458 results match your criteria: "Cantonal Hospital Lucerne.[Affiliation]"

Evaluating COPD: a comparative analysis of MRI and CT phenotyping.

Eur Radiol

September 2024

Department of Diagnostic, Interventional, and Pediatric Radiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

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Background: PIMS-TS (pediatric inflammatory multisystem syndrome-temporally associated with SARS-CoV-2) is a rare but serious condition in children following SARS-CoV-2 infection, characterized by a range of clinical symptoms with varying severity. Understanding risk factors for severe PIMS-TS is crucial for appropriate and timely intervention.

Objective: To identify factors associated with increased PIMS-TS severity in children.

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Introduction: The impact of leptomeningeal collateralization on the efficacy of mechanical thrombectomy (MT) in patients with anterior circulation large vessel occlusion (aLVO) presenting in the 6-24 h time window remains poorly elucidated.

Patients And Methods: Retrospective multicenter study of aLVO patients presenting between 6 and 24 h after stroke onset who received MT plus Best Medical Treatment (BMT) or BMT alone. Leptomeningeal collateralization was assessed using single-phase computed tomography angiography (grade 0: no filling; grade 1: filling ⩽50%; grade 2: filling >50% but <100%; grade 3: filling 100% of the occluded territory).

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Background And Objective: Chest wall resection and reconstruction procedures carry high postoperative morbidity. Therefore, successful outcomes necessitate prevention, prompt identification, and appropriate management of ensuing complications. This narrative review aims to provide a comprehensive overview of evidence-based strategies for managing complications following chest wall resection and reconstruction.

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Article Synopsis
  • - Benign tumors of the chest wall are uncommon and can develop from various types of chest tissues, including vessels, nerves, and bones, though they usually don’t affect life expectancy.
  • - While these tumors can cause symptoms like pain, over 20% of patients may not show any symptoms and might be diagnosed incidentally through imaging tests.
  • - Diagnosis often requires a thorough medical history and imaging assessment, and while surgery is a common treatment, it may not be suitable for all cases due to the tumor's size or location, with limited guidelines available for treatment.
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[Guidelines for clinical trial protocols for interventions involving artificial intelligence: the SPIRIT-AI extensionDiretrizes para protocolos de ensaios clínicos com intervenções que utilizam inteligência artificial: a extensão SPIRIT-AI].

Rev Panam Salud Publica

December 2023

Centre for Patient Reported Outcomes Research Institute of Applied Health Research University of Birmingham Birmingham Reino Unido Centre for Patient Reported Outcomes Research, Institute of Applied Health Research, University of Birmingham, Birmingham, Reino Unido.

Objective.: To determine if there was an association between intrapartum stillbirths and both traveled distance for delivery and delivery care accessibility, assessing periods before and during the COVID-19 pandemic.

Methods.

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Non-Vitamin K Antagonist Versus Vitamin K Antagonist Oral Anticoagulant Agents After Transcatheter Aortic Valve Replacement.

JACC Cardiovasc Interv

February 2024

Department of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland. Electronic address:

Background: Studies comparing long-term outcomes between non-vitamin K antagonist (VKA) oral anticoagulant agents (direct oral anticoagulant agents [DOACs]) and VKA anticoagulant agents after transcatheter aortic valve replacement (TAVR) are scarce, with conflicting results.

Objectives: The aim of this study was to examine the periprocedural, short-term, and long-term safety and effectiveness of DOACs vs VKAs in patients undergoing TAVR via femoral access with concomitant indications for oral anticoagulation.

Methods: Consecutive patients undergoing transfemoral TAVR in the prospective national SwissTAVI Registry between February 2011 and June 2021 were analyzed.

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The CONSORT 2010 statement provides minimum guidelines for reporting randomized trials. Its widespread use has been instrumental in ensuring transparency in the evaluation of new interventions. More recently, there has been a growing recognition that interventions involving artificial intelligence (AI) need to undergo rigorous, prospective evaluation to demonstrate impact on health outcomes.

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Bronchoscopic lung volume reduction (BLVR) is a minimally invasive treatment for emphysema. Lung cancer may be associated with emphysema due to common risk factors. Thus, a growing number of patients undergoing BLVR may develop lung cancer.

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Background: Thymic carcinoma, a rare malignancy in the mediastinum, currently lacks standardized treatment options. Although surgery remains a crucial component among traditional therapeutic approaches, the potential benefits of radiotherapy and chemotherapy remain controversial. Nevertheless, a substantial number of patients are diagnosed with advanced tumor growth, posing challenges for achieving complete resection through surgical intervention and resulting in a poor prognosis.

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Background: Assessing trainees is crucial for development of their competence, yet it remains a challenging endeavour. Identifying contributing and influencing factors affecting this process is imperative for improvement.

Methods: We surveyed residents, fellows, and intensivists working in an intensive care unit (ICU) at a large non-university hospital in Switzerland to investigate the challenges in assessing ICU trainees.

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[Guidelines for clinical trial protocols for interventions involving artificial intelligence: the SPIRIT-AI extensionDiretrizes para protocolos de ensaios clínicos com intervenções que utilizam inteligência artificial: a extensão SPIRIT-AI].

Rev Panam Salud Publica

February 2023

Centre for Patient Reported Outcomes Research Institute of Applied Health Research University of Birmingham Birmingham Reino Unido Centre for Patient Reported Outcomes Research, Institute of Applied Health Research, University of Birmingham, Birmingham, Reino Unido.

