Article
Gastroenterology & Hepatology
Daniel J. Wong, Eve M. Roth, Claire M. Sokas, Jonathan R. Pastrana Del Valle, Aaron Fleishman, Israel A. Gaytan Fuentes, Alessandra Storino, Michelle N. Fakler, Anne C. Fabrizio, Thomas E. Cataldo, Evangelos Messaris
Summary: This retrospective cohort study at an academic medical center from 2014 to 2018 examined consecutive patients undergoing colectomy or proctectomy, revealing that one third of emergency department visits after colorectal surgery are potentially preventable, with a particular focus needed on patients who do not speak English as their primary language.
DISEASES OF THE COLON & RECTUM
(2021)
Article
Obstetrics & Gynecology
Alexander A. Berger, Jasmine Tan-Kim, Shawn A. Menefee
Summary: The study examined the risk factors for 30-day readmission and emergency department visits after minimally invasive pelvic organ prolapse surgery. It found that patients undergoing concomitant hysterectomy had a slightly higher risk of 30-day readmission compared to those who did not have a hysterectomy.
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
(2021)
Article
Surgery
Jason Samuels, Heather Carmichael, Kweku Hazel, Catherine Velopulos, Kevin Rothchild, Jonathan Schoen
Summary: This study aims to evaluate the impact of mental health disorders on emergency department utilization following bariatric surgery. The study found that bariatric patients with schizophrenia or bipolar disorder have higher baseline emergency department usage and experience a greater increase in usage after surgery. These patients would benefit from intensive outpatient follow-up to limit emergency department visits.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Cardiac & Cardiovascular Systems
Biniam Kidane, Sean Higgins, Dhruvin H. Hirpara, Suha Kaaki, Yu Cindy Shen, Frances Allison, Thomas K. Waddell, Gail E. Darling
Summary: Although post-esophagectomy emergency department utilization is high, the majority of visits do not convert to inpatient admission. Anastomotic leak is independently associated with higher odds of conversion to admission. Patients living in regions further away tend to utilize closer local hospitals, resulting in lower conversion rates to admission at the index hospital.
ANNALS OF THORACIC SURGERY
(2021)
Article
Health Care Sciences & Services
Byeong-Keon Moon, Ryeok Ahn, Deulle Min, JaeLan Shim
Summary: Discharge against medical advice (DAMA) and readmissions are important issues worldwide, with key factors including medical aid, foreign worker insurance, and readmission by car. Healthcare workers need to treat these patients more carefully and preventively to mitigate potential clinical, legal, and economic impacts of DAMA.
Article
Emergency Medicine
Halee Vaughn, Arwen B. L. Declan
Summary: As physicians aim to reduce ionizing radiation by utilizing Magnetic Resonance Imaging (MRI), it is important to be aware of the specific risks associated with MRI, such as thermal burns. Obese patients are particularly susceptible to MRI-related thermal burns, as demonstrated by a case of a 45-year-old female who experienced a delayed, occult full-thickness burn after a diagnostic MRI. Emergency physicians should be knowledgeable about the risks of MRI and able to properly counsel patients before and after the procedure.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2022)
Article
Oncology
Brian C. C. Brajcich, Julie K. K. Johnson, Jane L. L. Holl, Karl Y. Y. Bilimoria, Meagan S. S. Ager, Jeanette Chung, Rachel Hae Soo Joung, Cassandra B. B. Iroz, David D. D. Odell, David J. J. Bentrem, Anthony D. D. Yang, Patricia D. D. Franklin, Jennifer M. M. Slota, Casey M. M. Silver, Ted Skolarus, Ryan P. P. Merkow
Summary: This study aims to determine the incidence, reasons, and predictors of emergency department (ED) treat-and-release encounters after gastrointestinal cancer operations. The study found that 7.9% of patients had an ED treat-and-release encounter, while 10.8% had an ED encounter with readmission. The most common reasons for ED treat-and-release encounters were pain, device/ostomy complaints, and wound complaints. Factors predicting ED treat-and-release encounters included non-Hispanic Black race/ethnicity and Medicare or Medicaid coverage.
JOURNAL OF SURGICAL ONCOLOGY
(2023)
Article
Orthopedics
Katherine A. Lygrisse, Stephen Zak, Vivek Singh, Lorraine H. Hutzler, Ran Schwarzkopf, Joshua C. Rozell
Summary: This study evaluated the payment differences between observation stay and readmission for Medicare patients undergoing total joint arthroplasty. The findings showed that placing patients on observation status resulted in actual savings and potential total savings, as well as a decrease in the readmission rate.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Endocrinology & Metabolism
Diana Pinkhasova, Janya B. Swami, Neeti Patel, Esra Karslioglu-French, Deborah S. Hlasnik, Kristin J. Delisi, Amy C. Donihi, Daniel J. Rubin, Linda S. Siminerio, Li Wang, Mary T. Korytkowski
Summary: This study aimed to examine patient comprehension of diabetes self-management instructions provided at hospital discharge to assess the risk of readmission. Results showed similar patient comprehension scores between those with and without readmission, despite the need for clarification of discharge information in many patients. Glycemic variability was associated with comprehension scores, but not with readmission risk. The Diabetes Early Readmission Risk Indicator (DERRI) was validated as a predictor for readmission at 90 days.
