126,424 results match your criteria hospital discharge


Increasing home-time after a first diagnosis of heart failure in Sweden, 20 years trends.

ESC Heart Fail 2021 Nov 27. Epub 2021 Nov 27.

Region Västra Götaland, Sahlgrenska University Hospital/Östra, Gothenburg, Sweden.

Aims: This study was performed to compare trends in home-time for patients with heart failure (HF) between those of working age and those of retirement age in Sweden from 1992 to 2012.

Methods And Results: The National Inpatient Register (IPR) was used to identify all patients aged 18 to 84 years with a first hospitalization for HF in Sweden from 1992 to 2012. Information on date of death, comorbidities, and sociodemographic factors were collected from the Swedish National Register on Cause of Death, the IPR, and the longitudinal integration database for health insurance and labour market studies, respectively. Read More

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November 2021

Simulating the impact of Addiction Consult Services in the context of drug supply contamination, hospitalizations, and drug-related mortality.

Int J Drug Policy 2021 Nov 24;100:103525. Epub 2021 Nov 24.

Dept. of Medicine, Section of Addiction Medicine, Oregon Health & Science University, Portland, OR, USA; Division of Hospital Medicine, Department of Medicine, Oregon Health & Science University, Portland, OR, USA.

Background: Illicitly manufactured fentanyl (IMF) is increasing in international drug supply chains, and IMF-related opioid overdose deaths are rising in North America. Hospitalizations among patients with opioid use disorder (OUD) are also rising; and, hospitalized patients are at increased risk of overdose and death following hospital discharge. Hospitalization is a key opportunity to engage patients with OUD. Read More

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November 2021

Altered expression of DENND5B in patients with epilepsy and its regulation of seizures in mice.

Epilepsy Res 2021 Nov 17;178:106817. Epub 2021 Nov 17.

Department of Neurology, Affiliated Hospital of North Sichuan Medical College;Nanchong, China; Institute of Neurological Diseases, North Sichuan Medical College, Nanchong, China. Electronic address:

Epilepsy is a high incidence neurological disease, and its repeated attacks cause serious physical and psychological damage to the patient. Differentially expressed in normal and neoplastic cells (DENN) domain containing 5B (DENND5B) is a lipoprotein binding protein that mediates synaptic vesicle transport and regulates neuroplasticity and lipid metabolism. Nevertheless, the effect of DENND5B on seizures remains unclear. Read More

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November 2021

Efficacy of cathodal transcranial direct current stimulation on electroencephalographic functional networks in patients with focal epilepsy: Preliminary findings.

Epilepsy Res 2021 Oct 25;178:106791. Epub 2021 Oct 25.

Department of Neurology, Zhongshan Hospital, Fudan University, Shanghai, China; Department of The State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Institutes of Brain Science, Fudan University, Shanghai, China. Electronic address:

Background: Neuromodulation is a promising therapeutic alternative for epilepsy. We aimed to explore the efficacy and safety of cathodal transcranial current direct stimulation (ctDCS) on electroencephalographic functional networks in focal epilepsy.

Methods: A sham-controlled, double-blinded, randomized study was conducted on 25 participants with focal epilepsy who underwent a 5-day, -1. Read More

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October 2021

Translation of Karnofsky Performance Status (KPS) for Use in Inpatient Cancer Rehabilitation.

PM R 2021 Nov 27. Epub 2021 Nov 27.

Kessler Institute for Rehabilitation, West Orange, NJ.

Introduction: Better tools are needed to predict functional decline and oncologic prognosis in inpatient cancer rehabilitation. The Karnofky Performance Status (KPS) is a widely used scale of functional performance in oncology, although the scale differs from current rehabilitation terminology. Use of the KPS in inpatient rehabilitation may support a shared method of communication between cancer rehabilitation providers and the primary oncology teams. Read More

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November 2021

Comparing efficacy and safety of different doses of dexamethasone in the treatment of COVID-19: a three-arm randomized clinical trial.

Pharmacol Rep 2021 Nov 27. Epub 2021 Nov 27.

Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

Background And Objectives: Corticosteroids are commonly used in the treatment of hospitalized patients with COVID-19. The goals of the present study were to compare the efficacy and safety of different doses of dexamethasone in the treatment of patients with a diagnosis of moderate to severe COVID-19.

