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Uncategorized Published - 31 May, 2018    By - Dr Clemens
In Noncardiac Surgery, Clinical Frailty Scale More Practical Perioperative Instrument for Predicting Disabilities

When it comes to predicting disabilities in frail patients after elective noncardiac surgery, the Clinical Frailty Scale (CFS) and the modified Fried Index (mFI) prove generally comparable. Where the two tools diverge, however, is in their ease and speed of administration, which seems to favor the CFS, according to researchers at the University of Ottawa. […]

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Uncategorized Published - 31 May, 2018    By - Dr Clemens
Changing Trend in Indications for Liver Transplantation in the U.S.

Authors: Cholankeril G et al  Clin Gastroenterol Hepatol 2017 Nov  Alcohol-related liver disease has surpassed HCV infection as the most common indication for liver transplantation. With the advent of direct-acting antiviral therapies for hepatitis C virus (HCV) infection, the frequency of liver transplantation (LT) performed because of HCV infection is expected to decline. A recent study […]

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Uncategorized Published - 31 May, 2018    By - Dr Clemens
Should Hip Fractures Be Repaired Surgically in Nursing Home Residents with Dementia?

AUTHORS: Berry SD et al.  JAMA Intern Med 2018 May 7. A retrospective study suggests mortality and morbidity might be lower with surgical repair. A common dilemma is whether to repair hip fractures in nursing home patients with severe dementia. To explore this issue, investigators used a Medicare dataset to identify 3083 nursing home patients (mean […]

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Uncategorized Published - 31 May, 2018    By - Dr Clemens
Inhaled nitric oxide may not improve survival of preterm infants

Authors: Ellsworth KR, et al. JAMA Pediatr. 2018; Preterm infants born younger than 29 weeks’ gestational age who were treated for pulmonary hypoplasia with inhaled nitric oxide did not have an increased chance of in-hospital survival, according to findings published in JAMA Pediatrics. “Because blood vessel growth in the lung parallels airway development, pulmonary hypoplasia is often […]

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Uncategorized Published - 30 May, 2018    By - Dr Clemens
Hyperinsulinemic Normoglycemia during Cardiac Surgery Reduces a Composite of 30-day Mortality and Serious In-hospital Complications: A Randomized Clinical Trial

AUTHORS: Andra E. Duncan, M.D. et al     Anesthesiology 6 2018, Vol.128, 1125-1139. Background: Hyperinsulinemic normoglycemia augments myocardial glucose uptake and utilization. We tested the hypothesis that hyperinsulinemic normoglycemia reduces 30-day mortality and morbidity after cardiac surgery. Methods: This dual-center, parallel-group, superiority trial randomized cardiac surgical patients between August 2007 and March 2015 at the Cleveland Clinic, Cleveland, […]

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