Publications by authors named "J L A Lans"
Background: Peripheral intravenous (PIV) infiltration and extravasation are common complications of intravenous fluid administration. Here, we aim to investigate risk factors associated with major adverse events following PIV infiltration, which may help risk stratify those who require early surgical consultation.
Methods: Retrospectively, patients were identified who had a documented PIV infiltration or extravasation event at 3 academic hospitals between 2015 and 2022.
The objective of an operating room (OR) ultra-clean ventilation system is to eliminate or reduce the quantity of dust particles and colony-forming units per cubic meter of air (CFU/m). To achieve this, ultra-clean goal high air change rates per hour are required to reduce the particle load and number of CFU/m. To determine the air quality in an ultra-clean OR during surgery, in terms of the number and type of microorganism and quantity of dust particles in order to establish a benchmark.
View Article and Find Full Text PDFObjectives: This study aimed to determine whether outpatient upper extremity fracture surgery was associated with increased postoperative emergency department (ED) visits and identify related risk factors.
Design: Retrospective cohort.
Setting: This multicenter study was conducted within a single academic institution, encompassing two Level 1, two Level 2, and one Level 3 trauma centers.
Article Synopsis
- The study examined trends in surgical treatment for upper extremity fractures from 2008 to 2021, focusing on both inpatient and outpatient procedures and identifying patient factors influencing outpatient surgery.
- Outpatient surgeries increased by an average of 31%, with the most significant growth in humerus and forearm fractures, while older patients and those with higher comorbidities were more likely to require inpatient care.
- The findings suggest a notable shift toward outpatient management, highlighting the need for healthcare providers to consider socioeconomic disparities when making surgical decisions to ensure equitable access to care.
Article Synopsis
- Ganglion excision is a surgical procedure done for pain relief, functionality, or cosmetic improvements, with recurrence rates between 9-20%.
- This study analyzed data from 1,076 patients on their recurrence and reoperation rates after ganglion excision, finding a low reoperation rate of 3.3% and a recurrence rate of 13%.
- Patient-reported outcomes showed good functional scores and minimal ongoing pain, with females reporting slightly higher scores on pain and disability assessments.