Southern Medical Journal最新文献_第6页

Patient Interest in Mental Health Screening by Endocrinologists. 患者对内分泌学家进行心理健康筛查的兴趣。

IF 1 4区医学

Southern Medical Journal Pub Date : 2024-12-01 DOI: 10.14423/SMJ.0000000000001764

M Shajjad Hossain, Joshua Fogel, Damilola Ashorobi, Salini Kumar, David S Rosenthal

{"title":"Patient Interest in Mental Health Screening by Endocrinologists.","authors":"M Shajjad Hossain, Joshua Fogel, Damilola Ashorobi, Salini Kumar, David S Rosenthal","doi":"10.14423/SMJ.0000000000001764","DOIUrl":"https://doi.org/10.14423/SMJ.0000000000001764","url":null,"abstract":"Objectives: Endocrine disorders often coexist with mental health issues. Little is known about patient beliefs regarding endocrinologists' involvement in mental health screening. We studied the beliefs of patients with endocrine disorders regarding endocrinologists' asking about mental health and whether patients perceive that endocrinologists are capable of recognizing mental health concerns.Methods: This was a cross-sectional survey of 500 adults with endocrine disorders with either diabetes mellitus or glandular diseases of the thyroid, adrenal, pituitary, or gonads conducted at a public hospital endocrinology clinic near New York City. Depressive symptoms were measured with the Patient Health Questionnaire-9 scale and anxiety symptoms were measured with the Generalized Anxiety Disorder-7 scale.Results: More than half of those surveyed expressed interest in their endocrinologist asking about mental health, depression, anxiety, and/or psychosocial stress. The belief that an endocrinologist can determine whether a patient has mental health issues, depression, anxiety, and psychosocial stress had mean values between neutral and agree. Patients who wanted their endocrinologist to ask about these topics had significantly (all analyses P < 0.001) greater depressive and/or anxiety symptoms than those who did not want their endocrinologist to ask about these topics.Conclusions: Many patients with endocrine disorders want endocrinologists to ask about their mental health. We recommend that endocrinologists consider incorporating mental health screening for depression and anxiety into routine patient care because many patients would welcome this approach.","PeriodicalId":22043,"journal":{"name":"Southern Medical Journal","volume":"117 12","pages":"696-700"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Medical Resident Perceptions of Distress during Training. 住院医师在训练期间对痛苦的感知。

IF 1 4区医学

Southern Medical Journal Pub Date : 2024-12-01 DOI: 10.14423/SMJ.0000000000001766

Simone A Bernstein, Janice L Hanson, Emily A Slat, Jennifer G Duncan

{"title":"Medical Resident Perceptions of Distress during Training.","authors":"Simone A Bernstein, Janice L Hanson, Emily A Slat, Jennifer G Duncan","doi":"10.14423/SMJ.0000000000001766","DOIUrl":"https://doi.org/10.14423/SMJ.0000000000001766","url":null,"abstract":"Objectives: This study used a qualitative research approach to grounded theory to identify factors that contributed to resident distress during 2021-2022 in multiple different specialties and at different postgraduate years of residency. By better understanding these contributors to distress, the aim was to inform the design of optimal interventions to reduce burnout and other emotional distress.Methods: The residents enrolled in this study completed a demographic survey and semistructured interview. Interviews were recorded and transcribed. Data analysis included developing codes inductively, grouping codes into categories, and describing themes. Recruitment continued until data analysis indicated theoretical saturation/sufficiency had been reached. A qualitative research approach to grounded theory was used to identify themes and relationships among themes to better understand how the sources of distress affected the trainees of various specialties and postgraduate levels of training.Results: Thirty-three participants (15 medical-based, 9 hospital-based, and 9 surgical-based residents) participated in interviews between 2021 and 2022. Seven themes described sources of distress and potential ameliorating factors: workload, support and community, culture, resident outlook, institutional resources, work-life balance, and coronavirus disease 2019. The grounded theory highlights that these factors can collectively influence work-life balance and distress.Conclusions: The findings of the grounded theory qualitative analysis were used to examine ways to better mitigate the sources of distress that the residents enrolled in this study described. As institutions strive to diminish distress among residents, they can consider opportunities to assess environmental factors and design targeted interventions for their institutions or programs.","PeriodicalId":22043,"journal":{"name":"Southern Medical Journal","volume":"117 12","pages":"719-724"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Secondary Effects of the COVID-19 Pandemic on Pregnancy Intention. COVID-19大流行对妊娠意向的次要影响

