首页 > 最新文献

American Journal of the Medical Sciences最新文献

英文 中文
Evaluating outcomes of transjugular intrahepatic portosystemic shunt procedure among Native Americans 评估美国原住民经颈静脉肝内门体分流术的效果。
IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
American Journal of the Medical Sciences
Pub Date : 2025-02-01 DOI: 10.1016/j.amjms.2024.08.008
Renxi Li BS , Shawn Sarin MD

Background

This study aims to explore racial disparities in immediate outcomes of Transjugular Intrahepatic Portosystemic Shunt (TIPS) among Native Americans, a group that have higher prevalence of liver cirrhosis but were the “invisible group” in previous TIPS studies due to their small population size.

Methods

The study identified Native Americans and Caucasians who underwent TIPS in National/Nationwide Inpatient Sample (NIS) database from Q4 2015–2020. Preoperative factors, including demographics, indications for TIPS, comorbidities, etiologies for liver disease, primary payer status, and hospital characteristics, were matched by 1:5 propensity score matching. In-hospital post-TIPS outcomes were then compared between the two cohorts.

Results

There were 6,658 patients who underwent TIPS, where 101 (1.52%) were Native Americans and 4,574 (68.70%) were Caucasians. Native Americans presented as younger, with a lower socioeconomic status, and displayed higher rates of alcohol abuse and related liver diseases. After propensity-score matching, Native Americans had comparable in-hospital post-TIPS outcomes including mortality (8.33% vs 9.09%, p = 1.00), hepatic encephalopathy (18.75% vs 25.84%, p = 0.19), acute kidney injury (28.13% vs 30.62%, p = 0.71), and other adverse events. Native Americans also had similar wait from admission to operation (2.15 ± 0.30 vs 2.87 ± 0.21 days, p = 0.13), hospital length of stay (7.43 ± 0.63 vs 8.62 ± 0.47 days, p = 0.13), and total costs (158,299 ± 14,218.2 vs 169,425 ± 8,600.7 dollars, p = 0.50).

