Publications by authors named "Mark Coutin"
A 65-year-old man undergoing posterior cervical decompression and fusion demonstrated absent lower extremity evoked potential (EP) after prone positioning and before incision. Localized EP change pointed to either a technical or positional culprit. After excluding technical causes, we performed a wake-up test to rule out positioning as the culprit.
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- The study aimed to identify the probability threshold for recurrent symptoms in older patients with symptomatic cholelithiasis to determine when elective cholecystectomy becomes a better option than observation.
- The decision model showed that elective cholecystectomy initially resulted in lower effectiveness and higher costs compared to observation, but became more favorable when the likelihood of continued symptoms surpassed 45.3%.
- At a threshold of 82.7% for recurrent symptoms, elective cholecystectomy was both more effective and less costly, suggesting that personalized decision-making could improve outcomes for patients at risk of recurrent symptoms.