SMJ // February 2020, Volume 113 - Issue 2

Original Article

Changes in Proportions of Emergency Department Patients with Mental Illness Noted in the National Hospital Ambulatory Medical Care Survey, 2012–2015

Objectives: The primary objective of this study was to determine whether there was a change in the rate and types of patients with psychiatric illnesses being seen in the emergency department (ED) from 2012 to 2015 using the National Ambulatory Care Survey. A secondary objective was to determine what if…

Posted in: Emergency & Disaster Medicine16 Mental Health44

Original Article

CME Article: Assessment of the Need for Immediate Trauma Team Presence for Infants Presenting in Cardiac Arrest

Objectives: Out-of-hospital cardiac arrest (OHCA) is rare in infants, with the cause of arrest often unknown upon presentation. Nonaccidental trauma is a potential etiology of OHCA among infants, but its occult presentation makes this etiology challenging to diagnose. In the absence of apparent injuries, identifying the need for trauma team…

Posted in: Emergency & Disaster Medicine16

Original Article

Increasing Comfort with Sensory Processing Difficulties in the Prehospital Setting: Pre-Post Study of Education and Sensory Tools in EMS Providers

Objectives: Interfacing with patients with sensory processing difficulties is challenging to healthcare providers and even more problematic for emergency medical services (EMS) personnel in the acute care setting. Sensory training may be an effective nonpharmacologic method to deal with these patient populations. The purpose of this study was to evaluate…

Posted in: Emergency & Disaster Medicine16

Original Article

Sex Differences in the Association between Local Government Spending and Mortality: Evidence from Tennessee

Objectives: A growing body of research has demonstrated the effect of local government spending on health outcomes; however, the effect of spending on different demographic groups is unclear. We combined national and local data to examine the impact of public spending on mortality rates in Tennessee.Methods: Within-between random effects models…

Original Article

Changes in Health and Well-Being during Residents’ Training

Objectives: Previous studies have characterized the negative effects of graduate medical education on physicians; however, there is limited longitudinal data on how physicians’ well-being changes during their training. This study aimed to demonstrate and quantify changes to trainees’ wellness and health habits during the course of their first 2 years…

Original Article

Utilization of Healthcare Resources by HIV-Positive Children in the United States: A National Perspective

Objective: We characterized and estimated the cost of inpatient hospital utilization by US pediatric patients who tested positive for the human immunodeficiency virus (HIV).Methods: The 2012 Kids’ Inpatient Database was analyzed to provide a descriptive assessment of national inpatient hospital utilization. We analyzed a stratified probability sampling of 3.2 million…

Posted in: Infectious Disease139 Acquired Immunodeficiency Syndrome (AIDS) And Human Immunodeficiency Virus (HIV) Infection21

Original Article

Epilepsy and Physical Activity in US Adults

Objectives: To examine the prevalence of self-reported aerobic leisure-time physical activity (LTPA) and muscle-strengthening activity (MSA) participation using a representative sample of US adults (18 years old and older) with a seizure disorder or epilepsy.Methods: Data from the 2010, 2013, and 2015 National Health Interview Survey cycles were used to…

Posted in: Neurology16 Seizures1

Original Article

Same-Admission Cholecystectomy Compared with Delayed Cholecystectomy in Acute Gallstone Pancreatitis: Outcomes and Predictors in a Safety Net Hospital Cohort

Objectives: Recent studies have shown a decrease in gallstone-related complications if same-admission cholecystectomy (SAC) is performed in mild gallstone pancreatitis (GSP); however, SAC often is not performed in resource-limited settings such as safety net hospitals. The aims of this study were to evaluate the rate of SAC and compare a…

Posted in: Pancreatic Disease1

Original Article

Prevalence and Clinical Impact of Atrial Fibrillation in Patients with Pulmonary Embolism

Objectives: Atrial fibrillation (AF) has been suggested as a cause for pulmonary embolism (PE). We aimed to explore the prevalence and clinical impact of AF in patients with PE.Methods: Using the 2012–2014 National (Nationwide) Inpatient Sample database, we identified “adult patients with PE” as the principal discharge diagnosis. The identified…

Posted in: Miscellaneous Cardiovascular Disease (Physical Examination Findings, Murmurs)3 Miscellaneous Pulmonary Disorders (Indications for Spirometry)3
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