Article
Pediatrics
Brian D. Leland, Lucia D. Wocial, Vanessa N. Madrigal, Michelle M. Moon, Cheryl Ramey-Hunt, Jennifer K. Walter, Jennifer D. Baird, Jeffrey D. Edwards
Summary: This study used group concept mapping to describe and conceptualize high-quality care for long-stay pediatric intensive care unit (PICU) patients. Through the analysis of 265 prompt responses, 8 domains of high-quality care were identified, including family-centered care and shared decision making, humanizing the patient, clinician supports and resources, multidisciplinary coordination of care, family well-being, anticipatory guidance and care planning, communication, and continuity of care.
JOURNAL OF PEDIATRICS
(2023)
Article
Health Care Sciences & Services
Homero Teixeira Leite, Alex C. Manhaes, Luisa A. Antunes, Tevy Chan, Guy Hajj-Boutros, Jose A. Morais
Summary: Implementing an Age-friendly Hospital model in Brazilian hospitals and integrating a geriatric co-management team in Clinical Teaching Units (CTUs) leads to improved efficiency, reduced length of patient-stay, increased referrals to homecare services, without increasing total hospital costs.
Article
Oncology
Daan M. Voeten, Leonie R. van der Werf, Suzanne S. Gisbertz, Jelle P. Ruurda, Mark I. van Berge Henegouwen, Richard van Hillegersberg
Summary: This study investigated the hospital variation in postoperative length of ICU stay after MIE in Dutch hospitals, finding significant differences among hospitals. Short ICU stay was associated with shorter overall hospital admission and did not negatively impact short-term surgical outcomes. Therefore, a more selective use of ICU resources could lead to a significant national cost reduction.
Article
Respiratory System
Berna Demiralp, Lane Koenig, Jing Xu, Samuel Soltoff, John Votto
Summary: This study examines the relationship between the length of time ventilated patients spend in short-term acute care hospitals (STACH) before being transferred to long-term acute care hospitals (LTACH) and their weaning success and mortality rates. The findings suggest that discharging ventilated patients earlier from STACH to LTACH is associated with a higher probability of weaning from mechanical ventilation.
BMC PULMONARY MEDICINE
(2021)
Article
Medicine, General & Internal
Larissa Vainqueur, Nadine Simo-Tabue, Roxane Villeneuve, Dorice Dagonia, Bernard Bhakkan-Mambir, Ludwig Mounsamy, Vaynome Delacroix, Maturin Tabue-Teguo
Summary: The study aimed to investigate the relationship between frailty index and length of hospital stay, and death in a non-COVID population of patients aged 75 years old and above. The results showed a significant association between frailty index and mortality, but it was not significant in predicting length of stay.
FRONTIERS IN MEDICINE
(2022)
Article
Gastroenterology & Hepatology
Claudio Ricci, Carlo Ingaldi, Laura Alberici, Giovanni Marasco, Nico Pagano, Cristina Mosconi, Marina Migliori, Carla Serra, Ida Davidovich, Giacomo Sermonesi, Luigina Vanessa Alemanni, Benedetta Rossini, Claudio Isopi, Riccardo Casadei
Summary: This study found that adherence to guidelines for acute pancreatitis was low, but compliance could reduce mortality, decrease hospital stay, and lower costs.
Article
Engineering, Multidisciplinary
Merhan A. Abd-Elrazek, Ahmed A. Eltahawi, Mohamed H. Abd Elaziz, Mohamed N. Abd-Elwhab
Summary: According to the World Health Organization (WHO), patient Length of Stay (LOS) in hospitals is an important performance measurement and monitoring indicator. Prolonged LOS in the Intensive Care Unit (ICU) may lead to consuming hospital resources, manpower, and equipment. The proposed framework for predicting patient LOS in the ICU using different machine learning (ML) techniques demonstrates high prediction accuracy and applicability across all patients.
AIN SHAMS ENGINEERING JOURNAL
(2021)
Article
Endocrinology & Metabolism
Ariana R. Pichardo-Lowden, Paul Haidet, Guillermo E. Umpierrez, Erik B. Lehman, Francis T. Quigley, Li Wang, Colleen M. Rafferty, Christopher J. DeFlitch, Vernon M. Chinchilli
Summary: This study demonstrates that the use of an alert-based clinical decision support tool for managing dysglycemia in hospitalized patients can significantly reduce length of stay, leading to improved patient outcomes and reduced healthcare costs.
