Lincoln Hospital (Bronx, New York)

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Lincoln Hospital
New York City Health and Hospitals Corporation
Lincoln Hospital (Bronx, New York).jpg
Lincoln Hospital 149 Park rain jeh.jpg
Lincoln Hospital in Bronx, New York
Lincoln Hospital (Bronx, New York) is located in New York City
Lincoln Hospital (Bronx, New York)
Geography
Location 234 East 149th Street, Bronx, New York City, United States
Coordinates 40°49′01″N 73°55′27″W / 40.817046°N 73.924127°W / 40.817046; -73.924127Coordinates: 40°49′01″N 73°55′27″W / 40.817046°N 73.924127°W / 40.817046; -73.924127
Organization
Care system Public
Hospital type Full Service Medical Center & Teaching Hospital
Affiliated university Weill Cornell Medical College
Services
Emergency department Level I Trauma Center
Beds 347[1]
History
Founded 1839
Links
Website http://www.nyc.gov/html/hhc/lincoln
Lists Hospitals in New York City

Lincoln Medical and Mental Health Center (also known as "Lincoln Hospital" or "Lincoln"), founded in 1839, is a full service medical center and teaching hospital affiliated with Weill Cornell Medical College,[2] in the South Bronx region of New York City.

The medical center offers comprehensive primary, secondary, preventive and specialty care services.[1] It is known for innovative programs addressing the specific needs of the community it serves, aggressively tackling such issues as asthma, obesity, cancer, diabetes and tuberculosis.[1] Staffed by a team of more than 300 physicians, the hospital has an inpatient capacity of 347 beds, including 20 neonatal intensive care beds, 23 intensive care beds, 8 pediatric intensive care beds, 7 coronary care beds, and an 11 station renal dialysis unit.[1] With over 173,000 ER visits annually, Lincoln has the busiest single site Emergency Room in New York City and the third busiest in the nation.[1][3][4]

History[edit]

Lincoln Hospital was originally founded in 1839 as the "The Home for the Colored Aged" by a group of prominent philanthropists known as the "Society for the Relief of Worthy Aged Indigent Colored Persons."[5] The hospital's function gradually became the most important aspect of the operation, and in 1882, the name was changed to "The Colored Home and Hospital."[5]

In 1895, after more than half a century of occupying various sites in Manhattan, the Board of Trustees purchased a large lot in the South Bronx—then a semi-rural area of the city—at the corner of 141st Street and Southern Boulevard. A new hospital was built; its facilities included the latest developments in medical care.[5] The dedication took place on April 29, 1899. The hospital became a general hospital open to all people without regard to color or creed, although it maintained its founding connection as an institution dedicated to the relief and advancement of Black people. During the hospital's reorganization and eventual occupation of the new site, its name was changed to Lincoln Hospital, in honor of President Abraham Lincoln.[5]

Eric Mose works on a Federal Art Project mural for the "Old Lincoln Hospital" in 1938

Because of the increasing demand for services required by a more densely populated South Bronx—and a decreasing supply of philanthropic funds—in 1925 the Board of Trustees decided to sell Lincoln Hospital to the Department of Public Welfare of the City of New York. The great outflow of physicians to the Armed Forces during World War II and the drastic socioeconomic decline in the area that followed took their toll on Lincoln Hospital. With the loss of jobs from industrial restructuring, many middle-class residents left. At the same time, there was new immigration of mostly poor, rural people from the southern regions of the United States, the Caribbean, and countries of Latin America. The hospital enjoyed a resurgence in the 1970s as one of the finest institutions for the care of the sick and the training of professionals in the newly formed New York City Health and Hospitals Corporation.[5]

Present[edit]

