Baylor University Medical Center Proceedings最新文献_第3页

Association of acute kidney injury with in-hospital outcomes among patients with delirium tremens: a national retrospective study. 震颤性谵妄患者急性肾损伤与住院预后的关系：一项全国性回顾性研究

Baylor University Medical Center Proceedings Pub Date : 2026-11-01 Epub Date: 2026-09-02 DOI: 10.1080/08998280.2026.2724483

Thai Truong, Ricardo Zuniga Veliz, Carlos Gallego-Navarro, Oktrian Oktrian, Jeremy Kuszel, Mythily Rao Ponaganti, Ide Kafexhiu, Lisa Nagelberg Glass

{"title":"Association of acute kidney injury with in-hospital outcomes among patients with delirium tremens: a national retrospective study.","authors":"Thai Truong, Ricardo Zuniga Veliz, Carlos Gallego-Navarro, Oktrian Oktrian, Jeremy Kuszel, Mythily Rao Ponaganti, Ide Kafexhiu, Lisa Nagelberg Glass","doi":"10.1080/08998280.2026.2724483","DOIUrl":"10.1080/08998280.2026.2724483","url":null,"abstract":"Background: Acute kidney injury (AKI) may worsen outcomes of delirium tremens (DT), but data are limited. We investigated the association between AKI and hospital outcomes in DT and identified factors associated with AKI.Methods: We conducted a retrospective observational study using the National Inpatient Sample (2017-2022) and ICD-10 codes. Adult hospitalizations with a principal diagnosis of DT were identified and stratified by AKI as a secondary diagnosis. Primary outcomes were endotracheal intubation rate, hospital length of stay, and all-cause hospital mortality. Multivariate regression, inverse probability of treatment weighting, and augmented inverse probability weighting were performed.Results: Among 267,375 DT hospitalizations, 11.26% had AKI. Patients with AKI had longer length of stay (9.09 vs 5.88 days), a higher endotracheal intubation rate (13.62% vs 5.04%), and a higher hospital mortality rate (2.23% vs 0.28%) (all P < 0.001). In adjusted analyses, AKI was independently associated with increased odds of mortality (odds ratio [OR] 4.21) and intubation (OR 2.33), as well as longer hospital length of stay (all P < 0.001). These findings were consistent after weighting analyses. AKI was associated with male sex, Black race, sepsis, obesity, and higher Charlson Comorbidity Index.Conclusions: AKI is common among patients hospitalized with DT and is associated with worse hospital outcomes.","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":" ","pages":"1055-1063"},"PeriodicalIF":0.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13682258/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148872814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

If you go looking for trouble…. 如果你自找麻烦....

Baylor University Medical Center Proceedings Pub Date : 2026-11-01 Epub Date: 2026-08-17 DOI: 10.1080/08998280.2026.2715950

Shena Dillon

引用次数: 0

Assessment of professionalism in medical students: a framework for remediation. 医学生专业精神评估：补救框架。

Baylor University Medical Center Proceedings Pub Date : 2026-11-01 Epub Date: 2026-07-27 DOI: 10.1080/08998280.2026.2699589

Ana Crew, Katherine Sanchez

{"title":"Assessment of professionalism in medical students: a framework for remediation.","authors":"Ana Crew, Katherine Sanchez","doi":"10.1080/08998280.2026.2699589","DOIUrl":"10.1080/08998280.2026.2699589","url":null,"abstract":"Early identification and remediation of professionalism concerns in medical students remains a critical challenge in medical education, particularly when professionalism lapses occur alongside clinical skill deficits. This article describes a structured approach to remediating combined clinical and professionalism deficiencies in a first-year medical student through independent expert preceptorship, workplace-based assessments, and guided reflective practice. Drawing from established remediation frameworks and our program experience, the remediation model includes components of clear professionalism criteria, structured reflection with attention to self-assessment capacity, and serial evaluation to identify patterns of behavior over time. The framework also highlights key implementation considerations, including preceptor preparation, faculty development needs, and the use of practical tools such as reflection prompts and behavior-pattern classifications to support consistent remediation decisions. This approach emphasizes early intervention, transparent expectations, targeted feedback, and longitudinal assessment to support learner growth while maintaining educational standards and professional accountability.","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":" ","pages":"1157-1160"},"PeriodicalIF":0.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13682226/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148590473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

We can do better by our patients hospitalized with acute severe ulcerative colitis. 我们可以通过治疗急性严重溃疡性结肠炎的病人来做得更好。

Baylor University Medical Center Proceedings Pub Date : 2026-11-01 Epub Date: 2026-09-24 DOI: 10.1080/08998280.2026.2730094

Themistocles Dassopoulos

引用次数: 0

When life was simple. 当生活很简单的时候。

Baylor University Medical Center Proceedings Pub Date : 2026-11-01 Epub Date: 2026-07-14 DOI: 10.1080/08998280.2026.2691674

Neeta Nayak

引用次数: 0

Thyroid tissue in cervical lymph nodes: is it always malignant, and why do we care? 颈部淋巴结中的甲状腺组织：是否总是恶性的，为什么我们要关心？

Baylor University Medical Center Proceedings Pub Date : 2026-11-01 Epub Date: 2026-08-26 DOI: 10.1080/08998280.2026.2715951

Wei Zhang

引用次数: 0

The rigid ureteroscope-guided Seldinger technique: a novel and effective method of Foley catheter deployment in patients with challenging transurethral access. 硬输尿管镜引导下的Seldinger技术：一种新颖有效的经尿道困难患者Foley导管部署方法。

