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  1. Article ; Online: PoCUS: Just because we can doesn't mean we should.

    Agarwal, Arnav / Lang, Eddy

    Academic emergency medicine : official journal of the Society for Academic Emergency Medicine

    2022  Volume 29, Issue 4, Page(s) 515–517

    Language English
    Publishing date 2022-03-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1329813-6
    ISSN 1553-2712 ; 1069-6563
    ISSN (online) 1553-2712
    ISSN 1069-6563
    DOI 10.1111/acem.14474
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4479: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article: Coronary artery bypass grafting in active or recent COVID-19 infection: a systematic review.

    Agarwal, Rajat / Mudgal, Shiv / Arnav, Amiy / Ranjan, Nishit

    Indian journal of thoracic and cardiovascular surgery

    2023  Volume 39, Issue 4, Page(s) 350–358

    Abstract: Introduction: Even though there have been few studies on coronary artery bypass grafting (CABG), data on patients with coronavirus disease-2019 (COVID-19) infection show that cardiac surgery has poor outcomes in this subset. From the available studies ... ...

    Abstract Introduction: Even though there have been few studies on coronary artery bypass grafting (CABG), data on patients with coronavirus disease-2019 (COVID-19) infection show that cardiac surgery has poor outcomes in this subset. From the available studies in the literature, we conducted a systematic review with the aim of determining the outcome of COVID-19 patients who underwent CABG.
    Methods: Between December 2019 and October 2022, searches were conducted in PubMed, the Directory of Open Access Journals, and Google Scholar to find studies reporting results of COVID-19 patients undergoing CABG. We extracted data on the clinical profile and outcomes of the patients from the eligible studies. The quality of the studies was assessed using a standardised tool.
    Results: The total sample size across the 12 included studies was 99 patients who underwent CABG in active disease or within 30 days of COVID-19 infection. The median and interquartile range (IQR) for the length of time spent on a mechanical ventilator, stay in the intensive care unit (ICU), and the total hospital stay were 0.9 (0.47-2), 4.5 (2.5-8), and 12.5 (8.5-22.5) days respectively. Seventy-six patients developed postoperative complications, and there were eleven deaths.
    Conclusion: The findings of the present study indicate that mortality risk goes down when the time between COVID-19 diagnosis and surgery increases. When compared to data from other high-risk urgent or emergent CABG patients around the world who were not infected with COVID-19, patients who underwent CABG in the COVID-19 subgroup had similar postoperative outcomes.
    Supplementary information: The online version contains supplementary material available at 10.1007/s12055-023-01495-7.
    Language English
    Publishing date 2023-03-09
    Publishing country India
    Document type Journal Article ; Review
    ZDB-ID 2164386-6
    ISSN 0973-7723 ; 0970-9134
    ISSN (online) 0973-7723
    ISSN 0970-9134
    DOI 10.1007/s12055-023-01495-7
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  3. Article: Predictors of Unilateral Arm Lymphedema in Non-obese Locoregionally Advanced Breast Cancer Patients Undergoing Neoadjuvant Chemotherapy, Modified Radical Mastectomy, and Postoperative Irradiation.

    Dwivedi, Surjeet / Arnav, Amiy / Agarwal, Varun Kumar / Deshpande, S K / Sharma, Rohit / Saidha, Naresh

    European journal of breast health

    2024  Volume 20, Issue 2, Page(s) 149–155

    Abstract: Objective: The most dreaded long-term complication of axillary lymph node dissection remains upper arm lymphedema. Our study has strategized the three most common identified causes of post treatment arm lymphedema, i.e., obesity, radiation, and ... ...

    Abstract Objective: The most dreaded long-term complication of axillary lymph node dissection remains upper arm lymphedema. Our study has strategized the three most common identified causes of post treatment arm lymphedema, i.e., obesity, radiation, and neoadjuvant chemotherapy and tried to identify the histopathological and clinical or surgical factors which can predict arm lymphedema.
    Materials and methods: This is a prospective observational study was conducted at a tertiary care referral centre in India, with strict inclusion criteria of BMI <30 kg/m
    Results: Total of 70 patients were included in the study. The mean age of the patients was 50.3 years (±12.9). lymphovascular invasion, total number of lymph nodes removed from level III, total number of days drain was left in situ and maximum drain output were found to be significantly (p<0.05) associated with arm lymphedema.
    Conclusion: In patients undergoing modified radical mastectomy with level III dissection, and postoperative irradiation, the incidence of unilateral arm lymphedema is significantly influenced by several clinicopathological factors like the total number of lymph nodes removed in level III, higher maximal drain output, prolonged duration of drain placement and the presence of lymphovascular invasion.
    Language English
    Publishing date 2024-04-01
    Publishing country Turkey
    Document type Journal Article
    ISSN 2587-0831
    ISSN 2587-0831
    DOI 10.4274/ejbh.galenos.2024.2024-1-11
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  4. Article ; Online: Web Exclusive. Annals Graphic Medicine - Last Human Contact in COVID-19.

