6 results on '"Cavallo, E."'
Search Results
2. Enhanced Recovery After Surgery Patients Are Prescribed Fewer Opioids at Discharge: A Propensity-score Matched Analysis.
- Author
-
Maurer LR, El Moheb M, Cavallo E, Antonelli DM, Linov P, Bird S, Faulkner HR, Del Carmen M, Qadan M, Ferrone CR, Kaafarani HMA, Sisodia R, and Ellis DB
- Subjects
- Humans, Female, Analgesics, Opioid therapeutic use, Patient Discharge, Aftercare, Pain, Postoperative drug therapy, Morphine Derivatives, Enhanced Recovery After Surgery, Opioid-Related Disorders
- Abstract
Objective: We aimed to compare discharge opioid prescriptions pre- and post-ERAS implementation., Summary of Background Data: ERAS programs decrease inpatient opioid use, but their relationship with postdischarge opioids remains unclear., Methods: All patients undergoing hysterectomy between October 2016 and November 2020 and pancreatectomy or hepatectomy between April 2017 and November 2020 at 1 tertiary care center were included. For each procedure, ERAS was implemented during the study period. PSM was performed to compare pre - versus post-ERAS patients on discharge opioids (number of pills and oral morphine equivalents). Patients were matched on age, sex, race, payor, American Society of Anesthesiologists score, prior opioid use, and procedure. Sensitivity analyses in open versus minimally invasive surgery cohorts were performed., Results: A total of 3983 patients were included (1929 pre-ERAS; 2054 post-ERAS). Post-ERAS patients were younger (56.0 vs 58.4 years; P < 0.001), more often female (95.8% vs 78.1%; P < 0.001), less often white (77.2% vs 82.0%; P < 0.001), less often had prior opioid use (20.1% vs 28.1%; P < 0.001), and more often underwent hysterectomy (91.1% vs 55.7%; P < 0.001). After PSM, there were no significant differences between cohorts in baseline characteristics. Matched post-ERAS patients were prescribed fewer opioid pills (17.4 pills vs 22.0 pills; P < 0.001) and lower oral morphine equivalents (129.4 mg vs 167.6 mg; P < 0.001) than pre-ERAS patients. Sensitivity analyses confirmed these findings [open (18.8 pills vs 25.4 pills; P < 0.001 \ 138.9 mg vs 198.7 mg; P < 0.001); minimally invasive surgery (17.2 pills vs 21.1 pills; P < 0.001 \ 127.1 mg vs 160.1 mg; P < 0.001)., Conclusions: Post-ERAS patients were prescribed significantly fewer opioids at discharge compared to matched pre-ERAS patients., Competing Interests: The authors report no conflicts of interest., (Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.)
- Published
- 2023
- Full Text
- View/download PDF
3. Prasugrel or Ticagrelor in ST-Segment-Elevation Myocardial Infarction Patients With Diabetes Mellitus.
- Author
-
Sardella G, Mancone M, Stio RE, Cavallo E, Di Roma A, Colantonio R, and Calcagno S
- Subjects
- Administration, Oral, Blood Platelets metabolism, Diabetes Mellitus diagnosis, Diabetes Mellitus drug therapy, Drug Resistance, Humans, Hypoglycemic Agents administration & dosage, Insulin administration & dosage, Platelet Aggregation Inhibitors adverse effects, Platelet Function Tests, Prasugrel Hydrochloride adverse effects, Prospective Studies, Purinergic P2Y Receptor Antagonists adverse effects, Receptors, Purinergic P2Y12 blood, Receptors, Purinergic P2Y12 drug effects, Risk Factors, ST Elevation Myocardial Infarction blood, ST Elevation Myocardial Infarction diagnosis, Ticagrelor adverse effects, Treatment Outcome, Blood Platelets drug effects, Diabetes Mellitus blood, Percutaneous Coronary Intervention adverse effects, Platelet Aggregation Inhibitors administration & dosage, Prasugrel Hydrochloride administration & dosage, Purinergic P2Y Receptor Antagonists administration & dosage, ST Elevation Myocardial Infarction therapy, Ticagrelor administration & dosage
