12/Sep/2025
Hallux valgus surgery in the public health system of Brazil
DOI: 10.31744/einstein_journal/2025AO1053
Highlights ■ Public hospitals in Brazil performed 37,741 hallux valgus surgery procedures between January 2008 and October 2024. ■ The study population consisted of 79.7% females, with the most common age group being 40-69 years (67.7%). The mean length of stay was 1.7 days. ■ The mean cost per patient was US$ 141.53. ■ The overall mortality count was nine, corresponding to a death rate of 0.024%. ABSTRACT Objective: This study aimed to describe patient profiles and analyze costs, hospital […]
Keywords: Cost of illness; Foot; Hallux valgus; Mortality; Orthopedic procedures; Osteotomy; Public health
12/Sep/2025
Inflammatory response to elective percutaneous coronary intervention is related to myocardial injury
einstein (São Paulo). 12/Sep/2025;23:eAO1582.
View Article12/Sep/2025
Inflammatory response to elective percutaneous coronary intervention is related to myocardial injury
DOI: 10.31744/einstein_journal/2025AO1582
Highlights ■ Previous studies have correlated inflammation with complications after percutaneous coronary intervention. ■ In patients with stable coronary disease, percutaneous coronary intervention leads to elevated inflammatory biomarker levels. ■ The inflammatory response is significantly correlated with myocardial injury. ABSTRACT Introduction: In acute coronary syndrome, the release of inflammatory and myocardial injury biomarkers after percutaneous coronary intervention is associated with poor prognosis. However, little is known about the association between these biomarkers in patients with stable disease. Objective: We aimed […]
Keywords: Acute coronary syndrome; Biomarkers; Inflammation; Myocardial injury; Neutrophis; Percutaneous coronary intervention; Prognosis; Systemic inflammatory response
12/Sep/2025
Factors associated with nursing workload in patients undergoing extracorporeal membrane oxygenation: a retrospective cohort study
einstein (São Paulo). 12/Sep/2025;23:eAO1743.
View Article12/Sep/2025
Factors associated with nursing workload in patients undergoing extracorporeal membrane oxygenation: a retrospective cohort study
DOI: 10.31744/einstein_journal/2025AO1743
Highlights ■ Nursing workload is high with patients undergoing extracorporeal membrane oxygenation. ■ The initial 24 hours of extracorporeal membrane oxygenation have the highest workload, quantified using the Nursing Activities Score. ■ Presence of COVID-19 and delayed extracorporeal membrane oxygenation initiation increase the workload in the initial 24 hours of extracorporeal membrane oxygenation. ■ Extracorporeal membrane oxygenation care demands adjustments in the nurse-to-patient ratio in the intensive care unit. ABSTRACT Objective: To identify the factors associated with nursing workload with […]
Keywords: Critical care; Critical care nursing; Extracorporeal membrane oxygenation; Intensive care units; Nursing staff; Workload
11/Sep/2025
Can we predict the presence of struvite stones based on clinical factors?
DOI: 10.31744/einstein_journal/2025AO1324
Highlights ■ Understanding the composition of urinary calculi is essential for guiding long-term treatment strategies. ■ This is the first study to correlate clinical data with crystallographic analysis of urinary stones. ■ Clinical criteria allow for a high likelihood of accurately identifying stone composition. ■ Clinical findings can serve as valuable tools for guiding treatment decisions. ABSTRACT Objective: This study aimed to evaluate whether clinical, laboratory, and radiological data could effectively identify struvite stones without the need for crystallographic analysis. […]
Keywords: Crystallography; Signs and symptoms; Struvite; Ureteroscopy; Urinary calculi; Urolithiasis
11/Sep/2025
Mortality rate in patients with symptomatic peripheral artery disease in Brazil: comparison between sexes
DOI: 10.31744/einstein_journal/2025AO1611
Highlights ■ A total of 58.1% of the patients died during a mean follow-up period of approximately 5.2 years. ■ Cardiovascular diseases are the main cause of death in these patients. ■ Men had a higher likelihood of death from all causes than women. ■ No difference was found between the sexes in relation to the different causes of death. ABSTRACT Objective: To compare mortality rates between sexes in a cohort of patients with intermittent claudication residing in a metropolitan […]
Keywords: Cardiovascular diseases; Hypertension; Intermittent claudication; Mortality; Peripheral artery disease; Respiratory diseases; Sex distribution
11/Sep/2025
CT-guided preoperative localization of nonpalpable pulmonary lesions with a specifically designed device: evaluation of safety and efficacy
einstein (São Paulo). 11/Sep/2025;23:eAO1622.
