Search results for "RECLASSIFICATION"
showing 6 items of 6 documents
Prediction of cardiovascular events with traditional risk equations and total plaque area of carotid atherosclerosis
2021
Abstract A large number of cardiovascular events occur in seemingly healthy individuals. Atherosclerosis imaging can improve the outcome and treatment regime of such subjects. We aim to assess the predictive value of atherosclerosis imaging beyond traditional risk calculators in subjects aged 40–65 years. We compared PROCAM, SCORE and FRAM with carotid ultrasound (total plaque area, TPA) and arterial age (AA) was calculated in subjects without known cardiovascular diseases. Follow-up was obtained by phone or mail. In 2842 subjects (age 50 ± 8, 38% women) 154 (5.4%) cardiovascular events occurred (ASCVD: 41 myocardial infarctions, 16 strokes or TIA, 21 CABG, 41 PTCA, 35 coronary artery disea…
Frailty Tools for Assessment of Long-term Prognosis After Acute Coronary Syndrome
2020
Objective: To evaluate the 5 components of the Fried frailty phenotype (self-reported unintentional weight loss, physical activity questionnaire, gait speed, grip strength, and self-reported exhaustion) for long-term outcomes in elderly survivors of acute coronary syndrome. Methods: A total of 342 consecutive patients (from October 1, 2010, to February 1, 2012) were included. The 5 components of the Fried score and albumin concentration, as malnutrition index, were assessed before hospital discharge. Patients were followed up until April 2020 (median follow-up, 8.7 years). The end point was postdischarge all-cause mortality. Results: Mean ± SD age was 77±7 years and mean ± SD Fried score wa…
Validation of the 2009 TNM Version in a Large Multi-Institutional Cohort of Patients Treated for Renal Cell Carcinoma: Are Further Improvements Neede…
2010
Background: A new edition of the TNM was recently released that includes modifications for the staging system of kidney cancers. Specifically, T2 cancers were subclassified into T2a and T2b ( 10 cm), tumors with renal vein involvement or perinephric fat involvement were classified as T3a cancers, and those with adrenal involvement were classified as T4 cancers. Objective: Our aim was to validate the recently released edition of the TNM staging system for primary tumor classification in kidney cancer. Design, setting, and participants: Our multicenter retrospective study consisted of 5339 patients treated in 16 academic Italian centers. Intervention: Patients underwent either radical or part…
Ejection Fraction by Echocardiography for a Selective Use of Magnetic Resonance After Infarction
2020
[EN] Background Cardiac magnetic resonance (CMR) permits robust risk stratification of discharged ST-segment-elevation myocardial infarction patients, but its indiscriminate use in all cases is not feasible. We evaluated the utility of left ventricular ejection fraction (LVEF) by echocardiography for a selective use of CMR after ST-segment-elevation myocardial infarction. Methods Echocardiography and CMR were performed in 1119 patients discharged for ST-segment-elevation myocardial infarction included in a multicenter registry. The prognostic power of CMR beyond echocardiography-LVEF was assessed using adjusted C statistic, net reclassification improvement index, and integrated discriminati…
Il mutuo fondiario e la violazione del limite di importo massimo finanziabile: “scotismo” e onnipotenza delle etichette
2023
Il commento analizza una sentenza della Sezioni Unite e affronta il tema delle conseguenze civilistiche dell’erogazione di un mutuo fondiario in misura superiore rispetto al limite di importo massimo finanziabile, stabilito dalla Banca d’Italia in forza dell’art. 38, comma 2, T.U.B. La pronuncia si presenta di grande interesse perché correttamente esclude che il superamento di tale limite possa comportare la nullità del contratto di finanziamento, pervenendo a conclusioni in larga parte condivisibili tanto sui presupposti quanto sulle caratteristiche della nullità per violazione di norme imperative. Non altrettanto fondata si rivela, invece, l’ulteriore conclusione contraria al riconoscimen…
Is there room for humanism in occupational reclassification accompaniment? A Levinasian look at professional support practices
2017
International audience