Journal of the Association for Academic Minority Physicians : the official publication of the Association for Academic Minority Physicians
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J Assoc Acad Minor Phys · Jan 1993
Review Case ReportsSpinal cord sarcoidosis: a case report and review of the literature.
Sarcoidosis is a multisystem syndrome characterized by the development of noncaseating granulomata. These lesions disrupt the architecture and function of the tissue in which they reside. Sarcoidosis in and around the spinal cord is relatively rare. ⋯ Intramedullary lesions respond to medical therapy alone, if at all. Extramedullary lesions may be amenable to surgical resection with postoperative steroid therapy. If treated in time, patients with the latter form generally achieve a nearly full recovery.
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J Assoc Acad Minor Phys · Jan 1993
The high cost of hospital trauma care: an analysis of hospital length of stay, injury severity score, case mix index, and reimbursement-to-cost ratio.
We conducted a study to evaluate reimbursement characteristics for an urban hospital providing a high volume of trauma care. Complete clinical and financial data for 209 trauma patients admitted to the Bronx Municipal Hospital Center during September 1990 were entered into a trauma registry. Patients were categorized into three groups. ⋯ As expected, the length of stay and case mix index were significantly higher for group 1, but they did not differ between group 2 and group 3. Group 1 was a small proportion (7.7%) of trauma patients admitted to the Bronx Municipal Hospital Center level 1 trauma center. Trauma admissions were treated at a net loss, with a projected high annual deficit of $5.3 million.(ABSTRACT TRUNCATED AT 250 WORDS)