Publications by authors named "J A Ragheb"
Background: The objective of this study was to determine whether postoperative pager alerts to the Hospital Elder Life Program (HELP), a delirium prevention service, would accelerate program enrollment for older surgical patients. This study also tested feasibility of family care partner interventions for delirium prevention.
Methods: This single-center, pilot clinical trial factorially randomized 57 non-cardiac surgical patients ≥70 years of age to 4 arms: (1) standard care, (2) pager alerts to accelerate HELP enrollment, (3) family care partner-based delirium prevention interventions, or (4) a combined arm with both HELP and family interventions.
The Hemispherectomy Outcome Prediction Scale (HOPS) was developed to aid both clinicians and patients in determining the chance of success after hemispheric surgery for medically refractory epilepsy. The original study generating HOPS had a multi-institutional, large cohort format yielding near perfect patient stratification. Evidence suggests that methodologies utilized to create such predictive models, including cross-validation as well as stratification utilizing the same data employed for model generation, may be at risk of an undesirable modeling phenomenon known as overfitting.
View Article and Find Full Text PDFEndoscopic bariatric and metabolic therapies (EBMTs) are minimally invasive endoscopic procedures that have shown to demonstrate significant weight loss in people with obesity. While abundant data support their positive effect on weight loss, there remains a notable dearth of information regarding their effects on metabolic dysfunction-associated steatotic liver disease (MASLD). As rates of type 2 diabetes and obesity have grown worldwide, so has the rate of MASLD.
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- There is variability in the practice of obtaining whole-spine MRIs before surgery for adolescents with idiopathic scoliosis (AIS), prompting this study to evaluate the benefits of uniform MRI use.
- The research included 283 asymptomatic AIS patients who had preoperative MRIs, revealing various neural axis anomalies in 9.9% of cases, with 2.1% requiring surgical intervention.
- Findings indicated that although some patients had neuromonitoring alerts related to anomalies, none experienced permanent neurological deficits post-surgery, underscoring the importance of MRI in identifying potential complications.
Article Synopsis
- Vertebral compression fractures (VCFs) are a significant health concern associated with increased rates of illness and death, yet many patients do not follow prescribed osteoporosis treatments (AOTs).
- This study analyzed data from over 637,000 patients with VCFs from 2010 to 2021 to assess the rate of hip fractures following VCFs and examined patterns of AOT prescriptions and surgical interventions.
- Results showed a higher subsequent hip fracture rate among patients who started AOT after their VCF, indicating a potential selection bias and underscoring the need to improve adherence to osteoporosis management guidelines.