RESUMEN

Aspiration of foreign bodies is common and among the leading causes of accidental death in children. When detected promptly, an experienced physician can successfully manage foreign bodies of the airway. However, uncommon objects and physical trauma can complicate their removal. Inhalation of organic and inorganic foreign bodies of all types is well documented, but glass in the airway is an unusual and difficult problem. Further, airway foreign bodies in conjunction with an unstable cervical spine are rare. Polytrauma tends to complicate any case. We present a case illustrating both circumstances: tempered automotive glass in the airway of a child with an unstable cervical spine fracture.

Asunto(s)

Cuerpos Extraños , Traumatismos del Cuello , Trastornos Respiratorios , Niño , Humanos , Broncoscopía , Sistema Respiratorio , Trastornos Respiratorios/complicaciones , Cuerpos Extraños/complicaciones , Cuerpos Extraños/diagnóstico por imagen , Cuerpos Extraños/cirugía , Vértebras Cervicales/diagnóstico por imagen , Bronquios/diagnóstico por imagen , Bronquios/cirugía

RESUMEN

As value-based reimbursement continues to grow as a means of compensation in the US healthcare system, ensuring effective evaluation of patient care is becoming increasingly important. The aim of this study was to systematically collect and review data to identify potential patient bias based on a nonmodifiable patient characteristic, payer type, in patient satisfaction scores from an academic dermatology clinic setting. This retrospective study used Press Ganey self-reported, deidentified patient satisfaction surveys completed at Texas Tech University Health Sciences Center's outpatient dermatology clinic between January 1, 2010, and December 21, 2021, with a total of 21,408 surveys included in the study. The results found the self-pay/uncompensated group reported the highest mean satisfaction score (96.25%), followed by other government (94.76%), Medicare (94.34%), commercial (92.82%), workers' comp (88.10%), and Medicaid (82.78%). Analysis of variance resulted in an F value of 3.02 (P < 0.01). This study confirmed the results of existing research suggesting that payer class significantly impacts patient experience scores.