IF 1 4区医学

Southern Medical Journal Pub Date : 2024-12-01 DOI: 10.14423/SMJ.0000000000001758

Rebecca Grace, Savannah Cotter, Lauren Taylor, Di Miao, Sabeena Rahman, Bani M Ratan

{"title":"Secondary Effects of the COVID-19 Pandemic on Pregnancy Intention.","authors":"Rebecca Grace, Savannah Cotter, Lauren Taylor, Di Miao, Sabeena Rahman, Bani M Ratan","doi":"10.14423/SMJ.0000000000001758","DOIUrl":"https://doi.org/10.14423/SMJ.0000000000001758","url":null,"abstract":"Objectives: The coronavirus disease 2019 (COVID-19) pandemic had many downstream effects, including, for some women, altering the wish to become pregnant. This study examines the effects on pregnancy intention and Edinburgh Postnatal Depression Scale (EPDS) score at the initiation of prenatal care in a low-income population during the COVID-19 pandemic.Methods: A retrospective review of cohorts of women initiating prenatal care at two large Medicaid clinics between May and November 2019 and May and November 2020 was performed. Women entering prenatal care before 20 weeks and carrying pregnancies to term were included. Charts were abstracted for pregnancy intention, demographics, medical history, and EPDS score. Multivariate logistical regression analysis was used to analyze pregnancy intention pre- and pandemic. EPDS scores were compared by unpaired t test in the unplanned pregnancies pre- and pandemic.Results: There were 462 women in the prepandemic cohort and 477 patients in the COVID pandemic cohort. During the pandemic, 53.04% (253/477) of women reported unplanned pregnancies, a significant increase from a baseline of 42.86% (198/462) of pregnancies prepandemic (P < 0.01, odds ratio 1.62, 95% confidence interval 1.19-2.20) when controlling for all other factors. Analysis of unplanned pregnancies specifically showed no significant differences in the demographic makeup pre- and pandemic. There also was no significant change in EPDS scores in unplanned pregnancies between the two cohorts.Conclusions: There was a significant increase in the number of unplanned pregnancies during the COVID-19 pandemic in a large Medicaid patient population, although the demographics of those having unplanned pregnancies and the average EPDS score did not change significantly.","PeriodicalId":22043,"journal":{"name":"Southern Medical Journal","volume":"117 12","pages":"686-689"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Optimizing the Dermatologic Formulary at a Free Clinic. 优化皮肤科处方在一个免费诊所。

IF 1 4区医学

Southern Medical Journal Pub Date : 2024-12-01 DOI: 10.14423/SMJ.0000000000001765

Alice J Lin, Sharon E Connor, Alaina J James

{"title":"Optimizing the Dermatologic Formulary at a Free Clinic.","authors":"Alice J Lin, Sharon E Connor, Alaina J James","doi":"10.14423/SMJ.0000000000001765","DOIUrl":"https://doi.org/10.14423/SMJ.0000000000001765","url":null,"abstract":"Objectives: Free clinics provide care to underserved populations nationwide. The Birmingham Free Clinic offers dermatology care and operates an onsite dispensary. Little is known about specialty care services and medication optimization in the free clinic setting. This study analyzed dermatologic diagnoses and medication distribution patterns to optimize the dermatologic formulary at a free clinic.Methods: A retrospective chart review was performed of dermatology clinic visits between January 2020 and May 2022. The data analysis used descriptive statistics.Results: Fifty-seven patients received 158 dermatologic diagnoses and were prescribed 216 medications. The five most common diagnoses were dermatitis (24.1%, 38/158), psoriasis (13.9%, 22/158), acne/rosacea (10.1%, 16/158), alopecia (8.9%, 14/158), and superficial bacterial/fungal infections (6.3%, 10/158). The five most frequently prescribed medications were triamcinolone 0.1% cream (13.4%, 29/216), doxycycline 100 mg (10.6%, 23/216), triamcinolone 0.1% ointment (5.6%, 12/216), ketoconazole 2% shampoo (4.6%, 10/216), and hydrocortisone 2.5% cream (3.7%, 8/216). Fifty-two percent of all prescribed medications were provided onsite. Triamcinolone 0.1% ointment and ketoconazole 2% shampoo were usually unavailable onsite.Conclusions: Eighty-gram tubes of triamcinolone 0.1% ointment were added to the dermatologic formulary, and low-cost alternatives were suggested for ketoconazole 2% shampoo. This study provides a model for formulary optimization in free clinics with specialty care services.","PeriodicalId":22043,"journal":{"name":"Southern Medical Journal","volume":"117 12","pages":"715-718"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hyperphosphatemic Familial Tumoral Calcinosis. 家族性肿瘤钙质沉着症。

