RocScholar (Rochester Regional Health)
Not a member yet
3788 research outputs found
Sort by
In-hospital complications of hybrid vs endocardial atrial fibrillation ablation
No full textBackground: Hybrid atrial fibrillation (AF) ablation has been used to achieve rhythm control in AF management. It requires both epicardial and endocardial ablation. There is limited evidence regarding the safety of this procedure.
Objective: The study aimed to compare in-hospital complication rates between hybrid AF ablation and endocardial catheter ablation (ECA) using a nationally representative dataset.
Methods: Using the National Inpatient Sample, we identified patients who underwent AF ablation between 2017 and 2022. The cohort was divided into 2 groups; those who underwent ECA and those who underwent hybrid AF ablation. The primary outcome was major adverse cardiovascular events (MACEs).
Results: After propensity score weighting, hybrid ablation was associated with a significantly lower MACE rate (3.1% vs 5.6%, P = .0036). Rates of cardiac complications (8.8% vs 7.5%, P = .594), infections (2.7% vs 3.7%, P = .595), and length of stay (2.96 ± 0.30 vs 3.19 ± 2.45 days, P = .285) were comparable between groups. Hybrid ablation was associated with higher rates of hemorrhagic complications (12.7% vs 4.0%, P \u3c .001), with a comparable rate of blood transfusion, whereas pulmonary complications showed a trend toward an increase (3.8% vs 1.5%, P = .099).
Conclusion: Hybrid AF ablation was associated with a significantly lower MACE rate compared with ECA, contrasting with earlier studies that suggested higher risk. This shift likely reflects improvements in technique and more refined patient selection. While rates of pulmonary and hemorrhagic complications were higher with hybrid ablation, transfusion needs remained similar between groups
Elevating Nursing Practice Through High Quality Literature Reviews
No full textHigh quality literature reviews are foundational to evidence-based nursing practice, supporting clinical-decision making, quality improvement, and scholarly dissemination. This presentation introduces nurses to a structured, practical approach for conducting rigorous literature reviews using Whittemore and Knafl\u27s integrative review methodology. Core components include developing focused questions (PICO, PICo, PEO, SPIDER, PS), executing transparent search strategies using PRISMA, constructing evidence tables for synthesis, and critically appraising studies with JBI, CASP, and Johns Hopkins tools. Participants will learn how to evaluate and compare evidence, identify practice gaps, and translate synthesized findings into actionable recommendations for clinical care, education, and policy. This session equips nurses with the knowledge to produce systematic, transparent, and clinically meaningful reviews that elevate nursing scholarship and practice.https://scholar.rochesterregional.org/nursingresearchday_2025/1016/thumbnail.jp
Efficacy and safety of treosulfan- vs. busulfan-based conditioning regimens in adult allogeneic hematopoietic stem cell transplantation for myelodysplastic syndromes and acute myeloid leukemia: A systematic review and meta-analysis
No full textAddressing an Aspect of Burnout: Peer Support for Second Victims in the Healthcare Setting
No full textAddressing an Aspect of Burnout: Peer Support for Second Victims in the Healthcare Setting. Dr. Brian P. Watkins, Department of Surgery, Rochester Regional Health
Objectives: Define second victim Understand the importance of peer support in wellbein
Abstract 4365133: Impact of GLP-1 Analog Use on Clinical Outcomes Following Bariatric Surgery: A Propensity-Matched Retrospective Cohort Study
No full textAnemia and diabetes related mortality in older adults: Geographic and temporal trends in the US, 1999-2023
No full textRocScholar Annual Report 2024
Get PDFRocScholar is the institutional repository (IR) for Rochester Regional Health (RRH) and is managed by the Libraries at RRH. It provides storage and access for RRH’s research and scholarly activity. This report highlights the repository’s fourth year of implementation