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Cardiac arrest and elderly

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https://www.readbyqxmd.com/read/28060934/a-cohort-study-of-adult-patients-with-severe-dengue-in-taiwanese-intensive-care-units-the-elderly-and-aptt-prolongation-matter-for-prognosis
#1
Chih-Cheng Hsieh, Cong-Tat Cia, Jen-Chieh Lee, Junne-Ming Sung, Nan-Yao Lee, Po-Lin Chen, Te-Hui Kuo, Jo-Yen Chao, Wen-Chien Ko
BACKGROUND: There was a large dengue outbreak in Taiwan in 2015, in which the ages of the affected individuals were higher than those in other countries. The aim of this study was to explore the characteristics and prognostic factors for adults with severe dengue in intensive care units (ICUs). METHODS: All adults admitted to ICUs with dengue virus infection (DENV) at a medical center from July 1, 2015 to December 31, 2015 were enrolled. DENV was diagnosed by the presence of serum NS1 antigen, IgM antibodies to dengue virus, or dengue virus RNA by real-time reverse transcriptase polymerase chain reaction...
January 6, 2017: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/28025126/digital-technology-to-enable-aging-in-place
#2
REVIEW
Kwang-Il Kim, Shreya S Gollamudi, Steven Steinhubl
Aging, both of individuals and populations, presents challenges and opportunities. The multitude of morbidities and disabilities that are a too common component of aging represent significant challenges to individuals, their families and to healthcare systems. Aging in place is the ability to safely and comfortably maintain an independent and high quality of life in one's own home and community and is a highly desirable goal of most individuals with the additional benefit of significantly impacting the impending enormous healthcare burden...
December 24, 2016: Experimental Gerontology
https://www.readbyqxmd.com/read/27978419/-why-didn
#3
Michele Levinson, Amber Mills, Jonathan Barrett, Gaya Sritharan, Anthea Gellie
Objective The aim of the present study was to understand the reasons for the delivery of non-beneficial cardiopulmonary resuscitation (CPR) attempts in a tertiary private hospital over 12 months. We determined doctors' expectations of survival after CPR for their patient, whether they had considered a not-for-resuscitation (NFR) order and the barriers to completion of NFR orders.Methods Anonymous questionnaires were sent to the doctors primarily responsible for a given patient's care in the hospital within 2 weeks of the unsuccessful CPR attempt...
December 16, 2016: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/27832467/second-generation-drug-eluting-stents-in-the-elderly-patients-with-acute-coronary-syndrome-the-in-hospital-and-12-month-follow-up-of-the-all-comer-registry
#4
Wojciech Wańha, Damian Kawecki, Tomasz Roleder, Beata Morawiec, Sylwia Gładysz, Adam Kowalówka, Tomasz Jadczyk, Barbara Adamus, Tomasz Pawłowski, Grzegorz Smolka, Maciej Kaźmierski, Andrzej Ochała, Ewa Nowalany-Kozielska, Wojciech Wojakowski
BACKGROUND: Katowice-Zabrze registry provides data that can be used to evaluate clinical outcomes of percutaneous coronary interventions in elderly patients (≥70 y/o) treated with either first- (DES-I) or second-generation (DES-II) drug-eluting stents (DES). METHODS: The registry consisted of data from 1916 patients treated with coronary interventions using either DES-I or DES-II stents. For our study, we defined patients ≥70 years of age as elderly. We evaluated any major adverse cardiac and cerebral events (MACCE) at 12-month follow-up...
November 10, 2016: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/27812152/the-comparison-of-the-outcomes-between-primary-pci-fibrinolysis-and-no-reperfusion-in-patients-%C3%A2-75-years-old-with-st-segment-elevation-myocardial-infarction-results-from-the-chinese-acute-myocardial-infarction-cami-registry
#5
He Peiyuan, Yang Jingang, Xu Haiyan, Gao Xiaojin, Xian Ying, Wu Yuan, Li Wei, Wang Yang, Tang Xinran, Yan Ruohua, Jin Chen, Song Lei, Zhang Xuan, Fu Rui, Ye Yunqing, Dong Qiuting, Sun Hui, Yan Xinxin, Gao Runlin, Yang Yuejin
BACKGROUND: Only a few randomized trials have analyzed the clinical outcomes of elderly ST-segment elevation myocardial infarction (STEMI) patients (≥ 75 years old). Therefore, the best reperfusion strategy has not been well established. An observational study focused on clinical outcomes was performed in this population. METHODS: Based on the national registry on STEMI patients, the in-hospital outcomes of elderly patients with different reperfusion strategies were compared...
