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21 results on '"Zalatimo, Omar"'

4. Urinary Tract Infections in Hospitalized Ischemic Stroke Patients: Source and Impact on Outcome

Author

Bogason, Einar, Morrison, Kathy, Zalatimo, Omar, Ermak, David M, Lehman, Erik, Markley, Eric, and Cockroft, Kevin

Subjects
Neurology, Neurosurgery, ischemic stroke, urinary tract infections, bacterial infections and mycoses, urologic and male genital diseases, outcomes, Quality Improvement, female genital diseases and pregnancy complications
Abstract

Background: Urinary tract infections (UTIs) in ischemic stroke patients are a common occurrence and the frequent focus of quality improvement initiatives. However, many UTIs are community-acquired and the impact of such infections on patient outcomes remains controversial. Methods: We conducted a retrospective analysis of our Stroke Center Database and electronic medical records to determine the incidence of both community-acquired UTI (CA-UTI) and hospital-acquired UTI (HA-UTI) in hospitalized ischemic stroke patients. We assessed risk factors for UTI, as well as clinical outcome, the length of stay (LOS), and hospital charges. Results: In our study sample of 395 patients, UTIs were found in 11.7% and the majority of these (65%) were found on admission. Patients admitted from another hospital were more likely to be diagnosed with a UTI of any type compared to those arriving from home (odds ratio (OR) 2.42 95%, confidence interval (CI) 1.18, 4.95) and were considerably more likely to have an HA-UTI than a CA-UTI (OR 12.06 95% CI 2.14, 95.32). Those with a Foley catheter were also more likely to have a UTI (OR 2.65 95% CI 1.41, 4.98). In the multivariable analysis, we did not find a statistically significant relationship between any UTI or a specific UTI subtype and discharge modified Rankin Score (mRS), LOS, or hospital charges. Admission stroke severity remained associated with higher odds of discharge in poor condition (adjusted odds ratio (aOR) 6.23 95% CI2.33, 16.62), an extended LOS (6.84 vs 5.07, p = 0.006), and higher hospital charges ($18,305 vs $12,162, p = 0.001). Conclusions: Urinary tract infections remain a common occurrence in stroke patients. However, the majority of UTIs are present on admission and may have little impact on discharge clinical condition, LOS, or hospital charges. These results may have implications for quality improvement (QI) initiatives that focus on the prevention and treatment of hospital-acquired UTIs.

Published
2017

7. Journal Club

Author

Payne, Russell, primary, Bogason, Einar, additional, Anderson, Brian, additional, Brandmeir, Nicholas, additional, Church, Ephraim, additional, Cooke, Jonathon, additional, Davies, Gareth, additional, Hussain, Namath, additional, Patel, Akshal, additional, Rohatgi, Pratik, additional, Sieg, Emily, additional, Zalatimo, Omar, additional, Ziu, Endrit, additional, and Davanzo, Justin, additional

Published
2014
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8. Journal Club

Author

Anderson, Brian L., primary, Bogason, Einar, additional, Brandmeir, Nicholas, additional, Church, Ephraim, additional, Cooke, Jonathon, additional, Davanzo, Justin, additional, Davies, Gareth, additional, Hussain, Namath, additional, Patel, Akshal, additional, Payne, Russell, additional, Rohatgi, Pratik, additional, Sieg, Emily, additional, and Zalatimo, Omar, additional

Published
2014
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9. Journal Club: Magnetic Resonance Imaging-Guided Focused Laser Interstitial Thermal Therapy for Intracranial Lesions

Author

Rohatgi, Pratik, primary, Anderson, Brian, primary, Bogason, Einar, primary, Brandmeir, Nicholas, primary, Church, Ephraim, primary, Cooke, Jonathon, primary, Davanzo, Justin, primary, Davies, Gareth, primary, Hussain, Namath, primary, Patel, Akshal, primary, Payne, Russell, primary, Sieg, Emily, primary, Zalatimo, Omar, primary, and Ziu, Endrit, primary

Published
2014
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11. Journal Club

Author

Bogason, Einar T., primary, Anderson, Brian, additional, Brandmeir, Nicholas J., additional, Church, Ephraim W., additional, Cooke, Jonathon, additional, Davies, Gareth M., additional, Hussain, Namath, additional, Patel, Akshal S., additional, Payne, Russell, additional, Rohatgi, Pratik, additional, Sieg, Emily, additional, Zalatimo, Omar, additional, and Ziu, Endrit, additional

Published
2014
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14. Journal Club

Author

Church, Ephraim W., primary, Anderson, Brian, additional, Bogason, Einar, additional, Brandmeir, Nicholas J., additional, Cooke, Jonathan, additional, Davies, Gareth M., additional, Kainth, Koijan, additional, Kelleher, John, additional, Patel, Akshal S., additional, Payne, Russell, additional, Rohatgi, Pratik, additional, Sieg, Emily, additional, and Zalatimo, Omar, additional

Published
2013
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16. Idiopathic hypertrophic spinal pachymeningitis

Author

Ranasinghe, Moksha G., primary, Zalatimo, Omar, additional, Rizk, Elias, additional, Specht, Charles S., additional, Reiter, G. Timothy, additional, Harbaugh, Robert E., additional, and Sheehan, Jonas, additional

Published
2011
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17. Journal Club.

Author

Rohatgi, Pratik, Anderson, Brian, Bogason, Einar, Brandmeir, Nicholas, Church, Ephraim, Cooke, Jonathon, Davanzo, Justin, Davies, Gareth, Hussain, Namath, Patel, Akshal, Payne, Russell, Sieg, Emily, Zalatimo, Omar, and Ziu, Endrit

Published
2014
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19. Journal club: national variability in intracranial pressure monitoring and craniotomy for children with moderate to severe traumatic brain injury.

Author

Anderson BL, Bogason E, Brandmeir N, Church E, Cooke J, Davanzo J, Davies G, Hussain N, Patel A, Payne R, Rohatgi P, Sieg E, and Zalatimo O

Subjects
Adolescent, Brain Injuries complications, Child, Child, Preschool, Humans, Infant, Infant, Newborn, Intracranial Hypertension etiology, Registries, United States, Brain Injuries surgery, Craniotomy, Intracranial Hypertension diagnosis, Neurophysiological Monitoring methods
Published
2014
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