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Total 370 results found since Jan 2013.

Changes in demographics, treatment and outcomes in a  consecutive cohort who underwent transcatheter aortic valve implantation between 2005 and 2020
CONCLUSION: Over our 15 years' experience, patient age remained unchanged but the patient risk profile became more favourable. Simplification of the TAVI procedure occurred in parallel with major improvement in outcomes and survival. Bleeding/vascular complications and the need for pacemaker implantation remain the Achilles' heel of TAVI.PMID:35212972 | DOI:10.1007/s12471-022-01662-2
Source: Netherlands Heart Journal - February 25, 2022 Category: Cardiology Authors: M J A G De Ronde-Tillmans R M Nuis J A Goudzwaard P A Cummins T W Hokken M P H Van Wiechen J F W Ooms J Daemen N M D A Van Mieghem F U S Mattace-Raso M J Lenzen P P T de Jaegere Source Type: research

Validating risk models versus age alone for atrial fibrillation in a young Dutch population cohort: should atrial fibrillation risk prediction be expanded to younger community members?
Conclusion Multivariable models accurately discriminate for 5-year and 10-year AF risk among young European community-dwelling individuals. However, their additional discriminatory value over age alone was limited. Selection strategies for primary AF screening using multivariable models should not be expanded to younger individuals.
Source: BMJ Open - February 16, 2022 Category: General Medicine Authors: Himmelreich, J. C. L., Harskamp, R. E., Geelhoed, B., Virdone, S., Lucassen, W. A. M., Gansevoort, R. T., Rienstra, M. Tags: Open access, Cardiovascular medicine Source Type: research

Depression in Stroke Survivors: Ten-Year Follow-Up. Determinants of the Natural Course of Depressive Symptoms in Stroke Survivors in the Netherlands: The SMART-Medea Study
Stroke is one of the leading causes of mortality and a major cause of disability, due to impairments in functioning, limitations in activities, and restrictions in societal participation.20 Although these consequences vary widely between stroke survivors, the most common consequences are physical impairments, communication disorders, cognitive and emotional problems, and mood disturbances.13,50 Every year 15 million people suffer from stroke,30 in the Netherlands, 40.000 patients have a stroke each year28 Most stroke patients survive the initial illness and the greatest health effect is usually caused by the long-term consequences.
Source: Journal of Stroke and Cerebrovascular Diseases - January 21, 2022 Category: Neurology Authors: A. de Bekker, M.I. Geerlings, I.E. Uitewaal-Poslawsky, J.M. de Man-van Ginkel Source Type: research

People with Stroke Are Most Sedentary in the Afternoon and Evening
Conclusion: People living at home after stroke are highly sedentary, particularly in the afternoons and evenings, and this pattern does not change during the first year after stroke. Clinicians should encourage people with stroke to find meaningful tasks to do during the day to reduce their sitting time. Researchers developing interventions to encourage people to sit less should include particular focus on the afternoon and evening time periods.Cerebrovasc Dis
Source: Cerebrovascular Diseases - January 4, 2022 Category: Neurology Source Type: research

Endovascular Thrombectomy in Young Patients With Stroke: A MR CLEAN Registry Study
CONCLUSIONS: Ten percent of patients with acute ischemic stroke undergoing endovascular thrombectomy were younger than 50. Cardioembolism and carotid dissection were common underlying causes in young patients. In one-third of cases, no cause was identified, indicating the need for more research on stroke cause in young patients. Young patients had better prognosis and lower risk of symptomatic intracranial hemorrhage than older patients.PMID:34872339 | DOI:10.1161/STROKEAHA.120.034033
Source: Atherosclerosis - December 7, 2021 Category: Cardiology Authors: Josje Brouwer Johanna A Smaal Bart J Emmer Inger R de Ridder Ido R van den Wijngaard Frank-Erik de Leeuw Jeannette Hofmeijer Wim H van Zwam Jasper M Martens Yvo B W E M Roos Charles B Majoie Robert J van Oostenbrugge Jonathan M Coutinho MR CLEAN Registry Source Type: research

