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Comparison of Outcomes Between Staged and Same-Day Circumferential Spinal Fusion for Adult Spinal Deformity: Systematic Review and Meta-Analysis

Comparison of Outcomes Between Staged and Same-Day Circumferential Spinal Fusion for Adult Spinal Deformity: Systematic Review and Meta-Analysis

Mean differences for continuous variables (surgical time, EBL, hospital LOS, and ICU LOS) and odds ratios for categorical variables (intraoperative adverse events, postoperative adverse events, postoperative infection, any adverse events, readmission, and reoperation) were the end points of the meta-analysis.

Mert Marcel Dagli, Ryan William Turlip, Felix C Oettl, Mohamed Emara, Jaskeerat Gujral, Daksh Chauhan, Hasan S Ahmad, Gabrielle Santangelo, Connor Wathen, Yohannes Ghenbot, John D Arena, Joshua L Golubovsky, Ben J Gu, John H Shin, Jang Won Yoon, Ali K Ozturk, William C Welch

Interact J Med Res 2025;14:e67290

Evaluation of the Efficacy of the Traditional Chinese Medicine Formulation Ru-Yi-Jin-Huang-Saan on Colles Fracture After Surgery: Protocol for a Randomized, Double-Blind, Placebo-Controlled Trial

Evaluation of the Efficacy of the Traditional Chinese Medicine Formulation Ru-Yi-Jin-Huang-Saan on Colles Fracture After Surgery: Protocol for a Randomized, Double-Blind, Placebo-Controlled Trial

Until now, there has been no published study on the application of TCM in the treatment of postoperative fractures. However, TCM for external application has been widely used to treat swelling and pain after fracture. Therefore, we have designed an experiment to verify the curative effect of the external application of TCM in fracture surgery. Ru-Yi-Jin-Huang-Saan (RYJHS) is a TCM herbal patch composed of a fixed blend of TCM ingredients combined with water.

Lien-Cheng Lin, Wei-Hsun Wang, Wei-Kai Chang, Jyun-Liang Gao, Ru-Chang Yang, Po-Chi Hsu, Lun-Chien Lo

JMIR Res Protoc 2025;14:e56849

Ten Machine Learning Models for Predicting Preoperative and Postoperative Coagulopathy in Patients With Trauma: Multicenter Cohort Study

Ten Machine Learning Models for Predicting Preoperative and Postoperative Coagulopathy in Patients With Trauma: Multicenter Cohort Study

These patients were more prone to develop complications during hospitalization, and preoperative and postoperative traumatic coagulopathy (PPTIC) was identified as an independent risk factor for these complications. Therefore, we plan to explore the risk factors for PPTIC in patients with trauma and its relationship with in-hospital complications.

Xiaojuan Xiong, Hong Fu, Bo Xu, Wang Wei, Mi Zhou, Peng Hu, Yunqin Ren, Qingxiang Mao

J Med Internet Res 2025;27:e66612

Development and Validation of a Routine Electronic Health Record-Based Delirium Prediction Model for Surgical Patients Without Dementia: Retrospective Case-Control Study

Development and Validation of a Routine Electronic Health Record-Based Delirium Prediction Model for Surgical Patients Without Dementia: Retrospective Case-Control Study

Postoperative delirium (POD) is a common and serious surgical complication that affects 15%-50% of older surgical patients [1-3]. POD is characterized by acute fluctuations in consciousness and has a complex etiology thought to be caused by interactions between predisposing (eg, individual vulnerability) and precipitating (eg, acute illness or surgery) factors [4].

Emma Holler, Christina Ludema, Zina Ben Miled, Molly Rosenberg, Corey Kalbaugh, Malaz Boustani, Sanjay Mohanty

JMIR Perioper Med 2025;8:e59422

Use of Biofeedback-Based Virtual Reality in Pediatric Perioperative and Postoperative Settings: Observational Study

Use of Biofeedback-Based Virtual Reality in Pediatric Perioperative and Postoperative Settings: Observational Study

For many patients, the postoperative period is associated with significant and sometimes uncontrolled pain [1-4]. Not only can these circumstances lead to higher morbidity, increased hospital costs, and longer recovery times, but uncontrolled postoperative pain also increases the risk of exposure to and persistent use of opioids [4-8].

