Publications by authors named "S SPITZER"

Background: Patient self-care is established as improving outcomes, yet acute care in hospitals is provided such that patients tend to be passive recipients of care. Little is known about the extent and type of patient participation in treatment care tasks in acute hospital settings.

Aims: To map and synthesise available literature on self-performance of care tasks in acute hospital settings.

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Article Synopsis
  • A study in an Israeli peripheral hospital examined the effects of the COVID-19 pandemic on the management and outcomes of Cerebral Vascular Accidents (CVA) and ST-elevation myocardial infarctions (STEMI) by comparing patient data before and during the pandemic.
  • Findings indicated that while the time from arrival to imaging for CVA patients increased, the overall outcomes for CVA remained stable, and even improved for STEMI patients, who experienced shorter intervention times and reduced hospital stays.
  • The mortality rates for both conditions did not significantly change, and further interviews with medical staff are being conducted to understand how quality of care was preserved throughout the challenges posed by the pandemic.
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Aim: This study sought to quantify the healthcare costs of multivessel disease (MVD) and determine the prevalence and incidence of recurrent major adverse cardiovascular events (MACE) in high-risk patients diagnosed with MVD following an acute myocardial infarction (MI).

Methods: This retrospective study utilized German claims data (AOK PLUS), between 01/01/2010 and 31/12/2020. Patients were included if they (1) had an inpatient diagnosis of an MI between 01/01/2012 and 31/12/2019 (index date), (2) were ≥ 18 years of age at date of MI diagnosis, and (3) had diabetes or met two of the following criteria: ≥ 65 years old, prior MI, peripheral arterial disease.

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Background: Since the Substrate and Trigger Ablation for Reduction of Atrial Fibrillation Trial Part II (STAR-AF II), there has been a trend toward pulmonary vein isolation (PVI)-only ablation strategies for persistent atrial fibrillation (PeAF). Electrographic flow (EGF) mapping can identify active sources of atrial fibrillation (AF) and estimate the electrographic flow consistency (EGFC) of wavefront propagation through substrate, revealing functional AF mechanisms.

Objective: We sought to examine the success of a PVI-only ablation strategy for a redo PeAF/longstanding PeAF population.

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