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Trends and sex differences in atrial fibrillation hospitalization and catheter ablation at tertiary hospitals in China from 2013 to 2016

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Journal of Geriatric Cardiology 2022年第4期19卷 292-300页

作者： Kang LI Fang-Fang FAN Peng-Fei SUN Jie JIANG Jing ZHOU Ying SHI Hai-Bo WANG Jian-Ping LI Yan ZHANG Yong HUO Department of Cardiology Peking University First HospitalBeijingChina Scientific Project Department China Standard Medical Information Research CentreShenzhenChina Clinical Trial Unit the First Affiliated Hospital of Sun Yat-Sen UniversityGuangzhouChina

BACKGROUND Catheter ablation for atrial fibrillation(AF)is commonly performed ***,the clinical charac-teristics of hospitalized patients with AF and national trends in catheter ablation at tertiary hospitals in China remain *** This study used the Chinese national database(Hospital Quality Monitoring System)from 2013 to 2016,which is a mandatory database that collects the front page of patients’medical records for hospital accreditation,to describe the clinical cha-racteristics of patients with AF as an overall cohort and as subgroups divided by catheter ablation and *** Of 597,919 AF patients first admitted,57,983 patients underwent catheter ablation[56,384 cases(97.2%)of radiofre-quency ablation and 1599 cases(2.8%)of cryoablation]at 746 tertiary *** 10%of patients hospitalized with AF at ter-tiary hospitals in China underwent catheter ablation,and the percentage of patients undergoing catheter ablation was on the rise bet-ween 2013 and 2016,and the number of cases increased by 2.5 *** with AF patients who did not undergo catheter ablation,those who did were younger,more frequently male,and had fewer baseline *** the overall CHA_(2)DS_(2)-VASc score revealed over half of the patients were high-risk,patients who underwent catheter ablation were mostly low-risk(71.2%of males and 59.1%of females).Considering in-hospital adverse events,the overall pericardial tamponade and all-cause death incidences were 0.2%(0.6%in the ablation group)and 1.2%(0.1%in the ablation group),respectively;both of which were higher in females than *** In this study,AF patients who underwent catheter ablation were relatively young,had a low thrombosis risk,and had few comorbidities and adverse *** were older and experienced more complications than males.

关键词： admitted fibrillation tertiary

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Prospective,multicentre study of screening,investigation and management of hyponatraemia after subarachnoid haemorrhage in the UK and Ireland

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Stroke & Vascular Neurology 2023年第3期8卷 207-216,I0028-I0059页

作者： James J M Loan Steven Tominey Kirun Baweja Julie Woodfield Thomas J G Chambers Mark Haley Simran S Kundu H Y Josephine Tang Anthony N Wiggins Michael T C Poon Paul M Brennan Translational Neurosurgery The University of Edinburgh Centre for Clinical Brain SciencesEdinburghUK Neurosurgery NHS LothianEdinburghUK Neurosurgery Institute of Neurological SciencesGlasgowUK Department of Medicine School of MedicineDentisty and NuringUniversity of GlasgowGlasgowUK Internal Medicine Queen's UniversityKingstonOntarioCanada Centre for Discovery Brain Sciences University of EdinburghEdinburghUK Edinburgh Centre for Diabetes and Endocrinology NHS LothianEdinburghUK Radiology University Hospitals Plymouth NHS TrustPlymouthUK Department of Medicine Cork University HospitalUniversity College CorkCorkIreland

Background Hyponatraemia often occurs after subarachnoid haemorrhage(SAH).However,its clinical significance and optimal management are *** audited the screening,investigation and management of hyponatraemia after *** We prospectively identified consecutive patients with spontaneous SAH admitted to neurosurgical units in the United Kingdom or *** reviewed medical records daily from admission to discharge,21 days or death and extracted all measurements of serum sodium to identify hyponatraemia(10 *** of hyponatraemia with outcome were assessed using logistic regression with adjustment for predictors of outcome after SAH and admission *** assessed hyponatraemia-free survival using multivariable Cox *** 175/407(43%)patients admitted to 24 neurosurgical units developed hyponatraemia.5976 serum sodium measurements were *** osmolality,urine osmolality and urine sodium were measured in 30/166(18%)hyponatraemic patients with complete *** most frequently target daily fluid intake was>3 L and this did not differ during hyponatraemic or non-hyponatraemic episodes.26%(n/N=42/164)patients with hyponatraemia received sodium supplementation.133(35%)patients were dead or dependent within the study period and 240(68%)patients had hospital admission for over 10 *** the multivariable analyses,hyponatraemia was associated with less dependency(adjusted OR(aOR)=0.35(95%CI 0.17 to 0.69))but longer admissions(aOR=3.2(1.8 to 5.7)).World Federation of Neurosurgical Societies grade I-III,modified Fisher 2-4 and posterior circulation aneurysms were associated with greater hazards of *** In this comprehensive multicentre prospective-adjusted analysis of patients with SAH,hyponatraemia was investigated inconsistently and,for most patients,was not associated with changes in management or clinical outcome.T

