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  1. Article ; Online: Machine-learning-based data-driven discovery of nonlinear phase-field dynamics.

    Kiyani, Elham / Silber, Steven / Kooshkbaghi, Mahdi / Karttunen, Mikko

    Physical review. E

    2023  Volume 106, Issue 6-2, Page(s) 65303

    Abstract: One of the main questions regarding complex systems at large scales concerns the effective interactions and driving forces that emerge from the detailed microscopic properties. Coarse-grained models aim to describe complex systems in terms of coarse- ... ...

    Abstract One of the main questions regarding complex systems at large scales concerns the effective interactions and driving forces that emerge from the detailed microscopic properties. Coarse-grained models aim to describe complex systems in terms of coarse-scale equations with a reduced number of degrees of freedom. Recent developments in machine-learning algorithms have significantly empowered the discovery process of governing equations directly from data. However, it remains difficult to discover partial differential equations (PDEs) with high-order derivatives. In this paper, we present data-driven architectures based on a multilayer perceptron, a convolutional neural network (CNN), and a combination of a CNN and long short-term memory structures for discovering the nonlinear equations of motion for phase-field models with nonconserved and conserved order parameters. The well-known Allen-Cahn, Cahn-Hilliard, and phase-field crystal models were used as test cases. Two conceptually different types of implementations were used: (a) guided by physical intuition (such as the local dependence of the derivatives) and (b) in the absence of any physical assumptions (black-box model). We show that not only can we effectively learn the time derivatives of the field in both scenarios, but we can also use the data-driven PDEs to propagate the field in time and achieve results in good agreement with the original PDEs.
    MeSH term(s) Nonlinear Dynamics ; Neural Networks, Computer ; Algorithms ; Machine Learning
    Chemical Substances diethylstilbestrol monophosphate (47341-71-9)
    Language English
    Publishing date 2023-01-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2844562-4
    ISSN 2470-0053 ; 2470-0045
    ISSN (online) 2470-0053
    ISSN 2470-0045
    DOI 10.1103/PhysRevE.106.065303
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Book ; Online: SymPhas --General purpose software for phase-field, phase-field crystal and reaction-diffusion simulations

    Silber, Steven A. / Karttunen, Mikko

    2021  

    Abstract: This work develops a new open source API and software package called \textit{SymPhas} for simulations of phase-field, phase-field crystal and reaction-diffusion models, supporting up to three dimensions and an arbitrary number of fields. \textit{SymPhas} ...

    Abstract This work develops a new open source API and software package called \textit{SymPhas} for simulations of phase-field, phase-field crystal and reaction-diffusion models, supporting up to three dimensions and an arbitrary number of fields. \textit{SymPhas} delivers two novel program capabilities: 1) User specification of models from the associated dynamical equations in an unconstrained form and 2) extensive support for integrating user-developed discrete-grid-based numerical solvers into the API. The capability to specify general phase-field models is primarily achieved by developing a novel symbolic algebra functionality that can formulate mathematical expressions at compile time, is able to apply rules of symbolic algebra such as distribution, factoring and automatic simplification, and support user-driven expression tree manipulation. A modular design based on the CC++ template meta-programming paradigm is applied to the symbolic algebra library and general API implementation to minimize application runtime and increase the accessibility of the API for third party development. \textit{SymPhas} is written in C/CC++ and emphasizes high-performance capabilities via parallelization with OpenMP and the CC++ standard library. \textit{SymPhas} is equipped with a forward Euler solver and a semi-implicit Fourier spectral solver. Sample implementations and simulations of several phase-field models are presented, generated using the semi-implicit Fourier spectral solver.
    Keywords Physics - Computational Physics ; Condensed Matter - Materials Science
    Subject code 028
    Publishing date 2021-09-06
    Publishing country us
    Document type Book ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Precordial electrocardiographic recording and QT measurement from a novel wearable ring device.

    Mendenhall, G Stuart / Jones, Matthew O / Pollack, Charles V / Eoyang, Greg P / Silber, Steven H / Kennedy, Alan

    Cardiovascular digital health journal

    2023  Volume 5, Issue 1, Page(s) 8–14

    Abstract: Background: The availability of portable and wearable electrocardiographic (ECG) devices has increased secondary to technological development. Single-lead ECG recordings have been shown to reliably detect and characterize cardiac rhythms such as atrial ... ...

