Publications by authors named "Braden Goldberg"
Article Synopsis
- * A total of 362 pediatric patients were assessed, with 12.2% requiring open reduction, while most (87.8%) were treated with closed reduction; age, gender, and other factors did not significantly affect the outcome.
- * The likelihood of needing open reduction was higher in cases with significant fracture displacement and certain injury mechanisms, but the study also noted complications like neuropraxia and emphasized faster operating room times for open reduction cases.
Surgical site infections (SSIs) contribute to increased health care costs and morbidity after procedures as well as prolonged length of stay. Perioperative personnel can use a variety of interventions to help reduce SSI incidence; however, all strategies are not effective for all patients (eg, antibiotic prophylaxis). Results of randomized controlled trials show that some SSI reduction strategies are generally effective, including preoperative skin antisepsis with an alcohol-based agent, closing surgical wounds with triclosan-coated suture, and applying a negative pressure wound therapy device to open and closed wounds.
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- Understanding patient perspectives on shared decision-making is vital for effective, patient-centered surgical care, particularly for vulnerable populations with conditions like gallstones.
- A mixed methods study revealed a significant gap between patient perceptions as measured by questionnaires and their actual experiences during consultations, with 83% reporting shared decision-making via the questionnaire compared to only 27% in interviews.
- Factors contributing to this discrepancy included patients' lack of familiarity with shared decision-making, deference to their surgeons, insufficient discussion of treatment options, and confusion regarding decision-making dynamics.