Methods: Hospitalized patients with a diagnosis of moderate to severe COVID-19 were assigned to intravenous low-dose (8 mg once daily), intermediate-dose (8 mg twice daily) or high-dose (8 mg thrice daily) dexamethasone for up to 10 days or until hospital discharge. Read More

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November 2021

The effect of structured virtual patient visits (sVPVs) on COVID-19 patients and relatives' anxiety levels in intensive care unit.

J Clin Nurs 2021 Nov 26. Epub 2021 Nov 26.

Istinye University Faculty of Health Sciences, Istanbul, Turkey.

Aim And Objectives: To determine the effect of structured Virtual Patient Visits (sVPVs) on the anxiety, satisfaction, hospital anxiety and depression levels of intensive care unit (ICU) COVID-19 patients and their relatives.

Background: There is no evidence regarding the direct effect of virtual patient visits in the ICU.

Design: The STROBE statement guided this study. Read More

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November 2021

Association between serum uric acid and carotid atherosclerosis in elderly postmenopausal women: A hospital-based study.

J Clin Lab Anal 2021 Nov 27:e24097. Epub 2021 Nov 27.

Department of Pharmacy, Tai'an Traditional Second Chinese Medicine Hospital, Tai'an, China.

Background: Carotid atherosclerosis (CAS) is associated with increased cardiovascular risk and implicated in 20-30% of strokes.

Methods: 504 patients were included in this study. The detailed medical history and the results of physical examination, carotid ultrasound examination, and routine laboratory tests were collected. Read More

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November 2021

Comparison of 4-factor PCC reversal of apixaban and rivaroxaban versus warfarin for intracranial hemorrhage.

J Thromb Thrombolysis 2021 Nov 26. Epub 2021 Nov 26.

Department of Pharmacy, Cooper University Health Care, Camden, NJ, USA.

The purpose of this study is to assess efficacy of 4-factor prothrombin complex concentrates (4F-PCC) for direct oral anticoagulant (DOAC)-associated intracranial hemorrhage (ICH) as compared to its use in warfarin-associated ICH. A retrospective cohort study was performed to compare the efficacy of 4F-PCC for reversal of apixaban and rivaroxaban versus warfarin for ICH at Cooper University Health Care from January 2015 to December 2019. Patients included were ≥ 18 years of age who developed an ICH while on apixaban, rivaroxaban, or warfarin. Read More

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November 2021

A register-based study comparing planned rehabilitation following acute stroke in 2011 and 2017.

Sci Rep 2021 Nov 26;11(1):23001. Epub 2021 Nov 26.

Institute of Neuroscience and Physiology, Rehabilitation Medicine, University of Gothenburg, Per Dubbsgatan 14, fl. 3, 413 45, Gothenburg, Sweden.

This cross-sectional, register-based study aimed to explore patterns of planned rehabilitation at discharge from stroke units in Sweden in 2011 and 2017 and identify explanatory variables for planned rehabilitation. Multivariable binary logistic regression was used to identify variables that could explain planned rehabilitation. There were 19,158 patients in 2011 and 16,508 patients in 2017 with stroke, included in the study. Read More

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November 2021

Predicting Hospital Length of Stay at Admission Using Global and Country-Specific Competing Risk Analysis of Structural, Patient, and Nutrition-Related Data from nutritionDay 2007-2015.

Nutrients 2021 Nov 16;13(11). Epub 2021 Nov 16.

Department of Health Economics, Center for Public Health, Medical University of Vienna, 1090 Vienna, Austria.

Hospital length of stay (LOS) is an important clinical and economic outcome and knowing its predictors could lead to better planning of resources needed during hospitalization. This analysis sought to identify structure, patient, and nutrition-related predictors of LOS available at the time of admission in the global nutritionDay dataset and to analyze variations by country for countries with > 750. Data from 2006-2015 ( = 155,524) was utilized for descriptive and multivariable cause-specific Cox proportional hazards competing-risks analyses of total LOS from admission. Read More

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November 2021

Long-Term Evolution of Malnutrition and Loss of Muscle Strength after COVID-19: A Major and Neglected Component of Long COVID-19.

