Tag: Surgery

1. Prolonging passive second stage beyond 2 hours did not increase the risk of hysterotomy extension during cesareans  2. Surgeon’s level of experience and forceps use during cesarean were associated with hysterotomy extensions Evidence Rating Level: 2 (Good) Approximately 3-8% of cesareans result in hysterotomy extension which can result in increased postpartum...

Comparison of Routine With Clinically Indicated Replacement of Peripheral Intravenous Catheters 1. Routine replacement of peripheral intravenous catheters (PVCs) every 96 hours was associated with fewer PVC-associated bloodstream infections (PVC-BSIs) compared to PVC replacement only when clinically indicated. Evidence Rating Level: 2 (Good) Nearly 60% of patients in hospital undergo an insertion of a...

1. Adalimumab was efficacious when used simultaneously with wide-excision surgery for treatment of moderate to severe hidradenitis suppurativa (HS). Evidence Rating Level: 1 (Excellent) Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition that affects the hair follicles, and is characterized by painful nodules, abscesses, scarring, and tissue destruction. It usually...

Effects of air pollution and habitual exercise on the risk of death: a longitudinal cohort study 1. Higher levels of exercise were associated with lower risk of death regardless of the level of exposure to fine particulate matter (PM2.5). Evidence Rating Level: 2 (Good) Air pollution and physical inactivity are considered leading...

1. Survivors of head and neck cancer (HNC) from rural American counties had double the rate of suicides compared to HNC survivors from metropolitan and urban counties. Evidence Rating Level: 2 (Good) Suicide has been in the top 10 leading causes of death in the United States since 2008. As well,...

1. Following emergency general surgery procedures, frail patients had poorer clinical outcomes such as higher mortality, non-home discharge rates, and hospital readmissions, as well as greater hospital costs. Evidence Rating Level: 2 (Good) Emergency general surgeries (EGS) carry greater risk of mortality and other poorer clinical outcomes, due to the involvement...

Real time remote symptom monitoring during chemotherapy for cancer: European multicentre randomised controlled trial (eSMART) 1. A daily remote symptom monitoring system reduced both the physical and psychological burden of chemotherapy side effects across six chemotherapy cycles, compared to standard care. Evidence Rating Level: 1 (Excellent) Individuals undergoing chemotherapy can experience numerous...

1. This phase III drug trial showed that dexamethasone does not significantly reduce risk of adverse events and death following major non-cardiac surgery. 2. Secondary safety outcomes were comparable between the dexamethasone and placebo groups. Evidence Rating Level: 1 (Excellent) Study Rundown: Major surgery has potential major complications, such as shock, infection,...

1. Using a restrictive fluid resuscitation strategy for early to mild post-partum hemorrhage yielded similar hemodynamic outcomes as a liberal fluid resuscitation strategy. Evidence Rating Level: 1 (Excellent) Postpartum hemorrhage (PPH) is a leading cause of maternal death internationally. Currently, the PPH guidelines set by the Royal College of Obstetricians and...

Burden of ischemic stroke in patients with congenital heart disease: A nationwide, case‐control study 1. A nationwide Swedish study demonstrated that patients with congenital heart disease are at an increased risk of developing ischemic stroke compared to controls. Evidence Rating Level: 3 (Average) Congenital heart disease (CHD) is the most common...