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Introduction: The ability to admit patients to enhanced or critical care may be limited by bed availability. In a network with low provision of critical and enhanced care beds, we aimed to assess the proportion of patients having surgery with moderate (1%-< 5%) or high (≥ 5%) predicted risk of 30-day postoperative mortality and their postoperative care location. We also aimed to study referral and admission outcomes to critical care.
View Article and Find Full Text PDFIs there an optimal perioperative risk assessment tool for older adult ankle fractures?
Arch Orthop Trauma Surg
December 2024
Department of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center, 2160 S First Ave, Maywood, IL, 60153, USA.
Objective: To measure the predictive value of three perioperative risk assessment tools (National Surgical Quality Improvement Program-NSQIP, Modified 5-factor Frailty Index-mFI-5, and Score for Trauma Triage in Geriatric and Middle Aged-STTGMA) in predicting postoperative complications in older adult ankle fractures.
Materials And Methods: This is a retrospective study of surgically treated isolated older adult ankle fractures at an academic center between 2007 and 2022. Exclusion criteria included age < 55 years, presence of pathologic fractures, and having multiple orthopaedic injuries.
Jael's syndrome: Removal of a retained intracranial kitchen knife blade - A case report.
Surg Neurol Int
November 2024
Department of Neurosurgery, Arrazi Hospital, Mohammed VI University Hospital Center of Marrakesh, Cadi Ayyad University, Faculty of Medicine, Marrakesh, Morocco.
Background: Jael's syndrome is defined as an intentional injury caused by a knife in the skull or the face. It is a rare yet challenging situation in clinical practice. Initial triage is the key to optimal management.
View Article and Find Full Text PDFMiddle-grade led Expedited Gall bladder lists: Is it safe and feasible?
J Minim Access Surg
November 2024
Department of General Surgery, Broomfield Hospital, Chelmsford, Essex, UK.
Introduction: Gallstone-related acute admissions account for a significant percentage of acute general surgery admissions. Providing a dedicated expedited gall bladder list service to deal with these cases appears to be not only clinically effective but also cost-effective. There are various logistical reasons why hospitals are unable to provide such dedicated lists, inadequate surgical staff being one of them.
View Article and Find Full Text PDFDevelopment of a clinical prediction model for pathological upgrading in low-grade squamous intraepithelial lesions following cervical conization.
Cytojournal
October 2024
Department of Gynecology, The First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui, China.
Article Synopsis
- - The study investigates factors influencing post-operative pathologic escalation in Chinese women with low-grade cervical lesions (LSIL) undergoing cervical conization, focusing on developing a predictive model.
- - A retrospective analysis of 107 patients revealed that 39.3% experienced pathological upgrades, with independent risk factors identified as high-risk HPV types, certain ThinPrep Cytology Test results, and specific cervical transformation zone types.
- - The predictive nomogram showed good accuracy (AUC: 0.744) and emphasized the importance of considering pre-operative HPV, TCT results, and cervical transformation zone type to improve patient outcomes in this context.
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