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epidemiology, acute heart failure

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https://read.qxmd.com/read/30685211/effect-of-barthel-index-on-the-risk-of-thirty-day-mortality-in-patients-with-acute-heart-failure-attending-the-emergency-department-a-cohort-study-of-nine-thousand-ninety-eight-patients-from-the-epidemiology-of-acute-heart-failure-in-emergency-departments-registry
#1
Xavier Rossello, Òscar Miró, Pere Llorens, Javier Jacob, Pablo Herrero-Puente, Víctor Gil, Miguel A Rizzi, María J Pérez-Durá, Fernando R Espiga, Rodolfo Romero, José A Sevillano, María T Vidán, Héctor Bueno, Stuart J Pocock, Francisco J Martín-Sánchez
STUDY OBJECTIVE: We assess the value of the Barthel Index (BI) in predicting 30-day mortality risk among patients with acute heart failure who are attending the emergency department (ED). METHODS: We selected 9,098 acute heart failure patients from the Acute Heart Failure in Emergency Departments registry who had BI score available both at baseline and the ED visit. Patients' data were collected from 41 Spanish hospitals during four 1- to 2-month periods between 2009 and 2016...
January 23, 2019: Annals of Emergency Medicine
https://read.qxmd.com/read/30683481/-infective-endocarditis-in-morocco-through-the-experience-of-a-hospital-department
#2
S Harrak, N Doghmi, B Fellat, J Zarzur, M Cherti
Infective endocarditis is a grave disease because of a high level of morbidity and mortality. We conducted a retrospective analysis of 100 patients hospitalized for infective endocarditis from January 2009 until December 2015. The mean age was 41 years with a male predominance. Infective endocarditis occurs on a native valve (77 patients), prosthetic valves (12 patients), Pacemaker (7 patients) and congenital heart disease (4 patients). The diagnostic delay was 77 days on average. The fever was present in 85 patients...
January 22, 2019: Annales de Cardiologie et D'angéiologie
https://read.qxmd.com/read/30656867/patients-with-acute-heart-failure-discharged-from-the-emergency-department-and-classified-as-low-risk-by-the-meessi-score-multiple-risk-estimate-based-on-the-spanish-emergency-department-scale-prevalence-of-adverse-events-and-predictability
#3
Òscar Miró, Víctor Gil, Xavier Rosselló, Francisco Javier Martín-Sánchez, Pere Llorens, Javier Jacob, Pablo Herrero, Sergio Herrera Mateo, Fernando Richard, Rosa Escoda, Marta Fuentes, Enrique Martín Mojarro, Lluís Llauger, Héctor Bueno, Stuart Pocock
OBJECTIVES: . To determine the rate of adverse events in patients with acute heart failure (AHF) who were discharged from the emergency department (ED) after classification as low risk according to MEESSI score (multiple risk estimate based on the Spanish ED scale), to analyze the ability of the score to predict events, and to explore variables associated with adverse events. MATERIAL AND METHODS: Patients in the EAHFE registry (Epidemiology of Acute Heart Failure in EDs) were stratified according to risk indicated by MEESSI score in order to identify those considered at low risk on discharge...
2019: Emergencias: revista de la Sociedad Española de Medicina de Emergencias
https://read.qxmd.com/read/30637993/kshf-guidelines-for-the-management-of-acute-heart-failure-part-i-definition-epidemiology-and-diagnosis-of-acute-heart-failure
#4
REVIEW
Ju Hee Lee, Min Seok Kim, Eung Ju Kim, Dae Gyun Park, Hyun Jai Cho, Byung Su Yoo, Seok Min Kang, Dong Ju Choi
The prevalence of heart failure (HF) is on the rise due to the aging of society. Furthermore, the continuous progress and widespread adoption of screening and diagnostic strategies have led to an increase in the detection rate of HF, effectively increasing the number of patients requiring monitoring and treatment. Because HF is associated with substantial rates of mortality and morbidity, as well as high socioeconomic burden, there is an increasing need for developing specific guidelines for HF management. The Korean guidelines for the diagnosis and management of chronic HF were introduced in March 2016...
