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Full Text Journal Articles about
Pulmonary Embolism Clinical Scoring Systems

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Assessment of Acute Pulmonary Embolism by Computer-Aided Technique: A Reliability Study.

Zhen-Ting Sun, Fen-E Hao, You-Min Guo, Ai-Shi Liu, Lei Zhao,

BACKGROUND Acute pulmonary embolism is one of the most common cardiovascular diseases. Computer-aided technique is widely used in chest imaging, especially for assessing pulmonary embolism. The reliability and quantitative analyses of computer-aided technique are necessary. This study aimed to evaluate the reliability of geometry-based computer-aided detection and quantification for emboli ... Read more >>

Med. Sci. Monit. (Medical science monitor : international medical journal of experimental and clinical research)
[2020, 26:e920239]

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Thromboembolic, cardiovascular and overall mortality risks of aromatase inhibitors, compared with tamoxifen treatment: an outpatient-register-based retrospective cohort study.

Marta Pineda-Moncusí, Natalia Garcia-Giralt, Adolfo Diez-Perez, Ignasi Tusquets, Sonia Servitja, Joan Albanell, Daniel Prieto-Alhambra, Xavier Nogués,

Background:Tamoxifen (TAM) and aromatase inhibitor (AI) therapies have been associated with increased risk of thromboembolic and cardiovascular events, respectively, in addition to other side effects. This study analysed the risk of these events and the overall survival (OS) benefit in breast cancer patients treated with AI, compared with TAM-treated patients, ... Read more >>

(Therapeutic Advances in Medical Oncology)
[2020, 12:]

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Thromboembolic, cardiovascular and overall mortality risks of aromatase inhibitors, compared with tamoxifen treatment: an outpatient-register-based retrospective cohort study.

Marta Pineda-Moncusí, Natalia Garcia-Giralt, Adolfo Diez-Perez, Ignasi Tusquets, Sonia Servitja, Joan Albanell, Daniel Prieto-Alhambra, Xavier Nogués,

Background:Tamoxifen (TAM) and aromatase inhibitor (AI) therapies have been associated with increased risk of thromboembolic and cardiovascular events, respectively, in addition to other side effects. This study analysed the risk of these events and the overall survival (OS) benefit in breast cancer patients treated with AI, compared with TAM-treated patients, ... Read more >>

Ther Adv Med Oncol (Therapeutic advances in medical oncology)
[2020, 12:1758835920909660]

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Percutaneous Thrombectomy in Emergency Department Patients with Pulmonary Embolism: The FLARE ED Sub-study.

Wissam A Jaber, Christopher Kabrhel, Kenneth Rosenfield, Thomas Tu, Kenneth Ouriel, Victor F Tapson,

BACKGROUND:The FlowTriever Pulmonary Embolectomy Clinical Study (FLARE) was a multicenter, single-arm trial that demonstrated effectiveness of the FlowTriever percutaneous pulmonary embolectomy system in reducing right ventricular/left ventricular (RV/LV) diameter ratio in patients with acute intermediate-risk pulmonary embolism (PE). Patients diagnosed in emergency departments (EDs) with acute PE may have a ... Read more >>

J Emerg Med (The Journal of emergency medicine)
[2020, :]

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Provider Perspectives on the Use of Evidence-based Risk Stratification Tools in the Evaluation of Pulmonary Embolism: A Qualitative Study.

Lauren M Westafer, Ashley Kunz, Patrycja Bugajska, Amber Hughes, Kathleen M Mazor, Elizabeth M Schoenfeld, Mihaela S Stefan, Peter K Lindenauer,

OBJECTIVES:Providers often pursue imaging in patients at low risk of pulmonary embolism (PE), resulting in imaging yields <10% and false-positive imaging rates of 10% to 25%. Attempts to curb overtesting have had only modest success and no interventions have used implementation science frameworks. The objective of this study was to ... Read more >>

Acad Emerg Med (Academic emergency medicine : official journal of the Society for Academic Emergency Medicine)
[2020, :]

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Prediction of venous thromboembolism using clinical and serum biomarker data from a military cohort of trauma patients.

