Institution
Kent Hospital
Healthcare•Warwick, Rhode Island, United States•
About: Kent Hospital is a healthcare organization based out in Warwick, Rhode Island, United States. It is known for research contribution in the topics: Liver transplantation & Population. The organization has 286 authors who have published 332 publications receiving 4279 citations.
Topics: Liver transplantation, Population, Intensive care, Pregnancy, Biopsy
Papers published on a yearly basis
Papers
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TL;DR: “insider research” is defined, issues unique to insider research that can threaten the trustworthiness or credibility of the study are discussed, and examples from a staff development perspective are provided.
Abstract: In recent years, there has been an increase in the number of research studies in staff development and an emergence of qualitative research using such methods as observation and interview. Because of the flexible, iterative nature of qualitative research, there are several issues staff development specialists should consider when doing this type of research in their own settings. This article defines “insider research,” discusses issues unique to insider research that can threaten the trustworthiness or credibility of the study, and provides examples from a staff development perspective. Recommended techniques for data collection and analysis are provided to avoid the pitfalls of insider research
364 citations
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TL;DR: Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries and should also address the need for safe perioperative care.
Abstract: Background
As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care.
Methods
We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries.
Results
A total of 474 hospitals in 19 high-, 7 middle- and 1 low-income country were included in the primary analysis. Data included 44 814 patients with a median hospital stay of 4 (range 2–7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries.
Conclusions
Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care.
364 citations
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Kent Hospital1, Johns Hopkins University2, Winthrop University3, Stony Brook University4, Winston-Salem State University5, Vanderbilt University6, University of Illinois at Chicago7, Boston University8, Baylor College of Medicine9, University of Iowa10, University of Pennsylvania11, Wake Forest University12, University of Western Ontario13, Smith & Nephew14, University of Miami15, Loyola University Chicago16, University of Washington17, University of Arkansas for Medical Sciences18, University of Maryland, Baltimore19, National Institutes of Health20, Duke University21
TL;DR: The Association of Specialty Professors held a workshop, summarized in this article, to explore the current state of knowledge and research challenges, engage investigators across disciplines, and identify research questions to guide future study of age‐associated changes in chronic wound healing.
Abstract: Older adults are more likely to have chronic wounds than younger people, and the effect of chronic wounds on quality of life is particularly profound in this population. Wound healing slows with age, but the basic biology underlying chronic wounds and the influence of age-associated changes on wound healing are poorly understood. Most studies have used in vitro approaches and various animal models, but observed changes translate poorly to human healing conditions. The effect of age and accompanying multimorbidity on the effectiveness of existing and emerging treatment approaches for chronic wounds is also unknown, and older adults tend to be excluded from randomized clinical trials. Poorly defined outcomes and variables; lack of standardization in data collection; and variations in the definition, measurement, and treatment of wounds also hamper clinical studies. The Association of Specialty Professors, in conjunction with the National Institute on Aging and the Wound Healing Society, held a workshop, summarized in this article, to explore the current state of knowledge and research challenges, engage investigators across disciplines, and identify research questions to guide future study of age-associated changes in chronic wound healing.
243 citations
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TL;DR: The deployment of an RRT led by physician assistants with specialized skills was associated with significant decreases in rates of in-hospital cardiac arrest and unplanned intensive care unit admissions.
Abstract: Objective:To determine the effect of a rapid response system composed primarily of a rapid response team led by physician assistants on the rates of in-hospital cardiac arrests, total and unplanned intensive care unit admissions, and hospital mortality.Design:Prospective, controlled, before and afte
173 citations
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TL;DR: The aim of this study was to determine the incidence, clinical and electrophysiologic characteristics, and the predictors of TICMP in patients with idiopathic ventricular arrhythmias.
Abstract: Idiopathic Ventricular Arrhythmias and Cardiomyopathy. Introduction: Idiopathic ventricular arrhythmias in the form of monomorphic premature ventricular contractions (PVC) and/or ventricular tachycardia (VT) can cause tachycardia-induced cardiomyopathy (TICMP). The aim of this study was to determine the incidence, clinical and electrophysiologic characteristics, and the predictors of TICMP in patients with idiopathic ventricular arrhythmias.
Methods: Study population consisted of 249 consecutive patients (148 F/101 M, 45 ± 20 y/o) with frequent PVCs and/or VT. All patients underwent transthoracic echocardiography and 24-hour Holter monitoring. TICMP was defined as left ventricular ejection fraction (LVEF) of ≤50% in the absence of any detectable underlying heart disease and improvement of LVEF ≥15% following effective treatment of index ventricular arrhythmia.
Results: Seventeen (6.8%) patients had TICMP. Patients with TICMP compared to patients with preserved LVEF were more likely to be male (65% vs 39%, P = 0.043) and asymptomatic (29% vs 9%, P = 0.018), and were more likely to have higher PVC burden (29.4 ± 9.2 vs 8.1 ± 7.4, P < 0.001), persistence of PVCs throughout the day (65% vs 22%, P = 0.001), and repetitive monomorphic VT (24% vs 0.9%, P < 0.001). PVC burden of 16% by ROC curve analysis best separated the patients with TICMP compared to patients with preserved LVEF (sensitivity 100%, specificity 87%, area under curve 0.96).
Conclusions: TICMP was relatively common (∼1 in every 15 patients) in our study population. The predictors of TICMP were male gender, absence of symptoms, PVC burden of ≥16%, persistence of PVCs throughout the day, and the presence of repetitive monomorphic VT. (J Cardiovasc Electrophysiol, Vol. 22, pp. 663-668, June 2011)
166 citations
Authors
Showing all 292 results
Name | H-index | Papers | Citations |
---|---|---|---|
Charles B. Eaton | 69 | 493 | 20933 |
Andrew G. Bostom | 37 | 86 | 10111 |
Murat Kilic | 25 | 146 | 2099 |
Michael Samuel | 25 | 77 | 1824 |
Cigdem Arikan | 23 | 92 | 1350 |
Ismail Oran | 21 | 114 | 1439 |
Ashwani Jha | 20 | 44 | 2367 |
Gurhan Kadikoylu | 17 | 114 | 1095 |
Murat Zeytunlu | 17 | 77 | 926 |
Jeremy D.P. Bland | 16 | 38 | 2099 |
Serkan Guclu | 16 | 52 | 735 |
Marilyn E. Asselin | 15 | 37 | 961 |
Andy Nordin | 15 | 41 | 1139 |
George A. Perdrizet | 14 | 27 | 676 |
Korhan Kilic | 13 | 74 | 480 |