Lincoln Hospital

About: Lincoln Hospital is a healthcare organization based out in New York, New York, United States. It is known for research contribution in the topics: Population & Emergency department. The organization has 1033 authors who have published 929 publications receiving 14486 citations. The organization is also known as: Lincoln Medical and Mental Health Center & Lincoln Hospital.

The surgical intensive care unit as a cost-efficient substitute for an operating room at a Level I trauma center.

Abstract: Critically ill patients in the surgical intensive care unit (SICU) continue to require operative procedures. Traditionally, this has meant the transport of these critically ill patients out of the safe, monitored confines of the SICU to the operating room (OR). This can be hazardous to the patient, as well as expensive. Performing the procedures in the OR can avoid both the dangers of transport and the expense of the OR. Herein is a descriptive study of 80 procedures performed on 36 patients in the SICU. We believe that these data show that the SICU can be a cost-effective alternative to the OR in a trauma center in critically ill patients. Significant cost savings may be realized without increasing the iatrogenic or infectious complications.

Utility of Blood Culture in Uncomplicated Pneumonia in Children

Abstract: Background: It is believed to be the standard of care to obtain a blood culture in a child who is hospitalized for pneumonia. In recent years, many studies have questioned the utility of this practice in the presence of age appropriate immunization. We conducted this study to determine the current prevalence of bacteremia in children with uncomplicated pneumonia and the utility of obtaining blood cultures in these children. Objective: To evaluate the risk of bacteremia in hospitalized young children with pneumonia. Methods: This was a retrospective review from July 2003 until July 2008. The setting was the pediatric emergency department of an urban teaching hospital. The study population included children under 36 months of age who had been fully immunized and who had been hospitalized with radiographic evidence of uncomplicated pneumonia. Excluded were children who were currently using antibiotics or who had used antibiotics within the previous 48 hours, as well as children with immunodeficiency status such as sickle cell anemia, immunoglobulin deficiency, or children on steroid therapy. The radiologist’s interpretation of each chest radiograph was reviewed and recorded. The variables studied were age (in months), gender, race, birth history, pneumococcal vaccination status, appearance on arrival, temperature on arrival, respiratory rate, oxygen saturation, white blood cell (WBC) count, neutrophil count, band count, and urine culture. The chi-square test and logistic regression were used to analyze the data. Results: A blood culture was obtained in 535 children hospitalized with radiographic pneumonia. Bacteremia was present in 12 children (2.2%). All organisms isolated from the blood cultures were considered contaminants. Conclusion: Children hospitalized with uncomplicated pneumonia have a low rate of positive blood cultures. None of the variables studied predicted bacteremia. The absence of true-positive cultures among the organisms isolated suggests little value in obtaining blood cultures in children hospitalized due to uncomplicated pneumonia.

Validity of Glycosylated Hemoglobin for Diagnosing Prediabetes, Diabetes and Insulin Resistance among Children and Adolescents with Obesity

Abstract: BACKGROUND: Timely antibiotic administration results in decreased morbidity and mortality in sepsis. Despite this knowledge, delays in recognition or implementation of critical processes known to improve outcomes occur. A review of antibiotic timing in children who developed fever and signs and symptoms concerning for sepsis prior to a sepsis quality improvement (QI) initiative revealed that the mean time to antibiotics was 181 minutes. PATIENTS AND SETTING: All patients admitted to the Medicine Intensive Care Unit and Intermediate Care (MICU and InCU) of a tertiary free-standing children’s hospital. METHODS: A multidisciplinary quality improvement team utilized …