Matthew Bradley, A Shi, V Khatri, S Schobel, E Silvius, A Kirk, T Buchman, J Oh, E Elster,

INTRODUCTION:Venous thromboembolism (VTE) is a frequent complication of trauma associated with high mortality and morbidity. Clinicians lack appropriate tools for stratifying trauma patients for VTE, thus have yet to be able to predict when to intervene. We aimed to compare random forest (RF) and logistic regression (LR) predictive modelling for ... Read more >>

BMJ Mil Health (BMJ military health)
[2020, :]

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The combined use of end-tidal carbon dioxide and alveolar dead space fraction values in the diagnosis of pulmonary embolism.

Ziba Songur Yücel, Nalan Metin Aksu, Meltem Akkaş,

BACKGROUND:Several studies have reported that computed tomography pulmonary angiography is the best method for diagnosing pulmonary embolism (PE). This study, however, aimed to predict or exclude PE using the end-tidal carbon dioxide (ETCO2) value and alveolar dead space fraction (AVDSf) together. METHODS AND MATERIALS:One-hundred patients were included in the present ... Read more >>

Pulmonology (Pulmonology)
[2020, :]

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Comparing the 5-Year Diabetes Outcomes of Sleeve Gastrectomy and Gastric Bypass: The National Patient-Centered Clinical Research Network (PCORNet) Bariatric Study.

Kathleen M McTigue, Robert Wellman, Elizabeth Nauman, Jane Anau, R Yates Coley, Alberto Odor, Julie Tice, Karen J Coleman, Anita Courcoulas, Roy E Pardee, Sengwee Toh, Cheri D Janning, Neely Williams, Andrea Cook, Jessica L Sturtevant, Casie Horgan, David Arterburn, ,

Importance:Bariatric surgery can lead to substantial improvements in type 2 diabetes (T2DM), but outcomes vary across procedures and populations. It is unclear which bariatric procedure has the most benefits for patients with T2DM. Objective:To evaluate associations of bariatric surgery with T2DM outcomes. Design, Setting, and Participants:This cohort study was conducted ... Read more >>

JAMA Surg (JAMA surgery)
[2020, :e200087]

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Cancer Screening in Patients with Unprovoked Thromboembolism: How to do it and Who Benefits?

Filipa Ferreira, José Pereira, Ana Lynce, José Nunes Marques, Ana Martins,

INTRODUCTION:Unprovoked venous thromboembolism (uVTE) may be the first manifestation of cancer. The main objectives of this study were to compare limited screening (LS) and extended screening (ES) and to make a protocol to approach these patients. METHODS:This is a retrospective, unicentric observational study that included 245 patients with venous thromboembolism (VTE) admitted ... Read more >>

Cureus (Cureus)
[2020, 12(2):e6934]

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Psoas Muscle Area Measured with Computed Tomography at Admission to Intensive Care Unit: Prediction of In-Hospital Mortality in Patients with Pulmonary Embolism.

Ibrahim Akkoc, Mehmet Toptas, Mazhar Yalcin, Eren Demir, Yasar Toptas,

Aim:Sarcopenia, a core component of physical frailty, is an independent risk factor for suboptimal health outcomes in hospitalized patients, especially in the intensive care patients. Psoas muscle areas can be assessed to identify sarcopenia. The aim of this study was to determine the prognostic value of psoas muscle area measured ... Read more >>

Biomed Res Int (BioMed research international)
[2020, 2020:1586707]

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Advances in the diagnosis of acute pulmonary embolism.

Ella Ishaaya, Victor F Tapson,

Venous thromboembolism is a common disease which remains underdiagnosed because of nonspecific presentations which can range from asymptomatic incidental imaging findings to sudden death. Symptoms can overlap with comorbid cardiopulmonary disease, and risk factors that offer clues to the clinician are not always present. The diagnostic approach can vary depending ... Read more >>

F1000Res (F1000Research)
[2020, 9:]

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Higher Imaging Yield When Clinical Decision Support Is Used.

Safiya Richardson, Stuart Cohen, Sundas Khan, Meng Zhang, Guang Qiu, Michael I Oppenheim, Thomas McGinn,

OBJECTIVE:Increased utilization of CT pulmonary angiography (CTPA) for the evaluation of pulmonary embolism has been associated with decreasing diagnostic yields and rising concerns about the harms of unnecessary testing. The objective of this study was to determine whether clinical decision support (CDS) use would be associated with increased imaging yields ... Read more >>

J Am Coll Radiol (Journal of the American College of Radiology : JACR)
[2019, :]

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Prognosis and risk factors in older patients with lung cancer and pulmonary embolism: a propensity score matching analysis.