    Gandhi, Pooja / Agarwal, Arnav

    Annals of internal medicine

    2021  Volume 174, Issue 6, Page(s) W58–W59

    Language English
    Publishing date 2021-06-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 336-0
    ISSN 1539-3704 ; 0003-4819
    ISSN (online) 1539-3704
    ISSN 0003-4819
    DOI 10.7326/G20-0090
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  5. Article ; Online: Sutureless valves versus aortic root enlargement for aortic valve replacement in small aortic annulus: A systematic review and pooled analysis.

    Agarwal, Rajat / Arnav, Amiy / Ranjan, Ashis / Mudgal, Shiv / Singh, Dharmendra

    Asian cardiovascular & thoracic annals

    2023  Volume 31, Issue 6, Page(s) 524–532

    Abstract: Background: Very few studies provide direct comparisons between aortic root enlargement and sutureless valve implantation in patients with a small aortic annulus who underwent aortic valve replacement. This study aims to provide comparative outcomes ... ...

    Abstract Background: Very few studies provide direct comparisons between aortic root enlargement and sutureless valve implantation in patients with a small aortic annulus who underwent aortic valve replacement. This study aims to provide comparative outcomes between the two in such a subset of patients, through a systematic review and pool analysis.
    Methods: The PubMed, Scopus and Embase databases were searched using the appropriate terms. The data from original articles mentioning aortic root enlargement and sutureless valves in a single or comparative study with another group of patients with a small aortic annulus were pooled and analyzed using descriptive statistics.
    Results: Both cardiopulmonary bypass (68.4 vs. 125.03 min,
    Conclusions: Sutureless valves demonstrated a comparable hemodynamic outcome with aortic root enlargement in patients with a small aortic annulus. In addition to this, it greatly facilitated minimally invasive surgery. However, the high incidence of pacemaker implantation is still a concern for the widespread recommendation of sutureless valves, especially in young patients with a small aortic annulus.
    MeSH term(s) Humans ; Aortic Valve/diagnostic imaging ; Aortic Valve/surgery ; Aortic Valve Stenosis/diagnostic imaging ; Aortic Valve Stenosis/surgery ; Aortic Valve Stenosis/etiology ; Heart Valve Prosthesis Implantation/adverse effects ; Aorta, Thoracic/surgery ; Treatment Outcome ; Heart Valve Prosthesis ; Bioprosthesis ; Prosthesis Design ; Retrospective Studies ; Sutureless Surgical Procedures/adverse effects
    Language English
    Publishing date 2023-07-07
    Publishing country England
    Document type Systematic Review ; Journal Article ; Review
    ZDB-ID 1400468-9
    ISSN 1816-5370 ; 0218-4923
    ISSN (online) 1816-5370
    ISSN 0218-4923
    DOI 10.1177/02184923231187055
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 5193: Show issues Location:
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  6. Article ; Online: Web Exclusive. Annals Graphic Medicine - More Than MD.

    Zhu, Annie / Agarwal, Arnav

    Annals of internal medicine

    2020  Volume 173, Issue 3, Page(s) W57–W58

    Language English
    Publishing date 2020-08-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 336-0
    ISSN 1539-3704 ; 0003-4819
    ISSN (online) 1539-3704
    ISSN 0003-4819
    DOI 10.7326/G19-0090
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    Ua VI Zs.178/2: Show issues Location:
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  7. Article ; Online: In healthy older adults, daily aspirin increased cancer mortality.

    Agarwal, Arnav / Holbrook, Anne M

    Annals of internal medicine

    2021  Volume 174, Issue 7, Page(s) JC74

    Abstract: Source citation: McNeil JJ, Gibbs P, Orchard SG, et al. ...

    Abstract Source citation: McNeil JJ, Gibbs P, Orchard SG, et al.
    MeSH term(s) Aged ; Aspirin/adverse effects ; Humans ; Incidence ; Neoplasms
    Chemical Substances Aspirin (R16CO5Y76E)
    Language English
    Publishing date 2021-07-06
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 336-0
    ISSN 1539-3704 ; 0003-4819
    ISSN (online) 1539-3704
    ISSN 0003-4819
    DOI 10.7326/ACPJ202107200-074
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    Ua VI Zs.178/2: Show issues Location:
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  8. Article ; Online: Fracture prediction tools in diabetes.