ENDOCRINE PRACTICE
(2021)
Article
Orthopedics
Yazdan Raji, Ajit M. Vakharia, Mingda Chen, Lakshmanan Sivasundaram, Joanne H. Wang, Michael J. Salata, James E. Voos, Robert J. Gillespie
Summary: This study aimed to investigate the utilization rate and reasons for emergency department (ED) visits after outpatient rotator cuff repair (RCR) and identify predictors for these visits. The results showed that postoperative pain was the most common reason for ED visits within the first 7 days, while hypertension, diabetes, insurance type, and Medicaid were independent predictors for ED visits within 30 days postoperatively.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2022)
Article
Infectious Diseases
Peer Oscar Overgaard Stenholt, S. M. Osama Bin Abdullah, Rune Husas Sorensen, Finn Erland Nielsen
Summary: More than one third of sepsis patients were readmitted within 90 days, with a history of malignant disease, previous sepsis admission, and diuretic treatment identified as independent predictors for 90-day readmission.
BMC INFECTIOUS DISEASES
(2021)
Article
Health Care Sciences & Services
Charleen Hsuan, Joel E. Segel, Renee Y. Hsia, Yinan Wang, Jeannette Rogowski
Summary: This study examines the association between higher emergency department census and inpatient outcomes, showing that higher census is associated with longer length of stay, lower readmissions, and higher in-hospital mortality. The effects vary depending on whether the admission is elective or unscheduled.
HEALTH SERVICES RESEARCH
(2023)
Article
Orthopedics
Scott A. Muffly, Qiang An, Nicholas A. Bedard, Timothy S. Brown, Jesse E. Otero
Summary: The study analyzed ED visits within 30 days of TJA and found that 5.4% of cases resulted in ED visits, with the majority related to surgical limb pain, wound concerns, and swelling. These common complaints accounted for a minority of readmissions and reoperations.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Surgery
George Padilla, Sabrina Awshah, Rahul S. Mhaskar, Abdul-Rahman Fadi Diab, Joseph A. Sujka, Christopher DuCoin, Salvatore Docimo
Summary: The Hispanic population in the United States has lower health literacy rates, and this study found that the Spanish-language patient education materials (PEMs) about bariatric surgery from US-based academic and medical centers are generally above the recommended 6th grade reading level.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Pediatrics
Andrea K. Morrison, Mark Nimmer, Catherine Craun Ferguson
Summary: By improving workflow in the emergency department, providing written and video education, and adding a functional education order, there was a significant increase in the percentage of parents of children with asthma receiving education, leading to a decrease in 30-day return visits and hospitalizations within 365 days.
ACADEMIC PEDIATRICS
(2021)
Article
Surgery
Stephanie T. Lumpkin, Julia Button, Lee Stratton, Paula D. Strassle, Lawrence T. Kim
Summary: Fatigue after thyroidectomy is common, with total thyroidectomy patients more likely to experience long-term fatigue compared to thyroid lobectomy patients. Some patients reported at least moderate improvement, with a portion seeing improvement within 1-2 years.
Article
Gastroenterology & Hepatology
Charles E. Gaber, Swathi Eluri, Cary C. Cotton, Paula D. Strassle, Timothy M. Farrell, Jennifer L. Lund, Evan S. Dellon
Summary: This study estimated the incidence, prevalence, and direct medical costs of achalasia in the United States. The results showed that achalasia has a higher epidemiologic and economic burden in the US than previously suggested, with a particularly increasing diagnosis in older patients.
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY
(2022)
Article
Surgery
Ivy N. Haskins, Paula D. Strassle, Bao-Tran Nguyen Parker, Lauren C. Catterall, Meredith C. Duke, Timothy M. Farrell
Summary: The study reports on the long-term results of minimally invasive Heller myotomy (HM) for achalasia, showing that it is an effective and durable treatment option. Most patients experienced improvement in symptoms postoperatively, with only a small percentage requiring additional interventions such as esophagectomy or revisional fundoplication.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Gastroenterology & Hepatology
Hannah P. Kim, Yue Jiang, Timothy M. Farrell, Christine M. Peat, Paul H. Hayashi, Alfred Sidney Barritt
Summary: This study found that bariatric surgery, particularly RYGB, was associated with an increased risk of de novo alcohol-related complications, while adjustable gastric band and sleeve gastrectomy were associated with decreased risks. Patients should be counseled on the increased risk of alcohol use and complications following RYGB.
