Using the Hospital Frailty Risk Score to assess mortality risk in older medical patients admitted to the intensive care unit
CMAJ Open. 2023 Jul 4;11(4):E607-E614. doi: 10.9778/cmajo.20220094. Print 2023 Jul-Aug.ABSTRACTBACKGROUND: Prognostic information at the time of hospital discharge can help guide goals-of-care discussions for future care. We sought to assess the association between the Hospital Frailty Risk Score (HFRS), which may highlight patients' risk of adverse outcomes at the time of hospital discharge, and in-hospital death among patients admitted to the intensive care unit (ICU) within 12 months of a previous hospital discharge.METHODS: We conducted a multicentre retrospective cohort study that included patients aged 75 years or ol...
Source: cmaj - July 4, 2023 Category: General Medicine Authors: Michael E Detsky Saeha Shin Michael Fralick Laveena Munshi Jacqueline M Kruser Katherine R Courtright Lauren Lapointe-Shaw Terence Tang Shail Rawal Janice L Kwan Adina Weinerman Fahad Razak Amol A Verma Source Type: research

Using the Hospital Frailty Risk Score to assess mortality risk in older medical patients admitted to the intensive care unit
CMAJ Open. 2023 Jul 4;11(4):E607-E614. doi: 10.9778/cmajo.20220094. Print 2023 Jul-Aug.ABSTRACTBACKGROUND: Prognostic information at the time of hospital discharge can help guide goals-of-care discussions for future care. We sought to assess the association between the Hospital Frailty Risk Score (HFRS), which may highlight patients' risk of adverse outcomes at the time of hospital discharge, and in-hospital death among patients admitted to the intensive care unit (ICU) within 12 months of a previous hospital discharge.METHODS: We conducted a multicentre retrospective cohort study that included patients aged 75 years or ol...
Source: cmaj - July 4, 2023 Category: General Medicine Authors: Michael E Detsky Saeha Shin Michael Fralick Laveena Munshi Jacqueline M Kruser Katherine R Courtright Lauren Lapointe-Shaw Terence Tang Shail Rawal Janice L Kwan Adina Weinerman Fahad Razak Amol A Verma Source Type: research

The value of distinguishing patients with isolated subsegmental pulmonary embolism presenting to two tertiary hospitals in Australia: an observational study
This study included all patients with a positive CTPA for pulmonary embolism (PE) admitted between 2017 and 2021 to two Australian-tertiary-hospitals. Frailty was determined by use of the hospital-frailty-risk-score (HFRS). Competing-risk-analysis and Cox-proportional hazard models determined the cumulative-risk of VTE and mortality within 3 months and 1  year of index PE event after adjustment for frailty and other variables. Of 334 patients with positive CTPA for PE, 111 (33.2%) had isolated-SSPE. The mean (SD) age was 64.3 (17.7) years, 50.9% were males and 9.6% were frail. The risk of recurrent VTE within 3-months (0....
Source: Journal of Thrombosis and Thrombolysis - June 19, 2023 Category: Hematology Source Type: research

Investigation of a subunit protein vaccine for HFRS based on a consensus sequence between envelope glycoproteins of HTNV and SEOV
Virus Res. 2023 Jun 15:199149. doi: 10.1016/j.virusres.2023.199149. Online ahead of print.ABSTRACTDue to the global resurgence of hemorrhagic fever with renal syndrome (HFRS), more attention is being focused on this dangerous illness. In China and Korea, the only vaccine available is the virus-inactivated vaccine against Hantaan virus (HTNV) or Seoul virus (SEOV), but their efficacy and safety of these vaccines are inadequate. Therefore, it is important to develop new vaccines that are safer and more efficient to neutralize and regulate areas with a high prevalence of HFRS. We employed bioinformatics methods to design a re...
Source: Virus Research - June 17, 2023 Category: Virology Authors: Rongrong Liu Yunhua Lv Wenjie Sun Min Li Ningning Ge Cheng Zhu Yaxin Ding Ziyu Liu Ruixue Ma Yuxiao Huang Shiyuan Hou Qikang Ying Tianle Gu Fang Wang Lingling Nie Youchun Wang Weijin Huang Jiayi Shu Xingan Wu Source Type: research

Investigation of a subunit protein vaccine for HFRS based on a consensus sequence between envelope glycoproteins of HTNV and SEOV
Virus Res. 2023 Jun 15:199149. doi: 10.1016/j.virusres.2023.199149. Online ahead of print.ABSTRACTDue to the global resurgence of hemorrhagic fever with renal syndrome (HFRS), more attention is being focused on this dangerous illness. In China and Korea, the only vaccine available is the virus-inactivated vaccine against Hantaan virus (HTNV) or Seoul virus (SEOV), but their efficacy and safety of these vaccines are inadequate. Therefore, it is important to develop new vaccines that are safer and more efficient to neutralize and regulate areas with a high prevalence of HFRS. We employed bioinformatics methods to design a re...
Source: Virus Research - June 17, 2023 Category: Virology Authors: Rongrong Liu Yunhua Lv Wenjie Sun Min Li Ningning Ge Cheng Zhu Yaxin Ding Ziyu Liu Ruixue Ma Yuxiao Huang Shiyuan Hou Qikang Ying Tianle Gu Fang Wang Lingling Nie Youchun Wang Weijin Huang Jiayi Shu Xingan Wu Source Type: research

