Daniel Franco
A5053609669- Spine and Intervertebral Disc Pathology
- Spinal Fractures and Fixation Techniques
- Musculoskeletal pain and rehabilitation
- Cervical and Thoracic Myelopathy
- Respiratory Support and Mechanisms
- High Altitude and Hypoxia
- COVID-19 Clinical Research Studies
- Clinical practice guidelines implementation
- Intensive Care Unit Cognitive Disorders
- Long-Term Effects of COVID-19
- Neuroscience of respiration and sleep
- COVID-19 and healthcare impacts
- Nosocomial Infections in ICU
- Infectious Diseases and Tuberculosis
- Spinal Cord Injury Research
- Trauma and Emergency Care Studies
- Medical Imaging and Analysis
- Sepsis Diagnosis and Treatment
- Anesthesia and Pain Management
- Antibiotic Use and Resistance
- Advanced Neuroimaging Techniques and Applications
- Family and Patient Care in Intensive Care Units
- Traumatic Brain Injury and Neurovascular Disturbances
- Telemedicine and Telehealth Implementation
- Pelvic and Acetabular Injuries
Hospital Universitario Infantil San José
2021-2024
Thomas Jefferson University
2019-2023
Neurological Surgery
2017-2023
Thomas Jefferson University Hospital
2017-2023
Jefferson Hospital for Neuroscience
2020-2023
Jefferson University Hospitals
2020-2022
Fundación Universitaria de Ciencias de la Salud
2019-2021
Oxford University Press (United Kingdom)
2020
To accommodate the unprecedented number of critically ill patients with pneumonia caused by coronavirus disease 2019 (COVID-19) expansion capacity intensive care unit (ICU) to clinical areas not previously used for critical was necessary. We describe global burden COVID-19 admissions and organizational characteristics associated outcomes in patients.Multicenter, international, point prevalence study, including adult SARS-CoV-2 infection confirmed polymerase chain reaction (PCR) a diagnosis...
The COVID-19 pandemic presented major challenges for critical care facilities worldwide. Infections which develop alongside or subsequent to viral pneumonitis are a challenge under sporadic and conditions; however, data have suggested that patterns of these differ between other pneumonitides. This secondary analysis aimed explore co-infection intensive unit-acquired infections (ICU-AI) the relationship use corticosteroids in large, international cohort critically ill patients.
The authors compared primary lumbar spine fusions with revision by using patient Oswestry Disability Index (ODI) scores to evaluate the impact of North American Spine Society (NASS) evidence-based medicine (EBM) fusion indications on patient-reported outcome measures surgeries.
Multicenter study.The COVID-19 pandemic has obligated physicians to recur additional resources and make drastic changes regarding the standard physician-patient encounter. In last century, there been a substantial improvement in technology, which over years opened door new form of medical practicing known as telemedicine.Healthcare workers from three hospitals involved care for patients united states were invited share their experience using telemedicine deliver clinical patients.Since...
Degenerative lumbar spondylolisthesis (DS) patients are treated with instrumented fusion, following EBM guidelines, and typically have excellent clinical outcomes. However, not all fusion procedures adhere to due a lack of prospective data.This retrospective study compared outcomes DS according guidelines (EBM concordant) fused that did clear literature supported this treatment, the goal being examine value present guide care.A total 125 were considered concordant, while 21 discordant. Pre-...
Retrospective Cohort Study.The 11-item modified Frailty index (mFI-11) by the ACS-NSQIP database was used to predict which patients are high risk for complications and inpatient mortality. now has switched 5-item MFI. However, there no studies on how these frailty indices fare against each other their prognostic value of functional independence in with spinal cord injury (SCI).To compare mFI-5 mFI-11 order standardize assessment SCI population.Retrospective analysis 272,174 from 2010 2020...
OBJECTIVE Posterior cervical decompression and fusion (PCDF) is a commonly performed procedure to address myelopathy. A significant number of these patients require revision surgery for adjacent-segment disease (ASD) or pseudarthrosis. Currently, there no consensus among spine surgeons on the inclusion proximal thoracic instrumentation. This study investigates benefits extension in long-segment fusions potential drawbacks. The authors compare outcomes subaxial degenerative myelopathy with...
Spinal synovial cysts are lesions that most commonly occur in the lumbar region. The need for an instrumented spinal fusion addition to decompression with removal of cyst is unknown.To test hypothesis select patients who underwent would be less likely have subsequent surgery (SS) a 2-year period than treated laminectomy alone.This retrospective cohort study was performed using IBM MarketScan Commercial Claims and Encounters Database. Patients had diagnosis or without were included this...
Study Design Retrospective Cohort Study. Objectives To determine the ability of early vital sign abnormalities to predict functional independence in patients with SCI that required surgery. Methods A retrospective analysis data extracted from Pennsylvania Trauma Outcome database. Inclusion criteria were >18 years a diagnosis who urgent spine surgery 1/1/2010-12/31/2020 and had complete records available. Results total 644 met inclusion criteria. The mean age was 47.1 ± 14.9 old injury...
<h3>BACKGROUND:</h3> Sedation in intensive care is fundamental for optimizing clinical outcomes. For many years the world has been facing high rates of opioid use, and to combat increasing addiction plans at both national international level have implemented. The COVID-19 pandemic posed a major challenge health systems also increased use sedatives analgesia prolonged periods time, doses, significant proportion patients. In our institutions, shortage drugs intravenous (IV) analgosedation...
Retrospective observational case series.To assess the outcome of patients with diffuse idiopathic skeletal hyperostosis (DISH) dysphagia who underwent cricopharyngeal myotomy (CPM) in conjunction anterior osteophytectomy (OP).This is a retrospective study 9 that received combined intervention by neurosurgeons and otolaryngologists. Inclusion criteria for surgery consisted failed to respond conservative treatments had evidence both upper esophageal dysfunction osteophyte compression. We...
The present study design was that of a single center, retrospective cohort to evaluate the influence surgeon-specific factors on patient functional outcomes at 6 months following lumbar fusion. Retrospective review prospectively maintained database patients who underwent neurosurgical instrumented arthrodesis identified population.This seeks variable effects patient-reported such as Oswestry Disability Index (ODI) and effect North American Spine Society (NASS) concordance in setting surgeon...
Abstract Background Early mobilisation (EM) is an intervention that may improve the outcome of critically ill patients. There limited data on EM in COVID-19 patients and its use during first pandemic wave. Methods This a pre-planned subanalysis ESICM UNITE-COVID, international multicenter observational study involving ICU between February 15th May 15th, 2020. We analysed variables associated with initiation (within 72 h admission) explored impact mortality, hospital length stay, as well...