Publications by authors named "C K Gentle"
Most studies on surgical site infections (SSIs) use the US Centers for Disease Control and Prevention (CDC) guidelines, which excludes inflammation or cellulitis without fever. The aim of this study was to evaluate antibiotic prescription trends in the post-operative period among patients undergoing breast operation. We explore the outcomes of patients receiving antibiotic agents outside of the CDC-defined SSI.
View Article and Find Full Text PDFObjectives: It is unclear whether improvements in the delivery of trauma care over the last decade have diminished racial disparities in mortality after firearm injuries.
Methods: The American College of Surgeons Trauma Quality Improvement Program was queried for patients (≥18 years old) who experienced penetrating firearm assault injuries between 2008 and 2018. Multivariable logistic regression was used to assess the association between mortality and race, controlling for demographics, comorbidities, shock index, injury severity score injury location, and hospital characteristics.
Objective: Study findings showing an association between nonsteroidal anti-inflammatory drug use and marginal ulcer, a significant cause of morbidity after gastrojejunostomy, have been inconsistent. This study aimed to evaluate this relationship in large cohort.
Methods: This retrospective cohort included adult patients with a history of gastrojejunostomy documented between 2004 and 2023.
Article Synopsis
- This study examines the link between food insecurity and weight loss outcomes in patients who underwent Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG), given previous findings that food insecurity can contribute to obesity and hinder weight loss efforts.
- Analysis involved over 5,000 patients from the Cleveland Clinic, categorizing them based on their food security status using a modified Retail Food Environmental Index (mRFEI), and tracking their weight changes post-surgery for around 2.3 years.
- Results revealed that food security status did not significantly affect weight loss, weight loss peaks, or nutritional deficiencies after surgery, suggesting that metabolic surgery is effective regardless of a patient's food environment.*
Purpose: Although intraoperative music is purported to mitigate postoperative pain after some procedures, its application has never been explored in abdominal wall reconstruction (AWR). We sought to determine whether intraoperative music would decrease early postoperative pain following AWR.
Methods: We conducted a placebo-controlled, patient-, surgeon-, and assessor-blinded, randomized controlled trial at a single center between June 2022 and July 2023 including 321 adult patients undergoing open AWR with retromuscular mesh.