Incidence of Orthohantavirus infection in humans follows observed changes in rodent reservoirs, Hubei Province, China (1984-2010)
In this study, we analyzed the incidence of Orthohantavirus infection in humans and observed changes in rodent reservoirs in Hubei Province.RESULTS: The results indicated that although the incidence of HFRS declined from the 1990s, the human inapparent infection did not decrease dramatically. Although elements of the disease ecology have changed over the study period, Apodemus agrarius and Rattus norvegicus remain the major species and a constituent ratio of Rattus norvegicus increased. Rodent population density fluctuated between 16.65% and 2.14%, and decreased quinquennially, showing an obvious downward trend in recent y...
Source: American Journal of Veterinary Research - June 12, 2023 Category: Veterinary Research Authors: Yuan-Yuan Liu An Yang Ying-Qi Xu Yi-Hui Zhang Cheng-Si Bai Yu-Qing Zhang Xiao-Li Mou Fan Luo Shu-Liang Chen Wei Hou Zhan-Qiu Yang Liang-Jun Chen Hai-Rong Xiong Source Type: research

Incidence of Orthohantavirus infection in humans follows observed changes in rodent reservoirs, Hubei Province, China (1984-2010)
In this study, we analyzed the incidence of Orthohantavirus infection in humans and observed changes in rodent reservoirs in Hubei Province.RESULTS: The results indicated that although the incidence of HFRS declined from the 1990s, the human inapparent infection did not decrease dramatically. Although elements of the disease ecology have changed over the study period, Apodemus agrarius and Rattus norvegicus remain the major species and a constituent ratio of Rattus norvegicus increased. Rodent population density fluctuated between 16.65% and 2.14%, and decreased quinquennially, showing an obvious downward trend in recent y...
Source: American Journal of Veterinary Research - June 12, 2023 Category: Veterinary Research Authors: Yuan-Yuan Liu An Yang Ying-Qi Xu Yi-Hui Zhang Cheng-Si Bai Yu-Qing Zhang Xiao-Li Mou Fan Luo Shu-Liang Chen Wei Hou Zhan-Qiu Yang Liang-Jun Chen Hai-Rong Xiong Source Type: research

Incidence of Orthohantavirus infection in humans follows observed changes in rodent reservoirs, Hubei Province, China (1984-2010)
In this study, we analyzed the incidence of Orthohantavirus infection in humans and observed changes in rodent reservoirs in Hubei Province.RESULTS: The results indicated that although the incidence of HFRS declined from the 1990s, the human inapparent infection did not decrease dramatically. Although elements of the disease ecology have changed over the study period, Apodemus agrarius and Rattus norvegicus remain the major species and a constituent ratio of Rattus norvegicus increased. Rodent population density fluctuated between 16.65% and 2.14%, and decreased quinquennially, showing an obvious downward trend in recent y...
Source: American Journal of Veterinary Research - June 12, 2023 Category: Veterinary Research Authors: Yuan-Yuan Liu An Yang Ying-Qi Xu Yi-Hui Zhang Cheng-Si Bai Yu-Qing Zhang Xiao-Li Mou Fan Luo Shu-Liang Chen Wei Hou Zhan-Qiu Yang Liang-Jun Chen Hai-Rong Xiong Source Type: research

Potential distribution of Leptotrombidium scutellare in Yunnan and Sichuan Provinces, China, and its association with mite-borne disease transmission
Leptotrombidium scutellare is one of the six main vectors of scrub typhus in China and is a putative vector of hemorrhagic fever with renal syndrome (HFRS). This mite constitutes a large portion of the chigger mi... (Source: Parasites and Vectors)
Source: Parasites and Vectors - May 16, 2023 Category: Microbiology Authors: Wen-Yu Song, Yan Lv, Peng-Wu Yin, Yi-Yu Yang and Xian-Guo Guo Tags: Research Source Type: research

Case Report: Multiple Organ Failure Caused by Hemorrhagic Fever with Renal Syndrome
This report describes the case of a 55-year-old man with complaints of fever, vomiting, and diarrhea. His symptoms showed no significant improvement after routine anti-infective, antipyretic, and other symptomatic supportive treatments administered at a local clinic. During these treatments, the patient had progressive oliguria; after 3 days, he also developed multiple organ failures, such as the liver and kidney, and was examined for positive serum IgM antibodies to hemorrhagic fever during treatment at our hospital. The patient was finally diagnosed with HFRS followed by multiple organ failure. After antiviral therapy, i...
Source: The American Journal of Tropical Medicine and Hygiene - May 15, 2023 Category: Tropical Medicine Authors: Rui Wang Xiang-Yang Zhao Xiao-Jun Liu Miao Zhang Yan-Ting Sun Xiao Ning Jian Xu Chan-Yuan Bu Source Type: research

