scholarly journals Tackling Another COVID‐19 Pandemic Disparity: Distance from Major Academic Medical Centers Encumbers Emergency and Critical Care Physician Surge Capacity

2020 ◽  
Vol 27 (11) ◽  
pp. 1212-1214
Author(s):  
Robert M. Rodriguez
Keyword(s):  
Critical Care ◽  
Care Physician ◽  
Academic Medical Centers ◽  
Critical Care Physician ◽  
Surge Capacity ◽  
Medical Centers ◽  
Academic Medical

Critical Care Organizations in Academic Medical Centers in North America

2015 ◽  
Vol 43 (10) ◽  
pp. 2239-2244 ◽  
Author(s):  
Stephen M. Pastores ◽  
Neil A. Halpern ◽  
John M. Oropello ◽  
Natalie Kostelecky ◽  
Vladimir Kvetan
Keyword(s):  
Critical Care ◽  
North America ◽  
Academic Medical Centers ◽  
Medical Centers ◽  
Academic Medical

Unplanned Reoperation and Implant Revision After Total Wrist Arthroplasty

Hand ◽  
2020 ◽  
pp. 155894471989881 ◽  
Author(s):  
Taylor M. Pong ◽  
Wouter F. van Leeuwen ◽  
Kamil Oflazoglu ◽  
Philip E. Blazar ◽  
Neal Chen
Keyword(s):  
Risk Factors ◽  
Implant Removal ◽  
Academic Medical Centers ◽  
Implant Design ◽  
Factors Associated ◽  
Medical Centers ◽  
Total Wrist Arthroplasty ◽  
Academic Medical ◽  
Related Risk ◽  
Wrist Arthroplasty

Background: Total wrist arthroplasty (TWA) is a treatment option for many debilitating wrist conditions. With recent improvements in implant design, indications for TWA have broadened. However, despite these improvements, there are still complications associated with TWA, such as unplanned reoperation and eventual implant removal. The goal of this study was to identify risk factors for an unplanned reoperation or implant revision after a TWA at 2 academic medical centers between 2002 and 2015. Methods: In this retrospective study, 24 consecutive TWAs were identified using CPT codes. Medical records were manually reviewed to identify demographic, patient- or disease-related, and surgery-related risk factors for reoperation and implant removal after a primary TWA. Results: Forty-six percent of wrists (11 of 24 TWAs performed) had a reoperation after a median of 3.4 years, while 29% (7 of 24) underwent implant revision after a median of 5 years. Two patients had wrist surgery prior to their TWA, both eventually had their implant removed ( P = .08). There were no risk factors associated with reoperation or implant removal. Conclusion: Unplanned reoperation and implant removal after a primary TWA are common. Approximately 1 in 3 wrists are likely to undergo revision surgery. We found no factors associated with reoperation or implant removal; however, prior wrist surgery showed a trend toward risk of implant removal after TWA.

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