Predicting sepsis treatment decisions in the paediatric emergency department using machine learning: the AiSEPTRON study by Damian Roland, Ewan Carr, Akash Deep, Sylvester Gomes, Harpreet Dhanoa, Phil Assheton

“…Patients presenting with minor injuries were excluded.Methods Prediction models were developed and validated, using 15 key predictors from triage and post-blood test data. …”
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Obsidian ASG autologous platelet-rich fibrin matrix for the prevention of postoperative pancreatic fistula following pancreatic resection: study protocol for a feasibility trial at... by Ulla Klaiber, Oliver Strobel, Martin Schindl, Charlotte Gustorff, Christopher Dawoud, Carl-Stephan Leonhardt, Stefan Riss, Klaus Sahora

“…This study is the first to investigate the feasibility of using the sealant in pancreatic surgery.Methods and analysis 25 consecutive patients scheduled for elective formal partial pancreatectomy due to any underlying disease fulfilling the eligibility criteria will be included. …”
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A comparison of deep versus awake tracheal extubation in adults: a randomized controlled trial by Michael A. Lee, Peter W. Schenke, Matthew R. Faller, Henry R. DeYoung, Ashley R. Adams

“…However, inadequate data exists about the relative safety of deep and awake extubations in the adult population. Methods Adult patients (n=220) with favorable airways undergoing elective surgeries under general tracheal anesthesia were enrolled prospectively. …”
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Peripheral Nerve Blocks Are Associated With Decreased Early Medical Complications, Dislocations, and Opioid Consumption Following Total Hip Arthroplasty by Brian P. McCormick, MD, Sean B. Sequeira, MD, Mark D. Hasenauer, MD, Robert P. McKinstry, MD, Frank R. Ebert, MD, Henry R. Boucher, MD

“…The purpose of this study was to evaluate the association between PNBs and postoperative complication rates, healthcare utilization, and opioid consumption following elective THA. Methods: Opioid-naive patients who received PNBs on the same day as undergoing THA for degenerative etiologies were identified from a large national database and matched 1:5 to a control cohort using propensity scoring. …”
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Problems and perspectives of family doctors training on the undergraduate stage by Yu. M. Kolesnik, V. D. Syvolap, N. S. Mikhaylovskaya, T.O. Kulinich

“…Computer presentations, videos, case-technology and other innovative methods are widely used for training optimization. …”
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Alternative discharge destination following lobectomy: Analysis of a national quality improvement databaseCentral MessagePerspective by Victoria Yin, MD, MPH, Sean C. Wightman, MD, Takashi Harano, MD, Scott M. Atay, MD, Anthony W. Kim, MD

“…Objective: To determine factors significantly associated with alternative discharge destination (ADCD) following lobectomy, including the modified 5-item Frailty Index (mFI-5). Methods: Patients in the 2017-2020 NSQIP who underwent elective lobectomy and were admitted from home were included, with ADCD defined as a patient who was discharged to any nonhome location. …”
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Comparative analysis of two multitask approaches to cognitive training in cardiac surgery patients by I. V. Tarasova, I. N. Kukhareva, T. B. Temnikova, D. S. Kupriyanova, I. D. Syrova, А. S. Sosnina, O. A. Trubnikova, O. L. Barbarash

“…To compare the incidence of postoperative cognitive dysfunction and neuropsychological changes in the early postoperative period of coronary artery bypass grafting (CABG) in patients who underwent two versions of multitask cognitive training, which involved various cognitive and motor tasks, as well as in a control group.Material and methods. The study included 100 patients after elective CABG. …”
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Patterns of healthcare utilisation in children and young people: a retrospective cohort study using routinely collected healthcare data in Northwest London by Dougal S Hargreaves, Mitch Blair, Thomas Woodcock, Jonathan Clarke, Mauricio Barahona, Rachel McCarthy, Kavitha Saravanakumar

“…Three segments predominantly used primary care, two moderate utilisation segments differed in use of emergency or elective care, and a high utilisation segment, representing 16 632 (4.4%) children accounted for the highest mean presentations across all service types. …”
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Analgesic and Neuroprotective Roles of Dexmedetomidine in Spine Surgery: A Systematic Review by Spyridoula Roberta Afrati, Ioanna Lianou, Angelos Kaspiris, Vasileios Marougklianis, Anastasia Kotanidou, Spiros G. Pneumaticos

“…Purpose: This systematic review focuses on the intraoperative and postoperative role of dexmedetomidine (DEX) as an analgesic agent in elective and emergency adult spine surgery. Methods: An electronic literature review search was conducted via Web of Science and PubMed to assess the impact of DEX on postoperative pain management, postoperative delirium (POD), and postoperative cognitive dysfunction (POCD). …”
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Effect of Ultrasound-Guided Extra-Prevertebral Fascial Suprascapular Nerve and Infraclavicular Brachial Plexus Block on Postoperative Analgesia and Phrenic Nerve Function in Should... by Hu Z, Hu J, Ai Z, Xu S, Li H, Guo R, Wang Y

“…We assessed the postoperative analgesic effect, as well as the incidence of diaphragmatic paralysis 30 minutes after the block.Methods: 30 patients undergoing elective shoulder arthroscopic rotator cuff repair surgery were recruited in this study. …”
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Optimization of the cardiac delirium index by including age, decrease in butyrylcholinesterase actitivity, preoperative HbA1c, and postoperative hemoglobin levels: results of a sec... by Thomas S. Zajonz, Fabian Edinger, Melanie Markmann, Katrin Gräb, Michael Sander, Christian Kunzemann, Christian Koch, Emmanuel Schneck

