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Results 201 - 250 of 2759
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Laskaratos Faidon-Marios - - 2013
Gastrostomy insertion is of benefit to selected patients, but 30-day mortality is as high as 54 % in some patient groups. The current study examines risk factors associated with 30-day mortality in a cohort of patients who underwent percutaneous endoscopic gastrostomy (PEG) or radiologically-inserted gastrostomy (RIG) in a district general hospital ...
Goy Elizabeth R - - 2013
This study aims to improve recognition of hospice eligibility for patients with Parkinson disease (PD) by ascertaining which variables have a higher probability of occurring uniquely in 6 to 12 months before death when compared to 18 to 24 months before death. Participants were 339 patients who died who were ...
Olson Daiwai M - - 2013
Object Cerebral artery vasospasm is a major cause of death and disability in patients recovering from subarachnoid hemorrhage (SAH). Although the exact cause of vasospasm is unknown, one body of research suggests that clearing blood products by CSF drainage is associated with a lower frequency and severity of vasospasm. There ...
Kim Hyungtae - - 2013
This study was undertaken to assess the early and long-term results of total repair of tetralogy of Fallot (TOF) and to identify the risk factors associated with late right ventricular (RV) dilatation. The medical records of 326 patients (male:female = 192:134) who underwent total repair of TOF at Pusan National ...
Domoto Satoru - - 2013
The aim of this retrospective study was to investigate the effect of chronic kidney disease (CKD) on outcomes after coronary artery bypass grafting (CABG), and to determine whether preoperative estimated glomerular filtration rate (eGFR) can be a predictor of long-term outcomes after CABG. 486 Japanese patients who underwent isolated CABG ...
Choi Ho-Rim - - 2013
Mortality rates after revision total hip arthroplasty (THA) for periprosthetic sepsis were investigated in 93 patients and compared to 93 patients, matched for age, gender, year of surgery, who underwent revision for aseptic failures. The mortality rate was 33% (31/93) in the septic group and 22% (20/93) in the aseptic ...
Hermanides Hillegonda Sophia - - 2013
Background: We estimated the impact of loss to follow-up (LTFU) on the mortality rate amongst HIV-1 infected patients in Curaçao. Methods: A total of 214 therapy-naïve HIV-1 infected patients aged 15 years or older upon entering into HIV care between January 2005 and July 2009 were included. Persons who discontinued ...
Wierzchowski Pawel P Department of General and Endocrine Surgery, University Hospital No. 1, Bydgoszcz, - - 2013
Upper gastrointestinal tract bleeding (UGIB) remains a valid issue of modern medicine. The mortality and recurrence rates remain high and have not decreased as expected over the past decades. to assess the treatment outcomes of nonvariceal UGIB depending on the timing of endoscopy (urgent vs. elective) and to perform an ...
Vinikoor Michael Jeffrey - - 2013
We evaluated the association of the number of late antiretroviral therapy (ART) refills with patient outcomes in a large public-sector human immunodeficiency virus treatment program in Lusaka, Zambia. Using pharmacy data routinely collected during 2004-2010, we calculated the number of late refills during the initial year of ART. We used ...
Bolognesi Michael P - - 2013
Simultaneous bilateral total knee arthroplasty (TKA) reportedly has higher postoperative complication rates than staged procedures, but little is known about recent trends and outcomes among Medicare patients. In a 5% national sample of Medicare beneficiaries older than 65years, we identified 83,441 patients who underwent elective TKA between 2000 and 2009 ...
Lindberg-Larsen Martin - - 2013
Bilateral total hip arthroplasty (BTHA) and bilateral simultaneous total hip arthroplasty (BSTHA) are done increasingly. Previous studies evaluating outcomes after bilateral procedures have found different results. The aim of this study was to investigate length of hospital stay (LOS), 30 days readmissions and 90 days mortality after BSTHA and BTHA on a ...
Hernández-Fernández Francisco - - 2013
Embolic protection devices may decrease periprocedural thromboembolic complications during carotid angioplasty and stenting (CAS). When using proximal-protection devices (PPDs), protection starts before crossing the lesion. However, in the medical literature, its use is scarcely reported compared with that of distal-protection filters (DPDs). The objective of this study was to compare ...
Zhang Bo - - 2013
The reoperations of postoperative residual ventricular septal defects (VSDs) are associated with higher risks. Our aim is to assess the efficacy and safety of transcatheter closure of postoperative residual VSDs using perimembranous VSD occluders. Twenty-one patients with residual VSDs underwent transcatheter closure in our center from January 2005 to January ...
