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  1. Article ; Online: The Role of Religious and Spiritual Aid in Quarantine Hospitalization Due To SARS-CoV-2.

    Mader, Einat / Segal, Yosef I / Dori, Guy

    Journal of the Academy of Consultation-Liaison Psychiatry

    2021  Volume 62, Issue 2, Page(s) 260–261

    MeSH term(s) COVID-19/psychology ; Hospitalization ; Humans ; Judaism ; Quarantine/psychology ; SARS-CoV-2 ; Spirituality
    Language English
    Publishing date 2021-01-11
    Publishing country Netherlands
    Document type Letter
    ISSN 2667-2960
    ISSN (online) 2667-2960
    DOI 10.1016/j.jaclp.2020.11.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Profile trends of non-COVID patients admitted to the cardiac intensive care unit during the 2020 COVID pandemic.

    Koren, Ofir / Shachar, Moriah / Shahar, Amit / Barbour, Mohammad / Rozner, Ehud / Benhamou, Daniel / Rosenberg, Alisa Leeds / Turgeman, Yoav / Naami, Robert / Naami, Edmund / Mader, Einat / Rajab, Saleem Abu

    The American journal of the medical sciences

    2022  Volume 364, Issue 2, Page(s) 168–175

    Abstract: Background: During the COVID-19 outbreak, numerous reports indicated a higher mortality rate among cardiovascular patients. We investigated how this trend applied to patients admitted to the cardiac intensive care unit (CICU).: Methods: We ... ...

    Abstract Background: During the COVID-19 outbreak, numerous reports indicated a higher mortality rate among cardiovascular patients. We investigated how this trend applied to patients admitted to the cardiac intensive care unit (CICU).
    Methods: We retrospectively compared CICU patients admitted during the initial peak of the COVID outbreak between February and May 2020 (Covid Era, CE group) to a control group in pre-pandemic time in 2019. We interviewed patients to determine the symptom onset time and the time interval between symptomology and hospital arrival.
    Results: The data of 292 patients were used in the analysis (119 patients in the CE group and 173 in the control group). CE patients had a higher incidence of ischemic heart disease (IHD) (p<.03), heart failure (p<.04), and psychiatric disorders (p<.001). During COVID time, more patients were hospitalized with myocarditis (OR: 26.45), arrhythmias (OR: 2.88), and new heart failure (HF) (p<.001) and less with STEMI (OR: 0.39; 95% CI: 0.24-0.63). Fewer PCIs were performed in the CE group (p<.001), with an overall lower success rate (p<.05) than reported in the control group. Patients in the CE group reported a longer period between symptom onset to hospital arrival (p<.001, χ2 = 12.42). The six-month survival rate was significantly lower in CE patients (χ2 = 7.01, P = 0.008).
    Conclusions: Among CICU patients admitted to our center during the initial period of the COVID pandemic, STEMI events were less frequent while cases of newly diagnosed HF sharply increased. Patients waited longer after symptom onset before seeking medical care during the pandemic. The delay may have resulted in clinical deterioration that could explain the high mortality rate and the new HF admission rate.
    MeSH term(s) COVID-19/epidemiology ; Heart Failure/epidemiology ; Hospital Mortality ; Humans ; Intensive Care Units ; Pandemics ; Retrospective Studies ; ST Elevation Myocardial Infarction
    Language English
    Publishing date 2022-02-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 82078-7
    ISSN 1538-2990 ; 0002-9629
    ISSN (online) 1538-2990
    ISSN 0002-9629
    DOI 10.1016/j.amjms.2022.02.007
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  3. Article: The impact of anxiety level on decision to seek medical care of non-COVID cardiac patients during the pandemic outbreak-single-center experience in Israel.

    Koren, Ofir / Rajab, Saleem Abu / Barbour, Mohammad / Shachar, Moriah / Shahar, Amit / Zubidat, Khaled / Slim, Wasim / Igbariya, Daher / Rozner, Ehud / Turgeman, Yoav / Naami, Robert / Patel, Vivek / Naami, Edmund / Mader, Einat

    Reviews in cardiovascular medicine

    2022  Volume 23, Issue 2, Page(s) 50

    Abstract: Background: Coronavirus disease 2019 (COVID-19) has significantly the delivery of healthcare all around the world. In part, an abnormal and unexplained high non-COVID-related cardiovascular mortality rate was reported during the outbreak. We assess the ... ...

