Anesthesia and analgesia最新文献_第10页

Compassion and Postoperative Pain Scores: Killing Pain With Kindness?

IF 4.6 2区医学

Anesthesia and analgesia Pub Date : 2025-01-22 DOI: 10.1213/ANE.0000000000007325

Alireza Danesh, Kailee N May, Aimee Pak, Amir L Butt

引用次数: 0

The Association of the Coronavirus Disease-2019 Pandemic With Disparities in Maternal Outcomes.

IF 4.6 2区医学

Anesthesia and analgesia Pub Date : 2025-01-22 DOI: 10.1213/ANE.0000000000007323

Laurent G Glance, Karen E Joynt Maddox, J Christopher Glantz, Eeshwar K Chandrasekar, Ernie Shippey, Richard N Wissler, Patricia W Stone, Jingjing Shang, Anjana Kundu, Andrew W Dick

{"title":"The Association of the Coronavirus Disease-2019 Pandemic With Disparities in Maternal Outcomes.","authors":"Laurent G Glance, Karen E Joynt Maddox, J Christopher Glantz, Eeshwar K Chandrasekar, Ernie Shippey, Richard N Wissler, Patricia W Stone, Jingjing Shang, Anjana Kundu, Andrew W Dick","doi":"10.1213/ANE.0000000000007323","DOIUrl":"10.1213/ANE.0000000000007323","url":null,"abstract":"Background: In the United States, Black and Hispanic patients have substantially worse maternal outcomes than non-Hispanic White patients. The goals of this study were to evaluate the association between the coronavirus disease-2019 (COVID-19) pandemic and maternal outcomes, and whether Black and Hispanic patients were disproportionately affected by the pandemic compared to White patients.Methods: Multivariable logistic regression was used to examine in the United States the association between maternal outcomes (severe maternal morbidity, mortality, failure-to-rescue, and cesarean delivery) and the weekly hospital proportion of COVID-19 patients, and the interaction between race, ethnicity, payer status, and the hospital COVID-19 burden using US national data from the Vizient Clinical Database between 2017 and 2022.Results: Among 2484,895 admissions for delivery, 457,992 (18.4%) were non-Hispanic Black (hereafter referred to as Black), 537,867 (21.7% were Hispanic), and 1489,036 (59.9%) were non-Hispanic White (hereafter referred to as White); mean (standard deviation [SD]) age, 29.9 (5.8). Mortality (adjusted odds ratio [AOR], 2.72; 95% confidence interval [CI], 1.28-5.8; P = .01) and failure-to-rescue (AOR, 2.89; 95% CI, 1.36-6.13, P = .01), increased during weeks with a COVID-19 burden of 10.1% to 20.0%, while rates of severe maternal morbidity and cesarean delivery were unchanged. Compared to White patients, Black and Hispanic patients had higher rates of severe maternal morbidity ([Black: OR, 1.97; 95% CI, 1.85-2.11, P < .001]; [Hispanic: OR, 1.37;95% CI, 1.28-1.48, P < .001]), mortality ([Black: OR, 1.92; 95% CI, 1.29-2.86, P < .001]; [Hispanic: OR, 1.51;95% CI, 1.01-2.24, P = .04]), and cesarean delivery ([Black: OR, 1.58; 95% CI, 1.54-1.63, P < .001]; [Hispanic: OR, 1.09;95% CI, 1.05-1.13, P < .001]), but not failure-to-rescue. Except for Black patients without insurance (1.3% of the patients), the pandemic was not associated with increases in maternal disparities. Odds of mortality (AOR, 1.96; 95% CI, 1.22-3.16, P = .01) and failure-to-rescue (AOR, 3.67; 95% CI, 1.67-8.07, P = .001) increased 2.0 and 3.7-fold, respectively, in Black patients without insurance compared to White patients with private insurance for each 10% increase in the weekly hospital COVID-19 burden.Conclusions: In this national study of 2.5 million deliveries in the United States, the COVID-19 pandemic was associated with increases in maternal mortality and failure-to-rescue but not in severe maternal morbidity or cesarean deliveries. While the pandemic did not exacerbate disparities for Black and Hispanic patients with private or Medicaid insurance, uninsured Black patients experienced greater increases in mortality and failure-to-rescue compared to insured White patients.","PeriodicalId":7784,"journal":{"name":"Anesthesia and analgesia","volume":" ","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143021891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Social Determinants of Health in Machine-Learning Algorithms.

IF 4.6 2区医学

Anesthesia and analgesia Pub Date : 2025-01-22 DOI: 10.1213/ANE.0000000000007362

Nancy M Boulos, En Chang, Brittany N Burton

引用次数: 0

In Response.

IF 4.6 2区医学

Anesthesia and analgesia Pub Date : 2025-01-22 DOI: 10.1213/ANE.0000000000007363

Rodney A Gabriel

引用次数: 0

In Response. 作为回应。

IF 4.6 2区医学

Anesthesia and analgesia Pub Date : 2025-01-20 DOI: 10.1213/ANE.0000000000007259

Benjamin Hyers, Yaakov Beilin, Daniel Katz

引用次数: 0

A Culture of Anesthesiologists. 麻醉师的培养。

IF 4.6 2区医学

Anesthesia and analgesia Pub Date : 2025-01-20 DOI: 10.1213/ANE.0000000000007360

Bishr Haydar

引用次数: 0

Advancing Videolaryngoscopy Through Integrated Channel Technology: Technical Solutions for Common Clinical Challenges. 通过集成通道技术推进视频喉镜检查：常见临床挑战的技术解决方案。

IF 4.6 2区医学

Anesthesia and analgesia Pub Date : 2025-01-14 DOI: 10.1213/ANE.0000000000007403

André A J Van Zundert

引用次数: 0

My Bag, My Life. 我的包，我的生活。

IF 4.6 2区医学

Anesthesia and analgesia Pub Date : 2025-01-14 DOI: 10.1213/ANE.0000000000006817

Gaston Nyirigira, Kara L Neil, Brunelle Gateka

引用次数: 0

Classification of Surgical Patients Needing Preoperative Cardiac Evaluations: A Comparison of General-Purpose and Domain-Specific Large Language Models. 需要术前心脏评估的外科患者分类：通用和特定领域大语言模型的比较。

IF 4.6 2区医学

Anesthesia and analgesia Pub Date : 2025-01-14 DOI: 10.1213/ANE.0000000000007408

Jeffrey L Tully, Onkar Litake, Minhthy N Meineke, Sierra Simpson, Ruth S Waterman, Rodney A Gabriel

引用次数: 0

Procalcitonin Variants As a New Diagnostic Tool for Sepsis. 降钙素原变异作为败血症的新诊断工具。

IF 4.6 2区医学

Anesthesia and analgesia Pub Date : 2025-01-14 DOI: 10.1213/ANE.0000000000007285

Shufang He

引用次数: 0