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A Systematic Review Of The Social Determinants Of Health In Shoulder Arthroplasty Outcomes, Allison Boland, John Pum, Michael Gaudiani, Matthew A. Gasparro Mar 2024

A Systematic Review Of The Social Determinants Of Health In Shoulder Arthroplasty Outcomes, Allison Boland, John Pum, Michael Gaudiani, Matthew A. Gasparro

Medical Student Research Symposium

This systematic review investigates the impact of social determinants of health (SDOH) on outcomes in shoulder arthroplasty (SA). SA, a common orthopedic procedure, has seen an increasing focus on SDOH influencing postoperative results. The study aims to comprehensively assess this impact on both surgical and patient-reported outcomes.

Through a systematic search of databases, 34 studies (2011-2021) met the inclusion criteria, involving 4,825,547 patients. Explored SDOH included insurance status, race/ethnicity, age, sex, income, social support, and veteran status. Outcomes considered were length of stay, American Shoulder and Elbow Surgeons scores, total SA rates, revision rates, complication rates, and discharge status.

Findings …


Effect Of Epinephrine On Outcomes In Out-Of-Hospital Cardiac Arrest, Ian Lumsden Jan 2020

Effect Of Epinephrine On Outcomes In Out-Of-Hospital Cardiac Arrest, Ian Lumsden

Capstone Showcase

Abstract

Introduction

Epinephrine administration during cardiac arrest has been the standard of care for decades. In the United States, epinephrine administration has been recommended by the American Heart Association since the first cardiac arrest guidelines were published in 1974. However, epinephrine use became the standard of care with strong medical rational but with limited data on outcomes. The intent of this research is to review available literature and determine if in (P) an adult population in non-traumatic out-of-hospital cardiac arrest (I) treatment with epinephrine administration (C) compared to cardiac care without the administration of epinephrine (O) results in improved survival …


An Overview Of The Health Delivery System In The State Of Mississippi, Cerlyn K. Ellis Dec 2019

An Overview Of The Health Delivery System In The State Of Mississippi, Cerlyn K. Ellis

Publications and Research

Imagine residing in a high-income country that doesn’t provide access to necessary healthcare. The state of Mississippi remains one of the poorest states in the United States. This has resulted in poor health outcomes and chronic access barriers. Residents of Mississippi ranks poorly in most health indicators, including Infectious Disease, Infant Mortality, Clinic Care, Obesity, Diabetes, and Premature Death.

With half of all rural hospitals in Mississippi threatened with closure, access and quality of care barriers will become more challenging to resolve. This comes partly as a result of the state largely governed by Republicans and the legislators refusing to …