IF 1 4区医学

Southern Medical Journal Pub Date : 2024-12-01 DOI: 10.14423/SMJ.0000000000001759

Margaret Kaszycki, Beija Villalpando, LaTonya Hickson, Sarika Rao, Klaas Wierenga, Hillary Garner, Olayemi Sokumbi, Leila Tolaymat

{"title":"Hyperphosphatemic Familial Tumoral Calcinosis.","authors":"Margaret Kaszycki, Beija Villalpando, LaTonya Hickson, Sarika Rao, Klaas Wierenga, Hillary Garner, Olayemi Sokumbi, Leila Tolaymat","doi":"10.14423/SMJ.0000000000001759","DOIUrl":"https://doi.org/10.14423/SMJ.0000000000001759","url":null,"abstract":"Hyperphosphatemic familial tumoral calcinosis (HFTC) is a rare, autosomal recessive condition characterized by fibroblast growth factor 23 signaling pathway dysregulation, hyperphosphatemia and ectopic calcifications (which manifest as joint motion limitations), inflammatory bony pain, and disability. Given the rarity and multiorgan involvement of HFTC, a multidisciplinary approach including Dermatology, Ophthalmology, Dentistry, Nephrology, Endocrinology, Rheumatology, and Genetics is necessary for diagnosis and treatment. We present a multidisciplinary diagnostic and treatment approach for a patient with HFTC due to a GALNT3 gene mutation with unique imaging highlighting the extent of calcinosis seen in HFTC. In this case study, a 34-year-old female patient found to have HFTC was first evaluated at an outpatient academic dermatology center in October 2020 and studied for 1 year. Genetic testing revealing a homozygous c.1319C > A variant in GALNT3 predicted to result in a missense mutation p.Ala440Glu. HFTC should be considered for patients presenting with diffuse calcinosis cutis-like features, and a multidisciplinary evaluation should be pursued.","PeriodicalId":22043,"journal":{"name":"Southern Medical Journal","volume":"117 12","pages":"705-708"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding Trends in Pediatric Drowning Injuries in North Carolina. 了解北卡罗来纳州儿童溺水伤害的趋势。

IF 1 4区医学

Southern Medical Journal Pub Date : 2024-12-01 DOI: 10.14423/SMJ.0000000000001763

Maura Olcese, Anna E Waller

{"title":"Understanding Trends in Pediatric Drowning Injuries in North Carolina.","authors":"Maura Olcese, Anna E Waller","doi":"10.14423/SMJ.0000000000001763","DOIUrl":"https://doi.org/10.14423/SMJ.0000000000001763","url":null,"abstract":"Objective: Drowning is a leading cause of injury-related death in the pediatric and adolescent population. This epidemiologic study describes the trends in emergency department (ED) visits for pediatric drowning injury in North Carolina and the impact of the coronavirus disease 2019 (COVID-19) pandemic on incidence rate.Methods: Data were obtained using the North Carolina Disease Event Tracking and Epidemiologic Collection Tool, a public health surveillance system, to identify ED visits for drowning injury from 2016 to 2022. We performed a chart review on a subset of patients to further characterize injury.Results: A total of 1285 ED encounters were identified. In North Carolina, the incidence rate of pediatric drowning has been decreasing, abruptly in 2019 and again in 2020. The postpandemic rate continued in the same downward trend, suggesting that the COVID-19 pandemic did not affect the overall statewide incidence rate of pediatric drowning (P = 0.14). The age distribution of children treated in the ED for drowning injury in North Carolina changed following the pandemic.Conclusions: This study is limited by the fortunate rarity of pediatric drowning events. Injuries may be underreported because these are only ED presentations. This study relied on provider documentation in electronic health records. The definition of postpandemic is not well defined, and sequelae of the COVID-19 pandemic may not yet be fully appreciated. The incidence of North Carolina ED encounters for drowning injury in the pediatric population has decreased, and the COVID-19 pandemic had a noticeable, although not statistically significant, effect.","PeriodicalId":22043,"journal":{"name":"Southern Medical Journal","volume":"117 12","pages":"690-695"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of Standard and Extended Dexamethasone Duration on Mortality in Patients with Severe COVID-19. 标准和延长地塞米松疗程对重症COVID-19患者死亡率的影响比较

IF 1 4区医学

Southern Medical Journal Pub Date : 2024-12-01 DOI: 10.14423/SMJ.0000000000001760

