Publications by authors named "J'undra Pegues"

Background: Heart transplantation (HT) survival and waitlist times are established outcome metrics. Patient-centered HT outcomes are insufficiently characterized. This study evaluates the role of days alive and outside the hospital (DAOH) as a candidate patient-centered HT performance measure.

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Article Synopsis
  • A study was conducted to explore how the race of both heart transplant donors and recipients affects outcomes after orthotopic heart transplant (OHT) using data from the UNOS database between 2000 and 2018.
  • The research found that White patients comprised the majority of recipients (71%), while most donors were also White (66%).
  • Results indicated that Hispanic recipients had significantly worse short-term (30-day) and long-term (1-year) survival rates compared to White recipients, while Black patients tended to receive hearts labeled as "urgent" more often.
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Bezoars are concrete masses found within the gastrointestinal tract that can lead to obstructions. One of the most common forms of bezoars is trichobezoar, composed of swallowed hair. Many bezoars are confined to the stomach; however, a small occurrence of trichobezoars extends past the pylorus and into the duodenum, or small bowel, termed Rapunzel syndrome.

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Objective: To determine whether an enhanced recovery after surgery (ERAS) nutrition protocol is reasonably possible among our head and neck cancer (HNC) population with respect to system feasibility and patient compliance. Second, we aim to identify improvements in patient outcomes as a result.

Methods: Preexperimental research design among patients undergoing major HNC surgery after implementation of the ERAS nutrition protocol from July 2018 to July 2019 as quality improvement (QI).

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Design: Retrospective chart review.

Setting: Academic, tertiary care, level I trauma center in a rural state.

Background: Unnecessary transfer of certain facial trauma patients results in a burden of time, money, and other resources on both the patient and healthcare system; identification and development of outpatient treatment pathways for these patients is a significant opportunity for cost savings.

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