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Comparing the Quality of Patient Guidance on Dermatologic Care Generated by ChatGPT vs Reddit.
No full textOnline resources that are convenient and affordable play a crucial role in mitigating health inequality and improving patient access to health care information. In this study, we aimed to assess and compare the quality of patient guidance on dermatologic care generated by ChatGPT vs Reddit. Dermatologists should be aware of the potential risks associated with patients obtaining medical advice from online sources and be prepared to caution and educate patients on how to use them effectively
Multidisciplinary Sign-Out in the LVHN Muhlenberg Trauma ICU and Effects on Hospital-Acquired Conditions
No full textBreast Implant Salvage Rate Following Percutaneous Drainage for Periprosthetic Infection
No full textHigher Atrial Fibrillation Probability and Delta Age Computed by Artificial Intelligence-ECG Models Predict More Cardiovascular Events in Patients with Migraine
No full textIdentifying and Addressing Social Determinants of Health with an Electronic Health Record.
No full textOBJECTIVE: The benefits of Social Determinants of Health (SDoH) is well documented but several studies highlight the complexity of collecting and standardizing SDoH data in a way that makes it relevant to the standard clinical interaction. The purpose of this study is to examine how leveraging an Electronic Health Record (EHR) system can facilitate SDoH screening and its integration into Primary Care encounters, while also using the data collected to meet the identified needs.
METHODS: This is an observational study design. EHR and SDoH screening data from 2020 to 2023 at 3 primary care sites were gathered. The study was implemented in 3 phases to streamline and establish the screening and referral processes.
RESULTS: SDoH screening increased by 95% from 2020 to 2022 with a consequent increase in social work referrals and the allocation of resources to a targeted patient population.
CONCLUSION: Identifying SDoH unique to a community or population can be strategically used to deliver relevant and timely services to patients. This fosters a multidisciplinary, collaborative and integrated approach to patient care
The impact of frailty on patient selection and outcomes for open versus endovascular treatment of unruptured intracranial aneurysms: A propensity-score matched analysis.
No full textBACKGROUND AND OBJECTIVES: Endovascular treatment (EVT) has been demonstrated to have improved post-operative outcomes and fewer complications compared to open microsurgical clipping of unruptured intracranial aneurysms (UIAs). Our study analyzes patient selection and outcomes for open versus EVT stratified by frailty measured using the Risk Analysis Index (RAI).
METHODS: This was a retrospective study of patients who underwent open or EVT for an UIA at our institution between March 2017 and June 2022. Propensity-score matching (PSM) was performed using the 1:1 nearest neighbour method to create two groups (open and EVT) matched by demographics and treatment modality. RAI-measured frailty was used to categorize patients into 4 tiers: robust (0-10), pre-frail (11-20), frail (21-30) and severely frail (≥31). Outcomes of interest were length of stay (LOS), functional dependence at discharge and 30-day readmission.
RESULTS: After PSM, 209 patients were stratified into two groups, open and EVT, respectively. Patients who received EVT were older compared to open surgery (mean ± SD: 62.6 ± 11.4 vs. 60.8 ± 10.6, P \u3c 0.05), however, RAI-measured frailty did not differ significantly between the two groups (median (IQR) open: 3 (2-7), vs. EVT: 3 (2-9)), P = 0.090. Among robust and pre-frail patients, EVT was associated with significantly shorter LOS compared to open surgery, median (IQR): 1 (1-2) vs. 3 (2-4) and 1 (1-2), vs. 3 (2-6); P \u3c 0.001, respectively). Neither functional dependence at discharge nor 30-day readmission rates were different after stratification by frailty.
CONCLUSION: Patients in the robust and pre-frail tiers experienced significantly shorter LOS after EVT compared to open surgery. We would like to encourage the use of frailty assessment as a pre-operative risk stratification tool patients undergoing treatment of UIAs
Abstract TP151: Optimizing Acute Stroke Care Through a Hub-and-Spoke Telestroke Network: Insights from a Large Cohort Analysis
No full textAN OBSTRUCTING SIGNET RING CELL CARCINOMA IN AN 18 YEAR OLD WITH A HISTORY OF NEUROECTODERMAL TUMOR: A CASE REPORT
No full textTemporal and Seasonal Trends in Pediatric Eye Trauma in California.
No full textPURPOSE: This study aims to evaluate temporal and seasonal trends in pediatric eye trauma based on emergency department (ED) visits in California.
DESIGN: Retrospective, population-based cohort study.
METHODS: Children who presented with ocular trauma to EDs in California between 2016 and 2021 were identified using the California Department of Health Care Access and Information datasets and classified by International Classification of Diseases (ICD) diagnosis codes. Poisson regression was used to model yearly incidence and seasonality was assessed.
RESULTS: Among 15,674,366 ED visits by children in California from 2016 to 2021, 160,730 (1.0%) involved a primary or secondary diagnosis of ocular trauma. The mean age at presentation was 7.6 (SD: 5.6) years. The most common diagnoses were ocular adnexal open wound (51.4%) and superficial injury of the eye/adnexa (23.6%). The overall yearly incidence of eye trauma was 3.0 (95% CI: 3.0-3.0) per 1000 children, peaking in 2017 (3.4) and lowest in 2020 (2.1) and significantly decreased over the study period. Male children and Black and Hispanic/Latino children had the highest incidence of ocular trauma. A significant seasonal pattern was observed, with the highest incidence in May and the lowest in January (P\u3c 0.01). Geographically, the highest incidences were in the Inland North and Central Valley regions. Over the 6-year period, the percentage of self-pay (uninsured) pediatric patients decreased over time, and public insurance (Medicaid/Title V) remained the most common payor.
CONCLUSION: Ocular trauma represents a small fraction of ED visits for children in California. The incidence of ocular trauma ED visits decreased over the study period and displayed a seasonal trend. Higher incidence of ocular trauma were observed in male and Black and Hispanic/Latino children