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Management: Electronic Medical Records (EMR)

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Total 329 results found since Jan 2013.

Use of an Automated Suture Fastening Device in Minimally Invasive Aortic Valve Replacement
Conclusions In mAVR, the CK device was associated with reduced aortic cross-clamp time while providing equivalent clinical outcomes. Larger studies are needed to confirm the efficacy, safety, and cost-effectiveness of the CK device in minimally invasive aortic valve surgery.
Source: The Annals of Thoracic Surgery - June 22, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

CBN: Constructing a Clinical Bayesian Network based on Data from the Electronic Medical Record
Publication date: Available online 3 November 2018Source: Journal of Biomedical InformaticsAuthor(s): Ying Shen, Lizhu Zhang, Jin Zhang, Min Yang, Buzhou Tang, Yaliang Li, Kai LeiAbstractThe process of learning candidate causal relationships involving diseases and symptoms from electronic medical records (EMRs) is the first step towards learning models that perform diagnostic inference directly from real healthcare data. However, the existing diagnostic inference systems rely on knowledge bases such as ontology that are manually compiled through a labour-intensive process or automatically derived using simple pairwise stat...
Source: Journal of Biomedical Informatics - November 4, 2018 Category: Information Technology Source Type: research

Clinical, Laboratory, and Genetic Risk Factors for Thrombosis in Sickle Cell Disease
In conclusion, thrombotic events are common, occurring in 18% of SCD patients over a 10-year follow-up period. HbSS/Sβ0-thalassemia, frequent hospitalizations, kidney disease, and higher systolic blood pressures and AST concentrations were risk factors for thrombosis. Genome-wide marker array analysis points to a potential role of thrombomodulin in SCD-related thrombotic events based on replicated risk variants in THBD. Future studies integrating clinical, laboratory and genetic risk factors may improve our understanding for thrombosis and guide intervention practices in SCD.DisclosuresNo relevant conflicts of interest to declare.
Source: Blood - November 21, 2018 Category: Hematology Authors: Srisuwananukorn, A., Raslan, R., Zhang, X., Shah, B. N., Han, J., Gowhari, M., Jain, S., Molokie, R. E., Gordeuk, V. R., Saraf, S. L. Tags: 114. Hemoglobinopathies, Excluding Thalassemia-Clinical: Organ Damage and Clinical Complications in Sickle Cell Disease Source Type: research

New-Onset Geriatric Epilepsy in China: A Single-Center Study.
Conclusions: Autoimmune encephalitis is becoming an increasing risk factor of subsequent epilepsy in older people. Older patients with new epilepsy are more likely to respond to antiepileptic drugs, and drug-resistant epilepsy is uncommon. PMID: 30539903 [PubMed - in process]
Source: Chinese Medical Journal - December 14, 2018 Category: General Medicine Authors: Chen JH, Zhou XQ, Lu Q, Jin LR, Huang Y Tags: Chin Med J (Engl) Source Type: research

Comprehensive risk factor evaluation of postoperative delirium following major surgery: clinical data warehouse analysis
ConclusionsBig data analytics could be applied to evaluate RFs in electronic medical records. We identified common RFs of POD, regardless of operation type. Big data analytics may be helpful for the comprehensive understanding of POD RFs, which can help physicians develop a general plan to prevent POD.
Source: Neurological Sciences - January 24, 2019 Category: Neurology Source Type: research

Cardiovascular Risk in Mild to Moderately Decreased Glomerular Filtration Rate, Diabetes and Coronary Heart Disease in a Southern European Region
ConclusionsIn 60- to 84-year-olds with eGFR = 30-59, similarly to DM, the likelihood of being admitted to hospital for CHD and CVD was about half that of individuals with established CHD. Thus, eGFR = 30-59 does not appear to be a coronary-risk equivalent. Individuals with CHD and DM, or eGFR = 30-59 plus DM, should be prioritized for more intensive risk management.ResumenIntroducción y objetivosSe considera que los individuos con disminución leve-moderada de la tasa de filtrado glomerular estimada (TFGe, 30-59 ml/min/1,73 m2) están en alto riesgo de enfermedad cardiovascular (ECV). ...
Source: Revista Espanola de Cardiologia - January 30, 2019 Category: Cardiology Source Type: research