The SPIRIT 2013 statement aims to improve the completeness of clinical trial protocol reporting by providing evidence-based recommendations for the minimum set of items to be addressed. This guidance has been instrumental in promoting transparent evaluation of new interventions. More recently, there has been a growing recognition that interventions involving artificial intelligence (AI) need to undergo rigorous, prospective evaluation to demonstrate their impact on health outcomes.

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Localized pulmonary amyloidosis forming a solitary mass known as "amyloidoma of the lung" is rare. Differentiation from lung cancer can be difficult due to suspicious features on CT and high 18 F-FDG uptake. We present a case of a 77-year-old woman with an incidental lung lesion on abdominal CT.

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Background: Biodegradable materials that dissolve after aneurysm healing are promising techniques in the field of neurointerventional surgery. We investigated the effects of various bioabsorable materials in combination with degradable magnesium alloy stents and evaluated aneurysm healing in a rat aneurysm model.

Methods: Saccular aneurysms were created by end-to-side anastomosis in the abdominal aorta of Wistar rats.

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Article Synopsis
  • A study involving 111 neurologists and ENT physicians in Switzerland sought to evaluate how specialists interact with generalists when diagnosing and treating dizzy patients, aiming to improve patient care and education.
  • Results showed that specialists felt more confident diagnosing acute dizziness compared to episodic or chronic cases, with specific knowledge about timing and subtle signs aiding in diagnosis.
  • Additional findings indicated that neurologists referred more acutely dizzy patients compared to ENT specialists, highlighting a disparity in the diagnostic process and revealing unmet needs in patient management.
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Background: Lung metastasectomy is an accepted treatment modality worldwide. Whether the addition of lymph node dissection to the procedure is useful remains, however, unknown.

Methods: We performed a systematic review of the literature analyzing MEDLINE, Embase, until 31st October 2021.

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Purpose: To date, it remains unclear whether superior or anterior plating is the best option for treating midshaft clavicular fractures. The aim of this study was to compare both techniques with regard to the incidence of implant removal due to implant irritation, risk of complications, time to union, and function.

Methods: In this retrospective cohort study, all midshaft clavicular fractures treated operatively between 2017 and 2020 in two hospitals in Switzerland were analyzed.

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Background: Glioblastoma is the most common and most aggressive malignant primary brain tumor in adults. Glioblastoma cells synthesize and secrete large quantities of the excitatory neurotransmitter glutamate, driving epilepsy, neuronal death, tumor growth and invasion. Moreover, neuronal networks interconnect with glioblastoma cell networks through glutamatergic neuroglial synapses, activation of which induces oncogenic calcium oscillations that are propagated via gap junctions between tumor cells.

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An overview of reviews and synthesis across 440 studies examines the importance of hospital readmission predictors across various patient populations.

J Clin Epidemiol

March 2024

Competence Center for Health Data Science, Faculty of Health Sciences and Medicine, University of Lucerne, Frohburgstrasse 3, 6002 Lucerne, Switzerland. Electronic address:

Objectives: The scientific literature contains an abundance of prediction models for hospital readmissions. However, no review has yet synthesized their predictors across various patient populations. Therefore, our aim was to examine predictors of hospital readmissions across 13 patient populations.

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Long-Term Risk of Stroke After Transcatheter Aortic Valve Replacement: Insights From the SwissTAVI Registry.

JACC Cardiovasc Interv

December 2023

Department of Cardiology, Inselspital, Bern University Hospital, University of Bern, Switzerland. Electronic address:

Article Synopsis
  • Stroke following transcatheter aortic valve replacement (TAVR) presents significant health risks, with ongoing research needed to fully understand its predictors and long-term effects.
  • In a study involving nearly 12,000 TAVR patients tracked from 2011 to 2021, the 30-day stroke rate was found to be 3.0%, with most events occurring within the first 48 hours.
  • The risk of stroke was notably higher in TAVR patients compared to the general population during the first two years post-procedure, after which their risk leveled off to match that of their peers.
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Vaccinations play an important role in the prevention of potentially fatal diseases. Vaccine hesitancy has become an important problem both in the public discourse and for public health. We aimed to identify and characterize this potentially unvaccinated or incompletely vaccinated group of children presenting to the pediatric emergency department (PED) of the tertiary children's hospital in central Switzerland, a region that has anecdotally been claimed as a hotspot for vaccine hesitancy.

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Article Synopsis
  • Vertigo and dizziness are common issues in emergency departments and outpatient centers, prompting consultations with specialists like neurologists and ENT physicians for better patient care.
  • An online survey of 111 specialists in Switzerland revealed that both neurologists and ENT doctors often use specific tests for diagnosing common conditions like BPPV, but there are notable differences in their approaches, particularly in the use of brain MRIs and referrals for physical therapy.
  • The findings emphasize the need for standardized guidelines for diagnosing and treating dizziness across specialties, alongside the importance of training neurologists in specific repositioning techniques for better patient management.
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Study Design: Retrospective cohort study.

Objectives: To identify risk factors associated with major complications after flap surgery in people with spinal cord injury or disorder (SCI/D) and stage III and IV pressure injury (PI).

Setting: Swiss hospital specialized in the treatment of people with SCI/D using the Basel Decubitus Approach.

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Article Synopsis
  • The Swiss Digital Pathology Consortium organized a Delphi process to develop recommendations for integrating digital pathology (DP) into clinical settings as new technologies emerge.
  • Four working groups were established to focus on critical aspects of DP systems, including scanners, integration with laboratory information systems, quality compliance, and image analysis with AI.
  • The outcome consists of 83 consensus statements that serve as guidelines for hospitals, researchers, and developers to promote effective and secure use of digital pathology.
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