Anesthesiology
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Comparative Study
Development and validation of an acute kidney injury risk index for patients undergoing general surgery: results from a national data set.
The authors sought to identify the incidence, risk factors, and mortality impact of acute kidney injury (AKI) after general surgery using a large and representative national clinical data set. ⋯ Approximately 1% of general surgery cases are complicated by AKI. The authors have developed a robust risk index based on easily identified preoperative comorbidities and patient characteristics.
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Comparative Study
Strict glucose control does not affect mortality after aneurysmal subarachnoid hemorrhage.
The effects of both hyperglycemia and hypoglycemia are deleterious to patients with neurologic injury. ⋯ The initiation of a tight glucose control regimen lowered average glucose levels but had no effect on overall in-hospital mortality.
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Multicenter Study Comparative Study
Development of the functional recovery index for ambulatory surgery and anesthesia.
It is increasingly important to evaluate patients' recovery after ambulatory surgery. The authors developed the Functional Recovery Index (FRI) to assess postdischarge functional recovery for ambulatory surgical patients. ⋯ The FRI had excellent reliability, good validity, responsiveness, and acceptability, indicating that this questionnaire will be a good instrument for assessing functional recovery of ambulatory surgical patients.