Case Report: Multiple Organ Failure Caused by Hemorrhagic Fever with Renal Syndrome
This report describes the case of a 55-year-old man with complaints of fever, vomiting, and diarrhea. His symptoms showed no significant improvement after routine anti-infective, antipyretic, and other symptomatic supportive treatments administered at a local clinic. During these treatments, the patient had progressive oliguria; after 3 days, he also developed multiple organ failures, such as the liver and kidney, and was examined for positive serum IgM antibodies to hemorrhagic fever during treatment at our hospital. The patient was finally diagnosed with HFRS followed by multiple organ failure. After antiviral therapy, i...
Source: Am J Trop Med Hyg - May 15, 2023 Category: Infectious Diseases Authors: Rui Wang Xiang-Yang Zhao Xiao-Jun Liu Miao Zhang Yan-Ting Sun Xiao Ning Jian Xu Chan-Yuan Bu Source Type: research

Case Report: Multiple Organ Failure Caused by Hemorrhagic Fever with Renal Syndrome
This report describes the case of a 55-year-old man with complaints of fever, vomiting, and diarrhea. His symptoms showed no significant improvement after routine anti-infective, antipyretic, and other symptomatic supportive treatments administered at a local clinic. During these treatments, the patient had progressive oliguria; after 3 days, he also developed multiple organ failures, such as the liver and kidney, and was examined for positive serum IgM antibodies to hemorrhagic fever during treatment at our hospital. The patient was finally diagnosed with HFRS followed by multiple organ failure. After antiviral therapy, i...
Source: The American Journal of Tropical Medicine and Hygiene - May 15, 2023 Category: Tropical Medicine Authors: Rui Wang Xiang-Yang Zhao Xiao-Jun Liu Miao Zhang Yan-Ting Sun Xiao Ning Jian Xu Chan-Yuan Bu Source Type: research

Case Report: Multiple Organ Failure Caused by Hemorrhagic Fever with Renal Syndrome
This report describes the case of a 55-year-old man with complaints of fever, vomiting, and diarrhea. His symptoms showed no significant improvement after routine anti-infective, antipyretic, and other symptomatic supportive treatments administered at a local clinic. During these treatments, the patient had progressive oliguria; after 3 days, he also developed multiple organ failures, such as the liver and kidney, and was examined for positive serum IgM antibodies to hemorrhagic fever during treatment at our hospital. The patient was finally diagnosed with HFRS followed by multiple organ failure. After antiviral therapy, i...
Source: Am J Trop Med Hyg - May 15, 2023 Category: Infectious Diseases Authors: Rui Wang Xiang-Yang Zhao Xiao-Jun Liu Miao Zhang Yan-Ting Sun Xiao Ning Jian Xu Chan-Yuan Bu Source Type: research

Case Report: Multiple Organ Failure Caused by Hemorrhagic Fever with Renal Syndrome
This report describes the case of a 55-year-old man with complaints of fever, vomiting, and diarrhea. His symptoms showed no significant improvement after routine anti-infective, antipyretic, and other symptomatic supportive treatments administered at a local clinic. During these treatments, the patient had progressive oliguria; after 3 days, he also developed multiple organ failures, such as the liver and kidney, and was examined for positive serum IgM antibodies to hemorrhagic fever during treatment at our hospital. The patient was finally diagnosed with HFRS followed by multiple organ failure. After antiviral therapy, i...
Source: Am J Trop Med Hyg - May 15, 2023 Category: Infectious Diseases Authors: Rui Wang Xiang-Yang Zhao Xiao-Jun Liu Miao Zhang Yan-Ting Sun Xiao Ning Jian Xu Chan-Yuan Bu Source Type: research

Case Report: Multiple Organ Failure Caused by Hemorrhagic Fever with Renal Syndrome
This report describes the case of a 55-year-old man with complaints of fever, vomiting, and diarrhea. His symptoms showed no significant improvement after routine anti-infective, antipyretic, and other symptomatic supportive treatments administered at a local clinic. During these treatments, the patient had progressive oliguria; after 3 days, he also developed multiple organ failures, such as the liver and kidney, and was examined for positive serum IgM antibodies to hemorrhagic fever during treatment at our hospital. The patient was finally diagnosed with HFRS followed by multiple organ failure. After antiviral therapy, i...
Source: The American Journal of Tropical Medicine and Hygiene - May 15, 2023 Category: Tropical Medicine Authors: Rui Wang Xiang-Yang Zhao Xiao-Jun Liu Miao Zhang Yan-Ting Sun Xiao Ning Jian Xu Chan-Yuan Bu Source Type: research