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Uncategorized Published - 6 July, 2016    By - Dr Clemens
Determining the Likelihood of Appendicitis: Clinical Scoring Systems vs. Gestalt

Authors: Golden SK et al., Emerg Med J 2016 Jul 33:458 Neither clinical scoring systems nor physician gestalt, alone or in combination, adequately risk stratified patients with appendicitis. Several scoring systems have been developed to risk stratify patients with suspected appendicitis. To determine how they compare with physician’s estimates of risk, researchers conducted a prospective observational study […]

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Uncategorized Published - 6 July, 2016    By - Dr Clemens
Perioperative Visual Loss in Spine Fusion Surgery: Ischemic Optic Neuropathy in the United States from 1998 to 2012 in the Nationwide Inpatient Sample

Authors: Daniel S. Rubin, M.D. et al Anesthesiology p ublished on 6 2016 Background: Perioperative ischemic optic neuropathy (ION) causes visual loss in spinal fusion. Previous case–control studies are limited by study size and lack of a random sample. The purpose of this study was to study trends in ION incidence in spinal fusion and risk factors […]

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Uncategorized Published - 6 July, 2016    By - Dr Clemens
Methodologic Considerations for Collecting Patient-reported Outcomes from Unselected Surgical Patients

Authors: Daniel L. Helsten, M.D. et al Anesthesiology published on 06 2016. Background: The impact of surgery on health is only appreciated long after hospital discharge. Furthermore, patients’ perceptions of postoperative health are not routinely ascertained. The authors instituted the Systematic Assessment and Targeted Improvement of Services Following Yearlong Surgical Outcomes Surveys (SATISFY-SOS) registry to evaluate patients’ […]

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Uncategorized Published - 5 July, 2016    By - Dr Clemens
Aortic Valve Replacement: Meta-Analysis Finds No Mortality Difference Between TAVI and SAVR

Authors: Gargiulo G et al., Ann Intern Med 2016 Jun 7; The mortality comparisons had wide confidence intervals, however, signaling inconclusive results. Transcatheter aortic valve implantation (TAVI) is a better option than medical therapy for people with severe aortic stenosis who cannot undergo surgical aortic valve replacement (SAVR). However, there are some conflicting results regarding whether TAVI […]

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Uncategorized Published - 5 July, 2016    By - Dr Clemens
Minimal Clinically Important Difference for Three Quality of Recovery Scales

Authors: Paul S. Myles, M.B.B.S., M.P.H., M.D. et al  Anesthesiology 7 2016, Vol.125, 39-45. Background: Several quality of recovery (QoR) health status scales have been developed to quantify the patient’s experience after anesthesia and surgery, but to date, it is unclear what constitutes the minimal clinically important difference (MCID). That is, what minimal change in score would […]

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