- Published
- 2017
- Full Text
- View/download PDF
4. Clinical Interventions to Reduce Preventable Hospital Readmission After Percutaneous Coronary Intervention.
- Author
-
Tanguturi VK, Temin E, Yeh RW, Thompson RW, Rao SK, Mallick A, Cavallo E, Ferris TG, and Wasfy JH
- Subjects
- Algorithms, Checklist, Emergency Service, Hospital organization & administration, Female, Health Services Accessibility organization & administration, Humans, Male, Middle Aged, Patient Education as Topic, Program Evaluation, Quality Improvement, Quality Indicators, Health Care, Risk Assessment, Risk Factors, Self Care, Tertiary Care Centers, Time Factors, Treatment Outcome, Triage, Cardiology Service, Hospital organization & administration, Delivery of Health Care, Integrated organization & administration, Patient Discharge, Patient Readmission, Percutaneous Coronary Intervention adverse effects
- Abstract
Hospital readmissions are common and costly and, in some cases, may be related to problems with care processes. We sought to reduce readmissions after percutaneous coronary intervention (PCI) in a large tertiary care facility through programs to target vulnerabilities predischarge, after discharge, and during re-presentation to the emergency department. During initial hospitalization, we assessed patients' readmission risk with a validated risk score and used a discharge checklist to ensure access to appropriate medications and close follow-up for high-risk patients. We also developed patient education videos about chest discomfort and heart failure. After discharge, we established a new follow-up clinic with cardiology fellows. A computerized system was developed to automatically notify cardiologists when patients presented to the emergency department within 30 days of PCI to enhance patient access to cardiology care in the emergency department. Early cardiologist assessment and assistance with triage was encouraged, and the emergency department used a risk stratification algorithm derived from a local database of patients to triage patients presenting with chest discomfort after PCI. We tracked the number of patients readmitted after PCI to our hospital. With our interventions, from 2011 to 2015, the index hospital readmission rate has declined from 9.6% to 5.3%. This program could provide tangible structural changes that can be implemented in other healthcare centers, both reducing the cost of care and improving the quality of care for patients with PCI., (© 2016 American Heart Association, Inc.)
- Published
- 2016
- Full Text
- View/download PDF
5. A longitudinal study on quality of life and depression in ALS patient-caregiver couples.
- Author
-
Gauthier A, Vignola A, Calvo A, Cavallo E, Moglia C, Sellitti L, Mutani R, and Chiò A
- Subjects
- Adaptation, Psychological, Aged, Attitude to Death, Depression etiology, Disability Evaluation, Disease Progression, Female, Humans, Longitudinal Studies, Male, Middle Aged, Amyotrophic Lateral Sclerosis nursing, Amyotrophic Lateral Sclerosis psychology, Caregivers psychology, Cost of Illness, Depression psychology, Quality of Life psychology
- Abstract
Objectives: To evaluate the modification of quality of life (QoL) and depression in a series of amyotrophic lateral sclerosis (ALS) patient-caregiver couples during a period of 9 months and compare them to patients' ALS Functional Rating Scale (ALS-FRS)., Methods: Depression was assessed with Zung Depression Scale (ZDS) and QoL with McGill Quality of Life Questionnaire (MQoL). Caregivers' burden was assessed with Caregiver Burden Inventory (CBI), and patients' feeling to be a burden with the Self-Perceived Burden Scale (SPBS)., Results: Thirty-one ALS patient-caregiver couples were interviewed at baseline and after 9 months. The mean ALS-FRS score was 28.7 (SD 7) at baseline and 24.1 (6.9) at the second interview (p = 0.0001). Patients' mean MQoL score slightly increased from 6.8 (1.6) to 7 (1.1) (p = 0.07); their ZDS score slightly increased (43.2 [8.7] at baseline and 45.7 [9.3] at the second interview) but they remained in the not depressed range. Caregivers' mean MQoL score slightly decreased, and their mean ZDS increased from 38.9 (8.1) to 42.2 (8.7) (p = 0.02). The mean CBI score increased from 50.3 (17.6) to 55.8 (16.4) (p = 0.03)., Conclusions: We found a substantial steadiness of quality of life and depression in patients with amyotrophic lateral sclerosis over a 9-month period, vs a significant increase of burden and depression of their caregivers.
- Published
- 2007
- Full Text
- View/download PDF
6. Caregiver time use in ALS.
- Author
-
Chiò A, Gauthier A, Vignola A, Calvo A, Ghiglione P, Cavallo E, Terreni AA, and Mutani R
- Subjects
- Aged, Female, Humans, Male, Middle Aged, Multivariate Analysis, Regression Analysis, Severity of Illness Index, Time Factors, Amyotrophic Lateral Sclerosis nursing, Amyotrophic Lateral Sclerosis psychology, Caregivers supply & distribution
- Abstract
The authors evaluated the caregiver time for 70 patients with ALS. The mean number of caregivers per patient was 2.0 (SD 1.3). Caregiver time increased with worsening of disability (p = 0.0001). The most time-consuming duties were housekeeping, feeding, and toileting. With worsening of patients' disability, families relied increasingly on paid caregivers. Caregiver time is a hidden cost of ALS care and is a major burden for caregivers.
- Published
- 2006
- Full Text
- View/download PDF
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.