Reliability of routine anthropometric measurements to estimate body composition in term infants.

Background: Birth weight percentiles provide limited information on qualitative infant growth. Body composition provides estimates of fat mass, fat-free mass, and body fat percentage (adiposity). We sought to implement assessment of body composition at birth into clinical practice using a validated anthropometric equation and to evaluate measurement reliability.

Early Tracheostomy in Patients With Traumatic Cervical Spinal Cord Injury Appears Safe and May Improve Outcomes.

Study Design: Retrospective case series.

Objective: To characterize outcomes associated with tracheostomy timing following traumatic cervical spinal cord injury (CSCI).

Summary Of Background Data: The morbidity associated with cervical spine trauma is substantially increased in the setting of concomitant CSCI.

Drill down analysis of door-to-needle time of acute ischemic stroke patients treated with intravenous tissue plasminogen activator.

Objective: Target stroke guidelines recommend a door-to-needle time of ≤60 minutes for acute ischemic stroke (AIS) patients treated with intravenous (IV) tissue-type plasminogen activator (tPA). We sought to analyze all diagnostic steps involved in the acute evaluation and treatment of AIS with IV tPA and to look for causes of delay in door to needle time (DNT).

Methods: A review of AIS patients treated in the emergency department with IV tPA.

Factors influencing functional outcomes after distal tibia shaft fractures.

Objectives: Surgical treatment of displaced distal tibia fractures yields reliable results with either plate or nail fixation. Comparative studies suggest more malalignment and nonunions with nails. Some studies have reported knee pain after tibial nailing.

The Influence of Cardiac Risk Factor Burden on Cardiac Stress Test Outcomes.

Background: Chest pain is the most common admission diagnosis for observation unit patients. These patients often undergo cardiac stress testing to further risk stratify for coronary artery disease (CAD). The decision of whom to stress is currently based on clinical judgment.