Timing of Decompressive Craniectomy for Malignant Middle Cerebral Artery Infarction: A Single-Center Analysis.
Conclusion: Our findings support that DC had satisfying outcomes in patients who underwent DC within 24 h. Older age and lower Glasgow Coma Scale scores among DC patients with MMCAI are associated with high morbidity and mortality. PMID: 30704138 [PubMed - in process]
Source: Medicina (Kaunas) - January 30, 2019 Category: Universities & Medical Training Authors: Kilic M, Ertem DH, Ozdemir B Tags: Medicina (Kaunas) Source Type: research

Factors associated with hospitalization for community-acquired pneumonia in home health care patients in Taiwan.
CONCLUSIONS: Our results revealed risk factors associated with hospitalization for CAP in HHC patients. In addition to chronic diseases, malnutrition is an important risk factor. Caregivers should make prompt assessments and take preventive measures for such patients. PMID: 30877643 [PubMed - as supplied by publisher]
Source: Aging Clinical and Experimental Research - March 13, 2019 Category: Geriatrics Authors: Lin CJ, Chang YC, Tsou MT, Chan HL, Chen YJ, Hwang LC Tags: Aging Clin Exp Res Source Type: research

Psychosis Polyrisk Score (PPS) for the Detection of Individuals At-Risk and the Prediction of Their Outcomes
Conclusions The combination of risk/protective factors encompassing genetic (PRS) and non-genetic information (PPS) holds promise for overcoming the epidemiological weakness of the CHR-P paradigm. The PPS conceptually and empirically developed here will facilitate future research in this field and hopefully advance our ability to detect individuals at-risk for psychosis and forecast their clinical outcomes. Ethics Statement This study was supported by the King's College London Confidence in Concept award from the Medical Research Council (MRC) (MC_PC_16048) to PF-P. This study also represents independent researc...
Source: Frontiers in Psychiatry - April 16, 2019 Category: Psychiatry Source Type: research

The Predictive Capacity of the Buffalo Concussion Treadmill Test After Sport-Related Concussion in Adolescents
Conclusion This study found that the ΔHR (HRt minus resting HR) correlated with duration of clinical recovery in participants who were prescribed relative rest or a placebo-stretching program but not for participants prescribed sub-threshold aerobic exercise. A ΔHR of ≤50 bpm on the BCTT was 73% sensitive and 78% specific for predicting delayed recovery in concussed adolescents prescribed the current standard of care (i.e., cognitive and physical rest). This has implications for planning team and school activities in adolescents who sustain SRC. Ethics Statement This study was carried out in acco...
Source: Frontiers in Neurology - April 23, 2019 Category: Neurology Source Type: research

Early signatures of bleeding and mortality in patients on left ventricular assist device support: novel methods for personalized risk-stratification.
CONCLUSIONS: Early trends in routine bloodwork and platelet function may serve as novel signatures of patients at risk to experience adverse events. PMID: 31055944 [PubMed - as supplied by publisher]
Source: Biomarkers - May 6, 2019 Category: Research Tags: Biomarkers Source Type: research

Neuro-arrhythmology: a challenging field of action and research: a review from the Task Force of Neuro-arrhythmology of Italian Association of Arrhythmias and Cardiac Pacing
There is a growing interest in the study of the mechanisms of heart and brain interactions with the aim to improve the management of high-impact cardiac rhythm disorders, first of all atrial fibrillation. However, there are several topics to which the scientific interests of cardiologists and neurologists converge constituting the basis for enhancing the development of neuro-arrhythmology. This multidisciplinary field should cover a wide spectrum of diseases, even beyond the classical framework corresponding to stroke and atrial fibrillation and include the complex issues of seizures as well as loss of consciousness and sy...
Source: Journal of Cardiovascular Medicine - October 7, 2019 Category: Cardiology Tags: Review Source Type: research

Emergency room diagnoses of psychogenic nonepileptic seizures with psychogenic status and functional (psychogenic) symptoms: Whopping
Publication date: March 2020Source: Epilepsy & Behavior, Volume 104, Part AAuthor(s): Helene Kholi, Laurent VercueilAbstractCollecting 130 electronic medical records and diagnoses from emergency room stays of eleven patients with confirmed psychogenic nonepileptic seizure (PNES) over a 17-year period (2001–2018), 48 different diagnostic terms were retrieved. This emphasized the need for a consensual terminology encompassing not only PNES but also all functional transient (paroxysmal) events, including episodes of motor or sensory deficits, and cognitive symptoms. Rather than defining what it is not (PNES, stroke mimicksâ...
Source: Epilepsy and Behavior - January 24, 2020 Category: Neurology Source Type: research