    Abstract Background: Coronavirus disease 2019 (COVID-19) has significantly the delivery of healthcare all around the world. In part, an abnormal and unexplained high non-COVID-related cardiovascular mortality rate was reported during the outbreak. We assess the correlation between anxiety level and decision to seek medical care (DSMC) during the COVID-19 pandemic.
    Materials and methods: We recruited patients with cardiovascular complaints admitted to the emergency department in a single institute in Israel between February and September 2020. Anxiety level was measured using available questionnaires. DSMC was assessed with a newly designed questionnaire (DM-19).
    Results: Two-hundreds seventy patients were included in the study. The mean age was 52.6 ± 14.9 (females represent 36.2%). 23.6% of the patients had at least moderate cardiovascular risk. High anxiety levels were (HAL) reported in nearly half of the patients (57.1% and 49.8% for General Anxiety Disorder Assessment [GAD-7] and Beck Anxiety Inventory [BAI], respectively). It was more prevalent in old, married, and unemployed patients (significant
    Conclusions: We observed an abnormal prevalence of a high level of anxiety among non-COVID patients with cardiovascular complaints, which affected the patient's likelihood to seek medical care and resulted in an unreasonable postponement of medical treatment. Our results may explain cardiovascular mortality trends during the outbreak and should be considered in health crisis management. Future studies will involve multi-institutional efforts to address reproducibility of our findings across geographic regions in the state of the global impact. Additionally, it is imperative to understand the effects of the coronavirus vaccine on patient consideration to seek medical care.
    MeSH term(s) Adult ; Aged ; Anxiety/diagnosis ; Anxiety/epidemiology ; COVID-19/epidemiology ; COVID-19 Vaccines ; Depression/epidemiology ; Disease Outbreaks ; Female ; Humans ; Israel/epidemiology ; Middle Aged ; Pandemics ; Reproducibility of Results ; SARS-CoV-2
    Chemical Substances COVID-19 Vaccines
    Language English
    Publishing date 2022-02-28
    Publishing country Singapore
    Document type Journal Article
    ZDB-ID 2108910-3
    ISSN 1530-6550
    ISSN 1530-6550
    DOI 10.31083/j.rcm2302050
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    Zs.A 6410: Show issues Location:
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  4. Article: [THE SCHIZOPHRENIC PATIENT IN THE DEPARTMENT OF MEDICINE IN THE 21ST CENTURY: IS THERE ANYTHING NEW UNDER THE SUN?]

    Mader, Einat / Schwartz, Naama / Minuhin, Itamar / Reshef, Alon / Eilat-Tsanani, Sophia

    Harefuah

    2017  Volume 156, Issue 12, Page(s) 757–761

    Abstract: Introduction: A retrospective analysis of information from the computerized data of the Emek Medical Center (EMC) and Clalit Community Healthcare Services (CCHS) was conducted. Two hundred and seventy-five SPs and four hundred and twenty eight NPPs were ...

    Abstract Introduction: A retrospective analysis of information from the computerized data of the Emek Medical Center (EMC) and Clalit Community Healthcare Services (CCHS) was conducted. Two hundred and seventy-five SPs and four hundred and twenty eight NPPs were enrolled in the study.
    Aims: Patients returning to the emergency room, and re-hospitalizations in the internal medicine wards.
    Background: Schizophrenic patients (SPs) are at risk for organic co-morbidities and tend to be excessively hospitalized in medical departments. It is important to understand the pattern of SP re-admissions to emergency rooms and medical departments in order to avoid re-hospitalizations.
    Objectives: To compare re-admissions to medical emergency rooms and medical departments between SP and non-psychiatric patients (NPPs) and to assess the changes that took place during the years 2001-2011.
    Results: The likelihood that SPs would be referred to the ER during the first 6 months after discharge was 1.51 (95% CI 1.10-2.07), higher than in NPPs. The likelihood of being re-hospitalized in medical departments during the first 6 months after discharge was higher in SPs but did not reach statistical significance (26.18% among SPs vs.20.09% among NPPs (P = 0.059). The time from the index hospitalization to re-hospitalization during the first year was shorter in the SPs when compared with NPPs (P=0.0032).
    Conclusions: Medical patients with schizophrenia tend to be referred to the medical emergency room and to be re-hospitalized after their index hospitalization. The integration of medical and psychiatric systems may improve their medical care and reduce their re-admission rates.
    MeSH term(s) Emergency Service, Hospital ; Hospitalization ; Hospitals ; Humans ; Patient Discharge ; Patient Readmission/trends ; Retrospective Studies ; Schizophrenia/epidemiology
    Language Hebrew
    Publishing date 2017-12
    Publishing country Israel
    Document type Journal Article
    ZDB-ID 953872-0
    ISSN 0017-7768
    ISSN 0017-7768
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    Zs.B 291: Show issues Location:
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