Zandantsetseg Orgil, Anitra Karthic, Nora F Bell, Lisa M Heisterberg, Sara E Williams, Lili Ding, Susmita Kashikar-Zuck, Christopher D King, Vanessa A Olbrecht

JMIR Perioper Med 2024;7:e48959

Automated Identification of Postoperative Infections to Allow Prediction and Surveillance Based on Electronic Health Record Data: Scoping Review

Automated Identification of Postoperative Infections to Allow Prediction and Surveillance Based on Electronic Health Record Data: Scoping Review

Postoperative bacterial infections, including deep or superficial surgical site infections (SSIs), urinary tract infections (UTIs), and pneumonia, are the most frequent complications after surgery. Postoperative infections can be categorized into subtypes, usually based on location or severity according to the Clavien-Dindo classification [1]. The overall incidence of postoperative infections within 30 days of surgery varies between 6.5% and 25% [2-4].

Siri Lise van der Meijden, Anna M van Boekel, Harry van Goor, Rob GHH Nelissen, Jan W Schoones, Ewout W Steyerberg, Bart F Geerts, Mark GJ de Boer, M Sesmu Arbous

JMIR Med Inform 2024;12:e57195

Gamified Mobile App (MobERAS) for Telemonitoring Patients in the Postoperative Period Based on the Enhanced Recovery after Surgery Program: Development and Validation Study

Gamified Mobile App (MobERAS) for Telemonitoring Patients in the Postoperative Period Based on the Enhanced Recovery after Surgery Program: Development and Validation Study

Among the program’s postoperative recommendations, patients are encouraged to follow some steps that can help them achieve good postoperative results, such as encouraging early mobilization, as well as early oral intake [15,16]. For example, it is known that the incentive to walk early exerts a positive impact on the incidence of thromboembolic events [17].

Aline Evangelista Santiago, Victor Pezzi Gazzinelli Cruz, Rafaela Souza Furtado, Eduardo Batista Cândido, Wladmir Cardoso Brandão, Agnaldo Lopes Silva Filho

JMIR Perioper Med 2024;7:e56033

The Effectiveness of Patient Education on Laparoscopic Surgery Postoperative Outcomes to Determine Whether Direct Coaching Is the Best Approach: Systematic Review of Randomized Controlled Trials

The Effectiveness of Patient Education on Laparoscopic Surgery Postoperative Outcomes to Determine Whether Direct Coaching Is the Best Approach: Systematic Review of Randomized Controlled Trials

Adherence to postoperative guidelines can impact the risk of complications by up to 52.4% after laparoscopic surgery, as shown by a 2022 prospective study [1]. The enhanced recovery after surgery (ERAS) protocol is a systematic approach to minimize postoperative pain, complications, and duration of hospital stay in patients undergoing surgical procedures [2-4].

Bhagvat Maheta, Mouhamad Shehabat, Ramy Khalil, Jimmy Wen, Muhammad Karabala, Priya Manhas, Ashley Niu, Caroline Goswami, Eldo Frezza

JMIR Perioper Med 2024;7:e51573

Application of AI in in Multilevel Pain Assessment Using Facial Images: Systematic Review and Meta-Analysis

Application of AI in in Multilevel Pain Assessment Using Facial Images: Systematic Review and Meta-Analysis

Acute postoperative pain management is important, as pain intensity and duration are critical influencing factors for the transition of acute pain to chronic postsurgical pain [2]. To avoid the development of chronic pain, guidelines were promoted and discussed to ensure safe and adequate pain relief for patients, and clinicians were recommended to use a validated pain assessment tool to track patients’ responses [3].

Jian Huo, Yan Yu, Wei Lin, Anmin Hu, Chaoran Wu

J Med Internet Res 2024;26:e51250

Using In-Shoe Inertial Measurement Unit Sensors to Understand Daily-Life Gait Characteristics in Patients With Distal Radius Fractures During 6 Months of Recovery: Cross-Sectional Study

Using In-Shoe Inertial Measurement Unit Sensors to Understand Daily-Life Gait Characteristics in Patients With Distal Radius Fractures During 6 Months of Recovery: Cross-Sectional Study

In the fracture group, daily gait assessments in the early postoperative period started 2 weeks after DRF surgery to enable the effects of casting or surgery. To assess baseline functional ability and frailty, HGS [22] and the Timed Up and Go (TUG) test [23] were performed. HGS was measured in kilograms with a Jamer dynamometer (Sammons Preston). We assessed HGS on the nonfractured side of the fracture group and both sides of the control group. The mean values of 3 measurements were recorded.

Akiko Yamamoto, Eriku Yamada, Takuya Ibara, Fumiyuki Nihey, Takuma Inai, Kazuya Tsukamoto, Tomohiko Waki, Toshitaka Yoshii, Yoshiyuki Kobayashi, Kentaro Nakahara, Koji Fujita

JMIR Mhealth Uhealth 2024;12:e55178