Publications by authors named "Thomas O Mitchell"
The COVID-19 pandemic has impacted utilization volumes and patterns for inpatient psychiatry, though reports have noted inconsistencies on small populations. We obtained demographic and diagnostic data from a retrospective cohort of admitted psychiatric patients at a single-site from March-July 2020 and the corresponding months in 2019. Despite controlling for the modest decrease in inpatient admissions, no statistically significant changes in demographics or utilization was found, except for an increase in patients with substance use disorder (p<0.
View Article and Find Full Text PDFIntroduction: Increasingly, health care is delivered through a patient-centered model, and patients engage in shared decision-making with their medical providers. As a result, medical educators are placing more emphasis on patient-centered communication skills. However, few published curricula currently offer a comprehensive discussion of skills for providing patient-centered education (PCE), a key component of shared decision-making.
View Article and Find Full Text PDFBackground: The purpose of this study was to identify issues important to patients in their decision-making, expectations, and satisfaction when seeking treatment for a ventral hernia.
Study Design: An exploratory qualitative study was conducted of adult patients with ventral hernias seeking care at a safety-net hospital. Two semi-structured interviews were conducted with each patient: before and 6 months after surgical consultation.
Introduction: Current risk assessment models for surgical site occurrence (SSO) and surgical site infection (SSI) after open ventral hernia repair (VHR) have limited external validation. Our aim was to determine (1) whether existing models stratify patients into groups by risk and (2) which model best predicts the rate of SSO and SSI.
Methods: Patients who underwent open VHR and were followed for at least 1 mo were included.