Article
Health Care Sciences & Services
Hongpeng Liu, Baoyun Song, Jingfen Jin, Yilan Liu, Xianxiu Wen, Shouzhen Cheng, Stephen Nicholas, Elizabeth Maitland, Xinjuan Wu, Dawei Zhu
Summary: This study examined comorbidities predictive of length of stay, hospital costs, and mortality in immobile ischemic stroke patients. The Charlson Comorbidity Index was found to be significantly predictive for clinical outcomes. Population aging highlights the importance of identifying, monitoring, and managing chronic comorbidities in immobile stroke populations.
INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT
(2021)
Article
Health Care Sciences & Services
Chiedozie Udeh, Isaac Briskin, Christina Canfield
Summary: The study demonstrates the impact of nocturnal TCC involvement in patient care, with a decrease in ICU LOS as TCC order volume per ICU admission increases.
TELEMEDICINE AND E-HEALTH
(2021)
Article
Nutrition & Dietetics
Emanuele Rinninella, Raffaele Borriello, Marco D'Angelo, Tiziano Galasso, Marco Cintoni, Pauline Raoul, Michele Impagnatiello, Brigida Eleonora Annicchiarico, Antonio Gasbarrini, Maria Cristina Mele
Summary: Hospital malnutrition affects a significant portion of patients, and early assessment using the CONUT score can help predict hospital outcomes. This study aimed to determine the predictive role of the CONUT score in an Italian hospital, finding that CONUT was a reliable predictor of length of stay and in-hospital mortality.
Article
Clinical Neurology
Adrian E. Jimenez, Pavan P. Shah, Adham M. Khalafallah, Sakibul Huq, Jose L. Porras, Christopher M. Jackson, Gary Gallia, Chetan Bettegowda, Jon Weingart, Jose Ignacio Suarez, Henry Brem, Debraj Mukherjee
Summary: The study found that patient-specific factors are the main drivers of prolonged intensive care unit LOS and total hospital LOS among patients with brain tumors. The frailty index was significantly associated with both iLOS and tLOS on multivariate analysis.
WORLD NEUROSURGERY
(2021)
Article
Chemistry, Multidisciplinary
Lars Hempel, Sina Sadeghi, Toralf Kirsten
Summary: This paper presents predictive models for the length of stay (LOS) of ICU patients using machine learning and early available clinical data. The goal was to demonstrate a practical approach to predicting LOS and improve resource allocation and future planning. The results show significant improvements in the performance of the models for predicting actual LOS.
APPLIED SCIENCES-BASEL
(2023)
Article
Cardiac & Cardiovascular Systems
Helena Staehler, Masamichi Ono, Patrick Schober, Takashi Kido, Paul Philipp Heinisch, Martina Strbad, Janez Vodiskar, Julie Cleuziou, Julia Lemmer, Gunter Balling, Alfred Hager, Peter Ewert, Juergen Hoerer
Summary: This study examined the clinical and haemodynamic variables associated with early adverse outcomes after the neonatal Norwood procedure. The results showed that early postoperative haemodynamic variables can predict the length of stay in the intensive care unit (ICU) and suggest that good early postoperative haemodynamics contribute to early recovery. Prolonged stay in the ICU after the Norwood procedure was associated with late mortality.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Article
Urology & Nephrology
Simge Bardak, Serap Demir, Murside Esra Dolarslan, Berkan Karadurmus, Esra Akcali, Kenan Turgutalp, Bahar Tasdelen, Ahmet Kiykim
Summary: The study evaluated the characteristics and outcomes of octogenarians, nonagenarians, and elderly patients in nephrology ICU, with findings showing no significant differences in the need for various treatments between age groups. Mortality in ICU was not significantly different among age groups, but one-month mortality rate after discharge was higher in nonagenarians. Length of ICU stay and hospital cost did not differ by age, but mortality risk was higher for nonagenarians post-discharge.
INTERNATIONAL UROLOGY AND NEPHROLOGY
(2021)
Article
Oncology
Muni Rubens, Adrian Cristian, Venkataraghavan Ramamoorthy, Marco Ruiz, Anshul Saxena, Peter McGranaghan, Raees Tonse, Emir Veledar
Summary: Frailty is significantly associated with increased in-hospital mortality, longer length of stay, and higher hospitalization costs among patients with lymphoid malignancies undergoing HSCT. Comprehensive health status assessments can improve patient outcomes.
