BACKGROUND AND STUDY AIMS In the elderly population, there is a growing demand for minimally invasive procedures as the incidence of pancreaticobiliary disease increases with age. Patients with advanced age offer unique challenges for any procedure because they also tend to have a higher rate of baseline comorbidities and malignancy. The aim of the current study was to characterize the mortalit...

BACKGROUND AND PURPOSE Few pediatric reports of thrombolysis exist. We sought to determine national rates of thrombolysis among pediatric ischemic stroke patients using a national database. METHODS Patients between the ages of 1 and 17 years, entered in the Nationwide Inpatient Sample between 2000 and 2003, with International Classification of Diseases codes for ischemic stroke were included ...

Background Marijuana is a widely used recreational substance. Few cases have been reported of acute myocardial infarction following marijuana use. To our knowledge, this is the first ever study analyzing the lifetime odds of acute myocardial infarction (AMI) with marijuana use and the outcomes in AMI patients with versus without marijuana use. Methods We queried the 2010-2014 National Inpatient...

PACIFIC COAST SURGICALASSOCIATION Comparing theNational Surgical Quality Improvement ProgramWith theNationwide Inpatient Sample Database Bothrawandrisk-adjustedoutcomesareincreasinglybeingmade publiclyavailable.1-3TheAmericanCollegeofSurgeonsNational Surgical Quality Improvement Program (NSQIP) is heralded as themost robust database to examine surgical outcomes.However,enrollmentintheNSQIPisexp...

OBJECTIVES To determine frequency of splenic injury and to evaluate predictive risk factors of splenic injury during colorectal surgery. DESIGN Retrospective database analysis. SETTING The National Inpatient Sample database. PATIENTS Patients who underwent a colorectal resection during the period from 2006 to 2008 in the United States. MAIN OUTCOME MEASURES Patient characteristics, pati...

OBJECTIVE The aim of this study was to determine whether people with Parkinson's disease (PD) are overrepresented in a national cohort of hip-fracture admissions. BACKGROUND Frequent falls, combined with a higher rate of osteoporosis in people with PD, should lead to an increased risk of hip fracture. METHODS This work was a retrospective cohort analysis from the Nationwide Inpatient Sample...

AIM To assess incidence of post-endoscopic retrograde cholangiopancreatography (post-ERCP) pancreatitis in the early (July/August/September) vs the late (April/May/June) academic year and evaluate in-hospital mortality, length of stay (LOS), and total hospitalization charge between these time periods. METHODS This was a retrospective cohort study using the 2012 Nationwide Inpatient Sample (NI...

BACKGROUND AND PURPOSE Cerebral ischemic events are highly prevalent and associated with high rates of death and disability in patients with infective endocarditis (IE). However, the role of thrombolysis in these patients remains unclear. We sought to determine the rates and outcomes of acute ischemic stroke patients with IE treated with intravenous thrombolysis (IVT). METHODS We determined t...

BACKGROUND AND PURPOSE Studies have demonstrated differences in clinical outcomes in adult patients with stroke admitted on weekdays versus weekends. The study's objective was to determine whether a weekend impacts clinical outcomes in children with ischemic stroke and hemorrhagic stroke. METHODS Children aged 1 to 18 years admitted to US hospitals from 2002 to 2011 with a primary discharge d...