Minalkumar A Patel

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STUDY OBJECTIVES Controversy persists concerning the potential association between intraoperative use of hetastarch (ie, hydroxyethyl starch [HES]) and postoperative bleeding in patients undergoing surgery. To determine whether intraoperative HES use is associated with an increased risk of postoperative bleeding following coronary artery bypass graft (CABG)(More)
BACKGROUND Inappropriate use or excessive dosing of psychotropic medications in the elderly is common and can lead to a variety of adverse drug events including falls, oversedation, and cognitive impairment. METHODS We developed a database of psychotropic medication dosing and selection guidelines for elderly inpatients. We displayed these recommendations(More)
Reduced factor XIIIA levels and decreased clot strength have been associated with increased bleeding after cardiopulmonary bypass (CPB). The purpose of this study was to evaluate the relationship between hemostatic factors, including factor XIIIA, and clot strength before, during and after CPB. Factor XIIIA antigen, platelet counts, fibrinogen, factor V(More)
OBJECTIVE To determine factors associated with an increased risk of post-cardiopulmonary bypass (CPB) blood product usage in adult cardiac surgical patients. DESIGN Prospective observational study. SETTING Academic hospital. PARTICIPANTS Patients undergoing cardiac surgery with CPB were studied over a 7-month period. INTERVENTIONS The outcomes(More)
BACKGROUND To reevaluate the sensitivity of impedance plethysmography (IPG) for proximal deep vein thrombosis (DVT) and to establish a relationship between the location and size of thrombi and the results of IPG. DESIGN Prospective cohort study. METHODS One hundred thirty-two consecutive patients with clinically suspected DVT underwent IPG testing and(More)
OBJECTIVE To compare a second-generation thoracic electrical bioimpedance (TEB) hemodynamic monitoring system with the clinically used pulmonary artery catheter thermodilution (TD-PAC) system. DESIGN Blinded, simultaneous measurements at specified key time points during surgery. SETTING University teaching hospital cardiac surgical operating rooms. (More)
This study evaluated the effects of interactive voice response (IVR) system reminders to managed care organization (MCO) members to obtain mammograms, Papanicolaou (Pap) tests, and influenza immunizations. The MCO identified 3 member cohorts and sent IVR reminders to get preventive services. Analyses employed claims data to examine relationships between IVR(More)
OBJECTIVE To determine the effects of hemofiltration on serum aprotinin levels during cardiopulmonary bypass (CPB) surgery. DESIGN Prospective, randomized study. SETTING University of Washington Medical Center, single institution. PARTICIPANTS Patients undergoing cardiac surgery without contraindications to aprotinin administration. INTERVENTIONS(More)
Disease registries can potentially add significant value to managed care. Disease registries track pathophysiologic changes over time, whereas drug registries are important scientific initiatives that can provide payers with information critical to making optimal decisions regarding a therapy's efficacy, safety, utilization patterns, and cost. Registries(More)
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