Lincoln Hospital's Main Entrance from Morris Avenue

In 1976, a new facility was dedicated about two miles from the "Old Lincoln," at a construction cost of 220 million dollars.[5] The present hospital building incorporates some of the most advanced concepts in hospital design and sophisticated equipment.[5] It occupies five full city blocks, providing health care to the entire South Bronx community, as well as parts of Upper Manhattan.[5] Lincoln also administers the Substance Abuse Division, located at 349 East 140th Street.[5]

In the 1990s, Lincoln became part of the North-Manhattan/South Bronx "Generations Plus Network" together with Metropolitan Hospital Center, Morrisania Diagnostic and Treatment Center, and Segundo Ruiz Belvis Diagnostic and Treatment Center. This network continues to strive to provide quality care to a diverse, multi-ethnic urban population in this era of managed care.[5]

As of 2007, Lincoln has a capacity of 347 beds.[1] Although it constitutes 9% of the beds in the region, Lincoln caters to 31% of the health care visits of this community, where there is fewer than one primary care physician for every 4,000 people.[5]

In 2014, the facility's Emergency Room opened after undergoing a $24 million renovation and expansion project, providing a modernized, state-of-the-art department.[1]

Services[edit]

As the busiest single site Emergency Department in New York City, Lincoln Hospital is an Adult Level I Trauma Center and a Pediatric Level II Trauma Center. The New York State Department of Health selected Lincoln as the first hospital in the South Bronx to receive designation as an official Stroke Center.[1] The medical center also houses FDNY-EMS Battalion 14.

Residents of the South Bronx have the highest occurrence of asthma in New York City.[1][6] Adult and pediatric asthma patients receive immediate attention from Lincoln's medical staff, set specifically aside in the Emergency Department’s designated “Asthma Room” .[1] Adult patients are enrolled in Lincoln’s Comprehensive Care for Patients with Asthma Clinic.[1] The Lincoln Asthma and Allergy Clinic provides an individualized, multidisciplinary approach to asthma and allergy management.[1]

Lincoln’s specialty diabetes clinics include adult, pediatric, pregnancy and diabetes education programs, as well as recently receiving a grant from the United Hospital Fund to implement a new health literacy program for its diabetes clinic.[1] Disease educators can be consulted around-the-clock and diabetes case management is available for pediatric patients.[1]

Lincoln Medical and Mental Health Center received high quality ratings from the New York State Department of Health from hospital profiles comparing key quality measures and treatments for specific conditions in hospitals statewide.[1] Lincoln ranked number two for appropriate care in New York State in the areas of heart attack and heart failure care, as well as surgical infection prevention, an HHC corporate initiative.[1]

Some of Lincoln Medical and Mental Health Center's specialty services include: AIDS Center; Asthma Treatment; Diabetes Treatment; Level III Perinatal Center; Regional Trauma Center; Stroke Center; Women's Health Center; Child and Teen Health Services; SAFE (SART) Center.[1]

Research and contributions[edit]

Lincoln Hospital’s location has allowed access to a unique demographic of New York City’s population, with some of the city’s most ill, impoverished, and violent all concentrated in its surrounding neighborhoods. Currently, its Department of Graduate Medical Education oversees nine residency programs for training physicians and dentists in emergency medicine, general surgery, internal medicine, obstetrics & gynecology, pediatrics, oral maxillofacial surgery, general dentistry, a transitional year, and preliminary medicine programs. The hospital has vastly contributed to the medical community in various fields of study, most notably in public health, infectious disease,[7][8] trauma (medicine) and emergency medicine.

