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https://www.readbyqxmd.com/read/29676288/predictors-of-morbidity-and-mortality-post-emergency-abdominal-surgery-a-national-study
#1
Afnan Altamimi, Mazen Hassanain, Thamer Nouh, Khawlah Ateeq, Murad Aljiffry, Abrar Nawawi, Ghaith Al Saied, Mohammed Riaz, Huda Alanbar, Abdullah Altamimi, Saeed Alsareii, Mashael Al-Mousa, Abeer Al-Shammari, Saleh Alnuqaydan, Amal Ghzwany
Background/Aim: Emergency surgeries have increased in Saudi Arabia. This study examines these surgeries and associated complications. Patients and Methods: This was a prospective multicenter cohort study of patients undergoing emergency intraperitoneal surgery from the eight health sectors of Saudi Arabia. Patients' data were collected over 14 days. Results: In total, 283 patients were included (163 men [54.06%]). The majority of cases were open surgery (204 vs...
April 18, 2018: Saudi Journal of Gastroenterology: Official Journal of the Saudi Gastroenterology Association
https://www.readbyqxmd.com/read/29667153/supplemented-amino-acids-may-enhance-the-walking-recovery-of-elderly-subjects-after-hip-fracture-surgery
#2
Roberto Aquilani, Carlo Zuccarelli Ginetto, Carla Rutili, Pietro Pisano, Evasio Pasini, Eleonora Baldissarro, Manuela Verri, Federica Boschi
The purpose of this study was to investigate whether supplemented essential amino acids (EAAs) could enhance rehabilitation therapy (Rehab) for recovery of walking capacity in subjects after hip fracture surgery (HFS). Eighty-three elderly subjects with HFS (20 ± 11 days after acute trauma) were eligible for the study and randomized to receive Rehab only (Rehab; n = 27), Rehab + placebo (RP; n = 28) or Rehab + EAAs (RE 8 g/day; n = 28). The patients' walking capacity (m) was measured by 6-min walking distance (6MWD) at admission and at discharge (median 66 days after admission)...
April 17, 2018: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/29664325/impact-of-body-mass-index-on-mortality-and-hospitalisation-of-patients-with-atrial-fibrillation
#3
Jocasta Ball, Maja-Lisa Løchen, Melinda J Carrington, Joshua F Wiley, Simon Stewart
BACKGROUND: Atrial fibrillation represents a substantial clinical and public health issue. The definitive impact of body mass index on prognosis of patients with chronic (persistent or permanent) atrial fibrillation remains undetermined. AIM: The purpose of this study was to investigate the association of body mass index with health outcomes (mortality and re-hospitalisation) of patients with chronic atrial fibrillation. METHODS: Using data from the Standard versus Atrial Fibrillation spEcific managemenT strategY (SAFETY) trial (a randomised controlled trial of home-based, atrial fibrillation-specific disease management), we performed post-hoc analyses of mortality and re-hospitalisation outcomes during minimum 24-month follow-up according to baseline body mass index profile...
April 1, 2018: European Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/29659476/prospective-evaluation-of-low-health-literacy-and-its-impact-on-outcomes-in-trauma-patients
#4
Tianyi Swartz, Faisal Jehan, Andrew Tang, Lynn Gries, Muhammad Zeeshan, Narong Kulvatunyou, Mohammad Hamidi, Terence O'Keeffe, Bellal Joseph
INTRODUCTION: Health-literacy is emerging focus of interest in public health and is evolving as an important component of national health policy. Low-health-literacy (LHL) is associated with poor outcomes. We aimed to identify factors associated with LHL and its relationship with health outcomes in trauma patients. METHODS: We prospectively enrolled all adult trauma patients (age>18y) in our analysis. Patients were surveyed at discharge and followed up at 4-weeks post-discharge...
April 13, 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29651505/the-role-of-psychiatric-status-on-pediatric-extremity-fractures-a-prospective-analysis
#5
Altuğ Duramaz, Semra Yilmaz, Nezih Ziroğlu, Burcu Bursal Duramaz, Berhan Bayram, Tayfun Kara
PURPOSE: The aim of the study was to investigate the relationship between attention deficit and hyperactivity disorder (ADHD), anxiety, and depression with pediatric extremity fractures. METHODS: Between November 2014 and November 2016, consecutive 138 patients with pediatric extremity fractures were prospectively investigated in terms of the tendency to anxiety, depression, or ADHD in the study group. Consecutive 168 non-trauma patients who were admitted to general pediatrics outpatient clinic were included the control group...
