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  1. Article ; Online: Quality of life in Arab children with congenital heart disease

    Latefa Ali Dardas / Wei Pan / Ahmad Imad Hamdan / Raghed Abdel Hay Abu Jabeh / Ahmad Eid Ashakhanba / Omar Sami Abdelhai / Mohammad Naim Abid / Hashim Ahmad Mohammad / Iyad Al-Ammouri

    PLoS ONE, Vol 19, Iss

    2024  Volume 1

    Keywords Medicine ; R ; Science ; Q
    Language English
    Publishing date 2024-01-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Quality of life in Arab children with congenital heart disease.

    Dardas, Latefa Ali / Pan, Wei / Hamdan, Ahmad Imad / Abu Jabeh, Raghed Abdel Hay / Eid Ashakhanba, Ahmad / Sami Abdelhai, Omar / Naim Abid, Mohammad / Ahmad Mohammad, Hashim / Al-Ammouri, Iyad

    PloS one

    2024  Volume 19, Issue 1, Page(s) e0290306

    Abstract: Background and purpose: Management strategies for children with congenital health diseases (CHDs) should encompass more than just the medical aspect of the disease and consider how heart diseases affect their everyday activities and, subsequently, their ...

    Abstract Background and purpose: Management strategies for children with congenital health diseases (CHDs) should encompass more than just the medical aspect of the disease and consider how heart diseases affect their everyday activities and, subsequently, their quality of life (QoL). Global studies witnessed a greater emphasis on studying the QoL associated with CHD. However, there is still a great lag in such data in the Arab region. The purpose of this study was to evaluate QoL in children with CHD using an Arab sample from Jordan. The specific objectives were twofold: (1) to contrast the assessments of children's QoL reported by their parents with those reported by the children themselves, and (2) to assess the factors that influence the QoL of children with CHD.
    Methods: A total of 79 children aged 2-18 with a confirmed diagnosis of CHD were included in the study, along with their mothers. Of them, 38.0% were girls, 67.1% were diagnosed with non-cyanotic CHD, 58.2% had a severe CHD, 92.4% had undergone at least one operation, 81.0% had repaired defects, 13.9% underwent palliated procedures, and 24.1% were admitted to a neonatal intensive care unit after delivery. The Pediatric Quality of Life Inventory was used to assess QoL of children with CHD. Both children's and parents' reports of QoL were analyzed using paired-sample t-tests, ANOVAs, and multiple linear regression.
    Results: Older children reported significantly lower QoL scores, whereas there were no differences in parents-reported QoL scores across different children age groups. There was a divergence in perceptions of QoL between parents-reported and children-reported scores with parents reporting significantly lower scores. The children-reported QoL in this study seemed to be significantly associated with their gender, age, and the presence of learning difficulties, whereas the parent-reported QoL was only associated with the presence of learning difficulties.
    Conclusions: Responses from both children and parents need to be considered to understand the similarities and differences between them and to provide further insight into the optimal way to help children with CHD effectively navigate the transition into adulthood. Future research studies of outcomes for survivors of children with CHD are needed to identify high-risk survivors for worse psychosocial functioning and assess prevention measures and treatment interventions to improve their QoL.
    MeSH term(s) Child ; Female ; Infant, Newborn ; Humans ; Adolescent ; Male ; Quality of Life/psychology ; Arabs ; Heart Defects, Congenital/psychology ; Multivariate Analysis ; Linear Models ; Parents/psychology
    Language English
    Publishing date 2024-01-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0290306
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  3. Article: A quality improvement project decreases incidence of pulmonary embolism following arthroplasty.

    Eid, Iyad / Moran, Dane / Morrison, Lynn / HajHussein, Eyad / Hill, Hanna / Ansari, Rasha / Williams, Tammy / Manzary, Mojieb

    Journal of orthopaedics

    2018  Volume 15, Issue 1, Page(s) 164–167

    Abstract: Objective: To develop a quality improvement initiative to reduce the incidence of pulmonary embolism (PE) following elective lower extremity joint replacement surgery.: Methods: 866 Patients undergoing a total knee or total or partial hip replacement ...

