Search results for "High mortality"
showing 5 items of 15 documents
Depopulation in the Baltic states
2011
Šiame straispnyje nagrinėjami pagrindiniai Baltijos šalyse vykstančių demografinių procesų bruožai. Atkūrus nepriklausomybę Estijoje, Latvijoje ir Lietuvoje išryškėjo gyventojų skaičiaus mažėjimo tendencija, kurią nulėmė neigiama natūrali gyventojų kaita ir neigiama neto tarptautinė migracija (išvykusiųjų skaičius viršija atvykusiųjų skaičių). Kartų kaitos neužtikrinantis gimstamumo lygis, santykinai aukštas mirtingumo lygis (ypač vyrų), intensyvi emigracija ir gyventojų senėjimas stebimi visose Baltijos šalyse. Šios nepalankios tendencijos ypač pasireiškė šalims įstojus į Europos Sąjungą 2004 m. Nuo 1990 m. Latvija ir Lietuva pasižymi vienais iš didžiausių depopuliacijos tempų Europoje. De…
Survival in Immunocompromised Patients Ultimately Requiring Invasive Mechanical Ventilation: A Pooled Individual Patient Data Analysis
2021
Rationale: Acute respiratory failure (ARF) is associated with high mortality in immunocompromised patients, particularly when invasive mechanical ventilation is needed. Therefore, noninvasive oxygenation/ventilation strategies have been developed to avoid intubation, with uncertain impact on mortality, especially when intubation is delayed. Objectives: We sought to report trends of survival over time in immunocompromised patients receiving invasive mechanical ventilation. The impact of delayed intubation after failure of noninvasive strategies was also assessed. Methods: Systematic review and meta-analysis using individual data (IPD) of studies which focused on immunocompromised adult patie…
Treatment of heart failure with preserved ejection fraction.
2018
Heart failure, in its diverse forms based on the value of the ejection fraction, is associated to high mortality and the frequent need for hospitalization, with a consequent heavy burden on healthcare resources. For an appropriate treatment of heart failure with preserved ejection fraction (HFpEF), there are no specific drugs effective for this condition. Those indicated in HF with reduced EF (HFrEF) are of more benefit in that form of HF, according to the guidelines of the European Society of Cardiology of 2016: ACE-inhibitors, beta-blockers, anti-aldosterones are all indicated with a class of recommendation/level of evidence IA; therapy with loop diuretics is indicated in the case of clin…
Chest trauma: First 48 hours management
2017
International audience; Chest trauma remains an issue for health services for both severe and apparently mild trauma management. Severe chest trauma is associated with high mortality and is considered liable for 25% of mortality in multiple traumas. Moreover, mild trauma is also associated with significant morbidity especially in patients with preexisting conditions. Thus, whatever the severity, a fast-acting strategy must be organized. At this time, there are no guidelines available from scientific societies. These expert recommendations aim to establish guidelines for chest trauma management in both prehospital an in hospital settings, for the first 48 hours. The ``Societe francaise d'ane…
Evidence-Based Strategies to Promote Long-Term Cardiac Implant Site Health: Review of the Literature
2021
Cardiac implantable electronic devices (CIEDs) are commonly used nowadays. The association between CIED placement and infections is responsible for the high mortality and device explantation rate. Since CIED placement has increased in the past decade, CIED-related complications have risen. In order to reduce the CIED-related complications rate, the prevention of device infection represents the main goal. Over time, many different studies have proven the importance of the measures to prevent CIED-related infections. This review aims to collect the actual recommendations for CIED infection prevention, providing an overview of the main evidence-based strategies.