Liu Junjun, Wang Pei, Yan Ying, Song Kui,

Older patients, especially those with malignancy, may have an increased risk of pulmonary embolism (PE). However, few studies have evaluated the clinical characteristics and prognosis of older patients. We evaluated the clinical characteristics, prognosis, and risk factors in older patients with lung cancer complicated with PE. This was a single-center, ... Read more >>

Sci Rep (Scientific reports)
[2020, 10(1):1272]

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Pregnancy-adapted YEARS algorithm: can YEARS do more for pregnant women?

Aleksandar Bokan, Jovan Matijasevic, Jadranka Vucicevic Trobok,

Pregnancy-adapted YEARS algorithm provides high certainty in ruling out pulmonary embolism and high efficiency in reducing the need for CTPA http://bit.ly/2GgH4sv. ... Read more >>

Breathe (Sheff) (Breathe (Sheffield, England))
[2020, 16(1):190307]

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Effects of Hypoxic and Ischemic Clinical Conditions on the Outcomes of Acute Ischemic Stroke Patients.

Umeshkumar Athiraman, Rene Tempelhoff, Menelaos Karanikolas,

Background:Several studies have shown the neuroprotective role afforded by hypoxic and ischemic preconditioning in cerebrovascular disorders. There are several clinical conditions which simulate the hypoxic and ischemic conditioning in humans. The aim of this retrospective study is to identify whether the presence of any clinical scenarios mimicking the hypoxic and ... Read more >>

Indian J Crit Care Med (Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine)
[2020, 24(2):104-108]

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Long-Term Outcome of Thrombolytic Therapy for Massive Pulmonary Embolism in Pregnancy.

Sy Van Hoang, Anh Tuan Vo, Kha Minh Nguyen,

A 25-year-old pregnant woman presented at 12 weeks of gestation with syncope and shortness of breath caused by massive pulmonary embolism. Due to persistent shock, fibrinolytic therapy with rtPA was administered. After fibrinolysis, clinical and hemodynamic response was excellent. No bleeding and fetal complications were recorded. ... Read more >>

Case Rep Cardiol (Case reports in cardiology)
[2020, 2020:9153618]

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The Prognostic Role of Procalcitonin in Critically Ill Patients Admitted in a Medical Stepdown Unit: A Retrospective Cohort Study.

Vincenzo Zaccone, Lorenzo Falsetti, Cinzia Nitti, Tamira Gentili, Annalisa Marchetti, Maria Novella Piersantelli, Mattia Sampaolesi, Francesca Riccomi, Alessia Raponi, Aldo Salvi,

Procalcitonin (PCT) is a a marker of bacterial infection. Its prognostic role in the critically-ill patient, however, is still object of debate. Aim of this study was to evaluate the capacity of admission PCT (aPCT) in assessing the prognosis of the critically-ill patient regardless the presence of bacterial infection. A ... Read more >>

Sci Rep (Scientific reports)
[2020, 10(1):4531]

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Anesthetic Agents and Cardiovascular Outcomes of Noncardiac Surgery after Coronary Stent Insertion.

Hyun-Kyu Yoon, Kwanghoon Jun, Sun-Kyung Park, Sang-Hwan Ji, Young-Eun Jang, Seokha Yoo, Jin-Tae Kim, Won Ho Kim,

Patients undergoing noncardiac surgery after coronary stent implantation are at an increased risk of thrombotic complications. Volatile anesthetics are reported to have organ-protective effects against ischemic injury. Propofol has an anti-inflammatory action that can mitigate ischemia-reperfusion injury. However, the association between anesthetic agents and the risk of major adverse cardiovascular ... Read more >>

J Clin Med (Journal of clinical medicine)
[2020, 9(2):]

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Transvenous Lead Extraction SAFeTY Score for Risk Stratification and Proper Patient Selection for Removal Procedures Using Mechanical Tools.

Wojciech Jacheć, Anna Polewczyk, Maciej Polewczyk, Andrzej Tomasik, Andrzej Kutarski,

BACKGROUND:To ensure the safety and efficacy of the increasing number of transvenous lead extractions (TLEs), it is necessary to adequately assess the procedure-related risk. METHODS:We analyzed potential clinical and procedural risk factors associated with 2049 TLE procedures. The TLEs were performed between 2006 and 2016 using only simple tools for ... Read more >>

J Clin Med (Journal of clinical medicine)
[2020, 9(2):]

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Network meta-analysis to compare VenaSeal with other superficial venous therapies for chronic venous insufficiency.

