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Management: Electronic Health Records (EHR)

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Total 477 results found since Jan 2013.

EP News: Clinical
Singer et  al (JAMA Cardiol 2021;6:1364, PMID 34586356) evaluated the temporal association between episodes of atrial fibrillation (AF) and stroke in patients with cardiac implantable electronic devices (CIEDs). In a case-crossover study, data from an electronic health record database were linked with record s of patients with CIEDs. The prespecified duration of AF was ≥5.5 hours during days 1–30 vs days 91–120 prestroke. The main outcome was odds ratio (OR) for stroke comparing AF during days 1–30 vs days 91–120 prestroke.
Source: Heart Rhythm - February 2, 2022 Category: Cardiology Authors: N.A. Mark Estes Tags: EP NEWS Source Type: research

Sexual orientation-related disparities in health conditions that elevate COVID-19 severity
CONCLUSIONS: Findings largely corroborated patterns among the general US population. Further research is needed to determine if these disparities translate to poorer COVID-19 outcomes for individuals with minoritized sexual orientation.PMID:34785397 | DOI:10.1016/j.annepidem.2021.11.006
Source: Annals of Epidemiology - November 17, 2021 Category: Epidemiology Authors: Kristine E Lynch Jillian C Shipherd Elise Gatsby Benjamin Viernes Scott L DuVall John R Blosnich Source Type: research

Predicting patient-level new-onset atrial fibrillation from population-based nationwide electronic health records: protocol of FIND-AF for developing a precision medicine prediction model using artificial intelligence
Introduction Atrial fibrillation (AF) is a major cardiovascular health problem: it is common, chronic and incurs substantial healthcare expenditure because of stroke. Oral anticoagulation reduces the risk of thromboembolic stroke in those at higher risk; but for a number of patients, stroke is the first manifestation of undetected AF. There is a rationale for the early diagnosis of AF, before the first complication occurs, but population-based screening is not recommended. Previous prediction models have been limited by their data sources and methodologies. An accurate model that uses existing routinely collected data is n...
Source: BMJ Open - November 2, 2021 Category: General Medicine Authors: Nadarajah, R., Wu, J., Frangi, A. F., Hogg, D., Cowan, C., Gale, C. Tags: Open access, Cardiovascular medicine Source Type: research

Risk factors associated with new-onset epilepsy in young adults: Population-based study
CONCLUSION: Brain neoplasms and stroke were the most prevalent risk factors associated with new-onset epilepsy in young adults. Furthermore, adult-onset IGE were common in our cohort. The majority of patients did not have any of conventional risk factors and probably specific genetic causes might become increasingly recognized in adult-onset epilepsies in the future.PMID:34678568 | DOI:10.1016/j.yebeh.2021.108353
Source: Epilepsy and Behaviour - October 22, 2021 Category: Neurology Authors: Marija Babunovska Bojan Boskovski Igor Kuzmanovski Nikolina Tanovska Gordana Kiteva Trencevska Emilija Cvetkovska Source Type: research

Cut-off values for anthropometric indices in predicting morbidity and mortality in Turkey: a cohort
ConclusionsThis cohort study in Turkey showed that having higher anthropometric measurements is mostly associated with higher CHD incidence and mostly lower mortality among older men. This association deserves further studies.Key messagesIn Turkey, higher anthropometric measurements are associated with higher coronary heart disease incidence in among participants.In Turkey, higher anthropometric measurements are mostly associated with lower all-cause mortality in older age-groups.
Source: The European Journal of Public Health - October 20, 2021 Category: General Medicine Source Type: research

Noncommunicable disease incidences in 2012-2017, Turkey
ConclusionsRegardless of the difficulties in comparing incidence of NCD with other countries, we think our results show that hypertension, diabetes, stroke and CHD have higher incidence than Western European countries. We also showed that these metrics can be obtained through data linkage of National Health Records for the first time in Turkey.Key messagesThe NCDs needs to be monitored by surveillance using the current data sources for health services.This data can provide very useful information regularly to monitor and control NCDs if necessary actions are taken to adjust data management.
Source: The European Journal of Public Health - October 20, 2021 Category: General Medicine Source Type: research

Application of Machine Learning Techniques to Identify Data Reliability and Factors Affecting Outcome After Stroke Using Electronic Administrative Records
Conclusion: Electronic administrative records from this cohort produced reliable outcome prediction and identified clinically appropriate factors negatively impacting most outcome variables following hospital admission with stroke. This presents a means of future identification of modifiable factors associated with patient discharge destination. This may potentially aid in patient selection for certain interventions and aid in better patient and clinician education regarding expected discharge outcomes.
Source: Frontiers in Neurology - September 27, 2021 Category: Neurology Source Type: research

Risk factors and treatment of oxygenator high-pressure excursions during cardiopulmonary bypass
CONCLUSIONS: Large body surface area, high hematocrit during CPB, previous stroke and acute surgery were independently associated with HPE. A treatment protocol including epoprostenol appears to be a safe option. Perioperative stroke rate was increased in HPE patients.PMID:34510993 | DOI:10.1177/02676591211043700
Source: Perfusion - September 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Anders Karl Hj ärpe Anders Jeppsson Lukas Lannemyr Martin Lindgren Source Type: research

Weight Change and the Onset of Cardiovascular Diseases: Emulating Trials Using Electronic Health Records
Conclusion: Among individuals with obesity, the weight-loss group had a lower risk of coronary heart disease but not of stroke. Weight gain was associated with increased risk of CVD across BMI groups. See video abstract at, http://links.lww.com/EDE/B838.
Source: Epidemiology - August 3, 2021 Category: Epidemiology Tags: Chronic Diseases Source Type: research