Dinicolantonio James J - - 2013
Ascertain platelet inhibition and patient outcomes (PLATO) trial conduct. We examined information from the FDA complete response review. FDA Medical Review indicated that (1) patients on ticagrelor monitored by the study sponsor had a lower odds ratio for the primary endpoint (p=0.0004) versus ticagrelor patients monitored by a third party ...
Serruys Patrick W - - 2013
This study sought to report the final 5 years follow-up of the landmark LEADERS (Limus Eluted From A Durable Versus ERodable Stent Coating) trial. The LEADERS trial is the first randomized study to evaluate biodegradable polymer-based drug-eluting stents (DES) against durable polymer DES. The LEADERS trial was a 10-center, assessor-blind, ...
Numeroso F - - 2013
Aim: The aim of this paper was to assess short and long term prognostic value of the OESIL risk score (ORS), a risk stratification rule for syncope which consider abnormal ECG, age > 65, history of cardiovascular diseases, lack of prodromal symptoms to identify patients at higher risk of mortality ...
Al Khudairy A - - 2013
PURPOSE. To compare morbidity and mortality after hip fracture surgery in patients withholding clopidogrel for 3 to 6 days versus 7 days or more. METHODS. Records of 16 men and 31 women aged 49 to 92 (mean, 80.2) years who underwent hip fracture surgery after withholding clopidogrel for 3 to ...
Wong Keng Lin - - 2013
Introduction: This study aims to evaluate the predictive factors affecting the clinical outcome of Below Knee Amputations (BKA) performed in diabetic foot patients admitted to National University Hospital (NUH) Multi-Disciplinary Diabetic Foot Team. Materials and Methods: This is a prospective cohort study of 151 patients admitted to the Department of ...
Reimerink Jorik J - - 2013
Randomized comparison of endovascular repair (EVAR) with open repair (OR) in patients with a ruptured abdominal aortic aneurysm (RAAA). Despite advances in operative technique and perioperative management RAAA remains fraught with a high rate of death and complications. Outcome may improve with a minimally invasive surgical technique: EVAR. All patients ...
Leung Alexander A AA Division of General Internal Medicine and Primary Care, Brigham & Women's Hospital, Boston, - - 2013
The prognostic implications of preoperative hypernatremia are unknown. We sought to determine whether preoperative hypernatremia is a predictor of 30-day perioperative morbidity and mortality. We conducted a cohort study using the American College of Surgeons-National Surgical Quality Improvement Program and identified 908,869 adult patients undergoing major surgery from approximately 300 ...
Shimoyama Takashi - - 2013
Background: It is unknown whether the clinical features and outcomes of intracerebral hemorrhage (ICH) patients who undergo maintenance hemodialysis (HD) at the time of ICH are similar to those of general ICH patients. Methods: We retrospectively examined the medical records of ICH patients admitted to the Stroke Center of Kawasaki ...
Castelli Gabriele - - 2013
-Contemporary therapeutic options have led to substantial improvement in survival of heart failure (HF) patients. However, limited evidence is available specifically regarding idiopathic dilated cardiomyopathy (IDCM). We thus examined changes in prognosis of a large IDCM cohort systematically followed over the last thirty years. -From 1977 to 2011, 603 consecutive ...
Ndrepepa Gjin - - 2013
LITTLE IS KNOWN ABOUT THE IMPACT OF BLEEDING SITE ON MORTALITY AFTER PERCUTANEOUS CORONARY INTERVENTION. THE AIM OF THIS STUDY WAS TO ASSESS THE IMPACT OF ACCESS AND NONACCESS SITE BLEEDING WITHIN 30 DAYS AFTER PERCUTANEOUS CORONARY INTERVENTION ON MORTALITY.METHODS AND RESULTS: THIS STUDY REPRESENTS A POOLED PATIENT-LEVEL ANALYSIS OF ...
Broughton Ellie - - 2013
Introduction. In recent years craniectomy has been widely used in the management of traumatic brain injury and ischaemic stroke. The objective of this study was to evaluate the indications, techniques and outcomes for patients undergoing cranioplasty over a recent 7-year period in a geographically distinct population. Materials and methods. An ...
Providência Rui - - 2013
Dabigatran etexilate, a new thrombin inhibitor, has been shown to be comparable to warfarin in patients with atrial fibrillation (AF). However, there is a limited body of evidence on the efficacy and safety of using dabigatran among patients undergoing AF catheter ablation. A random effects meta-analysis was performed of controlled ...
