Publications by authors named "L G Glance"
Background: Sepsis disproportionately affects marginalized communities. This study aims to evaluate racial and ethnic disparities in failure-to-rescue (FTR) after postoperative sepsis.
Methods: This cross-sectional study used data from the American College of Surgeons National Surgical Quality Improvement Program for patients who underwent inpatient noncardiac surgery between 2018 and 2021.
Article Synopsis
- Delaying elective noncardiac surgery after an acute myocardial infarction (NSTEMI) leads to better health outcomes, but existing guidelines are outdated and based on old data.
- A study analyzed Medicare data from surgeries between 2015 and 2020, focusing on patients 67 and older, to determine how the time since an NSTEMI affects postoperative risks.
- Results showed that surgeries performed within 30 days of an NSTEMI significantly increased the chances of major cardiovascular and cerebrovascular events, with risks leveling off after 30 days for those who had heart procedures, but increasing again after 180 days.
Article Synopsis
- Marginalized populations, especially racial and ethnic minorities, faced worse health outcomes during the COVID-19 pandemic, particularly in hospitals under strain.
- The study aimed to understand the impact of hospital conditions on older patients with sepsis, comparing those from minority groups with White individuals.
- Results showed that during high COVID-19 patient weeks, White patients' risk of poor outcomes nearly doubled, while minority groups also experienced significant increases in mortality and morbidity, indicating larger disparities in healthcare access and outcomes.
Article Synopsis
- This study investigates the relationship between mortality rates for patients undergoing extracorporeal cardiopulmonary resuscitation (ECPR) based on where in the hospital their cardiac arrest occurs, as well as the effect of moving patients for cannulation on their outcomes.
- The research analyzed data from 2,515 patients who experienced in-hospital cardiac arrest between 2020 and 2023 at hospitals reporting to the Extracorporeal Life Support Organization (ELSO).
- Results showed significantly higher odds of mortality for patients who had cardiac arrests in the ICU or acute care beds compared to those in the cardiac catheterization lab, while relocating patients for cannulation did not have a notable impact on survival rates.