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BackgroundPostoperative blood glucose levels significantly impact outcomes in cardiac surgery patients undergoing extracorporeal circulation (ECC) auxiliary to open heart surgery. The study's primary outcome was the 90-day mortality, and the duration of hospital and ICU stays were considered secondary outcomes.
Introduction and objectives Decision-making regarding prognosticating out-of-hospital cardiac arrest (OHCA) remains challenging at the front door. The study aims to validate the MIRACLE2 score in a district general hospital (DGH). Patients with a Glasgow Coma Scale of 15/15 after ROSC were excluded.
BackgroundIn-hospital cardiac arrest (IHCA) refers to the occurrence of cardiac arrest in hospitalized patients requiring chest compressions and/or defibrillation, with only about one-third of patients achieving return of spontaneous circulation (ROSC) after cardiopulmonary resuscitation.
This randomized trial showed no significant difference in return of spontaneous circulation between initial intraosseous and intravenous vascular access in adults with out-of-hospital cardiac arrest.
Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. BACKGROUND:Differences in the quality of hospitals where Black and White patients receive coronary artery bypass grafting (CABG) surgery have been documented. Black and White patients were admitted to similar mortality hospitals (3.1% were Blackpatients.
milla1cf Thu, 06/06/2024 - 21:44 June 6, 2024 — A new, robotic approach to heart bypass surgery is now being offered to patients at University Hospitals ( UH ) with great success. Surgeons manipulate the robotic arms to perform surgery while viewing magnified images from the camera on a console screen.
Circulation: Heart Failure, Ahead of Print. Initiatives to reveal asymptomatic gene carriers early in the disease should be encouraged, as it necessitates stringent patient follow-up and immediate treatment onset to reduce the burden of heart failure hospitalization and mortality in hATTR-CA.
Webinar Emerging Role of Circulating Tumor DNA in the Management of Thoracic Malignancies gmckinney Mon, 09/16/2024 - 13:27 September 26, 2024 Sponsored by AstraZeneca Circulating tumor DNA (ctDNA) is a blood test that can be used to detect and monitor thoracic malignancies.
However, the prognosis worsens when this rhythm transitions to nonshockable rhythm on hospital arrival. The primary outcome was rhythm conversion to nonshockable on hospital arrival. On hospital arrival, 27.9% patients achieved return of spontaneous circulation, 32.8% maintained shockable rhythm, and 39.3%
The impact of chest compression (CC) pause duration on survival outcomes in pediatric in-hospital cardiac arrests remains unclear, despite the American Heart Association’s recommendation to limit pauses to less than 10 seconds for children without solid evidence. Circulation 2024; 149: 1493-1500.
Abstract Cardiogenic shock (CS) carries a 3050% in-hospital mortality rate, with little improvement in outcomes in the last decade. It is believed that a self-propagating spiral of events follows as a result of hypoperfusion, ischaemia and inflammation, leading to end-organ dysfunction. Some biomarkers reflect systemic inflammation (e.g.
Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. AN evaluation of efficacy amonGst cOmpression only and standard CPR) trial is designed to evaluate whether compression-only cardiopulmonary resuscitation (CPR) by trained laypersons is noninferior to standard CPR in adult out-of-hospital cardiac arrest.
Does hospital median cardiopulmonary resuscitation (CPR) duration in patients without return of circulation (ROC) predict survival among hospitalized children?
Background:Small studies have found that patients presenting with posterior circulation ischemic strokes are more likely than patients with anterior circulation strokes to suffer a missed or delayed diagnosis in the ED. 2.66) and mixed territory cases (adjusted OR, 2.03; 95% CI, 1.62-2.55).Conclusions:Patients
Circulation, Volume 150, Issue Suppl_1 , Page A4141869-A4141869, November 12, 2024. Introduction:Over 290,000 in-hospital cardiac arrests occur annually in the United States. Survival is about 25% with significant variation across the country.
Establishing the early diagnosis of ICI-myocarditis is important for early initiation of steroids and consideration of hospitalization in patients who are at risk for hemodynamic compromise and need high acuity care in a tertiary setting.
Blood was obtained on the MSU, in the hospital, and from healthy adult controls. Median initial NIHSS score was 6 (range 1-22; median hospital discharge NIHSS score was 1 (range 0-20). Plasma IFN in blood on the MSU correlated with NIHSS score at hospital discharge (Spearmans rho: 0.485).Conclusions:This range 0-171) mL.
Circulation: Cardiovascular Interventions, Ahead of Print. A generalized linear mixed model was used to evaluate risk-adjusted in-hospital/30-day mortality, 30-day heart failure readmission, and TEER success (mitral regurgitation ≤2+ and gradient <5 mm Hg).RESULTS:The
Circulation, Ahead of Print. BACKGROUND:In patients with out-of-hospital cardiac arrest who present with an initial shockable rhythm, a longer delay to the first shock decreases the probability of survival, often attributed to cerebral damage. The mechanisms of this decreased survival have not yet been elucidated.
In a prospective, multicentre, parallel, randomised clinical trial titled ARREST, researchers aimed to evaluate the effectiveness of expedited transfer to a cardiac arrest center compared to standard care following out-of-hospital cardiac arrest. The ARREST study is the first randomized trial of its kind. Original article: Patterson T.
