Publications by authors named "A Hoekman"
Article Synopsis
- Renal angioembolization (RAE) is effective for low-grade renal injuries and may improve outcomes in high-grade renal trauma (HGRT), compared to traditional surgery.
- A study using data from 591 patients with HGRT found that RAE did not significantly change morbidity or length of hospital stays but was linked to lower mortality rates compared to surgery.
- The findings suggest that RAE might help preserve kidney function and enhance non-operative treatment efficacy, but further randomized studies are necessary to confirm these results.
Introduction: Racial and ethnic disparities in emergency general surgery (EGS) patients have been well described in the literature. Nonetheless, the burden of these disparities, specifically within the more vulnerable older adult population, is relatively unknown. This study aims to investigate racial and ethnic disparities in clinical outcomes among older adult patients undergoing EGS.
View Article and Find Full Text PDFOutcomes of severe isolated blunt chest trauma in young and geriatric patients.
Eur J Trauma Emerg Surg
October 2024
Purpose: Our understanding of the growing geriatric population's risk factors for outcomes after traumatic injury remains incomplete. This study aims to compare outcomes of severe isolated blunt chest trauma between young and geriatric patients and assess predictors of mortality.
Methods: The ACS-TQIP 2017-2020 database was used to identify patients with severe isolated blunt chest trauma.
Article Synopsis
- Emergent surgical conditions in older patients often require major procedures, making it essential to assess risk factors for better decision-making and care planning.
- A study analyzing data from thousands of patients aged 65 and older found that 13.6% died within 30 days post-surgery, with ASA status 5, septic shock, and dialysis being significant predictors of mortality.
- The findings highlight that older patients with these risk factors face extremely high mortality rates after surgery, underscoring the importance of evaluating surgical futility in this vulnerable group.
Pain and anxiety are common in patients undergoing cardiac surgery and percutaneous cardiac interventions. Virtual reality (VR) is an emerging non-pharmacological tool for pain and anxiety management. However, its application around cardiac procedures remains relatively unexplored.
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