Bünger Carsten M - - 2013
This study analyzed the outcome of a combined endovascular and debranching procedure for hybrid aortic arch repair (HAR) in patients with complicated type B aortic dissection. Between February 2006 and August 2012, HAR was performed in 75 consecutive patients, with retrospective analysis of a subgroup of 45 patients who underwent ...
Hornung Marius - - 2013
Percutaneous patent foramen ovale (PFO) closure for secondary stroke prevention is discussed controversially. Long-term data comparing different closure devices are limited. The objective is the prospective comparison of procedural complications and long-term results after PFO closure in patients with cryptogenic stroke randomized to three different closure devices. Between January 2001 ...
Stiermaier Thomas - - 2013
Objectives The long-term performance of polymer-free stent systems in patients with diabetes mellitus has not been investigated extensively. This study reports long-term results of the LIPSIA Yukon trial which compared the polymer-free sirolimus-eluting Yukon Choice stent with the polymer-based paclitaxel-eluting Taxus Liberté stent in this subpopulation. At 9 months, the ...
Payvar Saeed - - 2013
Risk stratification in patients admitted with worsening heart failure (HF) is essential for tailoring therapy and counselling. Risk models are available but rarely used, in part because many require laboratory and imaging results that are not routinely available. Body temperature is associated with prognosis in other illnesses, and we hypothesized ...
Yoo Jae Suk - - 2013
To compare the long-term echocardiographic mitral valve (MV) durability after MV repair performed through a minithoracotomy versus conventional sternotomy. A total of 299 patients who underwent MV repair for degenerative mitral regurgitation (MR) through minithoracotomy (n = 179) or sternotomy (n = 120), between April 2004 and January 2010, were evaluated. To adjust the ...
Im Eui - - 2013
Long-term clinical outcomes were evaluated in long coronary artery stenosis treated with different types of drug-eluting stents. Long-term follow-up data to compare clinical outcomes between Resolute™ zotarolimus-eluting stent (R-ZES) versus sirolimus-eluting stent (SES) implantation for long coronary artery stenosis is insufficient. A total of 254 patients (307 lesions) treated with ...
Al-Damluji Mohammed Salim - - 2013
The aim of this study is to provide an evidence-based review of the periprocedural safety and long-term effectiveness of carotid artery stenting (CAS) compared to carotid endarterectomy (CEA), with particular attention paid to the use of embolic protection devices and patients at high risk for CEA. Electronic databases (Ovid Medline, ...
Dumont Travis M - - 2013
Technological advances have resulted in diminishing perioperative complications reported during carotid artery stenting (CAS) trials. Because trial experience lags behind technological advances, an understanding of the incidence of perioperative complications after CAS remains in flux. In this single-arm, observational study, a contemporary experience of CAS at a high-volume academic training ...
Pack Quinn R - - 2013
Cardiac rehabilitation (CR) is recommended for all patients following coronary artery bypass surgery (CABG), yet little is known about the long term mortality effects of CR in this population. We performed a community-based analysis on residents of Olmsted County, Minnesota who underwent CABG between 1996 and 2007. We assessed the ...
Neethling William M L - - 2013
OBJECTIVESThis study evaluated the safety, efficacy and clinical performance of the tissue-engineered ADAPT® bovine pericardial patch (ABPP) in paediatric patients with a range of congenital cardiac anomalies.METHODSIn this single-centre, prospective, non-randomized clinical study, paediatric patients underwent surgery for insertion of the ABPP. Primary efficacy measures included early (<30 day) morbidity; ...
Dores Hélder - - 2013
Despite improvements in treatment, mortality associated with cardiogenic shock (CS) following acute myocardial infarction remains high. To compare two groups of patients admitted with CS over a 10-year time span. We performed a retrospective analysis of two patient populations presenting with CS admitted in the periods May 1998-May 2001 (group ...
Sandroni Claudio - - 2013
To systematically review the accuracy of early (≤7 days) predictors of poor outcome, defined as death or vegetative state (Cerebral Performance Categories [CPC] 4-5) or death, vegetative state or severe disability (CPC 3-5), in comatose adult survivors from cardiac arrest (CA) treated using therapeutic hypothermia (TH). Electronic databases were searched ...
Gansera Brigitte - - 2013
Background The Mosaic bioprosthesis (Medtronic Inc., Minneapolis, Minnesota, United States), a stented porcine aortic valve, combines glutaraldehyde fixation with zero-pressure, root-pressure techniques and antimineralization treatment with amino-oleic acid for improved hemodynamics and tissue durability. The first device has been implanted worldwide at author's institution in September 1993. The aim of ...
