Publications by authors named "Beatrice Konrad"
Article Synopsis
- Obese patients are generally seen as at higher risk for complications after colorectal surgery, so a study was conducted to compare outcomes between obese and non-obese patients in an Enhanced Recovery After Surgery (ERAS) program.
- The study analyzed data from 460 patients, finding that overall postoperative outcomes were similar regardless of obesity, though obese patients undergoing oncologic surgery had a higher conversion rate to laparotomy and longer recovery of bowel function.
- The conclusion suggests that the ERAS program may help lower the risks typically associated with obesity in surgical settings, leading to comparable outcomes with non-obese patients.
Background: Enhanced recovery program is a multimodal, multidisciplinary-team, evidence-based care approach to reduce perioperative surgical stress, decrease morbidity and hospital stay, and improve recovery after surgery. This program may be most beneficial for elderly (≥70 y), but sparse series have investigated this question.
Objective: Feasibility and efficiency of a dedicated enhanced recovery program in the elderly as compared with standard care were studied.
Background: Patients with posttraumatic stress disorder (PTSD) are at increased risk for adverse consequences from comorbid medical conditions. Nonadherence to medications prescribed to treat those comorbid conditions may help explain this increased risk. We sought to determine the association between PTSD and medication nonadherence and whether it varied according to the type of event inducing the PTSD.
View Article and Find Full Text PDFPurpose/background: Personalized (N-of-1) trials are single-patient, crossover-design trials that may be useful for personalizing the selection of depression treatments. We conducted a systematic review of published N-of-1 trials for depression to determine the feasibility and suitability of this methodology for personalizing depression care.
Methods/procedures: Electronic databases were searched from database inception through October 2016.
Background: As many as 12% of acute coronary syndrome (ACS) patients screen positive for post-traumatic stress disorder (PTSD) symptoms due to their cardiac event, and emergency department (ED) factors such as overcrowding have been associated with risk for PTSD. We tested the association of patients' perceptions of their proximity to a critically ill patient during ED evaluation for ACS with development of posttraumatic stress symptoms (PSS) in the month after hospital discharge.
Methods: Participants were enrolled in the REactions to Acute Care and Hospitalization (REACH) study during evaluation for ACS in an urban ED.
Background: Up to 15% of colorectal cancer (CRC) patients present with obstructive or perforated tumours, and require emergency surgery. The Hartmann's procedure (HP) provides the opportunity to achieve a potentially curative (R0) resection, while minimizing surgical trauma in poor-risk patients. The aim of this study was to assess the surgical (operative mortality), and oncological (long-term survival after curative resection) results of emergency HP for obstructive or perforated left-sided CRC.
View Article and Find Full Text PDFObjective: Abdominoperineal resection (APR) is a disfiguring procedure, frequently associated with significant urogenital dysfunction. The aim of this prospective study was to repeatedly assess quality of life (QoL) 1, 6, and 12 months after APR.
Methods: Twenty patients who underwent APR between June 2002 and September 2005 were considered for analysis.