Aveena Kochar, MD
Same-day discharge after elective PCI has increased value and patient satisfaction
July 2, 2019
What is the prevalence of same-day discharges (SDDs) for elective percutaneous coronary interventions (PCIs), and what is the effect on readmissions and hospital cost?
Mitral valve repair improves prognosis in heart failure patients with secondary MR
July 1, 2019
Does mitral valve repair (MVR) improve prognosis in heart failure patients with secondary mitral regurgitation (MR)?
Summary of guidelines for DMARDs for elective surgery
November 16, 2017
What is the best management for disease-modifying antirheumatic drugs (DMARDs) for patients with RA, ankylosing spondylitis, psoriatic arthritis, juvenile idiopathic arthritis, or systemic lupus erythematosus (SLE) undergoing elective total knee arthroplasty (TKA) or total hip arthroplasty (THA)?
Elderly patients’ view and the discussion of discontinuing cancer screening
November 15, 2017
Clinical question: How do elderly patients feel about discontinuing cancer screening, and how should their doctors communicate this topic to them?
Postoperative Clostridium Difficile Infection Associated with Number of Antibiotics, Surgical Procedure Complexity
April 8, 2016
Clinical question: What are the factors that increase risk of Clostridium difficile infection (CDI) in postoperative patients? Background: CDI has become an important infectious etiology for morbidity, lengthy and costly hospital admissions, and mortality.
Most Postoperative Readmissions Due to Patient Factors
April 8, 2016
Clinical question: What is the etiology of 30-day readmissions in postoperative patients? Background: As the focus of healthcare changes to a quality-focused model, readmissions impact physicians, reimbursements, and patients.
Ischemic Hepatitis Associated with High Inpatient Mortality
April 4, 2016
Clinical question: What is the incidence and outcome of patients with ischemic hepatitis? Background: Ischemic hepatitis, or shock liver, is often diagnosed in patients with massive increase in aminotransferase levels most often exceeding 1000 IU/L in the setting of hepatic hypoperfusion.
AIMS65 Score Helps Predict Inpatient Mortality in Acute Upper Gastrointestinal Bleed
April 1, 2016
Clinical question: Does AIMS65 risk stratification score predict inpatient mortality in patients with acute upper gastrointestinal bleed (UGIB)? Background: Acute UGIB is associated with significant morbidity and mortality, which makes it crucial to identify high-risk patients early.
No Mortality Benefit to Cardiac Catheterization in Patients with Stable Ischemic Heart Disease
March 28, 2016
Clinical question: Can cardiac catheterization prolong survival in patients with stable ischemic heart disease? Background: Previous results from the COURAGE trial found no benefit of percutaneous intervention (PCI) as compared to medical therapy on a composite endpoint of death or nonfatal myoca
Increase in Broad-Spectrum Antibiotics Disproportionate to Rate of Resistant Organisms
March 28, 2016
Clinical question: Have healthcare-associated pneumonia (HCAP) guidelines improved treatment accuracy? Background: Guidelines released in 2005 call for the use of broad-spectrum antibiotics for patients presenting with pneumonia who have had recent healthcare exposure.