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Articles by Aveena Kochar
Training Interrupted-The Hidden Costs of Secure Messaging on Medical Trainee Learning
Training Interrupted—The Hidden Costs of Secure Messaging on Medical Trainee Learning “I can’t turn it off; I might miss a critical message,” the intern responds when asked to mute his messages during teaching rounds. The attending pauses, surprised to find herself nostalgic for pagers and frustrated that she is competing with, and losing to, a cell phone for her trainee’s attention.
High-sensitivity versus conventional troponin in assessing PE risk
Clinical question: Is high-sensitivity cardiac troponin I (hs-cTnI) better at predicting outcomes for hemodynamically stable pulmonary embolism (PE) than conventional cardiac troponin I (cTnI)? Background:Hs-cTnI is more sensitive compared to cTnI, but traditional PE risk scores rely on cTnI.
Mitral valve repair improves prognosis in heart failure patients with secondary MR
Clinical Publish date: July 1, 2019 Background: In patients with primary degenerative MR, MVR is curative, with the transcatheter approach being safer than surgical repair. However, it is unknown whether patients with secondary MR from left ventricular dilatation would confer the same benefit of MVR. Study design: Multicenter, randomized, controlled, parallel-group, open-label trial. Setting: 78 sites in the United States and Canada.
Postoperative Clostridium Difficile Infection Associated with Number of Antibiotics, Surgical Procedure Complexity
Clinical question: What are the factors that increase risk of Clostridium difficile infection (CDI) in postoperative patients? Background: CDI has become an important infectious etiology for morbidity, lengthy and costly hospital admissions, and mortality. This study focused on the risks for postoperative patients to be infected with C. diff. Awareness of the risk factors for CDI allows for processes to be implemented that can decrease the rate of infection.
Most Postoperative Readmissions Due to Patient Factors
Clinical question: What is the etiology of 30-day readmissions in postoperative patients? Background: As the focus of healthcare changes to a quality-focused model, readmissions impact physicians, reimbursements, and patients. Understanding the cause of readmissions becomes essential to preventing them. The etiology of 30-day readmissions in postoperative patients has not specifically been studied.
Ischemic Hepatitis Associated with High Inpatient Mortality
Clinical question: What is the incidence and outcome of patients with ischemic hepatitis? Background: Ischemic hepatitis, or shock liver, is often diagnosed in patients with massive increase in aminotransferase levels most often exceeding 1000 IU/L in the setting of hepatic hypoperfusion. The data on overall incidence and mortality of these patients are limited.
AIMS65 Score Helps Predict Inpatient Mortality in Acute Upper Gastrointestinal Bleed
Clinical question: Does AIMS65 risk stratification score predict inpatient mortality in patients with acute upper gastrointestinal bleed (UGIB)? Background: Acute UGIB is associated with significant morbidity and mortality, which makes it crucial to identify high-risk patients early. Several prognostic algorithms such as Glasgow-Blatchford (GBS) and pre-endoscopy (pre-RS) and post-endoscopy (post-RS) Rockall scores are available to triage such patients.
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