    Agarwal, Arnav / Leslie, William D

    Current opinion in endocrinology, diabetes, and obesity

    2022  Volume 29, Issue 4, Page(s) 326–332

    Abstract: Purpose of review: Type 1 (T1D) and 2 diabetes (T2D) are associated with increased risk of fracture independent of bone mineral density (BMD). Fracture risk prediction tools can identify individuals at highest risk, and therefore, most likely to benefit ...

    Abstract Purpose of review: Type 1 (T1D) and 2 diabetes (T2D) are associated with increased risk of fracture independent of bone mineral density (BMD). Fracture risk prediction tools can identify individuals at highest risk, and therefore, most likely to benefit from antifracture therapy. This review summarizes recent advances in fracture prediction tools as applied to individuals with diabetes.
    Recent findings: The Fracture Risk Assessment (FRAX) tool, Garvan Fracture Risk Calculator (FRC), and QFracture tool are validated tools for fracture risk prediction. FRAX is most widely used internationally, and considers T1D (but not T2D) under secondary osteoporosis disorders. FRAX underestimates fracture risk in both T1D and T2D. Trabecular bone score and other adjustments for T2D-associated risk improve FRAX-based estimations. Similar adjustments for T1D are not identified. Garvan FRC does not incorporate diabetes as an input but does includes falls. Garvan FRC slightly underestimates osteoporotic fracture risk in women with diabetes. QFracture incorporates both T1D and T2D and falls as input variables, but has not been directly validated in individuals with diabetes.
    Summary: Further research is needed to validate and compare available fracture prediction tools and their performance in individuals with diabetes.
    MeSH term(s) Bone Density ; Diabetes Mellitus, Type 1/complications ; Female ; Humans ; Osteoporosis/complications ; Osteoporosis/diagnosis ; Osteoporotic Fractures/etiology ; Risk Assessment ; Risk Factors
    Language English
    Publishing date 2022-06-24
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2272017-0
    ISSN 1752-2978 ; 1752-296X
    ISSN (online) 1752-2978
    ISSN 1752-296X
    DOI 10.1097/MED.0000000000000734
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    Se 1363: Show issues Location:
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  9. Article ; Online: Moving Beyond the Doctor's Perspective of the Patient's Perspective.

    Agarwal, Arnav / Skurka, Montana / Lefkowitz, Ariel

    Journal of general internal medicine

    2023  Volume 38, Issue 8, Page(s) 1962–1965

    Abstract: The emergence of narrative medicine has promoted reflective practices and story-telling as means of promoting compassion, building resiliency, and understanding the "patient" and "physician" as "persons." However, though some narrative medicine pieces ... ...

    Abstract The emergence of narrative medicine has promoted reflective practices and story-telling as means of promoting compassion, building resiliency, and understanding the "patient" and "physician" as "persons." However, though some narrative medicine pieces describe patients' experiences, the narrative of the patient is usually told by physicians, producing a second-hand facsimile of the patient's lived experience. Stories written by physicians may have their roots in patient encounters, but are filtered through the physician's, rather than the patient's, understanding of the world. This focus on patient stories told by physicians replicates traditional gaps in legitimacy between the voices of physicians and patients and maintains the locus of power with physicians and the health care system. This paper explores the ways in which well-meaning physicians aiming to elevate patients' stories frequently fall short, and what we can do to better elevate patients' voices on the wards, in clinics, and in the medical literature. Stories about patients are important to help clinicians and trainees develop and practice compassionate person-centered care; stories written by patients on topics and with orientations of their choosing are currently lacking, and, we argue, even more important.
    MeSH term(s) Humans ; Physician-Patient Relations ; Physicians ; Empathy ; Narration ; Patient-Centered Care
    Language English
    Publishing date 2023-03-21
    Publishing country United States
    Document type Editorial
    ZDB-ID 639008-0
    ISSN 1525-1497 ; 0884-8734
    ISSN (online) 1525-1497
    ISSN 0884-8734
    DOI 10.1007/s11606-023-08144-0
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  10. Article ; Online: Web Exclusive. Annals Graphic Medicine - More Than Suturing Wounds.

    Zhu, Annie / Agarwal, Arnav

    Annals of internal medicine

    2020  Volume 172, Issue 1, Page(s) W28

    Language English
    Publishing date 2020-01-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 336-0
    ISSN 1539-3704 ; 0003-4819
    ISSN (online) 1539-3704
    ISSN 0003-4819
    DOI 10.7326/G19-0063
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Ua VI Zs.178/2: Show issues Location:
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