View Article11/Sep/2025
CT-guided preoperative localization of nonpalpable pulmonary lesions with a specifically designed device: evaluation of safety and efficacy
DOI: 10.31744/einstein_journal/2025AO1622
Highlight ■ This method enables surgeons to visually identify the lesion pathway without intraoperative imaging, enhancing precision and workflow. ■ A practical, cost-effective alternative to high-end technologies such as electromagnetic navigation bronchoscopy and hybrid operating rooms. ■ Metallic wires offer excellent intraoperative visibility on the lung surface, supporting their clinical utility. ■ All nonpalpable nodules were successfully resected, with no complications related to the preoperative localization procedure. ■ CT-guided preoperative localization of nonpalpable pulmonary lesions using a purpose-built device demonstrates […]
Keywords: Neoplasms; Preoperative period; Pulmonary nodule; Thoracic surgery, video-assisted; Thoracoscopy; Tomography, x-ray computed; Video-assisted surgery
11/Sep/2025
Integrated palliative care for patients with advanced head and neck cancer: a retrospective Brazilian cohort study of its impact at the end of life
einstein (São Paulo). 11/Sep/2025;23:eAO1768.
View Article11/Sep/2025
Integrated palliative care for patients with advanced head and neck cancer: a retrospective Brazilian cohort study of its impact at the end of life
DOI: 10.31744/einstein_journal/2025AO1768
Highlights ■ Outpatient palliative care follow-up increased median survival by 4.7 months in patients with advanced head and neck cancer. ■ Patients receiving palliative care had fewer intensive care unit deaths, less chemotherapy in the final month of life, and a reduced need for palliative sedation. ■ Integrated palliative care resulted in fewer emergency visits per month of follow-up, suggesting more efficient symptom management. ABSTRACT Objective: To evaluate whether integrated palliative care is associated with improved overall survival and better […]
Keywords: Death; Head and neck neoplasms; Integrative palliative care; Supportive care; Survival; Terminal care
11/Sep/2025
Posterior cervical spine surgery epidemiology and complications: a large retrospective case series
DOI: 10.31744/einstein_journal/2025AO1830
Highlights ■ Posterior cervical spine surgery showed an overall complication rate of 22.3%, mainly surgery-related. ■ Surgical site infection (6.2%) and late reoperation (4.3%) were the most common complications. ■ The average patient age varied by etiology, being the lowest in neoplastic cases (34.4 years) and the highest in degenerative cases (55.7 years). ■ No statistically significant associations were found between complications and patient characteristics, except for a trend toward more complications in urgent surgeries (p=0.085). ■ Mortality was 3.7%, […]
Keywords: Cervical spine; Epidemiology; Postoperative complications; Surgical procedures
28/Aug/2025
Development and validation of Baritrip: a multidisciplinary educational mobile application for bariatric surgery patients
DOI: 10.31744/einstein_journal/2025AO1362
Highlights ■ The Baritrip app offers multidisciplinary guidance for bariatric surgery patients. ■ The app was validated by experts, yielding a high content validity index of 0.99. ■ Users rated the app engagement, layout, and organization with 89.1% agreement. ■ The app supports health literacy, pre and post-surgical care through an inclusive approach. ABSTRACT Objective: To develop and validate a comprehensive mobile health App (mHealth App) to increase the health literacy and care engagement of patients undergoing bariatric surgery. Methods: […]
Keywords: Bariatric surgery; Health literacy; Health Promotion; Information technology; Mobile applications; Public health Informatics
28/Aug/2025
Pre-transplant parathyroid hormone serum levels as predictors of kidney function after one year: a retrospective cohort study
einstein (São Paulo). 28/Aug/2025;23:eAO1392.
View Article28/Aug/2025
Pre-transplant parathyroid hormone serum levels as predictors of kidney function after one year: a retrospective cohort study
DOI: 10.31744/einstein_journal/2025AO1392
Highlights ■ Pre-transplant parathyroid hormone levels were not linked to kidney function at 1 year post-transplant. ■ Recipient age showed a negative association with renal function at 12 months. ■ The Kidney Donor Profile Index was a strong predictor of graft function. ■ Individualized risk assessment remains essential for kidney transplant prognosis. ABSTRACT Objective: This study aimed to evaluate the association between pre-transplant parathyroid hormone levels and renal function 1-year after kidney transplantation. Methods: This retrospective cohort study was conducted […]
Keywords: Glomerular filtration rate; Kidney transplantation; Parathyroid hormone