Publications by authors named "H J Lehto"
Background: Patients with advanced heart failure (AHF) desire communication around values and goals prior to treatment decisions.
Objectives: To evaluate the timing and content of the first serious illness communication (SI conversation) for patients with AHF after referral to a specialist palliative care (PC) team (HeartPal).
Methods: In this retrospective cohort study, we used electronic health records to identify patients referred to HeartPal and their first SI conversations at a tertiary care hospital between October 2018 and September 2021.
Background: Frailty is common among patients with advanced heart failure (HF), and screening for frailty to guide care is recommended. Although multiple tools are available to screen for frailty, the feasibility of routinely incorporating frailty screening into daily clinical practice among hospitalised advanced HF patients has not been rigorously tested.
Methods: This was a prospective, single-centre, quality improvement study.
Outcomes after coronary artery bypass grafting and percutaneous coronary intervention in diabetic and non-diabetic patients.
Eur Heart J Qual Care Clin Outcomes
September 2022
Article Synopsis
- The study aimed to evaluate the long-term outcomes of patients with coronary heart disease (CHD) after their first heart surgery, specifically comparing the effects of coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) on diabetic and non-diabetic patients.
- Researchers analyzed a large database of cardiac revascularizations in Finland from 2000 to 2015, finding that while PCI had better short-term outcomes for non-diabetics, CABG resulted in better long-term outcomes for both patient groups, particularly for diabetic patients.
- The findings suggest that, despite initial advantages of PCI, CABG may be the more effective option for long-term survival, especially among patients with diabetes.
Background: We wanted to understand how patients with different modified Rankin Scale (mRS) grades differ regarding their health-related quality of life (HRQoL) and how this affects the interpretation and dichotomization of the grade.
Methods: In 2016, all adult patients in our brain arteriovenous malformation (AVM) database (n = 432) were asked to fill in mailed letters including a questionnaire about self-sufficiency and lifestyle and the 15D HRQoL questionnaire. The follow-up mRS was defined in 2016 using the electronic patient registry and the questionnaire data.
To compare diabetic patients with coronary heart disease (CHD) needing revascularization to corresponding non-diabetic patients in terms of revascularization methods, comorbidities and urgency of procedure. We also examined the impact of patient characteristics and comorbidities on the revascularization method. We identified all diabetic ( = 33,018) and non-diabetic ( = 106,224) patients with first-ever, percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) from electronic health records in Finland between 2000 and 2015.
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