“…Therefore, the primary aim of this study was to assess the applicability of the CARDEL index and determine whether integrating the BChE activity enables optimization of the predictive model.MethodsThis secondary analysis of a prospective observational study included patients undergoing elective coronary artery bypass graft surgery. …”
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Impact of Body Mass Index on Complication Rates Following Primary Total Ankle Arthroplasty by Weston E. McDonald BS, Ronit Kulkarni BS, Joshua L. Morningstar BS, Richard J. Friedman MD, FRCSC, Daniel J. Scott MBA, MD, Christopher E. Gross MD

“…The purpose of this study is to evaluate the impact of implementing BMI cutoff points on 6-month postoperative outcomes following total ankle arthroplasty (TAA). Methods: The Nationwide Readmissions Database (NRD) was queried from 2015-2020 to identify 5,865 patients undergoing primary elective TAA with a reported BMI range via ICD-10 diagnosis. …”
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Association Between Frailty Scoring and Cardiopulmonary Exercise Testing: A Retrospective Cohort Study by Alex Hunter, Matthew Roche, Moheb Robeel, Luke Hodgson

“…<b>Introduction:</b> Cardiopulmonary exercise testing (CPET) is the gold-standard assessment of functional capacity and predicts postoperative outcomes in major abdominal and thoracic surgery, as well as in older individuals undergoing elective surgery for colorectal cancer. However, CPET is resource-intensive and not universally available. …”
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Palonosetron versus tropisetron with dexamethasone for prevention of postoperative nausea and vomiting in pediatric adenotonsillectomy: a single center, randomized controlled trial by Hualin Chen, Liping Sun, Jijian Zheng, Hongbin Gu

“…This study aims to observe the efficacy of palonosetron or tropisetron combined with dexamethasone in preventing PONV in children undergoing adenotonsillectomy.MethodsWe enrolled 110 children scheduled for elective adenotonsillectomy under general anesthesia. …”
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A comparative clinical outcome study of power-assisted vs. manually-operated circular staplers for deep colorectal anastomosis by Tarik Mahdjoub, Nicolas Michot, Elias Karam, Martine Le Verger, Urs Giger-Pabst, Mehdi Ouaïssi

“…Abstract Introduction The objective of this study is to compare the perioperative clinical outcomes between power-assisted circular staplers (PCS) and manually-operated circular staplers (MCS) with directional stapling technology (DST) for deep colorectal anastomoses. Materials and methods A retrospective analysis of a prospective database of 64 consecutive patients who underwent elective surgery for low colorectal anastomosis (< 7 cm from the anal verge) between February 2020 and December 2022 at a tertiary referral center for colorectal surgery at the University Hospital of Tours, France. …”
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From Blood to Outcome: Inflammatory Biomarkers in Rectal Cancer Surgery at a Romanian Tertiary Hospital by Georgiana Viorica Moise, Catalin Vladut Ionut Feier, Vasile Gaborean, Alaviana Monique Faur, Vladut Iosif Rus, Calin Muntean

“…This study aimed to assess six inflammation-based indices—NLR, PLR, MLR, SII, SIRI, and AISI—in relation to tumor stage, recurrence, and outcomes among patients undergoing emergency versus elective resection for rectal cancer. Methods: We retrospectively evaluated 174 patients treated between 2018 and 2024. …”
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Evaluating outcomes used in cardiothoracic surgery interventional research: a systematic review of reviews to develop a core outcome set. by Carina Benstoem, Ajay Moza, Rüdiger Autschbach, Christian Stoppe, Andreas Goetzenich

“…Systematic reviews of randomised trials on non-minimal-invasive off- or on-pump cardiothoracic surgery (elective and emergency, excluding transplants) investigating pre-, intra- or postsurgical interventions related to the outcome of the procedure were eligible for inclusion. …”
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Investigation of Fractalkine and MIP-1β Levels as Markers in Premature Membrane Rupture Cases: A Prospective Cohort Study by Şehmus Pala, Remzi Atılgan, Bünyamin Çim, Mehmet Kağan Açıkgözoğlu, Meryem Demir Can, Süleyman Cemil Oğlak, Nevin İlhan, Mustafa Yılmaz

“…Background: To investigate fractalkine and MIP-1β levels in amniotic fluid and serum of cases with premature rupture of membranes. Methods: In this prospective cohort study, pregnant women who applied to the Firat University, Gynecology and Obstetrics Clinic with the diagnosis of premature rupture of membranes (PROM) between 24 weeks and 36+6 gestational weeks and who had elective cesarean section between 37–41 weeks of gestation were included. …”
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The Impact of COVID-19 on “Reconstructive Burnout” Following Mastectomy by Victoria A. Hodkiewicz, BS, Christopher Kujalowicz, BSA, BA, Bianca A. Di Chiaro, MD, MPH, Jeewon Chon, MA, Marina Feffer, MPH, Eleanor Bucholz, MD, Timothy W. King, MD, PhD, MBA

“…Methods:. From January 2018 to January 2022, a retrospective review of all included patients undergoing mastectomy at a single institution, Loyola University Medical Center, was conducted. …”
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Impact of preoperative frailty on new disability or death after cardiac surgery in elderly patients: a prospective cohort study by Wenwen Ma, Weikang Shui, Qian Peng, Chaoyang Zhu, Wenjing Zhao, Guanglei Fan, Shanshan Zhu

“…The main objective of this study was to evaluate the effect of preoperative frailty on short-term death or new disability after cardiac surgery in elderly individuals.Patients and methodsThis prospective cohort study included 351 patients aged ≥60 years who were scheduled to undergo elective open heart surgery at the Affiliated Hospital of Xuzhou Medical University from March 2023 to March 2024. …”
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