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Effect of providing at-home opioid disposal kits at discharge after an orthopaedic surgery.
BMJ Open Qual
January 2025
Emergency Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Prescription opioids after surgery may pose a risk if left unused. However, prescribers rely on their best judgement in determining how much their patients need, often resulting in over-prescription of these medications. Opioid disposal is a strategy to reduce the risk of persistent use or misuse of opioids.
View Article and Find Full Text PDFMonocyte Anisocytosis is Associated with Sepsis in Children with Suspected Infection.
Shock
October 2024
Massachusetts General Hospital, Department of Pediatrics.
Background: Early, accurate determination of disease severity in an emergency setting is paramount for improving patient outcomes and healthcare costs. Monocyte anisocytosis, quantified as monocyte distribution width (MDW), has been shown to correspond with immune dysregulation. We hypothesize that MDW is broadly associated with illness severity related to sepsis and serious infection in children.
View Article and Find Full Text PDFJugular Vascular Closure and Scar Formation after Leadless Pacemaker Implantation.
Rev Cardiovasc Med
December 2024
Department of Cardiology, Erasmus Medical Center, 3015GD Rotterdam, The Netherlands.
Background: Achieving hemostasis of large bore venous access sites can be challenging and time consuming. Closure devices have proven to be superior in achieving hemostasis, reducing time to ambulation and improving patient comfort, compared to manual hemostasis techniques after femoral venous and arterial access. The closure of the jugular vein following large bore access has not been investigated in previous studies.
View Article and Find Full Text PDFTransjugular Intrahepatic Portosystemic Shunt (TIPS) Check and Revision in a Freestanding Outpatient Facility: Safety and Efficacy.
Cureus
November 2024
Division of Interventional Radiology, Columbia University Irving Medical Center, New York, USA.
Aim This study aims to evaluate the safety and efficacy of transjugular intrahepatic portosystemic shunt (TIPS) check and revision procedures performed in a freestanding interventional radiology (IR) outpatient facility. Methodology A total of 40 patients (male 31:female 9, median age 60 years old) underwent a TIPS check and/or revision at a freestanding IR outpatient facility between 2009 and 2017. Procedures were performed using a mobile C-arm unit under intravenous (IV) moderate sedation, with the patient discharged home on the same day.
View Article and Find Full Text PDFReduction in Antibiotic Usage and Financial Savings Through a Large System Intervention Project.
Clin Pediatr (Phila)
December 2024
Department of Pharmacy, WellSpan York Hospital, York, PA, USA.
Clinicians continue to seek out ways to decrease antibiotic usage and its sequelae for infants with risk factors for Early Onset Sepsis (EOS). We carried out a large system intervention (LSI) to decrease antibiotic usage, decrease the proportion of infants exposed to any antibiotics and evaluate the financial impact of this intervention. Antibiotic use was monitored from January 2018 through June 2020 for infants born at York Hospital ≥ 35 weeks gestation and discharged from Newborn Nursery.
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