improve overall survival in cT1b lesions.
JOURNAL OF SURGICAL RESEARCH
(2024)
Article
Surgery
Ross Mudgway, Zachary Tran, Juan C. Quispe Espiritu, Woo Bin Bong, Hayden Schultz, Vamsi Vemireddy, Aarthy Kannappan, Marcos Michelotti, Kaushik Mukherjee, Jeffrey Quigley, Keith Scharf, Daniel Srikureja, Sharon S. Lum, Esther Wu
Summary: Comparison of medium-term outcomes between robotic-assisted cholecystectomy (RC) and laparoscopic cholecystectomy (LC) using validated quality of life (QoL) and pain assessments did not show significant differences.
JOURNAL OF SURGICAL RESEARCH
(2024)
Article
Surgery
Ningjie Chen, Haitao Wang, Yang Shao, Jincun Yang, Guodong Song
Summary: This study aimed to compare the therapeutic effects of activated platelet-rich plasma (PRP) prepared from elderly individuals and young adults in treating pressure ulcers (PUs). The results showed that PRP from young adults had higher platelet concentrations and greater production of growth factors, leading to better wound healing.
JOURNAL OF SURGICAL RESEARCH
(2024)
Article
Surgery
Brendin R. Beaulieu-Jones, Margaret T. Berrigan, Kortney A. Robinson, Jayson S. Marwaha, Tara S. Kent, Gabriel A. Brat
Summary: Introduction: Prescription opioids, including those prescribed after surgery, have greatly contributed to the US opioid epidemic. Educating opioid prescribers is a crucial component of ensuring the safe use of opioids among surgical patients. This study implemented an annual education curriculum for new surgical prescribers, resulting in significant improvements in knowledge and comfort levels. However, there remains a persistent knowledge and comfort gap among these prescribers.
JOURNAL OF SURGICAL RESEARCH
(2024)
Article
Surgery
Sneha G. Bhat, Madhuri Nagaraj, Courtney Balentine, Timothy Hogan, Jennie Meier, Hillary Prince, Kareem Abdelfattah, Herbert Zeh, Benjamin Levi
Summary: This pilot study examined the effects of a structured mental fitness program on academic surgeons and found significant improvement in Positive Intelligence (PQ) scores, as well as increased connectedness and shared language among participants. However, there were no significant changes in sleep, well-being, or teaching evaluations.
JOURNAL OF SURGICAL RESEARCH
(2024)
Article
Surgery
Kristin E. Cox, Michael A. Turner, Siamak Amirfakhri, Thinzar M. Lavin, Mojgan Hosseini, Pradipta Ghosh, Marygorret Obonyo, Takashi Murakami, Robert M. Hoffman, Paul J. Yazaki, Michael Bouvet
Summary: This study demonstrates the potential of using humanized anti-carcinoembryonic antigen (CEA) antibodies conjugated with near-infrared dyes to specifically label gastric cancers in mouse models. Orthotopic models showed bright and specific labeling with more than ten times higher tumor-to-background ratios compared to the control. This tumor-specific fluorescent antibody has promising potential as a clinical tool for improving visualization of gastric cancer margins during surgical resection.
JOURNAL OF SURGICAL RESEARCH
(2024)
Review
Surgery
Sarah Maki, Melissa Leon, Emily Glenn, Tiffany Tanner, Crystal Krause
Summary: This scoping review analyzed the literature on the use of broadband personality tests in the bariatric surgical population to optimize weight loss outcomes. The study found significant associations between personality scales and weight loss, but inconsistent reporting of outcome measures made it challenging to draw concrete conclusions. The American Society for Metabolic and Bariatric Surgery recommends standardization of outcome reporting to improve the reliability of predicting weight loss outcomes.
JOURNAL OF SURGICAL RESEARCH
(2024)