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Prediction of In-Hospital Mortality after Emergency Laparotomy Using Glasgow Coma Scale, ASA Physical Status Classification, and P-POSSUM Score.
J Coll Physicians Surg Pak
January 2025
Department of General and Laparoscopic Surgery, Sheikh Khalifa Bin Zayed Al-Nahyan Hospital Muzaffarabad, Azad Jammu and Kashmir, Pakistan.
Objective: To determine the importance of the Glasgow Coma scale (GCS), ASA physical status classification system, and P-POSSUM score in predicting mortality among patients undergoing emergency laparotomies.
Study Design: An analytical study. Place and Duration of the Study: Department of General Surgery, Sheikh Khalifa Bin Zayed Al-Nahyan Hospital Muzaffarabad, Pakistan, from October 2020 to January 2022.
Morbidity and mortality after elective cancer surgery-How does recent Covid-19 infection impact outcome: A prospective, comparative study.
J Anaesthesiol Clin Pharmacol
June 2024
Department of Anaesthesiology and Palliative Medicine, Bhagwan Mahaveer Cancer Hospital and Research Centre, Jaipur, Rajasthan, India.
Background And Aims: Post-Covid-19 cancer patients are likely to have poor postoperative outcomes following cancer surgeries. This is mainly because of the coexisting risk factors unique to cancer patients like immunosuppression, chemotherapy, and radiotherapy-induced risk of infection and malnutrition. The purpose of this study was to compare the postoperative morbidity in cancer patients with and without a history of Covid infection.
View Article and Find Full Text PDFPreoperative goal directed therapy in geriatric hip fracture patients - a retrospective quality improvement study.
BMC Geriatr
November 2024
Klinik für Orthopädie und Unfallchirurgie, Luzerner Kantonsspital, Spitalstrasse, Luzern, 6000, Switzerland.
Article Synopsis
- Hip fractures in older adults are common and pose serious risks, such as higher morbidity and mortality, especially when preoperative dehydration is not addressed.
- A study at a Swiss trauma center evaluated a goal-directed fluid resuscitation protocol (GDT) in geriatric patients with a high p-POSSUM Score to see if it could lower mortality and complications after surgery for proximal femur fractures.
- Results showed that while the GDT group initially had lower 30-day mortality rates, the trend shifted in later years, and overall, the GDT did not significantly reduce complications compared to standard care.
Possum: identification and interpretation of potassium ion inhibitors using probabilistic feature vectors.
Arch Toxicol
January 2025
Department of Electronics and Information Engineering, Jeonbuk National University, Jeonju, 54896, Jeollabuk-do, South Korea.
Article Synopsis
- * This study introduces POSSUM, a meta-model designed to identify potassium ion inhibitors using two datasets, seven feature descriptors, and five classifiers to create 35 models.
- * POSSUM outperforms existing methods and baseline models, making it a valuable tool for discovering and screening potential potassium ion inhibitors.
Noise in the operating room coincides with surgical difficulty.
BJS Open
September 2024
Department of Visceral Surgery and Medicine, Bern University Hospital, University of Bern, Bern, Switzerland.
Background: Noise in the operating room has been shown to distract the surgical team and to be associated with postoperative complications. It is, however, unclear whether complications after noisy operations are the result of objective or subjective surgical difficulty or the consequence of distraction of the operating room team by noise.
Methods: Noise level measurements were prospectively performed during operations in four Swiss hospitals.
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