Andrew Sephien, Marc Lozano, Sean-Patrick Prince, Denisse Camille Dayto, Caroline Minton, Ambuj Kumar, Nishant Nerella, Guarav Shah

{"title":"Comparison of Standard and Extended Dexamethasone Duration on Mortality in Patients with Severe COVID-19.","authors":"Andrew Sephien, Marc Lozano, Sean-Patrick Prince, Denisse Camille Dayto, Caroline Minton, Ambuj Kumar, Nishant Nerella, Guarav Shah","doi":"10.14423/SMJ.0000000000001760","DOIUrl":"10.14423/SMJ.0000000000001760","url":null,"abstract":"Objectives: Current guidelines recommend dexamethasone 6 mg/day for up to 10 days in patients with severe coronavirus disease 2019 (COVID-19) requiring supplemental oxygenation or mechanical ventilation. The practice has significant variation, however, and dexamethasone has been used for >10 days for many patients with severe COVID-19. The aim of this study was to assess the benefits and risks associated with standard versus extended use of dexamethasone in patients with severe COVID-19.Methods: A multicenter retrospective cohort study was conducted from January 2021 to December 2021. All of the consecutive patients with severe COVID-19 receiving 6 mg/day dexamethasone were eligible for inclusion. The primary outcome was the incidence of in-hospital mortality for patients treated with dexamethasone 6 mg/day for the standard duration of 10 days versus an extended duration of >10 days.Results: A total of 1294 patients met the inclusion criteria: 803 received the standard duration of dexamethasone and 491 received the extended duration. The incidence of in-hospital mortality was significantly higher (P = 0.003) in the extended duration group (36.5%) compared with the standard duration group (28.5%), with no significant difference in in-hospital major adverse cardiac events (16.1% for extended vs 13.2% for the standard duration; P = 0.15).Conclusions: The results show that extended duration of dexamethasone compared with standard duration is associated with a significant increase in in-hospital mortality in patients with severe COVID-19. These findings need to be confirmed in well-designed and performed randomized controlled trials.","PeriodicalId":22043,"journal":{"name":"Southern Medical Journal","volume":"117 12","pages":"701-704"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Qualitative Exploration of Contraceptive Knowledge in Men and Women. 男性和女性避孕知识的质性探索。

IF 1 4区医学

Southern Medical Journal Pub Date : 2024-12-01 DOI: 10.14423/SMJ.0000000000001762

Olivia Moumne, Lori M Gawron, Kathryn E Storck, Jessica N Sanders, David K Turok, Misha Pangasa

{"title":"Qualitative Exploration of Contraceptive Knowledge in Men and Women.","authors":"Olivia Moumne, Lori M Gawron, Kathryn E Storck, Jessica N Sanders, David K Turok, Misha Pangasa","doi":"10.14423/SMJ.0000000000001762","DOIUrl":"https://doi.org/10.14423/SMJ.0000000000001762","url":null,"abstract":"Objectives: The level of knowledge about contraceptives overall is low in the United States. This qualitative study adds to the literature that explores gendered differences in contraceptive knowledge. Specifically, we examined knowledge regarding different contraceptive methods, directions on use, mechanism of action, efficacy, and adverse effects. We also looked at men's perspectives on their partner's knowledge.Methods: Participants were interviewed at a Planned Parenthood Association of Utah clinic. They were asked about contraception knowledge, attitudes, and male involvement in contraceptive decision making. In this secondary analysis, we reanalyzed codes that were previously identified under primary analysis for specific content about contraceptive knowledge and differences by sex.Results: We found an overall low level of knowledge about contraceptives, particularly in men as compared with women. Men often overestimate their female partners' knowledge. Men were more likely to understand how to use methods that require their direct participation. Although women's contraceptive knowledge was better than that of the male participants, it was still poor overall.Conclusions: A low level of knowledge about contraceptives is associated with increased rates of unintended pregnancy. This study demonstrates a need for improved education about contraception. Given the impact of male opinion in contraceptive use, efforts to increase their knowledge could be important interventions to increase contraceptive uptake.","PeriodicalId":22043,"journal":{"name":"Southern Medical Journal","volume":"117 12","pages":"681-685"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142771978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical Shift Distribution in Academic Hospital Medicine Fellowship across 10 Years. 学术医院医学研究员十年间的临床轮班分布。

IF 1 4区医学

Southern Medical Journal Pub Date : 2024-11-01 DOI: 10.14423/SMJ.0000000000001755

