New York Methodist Hospital

About: New York Methodist Hospital is a healthcare organization based out in Brooklyn, New York, United States. It is known for research contribution in the topics: Myocardial infarction & Percutaneous coronary intervention. The organization has 948 authors who have published 936 publications receiving 29954 citations.

Roles of Intravenous Iron Therapy in Various Patient Settings

Abstract: Objective: To provide clinical information on intravenous iron products and their role in chronic kidney disease (CKD), dialysis, oncology, critical illness, and heart failure. Data Sources: Intravenous iron products information, national clinical practice guidelines, and the latest primary literature available were reviewed. PubMed and MEDLINE databases were searched from January 2000-December 2009. Study Selection and Data Extraction: All FDA-approved intravenous iron products information, available national clinical practice guidelines, and primary literature were included. Data Synthesis: Iron deficiency is common in patients with CKD, dialysis, oncology, critical illness, and heart failure. Routine supplementation with intravenous iron therapy is indicated in patients with CKD, including those receiving dialysis; however, its role in oncology, critical illness, and heart failure is not clearly defined. Assessing patients for iron deficiency, evaluating their status, and knowing the risks of adverse events are important in determining the roles of intravenous iron therapy in each setting. If patients are initiated on intravenous iron, they must be closely monitored for signs and symptoms of adverse drug reactions, as well as clinical worsening. Additionally, intravenous iron must be discontinued upon resolution of iron deficiency. Conclusions: The importance of intravenous iron therapy is well established in patients with CKD, including those receiving dialysis, who have iron deficiency. Its roles in oncology critical illness, and heart failure should be assessed on a case-by-case basis.

Recurrent cholangiocarcinoma: negative autopsy results after aggressive management.

Abstract: Cholangiocarcinoma is one of the most common malignancies of the biliary tree. Most cases are perihilar. Cholangiocarcinoma usually has an indolent, slowly progressive course and is associated with a high mortality rate. In this article, we discuss the management of perihilar cholangiocarcinoma by radiation therapy and chemotherapy in a case in which no recurrence was found on autopsy.

Does use of a trauma checklist increase discharges from the emergency department

Abstract: IntroductionEmergency department (ED) discharge is appropriate for patients with minor traumatic injuries. The objective of this study is to determine if use of a trauma checklist increases identif...