In 1981, Ivatury et al. reported the value of immediate emergency room thoracotomy in a patient group of fatally penetrating trauma.[9] Other studies have improved the diagnosis and management of gunshot wounds,[10][11] rectal and genitourinary injuries,[12] as well as “scoop and run” utility in prompt and emergent care in unstable patients.[13]

More recent research has examined oxygen delivery in trauma patients, looking at biomarkers and physiological parameters such as organ-specific pH monitoring.[14] Other studies have challenged the utilization of accepted predictive markers such as vital signs[15] and serum lactic acid levels, in trying to employ the use of end-tidal carbon dioxide as a better diagnostic and prognostic marker in penetrating trauma patients.[16]

Lincoln has also tackled many public health issues, such as helping recognize healthcare disparities among inner-city minority New Yorkers,[17] as well as eliminating systemic barriers for preventative care measures in one of the nation's poorest census tracts.[18] The hospital has also approached issues such as violence prevention,[19] bullying,[20][21] child abuse,[22] and counseling and treatment of at-risk youth.[23]

See also[edit]

References[edit]

  1. ^ a b c d e f g h i j k l m n o p q "HHC - Lincoln Medical And Mental Health Center". The City of New York. Retrieved 2013-03-20. 
  2. ^ "Weill Cornell Medical College Affiliated Institutions and Departments". Retrieved 2013-06-28. 
  3. ^ David Rohde (April 20, 1998). "Trauma Centers Short of Patients As New York's Crime Rate Drops - New York Times". The New York Times. Retrieved 2013-04-09. 
  4. ^ Winnie Hu (May 28, 2014). "Cool and Calm at Center of an E.R. Maelstrom in the Bronx - New York Times". The New York Times. Retrieved 2014-06-27. 
  5. ^ a b c d e f g h i j k "History of Lincoln Medical Center". Retrieved 2008-01-17. 
  6. ^ Whu, Rafael; Cirilo, Ginaida; Wong, Jonathan; Finkel, Madelon L.; Mendez, Hermann A.; Leggiadro, Robert J. (2007). "Risk Factors for Pediatric Asthma in the South Bronx". Journal of Asthma 44 (10): 855–9. doi:10.1080/02770900701752516. PMID 18097863. 
  7. ^ Waseem, Muhammad; Lakdawala, Viraj; Patel, Rohit; Kapoor, Ramnath; Leber, Mark; Sun, Xuming (2012). "Is there a relationship between wound infections and laceration closure times?". International Journal of Emergency Medicine 5 (1): 32. doi:10.1186/1865-1380-5-32. PMC 3414831. PMID 22835090. 
  8. ^ Sia, Valerie May G.; Romero, Cristina; Sia, Dominic C.; Pou, Jenny; Rajegowda, Benamanahalli K. (2011). "Epidemiology of congenital syphilis in a South Bronx population: A follow-up study". Journal of Perinatal Medicine 39. doi:10.1515/JPM.2010.123. 
  9. ^ Ivatury, Rao R.; Shah, Pravin M.; Ito, Katsuki; Ramirez-Schon, Gerhart; Suarez, Francisco; Rohman, Michael (1981). "Emergency Room Thoracotomy for the Resuscitation of Patients with "Fatal" Penetrating Injuries of the Heart". The Annals of Thoracic Surgery 32 (4): 377–85. doi:10.1016/S0003-4975(10)61760-2. PMID 7305523. 
  10. ^ Kihtir, Tugrul; Ivatury, Rao R.; Simon, Ronald J.; Nassoura, Zahi; Leban, Stanley (1993). "Early Management of Civilian Gunshot Wounds to the Face". Journal of Trauma-Injury Infection & Critical Care 35 (4): 569–75; discussion 575–7. doi:10.1097/00005373-199310000-00012. PMID 8411281. 
  11. ^ Rao, PM; Ivatury, RR; Sharma, P; Vinzons, AT; Nassoura, Z; Stahl, WM (1993). "Cervical vascular injuries: A trauma center experience". Surgery 114 (3): 527–31. PMID 8367807. 