关键词： admitted urine centre

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Access block and prolonged length of stay in the emergency department are associated with a higher patient mortality rate

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World Journal of Emergency Medicine 2022年第1期13卷 59-64页

作者： Ting Cheng Qian Peng Ya-qing Jin Hong-jie Yu Pei-song Zhong Wei-min Gu Xiao-shan Wang Yi-ming Lu Li Luo Department of Respiratory and Critical Care Medicine Ruijin HospitalShanghai Jiaotong University School of MedicineShanghai 200025China Institute of Respiratory Diseases Shanghai Jiaotong University School of MedicineShanghai 200025China Shanghai Key Laboratory of Emergency Prevention Diagnosis and Treatment of Respiratory Infectious DiseasesShanghai 200025China School of Public Health Fudan UniversityShanghai 200032China Jiading District Center for Disease Control and Prevention Shanghai 201800China Department of Statistical Information Ruijin HospitalShanghai Jiaotong University School of MedicineShanghai 201801China Department of Emergency Ruijin HospitalShanghai Jiaotong University School of MedicineShanghai 200025China Key Laboratory of Public Health Safety of the Ministry of Education and Key Laboratory of Health Technology Assessment of the Ministry of Health Fudan UniversityShanghai 200032China

Access block,known as exit block or boarding,is defined as a situation in which patients who are admitted or planned for admission remain in the emergency department(ED)as they are unable to be transferred to an inpatient unit within a reasonable time frame(no longer than 8 hours).[1,2]Access block often occurs due to insufficient hospital capacity and is a major issue in emergency medicine.[3]

关键词： Access admitted transferred

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Prestroke physical activity is associated with admission haematoma volume and the clinical outcome of intracerebral haemorrhage

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Stroke & Vascular Neurology 2023年第6期8卷 511-520,I0081-I0084页

作者： Adam Viktorisson Dongni Buvarp Anna Danielsson Thomas Skoglund Katharina S Sunnerhagen Sahlgrenska University Hospital GothenburgSweden Department of Clinical Neuroscience University of GothenburgGothenburgSweden Department of Health and Rehabilitation University of GothenburgGothenburgSweden Department of Neurosurgery Sahlgrenska University HospitalGothenburgSweden Department of Rehabilitation Medicine Sahlgrenska University HospitalGothenburgSweden

Background Prestroke physical activity(PA)has been linked to improved outcomes after intracerebral haemorrhage(ICH),but its association with ICH volume is *** aimed to investigate associations of prestroke PA with location-specific haematoma volume and the clinical outcome of *** All patients with primary ICH,admitted to three hospitals between 2014 and 2019,were *** performing light PA≥4 hour/week the year before stroke were considered physically *** volumes were assessed from admission brain *** associations were estimated using multivariate linear and logistic regression *** volume was explored as mediator to the relationship between prestroke PA and mild stroke severity(0-4 points on the National Institutes of Health Stroke Scale),a good 1-week functional status(0-3 points on the modified Rankin Scale)and 90-day *** direct effects(ADE)and average causal mediation effects(ACME)were *** Of 686 primary ICH cases,349 were deep,240 lobar and 97 *** PA predicted smaller haematoma volumes in deep ICH(β=−0.36,SE=0.09,p<0.001)and lobar ICH(β=−0.23,SE=0.09,p=0.016).Prestroke PA was also associated with mild stroke severity(OR 2.53,95%CI 1.59 to 4.01),a good 1-week functional status(OR 2.12,95%CI 1.37 to 3.30)and 90-day survival(OR 3.48,95%CI 2.06 to 5.91).Haematoma volume partly mediated the relationships between PA and stroke severity(ADE 0.08,p=0.004;ACME 0.10,p<0.001),1-week functional status(ADE 0.07,p=0.03;ACME 0.10,p<0.001)and 90-day survival(ADE 0.14,p<0.001;ACME 0.05,p<0.001).Conclusions Light PA≥4 hour/week prior to ICH was associated with smaller haematoma volumes in deep and lobar *** active patients with ICH had a higher likelihood of mild stroke,a good 1-week functional status and 90-day survival,in part mediated by smaller haematoma volumes on admission.