    Abstract Objective: To develop a quality improvement initiative to reduce the incidence of pulmonary embolism (PE) following elective lower extremity joint replacement surgery.
    Methods: 866 Patients undergoing a total knee or total or partial hip replacement surgery at a from 2014 to 2016 were included in this prospective pre-post interventional study.
    Results: There were 13 PE's before the intervention and 2 after the intervention. The incidence of PE was significantly higher prior to the intervention (2.8% vs. 0.7%; p = 0.044).
    Conclusions: Our results suggest that our bundle of interventions was successfully implemented and helped to reduce the incidence of pulmonary embolism following surgery.
    Language English
    Publishing date 2018-02-02
    Publishing country India
    Document type Journal Article
    ZDB-ID 2240839-3
    ISSN 0972-978X
    ISSN 0972-978X
    DOI 10.1016/j.jor.2018.01.009
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  4. Article: Improving antibiotic prophylaxis in gastrointestinal surgery patients: A quality improvement project.

    Kilan, Rabie / Moran, Dane / Eid, Iyad / Okeahialam, Christopher / Quinn, Corrine / Binsaddiq, Wadie / Williams, Tammy / Johnson, Michael H

    Annals of medicine and surgery (2012)

    2017  Volume 20, Page(s) 6–12

    Abstract: Background: A surgical site infection (SSI) is a frequent complication following gastrointestinal surgery, but the careful selection and administration of prophylactic antibiotics can reduce the risk. The aim of this study was to develop a package of ... ...

    Abstract Background: A surgical site infection (SSI) is a frequent complication following gastrointestinal surgery, but the careful selection and administration of prophylactic antibiotics can reduce the risk. The aim of this study was to develop a package of interventions that could be used to improve surgical antibiotic prophylaxis (SAP) at our institution.
    Methods: A pre-post quality improvement project at a private hospital in Saudi Arabia was conducted between January 2014 until July 2016. A multidisciplinary team was assembled to identify and overcome barriers that were responsible for patients receiving suboptimal antibiotic prophylaxis. Patients were included if they had undergone surgery on their appendix, colon, rectum, or small intestine. Compliance with use of an adapted order form, as well as appropriate antibiotic selection, dosing, timing, and timing of re-dosing, were measured. Data on the rates of SSI before and after the intervention were also obtained.
    Results: Of the 269 patients included in the study, 161 (61.5%) had appendix surgery, 86 (32.8%) had colorectal surgery, and 15 (5.7%) had small bowel surgery. The surgery was performed laparoscopically in 218 (83.5%) of patients. Utilization of the adapted order form increased from 1.8% to 92.0% following the intervention (p < 0.001). Compliance with a bundle of appropriate antibiotic selection, dosing and timing improved from 47.3% to 82.2% after the intervention (p < 0.001). Additionally, there was a non-statistically significant reduction in SSI rate (9.1% vs 5.1%; p = 0.27).
    Conclusions: Our quality improvement intervention was successful in improving SAP for patients undergoing gastrointestinal surgery at our institution.
    Language English
    Publishing date 2017-06-15
    Publishing country England
    Document type Journal Article
    ZDB-ID 2745440-X
    ISSN 2049-0801
    ISSN 2049-0801
    DOI 10.1016/j.amsu.2017.06.018
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  5. Article ; Online: Improving antibiotic prophylaxis in gastrointestinal surgery patients

    Rabie Kilan / Dane Moran / Iyad Eid / Christopher Okeahialam / Corrine Quinn / Wadie Binsaddiq / Tammy Williams / Michael H. Johnson

    Annals of Medicine and Surgery, Vol 20, Iss C, Pp 6-

    A quality improvement project

    2017  Volume 12

    Abstract: Background: A surgical site infection (SSI) is a frequent complication following gastrointestinal surgery, but the careful selection and administration of prophylactic antibiotics can reduce the risk. The aim of this study was to develop a package of ... ...

