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Total 2169 results found since Jan 2013.

Doctors Should Play a Role in Preventing Climate-change-related Health Matters
A 5-year-old with second-degree burns on their hands and thighs after playing on a playground with a metal structure in direct sunlight. A 7-year-old child presenting with altered mental status and a body temperature of 104 degrees, whose family tried to get to an air-conditioned library but couldn’t because the power cables for the bus had melted. A 17-year-old receiving follow-up, gender-affirming care who is struggling to keep their estrogen patch on because it’s been sweating off in a heat wave. Presenters from Seattle Children’s Hospital at Pediatric Hospital Medicine 2022 offered these examples of how climate-c...
Source: The Hospitalist - February 1, 2023 Category: Hospital Management Authors: Ronda Whitaker Tags: PHM22 Quality Improvement Source Type: research

IJERPH, Vol. 20, Pages 2488: Association between Prehospital Visits and Poor Health Outcomes in Korean Acute Stroke Patients: A National Health Insurance Claims Data Study
This study aimed to determine whether prehospital visits to other medical institutions before admission are associated with prolonged hospital stay, readmission, or mortality rates in acute stroke patients. Using the claims data from the Korean Health Insurance Service, a cross-sectional study was conducted on 58,418 newly diagnosed stroke patients aged ≥ 20 years from 1 January 2019 to 31 December 2019. Extended hospital stay (≥7 days; median value) following initial admission, readmission within 180 days after discharge, and all-cause mortality within 30 days were measured as health outcomes using m...
Source: International Journal of Environmental Research and Public Health - January 31, 2023 Category: Environmental Health Authors: Jinyoung Shin Hyeongsu Kim Youngtaek Kim Jusun Moon Jeehye Lee Sungwon Jung Rahil Hwang Mi Young Kim Tags: Article Source Type: research

Long-term stroke and major bleeding risk in patients with non-valvular atrial fibrillation: A comparative analysis between non-vitamin K antagonist oral anticoagulants and warfarin using a clinical data warehouse
ConclusionsIn this CDW based study, NOACs are more effective and safer than warfarin in patients with AF even with long-term follow-up. NOACs should be used to prevent ischemic stroke in patients with AF
Source: Frontiers in Neurology - January 26, 2023 Category: Neurology Source Type: research

Association between dietary inflammatory index and atherosclerosis cardiovascular disease in U.S. adults
CONCLUSION: Our study revealed a positive and non-linearly association between DII and ASCVD in U.S. adults. This relationship was more pronounced in females. The findings provide a reference for future research and diet recommendations.PMID:36687707 | PMC:PMC9849765 | DOI:10.3389/fnut.2022.1044329
Source: Atherosclerosis - January 23, 2023 Category: Cardiology Authors: Jie Zhang Jundi Jia Runmin Lai Xinyi Wang Xuanye Chen Wende Tian Qiyu Liu Jingen Li Jianqing Ju Hao Xu Source Type: research

IJERPH, Vol. 20, Pages 1690: Acupuncture Is Effective at Reducing the Risk of Stroke in Patients with Migraines: A Real-World, Large-Scale Cohort Study with 19-Years of Follow-Up
This study explored the long-term effects of acupuncture treatment on stroke risk in migraineurs using national real-world data. We collected new migraine patients from the Taiwan National Health Insurance Research Database (NHIRD) from 1 January 2000 to 31 December 2017. Using 1:1 propensity-score matching, we assigned patients to either an acupuncture or non-acupuncture cohort and followed up until the end of 2018. The incidence of stroke in the two cohorts was compared using the Cox proportional hazards regression analysis. Each cohort was composed of 1354 newly diagnosed migraineurs with similar baseline characteristic...
Source: International Journal of Environmental Research and Public Health - January 17, 2023 Category: Environmental Health Authors: Chung-Chih Liao Chi-Hsien Chien Ying-Hsiu Shih Fuu-Jen Tsai Jung-Miao Li Tags: Article Source Type: research

IJERPH, Vol. 20, Pages 1419: Efficacy and Cost over 12 Hospitalization Weeks of Postacute Care for Stroke
eh-Ting Yeh Few studies have investigated changes in functional outcomes and economic burden in patients in the postacute care cerebrovascular disease (PAC-CVD) program. We, for the first time, retrospectively investigated changes in functional performance and the national health insurance (NHI) cost over 12 PAC-CVD hospitalization weeks and evaluated the therapeutic effects of the PAC-CVD program on the NHI cost. Specifically, the functional outcomes and NHI cost of 263 stroke patients in the PAC-CVD program were analyzed. The repeated measures t test was used to compare functional performance over 0–3 w...
Source: International Journal of Environmental Research and Public Health - January 12, 2023 Category: Environmental Health Authors: Hsiang-Yun Chou Ya-Wen Tsai Shang-Chun Ma Shang-Min Ma Chia-Li Shih Chieh-Ting Yeh Tags: Article Source Type: research

Associations Between Korean Coronary Heart Disease Risk Score and Cognitive Function in Dementia-Free Korean Older Adults
CONCLUSION: Individuals with high cardiovascular risk were associated with poorer cognitive function than those with low risk, especially older women. Cardiovascular risk factors should be carefully managed to promote healthy mental aging in dementia-free elderly individuals.PMID:36625173 | DOI:10.3346/jkms.2023.38.e11
Source: J Korean Med Sci - January 10, 2023 Category: General Medicine Authors: Hanbit Mun Jae-Yong Shim Heejin Kimm Hee-Cheol Kang Source Type: research

Cost-Effectiveness of SAPIEN  3 Transcatheter Aortic Valve Implantation Versus Surgical Aortic Valve Replacement in German Severe Aortic Stenosis Patients at Low Surgical Mortality Risk
ConclusionsTAVI with SAPIEN  3 appears to be a clinically meaningful, cost-effective treatment option over SAVR for patients with severe symptomatic aortic stenosis and low risk for surgical mortality in Germany.Clinical Trial Registration Numberwww.clinicaltrials.gov identifier: NCT02675114.
Source: Advances in Therapy - January 9, 2023 Category: Drugs & Pharmacology Source Type: research

IJERPH, Vol. 20, Pages 842: Increased Risk of Developing Depression in Disability after Stroke: A Korean Nationwide Study
This study demonstrated an increased risk of developing depression in stroke survivors compared to control subjects, and a higher risk of depression was associated with a more severe degree of disability. Clinicians should be aware of the risk of depression developing in stroke survivors, especially those with disabilities.
Source: International Journal of Environmental Research and Public Health - January 2, 2023 Category: Environmental Health Authors: Hea Lim Choi Kyojin Yang Kyungdo Han Bongsung Kim Won Hyuk Chang Soonwook Kwon Wonyoung Jung Jung Eun Yoo Hong Jin Jeon Dong Wook Shin Tags: Article Source Type: research

Vitamin-K-antagonist phenprocoumon versus direct oral anticoagulants in patients with atrial fibrillation: a real-world analysis of German claims data
Conclusions The small superiority or non-inferiority of DOACs over warfarin seen in the RCTs might not translate into relevant advantages of DOACs over phenprocoumon. To confirm the hypothesis, an RCT with phenprocoumon is needed. Next to the safety and effectiveness assessments other factors might also play a substantial role in the decision on the right OAC for stroke prevention.
Source: BMJ Open - January 2, 2023 Category: General Medicine Authors: Warkentin, L., Klohn, F., Deiters, B., Kühlein, T., Hueber, S. Tags: Open access, Pharmacology and therapeutics Source Type: research