Article
Emergency Medicine
John Alfred Carr, Timothy NeCamp
Summary: There are no standardized criteria for what constitutes prohibitive risk for emergency abdominal surgery. This study compared two groups of patients undergoing emergency colectomy and found that patients labeled as prohibitive surgical risk may be inaccurately assessed in the majority of cases. The study highlights the need for further research to evaluate high-risk physiological conditions that place a patient at risk of death after abdominal surgery.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY 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
Multidisciplinary Sciences
Elisa Puolitaival, Juha Vahatalo, Lauri Holmstrom, M. Anette E. Haukilahti, Lasse Pakanen, Olavi H. Ukkola, M. Juhani Junttila, Heikki V. Huikuri, Juha S. Perkiomaki
Summary: In cases of unexpected sudden cardiac death (SCD) in individuals aged >= 80 years, ischemic heart disease (IHD) was the most common cause, while non-ischemic heart disease (NIHD) was less frequent. Severe fibrosis in the myocardium was more common in SCD victims aged >= 80 years, and they also had lower heart weight, liver weight, body mass index, and abdominal fat thickness compared to those aged < 80 years. Among SCD victims with IHD, at least 75% stenosis in major coronary vessels was more common in those aged >= 80 years. The likelihood of dying during physical activity was lower in SCD victims aged 80 years or older, while dying in a sauna was more common in this age group.
Article
Geriatrics & Gerontology
Evangelia Vemmou, Khaldoon Alaswad, Mitul Patel, Ehtisham Mahmud, James W. Choi, Farouc A. Jaffer, Anthony H. Doing, Phil Dattilo, Dimitri Karmpaliotis, Oleg Krestyaninov, Dmitrii Khelimskii, Ilias Nikolakopoulos, Judit Karacsonyi, Iosif Xenogiannis, Santiago Garcia, M. Nicholas Burke, Nidal Abi Rafeh, Ahmed ElGuindy, Omer Goktekin, Abir Abdo, Bavana V. Rangan, Shuaib Abdullah, Emmanouil S. Brilakis
Summary: Octogenarians and nonagenarians undergoing CTO PCI have higher rates of comorbidities and complex coronary lesions, leading to lower technical and procedural success rates and increased risk of complications compared to younger patients.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2021)
Article
Surgery
Maha H. Haqqani, Louis P. Kester, Brenda Lin, Alik Farber, Elizabeth G. King, Thomas W. Cheng, Andrea Alonso, Karan Garg, Mohammad H. Eslami, Denis Rybin, Jeffrey J. Siracuse, New York
Summary: This study aimed to evaluate the outcomes of interventions for intermittent claudication in different age groups. The results showed that patients aged 80 years and above had higher rates of perioperative hematoma and 30-day mortality, as well as fewer independently ambulatory patients at 1 year post-intervention. Risk-adjusted analysis demonstrated that this age group had higher risks of reintervention/amputation/death, amputation/death, and mortality. Similar findings were observed in the octogenarian and nonagenarian group undergoing infrainguinal bypass. Therefore, the risks and benefits of revascularization should be carefully assessed in elderly patients with intermittent claudication, and medical and exercise therapy should be maximized.
JOURNAL OF VASCULAR SURGERY
(2023)
Article
Emergency Medicine
Rohit B. Sangal, David R. Peaper, Craig Rothenberg, Marie L. Landry, L. Scott Sussman, Richard A. Martinello, Andrew Ulrich, Arjun K. Venkatesh
Summary: This study examined the relationship between SARS-CoV-2 testing and emergency department length of stay. The results showed that universal testing increased admission length of stay and detected only 1 positive case every other day. Regular operational flow and infection prevention needs need to be balanced in order to support mitigation and containment efforts.
ANNALS OF EMERGENCY MEDICINE
(2022)
Article
Surgery
Evelena Cousin-Peterson, Haroon M. Janjua, Tara M. Barry, Marshall S. Baker, Paul C. Kuo
Summary: This study investigated the impact of enhanced recovery protocols on length-of-stay and readmission rates in colorectal surgery. The findings suggest that early or late discharge may increase the risk of readmission. Targeting ideal length-of-stay could optimize discharge timing and potentially reduce unplanned readmissions.