Conclusion

Native Americans had similar immediate outcomes after TIPS compared to their propensity-matched Caucasians. While these results underscore effective healthcare delivery of TIPS to Native Americans, it is imperative to pursue further research for long-term post-procedure outcomes.
研究背景该研究旨在探讨经颈静脉肝内门体分流术（TIPS）近期疗效在美国原住民中的种族差异，美国原住民是肝硬化发病率较高的群体，但由于其人口规模较小，在以往的TIPS研究中属于 "隐形群体"：该研究在 2015-2020 年第四季度的全国/全美住院病人样本（NIS）数据库中识别了接受 TIPS 的美国原住民和白种人。术前因素包括人口统计学、TIPS适应症、合并症、肝病病因、主要付款人身份和医院特征，通过1:5倾向评分匹配进行匹配。然后比较两组患者住院后的 TIPS 治疗效果：共有 6658 名患者接受了 TIPS，其中 101 名（1.52%）为美国本土人，4574 名（68.70%）为白种人。美国原住民年龄较轻，社会经济地位较低，酗酒和相关肝病的发病率较高。经过倾向分数匹配后，美国原住民住院后的TIPS结果相当，包括死亡率（8.33% vs 9.09%，p=1.00）、肝性脑病（18.75% vs 25.84%，p=0.19）、急性肾损伤（28.13% vs 30.62%，p=0.71）和其他不良事件。美国原住民从入院到手术的等待时间（2.15±0.30 vs 2.87±0.21天，P=0.13）、住院时间（7.43±0.63 vs 8.62±0.47天，P=0.13）和总费用（158299±14218.2 vs 169425±8600.7美元，P=0.50）也相似：结论：与倾向匹配的白种人相比，美国原住民在 TIPS 术后的近期疗效相似。虽然这些结果表明 TIPS 为美国本土居民提供了有效的医疗服务，但对术后长期疗效的进一步研究仍势在必行。
{"title":"Evaluating outcomes of transjugular intrahepatic portosystemic shunt procedure among Native Americans","authors":"Renxi Li BS ,&nbsp;Shawn Sarin MD","doi":"10.1016/j.amjms.2024.08.008","DOIUrl":"10.1016/j.amjms.2024.08.008","url":null,"abstract":"<div><h3>Background</h3><div>This study aims to explore racial disparities in immediate outcomes of Transjugular Intrahepatic Portosystemic Shunt (TIPS) among Native Americans, a group that have higher prevalence of liver cirrhosis but were the “invisible group” in previous TIPS studies due to their small population size.</div></div><div><h3>Methods</h3><div>The study identified Native Americans and Caucasians who underwent TIPS in National/Nationwide Inpatient Sample (NIS) database from Q4 2015–2020. Preoperative factors, including demographics, indications for TIPS, comorbidities, etiologies for liver disease, primary payer status, and hospital characteristics, were matched by 1:5 propensity score matching. In-hospital post-TIPS outcomes were then compared between the two cohorts.</div></div><div><h3>Results</h3><div>There were 6,658 patients who underwent TIPS, where 101 (1.52%) were Native Americans and 4,574 (68.70%) were Caucasians. Native Americans presented as younger, with a lower socioeconomic status, and displayed higher rates of alcohol abuse and related liver diseases. After propensity-score matching, Native Americans had comparable in-hospital post-TIPS outcomes including mortality (8.33% vs 9.09%, <em>p</em> = 1.00), hepatic encephalopathy (18.75% vs 25.84%, <em>p</em> = 0.19), acute kidney injury (28.13% vs 30.62%, <em>p</em> = 0.71), and other adverse events. Native Americans also had similar wait from admission to operation (2.15 ± 0.30 vs 2.87 ± 0.21 days, <em>p</em> = 0.13), hospital length of stay (7.43 ± 0.63 vs 8.62 ± 0.47 days, <em>p</em> = 0.13), and total costs (158,299 ± 14,218.2 vs 169,425 ± 8,600.7 dollars, <em>p</em> = 0.50).</div></div><div><h3>Conclusion</h3><div>Native Americans had similar immediate outcomes after TIPS compared to their propensity-matched Caucasians. While these results underscore effective healthcare delivery of TIPS to Native Americans, it is imperative to pursue further research for long-term post-procedure outcomes.</div></div>","PeriodicalId":55526,"journal":{"name":"American Journal of the Medical Sciences","volume":"369 2","pages":"Pages 145-151"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
67 Brucellosis: a pain in the butt
IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
American Journal of the Medical Sciences
Pub Date : 2025-02-01 DOI: 10.1016/S0002-9629(25)00076-X
E Ward, C Walker, A Walker, S Pishko
{"title":"67 Brucellosis: a pain in the butt","authors":"E Ward,&nbsp;C Walker,&nbsp;A Walker,&nbsp;S Pishko","doi":"10.1016/S0002-9629(25)00076-X","DOIUrl":"10.1016/S0002-9629(25)00076-X","url":null,"abstract":"","PeriodicalId":55526,"journal":{"name":"American Journal of the Medical Sciences","volume":"369 ","pages":"Pages S45-S46"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143128132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
12 A unique case of late neurosyphilis
IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
American Journal of the Medical Sciences
Pub Date : 2025-02-01 DOI: 10.1016/S0002-9629(25)00021-7
HM O'Bryan, T Morton, BB Wiygul
{"title":"12 A unique case of late neurosyphilis","authors":"HM O'Bryan,&nbsp;T Morton,&nbsp;BB Wiygul","doi":"10.1016/S0002-9629(25)00021-7","DOIUrl":"10.1016/S0002-9629(25)00021-7","url":null,"abstract":"","PeriodicalId":55526,"journal":{"name":"American Journal of the Medical Sciences","volume":"369 ","pages":"Pages S7-S8"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143098197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
91 Shunt for hydrocephalus causing cerebral spinal fluid ascites and pleural effusion
IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
American Journal of the Medical Sciences
Pub Date : 2025-02-01 DOI: 10.1016/S0002-9629(25)00100-4
JJ Burns, D Lohner
{"title":"91 Shunt for hydrocephalus causing cerebral spinal fluid ascites and pleural effusion","authors":"JJ Burns,&nbsp;D Lohner","doi":"10.1016/S0002-9629(25)00100-4","DOIUrl":"10.1016/S0002-9629(25)00100-4","url":null,"abstract":"","PeriodicalId":55526,"journal":{"name":"American Journal of the Medical Sciences","volume":"369 ","pages":"Page S62"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143098216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
