6 results match your criteria: "Emergency County Clinical Hospital of Oradea[Affiliation]"

Gender and contemporary risk of adverse events in atrial fibrillation.

Eur Heart J

September 2024

Institute of Cardiovascular Sciences, University of Birmingham, Medical School, Vincent Drive, Birmingham B15 2TT, UK.

Article Synopsis
  • This study investigates how gender affects decision-making for oral anticoagulation in patients with atrial fibrillation (AF), using a large dataset of over 16 million patients from UK primary care between 2005-2020.
  • It found that in patients aged 40-75 without prior strokes, women had a lower adjusted rate of primary outcomes (death, ischemic stroke, or thromboembolism) compared to men, primarily due to lower mortality rates in women.
  • The study concludes that omitting gender from clinical risk scores could streamline the process of determining which AF patients should receive oral anticoagulation.
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Article Synopsis
  • Recent advances in machine learning enable better analysis of patient data to predict outcomes, particularly for cardiogenic shock (CS) in patients with acute coronary syndrome using the MIMIC III database.
  • This study focuses on improving data quality through various imputation techniques to handle missing data, comparing methods like k-nearest neighbors and Multiple Imputation by Chained Equations.
  • The final model demonstrated strong classification performance with a mean area under the curve of 0.805, suggesting the potential utility of this data processing pipeline for other predictive analytics in healthcare.
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Heart failure with preserved ejection fraction (HFpEF) and AF are two common cardiovascular conditions that are inextricably linked to each other's development and progression, often in multimorbid patients. Current management is often directed to specific components of each disease without considering their joint impact on diagnosis, treatment and prognosis. The result for patients is suboptimal on all three levels, restricting clinicians from preventing major adverse events, including death, which occurs in 20% of patients at 2 years and in 45% at 4 years.

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Background: The prevalence of combined heart failure (HF) and atrial fibrillation (AF) is rising, and these patients suffer from high rates of mortality. This study aims to provide robust data on factors associated with death, uniquely supported by post-mortem examination.

Methods: A retrospective cohort study of hospitalized adults with a clinical diagnosis of HF and AF at a tertiary centre in Romania between 2014 and 2017.

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Impact of the COVID-19 pandemic on hospitalizations for acute coronary syndromes: a multinational study.

QJM

November 2021

Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Anesthesia and Intensive Care, Fondazione Policlinico San Matteo Hospital IRCCS, Pavia, Italy.

Background: COVID-19 has challenged the health system organization requiring a fast reorganization of diagnostic/therapeutic pathways for patients affected by time-dependent diseases such as acute coronary syndromes (ACS).

Aim: To describe ACS hospitalizations, management, and complication rate before and after the COVID-19 pandemic was declared.

Design: Ecological retrospective study.

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