January 2019: Korean Circulation Journal
https://read.qxmd.com/read/30619907/clinical-features-severity-and-incidence-of-rsv-illness-during-12-consecutive-seasons-in-a-community-cohort-of-adults-%C3%A2-60-years-old
#5
Edward A Belongia, Jennifer P King, Burney A Kieke, Joanna Pluta, Ali Al-Hilli, Jennifer K Meece, Vivek Shinde
Background: The epidemiology and burden of respiratory syncytial virus (RSV) illness are not well defined in older adults. Methods: Adults ≥60 years old seeking outpatient care for acute respiratory illness were recruited from 2004-2005 through 2015-2016 during the winter seasons. RSV was identified from respiratory swabs by multiplex polymerase chain reaction. Clinical characteristics and outcomes were ascertained by interview and medical record abstraction. The incidence of medically attended RSV was estimated for each seasonal cohort...
December 2018: Open Forum Infectious Diseases
https://read.qxmd.com/read/30555852/sepsis-in-intensive-care-unit-patients-worldwide-data-from-the-intensive-care-over-nations-audit
#6
Yasser Sakr, Ulrich Jaschinski, Xavier Wittebole, Tamas Szakmany, Jeffrey Lipman, Silvio A Ñamendys-Silva, Ignacio Martin-Loeches, Marc Leone, Mary-Nicoleta Lupu, Jean-Louis Vincent
Background: There is a need to better define the epidemiology of sepsis in intensive care units (ICUs) around the globe. Methods: The Intensive Care over Nations (ICON) audit prospectively collected data on all adult (>16 years) patients admitted to the ICU between May 8 and May 18, 2012, except those admitted for less than 24 hours for routine postoperative surveillance. Data were collected daily for a maximum of 28 days in the ICU, and patients were followed up for outcome data until death, hospital discharge, or for 60 days...
December 2018: Open Forum Infectious Diseases
https://read.qxmd.com/read/30552270/survival-and-new-onset-morbidity-after-critical-care-admission-for-acute-pancreatitis-in-scotland-a-national-electronic-healthcare-record-linkage-cohort-study
#7
Chiara Ventre, Sian Nowell, Catriona Graham, Doug Kidd, Christos Skouras, Damian J Mole
INTRODUCTION: Severe acute pancreatitis (AP) requiring critical care admission (ccAP) impacts negatively on long-term survival. OBJECTIVE: To document organ-specific new morbidity and identify risk factors associated with premature mortality after an episode of ccAP. DESIGN: Cohort study. SETTING: Electronic healthcare registries in Scotland. PARTICIPANTS: The ccAP cohort included 1471 patients admitted to critical care with AP between 1 January 2008 and 31 December 2010 followed up until 31 December 2014...
December 14, 2018: BMJ Open
https://read.qxmd.com/read/30545456/idiopathic-iatrogenic-left-bundle-branch-block-induced-reversible-left-ventricle-dysfunction-jacc-state-of-the-art-review
#8
REVIEW
Vincent Auffret, Raphaël P Martins, Claude Daubert, Christophe Leclercq, Hervé Le Breton, Philippe Mabo, Erwan Donal
Idiopathic or iatrogenic left bundle branch block (LBBB) is a unique model of electro-mechanical ventricular dyssynchrony with concordant changes in electrical activation sequence and mechanical ventricle synchronization. In chronic animal models, isolated LBBB induces structural remodeling with progressive left ventricular (LV) dysfunction. Most abnormalities can be reverted after cardiac resynchronization therapy (CRT). In humans, 2 principal models of LBBB dyssynchronopathy can be observed: the chronic model of isolated LBBB and an acute iatrogenic model of new-onset LBBB after aortic valve interventions...
