Publications by authors named "Mitchell Padkins"
Article Synopsis
- Pulmonary embolism (PE) is a significant health issue, being the third leading cause of illness and death globally, with submassive PE making up 40% of this burden.
- A study reviewed 22 patients with submassive PE who underwent mechanical thrombectomy (MT), showing a successful thrombus removal rate of 82% and no major bleeding complications.
- Results indicated that MT led to shorter hospital stays and lower in-hospital mortality rates compared to standard anticoagulation therapy alone, despite the small sample size.
Background: Inflammation is a sequela of cardiovascular critical illness and a risk factor for mortality.
Objectives: This study aimed to evaluate the association between white blood cell count (WBC) and mortality in a broad population of patients admitted to the cardiac intensive care unit (CICU).
Methods: This retrospective cohort study included patients admitted to the Mayo Clinic CICU between 2007 and 2018.
Background: An elevated shock index (SI) predicts worse outcomes in multiple clinical arenas. We aimed to determine whether the SI can aid in mortality risk stratification in unselected cardiac intensive care unit patients.
Methods: We included admissions to the Mayo Clinic from 2007 to 2015 and stratified them based on admission SI.
Limited data exist regarding outcomes after coronary angiography (CAG) and percutaneous coronary intervention (PCI) in patients aged ≥90 years admitted to the cardiac intensive care unit (CICU) with acute coronary syndrome (ACS). We studied sequential CICU patients ≥90 years admitted with ACS from 2007 to 2018. Three therapeutic approaches were defined: (1) No CAG; (2) CAG without PCI (CAG/No PCI); and (3) CAG with PCI (CAG/PCI).
View Article and Find Full Text PDFBackground: A high shock index (SI), the ratio of heart rate (HR) to systolic blood pressure (SBP), has been associated with unfavorable outcomes. We sought to determine the hemodynamic underpinnings of an elevated SI using 2-D and doppler Transthoracic Echocardiography (TTE) in unselected cardiac intensive care unit (CICU) patients.
Methods: We included Mayo Clinic CICU admissions from 2007 to 2018 who were in sinus rhythm at the time of TTE.
Article Synopsis
- Cardiovascular and critical care societies recommend family engagement in clinical care, but the current practices in cardiac intensive care units (CICUs) are not well understood.
- A survey conducted among 39 CICUs in North America revealed that common family engagement practices include open visitation and structured care conferences, with a median engagement practice score of 5 out of 9.
- Although many CICUs implement family engagement practices, significant variability exists, highlighting the need for consistent strategies to enhance these practices across different units.
Objective: To study the incidence of complications when undergoing right heart catheterization (RHC) and right ventricular biopsy (RVB).
Methods: Complications following RHC and RVB are not well reported. We studied the incidence of death, myocardial infarction, stroke, unplanned bypass, pneumothorax, hemorrhage, hemoptysis, heart valve repair/replacement, pulmonary artery perforation, ventricular arrhythmias, pericardiocentesis, complete heart block, and deep vein thrombosis (primary endpoint) following these procedures.
Readmission to the intensive care unit (ICU) during the index hospitalization is associated with poor outcomes in medical or surgical ICU survivors. Little is known about critically ill patients with acute cardiovascular conditions cared for in a cardiac intensive care unit (CICU). We sought to describe the incidence, risk factors, and outcomes of all ICU readmissions in patients who survived to CICU discharge.
View Article and Find Full Text PDFObjective: To determine whether the Mayo Cardiac Intensive Care Unit (CICU) Admission Risk Score (M-CARS) accurately predicts 1-year mortality.
Methods: We retrospectively reviewed adult CICU patients admitted from January 1, 2007, through April 30, 2018, and calculated M-CARS using admission data. We examined the association between admission M-CARS, as continuous and categorical variables, and 1-year mortality.
Incidence and outcomes of acute kidney injury stratified by cardiogenic shock severity.
Catheter Cardiovasc Interv
August 2021
Background: Acute kidney injury (AKI) is common among patients with cardiogenic shock (CS) and it is independently associated with mortality. We sought to assess the prevalence, severity, and prognosis of AKI as a function of cardiogenic shock severity in unselected Cardiac Intensive Care Unit (CICU) patients.
Methods: We retrospectively reviewed admissions to the Mayo Clinic between 2007 to 2015 and stratified patients by the AKI stage (based on modified Kidney Disease: Improving Global Outcomes criteria) and Society for cardiovascular angiography and interventions (SCAI) shock stage.
Purpose: To study the effect of hypoalbuminemia on short- and long-term mortality in Cardiac Intensive Care Unit (CICU) patients.
Methods: We reviewed 12,418 unique CICU patients from 2007 to 2018. Hypoalbuminemia was defined as an admission albumin level <3.
Aims: Age is an important risk factor for mortality among patients with cardiogenic shock and heart failure (HF). We sought to assess the extent to which age modified the performance of the Society for Cardiovascular Angiography and Interventions (SCAI) shock stage for in-hospital and 1 year mortality in cardiac intensive care unit (CICU) patients with and without HF.
Methods And Results: We retrospectively reviewed unique admissions to the Mayo Clinic CICU during 2007-2015 and stratified patients by age and SCAI shock stage.
Progressive Weakness and Encephalopathy in a 34-Year-Old Woman.
Clin Gastroenterol Hepatol
August 2021