American journal of surgery
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To determine the risk of obstructive sleep apnea (OSA) in preoperative surgical patients. ⋯ Preoperative screening for OSA should be considered to diagnose patients at risk.
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Respiratory insufficiency is the major cause of mortality in patients with amyotrophic lateral sclerosis or Lou Gehrig's disease. This is the final report of the diaphragm pacing (DP) pilot trial. ⋯ Long-term analysis of DP in amyotrophic lateral sclerosis showed no safety issues and can positively influence diaphragm physiology and survival. This formed the initial basis for subsequent US Food and Drug Administration approval.
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Comparative Study
The effect of timing of postmastectomy radiation on implant-based breast reconstruction: a retrospective comparison of complication outcomes.
The optimal timing of postmastectomy radiation for women undergoing delayed permanent implant exchange continues to remain controversial. The objective of our study is to compare complication rates when tissue expanders are exchanged for permanent implants pre- vs postradiation. ⋯ In our study of 54 patients, the timing of radiation did not affect individual complication rates for patients who underwent implant-based breast reconstruction after immediate tissue expander placement.
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The frequency of 90-day, postdischarge deaths and readmissions in Medicare patients undergoing elective surgical procedures has not been well studied. ⋯ RApoLOS outliers have increased rates of postdischarge deaths and readmissions.