A retrospective observational study of predictive correlation of pre-operative respiratory status with post-operative course(hospital stay, ICU & assisted ventilation).

Importance &Aims: Postsurgical respiratory complications are associated with significant morbidity and increased duration of postoperative hospitalization. Risk factors like patient features (age, co-morbidities like diabetes, renal disease) and surgical features (emergency procedures, longer anesthesia duration, surgical incision site) have been studied but respiratory parameters have not been independently studied in Indian population. The identification of modifiable preoperative respiratory risk factors may improve outcomes and reduce hospital stay.Method: A retrospective observational study was undertaken of adult patients(n=77) who underwent elective surgery during last 1 year, under spinal anaesthesia and had pre-existing respiratory illness (asthma(n=28), COPD(n=18), bronchiectasis(n=11), post-TB fibrocavitatory disease(n=10), pleural thickening(n=9),CTD-ILD(n=1)). Patients with diabetes, hypertension, cardiac, renal, hepatic or neurological disease were excluded. The post operative parameters studied were exclusively for respiratory indications.Results: Using ANOVA test, FEV1% (p
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Acute Critical Care Source Type: research

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Conclusion: We present a risk estimation tool for COPD patients in an easy-to-use format suitable for clinicians in daily clinical practice.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Epidemiology Source Type: research
Conclusions: Positive correlations between AQHI and health outcomes are found in this study which revealed that making the public aware of air pollution using AQHI may be helpful to reduce the impact of air pollution in people living with chronic diseases.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Occupational and environmental health Source Type: research
Introduction: Patients with chronic obstructive pulmonary disease (COPD) have higher risk of hospitalization for cardiovascular events (CVE). An association between influenza infection and myocardial infarction (MI) is established. Our objective is to evaluate the COPD as an additional risk factor for CVE and respiratory events (RE) in patients with respiratory viral infection.Methods: We performed a retrospective cross-sectional analysis of 139 patients, with positive PCR for respiratory viruses in January of 2018. Cardiovascular risk factors (CVRF) (hypertension, diabetes, dyslipidemia and smoking) and medical history we...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Monitoring airway disease Source Type: research
Introduction: Endothelial dysfunction (ED) represents a pathophysiological link between chronic obstructive pulmonary disease (COPD) and heart failure (HF). In both, there is a high levels of inflammation, alterations in body composition, as loss of lean mass, which is associated with a worse prognostic. Nonetheless, there is few evidence on the relationship between ED and alterations in body composition.Purpose: Determine the differences in the body composition that exist in the presence of ED on subjects with COPD and HF.Methods: A Cross-sectional study was performed in subjects over forty years with confirmed diagnosis ...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Monitoring airway disease Source Type: research
Conditions:   Hypertension;   Diabetes;   Obesity;   COPD;   CHF;   High Cholesterol;   Asthma;   Chronic Pain;   Multiple Sclerosis;   Depression;   Anxiety;   Heart Diseases;   Stroke Interventions:   Behavioral: HeRe We Arts;   Behavioral: HeRe We Ed Sponsors:   The Cleveland Clinic;   National Endowment for the Arts;   Cuyahoga Arts and Culture Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
ConclusionsThe laparoscopic approach was associated with earlier oral intake and a lower comprehensive complication index. It is a safe and feasible technique that confers the advantages of minimally invasive surgery. It can be considered the preferred surgical option when the surgical expertise is available.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
With inhaler in hand, Dr. Cheng Yuet went over every detail to make sure the patient understood how the drug would control their COPD symptoms. Dr. Yuet is proving what a difference it makes when pharmacists are integrated into the health care team. As part of an innovative model being used at UNT Health Science Center, Dr. Yuet and three other pharmacists manage the care of patients with chronic diseases such as asthma, diabetes and hypertension.
Source: World Pharma News - Category: Pharmaceuticals Tags: Featured Research Research and Development Source Type: news
ConclusionAdults who received pneumococcal vaccines experienced reduced rates of hospital versus ICU admissions due to pneumonia infection.
Source: Journal of Pharmaceutical Health Services Research - Category: Drugs & Pharmacology Authors: Tags: Research Paper Source Type: research
Conclusions: Heat waves can confer additional risks of ED visits beyond those of daily air temperature, even in a region with high air-conditioning prevalence. https://doi.org/10.1289/EHP44 Received: 29 February 2016 Revised: 13 October 2016 Accepted: 24 October 2016 Published: 31 May 2017 Address correspondence to H.H. Chang, Department of Biostatistics and Bioinformatics, Emory University, 1518 Clifton Rd. NE, Atlanta, Georgia 30322. Telephone: (404) 712-4627; E-mail: howard.chang@emory.edu Supplemental Material is available online (https://doi.org/10.1289/EHP44). The authors declare they have no actual ...
Source: EHP Research - Category: Environmental Health Authors: Tags: Research Source Type: research
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