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Evaluating outcomes of transjugular intrahepatic portosystemic shunt procedure among Native Americans 评估美国原住民经颈静脉肝内门体分流术的效果。
IF 2.3 4区 医学
American Journal of the Medical Sciences Pub Date : 2025-02-01 DOI: 10.1016/j.amjms.2024.08.008
Renxi Li BS , Shawn Sarin MD
{"title":"Evaluating outcomes of transjugular intrahepatic portosystemic shunt procedure among Native Americans","authors":"Renxi Li BS ,&nbsp;Shawn Sarin MD","doi":"10.1016/j.amjms.2024.08.008","DOIUrl":"10.1016/j.amjms.2024.08.008","url":null,"abstract":"<div><h3>Background</h3><div>This study aims to explore racial disparities in immediate outcomes of Transjugular Intrahepatic Portosystemic Shunt (TIPS) among Native Americans, a group that have higher prevalence of liver cirrhosis but were the “invisible group” in previous TIPS studies due to their small population size.</div></div><div><h3>Methods</h3><div>The study identified Native Americans and Caucasians who underwent TIPS in National/Nationwide Inpatient Sample (NIS) database from Q4 2015–2020. Preoperative factors, including demographics, indications for TIPS, comorbidities, etiologies for liver disease, primary payer status, and hospital characteristics, were matched by 1:5 propensity score matching. In-hospital post-TIPS outcomes were then compared between the two cohorts.</div></div><div><h3>Results</h3><div>There were 6,658 patients who underwent TIPS, where 101 (1.52%) were Native Americans and 4,574 (68.70%) were Caucasians. Native Americans presented as younger, with a lower socioeconomic status, and displayed higher rates of alcohol abuse and related liver diseases. After propensity-score matching, Native Americans had comparable in-hospital post-TIPS outcomes including mortality (8.33% vs 9.09%, <em>p</em> = 1.00), hepatic encephalopathy (18.75% vs 25.84%, <em>p</em> = 0.19), acute kidney injury (28.13% vs 30.62%, <em>p</em> = 0.71), and other adverse events. Native Americans also had similar wait from admission to operation (2.15 ± 0.30 vs 2.87 ± 0.21 days, <em>p</em> = 0.13), hospital length of stay (7.43 ± 0.63 vs 8.62 ± 0.47 days, <em>p</em> = 0.13), and total costs (158,299 ± 14,218.2 vs 169,425 ± 8,600.7 dollars, <em>p</em> = 0.50).</div></div><div><h3>Conclusion</h3><div>Native Americans had similar immediate outcomes after TIPS compared to their propensity-matched Caucasians. While these results underscore effective healthcare delivery of TIPS to Native Americans, it is imperative to pursue further research for long-term post-procedure outcomes.</div></div>","PeriodicalId":55526,"journal":{"name":"American Journal of the Medical Sciences","volume":"369 2","pages":"Pages 145-151"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001628","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
67 Brucellosis: a pain in the butt
IF 2.3 4区 医学
American Journal of the Medical Sciences Pub Date : 2025-02-01 DOI: 10.1016/S0002-9629(25)00076-X
E Ward, C Walker, A Walker, S Pishko
{"title":"67 Brucellosis: a pain in the butt","authors":"E Ward,&nbsp;C Walker,&nbsp;A Walker,&nbsp;S Pishko","doi":"10.1016/S0002-9629(25)00076-X","DOIUrl":"10.1016/S0002-9629(25)00076-X","url":null,"abstract":"","PeriodicalId":55526,"journal":{"name":"American Journal of the Medical Sciences","volume":"369 ","pages":"Pages S45-S46"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143128132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
12 A unique case of late neurosyphilis
IF 2.3 4区 医学
American Journal of the Medical Sciences Pub Date : 2025-02-01 DOI: 10.1016/S0002-9629(25)00021-7
HM O'Bryan, T Morton, BB Wiygul
{"title":"12 A unique case of late neurosyphilis","authors":"HM O'Bryan,&nbsp;T Morton,&nbsp;BB Wiygul","doi":"10.1016/S0002-9629(25)00021-7","DOIUrl":"10.1016/S0002-9629(25)00021-7","url":null,"abstract":"","PeriodicalId":55526,"journal":{"name":"American Journal of the Medical Sciences","volume":"369 ","pages":"Pages S7-S8"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143098197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
91 Shunt for hydrocephalus causing cerebral spinal fluid ascites and pleural effusion
IF 2.3 4区 医学
American Journal of the Medical Sciences Pub Date : 2025-02-01 DOI: 10.1016/S0002-9629(25)00100-4
JJ Burns, D Lohner
{"title":"91 Shunt for hydrocephalus causing cerebral spinal fluid ascites and pleural effusion","authors":"JJ Burns,&nbsp;D Lohner","doi":"10.1016/S0002-9629(25)00100-4","DOIUrl":"10.1016/S0002-9629(25)00100-4","url":null,"abstract":"","PeriodicalId":55526,"journal":{"name":"American Journal of the Medical Sciences","volume":"369 ","pages":"Page S62"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143098216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