    Abstract Background: A surgical site infection (SSI) is a frequent complication following gastrointestinal surgery, but the careful selection and administration of prophylactic antibiotics can reduce the risk. The aim of this study was to develop a package of interventions that could be used to improve surgical antibiotic prophylaxis (SAP) at our institution. Methods: A pre-post quality improvement project at a private hospital in Saudi Arabia was conducted between January 2014 until July 2016. A multidisciplinary team was assembled to identify and overcome barriers that were responsible for patients receiving suboptimal antibiotic prophylaxis. Patients were included if they had undergone surgery on their appendix, colon, rectum, or small intestine. Compliance with use of an adapted order form, as well as appropriate antibiotic selection, dosing, timing, and timing of re-dosing, were measured. Data on the rates of SSI before and after the intervention were also obtained. Results: Of the 269 patients included in the study, 161 (61.5%) had appendix surgery, 86 (32.8%) had colorectal surgery, and 15 (5.7%) had small bowel surgery. The surgery was performed laparoscopically in 218 (83.5%) of patients. Utilization of the adapted order form increased from 1.8% to 92.0% following the intervention (p < 0.001). Compliance with a bundle of appropriate antibiotic selection, dosing and timing improved from 47.3% to 82.2% after the intervention (p < 0.001). Additionally, there was a non-statistically significant reduction in SSI rate (9.1% vs 5.1%; p = 0.27). Conclusions: Our quality improvement intervention was successful in improving SAP for patients undergoing gastrointestinal surgery at our institution.
    Keywords Quality improvement ; Patient safety ; Digestive system surgical procedures ; Global surgery ; Antibiotic prophylaxis ; Medicine (General) ; R5-920
    Subject code 610 ; 616
    Language English
    Publishing date 2017-08-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Complications associated with adjustable gastric banding for morbid obesity: a surgeon's guides.

    Eid, Iyad / Birch, Daniel W / Sharma, Arya M / Sherman, Vadim / Karmali, Shahzeer

    Canadian journal of surgery. Journal canadien de chirurgie

    2011  Volume 54, Issue 1, Page(s) 61–66

    Abstract: Laparoscopic adjustable gastric banding (LAGB) is considered to be a safe and effective method of weight loss and reduction of comorbidities associated with obesity. Despite its improved early safety profile compared with Roux-en-Y gastric bypass, ... ...

    Abstract Laparoscopic adjustable gastric banding (LAGB) is considered to be a safe and effective method of weight loss and reduction of comorbidities associated with obesity. Despite its improved early safety profile compared with Roux-en-Y gastric bypass, patients with LAGB can manifest unique complications that must be recognized and managed appropriately to achieve good outcomes. This review will prepare the general surgeon to identify, diagnose and manage the common complications encountered in patients presenting following LAGB.
    MeSH term(s) Bariatric Surgery/adverse effects ; Bariatric Surgery/methods ; Body Mass Index ; Device Removal ; Female ; Follow-Up Studies ; Gastric Bypass/adverse effects ; Gastric Bypass/methods ; Gastroplasty/adverse effects ; Gastroplasty/instrumentation ; Gastroplasty/methods ; Humans ; Laparoscopy/adverse effects ; Laparoscopy/methods ; Male ; Obesity, Morbid/diagnosis ; Obesity, Morbid/surgery ; Postoperative Complications/diagnosis ; Postoperative Complications/surgery ; Prosthesis Failure ; Reoperation ; Risk Assessment ; Treatment Outcome
    Language English
    Publishing date 2011-01-20
    Publishing country Canada
    Document type Journal Article ; Review
    ZDB-ID 410651-9
    ISSN 1488-2310 ; 0008-428X
    ISSN (online) 1488-2310
    ISSN 0008-428X
    DOI 10.1503/cjs.015709
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 221: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
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  7. Article ; Online: Delayed open conversions after endovascular abdominal aortic aneurysm repair.