April 12, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/29629063/major-adverse-cardiovascular-event-mace-after-percutaneous-coronary-intervention-in-one-year-follow-up-study
#6
Hossein Farshidi, Ahmadnoor Abdi, Abdulhussain Madani, Shahram Moshiri, Abolfazl Ghasemi, Ruhollah Hakimian
Background: Percutaneous coronary intervention (PCI) is the most common revascularization procedure, with over 1 million performed each year, worldwide. Over the past 20 years, the increasing experience of operators coupled with the advent of newer technologies, including coronary stents and a variety of adjuvant drug therapies, have permitted more successful procedures and decreased the morbidity associated with PCIs. Objective: To identify the incidence, predictors, and clinical implications of Major Adverse Cardiovascular Events (MACE) after PCIs...
February 2018: Electronic Physician
https://www.readbyqxmd.com/read/29625856/characteristics-and-outcomes-of-reversed-patients-admitted-to-an-emergency-department-for-vka-related-intramuscular-hematoma
#7
F Moustafa, L Poujol, N Vincent, J Saint-Denis, N Dublanchet, N Breuil, S Heuser, A Lebreton, F Dutheil, J Schmidt
BACKGROUND: According to the International Society on Thrombosis and Haemostasis (ISTH), intramuscular hematoma without other severity criteria is not considered a major bleeding. OBJECTIVES: In a large cohort of reversed vitamin K antagonist (VKA) patients admitted to the emergency unit for muscular hematoma, we assess frequency, severity, and anticoagulation management based on whether ISTH criteria were met or not. MATERIALS AND METHODS: We performed a retrospective single-center study involving patients admitted to an emergency unit for VKA-induced intramuscular hematoma whose bleeding was reversed with prothrombin complex concentrates...
March 27, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29623749/effects-of-a-program-to-strengthen-general-practice-care-on-hospitalisation-rates-a-comparative-observational-study
#8
Michel Wensing, Petra Kaufmann Kolle, Joachim Szecsenyi, Christian Stock, Gunter Laux
OBJECTIVE: To determine the effect of a large-scale program to strengthen general practice on hospitalisation rates. METHODS: This observational study compared enrolled patients in the program and a sample of non-participating patients from non-participating GPs in the same geographic area in Germany. Key components of the program are: prompt access to care, comprehensiveness, continuity, empanelment, data-driven quality improvement, computerized decision support, and additional reimbursement of general practices...
April 6, 2018: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/29622456/%C3%AE-blocker-treatment-and-prognosis-in-acute-coronary-syndrome-associated-with-cocaine-consumption-the-ruti-cocaine-study
#9
Germán Cediel, Xavier Carrillo, Cosme García-García, Ferran Rueda, Teresa Oliveras, Carlos Labata, Jordi Serra, Marc Ferrer, Oriol de Diego, Antoni Bayés-Genís
BACKGROUND: The use of β-blocker therapy in the setting of acute coronary syndrome (ACS) associated with cocaine consumption (ACS-ACC) is discouraged due to the risk of coronary vasoconstriction. We examined the prognostic value of β-blocker therapy in a contemporary ACS cohort. METHODS AND RESULTS: Prospective, single-center study conducted between January 2001 and December 2014 that examined cocaine use among young (≤50-year-old) consecutive patients admitted with an ACS...
June 1, 2018: International Journal of Cardiology
https://www.readbyqxmd.com/read/29622423/optimization-of-heart-rate-lowering-therapy-in-hospitalized-patients-with-heart-failure-insights-from-the-optimize-heart-failure-care-program
#10
Yuri M Lopatin, Martin R Cowie, Anna A Grebennikova, Hamayak S Sisakian, Zurab M Pagava, Hamlet G Hayrapetyan, Timur A Abdullaev, Leonid G Voronkov, Anna I Chesnikova, Vira I Tseluyko, Ekaterina I Tarlovskaya, Gülnaz M Dadashova, Salim F Berkinbaev, Maria G Glezer, Natalia A Koziolova, Amina G Rakisheva, Zviad V Kipiani, Alena K Kurlyanskaya
BACKGROUND: Hospitalization is an opportunity to optimize heart failure (HF) therapy. As optimal treatment for hospitalized HF patients in sinus rhythm with heart rate≥70bpm is unclear, we investigated the impact of combined beta-blocker (BB) and ivabradine versus BBs alone on short and longer term mortality and rehospitalization. METHODS AND RESULTS: A retrospective analysis was performed on 370 hospitalized HF patients with heart rate≥70bpm (150 BB+ivabradine, 220 BB alone) in the Optimize Heart Failure Care Program in Armenia, Azerbaijan, Belarus, Georgia, Kazakhstan, Russia, Ukraine, and Uzbekistan, from October 2015 to April 2016...
