Publications by authors named "Kunaal S Sarnaik"

Background: The region of adipose deposition is an important determinant in the outcomes of patients with heart failure (HF). However, the impact of regional adiposity on HF patients undergoing cardiac resynchronization therapy (CRT) remains unclear.

Methods: A retrospective cohort analysis was conducted on 95 patients from a single-center study, assessing post-CRT outcomes.

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  • Skeletal muscle mass (SMM) is important for assessing risks in candidates for transcatheter aortic valve replacement (TAVR), but it's often overlooked compared to traditional measures like weakness or performance.
  • A study evaluated three risk models that combined SMM data with frailty assessments to predict complications, rehospitalization, or mortality after TAVR in a cohort of 184 patients.
  • Results showed that patients with sarcopenia and those identified as frail had significantly higher rates of adverse outcomes, and incorporating CT-based SMM into frailty assessments improved predictive accuracy for these risks.
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Background: Current practice patterns suggest open rather than minimally invasive (MIS) approaches for thymomas >4 cm. We hypothesized there would be similar perioperative outcomes and overall survival between open and MIS approaches for large (>4 cm) thymoma resection.

Methods: The National Cancer Database was queried for patients who underwent thymectomy from 2010 to 2020.

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Article Synopsis
  • Low muscle mass (LMM) is linked to poorer outcomes for patients undergoing transcatheter aortic valve replacement (TAVR), particularly when assessed through advanced imaging technology.
  • In a study involving 238 TAVR recipients, 33.6% exhibited LMM, characterized by lower body mass index and grip strength, along with other health markers.
  • Patients with LMM experienced higher rates of complications and 2-year mortality, suggesting the potential of using muscle mass assessment from CT scans for better preoperative risk evaluation.
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Objectives: Identifying the optimal solution for young adults requiring aortic valve replacement (AVR) is challenging, given the variety of options and their lifetime complication risks, impacts on quality of life, and costs. Decision analytic techniques make comparisons incorporating these measures. We evaluated lifetime valve-related outcomes of mechanical aortic valve replacement (mAVR) versus the Ross procedure (Ross) using decision tree microsimulations modeling.

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Background: Sarcopenia and hypoalbuminemia have been identified as independent predictors of increased adverse outcomes, including mortality and readmissions, in hospitalized older adults with acute decompensated heart failure (ADHF). However, the impact of coexisting sarcopenia and hypoalbuminemia on morbidity and death in adults with ADHF has not yet been investigated. We aimed to investigate the combined effects of lower muscle mass (LMM) as a surrogate for sarcopenia and hypoalbuminemia on in-hospital and postdischarge outcomes of patients hospitalized for ADHF.

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Introduction: Lymphadenectomy is routinely performed during surgical resection of nonsmall cell lung cancer (NSCLC). Lymph node yield and number of nodal stations sampled are important prognostic markers viewed as surrogates of surgical quality. The purpose of this study was to identify factors associated with these quality metrics after resection of NSCLC.

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Objectives: To determine whether discriminatory performance of a computational risk model in classifying pulmonary lesion malignancy using demographic, radiographic, and clinical characteristics is superior to the opinion of experienced providers. We hypothesized that computational risk models would outperform providers.

Methods: Outcome of malignancy was obtained from selected patients enrolled in the NAVIGATE trial (NCT02410837).

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In Ceará, Brazil, seasonal influenza transmission begins before national annual vaccination campaigns commence. To assess the perinatal consequences of this misalignment, we tracked severe acute respiratory infection (SARI), influenza, and influenza immunizations during 2013-2018. Among 3,297 SARI cases, 145 (4.

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