72 A heart-y challenge: when one lung gets fluid-ly involved
IF 2.3 4区 医学
American Journal of the Medical Sciences Pub Date : 2025-02-01 DOI: 10.1016/S0002-9629(25)00081-3
D Wolff, G Garver, S Snellgrove, EO Schmit
{"title":"72 A heart-y challenge: when one lung gets fluid-ly involved","authors":"D Wolff,&nbsp;G Garver,&nbsp;S Snellgrove,&nbsp;EO Schmit","doi":"10.1016/S0002-9629(25)00081-3","DOIUrl":"10.1016/S0002-9629(25)00081-3","url":null,"abstract":"","PeriodicalId":55526,"journal":{"name":"American Journal of the Medical Sciences","volume":"369 ","pages":"Pages S48-S49"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143098220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
55 Propofol-related infusion syndrome in a pediatric patient with concomitant COVID-19 infection: a case report
IF 2.3 4区 医学
American Journal of the Medical Sciences Pub Date : 2025-02-01 DOI: 10.1016/S0002-9629(25)00064-3
C Cutter, R Mehta
{"title":"55 Propofol-related infusion syndrome in a pediatric patient with concomitant COVID-19 infection: a case report","authors":"C Cutter,&nbsp;R Mehta","doi":"10.1016/S0002-9629(25)00064-3","DOIUrl":"10.1016/S0002-9629(25)00064-3","url":null,"abstract":"","PeriodicalId":55526,"journal":{"name":"American Journal of the Medical Sciences","volume":"369 ","pages":"Page S38"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143098549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
53 Feeding difficulties in three infants with prenatal fentanyl exposure
IF 2.3 4区 医学
American Journal of the Medical Sciences Pub Date : 2025-02-01 DOI: 10.1016/S0002-9629(25)00062-X
M Cornwall, T Deall, T Wright
{"title":"53 Feeding difficulties in three infants with prenatal fentanyl exposure","authors":"M Cornwall,&nbsp;T Deall,&nbsp;T Wright","doi":"10.1016/S0002-9629(25)00062-X","DOIUrl":"10.1016/S0002-9629(25)00062-X","url":null,"abstract":"","PeriodicalId":55526,"journal":{"name":"American Journal of the Medical Sciences","volume":"369 ","pages":"Pages S36-S37"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143098551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
62 Unrecognized fentanyl use in an adolescent with seizure-like episodes and recurrent hospitalizations
IF 2.3 4区 医学
American Journal of the Medical Sciences Pub Date : 2025-02-01 DOI: 10.1016/S0002-9629(25)00071-0
B Samant, Y Shah, E Hauck
{"title":"62 Unrecognized fentanyl use in an adolescent with seizure-like episodes and recurrent hospitalizations","authors":"B Samant,&nbsp;Y Shah,&nbsp;E Hauck","doi":"10.1016/S0002-9629(25)00071-0","DOIUrl":"10.1016/S0002-9629(25)00071-0","url":null,"abstract":"","PeriodicalId":55526,"journal":{"name":"American Journal of the Medical Sciences","volume":"369 ","pages":"Page S42"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143098812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
42 A rare complication from common birth trauma
IF 2.3 4区 医学
American Journal of the Medical Sciences Pub Date : 2025-02-01 DOI: 10.1016/S0002-9629(25)00051-5
S Khawaja, B Winemiller, B Witt, JB Beavers
{"title":"42 A rare complication from common birth trauma","authors":"S Khawaja,&nbsp;B Winemiller,&nbsp;B Witt,&nbsp;JB Beavers","doi":"10.1016/S0002-9629(25)00051-5","DOIUrl":"10.1016/S0002-9629(25)00051-5","url":null,"abstract":"","PeriodicalId":55526,"journal":{"name":"American Journal of the Medical Sciences","volume":"369 ","pages":"Page S29"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143100979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
14 A curious case of syncope from carotid body invasive tumor
IF 2.3 4区 医学
American Journal of the Medical Sciences Pub Date : 2025-02-01 DOI: 10.1016/S0002-9629(25)00023-0
JD Dharwal, F Mahjabeen, L Mirembe, M Almas, R Chandra
{"title":"14 A curious case of syncope from carotid body invasive tumor","authors":"JD Dharwal,&nbsp;F Mahjabeen,&nbsp;L Mirembe,&nbsp;M Almas,&nbsp;R Chandra","doi":"10.1016/S0002-9629(25)00023-0","DOIUrl":"10.1016/S0002-9629(25)00023-0","url":null,"abstract":"","PeriodicalId":55526,"journal":{"name":"American Journal of the Medical Sciences","volume":"369 ","pages":"Pages S8-S9"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143091999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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