Highlights ■ Net Promoter Scores of 85 and 91 among patients and physicians, respectively, over three years. ■ A total of 99.3% of patients were satisfied with the teleconsultation. ■ A total of 98.5% of physicians reported overall satisfaction with the program. ■ Surveys reflect excellence in telemedicine expert consultation. ABSTRACT Objective: Telemedicine via teleconsultations enhances access to specialized care. However, the degree of satisfaction among patients and providers with this method remains unclear. This study assessed patient and on-site […]

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 […]

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 […]

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 […]

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. […]

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 […]

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 […]

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 […]

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%, […]

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: […]