Treating Kids with Acute Appendicitis without Surgery?

In a small group of kids (102,  ages ranging from 7-17) who presented with acute, uncomplicated appendicitis families chose whether the patient would immediately have laparoscopic surgery or begin antibiotic therapy. Of these cases 37 chose antibiotics, and 65 surgery. After one year, 76% of those taking antibiotics did not need surgery, experienced fewer disability days and lower medical…

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Stroke Prevention: To Stent or Not?

A recent randomized trial compared two stroke prevention approaches in 451 people at risk for a second stroke:  Medical management (blood thinning medications & lifestyle management) VS Medical management PLUS stenting (inserting a metal stent to open narrowed arteries). After an average of 32 months follow up, 15% of the medical management group had a…

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Influence of the Day of Week for Surgery

What day of the week is best to have elective surgery? Analysis of 4.1 million inpatient elective surgical procedures in Britain found the 30-day mortality was 6.7 per 1000 procedures. When compared with Monday procedures, the adjusted odds ratio for death was 7% higher for Tuesday surgeries. The rates for surgeries done on Wednesday, Thursday, Friday…

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