Nutrients 2021 Nov 6;13(11). Epub 2021 Nov 6.

Transversal Nutrition Unit, University of Lorraine, Nancy University Hospital, 54500 Vandoeuvre-les-Nancy, France.

Post-acute consequences of COVID-19, also termed long COVID, include signs and symptoms persisting for more than 12 weeks with prolonged multisystem involvement; most often, however, malnutrition is ignored.

Method: The objective was to analyze persistent symptoms, nutritional status, the evolution of muscle strength and performance status (PS) at 6 months post-discharge in a cohort of COVID-19 survivors.

Results: Of 549 consecutive patients hospitalized for COVID-19 between 1 March and 29 April 2020, 23. Read More

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November 2021

Age-Dependent Serotype-Associated Case-Fatality Rate in Invasive Pneumococcal Disease in the Autonomous Community of Madrid between 2007 and 2020.

Microorganisms 2021 Nov 3;9(11). Epub 2021 Nov 3.

Unidad de Microbiología Clínica, Laboratorio Regional de Salud Pública de la Comunidad de Madrid, Dirección General de Salud Pública, 28055 Madrid, Spain.

The aim of this study was to investigate the serotype-associated fatality rate in cases of invasive pneumococcal disease (IPD) in the Spanish region of Madrid between 2007 and 2020. Serotyping was performed by Pneumotest Latex and the Quellung reaction using commercial antisera. Case-fatality rate was estimated as the ratio between the number of deaths at hospital discharge and the number of cases attributable to each serotype. Read More

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November 2021

PICO Questions and DELPHI Methodology for the Management of Venous Thromboembolism Associated with COVID-19.

Viruses 2021 Oct 22;13(11). Epub 2021 Oct 22.

Center for Biomedical Research in Respiratory Diseases Network (CIBERES), Instituto de Salud Carlos III, 28029 Madrid, Spain.

Patients with coronavirus disease 2019 (COVID-19) have a higher risk of venous thromboembolic disease (VTE) than patients with other infectious or inflammatory diseases, both as macrothrombosis (pulmonar embolism and deep vein thrombosis) or microthrombosis. However, the use of anticoagulation in this scenario remains controversial. This is a project that used DELPHI methodology to answer PICO questions related to anticoagulation in patients with COVID-19. Read More

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October 2021

Dismal Survival in COVID-19 Patients Requiring ECMO as Rescue Therapy after Corticosteroid Failure.

J Pers Med 2021 Nov 22;11(11). Epub 2021 Nov 22.

Department of Medical and Toxicological Critical Care, Lariboisière Hospital, INSERM UMRS-1144, Paris-University, 75010 Paris, France.

Background: COVID-19 may lead to refractory hypoxemia requiring venovenous extracorporeal membrane oxygenation (ECMO). Survival rate if ECMO is implemented as rescue therapy after corticosteroid failure is unknown. We aimed to investigate if ECMO implemented after failure of the full-recommended 10-day corticosteroid course can improve outcome. Read More

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November 2021

Factors Affecting Post-Stroke Depression in Acute Ischemic Stroke Patients after 3 Months.

J Pers Med 2021 Nov 11;11(11). Epub 2021 Nov 11.

Department of Neurology, Jeonbuk National University Medical School, Jeonju 54907, Korea.

Post-stroke depression (PSD) affects approximately one-third of stroke patients. PSD not only impairs recovery and lowers quality of life, but has also serious neurological consequences, high mortality, and stroke recurrence risks. Studies on PSD-related prognostic factors are still lacking, especially environmental factors. Read More

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November 2021

Prediction of Hospital Readmission from Longitudinal Mobile Data Streams.

Sensors (Basel) 2021 Nov 12;21(22). Epub 2021 Nov 12.

Department of Engineering Systems and Environment, University of Virginia, Charlottesville, VA 22904, USA.

Hospital readmissions impose an extreme burden on both health systems and patients. Timely management of the postoperative complications that result in readmissions is necessary to mitigate the effects of these events. However, accurately predicting readmissions is very challenging, and current approaches demonstrated a limited ability to forecast which patients are likely to be readmitted. Read More

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November 2021

Anal Canal Duplication in an Adult Female-Case Report and Pathology Guiding.