2016: PloS One
https://www.readbyqxmd.com/read/27727087/prehospital-predictors-of-neurological-outcomes-in-out-of-hospital-cardiac-arrest-patients-aged-95-years-and-older-a-nationwide-population-based-observational-study
#6
Akira Funada, Yoshikazu Goto, Tetsuo Maeda, Hayato Tada, Ryota Teramoto, Yoshihiro Tanaka, Kenshi Hayashi, Masakazu Yamagishi
BACKGROUND: Population aging has rapidly progressed in Japan. However, few data exist regarding the characteristics of extremely elderly patients with out-of-hospital cardiac arrest (OHCA). We aimed to determine the prehospital predictors of one-month survival with favorable neurological outcomes (Cerebral Performance Category scale, category 1 or 2; CPC 1-2) in this population. METHODS: We investigated 23,520 OHCA patients aged ≥95 years from a prospectively recorded, nationwide, Utstein-style Japanese database between 2008 and 2012...
January 2017: Journal of Cardiology
https://www.readbyqxmd.com/read/27669729/age-specific-prognostication-after-out-of-hospital-cardiac-arrest-the-ethical-dilemma-between-life-sustaining-treatment-and-the-right-to-die-in-the-elderly
#7
Patrick Sulzgruber, Fritz Sterz, Michael Poppe, Andreas Schober, Elisabeth Lobmeyr, Philip Datler, Markus Keferböck, Sebastian Zeiner, Alexander Nürnberger, Pia Hubner, Peter Stratil, Christian Wallmueller, Christoph Weiser, Alexandra-Maria Warenits, Raphael van Tulder, Andreas Zajicek, Angelika Buchinger, Christoph Testori
BACKGROUND: While prognostic values on survival after out-of-hospital cardiac arrest have been well investigated, less attention has been paid to their age-specific relevance. Therefore, we aimed to identify suitable age-specific early prognostication in elderly patients suffering out-of-hospital cardiac arrest in order to reduce the burden of unnecessary treatment and harm. METHODS: In a prospective population-based observational trial on individuals suffering out-of-hospital cardiac arrest, a total of 2223 patients receiving resuscitation attempts by the local emergency medical service in Vienna, Austria, were enrolled...
September 26, 2016: European Heart Journal. Acute Cardiovascular Care
https://www.readbyqxmd.com/read/27623763/healthcare-applications-of-smart-watches-a-systematic-review
#8
Tsung-Chien Lu, Chia-Ming Fu, Matthew Huei-Ming Ma, Cheng-Chung Fang, Anne M Turner
OBJECTIVE: The aim of this systematic review is to synthesize research studies involving the use of smart watch devices for healthcare. MATERIALS AND METHODS: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) was chosen as the systematic review methodology. We searched PubMed, CINAHL Plus, EMBASE, ACM, and IEEE Xplore. In order to include ongoing clinical trials, we also searched ClinicalTrials.gov. Two investigators evaluated the retrieved articles for inclusion...
September 14, 2016: Applied Clinical Informatics
https://www.readbyqxmd.com/read/27580740/clinical-characterisation-and-risk-stratification-of-patients-with-arrhythmogenic-right-ventricular-dysplasia-cardiomyopathy-%C3%A2-50%C3%A2-years-of-age
#9
M J van der Pols, T P Mast, P Loh, J F van der Heijden, M J Cramer, R N Hauer, A S J M Te Riele
PURPOSE: With the increased use of genetic testing for arrhythmogenic right ventricular dysplasia/cardiomyopathy (ARVD/C), this disease is being increasingly recognised among elderly patients. However, elderly ARVD/C patients were underrepresented in prior cohorts. We aimed to describe the phenotypical characteristics and outcomes among ARVD/C patients surviving ≥50 years. METHODS: We assessed detailed phenotypical data of 29 patients who (1) presented at ≥50 years of age; and (2) fulfilled 2010 Task Force Criteria (TFC) for ARVD/C by last follow-up...