Baylor University Medical Center Proceedings Pub Date : 2026-11-01 Epub Date: 2026-06-03 DOI: 10.1080/08998280.2026.2676485

Cole Nelson, Priscilla Anderton, Marawan M El Tayeb, Abhishek Bhat

引用次数: 0

Why is early-onset cancer on the rise? 为什么早发性癌症呈上升趋势？

Baylor University Medical Center Proceedings Pub Date : 2026-11-01 Epub Date: 2026-09-18 DOI: 10.1080/08998280.2026.2731828

Charles Kimbrough

引用次数: 0

Influence of surgical technique on femoral sagittal alignment in total knee arthroplasty: a comparative radiographic study. 全膝关节置换术中手术技术对股骨矢状位排列的影响：一项比较放射学研究。

Baylor University Medical Center Proceedings Pub Date : 2026-11-01 Epub Date: 2026-07-14 DOI: 10.1080/08998280.2026.2700700

Kunal Verma, Nicholas S Hernandez, Bryce C Allen

{"title":"Influence of surgical technique on femoral sagittal alignment in total knee arthroplasty: a comparative radiographic study.","authors":"Kunal Verma, Nicholas S Hernandez, Bryce C Allen","doi":"10.1080/08998280.2026.2700700","DOIUrl":"10.1080/08998280.2026.2700700","url":null,"abstract":"Background: Femoral component alignment has important implications for implant longevity and favorable outcomes following total knee arthroplasty (TKA). However, the effect of surgical technique on sagittal alignment parameters is not well understood. This study aimed to understand how surgical technique in TKA affects femoral flexion and condylar offset in the sagittal plane.Methods: A retrospective review was performed of 699 postoperative radiographs from TKAs performed using a single implant system. Three cohorts were analyzed: rigid intramedullary rod, flexible intramedullary rod, and robotic-assisted TKA. Radiographic measurements included femoral flexion angle, anterior and posterior condylar offset, and mechanical femoral flexion angle.Results: Robotic-assisted TKA demonstrated the least mean femoral flexion of 2.82° ± 1.91° compared to 4.71° ± 2.71° in the rigid cohort and 3.90° ± 2.33° in the flexible cohort (P < 0.001). Femoral flexion measured on the mechanical axis was greater than when measured on the distal anatomic axis in the rigid rod and robotic-assisted groups. Robotic-assisted TKA had the highest posterior condylar offset, but this difference was not observed when normalized for radiographic magnification.Conclusion: Instrumentation technique in TKA may result in significant differences in sagittal alignment, specifically in femoral flexion. Clinical implications of sagittal alignment variability have yet to be fully described.","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":" ","pages":"1080-1085"},"PeriodicalIF":0.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13682236/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148444220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Palliative care documentation in gastrointestinal bleeding hospitalizations: national trends and associated care patterns. 胃肠出血住院的姑息治疗记录：国家趋势和相关的护理模式。

Baylor University Medical Center Proceedings Pub Date : 2026-11-01 Epub Date: 2026-08-10 DOI: 10.1080/08998280.2026.2712806

Akram Alnounou, Brian Nohomovich, Mohammad Alabbas, Kirsten Hickok, Fnu Vikash, Rutwik Sharma, Neil Sengupta, Basile Njei, Serge Sorser, Eric Martin Sieloff

{"title":"Palliative care documentation in gastrointestinal bleeding hospitalizations: national trends and associated care patterns.","authors":"Akram Alnounou, Brian Nohomovich, Mohammad Alabbas, Kirsten Hickok, Fnu Vikash, Rutwik Sharma, Neil Sengupta, Basile Njei, Serge Sorser, Eric Martin Sieloff","doi":"10.1080/08998280.2026.2712806","DOIUrl":"10.1080/08998280.2026.2712806","url":null,"abstract":"Background: Gastrointestinal bleeding (GIB) often affects older, medically complex patients, yet national patterns of inpatient palliative care documentation in GIB are unknown. We aimed to characterize trends and factors associated with palliative care documentation and examine associated inpatient care and outcome patterns.Methods: We conducted a retrospective serial cross-sectional study of adult principal-diagnosis upper or lower GIB hospitalizations in the 2016 to 2022 National Inpatient Sample. Documentation was defined by ICD-10-CM Z51.5 in any diagnosis field. Survey-weighted regression assessed associated factors and inpatient outcomes.Results: Among 2,435,099 weighted hospitalizations, palliative care documentation was present in 65,675 (2.70%), increasing from 2.13% in 2016 to 3.43% in 2022. Associated factors included metastatic cancer (adjusted odds ratio [aOR], 8.276), age ≥85 years (aOR, 5.626), respiratory failure (aOR, 3.159), and dementia (aOR, 3.101). Relative to the White category, Black (aOR, 0.802) and Hispanic (aOR, 0.791) categories had lower adjusted odds. Documentation was associated with lower odds of endoscopy but higher odds of mechanical ventilation and renal replacement therapy. Among in-hospital decedents, coded do-not-resuscitate status was more frequent (80.2% vs 40.5%), and several treatments were less frequent. Adjusted length of stay and hospital charges were 4.3% and 1.1% higher, respectively.Conclusions: Palliative care documentation was uncommon and concentrated in higher-acuity hospitalizations. Because the code does not identify provider specialty, timing, or content, patterns are associations rather than effects and require validation in clinically richer data.","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":" ","pages":"1030-1042"},"PeriodicalIF":0.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13689785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148700679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0