Medicina (Kaunas) 2021 Nov 4;57(11). Epub 2021 Nov 4.

Surgery 2, Department X, Researching Future Chirurgie 2, "Victor Babeș" University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timișoara, Romania.

Anal canal duplication (ACD) is a very rare condition, diagnosed and treated mostly in childhood. Less than 90 cases have been reported in the literature so far. We are presenting a case of a young woman who underwent surgical excision of the duplication when she was 27 years old. Read More

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November 2021

Beneficial Effects of Robot-Assisted Gait Training on Functional Recovery in Women after Stroke: A Cohort Study.

Medicina (Kaunas) 2021 Nov 3;57(11). Epub 2021 Nov 3.

Department of Neuroscience and Rehabilitation, University of Ferrara, 44121 Ferrara, Italy.

Robot-assisted gait training (RAGT) could be a rehabilitation option for patients after experiencing a stroke. This study aims to determine the sex-related response to robot-assisted gait training in a cohort of subacute stroke patients considering mixed results previously reported. In this study, 236 participants (145 males, 91 females) were admitted to a rehabilitation facility after experiencing a stroke and performed RAGT within a multidisciplinary rehabilitation program. Read More

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November 2021

Prognostic Value of the PROFUND Index for 30-Day Mortality in Acute Heart Failure.

Medicina (Kaunas) 2021 Oct 23;57(11). Epub 2021 Oct 23.

Service de Médecine Interne, Diabète et Maladies Métaboliques, Hôpitaux Universitaires de Strasbourg, 67091 Strasbourg, France.

The prevalence and incidence of heart failure (HF) have been increasing in recent years as the population ages. These patients show a distinct profile of comorbidity, which makes their care more complex. In recent years, the PROFUND index, a specific tool for estimating the mortality rate at one year in pluripathology patients, has been developed. Read More

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October 2021

Cardiovascular Surgical Emergencies in France, before, during and after the First Lockdown for COVID-19 in 2020: A Comparative Nationwide Retrospective Cohort Study.

Life (Basel) 2021 Nov 16;11(11). Epub 2021 Nov 16.

Biostatistics and Bioinformatics (DIM), University Hospital of Dijon, 21000 Dijon, France.

Background: There are still gaps regarding the impact of the nationwide lockdown on non-COVID-19 emergency hospitalizations. This study aims to describe the trends in hospitalizations for cardiovascular surgical emergencies in France, before, during and after the first lockdown.

Materials And Methods: All adults admitted for mechanical complications of myocardial infarction (MI), aortic dissection, aortic aneurysm rupture, acute and critical limb ischemia, circulatory assistance, heart transplantation and major amputation were included. Read More

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November 2021

The Toxicity of Wiped Dust and Airborne Microbes in Individual Classrooms Increase the Risk of Teachers' Work-Related Symptoms: A Cross-Sectional Study.

Pathogens 2021 Oct 21;10(11). Epub 2021 Oct 21.

The Department of Infection Control, Oulu University Hospital, FI-90029 Oulu, Finland.

Background: The causes and pathophysiological mechanisms of building-related symptoms (BRS) remain open.

Objective: We aimed to investigate the association between teachers' individual work-related symptoms and intrinsic in vitro toxicity in classrooms. This is a further analysis of a previously published dataset. Read More

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October 2021

Transitional Care Management from Emergency Services to Communities: An Action Research Study.

Int J Environ Res Public Health 2021 Nov 17;18(22). Epub 2021 Nov 17.

Nursing School of Lisbon, Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), 1900-160 Lisbon, Portugal.

In recent years, nurses have developed projects in the area of hospital to community transition. The objective of the present study was to analyze the transitional care offered to elderly people after they used emergency services and were discharged to return to the community. The action research method was chosen. Read More

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November 2021

Assessing the Impact of Gender and COPD on the Incidence and Mortality of Hospital-Acquired Pneumonia. A Retrospective Cohort Study Using the Spanish National Discharge Database (2016-2019).

J Clin Med 2021 Nov 22;10(22). Epub 2021 Nov 22.

Department of Public Health & Maternal and Child Health, Faculty of Medicine, Universidad Complutense de Madrid, 28040 Madrid, Spain.