CLINICAL LYMPHOMA MYELOMA & LEUKEMIA
(2022)
Article
Neurosciences
Sandeep Appunni, Muni Rubens, Venkataraghavan Ramamoorthy, Anshul Saxena, Peter McGranaghan, Emir Veledar
Summary: The pathophysiology of stroke is complex, involving multiple pathways and risk factors. Genetic variants and biological pathways associated with stroke could provide new therapeutic alternatives. Various studies have identified genetic loci associated with stroke through different approaches, and analytical techniques can help evaluate stroke risk factors and determine treatment priorities. Combining genetic risk factors and lifestyle risk factors can detect stroke risk early and aid in preventive interventions.
Article
Cardiac & Cardiovascular Systems
Muni Rubens, Venkataraghavan Ramamoorthy, Anshul Saxena, Juan Carlos Zevallos, Juan Gabriel Ruiz Pelaez, Sandra Chaparro, Javier Jimenez Carcamo
Summary: This study examined the management, outcomes, and resource use of frail patients hospitalized for ST-segment elevation myocardial infarction (STEMI). The findings showed that frail patients had lower odds of overall revascularization and coronary angiography, but higher odds of receiving coronary artery bypass grafting and hemodynamic support. Frail patients also had higher in-hospital mortality, longer length of stay, and higher costs. The study suggests that collaborative efforts can improve management strategies, resource use, and patient outcomes.
AMERICAN JOURNAL OF CARDIOLOGY
(2022)
Article
Multidisciplinary Sciences
Amanda Maisel-Campbell, Daniel Schlessinger, Arianna F. Yanes, Emir Veledar, Kelly A. Reynolds, Sarah A. Ibrahim, Bianca Y. Kang, Noor Anvery, Emily Poon, Murad Alam
Summary: This study aims to investigate the relationship between individual votes and Panel recommendations in the premarket review process of medical devices. It found that non-physicians, non-biostatisticians, experienced Panelists, and more talkative members are likely to vote against the majority. The presence of biostatisticians on Panels increases voting consensus. Having a diversity of opinions, including those likely to dissent from majority views, helps ensure diverse perspectives are considered before decision-making.
Article
Oncology
Muni Rubens, Adrian Cristian, Venkataraghavan Ramamoorthy, Anshul Saxena, Peter McGranaghan, Raees Tonse, Emir Veledar
Summary: Frailty is associated with adverse hospital outcomes in cancer patients, including increased length of stay, mortality, and hospitalization cost. This finding is valuable for risk stratification of cancer patients based on frailty and optimizing cancer management strategies.
JOURNAL OF GERIATRIC ONCOLOGY
(2022)
Article
Cardiac & Cardiovascular Systems
Muni Rubens, Venkataraghavan Ramamoorthy, Anshul Saxena, Juan Carlos Zevallos, Juan Gabriel Ruiz-Pelaez, Md Ashfaq Ahmed, Zhenwei Zhang, Peter McGranaghan, Emir Veledar, Javier Jimenez, Sandra Chaparro
Summary: Myocarditis is significantly associated with higher in-hospital mortality and adverse hospital outcomes among patients with COVID-19. The rate of in-hospital mortality is higher in COVID-19 hospitalizations with myocarditis, and the survival rate is lower. Myocarditis is also significantly associated with increased odds of cardiac arrest, cardiogenic shock, mechanical ventilation, and acute respiratory distress syndrome. Early suspicion of myocarditis is important for prompt diagnosis and management.
AMERICAN JOURNAL OF CARDIOLOGY
(2022)
Article
Cardiac & Cardiovascular Systems
Ramez Morcos, Haider Al Taii, Muni Rubens, Anshul Saxena, Venkataraghavan Ramamoorthy, Mohamed Hamed, Amr F. Barakat, Nitin Kulkarni, Houman Khalili, Santiago Garcia, Michael Megaly, Emir Veledar, Stavros Stavrakis
Summary: This study compared the in hospital outcomes of patients receiving catheter ablation (CA), left atrial appendage closure (LAAC), and combination of both treatments on the same day. The results showed that there were no significant differences in major adverse cardiovascular and cerebrovascular events (MACCE) between CA and combination treatment, as well as between LAAC and combination treatment.
JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY
(2023)
Article
Surgery
Md Ashfaq Ahmed, Zhenwei Zhang, Venkataraghavan Ramamoorthy, Anshul Saxena, Muni Rubens, Sandeep Appunni, Peter McGranaghan, Ahmed Hasnain Jalal, Emir Veledar
Summary: This study compared the 30-day readmission rates of laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG) using a national dataset. The study found that the readmission rates were significantly higher in the LRYGB group compared to the LSG group. Factors such as age, chronic obstructive pulmonary disease, hypertension, bleeding disorders, blood urea nitrogen, SGOT, alkaline phosphatase, hematocrit, and operation time were found to predict readmission rates.
Article
Oncology
J. M. Bryant, Russell F. Palm, Roberto Herrera, Muni Rubens, Sarah E. Hoffe, Dae Won Kim, Adeel Kaiser, Antonio Ucar, Jason Fleming, Fernando De Zarraga, Pamela Hodul, Santiago Aparo, Horacio Asbun, Mokenge Malafa, Ramon Jimenez, Jason Denbo, Jessica M. Frakes, Michael D. Chuong
Summary: Treatment options for elderly patients with inoperable pancreatic ductal adenocarcinoma (PDAC) are commonly limited. However, ablative stereotactic MRI-guided adaptive radiation therapy (A-SMART) may be an effective and safe treatment option for these patients.
Article
Clinical Neurology
Ehimen C. Aneni, Chukwuemeka U. Osondu, Jeffrin Joseph, Guljana Saeed, Javier Valero-Elizondo, Emir Veledar, Khurram Nasir
Summary: This study reveals the relationship between habitual sleep duration, cardiovascular health (CVH), and their impact on healthcare costs and resource utilization. It shows that individuals with 6-8.9 hours and >= 9 hours of sleep are more likely to achieve optimal goals for diet, physical activity, body mass index, and blood pressure. Compared to those who sleep less than 6 hours, individuals with 6-8.9 hours and >= 9 hours of sleep have lower cardiovascular health risks. Furthermore, individuals with 6 or more hours of sleep have lower healthcare expenditures and reduced likelihood of emergency room visits and hospitalizations.
Article
Gerontology
Muni Rubens, Venkataraghavan Ramamoorthy, Anshul Saxena, Juan G. Ruiz-Pelaez, Md Ashfaq Ahmed, Zhenwei Zhang, Peter McGranaghan, Sandra Chaparro, Javier Jimenez
Summary: This study found that including frailty as a risk factor in comorbidity-based models can significantly improve the predictability of unplanned 30-day readmission and in-hospital mortality among heart failure patients.
JOURNAL OF AGING AND HEALTH
(2023)
Article
Cardiac & Cardiovascular Systems
Sandeep Appunni, Muni Rubens, Venkataraghavan Ramamoorthy, Anshul Saxena, Mayur Doke, Mukesh Roy, Juan Gabriel Ruiz-Pelaez, Yanjia Zhang, Ashfaq Ahmed, Zhenwei Zhang, Peter McGranaghan, Sandra Chaparro, Javier Jimenez
Summary: This study analyzed the outcomes of hospitalizations with amyloid-related heart failure and found that these patients had higher rates of adverse outcomes during their hospital stay. Patients with amyloid-related heart failure were typically older, male, and Black. These hospitalizations were associated with increased in-hospital mortality, prolonged length of stay, and higher use of vasopressors.
AMERICAN JOURNAL OF CARDIOLOGY
(2023)
Meeting Abstract
Cardiac & Cardiovascular Systems
Mohamed Hamed, Ramez Morcos, Muni Rubens, Anshul Saxena, Emad Samaan, Mohamed Abdelazeem, Omar Hegazy, Beshoy Elkatcha, Daniel Jacobs, Brian Blair, Emir Veledar, Brijeshwar Singh Maini, Houman Khalili
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2022)
Meeting Abstract
Cardiac & Cardiovascular Systems
Mohamed Hamed, Ramez Morcos, Muni Rubens, Anshul Saxena, Emad Samaan, Omar Hegazy, Mohamed Abdelazeem, Beshoy Elkatcha, Brian Blair, Daniel Jacobs, Brijeshwar Singh Maini, Emir Veledar, Houman Khalili
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2022)
Article
Ethics
Charlotte McDaniel, Emir Veledar
Summary: This study examined ethics perceptions among long-term care employees, revealing significant differences based on racial-ethnic and work positions, as well as confirming strong relationships between ethics and employees' work features. The findings suggest potential avenues for addressing disparities at work and enhancing the quality of long-term care.
