Publications by authors named "A Hersh"
Article Synopsis
- This study examined how the volume of operative vaginal deliveries (OVDs) at hospitals in California from 2008 to 2020 affects adverse outcomes for both birthing individuals and newborns.
- It categorized hospital OVD volume into low (less than 5.2%), medium (5.2%-7.4%), and high (7.4% or more), finding that lower volume hospitals had a higher incidence of complications such as obstetric anal sphincter injuries and adverse neonatal outcomes.
- The research utilized extensive data from birth certificates and hospital records to analyze trends, highlighting the need for improvements in obstetric care based on hospital performance.
Background: Emergency department (ED) use is common among patients with Medicaid insurance during pregnancy. However, it is unknown how ED utilization differs among those with different types of Medicaid such as Emergency Medicaid, with which access to outpatient care is more restricted.
Objective: We sought to compare differences in ED use during between pregnant persons with Emergency Medicaid and Traditional Medicaid and pregnancy outcomes by ED utilization.
Objective: There is a paucity of high-quality return-to-play (RTP) data following treatment of cervical spine injuries in contact sports. In this study, the authors gathered insights from National Football League (NFL) team spine surgeon consultants to highlight current practices in treating cervical spine injuries and report decision-making regarding RTP in professional American football players.
Methods: A cross-sectional, online survey was distributed to all NFL consulting physicians specializing in the management of spine injuries.
Validation and generalizability of an asymptomatic bacteriuria metric in critical access hospitals.
Infect Control Hosp Epidemiol
December 2024
Article Synopsis
- The study aimed to adapt the Inappropriate Diagnosis of UTI (ID-UTI) measure for use in Critical Access Hospitals (CAHs), assessing its feasibility, validity, and reliability.
- Only 40% of participating CAHs met the target for case submissions, with the ID-UTI metric showing high specificity (100%) but low sensitivity (48.5%) compared to physician reviews.
- While the adapted measure was reliable (93% agreement), challenges remain in ensuring its consistent application across CAHs.
A survey of pediatric infectious diseases clinicians from 49 children's hospitals demonstrated variability across institutions in the treatment of epidural empyema from sinus extension, including antibiotic route, selection, and impact of neuroimaging on determining duration of therapy.
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