December 18, 2018: Journal of the American College of Cardiology
https://read.qxmd.com/read/30531533/rare-respiratory-diseases-in-the-icu-when-to-suspect-them-and-specific-approaches
#9
Aude Gibelin, Antoine Parrot, Muriel Fartoukh, Nicolas de Prost
PURPOSE OF REVIEW: A prompt identification of the cause of acute respiratory failure (ARF)/acute respiratory distress syndrome (ARDS) is required in order to initiate a targeted treatment. Yet, almost 10% of ARDS patients have no identified ARDS risk factor at ARDS diagnosis. Numerous rare causes of ARF have been reported in this setting. The purpose of this review is to delineate the main rare causes of ARF/ARDS and to provide clinicians with a pragmatic diagnostic work-up. RECENT FINDINGS: Recent epidemiological data have proposed the identification of a subgroup of ARDS patients lacking exposure to common risk factors...
December 5, 2018: Current Opinion in Critical Care
https://read.qxmd.com/read/30528096/takotsubo-syndrome-state-of-the-art-review-by-an-expert-panel-part-1
#10
REVIEW
Andre Dias, Ivan J Núñez Gil, Francesco Santoro, John E Madias, Francesco Pelliccia, Natale Daniele Brunetti, Elena Salmoirago-Blotcher, Scott W Sharkey, Ingo Eitel, Yoshihiro J Akashi, Ibrahim El-Battrawy, Emiliana Franco, Ibrahim Akin, Milosz Jaguszewski, Dana Dawson, Vincent M Figueredo, L Christian Napp, Thomas Emil Christensen, Kathy Hebert, Itsik Ben-Dor, Yuichi Ozaki, Héctor M García-Garcia, Alexandre H Kajita, Takashi Akasaka, Satoshi Kurisu, Amir Lerman, Ron Waksman
Takotsubo syndrome (TTS) is an acute cardiac condition independent of epicardial coronary obstruction that mimics acute coronary syndrome and is characterized by acute heart failure with reversible ventricular motion abnormalities. This consensus paper is the result of a multinational effort aiming to summarize the current state of the art on TTS. Experts in the field provide a thorough and detailed review of this syndrome. Several novel and unique sections are emphasized in this document, including the current state of the art on genetics of takotsubo syndrome, microRNAs (miRs), racial differences, role of cardiac spectroscopy and intracoronary imaging, as well as mechanical circulatory support...
November 17, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://read.qxmd.com/read/30505291/particulate-matter-air-pollution-effects-on-the-cardiovascular-system
#11
REVIEW
Robert B Hamanaka, Gökhan M Mutlu
Air pollution is a complex mixture of gaseous and particulate components, each of which has detrimental effects on human health. While the composition of air pollution varies greatly depending on the source, studies from across the world have consistently shown that air pollution is an important modifiable risk factor for significantly increased morbidity and mortality. Moreover, clinical studies have generally shown a greater impact of particulate matter (PM) air pollution on health than the gaseous components...
2018: Frontiers in Endocrinology
https://read.qxmd.com/read/30497402/cardiac-late-events-in-german-breast-cancer-patients-a-validation-study-on-the-agreement-between-patient-self-reports-and-information-from-physicians
#12
Hiltrud Merzenich, Maria Blettner, Dorothea Niehoff, Lukas Schwentner, Marcus Schmidt, Margit Schmitt, Daniel Wollschläger
BACKGROUND: Self-administered health-status questionnaires are important tools in epidemiology. The objective of the presented validation study is to measure the agreement between breast cancer patients' self-reports and their physicians' information on late cardiac events, and to investigate determinants of agreement. To estimate possible misclassification is an important requirement for observational studies on cardiovascular endpoints. METHODS: A retrospective, multi-center cohort study included 11,982 women diagnosed with breast cancer in Germany in 1998-2008...
