Search results for " mortality"

showing 10 items of 702 documents

Prognostic effect of carbohydrate antigen 125-guided therapy in patients recently discharged for acute heart failure (CHANCE-HF). Study design.

2014

Abstract Introduction and objectives Morbidity and mortality after admission for acute heart failure remain prohibitively high. In that setting, plasma levels of antigen carbohydrate 125 have shown to correlate with the severity of fluid overload and the risk of mortality and readmission. Preliminary data suggests a potential role of antigen carbohydrate 125 to guide therapy. The objective of this study is to evaluate the prognostic effect of an antigen carbohydrate 125-guided management strategy vs standard therapy in patients recently discharged for acute heart failure. Methods This is a multicenter, randomized, single-blind, efficacy trial study of patients recently discharged from acute…

AdultMalemedicine.medical_specialtyRandomizationTime FactorsRisk AssessmentAntigenCause of DeathRisk of mortalityMedicineHumansIn patientSingle-Blind MethodProspective StudiesIntensive care medicineAgedHeart Failurebusiness.industryStandard treatmentDisease ManagementCardiovascular AgentsGeneral MedicineMiddle Agedmedicine.diseasePrognosisPatient DischargeClinical trialSurvival RateSpainHeart failureCA-125 AntigenAcute DiseaseFemalebusinessCarbohydrate antigenBiomarkersFollow-Up StudiesRevista espanola de cardiologia (English ed.)
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Large-scale epidemiological data on vascular disorders of the intestine

2020

Objectives: This article aims to provide updates on the worldwide epidemiology of vascular disorders of the intestine.Methods: A comprehensive search for obtaining worldwide epidemiologic informati...

AdultMalemedicine.medical_specialtyScale (ratio)AdolescentDatabases FactualGlobal Health03 medical and health sciencesYoung Adult0302 clinical medicineAge DistributionEnvironmental healthEpidemiologymedicineHumansVascular DiseasesSex DistributionChildAgedAged 80 and overVascular disorders of the intestineIncidenceGastroenterologyInfant NewbornInfantMiddle AgedmortalityIntestinal DiseasesGeographySocioeconomic Factors030220 oncology & carcinogenesisChild PreschoolVascular disorders of the intestine; epidemiology; mortalityLinear Models030211 gastroenterology & hepatologyFemaleepidemiologyQuality-Adjusted Life Years
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Determinants of Case Fatality After Hospitalization for Stroke in France 2010 to 2015.

2019

Background and Purpose— The aims of this study were to (1) describe early and late case fatality rates after stroke in France, (2) evaluate whether their determinants differed, and (3) analyze time trends between 2010 and 2015. Methods— Data were extracted from the Système National des données de santé database. Patients hospitalized for stroke each year from 2010 to 2015, aged ≥18 years, and affiliated to the general insurance scheme were selected. Cox regressions were used to separately analyze determinants of 30-day and 31- to 365-day case fatality rates for each stroke type (ischemic, intracerebral hemorrhage, and subarachnoid hemorrhage). Results— In 2015, of the 73 124 persons hospit…

AdultMalemedicine.medical_specialtySubarachnoid hemorrhageAdolescentDatabases FactualComorbidity030204 cardiovascular system & hematologyCcomorbidityBrain Ischemia03 medical and health sciencesYoung Adult0302 clinical medicineAge DistributionCase fatality ratemedicineHumansHospital MortalityMortalitySex DistributionStrokeAntihypertensive AgentsAgedCerebral HemorrhageAdvanced and Specialized NursingAged 80 and overbusiness.industryMiddle AgedSubarachnoid Hemorrhagemedicine.diseasePrognosisComorbidity3. Good healthStrokeHospitalizationEmergency medicineHypertension[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologieFemaleNeurology (clinical)FranceCardiology and Cardiovascular Medicinebusiness030217 neurology & neurosurgeryStroke
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Interdisciplinary treatment of diabetic foot wounds in the elderly : Low risk of amputations and mortality and good chance of being mobile with good …

2016

Aims: A major proportion of patients with diabetic foot syndrome are older than 65 years. Little is known about outcomes of these elderly patients. Methods: We analysed 245 treatment cases in an observational single-centre study for comorbidities and outcomes over a 6-month period. Results: In all, 122 patients had peripheral arterial disease which was significantly increasing with age ( n = 245, df = 1, χ2 = 23.06, p ⩽ 0.0001). Increasing age correlated positively with decreasing rate of revascularisations ( n = 122, df = 1, χ2 = 4.23, p = 0.039). In total, 23 (9.3%) patients died in the observation period. In-hospital mortality was 2.8%, percentage of major amputations 2.8%. In the invasi…