关键词： admitted severity clinical

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Clinicopathological characteristics and genetic alterations in clear cell carcinoma cells derived from Mullerian duct epithelium of the prostate

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Chinese Medical Journal 2022年第20期135卷 2488-2490页

作者： Shaoan Chen Fengyun Cui Peizhi Zhang Li Chen Wei Song Qingchao Meng Xiude Chen Qinghua Xia Weiting Kang Department of Urology Shandong Provincial Hospital Affiliated to Shandong First Medical UniversityJinanShandong 250021China Department of Pathology Shandong Provincial Hospital Affiliated to Shandong First Medical UniversityJinanShandong 250021China Department of Urology Shandong Provincial HospitalCheeloo College of MedicineShandong UniversityJinanShandong 250021China Department of Medical Ultrasound Shandong Provincial Hospital Affiliated to Shandong First Medical UniversityJinanShandong 250021China Department of Radiology Shandong Provincial Hospital Affiliated to Shandong First Medical UniversityJinanShandong 250021China

Müllerian duct cysts of the prostate,which are common in young men,are relatively rare clinical *** large cysts present with urinary obstruction,urinary tract irritation,subsequent frequent urination,urgency,and *** cysts can compress the seminal vesicles or ejaculatory ducts and cause intractable bloody sperms or obstructive *** transformation of Müllerian duct cysts is even *** 10 cases of Müllerian duct malignancies have been reported in previous studies.[1–9]We reported a case of one patient admitted to our center and discussed the clinicopathologic features,diagnosis.

关键词： urinary alterations admitted

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The role of the perfusion index in patients with thoracic trauma

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World Journal of Emergency Medicine 2022年第5期13卷 390-392页

作者： İsmail Uzkuç Ekim Saglam Gurmen Cumhur Murat Tulay Emergency Department Manisa Celal Bayar University School of MedicineManisa 45040Turkey Thoracic Surgery Department Manisa Celal Bayar University School of MedicineManisa 45040Turkey

Traumatic injuries range from simple to complicated multiple *** identification of patients with critical injuries and disrupted organ perfusion is essential to prevent tissue hypoxia.A study estimated that a fast and accurate response to thoracic trauma should reduce the mortality by 30%.[1]The tissue perfusion value is an essential indicator of mortality and morbidity for patients admitted to the hospital with thoracic ***,this study aimed to show the role of the perfusion index(PI)in predicting the prognosis of patients admitted to the emergency department for thoracic trauma.

关键词： injuries perfusion admitted

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Nocturnal hypertension and riser pattern are associated with heart failure rehospitalization in patients with heart failure with preserved ejection fraction

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Journal of Geriatric Cardiology 2023年第6期20卷 448-458页

作者： Gang HUANG Xiao-Han LIU Yue ZHANG Yu-Xin ZHU Yun HE Tian-Bo WANG Zhen ZHANG Jun-Bo XU Department of Cardiology the Third People’s Hospital of ChengduSichuanChina Cardiovascular Disease Research Institute of Chengdu SichuanChina Affiliated Hospital of Southwest Jiaotong University SichuanChina The Second Affiliated Chengdu Clinical College of Chongqing Medical University SichuanChina