    Chaar, Cassius Iyad Ochoa / Eid, Raymond / Park, Taeyoung / Rhee, Robert Y / Abu-Hamad, Ghassan / Tzeng, Edith / Makaroun, Michel S / Cho, Jae-Sung

    Journal of vascular surgery

    2012  Volume 55, Issue 6, Page(s) 1562–9.e1

    Abstract: Objective: Secondary interventions after endovascular aneurysm repair (EVAR) remain a concern. Most are simple catheter-based procedures, but in some instances, open conversions (OCs) are required and carry a worse outcome. We reviewed our experience to ...

    Abstract Objective: Secondary interventions after endovascular aneurysm repair (EVAR) remain a concern. Most are simple catheter-based procedures, but in some instances, open conversions (OCs) are required and carry a worse outcome. We reviewed our experience to characterize these OCs.
    Methods: A retrospective review was conducted of all patients who underwent an OC after a previous EVAR for an aneurysm-related indication from 2001 to 2010. Clinical outcomes are reported.
    Results: Data were reviewed for 44 patients (77% men) with a mean age of 74 years (range, 55-90 years). The average time from EVAR to the first OC was 45 months (range, 2-190 months). In six patients (14%), the initial EVAR was at another institution. The endografts used were Ancure in 16, Excluder in 13, AneuRx in eight, Zenith in three, Lifepath in one, Renu in one, and undetermined in two. Twenty-two patients had previously undergone a total of 32 endovascular reinterventions before their index OC. Indications for OC were aneurysm expansion in 28 (64%), rupture in 12 (27%), and infection in four (9%). The endograft was preserved in situ in 10 patients (23%). Explantation was partial in 18 (41%) or complete in 16 (36%). Endograft preservation was used for type II endoleak in all but one patient by selective ligation of the culprit arteries (lumbar in four, inferior mesenteric artery in five, and middle sacral in one). Proximal neck banding was performed in one type Ia endoleak. Overall morbidity was 55%, and mortality was 18%. No deaths occurred in a subgroup of patients who underwent endograft preservation with selective ligation of culprit vessels for type II endoleak. Intraoperative complications included bowel injury in two, bleeding in two, splenectomy in one, and ureteral injury in one. At a mean follow-up of 20 months, two patients underwent additional procedures after the index OC: one after endograft preservation and one after partial explantation. None of the patients who underwent elective OC with endograft preservation required subsequent endograft explantation.
    Conclusions: Most OCs after EVAR are associated with significant morbidity and mortality, except when electively treating an isolated type II endoleak with ligation of branches and preservation of the endograft.
    MeSH term(s) Aged ; Aged, 80 and over ; Aortic Aneurysm, Abdominal/mortality ; Aortic Aneurysm, Abdominal/surgery ; Blood Vessel Prosthesis Implantation/adverse effects ; Blood Vessel Prosthesis Implantation/mortality ; Endoleak/etiology ; Endoleak/surgery ; Endovascular Procedures/adverse effects ; Endovascular Procedures/mortality ; Female ; Humans ; Kaplan-Meier Estimate ; Ligation ; Male ; Middle Aged ; Pennsylvania ; Postoperative Complications/etiology ; Postoperative Complications/surgery ; Reoperation ; Retrospective Studies ; Risk Assessment ; Risk Factors ; Time Factors ; Treatment Outcome
    Language English
    Publishing date 2012-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 605700-7
    ISSN 1097-6809 ; 0741-5214
    ISSN (online) 1097-6809
    ISSN 0741-5214
    DOI 10.1016/j.jvs.2011.12.007
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1933: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (1.OG)
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  8. Article ; Online: Endoscopist-directed administration of propofol: a worldwide safety experience.