AdultMalemedicine.medical_specialtyTime FactorsArterial diseaseEndocrinology Diabetes and MetabolismObservation periodMedizin030209 endocrinology & metabolismComorbidity030204 cardiovascular system & hematologyAmputation Surgical03 medical and health sciences0302 clinical medicineQuality of lifeRisk FactorsGermanyDiabetes mellitusInternal medicineInternal MedicinemedicineHumansHospital MortalityMobility LimitationAgedRetrospective StudiesAged 80 and overPatient Care TeamWound HealingInterdisciplinary treatmentbusiness.industryEndovascular ProceduresAge FactorsRecovery of FunctionMiddle AgedLimb Salvagemedicine.diseaseDiabetic footDiabetic FootSurgeryTreatment OutcomeQuality of LifeFemaleObservational studyCardiology and Cardiovascular MedicinebusinessVascular Surgical Procedures
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Usefulness of concomitant myoglobin and troponin elevation as a biochemical marker of mortality in non–ST-segment elevation acute coronary syndromes

2003

Koolen JJ. Measurement of fractional flow reserve to assess the functional severity of coronary-artery stenoses. N Engl J Med 1996;334:1703–1708. 2. Senior R, Kaul S, Soman P, Lahiri A. Power-Doppler contrast echocardiography—a new technique for Assessing myocardial perfusion. Am Heart J 2000; 139:245–251. 3. Picano E, Parodi O, Lattanzi F, Sambuceti G, Andrade MJ, Marzullo P, Giorgetti A, Salvadori P, Marzilli M, Distante A. Assessment of anatomic and physiological severity of single-vessel coronary artery lesions by dipyridamole echocardiography. Comparison with positron emission tomography and quantitative arteriography. Circulation 1994;89:753–761. 4. Jayaweera AR, Wei K, Coggins M, Bin…

AdultMalemedicine.medical_specialtyTime FactorsCoronary DiseaseFractional flow reserveSensitivity and SpecificityHospitals UniversityCoronary artery diseaseElectrocardiographyRisk FactorsCause of DeathInternal medicineSpect imagingHumansMedicineFalse Positive ReactionsHospital MortalityAgedAged 80 and overAnalysis of VariancebiologyMyoglobinbusiness.industryMiddle AgedPrognosismedicine.diseaseTroponinTroponinDipyridamolemedicine.anatomical_structureCoronary stealSpainbiology.proteinCardiologyFemaleTriageCardiology and Cardiovascular MedicinebusinessPerfusionBiomarkersArterymedicine.drugThe American Journal of Cardiology
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Descriptive and follow-up study of patients treated surgically for abdominal aortic aneurysm at tertiary hospitals in Spain.

2019

BACKGROUND The aim of this study was to assess potential variability in the clinical characteristics and treatment of patients undergoing elective surgery for abdominal aortic aneurysm (AAA) across five hospitals in Spain. METHODS Multicenter, retrospective cohort study of patients diagnosed with AAA and treated with open surgical repair (OSR) or endovascular aneurysm repair (EVAR). We evaluated clinical and demographic variables, including comorbidity (Charlson Comorbidity Index [CCI]); anatomic characteristics; surgical risk (ASA Score); aneurysm characteristics; and in-hospital and overall mortality. All patients were followed for three years. RESULTS A total of 186 patients were include…

AdultMalemedicine.medical_specialtyTime Factorsmedicine.medical_treatment030204 cardiovascular system & hematology030230 surgeryEndovascular aneurysm repairTertiary Care Centers03 medical and health sciencesBlood Vessel Prosthesis Implantation0302 clinical medicineAneurysmPostoperative ComplicationsRisk FactorsmedicineHumansHospital MortalityRisk factorElective surgeryPractice Patterns Physicians'AgedRetrospective StudiesAged 80 and overbusiness.industryMortality ratePatient SelectionEndovascular ProceduresRetrospective cohort studyOdds ratioMiddle Agedmedicine.diseaseAbdominal aortic aneurysmSurgeryLogistic ModelsTreatment OutcomeElective Surgical ProceduresSpainMultivariate AnalysisFemaleCardiology and Cardiovascular MedicinebusinessAortic Aneurysm AbdominalFollow-Up StudiesInternational angiology : a journal of the International Union of Angiology
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Lead-Related Infective Endocarditis in Latvia: A Single Centre Experience

2019

Background and Objectives: Over the last five decades cardiac implantable electronic devices (CIED) have become established as the mainstay for the treatment of permanent bradycardias, chronic heart failure and dangerous heart rhythm disturbances. These devices improve survival and quality of life in many patients. However, infections associated with CIED implantation, particularly lead-related infective endocarditis (LRIE), can offset all benefits and make more harm than good for the patient. To date, there are no other studies in Latvia, addressing patients with lead-related infective endocarditis. The objective of this study was to identify the most common pathogens associated with LRIE …