72 A heart-y challenge: when one lung gets fluid-ly involved
IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
American Journal of the Medical Sciences
Pub Date : 2025-02-01 DOI: 10.1016/S0002-9629(25)00081-3
D Wolff, G Garver, S Snellgrove, EO Schmit
{"title":"72 A heart-y challenge: when one lung gets fluid-ly involved","authors":"D Wolff,&nbsp;G Garver,&nbsp;S Snellgrove,&nbsp;EO Schmit","doi":"10.1016/S0002-9629(25)00081-3","DOIUrl":"10.1016/S0002-9629(25)00081-3","url":null,"abstract":"","PeriodicalId":55526,"journal":{"name":"American Journal of the Medical Sciences","volume":"369 ","pages":"Pages S48-S49"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143098220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
55 Propofol-related infusion syndrome in a pediatric patient with concomitant COVID-19 infection: a case report
IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
American Journal of the Medical Sciences
Pub Date : 2025-02-01 DOI: 10.1016/S0002-9629(25)00064-3
C Cutter, R Mehta
{"title":"55 Propofol-related infusion syndrome in a pediatric patient with concomitant COVID-19 infection: a case report","authors":"C Cutter,&nbsp;R Mehta","doi":"10.1016/S0002-9629(25)00064-3","DOIUrl":"10.1016/S0002-9629(25)00064-3","url":null,"abstract":"","PeriodicalId":55526,"journal":{"name":"American Journal of the Medical Sciences","volume":"369 ","pages":"Page S38"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143098549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
53 Feeding difficulties in three infants with prenatal fentanyl exposure
IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
American Journal of the Medical Sciences
Pub Date : 2025-02-01 DOI: 10.1016/S0002-9629(25)00062-X
M Cornwall, T Deall, T Wright
{"title":"53 Feeding difficulties in three infants with prenatal fentanyl exposure","authors":"M Cornwall,&nbsp;T Deall,&nbsp;T Wright","doi":"10.1016/S0002-9629(25)00062-X","DOIUrl":"10.1016/S0002-9629(25)00062-X","url":null,"abstract":"","PeriodicalId":55526,"journal":{"name":"American Journal of the Medical Sciences","volume":"369 ","pages":"Pages S36-S37"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143098551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
62 Unrecognized fentanyl use in an adolescent with seizure-like episodes and recurrent hospitalizations
IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
American Journal of the Medical Sciences
Pub Date : 2025-02-01 DOI: 10.1016/S0002-9629(25)00071-0
B Samant, Y Shah, E Hauck
{"title":"62 Unrecognized fentanyl use in an adolescent with seizure-like episodes and recurrent hospitalizations","authors":"B Samant,&nbsp;Y Shah,&nbsp;E Hauck","doi":"10.1016/S0002-9629(25)00071-0","DOIUrl":"10.1016/S0002-9629(25)00071-0","url":null,"abstract":"","PeriodicalId":55526,"journal":{"name":"American Journal of the Medical Sciences","volume":"369 ","pages":"Page S42"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143098812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
42 A rare complication from common birth trauma
IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
American Journal of the Medical Sciences
Pub Date : 2025-02-01 DOI: 10.1016/S0002-9629(25)00051-5
S Khawaja, B Winemiller, B Witt, JB Beavers
{"title":"42 A rare complication from common birth trauma","authors":"S Khawaja,&nbsp;B Winemiller,&nbsp;B Witt,&nbsp;JB Beavers","doi":"10.1016/S0002-9629(25)00051-5","DOIUrl":"10.1016/S0002-9629(25)00051-5","url":null,"abstract":"","PeriodicalId":55526,"journal":{"name":"American Journal of the Medical Sciences","volume":"369 ","pages":"Page S29"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143100979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
14 A curious case of syncope from carotid body invasive tumor
IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
American Journal of the Medical Sciences
Pub Date : 2025-02-01 DOI: 10.1016/S0002-9629(25)00023-0
JD Dharwal, F Mahjabeen, L Mirembe, M Almas, R Chandra
{"title":"14 A curious case of syncope from carotid body invasive tumor","authors":"JD Dharwal,&nbsp;F Mahjabeen,&nbsp;L Mirembe,&nbsp;M Almas,&nbsp;R Chandra","doi":"10.1016/S0002-9629(25)00023-0","DOIUrl":"10.1016/S0002-9629(25)00023-0","url":null,"abstract":"","PeriodicalId":55526,"journal":{"name":"American Journal of the Medical Sciences","volume":"369 ","pages":"Pages S8-S9"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143091999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
首页 上一页 下一页 尾页
类型
全部 化学•材料 生命科学 医学 物理 工程技术 环境•农林 材料科学 地球科学 法学 管理学 化学 环境科学与生态学 计算机科学 教育学 经济学 农林科学 人文科学 生物学 数学 物理与天体物理 心理学 综合性期刊 其他 工业工程 理学 历史学 农学 文学 信息工程
数据库
全部 ACS Publications Elsevier ieeexplore Springer The Royal Society of Chemistry Wiley
期刊
American Journal of the Medical Sciences
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
﹀
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号：481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们：info@booksci.cn
Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1