Krajíčková Dagmar - - 2013
Background: Intracranial atherosclerotic stenosis is a major cause of stroke and yet there are currently no proven effective treatments for it. The SAMMPRIS trial, comparing aggressive medical management alone with aggressive medical management combined with intracranial angioplasty and stenting, was prematurely halted when an unexpectedly high rate of periprocedural events ...
Kato Yasuyuki - - 2013
Controversy exists regarding the optimal operative method or type of prosthesis for patients with a small aortic root. The aim of this retrospective study was to investigate the early and mid-term outcomes of standard aortic valve replacement (AVR) using 16 mm or 18 mm ATS Advanced Performance (AP) or 17 ...
Evans Charles F - - 2013
There is clear evidence that mitral valve (MV) repair is superior to replacement for MV infective endocarditis (IE). Leaflet perforation is a common pathologic finding in MV IE, and leaflet patch repair with glutaraldehyde-treated autologous or bovine pericardium is the currently accepted method of MV repair. In the present study, ...
Svensson Lars G - - 2013
There are a variety of modified elephant-trunk methods, including use of endovascular stents. Our objectives were to classify these modifications, compare outcomes between the classic anastomotic site and these alternatives, and investigate time to second-stage elephant-trunk completion. From May 1992 to January 2011, 526 patients underwent a first-stage elephant-trunk procedure ...
Sandroni Claudio - - 2013
to systematically review the accuracy of early (≤7 days) predictors of poor outcome defined as death or vegetative state (Cerebral Performance Categories [CPC] 4-5) or death, vegetative state or severe disability (CPC 3-5) in comatose survivors from cardiac arrest not treated using therapeutic hypothermia (TH). PubMed, Scopus and the Cochrane ...
Nagele Peter P Division of Clinical and Translational Research, Department of Anesthesiology, Washington University School of Medicine in St Louis, St Louis, MO 63110, USA. - - 2013
Perioperative myocardial infarction (MI) is a serious complication after noncardiac surgery. We hypothesized that preoperative cardiac troponin T detected with a novel high-sensitivity (hs-cTnT) assay will identify patients at risk for acute MI and long-term mortality after major noncardiac surgery. This was a prospective cohort study within the VINO trial ...
Lancaster Robert T - - 2013
Prior studies indicated improved early mortality and paraplegia rates in a small cohort of patients with type I-III thoracoabdominal aortic aneurysms (TAAs) treated with atriofemoral bypass (AFB) and motor-evoked potentials (MEVPs) when compared with a propensity-matched cohort of patients treated with the clamp and sew (CS) method, wherein epidural cooling ...
Park Tai Hwan - - 2013
Despite substantial differences in clinical features between Asian and Western stroke patients, there are no published prognostic tools validated in an Asiatic population for thrombolytic therapy. We assessed the ability of the iScore to predict the clinical response after intravenous thrombolysis with tissue plasminogen activator (tPA) in a Korean stroke ...
Marui Akira - - 2013
OBJECTIVESHigh serum creatinine is considered an independent risk factor for poor outcomes following coronary artery bypass grafting (CABG). However, the impact of occult renal impairment (ORI), defined as an impaired glomerular filtration rate (GFR) with a normal serum creatinine (SCr) level, remains unclear. Thus, we sought to investigate the impact ...
Abroug Fekri - - 2013
Recommendations of systemic steroids in COPD exacerbation rely on trials that excluded patients requiring ventilatory support.in an open-label, randomised evaluation of oral prednisone administration, 217 patients with acute COPD exacerbation requiring ventilatory support were randomised (with stratification on the type of ventilation) to usual care (n=106), or to receive a ...
Easterlin Molly Crimmins - - 2013
Patients at risk of mortality after amputation have not been well identified. We sought to devise a clinical index predicting 30-day mortality after amputation that would allow stratification of intensity of postoperative care. The National Surgical Quality Improvement Program (NSQIP) database (2005-2009) was analyzed for patients who had above- or ...
Yacoub Rabi - - 2013
Acute kidney injury (AKI) is a common complication after cardiovascular surgery. The use of renin angiotensin system (RAS) blockers preoperatively is controversial due to conflicting results of their effect on the incidence of postoperative AKI and mortality. Meta-analysis of prospective or retrospective observational studies (1950 to January 2013) using MEDLINE, ...
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