In a recent study published in Circulation: Heart Failure , researchers analyzed a large group of individuals with various cardiopulmonary diseases who had undergone right heart catheterization. year follow-up, those with right ventricular dysfunction faced an increased risk of mortality and heart failure hospitalization.
Circulation, Ahead of Print. People who experience out-of-hospital cardiac arrest often require care at a regional center for continued treatment after resuscitation, but many do not initially present to the hospital where they will be admitted.
Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. BACKGROUND:The absence of practice standards in vasoactive agent usage for acute decompensated heart failure has resulted in significant treatment variability across hospitals, potentially affecting patient outcomes. female), 88.6%
Introduction The use of venoarterial extracorporeal membrane oxygenation (VA-ECMO) in extracorporeal cardiopulmonary resuscitation (ECPR) in selected patients after out-of-hospital cardiac arrest (OHCA) is an established method if return of spontaneous circulation cannot be achieved.
Using multivariable models, we compared rates of survival to discharge separately for Asian and Hispanic patients versus White patients, as well as rates of sustained return of spontaneous circulation for 20 minutes and favorable neurologic survival as secondary outcomes.
Circulation, Volume 150, Issue Suppl_1 , Page A4147397-A4147397, November 12, 2024. Patients were categorized as frail if they had a hospital frailty risk score (HFRS) of 5 or higher, and non-frail if their score was below 5. Over 600,000 percutaneous coronary interventions (PCI) are performed each year for IHD.
Circulation, Volume 150, Issue Suppl_1 , Page A4135252-A4135252, November 12, 2024. We compared in-hospital outcomes based on the presence versus absence of Group 2 PH. Multivariable regression models were used to adjust for confounders.Results:Among 182,308 AMI hospitalizations, 364 (0.2%) had a secondary diagnosis of Group 2 PH.
UCSF researchers analyzed medical records from 29M adults who received hospital-based care in California from 2005 to 2019 (51yr avg. That’s far higher than previous estimates, including a pair of JAMA and Circulation studies that estimated nationwide AFib rates of 2.26M and 5.1M When these results are applied across the U.S.,
Final message However , there is a thin streak of hope, until new generation mobile Interventional cardiologists make “ pre-hospital PCI “ a reality.Till then, pPCI will trail behind pre-hospital thrombolysis in the golden hour reperfusion race both in time and probably in efficacy as well. Circulation. Reference 1.
This study aimed to clarify the dynamics and role of circulating peripheral MAIT cells in acute ischemic stroke patients.Methods:We enrolled patients with acute ischemic stroke who admitted to Jichi Medical University Hospital, classifying them into severe (NIHSS 10) and mild (NIHSS <10) groups and outpatients were also enrolled as control.
Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. Background:Overall outcomes and the escalation rate for home hospital admissions for heart failure (HF) are not known. of hospitalizations. There was no unexpected mortality during home hospitalization. were women, and 64.8% were White.
Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. A total of 101 hospitals were randomized into 4 wedges, and the intervention was initiated randomly by wedge and step. Compared with the control period, the mean preventive medication use score during the intervention period was higher at 6 months (65.8
Circulation, Volume 150, Issue Suppl_1 , Page ASu505-ASu505, November 12, 2024. The targeted Automated External Defibrillator (AED) program in the Sao Paulo Metro has yielded promising results in improving survival rates for individuals experiencing out-of-hospital cardiac arrest (OHCA) due to ventricular arrhythmias.
Previous studies suggest that the DHV sign was associated with early recurrent ischemic stroke in the anterior circulation secondary to intracranial atherosclerotic disease (ICAD). However, its significance in ischemic stroke in the posterior circulation is unknown. p<0.001) and higher mortality rate (24% vs 0%, p<0.001).
Circulation: Heart Failure, Ahead of Print. Background:The STRONG-HF trial demonstrated substantial reductions in the composite of mortality and morbidity over 6 months among hospitalized heart failure patients who were randomized to intensive guideline-directed medical therapy (GDMT) optimization compared to usual care.
The gold standard classification of vascular region identified an acute infarct in a defined location in 85 of the 100 cases that had non-specific/unspecified subcodes: 45 anterior circulation strokes (27 MCA, 9 ACA , 9 carotid), 40 posterior circulation strokes (17 PCA, 11 basilar, 6 cerebellar, 6 vertebral), and 15 with no infarct on imaging.
Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. Background:Prompt initiation of bystander cardiopulmonary resuscitation (CPR) is critical to survival for out-of-hospital cardiac arrest (OHCA). Overall, 15 000 (19.2%) patients survived to hospital discharge and 13 159 (16.9%) had favorable neurological survival.
Cardiovascular medications frequently lead this category, often contributing to adverse clinical outcomes, including emergency department visits and hospitalizations. Common cardiovascular ADRs in geriatric patients include acute kidney injury, bleeding and orthostatic hypotension which can lead to hospitalization. Circulation.
Circulation: Heart Failure, Ahead of Print. BACKGROUND:The TRANSFORM-HF trial (Torsemide Comparison With Furosemide for Management of Heart Failure) found no significant difference in all-cause mortality or hospitalization among patients randomized to a strategy of torsemide versus furosemide following a heart failure (HF) hospitalization.
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