November 29, 2018: BMC Cardiovascular Disorders
https://read.qxmd.com/read/30482563/lipid-paradox-in-patients-with-acute-myocardial-infarction-potential-impact-of-malnutrition
#13
Ya-Wen Lu, Shu-Fen Lu, Ruey-Hsing Chou, Po-Shan Wu, Yu-Chen Ku, Chin-Sung Kuo, Chun-Chin Chang, Yi-Lin Tsai, Cheng-Hsueh Wu, Po-Hsun Huang
BACKGROUND & AIMS: Aggressive lipid reduction is recommended for patients with AMI, but reverse epidemiology, the lipid paradox, has been reported in several clinical studies. The cause of lipid paradox remains uncertain, and nutrition is one possible explanation. In this single-center retrospective study, we investigated the relationships between baseline LDL concentrations and clinical outcomes in patients with AMI, stratified by different nutritional status. METHODS: Totally 409 patients were enrolled for analysis...
October 13, 2018: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
https://read.qxmd.com/read/30441996/what-we-know-about-epidemiology-of-heart-failure-in-slovakia-and-globally
#14
Eva Goncalvesová, Marcela Danková
Heart failure (HF) is nowadays some of the most significant causes of mortality and morbidity, as well as one of the leading causes of hospitalization. Increasing number of patients with HF is becoming one of the most burning problems not only for health care, but also for the social welfare system. The knowledge of the epidemiology is crucial for rational planning and management of curative and preventive health care and allocation of research capacities. The sources of data for description of basic epidemiological characteristic of HF in Slovakia come from cross sectional surveys of outpatient care and hospitalization records of patients with heart failure, publicized sources of the National health information center and database of health care provision gathered by health insurer Dôvera...
2018: Vnitr̆ní Lékar̆ství
https://read.qxmd.com/read/30439323/-epidemiological-analysis-and-disease-spectrum-characteristics-of-emergency-patients-with-critical-illness-3-176-emergency-cases-in-2017-in-a-hospital-in-beijing-were-analyzed
#15
Wei Wang, Changyuan Wang, Jing Wang
OBJECTIVE: To investigate the epidemiological characteristics of emergency critical illness and disease spectrum in emergency department of a hospital in Beijing. METHODS: A retrospective study was conducted. The data of 3 176 critically ill patients aged ≥ 14 years old admitted to the emergency room of Xuanwu Hospital Capital Medical University from January 1st to December 31st in 2017 were analyzed, including gender, age, clinical time, discharge diagnosis, outcomes, etc...
October 2018: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
https://read.qxmd.com/read/30404976/comparison-of-characteristics-and-3-year-outcomes-in-patients-with-acute-heart-failure-with-preserved-mid-range-and-reduced-ejection-fraction
#16
Jun Hwan Cho, Won-Seok Choe, Hyun-Jai Cho, Hae-Young Lee, Jieun Jang, Sang Eun Lee, Jin-Oh Choi, Eun-Seok Jeon, Min-Seok Kim, Kyung-Kuk Hwang, Shung Chull Chae, Sang Hong Baek, Seok-Min Kang, Dong-Ju Choi, Byung-Su Yoo, Kye Hun Kim, Myeong-Chan Cho, Jae-Joong Kim, Byung-Hee Oh
BACKGROUND: The clinical characteristics and outcomes of acute heart failure (AHF) according to left ventricular ejection fraction (LVEF) have not been fully elucidated, especially for patients with mid-range LVEF. We performed a comprehensive comparison of the epidemiology, patterns of in-hospital management, and clinical outcomes in AHF patients with different LVEF categories.Methods and Results:The Korean Acute Heart Failure (KorAHF) registry is a prospective multicenter cohort of hospitalized AHF patients in Korea...