December 2016: Netherlands Heart Journal
https://www.readbyqxmd.com/read/27541680/air-pollution-and-st-elevation-myocardial-infarction-a-case-crossover-study-of-the-belgian-stemi-registry-2009-2013
#10
J F Argacha, P Collart, A Wauters, P Kayaert, S Lochy, D Schoors, J Sonck, T de Vos, M Forton, O Brasseur, C Beauloye, S Gevaert, P Evrard, Y Coppieters, P Sinnaeve, M J Claeys
BACKGROUND: Previous studies have shown that air pollution particulate matter (PM) is associated with an increased risk for myocardial infarction. The effects of air pollution on the risk of ST-elevation myocardial infarction (STEMI), in particular the role of gaseous air pollutants such as NO2 and O3 and the susceptibility of specific populations, are still under debate. METHODS: All patients entered in the Belgian prospective STEMI registry between 2009 and 2013 were included...
November 15, 2016: International Journal of Cardiology
https://www.readbyqxmd.com/read/27435836/the-effect-of-dexmedetomidine-on-outcomes-of-cardiac-surgery-in-elderly-patients
#11
Hao Cheng, Zhongmin Li, Nilas Young, Douglas Boyd, Zane Atkins, Fuhai Ji, Hong Liu
OBJECTIVE: The goal of this retrospective study was to investigate the effects of perioperative use of dexmedetomidine (Dex) on outcomes for older patients undergoing cardiac surgery. DESIGN: Retrospective investigation. SETTING: Patients from a single tertiary medical center. PARTICIPANTS: A total of 505 patients (≥65 years old) who underwent coronary artery bypass graft (CABG) or valve surgery. CABG and/or valve surgery plus other procedures were divided into 2 groups: 283 received intravenous Dex infusion (Dex group) and 222 did not (Non-Dex group)...
December 2016: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/27404681/heat-heat-waves-and-out-of-hospital-cardiac-arrest
#12
Si-Hyuck Kang, Il-Young Oh, Jongbae Heo, Hyewon Lee, Jungeun Kim, Woo-Hyun Lim, Youngjin Cho, Eue-Keun Choi, Seung-Muk Yi, Do Shin Sang, Ho Kim, Tae-Jin Youn, In-Ho Chae, Seil Oh
OBJECTIVE: Cardiac arrest is one of the common presentations of cardiovascular disorders and a leading cause of death. There are limited data on the relationship between out-of-hospital cardiac arrest (OHCA) and ambient temperatures, specifically extreme heat. This study investigated how heat and heat waves affect the occurrence of OHCA. METHODS: Seven major cities in Korea with more than 1 million residents were included in this study. A heat wave was defined as a daily mean temperature above the 98th percentile of the yearly distribution for at least two consecutive days...
October 15, 2016: International Journal of Cardiology
https://www.readbyqxmd.com/read/27264414/specific-problems-with-accidental-deaths-in-japan%C3%A3-cardiac-arrest-from-hot-baths-and-foreign-body-airway-obstruction-in-elders
#13
Hiroyuki Hanada
No abstract text is available yet for this article.
June 24, 2016: Circulation Journal: Official Journal of the Japanese Circulation Society
https://www.readbyqxmd.com/read/27255883/management-of-a-mass-casualty-event-caused-by-electrocution-using-doctor-helicopters
#14
Kouhei Ishikawa, Kei Jitsuiki, Hiromichi Ohsaka, Toshihiko Yoshizawa, Mariko Obinata, Kazuhiko Omori, Yasumasa Oode, Motoki Takahashi, Youichi Yanagawa
OBJECTIVE: This is the first report to show the use of doctor helicopters in a mass casualty event induced by electrocution. METHODS: We performed a narrative review. RESULTS: Two children obtained electrocution burns by breaking an electric fence. Five adults also received electrocution burns. Emergency medical technicians at the scene requested additional dispatch of an ambulance and the doctor helicopter. Two adult men with cardiopulmonary arrest were transported by 2 ambulances to a nearby hospital...
May 2016: Air Medical Journal
https://www.readbyqxmd.com/read/27225882/spatial-decision-on-allocating-automated-external-defibrillators-aed-in-communities-by-multi-criterion-two-step-floating-catchment-area-mc2sfca
#15
Bo-Cheng Lin, Chao-Wen Chen, Chien-Chou Chen, Chiao-Ling Kuo, I-Chun Fan, Chi-Kung Ho, I-Chuan Liu, Ta-Chien Chan
BACKGROUND: The occurrence of out-of-hospital cardiac arrest (OHCA) is a critical life-threatening event which frequently warrants early defibrillation with an automated external defibrillator (AED). The optimization of allocating a limited number of AEDs in various types of communities is challenging. We aimed to propose a two-stage modeling framework including spatial accessibility evaluation and priority ranking to identify the highest gaps between demand and supply for allocating AEDs...
