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Emergency Department Visits After Total Joint Arthroplasty in a Closed Urban Setting: A Report of 1,000 Consecutive Cases.
J Am Acad Orthop Surg Glob Res Rev
January 2025
From the Department of Orthopaedic Surgery, BronxCare Health System, Bronx, NY.
Background: Rates of emergency department (ED) visits and readmissions after total joint arthroplasty (TJA) have been cited as indicators of TJA quality. Understanding the incidence and nature of these events is critical for prevention. The purpose of this study was to analyze readmission rates 30 and 90 days after TJA at a safety-net hospital in an urban setting and to compare this readmission rate with that for non-safety-net hospitals found in the current literature.
View Article and Find Full Text PDFParoxysmal Complete Atrioventricular Block With Complete Left Bundle Branch Block Treated With Left Bundle Branch Area Pacing: A Case Report.
Cureus
December 2024
Clinical Engineering, Soseikai General Hospital, Kyoto, JPN.
Left bundle branch area pacing (LBBAP) can effectively enhance cardiac contraction by engaging the conduction system. LBBAP, compared with right ventricular apex pacing, can reduce QRS duration and enhance left ventricular function. Consequently, LBBAP has been proposed as a viable alternative to cardiac resynchronization therapy (CRT).
View Article and Find Full Text PDFDischarge Disposition after Total Hip Arthroplasty: A 10-Year Analysis of Trends and Predictors of Nonhome Discharge (2011-2021).
J Am Acad Orthop Surg
January 2025
From the Department of Orthopedic Surgery, Cleveland Clinic Foundation, Cleveland, OH (Pasqualini, Ibaseta, T Khan, and Piuzzi), the Case Western Reserve University School of Medicine, Cleveland, OH (Pan, Xu, and Austin), the Department of Orthopaedic Surgery, Larkin Community Hospital, South Miami, FL (Corces), and Levitetz Department of Orthopaedic Surgery, the Cleveland Clinic Florida, Weston, FL (Higuera).
Background: Total hip arthroplasty (THA) practices are evolving under the influence of the current value-based healthcare system and bundled payment models. This study aimed to (1) evaluate national trends in discharge disposition and postoperative outcomes after THA, (2) compare discharge cohorts on episode-of-care parameters, and (3) determine predictors of nonhome discharge from 2011 to 2021.
Methods: The National Surgical Quality Improvement Program database was queried for THA data from 2011 to 2021.
Article Synopsis
- This review and meta-analysis evaluated the effectiveness of single-bundle (SB) vs. double-bundle (DB) techniques in ACL reconstruction, analyzing ten different studies to primarily assess knee stability and functional outcomes.
- Results indicated no significant differences in knee stability (Lachman and pivot-shift tests) or patient-reported outcomes (IKDC and Lysholm scores) between SB and DB techniques, suggesting both are equally effective.
- Moderate variability among the studies pointed to the need for more standardized research methods to confirm these findings across various patient groups.
The Appropriate Use and Care of Peripheral Intravenous Cannulas: A Quality Improvement Project.
Cureus
January 2025
Diabetes and Endocrinology, Peterborough City Hospital, Peterborough, GBR.
Article Synopsis
- More than a third of peripheral intravenous cannulas (PIVCs) inserted in hospitals remain unused, highlighting issues with documentation and potential complications.
- A quality improvement project involved conducting an initial audit, implementing changes, and a follow-up audit to assess adherence to a PIVC care bundle.
- The project aimed for a target adherence score of 90-100% on PIVC documentation and care; results showed a comparison between the first and second cycles, with improved scores indicating successful implementation.
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