    Rex, Douglas K / Deenadayalu, Viju P / Eid, Emely / Imperiale, Thomas F / Walker, John A / Sandhu, Kuldip / Clarke, Anthony C / Hillman, Lybus C / Horiuchi, Akira / Cohen, Lawrence B / Heuss, Ludwig T / Peter, Shajan / Beglinger, Christoph / Sinnott, James A / Welton, Thomas / Rofail, Magdy / Subei, Iyad / Sleven, Rodger / Jordan, Paul /
    Goff, John / Gerstenberger, Patrick D / Munnings, Harold / Tagle, Martin / Sipe, Brian W / Wehrmann, Till / Di Palma, Jack A / Occhipinti, Kaitlin E / Barbi, Egidio / Riphaus, Andrea / Amann, Stephen T / Tohda, Gen / McClellan, Timothy / Thueson, Charles / Morse, John / Meah, Nizam

    Gastroenterology

    2009  Volume 137, Issue 4, Page(s) 1229–37; quiz 1518–9

    Abstract: Background & aims: Endoscopist-directed propofol sedation (EDP) remains controversial. We sought to update the safety experience of EDP and estimate the cost of using anesthesia specialists for endoscopic sedation.: Methods: We reviewed all published ...

    Abstract Background & aims: Endoscopist-directed propofol sedation (EDP) remains controversial. We sought to update the safety experience of EDP and estimate the cost of using anesthesia specialists for endoscopic sedation.
    Methods: We reviewed all published work using EDP. We contacted all endoscopists performing EDP for endoscopy that we were aware of to obtain their safety experience. These complications were available in all patients: endotracheal intubations, permanent neurologic injuries, and death.
    Results: A total of 646,080 (223,656 published and 422,424 unpublished) EDP cases were identified. Endotracheal intubations, permanent neurologic injuries, and deaths were 11, 0, and 4, respectively. Deaths occurred in 2 patients with pancreatic cancer, a severely handicapped patient with mental retardation, and a patient with severe cardiomyopathy. The overall number of cases requiring mask ventilation was 489 (0.1%) of 569,220 cases with data available. For sites specifying mask ventilation risk by procedure type, 185 (0.1%) of 185,245 patients and 20 (0.01%) of 142,863 patients required mask ventilation during their esophagogastroduodenoscopy or colonoscopy, respectively (P < .001). The estimated cost per life-year saved to substitute anesthesia specialists in these cases, assuming they would have prevented all deaths, was $5.3 million.
    Conclusions: EDP thus far has a lower mortality rate than that in published data on endoscopist-delivered benzodiazepines and opioids and a comparable rate to that in published data on general anesthesia by anesthesiologists. In the cases described here, use of anesthesia specialists to deliver propofol would have had high costs relative to any potential benefit.
    MeSH term(s) Anesthesia/adverse effects ; Anesthesia/economics ; Anesthetics, Intravenous/administration & dosage ; Anesthetics, Intravenous/adverse effects ; Anesthetics, Intravenous/economics ; Clinical Competence ; Consumer Product Safety ; Cost-Benefit Analysis ; Endoscopy/economics ; Global Health ; Health Care Costs ; Humans ; Intubation, Intratracheal ; Masks ; Practice Guidelines as Topic ; Propofol/administration & dosage ; Propofol/adverse effects ; Propofol/economics ; Respiration, Artificial/instrumentation ; Risk Assessment
    Chemical Substances Anesthetics, Intravenous ; Propofol (YI7VU623SF)
    Language English
    Publishing date 2009-10
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 80112-4
    ISSN 1528-0012 ; 0016-5085
    ISSN (online) 1528-0012
    ISSN 0016-5085
    DOI 10.1053/j.gastro.2009.06.042
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    Ui V Zs.44: Show issues Location:
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    Zs.MO 572: Show issues

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