June 1, 2018: International Journal of Cardiology
https://www.readbyqxmd.com/read/29596527/influenza-virus-16-years-experience-of-clinical-epidemiologic-patterns-and-associated-infection-factors-in-hospitalized-children-in-argentina
#11
Angela Gentile, Maria Florencia Lucion, Maria Del Valle Juarez, Ana Clara Martinez, Viviana Romanin, Julia Bakir, Mariana Viegas, Alicia Mistchenko
BACKGROUND: Influenza is an important cause of acute lower respiratory tract infection (aLRTI), hospitalization, and mortality in children. This study aimed to describe the clinical and epidemiologic patterns and infection factors associated with influenza, and compare case features of influenza A and B. METHODS: In a prospective, cross-sectional study, patients admitted for aLRTI, between 2000 and 2015, were tested for respiratory syncytial virus, adenovirus, influenza, or parainfluenza, and confirmed by fluorescent antibody (FA) or real-time polymerase chain reaction (RT-PCR) assay of nasopharyngeal aspirates...
2018: PloS One
https://www.readbyqxmd.com/read/29587253/early-and-one-year-outcomes-of-acute-stroke-in-the-industrial-region-of-poland-during-the-decade-2006-2015-the-silesian-stroke-registry
#12
Marek Gierlotka, Beata Labuz-Roszak, Bogdan Wojtyniak, Anetta Lasek-Bal, Tomasz Zdrojewski, Monika Adamczyk-Sowa, Kamil Chwojnicki, Michal Skrzypek, Daniel Ciesla, Mariusz Gasior
BACKGROUND: Poland, classified as a high-income country, is still considered to have a high cardiovascular risk population. During the last decade, the standards of care in acute stroke (AS) had markedly improved; thus, we aimed to assess whether and how it translated into early and late outcomes. METHODS: Silesian Stroke Registry was created from the administrative database of the public, obligatory, health -insurer in Poland. The AS cases were selected based on primary diagnosis coded in ICD-10 as I60-I64 for years 2006-2015 (n = 120,844)...
March 27, 2018: Neuroepidemiology
https://www.readbyqxmd.com/read/29578256/the-nutrition-impact-symptoms-nis-score-detects-malnutrition-risk-in-patients-admitted-to-nephrology-wards
#13
H L MacLaughlin, J Twomey, R Saunt, S Blain, K C Campbell, P Emery
BACKGROUND: Nutritional screening tools recommended for the general hospitalised population do not always adequately detect malnutrition risk in patients with kidney disease. The present study assessed the validity and reliability of the Nutrition Impact Symptoms (NIS) score as a nutrition screening tool for hospitalised inpatients prefer in nephrology wards. METHODS: Nutritional status was classified using Subjective Global Assessment (SGA). NIS scores were calculated from the total score of responses to questions assessing symptoms impacting upon nutritional status from the patient-generated SGA...
March 26, 2018: Journal of Human Nutrition and Dietetics: the Official Journal of the British Dietetic Association
https://www.readbyqxmd.com/read/29544928/prevalence-predictors-and-clinical-outcome-of-residual-congestion-in-acute-decompensated-heart-failure
#14
Jorge Rubio-Gracia, Biniyam G Demissei, Jozine M Ter Maaten, John G Cleland, Christopher M O'Connor, Marco Metra, Piotr Ponikowski, John R Teerlink, Gad Cotter, Beth A Davison, Michael M Givertz, Daniel M Bloomfield, Howard Dittrich, Kevin Damman, Juan I Pérez-Calvo, Adriaan A Voors
BACKGROUND: Congestion is the main reason for hospital admission for acute decompensated heart failure (ADHF). A better understanding of the clinical course of congestion and factors associated with decongestion are therefore important. We studied the clinical course, predictors and prognostic value of congestion in a cohort of patients admitted for ADHF by including different indirect markers of congestion (residual clinical congestion, brain natriuretic peptides (BNP) trajectories, hemoconcentration or diuretic response)...
May 1, 2018: International Journal of Cardiology
https://www.readbyqxmd.com/read/29538401/impact-of-the-four-hour-rule-in-western-australian-hospitals-trend-analysis-of-a-large-record-linkage-study-2002-2013
#15
Hanh Ngo, Roberto Forero, David Mountain, Daniel Fatovich, Wing Nicola Man, Peter Sprivulis, Mohammed Mohsin, Sam Toloo, Antonio Celenza, Gerard Fitzgerald, Sally McCarthy, Ken Hillman
BACKGROUND: In 2009, the Western Australian (WA) Government introduced the Four-Hour Rule (FHR) program. The policy stated that most patients presenting to Emergency Departments (EDs) were to be seen and either admitted, transferred, or discharged within 4 hours. This study utilised de-identified data from five participating hospitals, before and after FHR implementation, to assess the impact of the FHR on several areas of ED functioning. METHODS: A state (WA) population-based intervention study design, using longitudinal data obtained from administrative health databases via record linkage methodology, and interrupted time series analysis technique...