Anup Das, Ethan Molitch-Hou, Shannon K Martin

{"title":"Clinical Shift Distribution in Academic Hospital Medicine Fellowship across 10 Years.","authors":"Anup Das, Ethan Molitch-Hou, Shannon K Martin","doi":"10.14423/SMJ.0000000000001755","DOIUrl":"https://doi.org/10.14423/SMJ.0000000000001755","url":null,"abstract":"Objectives: As hospital medicine (HM) has grown as a specialty, it has been paralleled by an increase in HM fellowship training programs. Limited data are available surrounding clinical exposure for HM fellows. Using data from a large academic medical center with a long-standing HM fellowship program, we reviewed the types of clinical shifts and distribution of shift data completed by HM fellows from 2013 to 2023.Methods: We performed a retrospective analysis of clinical shifts available from an internal Web-based scheduling program. Shifts performed by HM fellows were downloaded from May 2013 through February 2023. We characterized clinical service shifts as day coverage, off-hour coverage, teaching services, or jeopardy. We calculated summary statistics of the number of shifts worked by HM fellows per year.Results: During a period of 10 years, 22 HM fellows completed 4430 shifts, with a mean total of 197.3 shifts during fellowship (standard deviation 56.7 shifts). Most of the shifts completed by HM fellows were off-hours shifts (51.0%, n = 2214), with less exposure to daytime shifts (n = 1285, 29.6%) and the least exposure to teaching shifts (n = 390, 9.0%).Conclusions: HM fellows spend the majority of their clinical time on off-hours shifts, which does not reflect the clinical practice of an academic hospitalist. The least amount of time was spent attending on traditional teaching services. Because HM fellowships are designed to prepare HM fellows for careers as academic hospitalists, more work is necessary to determine how best to optimize and standardize clinical exposure while maintaining adequate time for opportunities to engage in academic development.","PeriodicalId":22043,"journal":{"name":"Southern Medical Journal","volume":"117 11","pages":"674-677"},"PeriodicalIF":1.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of Frailty on COVID-19 Hospitalizations: Results from the California State Inpatient Database. 体弱对 COVID-19 住院治疗的影响：加利福尼亚州住院病人数据库的结果。

IF 1 4区医学

Southern Medical Journal Pub Date : 2024-11-01 DOI: 10.14423/SMJ.0000000000001754

Muni Rubens, Anshul Saxena, Venkataraghavan Ramamoorthy, Sandeep Appunni, Md Ashfaq Ahmed, Zhenwei Zhang, Yanjia Zhang, Rehan Sha, Samer Fahmy

{"title":"Impact of Frailty on COVID-19 Hospitalizations: Results from the California State Inpatient Database.","authors":"Muni Rubens, Anshul Saxena, Venkataraghavan Ramamoorthy, Sandeep Appunni, Md Ashfaq Ahmed, Zhenwei Zhang, Yanjia Zhang, Rehan Sha, Samer Fahmy","doi":"10.14423/SMJ.0000000000001754","DOIUrl":"https://doi.org/10.14423/SMJ.0000000000001754","url":null,"abstract":"Objectives: Frail patients are at greater risk of experiencing adverse clinical outcomes in any critical illness due to decreased physiologic reserves, greater susceptibility to the adverse effects of treatment, and greater needs for intensive care. In this study, we sought to assess the prevalence of frailty and associated adverse in-hospital outcomes among coronavirus disease 2019 (COVID-19) hospitalizations using the 2020 California State Inpatient Database (SID).Methods: For this study, we conducted a retrospective analysis of data from all COVID-19 hospital patients aged 18 years and older. We identified hospitalizations that were at high risk of frailty using the Hospital Frailty Risk Score. The primary outcome of our study was in-hospital mortality, and the secondary outcomes were prolonged length of stay, vasopressor use, mechanical ventilation, and intensive care unit admission.Results: The prevalence of frailty was 44.3% among COVID-19 hospitalizations. Using propensity score matching analysis, we found that the odds of mortality (odds ratio [OR] 4.54, 95% confidence interval [CI] 4.28-4.82), prolonged length of stay (OR 2.81, 95% CI 2.70-2.90), vasopressor use (OR 8.65, 95% CI 7.45-10.03), mechanical ventilation (OR 6.90, 95% CI 6.47-7.35), and intensive care unit admission (OR 7.17, 95% CI 6.71-7.66) were significantly higher among the group of frail patients.Conclusion: Our findings show that frailty could be used for assessing and risk stratifying patients for improved hospital outcomes.","PeriodicalId":22043,"journal":{"name":"Southern Medical Journal","volume":"117 11","pages":"646-650"},"PeriodicalIF":1.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0