AMERICAN JOURNAL OF SURGERY
(2021)
Article
Computer Science, Artificial Intelligence
Jonathan Moya-Carvajal, Francisco Perez-Galarce, Carla Taramasco, Cesar A. Astudillo, Alfredo Candia-Vejar
Summary: This study aims to improve the accuracy of predicting hospital length of stay and severity classification for emergency patients using advances in natural language processing. The results show that using raw text with minimal preprocessing can increase the accuracy of predictions. This encourages the use of available text to accurately anticipate patients' need for hospitalization at an early stage of care.
EXPERT SYSTEMS WITH APPLICATIONS
(2023)
Article
Urology & Nephrology
Anil Erkan, Caglar Boyaci, Gokce Dundar, Metin Kilic
Summary: This study evaluated the reasons for urology hospitalization and outcomes in octogenarian and nonagenarian patients compared to younger adult patients. The results showed that complications and mortality rates increase with age. The aim of this study is to contribute to the literature by revealing the needs and outcomes of octogenarian and nonagenarian patients in the urology clinic.
WORLD JOURNAL OF UROLOGY
(2023)
Article
Multidisciplinary Sciences
Abdullah E. Laher, Fathima Paruk, Guy A. Richards, Willem D. F. Venter
Summary: This study identified predictors of prolonged hospital length of stay in HIV-positive patients presenting to the emergency department. Factors such as anemia, Glasgow coma scale, creatinine levels, cryptococcal meningitis, and bacterial meningitis were significantly associated with longer hospital stays. Meanwhile, bacterial pneumonia and acute gastroenteritis were associated with a lower likelihood of prolonged hospitalization.
Article
Emergency Medicine
Sean Moon, Taegyun Kim, Heesu Park, Hayoung Kim, Jieun Shin, Yun Seong Park, Gaonsorae Wang
Summary: In this retrospective analysis, it was found that an emergency short-stay ward operated by emergency medicine physicians can reduce the length of patient stay in the emergency department without compromising clinical outcomes.
BMC EMERGENCY MEDICINE
(2023)
Article
Chemistry, Analytical
Sai Gayatri Gurazada, Shijia (Caddie) Gao, Frada Burstein, Paul Buntine
Summary: This study adds to the existing literature by showing the potential of data mining in managing length of stay in emergency departments. By predicting delays and offering clinical decision support, data mining models can help hospitals identify risk factors and monitor them over time.
Article
Radiology, Nuclear Medicine & Medical Imaging
Tarub S. Mabud, David Swilling, Phillip Guichet, Yuli Zhu, Sophia Manduca, Bhavin Patel, Lea Azour, Bedros Taslakian, Stuart M. Garay, William Moore
Summary: This study evaluated the effectiveness and safety of percutaneous cryoablation for primary lung malignancies in patients aged 80 years and older. The results showed high overall survival and recurrence-free survival rates in selected patients, and most patients were able to be discharged on the day of the procedure.
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY
(2023)
Article
Medicine, General & Internal
Ronny Otto, Sabine Blaschke, Wiebke Schirrmeister, Susanne Drynda, Felix Walcher, Felix Greiner
Summary: This study analyzed the determinants of length of stay (LOS) in emergency departments in Germany using data from the German Emergency Department Data Registry. The study found that patient-related factors (such as age), disease-related factors (presentation complaint and triage level), and organizational factors (weekday and admitted/non-admitted status) all influenced the duration of LOS. These findings are important for optimizing patient flow and preventing overcrowding in emergency departments.
INTERNAL AND EMERGENCY MEDICINE
(2022)
Article
Gastroenterology & Hepatology
Abhishek Verma, Sanskriti Varma, Daniel E. Freedberg, Jordan E. Axelrad
Summary: This study identified factors such as tachycardia, hypotension, hypoalbuminemia, Clostridioides difficile infection, and endoscopic colitis as predictors of prolonged hospitalization, inpatient colectomy, or salvage therapy in IBD patients with flare. An emergency department-based score utilizing heart rate and albumin level effectively predicted complex hospitalization, providing prognosis in patient care during uncertain times.
DIGESTIVE DISEASES AND SCIENCES
(2022)