Is there really a benefit of using minimized cardiopulmonary bypass in CABG? A retrospective propensity score-matched study with 5000 cases
In this study, benefits of minimized bypass in CABG were evaluated under particular consideration of patient body mass index and surgeon impact. From 2004 to 2014, 5164 patients underwent coronary bypass surgery (CABG). Conventional cardiopulmonary bypass (CCPB) was used in 2376 patients, minimized cardiopulmonary bypass (MCPB) in 2788 cases. Multivariate regression models were used in the entire cohort and in a propensity score-matched subgroup after expert CABG to figure out clinical differences such as mortality, postoperative renal function, and thromboembolic events. Overall mortality was 1.5% (n = 41) in the MCPB group and 3.5% (n = 82) in CCPB patients (p
ConclusionThe practice of health promotion behaviour varies among patients, individually tailored interventions and motivation is needed.
ConclusionThe association of antibiotic and surgical therapy seems to be more effective compared to each one alone. The lack of comparison studies and randomized controlled trials makes it difficult to give information about the efficacy of the different management therapies.
The unregulated sale and purchase of prescription medication isare prohibited by law and by Craigslist policy, but this doesn't seem to deter some people.Medscape Medical News
Conditions: Dialysis; Complications; Life Quality Intervention: Other: Post-dialysis recovery group Sponsor: Istanbul Bilim University Completed
Condition: Gestational Diabetes Mellitus in Pregnancy Intervention: Behavioral: moderate-intensity lifestyle intervention Sponsor: Rashid Centre for Diabetes and Research Recruiting
Conditions: Type 2 Diabetes; Type 2 Diabetes Treated With Insulin Intervention: Behavioral: DWELL (Diabetes and WELLbeing) Programme Sponsors: Canterbury Christ Church University; Interreg 2 Seas Mers Zeeen; Medway Community Healthcare; Blackthorn Trust; Arteveldehogeschool; Kinetic Analysis; Centre Hospitalier Douai Recruiting
The positive impact of two different national approaches to reduce the consumption of sugar-sweetened beverages is detailed in two studies — one in Chile and one in the UK.Medscape Medical News
ConclusionsLiterature suggests lactate is a useful predictive marker for outcomes post liver surgery especially when measured in the early postoperative phase. Further research is required to standardise the use of lactate measurements in a meaningful therapeutic manner.
This study aimed to explore the cardiologist adherence with ACC/AHA guidelines on discharge medications for patients admitted with acute coronary syndrome (ACS), assess the predictors of cardiologist non-adherence and measure the impact of pharmacist intervention on improving guideline adherence.MethodsThe study included two consecutive phases: observation and intervention. It was carried out at Al-Najaf Center for Cardiac Surgery and Catheterization, Iraq, from August through December 2018. In the observation phase, medical records were reviewed retrospectively in order to assess the adherence to guideline. The interventi...
Conclusion Despite advances in the treatment of myocardial infarction, particularly reperfusion techniques, and medical care in intensive care units, cardiogenic shock mortality in acute phase of myocardial infarction remains high. Renal failure, late onset of shock, hyperglycemia and the anterior territory of MI were the major predictive of hospital mortality. A multidisciplinary approach including medical actors and pre-hospital centers specialized in the treatment of this condition is actually necessary. The author hereby declares no conflict of interest