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Preoperative risk factors for venous thromboembolism in major urologic cancer surgeries.
World J Urol
December 2024
Department of Surgery, Division of Urology, American University of Beirut Medical Center, Beirut, Lebanon.
Article Synopsis
- The study analyzes the risk factors for venous thromboembolism (VTE) in patients undergoing major urologic cancer surgeries, particularly highlighting cystectomy as having the highest risk.
- It utilized data from the ACS-NSQIP database to examine over 207,861 cases, finding that 1.2% of patients experienced VTE post-surgery, with specific peaks for pulmonary embolism and deep venous thrombosis on certain days post-operation.
- Key identified risk factors included blood transfusions, older age (≥ 80 years), high BMI (≥ 40 kg/m²), and certain medical histories like congestive heart failure, indicating a need for thorough pre-operative assessments for better thromboprophyl
Association between warfarin use and thromboembolic events in patients post-Fontan operation: propensity-score overlap weighting analyses.
Eur J Cardiothorac Surg
November 2024
Department of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo, Tokyo, Japan.
Article Synopsis
- A study aimed to evaluate the effectiveness of warfarin in preventing thromboembolic events in patients who have undergone a Fontan operation compared to those not using warfarin.
- The research analyzed data from 2007 patients over a follow-up period of 2.1 years, finding no significant differences in the incidence of thromboembolic or bleeding events between warfarin users and non-users.
- The findings suggest that routine use of warfarin for thromboembolism prevention in pediatric Fontan patients may not be necessary, indicating the need for further research on this topic.
Refining the CHA2DS2VASc risk stratification scheme: shall we drop the sex category criterion?
Europace
November 2024
Liverpool Centre for Cardiovascular Science at University of Liverpool, Liverpool John Moores University and Liverpool Heart and Chest Hospital, Liverpool, UK.
Aims: The CHA2DS2VASc score is recommended for stroke risk stratification in patients with atrial fibrillation (AF). This score assigns one extra point to female sex based on evidence from the early 2000s, suggesting higher thromboembolic risk in women. This incremental risk of thromboembolism in women has decreased over time between 2007 and 2018, becoming non-significant in recent years.
View Article and Find Full Text PDFAssociated Factors and Mortality of Arrhythmia in Emergency Department: A Narrative Review.
Cureus
September 2024
Orthopedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Article Synopsis
- Cardiac arrhythmias are heart rhythm problems that can be very serious and are a big concern in hospitals, especially after heart attacks.
- They are becoming more common because more people have long-term health issues like diabetes and high blood pressure, along with lifestyle habits like smoking.
- Treating arrhythmias, especially a type called atrial fibrillation, needs teamwork from different doctors to help prevent problems like strokes and improve patient care.
Concordance between risk scales for venous thromboembolism in patients treated in emergency departments.
Emergencias
June 2024
Departamento de Medicina Interna, Clínica Universidad de Navarra, Madrid, España. CIBER Enfermedades Respiratorias (CIBERES), Madrid, España. Interdisciplinar Teragnosis and Radiosomics (INTRA) Research Group, Universidad de Navarra, España.
Objective: To evaluate agreement between risk-assessment models for venous thromboembolism (VTE) in patients hospitalized for medical conditions and to analyze variables associated with the decision to prescribe pharmacological thromboprophylaxis in hospital emergency departments (EDs). Conclusions.
Methods: Prospective observational multicenter cohort study.
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