Publications by authors named "Hsiu-Ting Chien"

Introduction: This study evaluated how different published diagnostic coding schemas impact the assessment of major bleeding risks associated with direct oral anticoagulants (DOACs) and warfarin.

Methods: This retrospective cohort study included patients with atrial fibrillation who initiated DOACs or warfarin between 2012 and 2019, using Taiwan's national claims database. Major bleeding events, including gastrointestinal bleeding (GIB), intracranial hemorrhage (ICH), and other major bleeding events, were identified using coding schemas from Cunningham et al, the Mini-Sentinel protocol, and Yao et al.

View Article and Find Full Text PDF
Article Synopsis
  • A study investigated the impact of drugs that prolong the corrected QT interval (QTc) on hospitalized patients over 45, focusing on drug-drug interactions (DDIs) and their real-world implications.* -
  • Among 2,276 patients, the use of QT-prolonging drugs significantly heightened the risk of QTc prolongation, particularly with "known risk" drugs and when multiple risky medications were involved.* -
  • The findings suggest careful prescribing and monitoring for patients with risk factors is essential to prevent QTc prolongation, weighing the risks against treatment benefits for overall patient care.*
View Article and Find Full Text PDF

Background: While hyperuricemia has been correlated with cardiovascular (CV) diseases, further evidence is required to evaluate the implications of stable serum uric acid (sUA) levels, especially concerning low sUA. This study aimed to investigate prolonged stable sUA levels and CV events/mortality.

Methods: We conducted a retrospective cohort study at a medical center using electronic medical records linked with the national claims database.

View Article and Find Full Text PDF

Background And Aims: This study aimed to update the epidemiology, clinical, and economic outcomes of patients diagnosed with chronic hepatitis B (CHB) infection in Taiwan.

Methods: This is a retrospective observational study using claims data from the National Health Insurance Research Database. Cases were identified between 2010 and 2019 using CHB diagnosis codes and claims for alanine aminotransferase laboratory tests or CHB treatment within one year of the first CHB diagnosis.

View Article and Find Full Text PDF

Colistin is the last-resort antimicrobial agent against infections caused by multidrug-resistance Gram-negative bacteria (MDR-GNB). However, a differing risk of colistin-associated acute kidney injury (CA-AKI) has been demonstrated without affecting mortality, thus the association and its importance needs to be questioned. To assess the impact of this adverse effect, a meta-analysis comparing colistin with other antibiotics in treating MDR-GNB infections was conducted.

View Article and Find Full Text PDF