BACKGROUND Nocturnal hypertension is reported as a risk factor for cardiovascular *** study aimed to explore the potential association between nocturnal hypertension and heart failure(HF)rehospitalization in patients with HF with preserved ejection fraction(HFpEF).METHODS A total of 538 patients with HFpEF from May 2018 to December 2021 were consequently recruited in this study and followed up until they were readmitted for HF or the end of this *** regression analysis was used to reveal the potential association between nighttime blood pressure(BP)levels,nocturnal hypertension and nocturnal BP patterns and HF ***-Meier curve was used to assess the cumulative event-free survival rate between *** There were 537 patients with HFpEF were included in the final *** mean age of the study population was 77.14±8.68 years,and 41.2% of patients were *** a median follow-up duration of 10.93(4.19–21.13)months,176 patients(32.7%)with HFpEF were readmitted for *** regression analysis had revealed that nighttime systolic BP level[hazards ratio(HR)=1.018,95%CI:1.008–1.028,P=0.001],nighttime diastolic BP level(HR=1.024,95%CI:1.007–1.042,P=0.007),nocturnal hypertension(HR=1.688,95%CI:1.229–2.317,P=0.001)were associated with HF ***-Meier analysis had demonstrated that patients with nocturnal hypertension had significantly lower event-free survival rate(log-rank P<0.001).Furthermore,patients with a riser pattern had a higher risk of HF rehospitalization(HR=1.828,95%CI:1.055–3.166,P=0.031)and lower eventfree survival rate(log-rank P=0.003)than those with a dipper *** findings were also confirmed in patients with HFpEF and *** Nighttime BP levels,nocturnal hypertension and a riser pattern are independently associated with HF rehospitalization in patients with HFpEF,and prominently in patients with HFpEF and *** controlled nighttime BP levels should be empha

关键词： pattern fraction admitted

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Unusual cause of recurrent vomiting with failure to thrive in an infant

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World Journal of Pediatrics 2022年第5期18卷 361-362页

作者： Vybhav Venkatesh Antaryami Pradhan Department of Gastroenterology and Hepatobiliary Sciences IMS and SUM HospitalBhubaneswar 751003OdishaIndia Department of Pediatric Surgery.IMS and SUM Hospital BhubaneswarOdishaIndia

A 10-month-old boy,symptomatic from 1 month of age with recurrent episodes of regurgitation,non-projectile vomiting,and recurrent episodes of cough and breathlessness requiring frequent hospitalizations was admitted f... 详细信息

关键词： vomiting admitted infant

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Rapid progression of atherosclerosis in a patient with acute coronary syndrome and ANCA-associated vasculitis:split or confluence?

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Journal of Geriatric Cardiology 2022年第5期19卷 403-408页

作者： Ya-Chao LI Meng-Jie LEI Yan-Li YANG Zeng-Ming XUE Department of Cardiology Langfang People’s HospitalHebei Medical UniversityLangfang Core Laboratory of Precision Treatment of CADLangfangHebei ProvinceChina

A59-year-old female patient was admitted to our hospital on 9 March 2021,due to recurrent chest *** underwent percutaneous coronary intervention,with a focus on the proximal segment of the left anterior descending(LAD)artery,six months prior to *** patient had a long-term history of hyperlipidaemia and obstructive sleep apnoea syndrome(OSAS).She also had rheumatoid arthritis and ANCA-associated vasculitis that lasted for more than 10 years and a 9-year history of concomitant *** was on long-term oral leflunomide and intermittent oral *** patient underwent a computed tomography angiogram(CTA)six years ago(2015),which showed minor atherosclerotic plaque build-up in the LAD artery and the right coronary artery(RCA)(Figure 1).

关键词： coronary patient admitted

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A faraway complex bifurcation hidden behind an occluded left main in an elderly patient

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Journal of Geriatric Cardiology 2023年第5期20卷 383-385页

作者： Gianluca Rigatelli Giulio Rodino Giuseppe Marchese Marco Zuin Interventional Cardiology Unit Division of CardiologyMadre Teresa di Calcutta HospitalAULSS 6Ospedali Riuniti Padova SudMonseliceItaly

A82-year-old man,with a previous history of ischemic heart disease due to 3-vessel disease with left main(LM)*** years before he underwent a double coronary artery bypass graft(left internal mammary artery(LIMA)to left anterior descending coronary artery(LAD)and saphein graft to Posterior Descending coronary artery(PDA));subsequent follow-up was *** was admitted to our hospital due to an acute coronary syndrome with ST segment abnormalities in the lateral and inferior leads on baseline EKG.

关键词： admitted involvement acute

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