AdultMalemedicine.medical_specialtymedicine.drug_classAntibioticsDiseasemedicine.disease_causeArticleAntibiotic resistanceQuality of lifelead-related infective endocarditisRisk FactorsInternal medicinemedicineHumansAgedRetrospective StudiesAged 80 and overHeart Failurelcsh:R5-920cardiac implantable electronic devicesEndocarditisbusiness.industryArrhythmias CardiacGeneral Medicinecardiac device infectionProstheses and ImplantsMiddle Agedmedicine.diseaseLatviaLRIE mortalityLeadStaphylococcus aureusEchocardiographyInfective endocarditisHeart failureCIED complicationFemalelead-related infective endocarditis; cardiac implantable electronic devices; cardiac device infection; CIED complication; LRIE mortalityCoagulasebusinesslcsh:Medicine (General)Medicina
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Surgical treatment of gastric cancer in Latvia: Results of centralized experience

2009

Although the mortality for gastric cancer is decreasing in Western Europe and United States, it still remains high in Eastern Europe. This study was aimed at evaluating short- and long-term results of surgical treatment of gastric cancer performed in Latvia Oncology Center.Retrospectively collected data from 461 patients who underwent gastrectomy with curative intent in Latvia Oncology Center from January 2001 to December 2005 were analyzed statistically.An average (range) of 92.2 (81-102) R0-R1 gastrectomies was performed each year. Post-operative complications occurred in 75 patients (16.3%); in-hospital mortality was 3.3%. The overall 5-year survival was 50.8%. In 444 cases (96.3%) there…

AdultMalemedicine.medical_specialtymedicine.medical_treatmentOutcome and Process AssessmentResectionPostoperative ComplicationsGastrectomyStomach Neoplasms80 and overmedicineHumansHospital MortalityRegistriesSurgical treatmentAgedNeoplasm StagingRetrospective StudiesAged 80 and overCurative intentAnalysis of VarianceSurgical treatmentChi-Square DistributionGastric cancer; Surgical treatment; Prognosisbusiness.industryCancerGeneral MedicineMiddle AgedPrognosismedicine.diseaseLatviaSurgeryHealth CareSurvival RateOutcome and Process Assessment Health CareOncologyWestern europeFemaleSurgeryGastrectomyGastric cancerbusinessEuropean Journal of Surgical Oncology (EJSO)
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Primary HBB gene mutation severity and long-term outcomes in a global cohort of β-thalassaemia

2021

In β-thalassaemia, the severity of inherited β-globin gene mutations determines the severity of the clinical phenotype at presentation and subsequent transfusion requirements. However, data on associated long-term outcomes remain limited. We analysed data from 2109 β-thalassaemia patients with available genotypes in a global database. Genotype severity was grouped as β0 /β0 , β0 /β+ , β+ /β+ , β0 /β++ , β+ /β++ , and β++ /β++ . Patients were followed from birth until death or loss to follow-up. The median follow-up time was 34·1 years. Mortality and multiple morbidity outcomes were analyzed through five different stratification models of genotype severity groups. Interestingly, β0 and β+ mu…

AdultMalemedicine.medical_specialtyphenotypegenotypemorbidityKaplan-Meier Estimatebeta-GlobinsGene mutationβ thalassaemiaGlobal HealthGastroenterologySeverity of Illness IndexsurvivalCohort StudiesYoung AdultInternal medicineGenotypemedicineLong term outcomesOdds RatioHumansAllelesgenotype; morbidity; mortality; phenotype; survivalProportional Hazards Modelsbusiness.industrybeta-ThalassemiaDisease ManagementHematologyPrognosisPhenotypemortalityConfidence intervalPopulation SurveillanceCohortMutationFemaleRisk of deathbusinessFollow-Up Studies
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Perinatal and newborn care in a two years retrospective study in a first level peripheral hospital in Sicily (Italy)

2019

Abstract Background Two hundred seventy-five thousand maternal deaths, 2.7 million neonatal deaths, and 2.6 million stillbirths have been estimated in 2015 worldwide, almost all in low-income countries (LICs). Moreover, more than 20 million severe disabilities result from the complications of pregnancy, childbirth or its management each year. A significant decrease of mortality/morbidity rates could be achieved by providing effective perinatal and newborn care also in high-income countries (HICs), especially in peripheral hospitals and/or rural areas, where the number of childbirths per year is often under the minimal threshold recognized by the reference legislation. We report on a 2 years…

AdultPatient Transfermedicine.medical_specialtyComplications of pregnancyAdolescentTerm BirthCohort StudiesYoung Adult03 medical and health sciences0302 clinical medicinePregnancyHealth caremedicineHumansChildbirth030212 general & internal medicineRetrospective StudiesPerinatal mortalityPregnancy030219 obstetrics & reproductive medicinebusiness.industryObstetricsResearchPublic healthInfant NewbornQuality of carelcsh:RJ1-570Gestational agelcsh:PediatricsRetrospective cohort studyMiddle AgedStillbirthDelivery ObstetricNewbornmedicine.diseaseInfant FormulaObstetric Labor ComplicationsPerinatal CareBreast FeedingItalyPremature BirthFemaleMaternal deathbusinessItalian Journal of Pediatrics
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