The prognostic value of the serum albumin level for long ‐term prognosis in patients with acute pulmonary embolism

AbstractIntroduction and objectivesThe aim of this study was to investigate the association of serum albumin (SA) level with long ‐term prognosis in patients with acute pulmonary embolism (PE).Materials and methodsWe retrospectively enrolled 269 patients with acute PE. The SA level was obtained within 12 ‐24 hours following admission. The primary endpoints were the incidence of short‐ and long‐term mortality in acute PE patients. The mean duration of the study follow‐up was 21 ± 19 months.ResultsDuring the follow ‐up period, short‐ and long‐term mortality rates were higher in patients who had low SA level compared to those who did not have. In multivariate Cox regression analysis, the SA level was found to be independently associated with long‐term mortality (HR: 0.47, 95%CI: 0.28‐0.78,P  =  0.004). In receiver operating characteristics analysis, the SA level of ≤3.17 predicted long‐term mortality with a sensitivity of 77.5% and a specificity of 79.5% (area under the curve 0.82, 95%CI: 0.76‐0.87,P  
Source: The Clinical Respiratory Journal - Category: Respiratory Medicine Authors: Tags: ORIGINAL ARTICLE Source Type: research

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Authors: Ambrosino P, Di Minno A, Maniscalco M, Di Minno MND Abstract The rapidly increasing number of studies on the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) indicate that this viral agent can cause the coronavirus disease 2019 (COVID-19), a syndrome with a wide spectrum of clinical presentations, ranging from a mild disease with flu-like symptoms to a life-threatening condition that requires specialized management at Intensive Care Units (ICU). Critical patients with COVID-19 have a high risk of thromboembolic complications, as expressed by a Padua prediction score always ≥4. Moreover...
Source: Annals of Medicine - Category: Internal Medicine Tags: Ann Med Source Type: research
Publication date: Available online 2 July 2020Source: Journal of Vascular and Interventional RadiologyAuthor(s): Akhilesh K. Sista
Source: Journal of Vascular and Interventional Radiology - Category: Radiology Source Type: research
Conclusion: We strongly encourage screening gamers for possible VTEs if clinically warranted. PMID: 32612473 [PubMed]
Source: Ochsner Journal - Category: General Medicine Tags: Ochsner J Source Type: research
Abstract COVID-19 is a novel infectious disease, which has challenged people all around the world. As of today, healthcare practitioners and researchers have made great effort to understand the characteristics and clinical presentations of the disease; however, the existing literature is still incomplete in this regard. A growing body of evidence indicates that coagulopathies and thromboembolic events are of utmost importance in COVID-19 patients and are related to poor prognosis. Here, we report three ICU admitted cases of COVID-19, in which massive pulmonary thromboembolism (PTE) occurred a few days after diseas...
Source: Accident and Emergency Nursing - Category: Emergency Medicine Authors: Tags: Arch Acad Emerg Med Source Type: research
Authors: Schorling DC, Müller CK, Pechmann A, Borell S, Langer T, Thiele S, Walter MC, Zieger B, Kirschner J Abstract Different complications of hemostasis have been reported in patients with Duchenne Muscular Dystrophy (DMD). These comprise an increased rate of bleeding-symptoms during scoliosis surgery but also thromboembolic complications such as pulmonary embolism, cerebral infarction, deep vein thrombosis or cardiac thrombus. For this cross-sectional study, personalized online survey-links were forwarded to 682 registered patients with a genetically confirmed diagnosis of DMD via the German-Austrian DMD p...
Source: Acta Myologica - Category: Neurology Tags: Acta Myol Source Type: research
Can a bedside echocardiogram help rule out STEMI in patients with suspicious ECG?No, it can’t  (Though, it may be tempting to use a rapid echo to look for wall motion defect to rule out ACS ) If your answer was No, probably you don’t need to read any further in this post. Diagnosis of STEMI* is based onClinicalECGBio-Markers *Please note, two of the most popular investigations namely Echo and Coronary angiogram are missing in the list.Middle-aged man with  chest pain.  Can an echocardiogram help you confirm  STEMI here? Most likely not. It may still be a evolving STEMI. But, obser...
Source: Dr.S.Venkatesan MD - Category: Cardiology Authors: Tags: Uncategorized diagnostic criteria for stemi gls in stemi role of echocardiography in diagnosis of acs stemi nstemi wall motion defect in stemi by echo Source Type: blogs
Venous thromboembolism, consisting of pulmonary embolism (PE) and deep vein thrombosis (DVT) is diagnosed approximately 1 million times annually in the United States [1]. Pulmonary embolism carries a mortality rate as high as 30%, despite advances in diagnosis and treatment [2]. The primary treatment for acute PE is anticoagulation, which impairs the formation of new thrombosis by interrupting the coagulation cascade. However, in select cases when pulmonary embolism leads to life-threatening cardiopulmonary compromise, thrombolysis may be administered with the intention of promoting expeditious clot dissolution to relieve ...
Source: Thrombosis Research - Category: Hematology Authors: Tags: Letter to the Editors-in-Chief Source Type: research
ConclusionThe AI prototype algorithm we tested has a high degree of diagnostic accuracy for the detection of PE on CTPAs. Sensitivity and specificity are balanced, which is a prerequisite for its clinical usefulness.Key Points•An AI-based prototype algorithm showed a high degree of diagnostic accuracy for the detection of pulmonary embolism on CTPAs.•It can therefore help clinicians to automatically prioritize exams with a high suspection of pulmonary embolism and serve as secondary reading tool.•By complementing traditional ways of worklist prioritization in radiology departments, this can speed up the diag...
Source: European Radiology - Category: Radiology Source Type: research
In this study, the authors have compared the parameters such as age, sex, comorbidities, laboratory findings, use of anticoagulants and radiological findings in Covid-19 patients with and without acute pul monary embolism. It has been emphasized that increased levels of D-dimer, worsening in clinical symptoms and abnormal blood levels during the follow-up should alert the clinician.
Source: International Journal of Cardiology - Category: Cardiology Authors: Tags: Letter to the Editor Source Type: research
Authors: Çakır Ç, Ceylan Y, Karagöz A, Ökten MŞ, Kaya Y Abstract Objectives: Performing percutaneous mitral commissurotomy (PMC) in the women with asymptomatic severe mitral stenosis (MS) who plan a pregnancy is recommended. However the data regarding this recommendation is limited in the literature. We aimed to investigate maternal and fetal outcomes of women with asymptomatic severe MS who underwent PMC before a planned pregnancy.Methods: We retrospectively analysed the procedural, pregnancy related, and fetal outcomes of 33 consecutive women with severe asymptomatic MS, age 27.97&thinsp...
Source: Acta Cardiologica - Category: Cardiology Tags: Acta Cardiol Source Type: research
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