Raghu Kolluri, Janice Chung, Sue Kim, Nibir Nath, Bhoomika Bajaj Bhalla, Tarun Jain, Joseph Zygmunt, Alun Davies,

OBJECTIVE:Several randomized controlled trials (RCTs) have compared different interventions for chronic venous insufficiency (CVI) management, but mixed comparison of these interventions is lacking. The aim of this network meta-analysis was to compare VenaSeal closure system (Medtronic, Minneapolis, Minn) with endovenous laser ablation (EVLA), radiofrequency ablation (RFA), mechanochemical ablation, sclerotherapy, and ... Read more >>

J Vasc Surg Venous Lymphat Disord (Journal of vascular surgery. Venous and lymphatic disorders)
[2020, :]

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Application of the respiratory "critical care-sub-critical care-rehabilitation integrated management model" in severe stroke associated pneumonia.

Xue-Lin Wang, Li-Jun Ma, Xin-Gang Hu, Kai Wang, Jian-Jian Cheng,

BACKGROUND:This study aimed to explore the feasibility of applying the respiratory "critical care-sub-critical care-rehabilitation integrated management model" in severe stroke-associated pneumonia and evaluate its effect. METHODS:From January to September 2018, 24 patients with severe stroke-associated pneumonia, who were admitted to the Respiratory Intensive Care Unit of the Respiratory and Critical ... Read more >>

BMC Pulm Med (BMC pulmonary medicine)
[2020, 20(1):61]

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Effect of Beta-blockers on Tachycardia in Patients with Pulmonary Embolism.

Hafiz M Aslam, Hafiz S Naeem, Swati Prabhakar, Talha Awwal, Muhammad Khalid, Anand Kaji,

Hypothesis Beta-blockers (BBs) lower the heart rate, which may mask the diagnosis of pulmonary embolism (PE) since one of the main clinical diagnoses of PE is tachycardia. The endpoint of our retrospective study is to determine if the pre-existing use of (BB) significantly affects the utility of these scoring criteria in ... Read more >>

Cureus (Cureus)
[2019, 11(12):e6512]

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Vitamin K Concentration and Cognitive Status in Elderly Patients on Anticoagulant Therapy: A Pilot Study.

Ludovico Alisi, Clodomiro Cafolla, Alessandra Gentili, Sara Tartaglione, Roberta Curini, Arturo Cafolla,

Objectives:Recent studies have suggested that vitamin K may exert significant effects on the central nervous system. The present study investigates the relationship between vitamin K plasmatic levels and cognitive functions in elderly patients on oral anticoagulant therapy (OAT). Design:At the Thrombosis Centre of Haematology, "Sapienza" University of Rome, 85 patients ... Read more >>

J Aging Res (Journal of aging research)
[2020, 2020:9695324]

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A novel extramedullary technique to guide femoral bone preparation in mobile unicompartmental knee arthroplasty based on tibial cut and overall alignment.

Qidong Zhang, Weiguo Wang, Zhaohui Liu, Debo Yue, Liming Cheng, Bailiang Wang, Wanshou Guo,

BACKGROUND:The mobile Oxford unicompartmental knee arthroplasty (UKA) implant has been widely used with an intramedullary guide for femoral preparation. We modified the femoral guide technique based on the tibial cut first and spacer block technique. This study was performed to determine the radiographic accuracy and early clinical outcomes of the ... Read more >>

J Orthop Surg Res (Journal of orthopaedic surgery and research)
[2020, 15(1):92]

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Cemented versus uncemented hemi-arthroplasty for femoral neck fractures in elderly patients: A systematic review and meta-analysis of randomized controlled trials.

Na Li, Lei Zhong, Chang Wang, Meng Xu, Wei Li,

AIM:To compare the efficacy and safety of cemented and uncemented hemiarthroplasty in elderly patients with femoral neck fracture. MATERIALS AND METHODS:We searched PubMed, EMBASE, and Cochrane Library databases for published randomized clinical trials comparing cemented hemiarthroplasty with uncemented hemiarthroplasty in elderly patients with a femoral neck fracture. The search was ... Read more >>

Medicine (Baltimore) (Medicine)
[2020, 99(8):e19039]

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