Background: We aim to analyze incidence and outcomes of patients hospitalized with hospital-acquired pneumonia (HAP) according to chronic obstructive pulmonary disease (COPD) status and sex in Spain (2016-2019).

Methods: We conducted a retrospective cohort study using national hospital discharge data of patients ≥40 years with a primary diagnosis of HAP, using the specific diagnostics of non-ventilator (NV)-HAP and ventilator-associated pneumonia (VAP).

Results: We identified 37,029 patients with HAP ((NV)-HAP 87. Read More

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November 2021

Wearable Cardioverter-Defibrillator Used as a Telemonitoring System in a Real-Life Heart Failure Unit Setting.

J Clin Med 2021 Nov 22;10(22). Epub 2021 Nov 22.

Heart Centre Niederrhein, Department of Cardiology, Helios Clinic Krefeld, 47805 Krefeld, Germany.

Background: In patients with reduced left ventricular ejection fraction (LVEF) who are at risk of sudden cardiac death, a wearable cardioverter-defibrillator (WCD) is recommended as a bridge to the recovery of LVEF or as a bridge to the implantation of a device. In addition to its function to detect and treat malignant arrhythmia, WCD can be used via an online platform as a telemonitoring system to supervise patients' physical activity, compliance, and heart rate.

Methods: We retrospectively analyzed 173 patients with regard to compliance and heart rate after discharge. Read More

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November 2021

Long-Term Outcomes and Predictive Factors of Hospitalized Patients with Severe Ulcerative Colitis Treated with Intravenous Corticosteroids.

J Clin Med 2021 Nov 19;10(22). Epub 2021 Nov 19.

Department of Systems Medicine, University of Rome "Tor Vergata", 00133 Rome, Italy.

: Treatment with intravenous corticosteroids (IVCS) is a mainstay in the management of acute severe ulcerative colitis (UC). Although most patients respond to IVCS, little is known about the long-term outcomes. In this study, we assessed the long-term outcomes of IVCS in a real-life cohort. Read More

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November 2021

Long-Term Symptoms among Hospitalized COVID-19 Patients 48 Weeks after Discharge-A Prospective Cohort Study.

J Clin Med 2021 Nov 15;10(22). Epub 2021 Nov 15.

Department of Infectious Diseases, Aarhus University Hospital, 8200 Aarhus, Denmark.

Follow-up studies of COVID-19 survivors have been performed to characterize persistence of long-term symptoms, but data are scarce on one year of follow-up. This study provides data from 48 weeks of follow-up after discharge. All patients discharged from the Department of Infectious Diseases at Aarhus University Hospital, Denmark between 1 March and 1 July 2020 were followed for 48 weeks. Read More

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November 2021

Diaphragmatic Point-of-Care Ultrasound in COVID-19 Patients in the Emergency Department-A Proof-of-Concept Study.

J Clin Med 2021 Nov 14;10(22). Epub 2021 Nov 14.

Division of Emergency Medicine and High Dependency Unit, Città della Salute e della Scienza di Torino University Hospital, Corso Bramante 88, 10126 Turin, Italy.

Background: Lung Ultrasound Evaluation (LUS) is usefully applied in the Emergency Department (ED) to patients with suspected or confirmed COVID-19. Diaphragmatic Ultrasound (DUS) may provide additional insight into ventilatory function. This proof-of-concept study aimed to evaluate the feasibility of LUS and DUS in a third level ED during the COVID-19 pandemic. Read More

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November 2021

Prevalence and Clinical Characteristics of Subclavian Steal Phenomenon/Syndrome in Patients with Acute Ischemic Stroke.

J Clin Med 2021 Nov 10;10(22). Epub 2021 Nov 10.

Department of Neurology, University of Medicine, Pharmacy, Sciences and Technology, 540136 Targu Mures, Romania.

There are no published clinical studies regarding the prevalence of subclavian steal among acute ischemic stroke patients. The aim of this study was to evaluate the prevalence and clinical significance of subclavian steal among a large number of consecutive ischemic stroke patients.

Materials And Methods: We reviewed the medical records of 2192 consecutive cases of acute ischemic stroke at a tertiary neurology clinic in Targu Mures, Romania, between 2018 and 2020. Read More

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November 2021