    Abstract Background: The availability of portable and wearable electrocardiographic (ECG) devices has increased secondary to technological development. Single-lead ECG recordings have been shown to reliably detect and characterize cardiac rhythms such as atrial fibrillation. Acquisition of precordial electrodes for full 12-lead ECG reconstruction from bipolar recordings is complicated by the absence of a body ground/Wilson central terminal electrode. The extent of difference between standard precordial leads and those from a wearable bipolar ECG recorder has not been characterized.
    Objective: The purpose of this study was to characterize the precordial ECG lead set from sequential bipolar recordings from an ECG ring wearable device.
    Methods: In 70 patients who wore an ECG device on a right-hand finger, sequential precordial leads (CR1-CR6) were obtained along with chest electrodes (V1-V6). During acquisition of the modified precordial lead CR6, a full standardized 12-lead ECG capture was obtained. Signal quality was assessed using automated analysis software, and correlation values between the ring-derived ECG precordial leads and standard ECG leads were compared with regard to QRS duration, QT width, and RR interval.
    Results: High concordance in the morphologies of precordial ECG leads obtained in a standard fashion and those recorded through an ECG ring was observed. Morphologic alignment improved with increasing laterality of the precordial lead with chest to right arm ring recording (CR5, CR6) compared with anterior chest leads to right arm (CR1, CR2). Segmental measurements of QRS duration and QT segment were well aligned and of high correlation.
    Conclusion: Wearable ring-based ECG technology is capable of high-fidelity recordings of precordial leads for nonsimultaneous reconstruction of complete ECG sets. These recordings correlate highly with surface-obtained QRS and QT duration measurements and have significant implications for clinical applications. Uninterpretable tracings were primarily due to electrode noise from poor electrode contact.
    Language English
    Publishing date 2023-12-01
    Publishing country United States
    Document type Journal Article
    ISSN 2666-6936
    ISSN (online) 2666-6936
    DOI 10.1016/j.cvdhj.2023.11.021
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Flubendazole as a macrofilaricide: History and background.

    Geary, Timothy G / Mackenzie, Charles D / Silber, Steven A

    PLoS neglected tropical diseases

    2019  Volume 13, Issue 1, Page(s) e0006436

    Abstract: Benzimidazole anthelmintics have long been employed for the control of soil-transmitted helminth infections. Flubendazole (FBZ) was approved in 1980 for the treatment of gastrointestinal nematode infections in both veterinary and human medicine. It has ... ...

    Abstract Benzimidazole anthelmintics have long been employed for the control of soil-transmitted helminth infections. Flubendazole (FBZ) was approved in 1980 for the treatment of gastrointestinal nematode infections in both veterinary and human medicine. It has also long been known that parenteral administration of FBZ can lead to high macrofilaricidal efficacy in a variety of preclinical models and in humans. As part of an effort to stimulate the discovery and development of new macrofilaricides, particularly for onchocerciasis, research has recently been devoted to the development of new formulations that would afford high oral bioavailability of FBZ, paving the way for potential clinical development of this repurposed drug for the treatment of human filariases. This review summarizes the background information that led to this program and summarizes some of the lessons learned from it.
    MeSH term(s) Albendazole/therapeutic use ; Animals ; Diethylcarbamazine/therapeutic use ; Elephantiasis, Filarial/drug therapy ; Elephantiasis, Filarial/parasitology ; Elephantiasis, Filarial/transmission ; Filaricides/therapeutic use ; Gastrointestinal Diseases/drug therapy ; Gastrointestinal Diseases/parasitology ; Humans ; Ivermectin/therapeutic use ; Mebendazole/analogs & derivatives ; Mebendazole/therapeutic use ; Microfilariae/drug effects ; Onchocerca volvulus/drug effects ; Onchocerciasis/drug therapy ; Onchocerciasis/parasitology ; Onchocerciasis/transmission ; Wuchereria bancrofti/drug effects
    Chemical Substances Filaricides ; Ivermectin (70288-86-7) ; Mebendazole (81G6I5V05I) ; Albendazole (F4216019LN) ; flubendazole (R8M46911LR) ; Diethylcarbamazine (V867Q8X3ZD)
    Language English
    Publishing date 2019-01-16
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2429704-5
    ISSN 1935-2735 ; 1935-2735
    ISSN (online) 1935-2735
    ISSN 1935-2735
    DOI 10.1371/journal.pntd.0006436
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Use of Electronic Clinical Decision Support and Hard Stops to Decrease Unnecessary Thyroid Function Testing.

    Dalal, Sonia / Bhesania, Siddharth / Silber, Steven / Mehta, Parag

    BMJ quality improvement reports

    2017  Volume 6, Issue 1

    Abstract: NewYork-Presbyterian Brooklyn Methodist Hospital embarked on a Zero Unnecessary Study (ZEUS) initiative, whereby all aspects of clinical care were evaluated and strategies were implemented to mitigate waste. An opportunity was found in regards to thyroid ...

