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| 1 | Nationwide trends and predictors of inpatient mortality in 83884 transjugular intrahepatic portosystemic shunt显示文摘AIM: To evaluate and validate the national trends and predictors of in-patient mortality of transjugular intrahepatic portosystemic shunt(TIPS) in 15 years.METHODS: Using the National Inpatient Sample which is a part of Health Cost and Utilization Project, we identified a discharge-weighted national estimate of 83884 TIPS procedures performed in the United States from 1998 to 2012 using international classification of diseases-9 procedural code 39.1. The demographic, hospital and co-morbility data were analyzed using a multivariant analysis. Using multi-nominal logistic regression analysis, we determined predictive factors related to increases in-hospital mortality. Comorbidity measures are in accordance to the Comorbidity Software designed by the Agency for Healthcare Research and Quality.RESULTS: Overall, 12.3% of patients died during hospitalization with downward trend in-hospitalmortality with the mean length of stay of 10.8 ± 13.1 d. Notable, African American patients(OR = 1.809 vs Caucasian patients, P < 0.001), transferred patients(OR = 1.347 vs non-transferred, P < 0.001), emergency admissions(OR = 3.032 vs elective cases, P < 0.001), patients in the Northeast region(OR = 1.449 vs West, P < 0.001) had significantly higher odds of inhospital mortality. Number of diagnoses and number of procedures showed positive correlations with in-hospital death(OR = 1.249 per one increase in number of procedures). Patients diagnosed with acute respiratory failure(OR = 8.246), acute kidney failure(OR = 4.359), hepatic encephalopathy(OR = 2.217) and esophageal variceal bleeding(OR = 2.187) were at considerably higher odds of in-hospital death compared with ascites(OR = 0.136, P < 0.001). Comorbidity measures with the highest odds of in-hospital death were fluid and electrolyte disorders(OR = 2.823), coagulopathy(OR = 2.016), and lymphoma(OR = 1.842).CONCLUSION: The overall mortality of the TIPS procedure is steadily decreasing, though the length of stay has remained relatively constant. Specific patient ethnicity, location, transfer status, primary diagnosis and comorbidities correlate with increased odds of TIPS in-hospital death. | Edward Wolfgang Lee Andrew Kuei Sammy Saab Ronald W Busuttil Francisco Durazo Steven-Huy Han Mohamed M El-Kabany Justin P Mc Williams Stephen T Kee | 2016 | World Journal of Gastroenterology2016,22,25: | 7 |
| 2 | Effects of Yttrium-90 selective internal radiation therapy on non-conventional liver tumors显示文摘The liver is a common site of metastasis, with essentially all metastatic malignancies having been known to spread to the liver. Nearly half of all patients with extrahepatic primary cancer have hepatic metastases. The severe prognostic implications of hepatic metastases have made surgical resection an important first line treatment in management. However, limitations such as the presence of extrahepatic spread or poor functional hepatic reserve exclude the majority of patients as surgical candidates, leaving chemotherapy and locoregional therapies as next best options. Selective internal radiation therapy(SIRT) is a form of catheter-based locoregional cancer treatment modality for unresectable tumors, involving trans-arterial injection of microspheres embedded with a radioisotope Yttrium-90. The therapeutic radiation dose is selectively delivered as the microspheres permanently embed themselves within the tumor vascular bed. Use of SIRT has been conventionally aimed at treating primary hepatic tumors(hepatocellular carcinoma) or colorectal and neuroendocrine metastases. Numerous reviews are available for these tumor types. However, little is known or reviewed on non-colorectal or nonneuroendocrine primaries. Therefore, the aim of this paper is to systematically review the current literature to evaluate the effects of Yttrium-90 radioembolization on non-conventional liver tumors including those secondary to breast cancer, cholangiocarcinoma, ocular and percutaneous melanoma, pancreatic cancer, renal cell carcinoma, and lung cancer. | Andrew Kuei Sammy Saab Sung-Ki Cho Stephen T Kee Edward Wolfgang Lee | 2015 | World Journal of Gastroenterology2015,21,27: | 2 |
| 3 | Utilization of thermal infrared thermometry for detection of water stress in spring barley显示文摘 | Tubaileh A S Sammis T W Lugg D G | 1986 | Agricultural Water Management1986,12,1: | 1 |
| 4 | Modeling an irrigation management strategy for minimizing the leaching of atrazine显示文摘 | Asare D K Sammis T W Smeal D | 2001 | Agricultural Water Management2001,48,: | 1 |
| 5 | Comparison of methods to estimate deep percolation rates显示文摘 | Sammis T W Evans D D Warrick A W | 1982 | Journal of the American Water Resources Association1982,18,: | 1 |
| 6 | A model of pecan tree growth for the management of pruning and irrigation显示文摘 | Andales A Wang J Sammis T W | 2006 | Agr Water Manag2006,84,12: | 1 |
| 7 | Yield of alfalfa and cotton as influenced by irrigation显示文摘 | Sammis T W | 1981 | Agronomy journal1981,73,: | 1 |
| 8 | Relationship between crop water stress index and alfalfa and evapotranspiration显示文摘 | Abdul-Jabbar A S Lugg D G Sammis T W | 1985 | Trans ASAE1985,28,: | 1 |
| 9 | Yield o{ alfalfa and cotton as influenced by irri- gation显示文摘 | Sammis T W | 1981 | Agronomy Journal1981,73,: | 1 |
| 10 | Yield of alfalfa and cotton as influenced by irrigation 显示文摘 | Sammis T W | 1981 | Agronomy Journal1981,73,: | 1 |
| 11 | Microvascular decompression to treat hemifacial spasm:A long-term results for a consecutive serious of 143 patients显示文摘 | SAMMI M GUNTHER T LACONETTA G | 2002 | Neurosury2002,50,: | 1 |
| 12 | A model of pecan tree growth for the management of pruning and irrigation显示文摘 | ANDALES A WANG J SAMMIS T W | 2006 | Agri- cultural Water Management2006,84,1: | 1 |
| 13 | Computing the crop water production function for onion显示文摘 | A I-Jamal M S Sammis T W Ball S | 2000 | Agric Water Manage2000,46,: | 1 |
| 14 | Banana yield as affected by deficit irrigation and pattern of lateral layouts显示文摘 | Young S C H Sammis T W Wu I P | 1958 | Transactions ofASAE1958,28,2: | 1 |
| 15 | A growth-irrigation scheduling model for wastewater use in forest production显示文摘 | Al-Jamal M S Sammis T W Mexal J G | 2002 | Agricul- turol Water Management2002,56,1: | 1 |
| 16 | Sensitivity analysis of the surface energy balance algorithm for land (SEBAL) 显示文摘 | Wang J Sammis T W Gutschick V P | 2009 | ASABE Transactions2009,52,3: | 1 |
| 17 | Yield of alfalfa and cotton as influenced by irrigation显示文摘 | Sammis T W | 1981 | Agronomy Journal1981,73,2: | 1 |
| 18 | Identification of XPR-1,a progesterone receptor required for Xenopus oocyte activation显示文摘 | JINGDONG T SAMMY K ELIANBETH H | 2000 | Pnas2000,97,14: | 1 |
| 19 | Effect of moisture level on the root pattern alfalfa显示文摘 | AbdulJabbar A S Sammis T W Lugg D G | 1982 | Iirrigation Science1982,3,: | 1 |
| 20 | Yield of alfalfa and cotton as influenced by irri- gation 显示文摘 | Sammis T W | 1981 | Agronomy Journal1981,73,2: | 1 |