Delirium is a syndrome consisting of cloudiness of consciousness,attention deficit,and cognitive impairment,with quick onset,but varring paths in its progression .delirium is more common after major surgeries in the elderly and hospitalized patients,resuting in high morbidity and mortality rates.the incidence rate that has been reported  in previous studies varies from 1-3% in cataract surgery ...

BACKGROUND Since the advent of cardiopulmonary bypass, many efforts have been made to avoid the complications related with it. Any component of the pump participates in occurrence of these adverse events, one of which is the type of prime solution. In this study, we aimed to compare the effects of 6% hydroxyethyl starch 130/0.4 with a commonly used balanced electrolyte solution on postoperative...

INTRODUCTION The evaluation of surgical outcomes measured by patient satisfaction or quality of life is very important, especially in plastic surgery. There is increasing interest in self-reporting outcomes evaluation in plastic surgery. OBJECTIVE The aim of this study was to perform the translation, cross-cultural adaptation and validation of "The Utrecht Questionnaire for Outcome Assessment...

The objective of this study was to determine if the addition of 1% tetracaine to 0.25% bupivacaine prolonged the duration of postoperative analgesia of supraclavicular brachial plexus nerve blockade for patients undergoing ambulatory shoulder surgery. We conducted a prospective, double-blinded, randomized controlled clinical study at an ambulatory surgery center utilizing ultrasound- and nerve ...

PURPOSE To evaluate the impact of corneal curvatures less than 35 diopters (D) after photorefractive keratectomy (PRK) on visual acuity outcomes. METHODS Visual acuity outcomes of 5,410 eyes that underwent PRK from January 2006 to November 2010 were retrospectively analyzed for the impact of postoperative corneal curvatures on visual outcomes. All procedures were performed on a single platfor...

OBJECTIVE(S) To examine the relation between hospital teaching status and surgical outcomes for both emergency and elective general surgery cases using a national database. BACKGROUND Teaching hospitals (TH) have been shown to have better outcomes for complex elective surgical cases when compared with nonteaching hospitals (NTH). Less is known about the effect of teaching status on outcomes f...

BACKGROUND Few studies to date have directly compared outcomes of retropubic (RRP) and laparoscopic (LRP) radical prostatectomy. We investigated a single institution experience with RRP and LRP with respect to functional and pathological outcomes. METHODS 168 patients who underwent RRP were compared to 171 patients who underwent LRP at our institution. Pathological and functional outcomes inc...

OBJECTIVE The objective of this study is to systematically assess the clinical efficacy of hand-assisted laparoscopic surgery (HALS) and laparoscopic right colectomy (LRC). METHODS The randomized controlled trials (RCTs) and non-RCTs were collected by searching electronic databases (Pubmed, Embase, and the Cochrane Library). The outcomes included intraoperative outcomes, postoperative outcome...

Aim of review Patient-reported outcomes (PRO) on functional, social, and behavioral factors might be important preoperative predictors of postoperative outcomes. We conducted a literature review to explore associations of preoperative depression, socioeconomic status, social support, functional status/frailty, cognitive status, self-management skills, health literacy, and nutritional status wit...

OBJECTIVES Preoperative anemia has been related with adverse outcomes in elective valve replacement and CABG surgery. Impact of preoperative anemia on outcome in octogenarians submitted to cardiopulmonary bypass (CPB) has not yet been precisely described. METHODS We analyzed association between preoperative hemoglobin level, minimum intraoperative and immediate postoperative hematocrit (HCT),...