JOURNAL OF CLINICAL GASTROENTEROLOGY
(2022)
Article
Surgery
Ian M. Kratzke, Guoyang Zhou, Prithima Mosaly, Timothy M. Farrell, Jason Crowner, Denny Yu
Summary: This study presents a novel computer vision technique for evaluating the ergonomics of surgical residents during laparoscopy. The results showed that residents exhibited suboptimal ergonomics, particularly in the positioning of the shoulders and wrists.
Article
Surgery
Rebecca G. Maine, Paula Strassle, Brian Orleans, Mary K. Bryant, Lauren Raff, Trista Reid, Anthony Charles
Summary: This study analyzed a national US database and found that treatment at ECMO centers did not offer a survival advantage in ARDS patients receiving mechanical ventilation. It suggests that early transfer of all ARDS patients to ECMO centers may not be necessary. Further evaluation of ECMO center volume and illness severity is needed.
Article
Gastroenterology & Hepatology
Charles E. Gaber, Cary C. Cotton, Swathi Eluri, Jennifer L. Lund, Timothy M. Farrell, Evan S. Dellon
Summary: This study suggests that achalasia may be associated with autoimmune conditions and viral infections. Autoimmune diseases and certain viral infections may increase the risk of achalasia.
NEUROGASTROENTEROLOGY AND MOTILITY
(2022)
Article
Surgery
Trista Reid, Jennifer Kincaid, Riju Shrestha, Paula D. Strassle, Rebecca Maine, Anthony Charles, Jared Gallaher, Mphatso Manjolo, Jotham Gondwe, Sherry M. Wren
Summary: This study investigates gender disparities in surgical care in Malawi, specifically focusing on health-seeking behavior and attitudes of community members. The results show that women are more likely to be fearful of surgery and report barriers to seeking surgical care. Men, on the other hand, express preferences for male medical treatment and greater decision-making power in household matters. Few participants believe that gender equality has been achieved.
Article
Integrative & Complementary Medicine
Ian M. Kratzke, Jessica L. Barnhill, Karen T. Putnam, Sanjana Rao, Michael O. Meyers, Samantha Meltzer-Brody, Timothy M. Farrell, Karen Bluth
Summary: This study evaluated the impact of a self-compassion program designed for surgical residents on their well-being. The results showed that emotional exhaustion improved after the program, especially after some modifications were made. Additionally, the study found that residents need a safe and distraction-free space to practice self-compassion.
EXPLORE-THE JOURNAL OF SCIENCE AND HEALING
(2023)
Article
Surgery
Ivy N. Haskins, Emilie D. Duchesneau, Chris B. Agala, Stephanie T. Lumpkin, Paula D. Strassle, Timothy M. Farrell
Summary: The study found that about half of opioid naive patients undergoing minimally invasive, benign foregut operations filled an opioid prescription postoperatively, and the risk of progressing to persistent postoperative opioid use was less than 1%, with low clinical significance. The risk of persistent postoperative opioid use seemed to be influenced by Charlson comorbidity index scores, while patients with a history of mental illness or substance use disorder had a relatively lower risk.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
William C. Bennett, Jihye Park, Murphy Mostellar, Ian C. Garbarine, Manuel E. Sanchez-Casalongue, Timothy M. Farrell, Randal Zhou
Summary: This study retrospectively analyzed the outcomes of Robot-assisted sleeve gastrectomy (RSG) cases. The results showed that performing staple line treatment (SLT) in RSG can reduce the risk of certain adverse outcomes, with a lower risk observed with staple line reinforcement (SLR) compared to oversewing.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Dimitrios N. Varvoglis, Jeffrey N. Lipman, Lang Li, Manuel Sanchez-Casalongue, Randal Zhou, Meredith C. Duke, Timothy M. Farrell
Summary: This study compared the satisfaction and quality of life between patients who underwent laparoscopic gastric bypass (LGB) and laparoscopic sleeve gastrectomy (LSG). The results showed that LGB patients had higher satisfaction, fewer cases of gastroesophageal reflux disease (GERD), and better weight loss outcomes compared to LSG patients.
JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES
(2023)
Article
Surgery
Logan R. Butler, Kevin A. Chen, Justin Hsu, Muneera R. Kapadia, Shawn M. Gomez, Timothy M. Farrell
Summary: Machine learning algorithms outperform logistic regression in predicting readmissions following bariatric surgery, offering higher accuracy and discrimination. The application of these models can help identify candidates for early discharge or targeted postdischarge resources.
SURGERY FOR OBESITY AND RELATED DISEASES
(2023)