2018: PloS One
https://www.readbyqxmd.com/read/29537132/role-of-super-selective-embolization-in-lower-gastrointestinal-bleeding
#16
Sajith C Senadeera, Simon V Vun, Nicholas Butterfield, Tim W Eglinton, Frank A Frizelle
BACKGROUND: Lower gastrointestinal bleeding (LGIB) is a common acute general surgical condition that is typically self-limiting; however in refractory cases it can necessitate life-saving intervention. When bleeding is refractory, super-selective embolization (SSE) becomes an important management strategy. This study aims to evaluate outcomes of this procedure at our institution and identify predictors of clinical success. METHODS: A retrospective analysis of patients with positive computed tomography angiograms for LGIB at a tertiary centre between December 2007 and May 2017...
March 14, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29532495/clinical-predictors-and-outcomes-of-patients-with-pericardial-effusion-in-chronic-kidney-disease
#17
Venkatesh Ravi, Fady Iskander, Abhimanyu Saini, Carolyn Brecklin, Rami Doukky
BACKGROUND: Pericardial effusion is common in hospitalized patients with chronic kidney disease (CKD). We sought to identify predictors of pericardial effusion in CKD patients and to evaluate the impact of pericardial effusion on their mortality and morbidity. METHODS: In a retrospective nested case control study design, we analyzed hospitalized adult patients with CKD stage 4, 5, and end-stage renal disease (ESRD) diagnosed with pericardial effusion. Randomly selected patients with CKD stage 4, 5, and ESRD without pericardial effusion were used as controls...
March 13, 2018: Clinical Cardiology
https://www.readbyqxmd.com/read/29532155/combined-use-of-lung-ultrasound-b-type-natriuretic-peptide-and-echocardiography-for-outcome-prediction-in-patients-with-acute-hfref-and-hfpef
#18
Alberto Palazzuoli, Gaetano Ruocco, Matteo Beltrami, Ranuccio Nuti, John G Cleland
BACKGROUND: Lung ultrasound (LUS) can be used to assess pulmonary congestion by imaging B-lines ('comets') for patients with acute heart failure (AHF). OBJECTIVES: Investigate relationship of B-lines, plasma concentrations of B-type natriuretic peptide (BNP), and echocardiographic left ventricular (LV) function measured at admission and discharge and their relationship to prognosis for AHF with preserved (HFpEF) or reduced (HFrEF) LV ejection fraction. METHODS: Patients with AHF had the above tests done at admission and discharge...
March 12, 2018: Clinical Research in Cardiology: Official Journal of the German Cardiac Society
https://www.readbyqxmd.com/read/29528969/greenlight-laser-for-benign-prostatic-hyperplasia
#19
Livio Mordasini, Marco Moschini, Agostino Mattei, Christophe Iselin
PURPOSE OF REVIEW: GreenLight photoselective vaporization (GL-PV) is now established in the treatment of benign prostatic enlargement. The present review outlines the available technical armamentarium and summarizes the current best evidence on functional and safety outcomes. Moreover, future technical developments and refinements are presented. RECENT FINDINGS: GL-PV has evolved to be the most commonly performed procedure, second to conventional transurethral resection of the prostate (TURP) for surgical management of benign prostatic obstruction (BPO)...
May 2018: Current Opinion in Urology
https://www.readbyqxmd.com/read/29526707/effect-of-self-administration-versus-provider-administered-injection-of-subcutaneous-depot-medroxyprogesterone-acetate-on-continuation-rates-in-malawi-a-randomised-controlled-trial
#20
Holly M Burke, Mario Chen, Mercy Buluzi, Rachael Fuchs, Silver Wevill, Lalitha Venkatasubramanian, Leila Dal Santo, Bagrey Ngwira
BACKGROUND: Injectable contraceptives are popular in sub-Saharan Africa but have high discontinuation rates due partly to the need for provider-administered re-injection. We compared continuation rates of women who self-injected subcutaneous depot medroxyprogesterone acetate (DMPA-SC) and women who received DMPA-SC from a health-care provider, including community health workers (CHWs). METHODS: We did an open-label randomised controlled trial based at six Ministry of Health clinics in rural Mangochi District, Malawi...
March 8, 2018: Lancet Global Health
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