Quantified health and cost effects of faster endovascular treatment for large vessel ischemic stroke patients in the Netherlands
Conclusion One-minute faster EVT increases QALYs while cumulative costs remain largely unaffected. Therefore, faster EVT provides better value of care at no extra healthcare costs.
Source: Journal of NeuroInterventional Surgery - November 18, 2021 Category: Neurosurgery Authors: van Voorst, H., Kunz, W. G., van den Berg, L. A., Kappelhof, M., Pinckaers, F. M. E., Goyal, M., Hunink, M. G. M., Emmer, B. J., Mulder, M. J. H. L., Dippel, D. W. J., Coutinho, J. M., Marquering, H. A., Boogaarts, H. D., van der Lugt, A., van Zwam, W. H. Tags: Open access, Ischemic stroke Source Type: research

Major threats to early safety after transcatheter aortic valve implantation in a  contemporary cohort of real-world patients
CONCLUSION: A variety of underlying mechanisms and causes form a wide spectrum of major threats affecting early safety in 11.7% of patients undergoing TAVI in a contemporary cohort of real-world patients.PMID:34724147 | DOI:10.1007/s12471-021-01638-8
Source: Netherlands Heart Journal - November 1, 2021 Category: Cardiology Authors: D J van Ginkel J Brouwer N D van Hemert A O Kraaijeveld B J W M Rensing M J Swaans L Timmers M Voskuil P R Stella J M Ten Berg Source Type: research

Access to stroke care in Europe: results of a vignette approach
ConclusionsWhile stroke related services are formally covered in almost all countries, considerable access problems exist in several countries. Future cross-country surveys of access to stroke care should collect quantitative data related to proportions of patients receiving particular services as well as qualitative data on access barriers.
Source: The European Journal of Public Health - October 20, 2021 Category: General Medicine Source Type: research

Diagnostic reference levels and median doses for common clinical indications of CT: findings from an international registry
ConclusionsDRLs for CTDIvol and DLP for EUCLID clinical indications from diverse organizations were established and can contribute to dose optimization. These values were usually significantly higher in the US than in Europe.Key Points•Registry data were used to create benchmarks for 10 common indications for CT identified by the European Society of Radiology.•Observed US radiation doses were higher than European for 9 of 10 indications (except chronic sinusitis).•The presented diagnostic reference levels and median doses highlight potentially unnecessary variation in radiation dose.
Source: European Radiology - October 13, 2021 Category: Radiology Source Type: research

Mortality and Causes of Death From Sickle Cell Disease in The Netherlands, 1985-2017
In the Netherlands, between 1985 and 2007 secular changes in the health care of patients with sickle cell disease (SCD) have taken place, such as penicillin prophylaxis, vaccination programs and stroke prevention. We investigated the number and causes of death in a cohort of 298 SCD patients, established in 2007, before introduction of neonatal screening, to determine preventable deaths. All patients were diagnosed with SCD before the age of 18 (median age at diagnosis 5.1 y). Their vital status was determined up to January 2017. After a total follow-up period of 4565 patient years and a median time of follow-up of 15 ye...
Source: Journal of Pediatric Hematology Oncology - September 24, 2021 Category: Hematology Tags: Original Articles Source Type: research

Optimising Integrated Stroke Care in Regional Networks: A Nationwide Self-Assessment Study in 2012, 2015 and 2019
Conclusion: This long-term analyses of stroke service development in the Netherlands,  showed that between 2012 and 2019, integrated care activities within the regional stroke networks increased. Experience in collaboration between organisations within a network benefits the uptake of integrated care activities. Published on 2021-09-20 09:42:19
Source: International Journal of Integrated Care - September 21, 2021 Category: Nursing Source Type: research

Malnutrition Prevalence Rates among Dutch Nursing Home Residents: What Has Changed over One Decade? A Comparison of the Years 2009, 2013 and 2018
ConclusionEven though much attention has been paid to prevent malnutrition in Dutch nursing homes over the last decades, results show a relatively stable malnutrition prevalence rate of around 16%. This leads to the question if nursing staff is able to sufficiently recognize residents with (a risk of) malnutrition, and if they are aware of interventions they could perform to decrease this rate.
Source: The Journal of Nutrition, Health and Aging - September 4, 2021 Category: Nutrition Source Type: research