Key Points
Question
How can clinical departments implement a clinical decision support tool to predict expected resource use to prioritize elective inpatient surgical procedures?
Findings
In this prognostic study, predictive models for length of stay, intensive care unit length of stay, mechanical ventilator requirement, and discharge disposition to a skilled nursing facility were developed using historical case data abstracted from the electronic health records of 42 199 patients. These models were integrated into an interactive online dashboard with end-user input and iteratively tested.
Meaning
Predictive modeling, in conjunction with other contextualizing factors, can be used to inform how to recommence elective inpatient procedures after the coronavirus disease 2019 (COVID-19) pandemic.
Peripheral pain and ataxic tremor can appear suddenly following thalamic stroke and can significantly alter a patient's psychological, social, and physical functioning. The present paper reports the case of a 70-year-old Caucasian female who sustained an acute left posterior cerebral artery infarction involving the thalamus and left mesiotemporal regions. She subsequently developed Central Poststroke Pain and ataxic movement of her right arm and hand in addition to a significant right-side claudication. She was treated over 16 weeks (6 weeks of EMG biofeedback and 10 weeks of psychotherapy) with a combination of EMG biofeedback, progressive muscle relaxation, behavioral pain coping skills training, Forced Use Therapy, and Cognitive Behavioral Therapy 7 years after her initial cerebral accident. The case demonstrates the utility of biofeedback when combined as part of a comprehensive treatment program to address the multiple complications associated with thalamic stroke.
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