  12. ^ Franko, Edward R.; Ivatury, Rao R.; Schwalb, David M. (1993). "Combined Penetrating Rectal and Genitourinay Injuries: A Challenge in Management". Journal of Trauma-Injury Infection & Critical Care 34 (3): 347–53. doi:10.1097/00005373-199303000-00007. PMID 8483173. 
  13. ^ Gervin, Alfred S.; Fischer, Ronald P. (1982). "The Importance of Prompt Transport in Salvage of Patients with Penetrating Heart Wounds". Journal of Trauma-Injury Infection & Critical Care 22 (6): 443–8. doi:10.1097/00005373-198206000-00001. PMID 7086909. 
  14. ^ Ivatury, RR; Simon, RJ; Islam, S; Fueg, A; Rohman, M; Stahl, WM (1996). "A prospective randomized study of end points of resuscitation after major trauma: Global oxygen transport indices versus organ-specific gastric mucosal pH". Journal of the American College of Surgeons 183 (2): 145–54. PMID 8696546. 
  15. ^ Caputo, N.; Fraser, R.; Paliga, A.; Kanter, M.; Hosford, K.; Madlinger, R. (2012). "Triage vital signs do not correlate with serum lactate or base deficit, and are less predictive of operative intervention in penetrating trauma patients: A prospective cohort study". Emergency Medicine Journal. doi:10.1136/emermed-2012-201343. 
  16. ^ Caputo, Nicholas D.; Fraser, Robert M.; Paliga, Andrew; Matarlo, Jennifer; Kanter, Marc; Hosford, Karlene; Madlinger, Robert (2012). "Nasal cannula end-tidal CO2 correlates with serum lactate levels and odds of operative intervention in penetrating trauma patients". Journal of Trauma and Acute Care Surgery 73 (5): 1202–7. doi:10.1097/TA.0b013e318270198c. PMID 23117381. 
  17. ^ Kanna, Balavenkatesh; Narang, Tarun K.; Atwal, Tegpal; Paul, Doru; Azeez, Sulaiman (2009). "Ethnic disparity in mortality after diagnosis of colorectal cancer among inner city minority New Yorkers". Cancer 115 (23): 5550–5. doi:10.1002/cncr.24614. PMID 19823980. 
  18. ^ Nash, Denis; Azeez, Sulaiman; Vlahov, David; Schori, Melissa (2006). "Evaluation of an Intervention to Increase Screening Colonoscopy in an Urban Public Hospital Setting". Journal of Urban Health 83 (2): 231–43. doi:10.1007/s11524-006-9029-6. PMC 2527164. PMID 16736372. 
  19. ^ Cornwell, Edward E.; Jacobs, D; Walker, M; Jacobs, L; Porter, J; Fleming, A (1995). "National Medical Association Surgical Section Position Paper on Violence Prevention: A Resolution of Trauma Surgeons Caring for Victims of Violence". JAMA 273 (22): 1788–9. doi:10.1001/jama.1995.03520460070038. PMID 7769775. 
  20. ^ Waseem, Muhammad; Ryan, Mary; Foster, Carla Boutin; Peterson, Janey (2013). "Assessment and Management of Bullied Children in the Emergency Department". Pediatric Emergency Care 29 (3): 389–98. doi:10.1097/PEC.0b013e31828575d7. PMID 23462401. 
  21. ^ Waseem, Muhammad; Arshad, Arslan; Leber, Mark; Perales, Orlando; Jara, Fernando (2013). "Victims of Bullying in the Emergency Department with Behavioral Issues". The Journal of Emergency Medicine 44 (3): 605–10. doi:10.1016/j.jemermed.2012.07.053. PMID 22975285. 
  22. ^ Miller, Aaron; Rubin, David (2009). "The contribution of children's advocacy centers to felony prosecutions of child sexual abuse". Child Abuse & Neglect 33 (1): 12–8. doi:10.1016/j.chiabu.2008.07.002. PMID 19167755. 
  23. ^ Brendadoyle, M; Widhalm, M (1979). "Midwifing the adolescents at lincoln hospital's teen-age clinics". Journal of Nurse-Midwifery 24 (4): 27–32. doi:10.1016/0091-2182(79)90101-0. PMID 255601. 

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