Sudden deaths in young competitive athletes are tragic events, with high public visibility. The importance of race and gender respect to sport the diagnosis causes sudden death has generated substantial interest.The US National Registry Death Athletes, 1980-2011, was accessed define epidemiology athletes. A total 2406 were identified aged 19 ± 6 years engaged 29 diverse sports.Among 842 autopsy-confirmed cardiovascular diagnoses, incidence males exceeded that females by 6.5-fold (1:121; 691...

Retrospective chart review (RCR) studies rely on the collection and analysis of documented clinical data, a process that can be prone to errors. The aim this study was develop defined set criteria evaluate RCR datasets for potential data Data Error Criteria (DEC) were developed by identifying coding entry errors via literature then classifying them based error types. Three components comprise DEC: general errors, numerical-specific categorical variable-specific Two reviewers independently...

Background: Retrospective chart review studies may be delayed by inability to export clean clinical data from an electronic medical record (EMR) or repository. Macros are pre-programmed procedures that can used in Microsoft Excel help streamline the process of cleaning datasets.Objectives: To demonstrate how macros useful for researchers at community hospitals and smaller academic health centers lack informatics support.Methods: Using intrinsic function our institution's EMR, vital signs lab...

Background: The Minnesota Lab Appropriateness (MLAB) criteria were developed for assessing appropriateness of complete blood counts (CBCs) and serum electrolyte panels (SEPs) ordered adult inpatients. Methods: Two independent raters used the MLAB to rate labs during 50 hospitalizations through retrospective medical record review. Results: Evaluation 208 CBCs 253 SEPs on a 2-category scale (appropriate/inappropriate) resulted in an inappropriate lab 24% 25% SEPs, respectively. Using...

Introduction High-frequency recurring orders placed through the electronic medical record (EMR) may contribute to unnecessary care in hospitalised patients. This quality initiative sought develop and pilot test a hospital order set for bundled review de-implementation of common orders. Methods A voluntary-use EMR was developed display low-frequency alternatives components. The introduced hospitalists at large academic from February June 2023. Orders overnight vital signs, tubes/tethers (a...

Abstract Osmotic demyelination syndrome (ODS), previously known as central pontine myelinolysis, is a rare neurological condition characterized by of the pons or extrapontine areas including midbrain, thalamus, basal nuclei, and cerebellum, resulting in upper motor neuron dysfunction pseudobulbar palsy. We report case 45-year-old woman with history alcohol dependence end stage liver disease complicated hepatic encephalopathy who developed symptoms suspicious recurrent experienced generalized...

Rapid cognitive decline and myoclonus in a 52-year-old womanA woman presented to the emergency department Las Vegas, NV, with progressively worsening altered mental status for past 2 weeks.A history of symptoms was obtained from patient's sister, whom she staying.The sister reported that during week before presentation, patient had episodes confusion, intermittent blank staring, blurred vision, bilateral incoordination upper lower extremities, diffi culty following commands, decreased verbal...

/n summer 2012 I had the opportunity to death in athletes. In 1993, Dr. Maron brought work as a research intern at MinneapNational Registry of Sudden Death Young olis Heart Institute Foundation (MHIF). Athletes MHIF. The is an autopsy MHIF nonprofit organization with based database that records athlete deaths meeting mission improving cardiovascular health five criteria: must have been related through and education. internship USA some capacity, such American they offer effective extension...

We present a case of acute partial transverse myelitis (TM) that developed 6 d following covaccination with bivalent COVID-19 booster vaccine and quadrivalent influenza vaccine. Although initial imaging the thoracic spine was nonspecific, repeat magnetic resonance (MRI) showed T2 hyperintense lesion contrast enhancement, consistent TM. The risk rare but catastrophic neurologic complications and/or vaccines is subject ongoing investigation in medical community. A 78-year-old woman past...

Introduction: Frequency with which cardiovascular-related sudden deaths (SD) occur in competitive athletes importantly impacts considerations for the most appropriate preparticipation screening strategy, particularly potential value of incorporating the12-lead ECG. Hypothesis: Unsuspected cardiovascular disease may not be predominant cause death college athletes. Methods: We assessed databases (including autopsy reports) from both U.S. National Sudden Death Young Athletes Registry and...