2016: International Journal of Health Geographics
https://www.readbyqxmd.com/read/27159164/rheumatoid-factors-are-associated-with-subclinical-and-clinical-atherosclerosis-in-african-american-women-the-multi-ethnic-study-of-atherosclerosis-mesa
#16
Darcy S Majka, Thanh-Huyen T Vu, Richard M Pope, Marius Teodorescu, Elizabeth W Karlson, Kiang Liu, Rowland W Chang
OBJECTIVE: Although the association between rheumatoid arthritis (RA) and cardiovascular disease (CVD) is established, the exact mechanism is unknown. We tested the hypothesis that RA-related autoantibodies are independent risk factors for subclinical atherosclerosis and subsequent clinical CVD events. METHODS: MESA is a community based cohort study prospectively collecting CVD outcome and risk factor data in middle-aged to elderly multi-ethnic participants since 2000...
May 9, 2016: Arthritis Care & Research
https://www.readbyqxmd.com/read/27142791/disparities-in-a-provision-of-in-hospital-post-arrest-interventions-for-out-of-hospital-cardiac-arrest-ohca-in-the-elderly-population-protocol-for-a-systematic-review
#17
Joanna M Bielecki, Josephine Wong, Nicholas Mitsakakis, Prakesh S Shah, Murray D Krahn, Valeria E Rac
BACKGROUND: Out-of-hospital cardiac arrest (OHCA) is a significant cause of death in developed countries. The majority of OHCA patients are elderly (≥65 years), and it was documented that they were less likely than younger patients to receive the evidence-based interventions, even though the improvement in survival in the elderly age group was higher than in younger population. Our goal is to investigate any disparity in the provision of post-arrest care for the elderly with OHCA and a sustained return of spontaneous circulation (ROSC)...
April 7, 2016: Systematic Reviews
https://www.readbyqxmd.com/read/27111243/a-descriptive-analysis-of-therapeutic-hypothermia-application-across-adult-age-groups
#18
Timothy J Mader, Brian H Nathanson, Ryan A Coute, Bryan F McNally
Therapeutic hypothermia (TH) has been recommended for comatose adults recovering from out-of-hospital cardiac arrest (OHCA) for a decade. However, TH has never been evaluated in a randomized control trial in patients aged 75 or older. How the administration of TH varies across age groups experiencing an OHCA is unknown. The objective was to describe the use of TH across predefined age groups with an emphasis on geriatric OHCA survivors using data compiled through Cardiac Arrest Registry to Enhance Survival (CARES)...
August 2016: Therapeutic Hypothermia and Temperature Management
https://www.readbyqxmd.com/read/27069938/prognostic-implications-of-acute-renal-failure-after-surgery-for-type-a-acute-aortic-dissection
#19
Fabrizio Sansone, Alessandro Morgante, Fabrizio Ceresa, Giovanni Salamone, Francesco Patanè
BACKGROUND: "Type A" acute aortic dissection (AAAD) is the most challenging among the emergency operations in cardiac surgery. The aim of this study was the evaluation of the role of acute renal failure (ARF) in postoperative survival of patients operated for AAAD. METHODS: From February 2010 to April 2012, 37 consecutive patients were operated at our department for AAAD. We studied our population by subdividing the patients within groups according to the presence of ARF requiring continuous veno-venous hemofiltration (CVVH) and according to hypothermic circulatory arrest (HCA) times and degrees...
June 2015: Aorta (Stamford, Conn.)
https://www.readbyqxmd.com/read/27068632/long-term-outcomes-among-elderly-survivors-of-out-of-hospital-cardiac-arrest
#20
COMPARATIVE STUDY
Paul S Chan, Bryan McNally, Brahmajee K Nallamothu, Fengming Tang, Bradley G Hammill, John A Spertus, Lesley H Curtis
BACKGROUND: Most studies on out-of-hospital cardiac arrest have focused on immediate survival. However, little is known about long-term outcomes and resource use among survivors. METHODS AND RESULTS: Within the national CARES registry, we identified 16 206 adults 65 years or older with an out-of-hospital cardiac arrest between 2005 and 2010. Among 1127 patients who were discharged alive, we evaluated whether 1-year mortality, cumulative readmission incidence, and follow-up inpatient costs differed according to patients' race, sex, initial cardiac arrest rhythm, bystander delivery of cardiopulmonary resuscitation, discharge neurological status, and functional status (hospital discharge disposition)...
March 15, 2016: Journal of the American Heart Association
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