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Total 129 results found since Jan 2013.

The Minnesota Medical Operations Coordination Center (MOCC): A COVID-19 statewide response to ensure access to critical care and medical-surgical beds
Chest. 2023 Aug 17:S0012-3692(23)05277-7. doi: 10.1016/j.chest.2023.08.016. Online ahead of print.ABSTRACTBACKGROUND: COVID-19 led to unprecedented inpatient capacity challenges particularly in Intensive Care Units (ICUs), which spurred development of statewide or regional placement centers for coordinating transfer (load balancing) of adult patients needing intensive care to hospitals with remaining capacity.RESEARCH QUESTION: Do Medical Operations Coordination Centers (MOCC) augment patient placement during times of severe capacity challenges?STUDY DESIGN AND METHODS: The Minnesota MOCC was established with focus on tran...
Source: Chest - August 19, 2023 Category: Respiratory Medicine Authors: Karyn D Baum Lauren Vlaanderen Walter James Mary Jo Huppert Paul Kettler Christine Chell Adam Shadiow Helen Strike Kay Greenlee Daniel Brown John L Hick Jack M Wolf Mark B Fiecas Erin McLachlan Judy Seaberg Sean MacDonnell Sarah Kesler Jeffrey R Dichter Source Type: research

Towards the implementation of optimal cardiac magnetic resonance risk stratification in PAH
Chest. 2023 Jul 30:S0012-3692(23)01066-8. doi: 10.1016/j.chest.2023.07.028. Online ahead of print.ABSTRACTBACKGROUND: The 2022 European pulmonary hypertension (PH) guidelines incorporate cardiac magnetic resonance (CMR) imaging metrics in the risk stratification of pulmonary arterial hypertension (PAH) patients. Thresholds to identify patients at estimated 1-year mortality risks of <5%, 5-20% and >20% are introduced. However, these cut-off values are mostly single center based and require external validation.RESEARCH QUESTIONS: What are the discriminative prognostic properties of the current cardiac magnetic resonanc...
Source: Chest - August 1, 2023 Category: Respiratory Medicine Authors: L R Celant J N Wessels J T Marcus L J Meijboom H J Bogaard F S de Man A Vonk Noordegraaf Source Type: research

Preserved Ratio Impaired Spirometry and Risks of Macrovascular, Microvascular Complications and Mortality Among Individuals With Type 2 Diabetes
Chest. 2023 Jun 17:S0012-3692(23)00794-8. doi: 10.1016/j.chest.2023.05.031. Online ahead of print.ABSTRACTBACKGROUND: The prospective associations of preserved ratio impaired spirometry (PRISm) with new-onset macrovascular and microvascular complications and mortality among individuals with type 2 diabetes (T2D) and whether PRISm enhances the prediction ability of an established office-based risk score remains to be elucidated.RESEARCH QUESTION: Can PRISm be used as a predictor of poor prognosis in individuals with T2D?STUDY DESIGN AND METHODS: We included 20,047 study participants with T2D and complete data on spirometry ...
Source: Chest - June 25, 2023 Category: Respiratory Medicine Authors: Guochen Li Matthew D Jankowich Luying Wu Yanqiang Lu Liping Shao Xujia Lu Yulong Fan Chen-Wei Pan Ying Wu Chaofu Ke Source Type: research

National Trends, Risk Factors, and Outcomes of Acute In-hospital Stroke After Lung Transplantation in the United States: Analysis of the United Network for Organ Sharing Registry
Chest. 2023 Apr 11:S0012-3692(23)00503-2. doi: 10.1016/j.chest.2023.04.007. Online ahead of print.ABSTRACTBACKGROUND: Lung transplantation is the definitive treatment for end-stage lung failure. However, there have been no large, long-term studies on the impact of acute in-hospital stroke in this population.RESEARCH QUESTION: What are the trends, risk factors, and outcomes of acute stroke in patients undergoing lung transplantation in the United States?STUDY DESIGN AND METHODS: We identified adult first-time, isolated lung transplant (LTx) recipients from the United Network for Organ Sharing (UNOS) database, which comprehe...
Source: Chest - April 13, 2023 Category: Respiratory Medicine Authors: Benjamin L Shou Christopher Wilcox Isabella Florissi Aravind Krishnan Bo Soo Kim Steven P Keller Glenn J R Whitman Ken Uchino Errol L Bush Sung-Min Cho Source Type: research

Stroke Is an Emergency, Even During a Pandemic
Chest. 2023 Mar;163(3):471-472. doi: 10.1016/j.chest.2022.11.017.NO ABSTRACTPMID:36894255 | PMC:PMC9989322 | DOI:10.1016/j.chest.2022.11.017
Source: Chest - March 9, 2023 Category: Respiratory Medicine Authors: Marialuisa Zedde Rosario Pascarella Source Type: research

Prognostic Implications of Obstructive Sleep Apnea in Acute Coronary Syndrome by Obesity Status
Chest. 2023 Feb 8:S0012-3692(23)00173-3. doi: 10.1016/j.chest.2023.02.001. Online ahead of print.ABSTRACTBACKGROUND: A close relationship exists between obstructive sleep apnea (OSA) and obesity. The impact of obesity on the prognostic significance of OSA in patients with acute coronary syndrome (ACS) remains unclear.RESEARCH QUESTION: Whether the effects of OSA on subsequent cardiovascular events in ACS patients vary with obesity status?STUDY DESIGN AND METHODS: This is a prospective cohort study. Patients aged 18 to 85 years and hospitalized for ACS were consecutively enrolled and underwent portable sleep monitoring afte...
Source: Chest - February 10, 2023 Category: Respiratory Medicine Authors: Wen Hao Xiao Wang Jingyao Fan Ruifeng Guo Wei Gong Yan Yan Wen Zheng Bin Que Hui Ai Changsheng Ma Xinliang Ma Shaoping Nie Source Type: research

Factors associated with residual apnea-hypopnea index variability during continuous positive airway pressure treatment
Chest. 2023 Jan 12:S0012-3692(23)00040-5. doi: 10.1016/j.chest.2022.12.048. Online ahead of print.ABSTRACTBACKGROUND: Continuous positive airway pressure (CPAP) is the first-line therapy for obstructive sleep apnea (OSA). A high or variable residual apnea-hypopnea index (rAHI) reflects treatment failure and is potentially triggered by exacerbation of cardiovascular comorbidities. Previous studies showed that high rAHI and large rAHI variability are associated with underlying comorbidities, OSA characteristics at diagnosis, and CPAP equipment including mask type and settings.RESEARCH QUESTION: What are the factors associate...
Source: Chest - January 15, 2023 Category: Respiratory Medicine Authors: Ana ïs Rossetto Alphanie Midelet S ébastien Baillieul Renaud Tamisier Jean-Christian Borel Arnaud Prigent S ébastien Bailly Jean-Louis P épin Source Type: research