November 6, 2018: Circulation Journal: Official Journal of the Japanese Circulation Society
https://read.qxmd.com/read/30360888/comparative-analysis-of-short-term-outcomes-of-patients-with-heart-failure-with-a-mid-range-ejection-fraction-after-acute-decompensation
#17
Òscar Miró, Patricia Javaloyes, Víctor Gil, Francisco J Martín-Sánchez, Javier Jacob, Pablo Herrero, Javier Marco-Hernández, José Ríos, Veli-Pekka Harjola, Raquel Torres-Gárate, María I Alonso, Pascual Piñera, Ana B Mecina, Rosa Escoda, Christian Müller, John Parissis, Pere Llorens
To determine short-term outcomes after an episode of acute heart failure in patients with mid-range ejection fraction (40%-49%; HFmrEF) compared with patients with reduced (<40%) and preserved (>49%) ejection fractions (HFrEF and HFpEF, respectively) and according to their final destination after emergency department (ED) care. This is an exploratory, secondary analysis of the Epidemiology of Acute Heart Failure in the Emergency departments Registry, which includes consecutive acute heart failure patients diagnosed in 41 Spanish EDs...
September 26, 2018: American Journal of Cardiology
https://read.qxmd.com/read/30287424/acute-kidney-injury-among-hospitalized-children-in-china
#18
Xin Xu, Sheng Nie, Aihua Zhang, Jianhua Mao, Hai-Peng Liu, Huimin Xia, Hong Xu, Zhangsuo Liu, Shipin Feng, Wei Zhou, Xuemei Liu, Yonghong Yang, Yuhong Tao, Yunlin Feng, Chunbo Chen, Mo Wang, Yan Zha, Jian-Hua Feng, Qingchu Li, Shuwang Ge, Jianghua Chen, Yongcheng He, Siyuan Teng, Chuanming Hao, Bi-Cheng Liu, Ying Tang, Wenjuan He, Pinghong He, Fan Fan Hou
BACKGROUND AND OBJECTIVES: High-quality epidemiologic data on AKI in children are particularly lacking in developing countries. This study aimed to assess the epidemiology and clinical correlates of AKI among hospitalized children in China. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: We performed a multicenter study, in a cohort of hospitalized children aged 1 month to 18 years, from 25 general and children's hospitals in China during 2013-2015. We obtained patient-level data from the electronic hospitalization information system and laboratory databases of all children who had at least two serum creatinine tests within any 7-day window during their first 30 days of hospitalization...
December 7, 2018: Clinical Journal of the American Society of Nephrology: CJASN
https://read.qxmd.com/read/30248465/outcomes-in-patients-with-fungal-endocarditis-a-multicenter-observational-cohort-study
#19
Rinaldo Focaccia Siciliano, Danielle Menosi Gualandro, Odeli Nicole Encinas Sejas, Bruno Giuliano Ignoto, Bruno Caramelli, Alfredo Jose Mansur, Roney Orismar Sampaio, Ligia Camera Pierrotti, Giovanna Barbosa, Wilma Golebiovski, Clara Weksler, Cristiane Lamas, Natália Rodrigues Querido Fortes, Claudio Querido Fortes, Flavio Tarasoutchi, Tania Mara Varejão Strabelli
OBJECTIVE: To compare the clinical and epidemiological features, treatments, and outcomes of patients with isolated right-sided and left-sided fungal endocarditis and to determine the risk factors for in-hospital mortality in patients with Candida sp endocarditis. METHODS: A retrospective review of all consecutive cases of fungal endocarditis from five hospitals was performed. Clinical features were compared between patients with isolated right-sided and left-sided endocarditis...
December 2018: International Journal of Infectious Diseases: IJID
https://read.qxmd.com/read/30236796/metabolic-syndrome-and-hip-fracture-epidemiology-and-perioperative-outcomes
#20
Kyle H Cichos, Jessica L Churchill, Sierra G Phillips, Shawna L Watson, Gerald McGwin, Elie S Ghanem, Brent A Ponce
INTRODUCTION: Hip fractures and metabolic syndrome (MetS) are becoming major global healthcare burdens as populations age. This study sought to determine the impact of MetS in hip fracture patients on perioperative outcomes following operative fixation or arthroplasty. METHODS: Data from the 2004-2014 Nationwide Inpatient Sample was used to select 3,348,207 discharges with hip fracture. MetS patients were identified by having at least 3 of 4 component comorbidities: hypertension, dyslipidemia, obesity, and diabetes...
November 2018: Injury
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