    Abstract NewYork-Presbyterian Brooklyn Methodist Hospital embarked on a Zero Unnecessary Study (ZEUS) initiative, whereby all aspects of clinical care were evaluated and strategies were implemented to mitigate waste. An opportunity was found in regards to thyroid function testing. It has been shown that certain TFTs are ordered far more often than clinically indicated. Free T3 (fT3) and Free T4 (fT4) are only indicated when the TSH is abnormal in the inpatient setting, with rare exceptions. Thus, a clinical algorithm for Clinical Decision Support (CDS) and Hard Stops (HS) were incorporated into the Electronic Medical Record (EMR) to prevent fT3 or fT4 to be ordered without an abnormal TSH, with certain predefined exceptions. In addition, a reflex rule was built which automatically orders (reflex) fT3 and fT4 if the TSH is abnormal. The pre and post-intervention ratios of fT3 and fT4 orders per total TSH orders were analyzed. Pre-intervention data revealed that fT4 was the most frequently ordered TFT laboratory test on admission, after TSH. Post-Intervention, there was a decrease in the ratio of fT4 to TSH orders (fT4/TSH) of 35.2%, from 44.6% to 28.9%. The percentage of fT4 ordered due to abnormal TSH increased by 126.1%, from 36.8% to 83.2%. The fT3 to TSH ordering ratio similarly decreased by 55.2%, from 6.2% to 2.9%. The decreases in both fT3/TSH and fT4/TSH ratios were statistically significant. Any unnecessary orders are a burden on healthcare. It is now possible to achieve goals that were not previously thought to be possible because of advancement in medicine and technology. By making small changes and saving costs, we can target our energy and resources toward effectively treating patients.
    Language English
    Publishing date 2017-04-28
    Publishing country England
    Document type Journal Article
    ZDB-ID 2677829-4
    ISSN 2050-1315
    ISSN 2050-1315
    DOI 10.1136/bmjquality.u223041.w8346
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Reengineering the Discharge Transition Process of COVID-19 Patients Using Telemedicine, Remote Patient Monitoring, and Around-the-Clock Remote Patient Monitoring from the Emergency Department and Inpatient Units.

    Kodama, Rich / Arora, Sunny / Anand, Swati / Choudhary, Abu / Weingarten, Jeremy / Francesco, Notar / Chiricolo, Gerardo / Silber, Steven / Mehta, Parag H

    Telemedicine journal and e-health : the official journal of the American Telemedicine Association

    2020  Volume 27, Issue 10, Page(s) 1188–1193

    Abstract: Background: ...

    Abstract Background:
    MeSH term(s) COVID-19 ; Emergency Service, Hospital ; Humans ; Inpatients ; Monitoring, Physiologic ; New York City ; Pandemics ; Patient Discharge ; SARS-CoV-2 ; Telemedicine
    Language English
    Publishing date 2020-12-14
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2035659-6
    ISSN 1556-3669 ; 1530-5627
    ISSN (online) 1556-3669
    ISSN 1530-5627
    DOI 10.1089/tmj.2020.0459
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Computer Simulations of Deep Eutectic Solvents: Challenges, Solutions, and Perspectives.

    Tolmachev, Dmitry / Lukasheva, Natalia / Ramazanov, Ruslan / Nazarychev, Victor / Borzdun, Natalia / Volgin, Igor / Andreeva, Maria / Glova, Artyom / Melnikova, Sofia / Dobrovskiy, Alexey / Silber, Steven A / Larin, Sergey / de Souza, Rafael Maglia / Ribeiro, Mauro Carlos Costa / Lyulin, Sergey / Karttunen, Mikko

    International journal of molecular sciences

    2022  Volume 23, Issue 2

    Abstract: Deep eutectic solvents (DESs) are one of the most rapidly evolving types of solvents, appearing in a broad range of applications, such as nanotechnology, electrochemistry, biomass transformation, pharmaceuticals, membrane technology, biocomposite ... ...

    Abstract Deep eutectic solvents (DESs) are one of the most rapidly evolving types of solvents, appearing in a broad range of applications, such as nanotechnology, electrochemistry, biomass transformation, pharmaceuticals, membrane technology, biocomposite development, modern 3D-printing, and many others. The range of their applicability continues to expand, which demands the development of new DESs with improved properties. To do so requires an understanding of the fundamental relationship between the structure and properties of DESs. Computer simulation and machine learning techniques provide a fruitful approach as they can predict and reveal physical mechanisms and readily be linked to experiments. This review is devoted to the computational research of DESs and describes technical features of DES simulations and the corresponding perspectives on various DES applications. The aim is to demonstrate the current frontiers of computational research of DESs and discuss future perspectives.
    MeSH term(s) Biomass ; Deep Eutectic Solvents/chemistry ; Drug Industry ; Electrochemistry ; Machine Learning ; Molecular Dynamics Simulation ; Nanotechnology ; Quantum Theory
    Chemical Substances Deep Eutectic Solvents
    Language English
    Publishing date 2022-01-07
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2019364-6
    ISSN 1422-0067 ; 1422-0067 ; 1661-6596
    ISSN (online) 1422-0067
    ISSN 1422-0067 ; 1661-6596
    DOI 10.3390/ijms23020645
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: CaseBook challenges: Managing gout, hyperuricemia and comorbidities -- dialogue with the experts.

    Bakris, George L / Doghramji, Paul P / Keenan, Robert T / Silber, Steven H

    The American journal of medicine

    2014  Volume 127, Issue 1, Page(s) S1

    Abstract: The prevalence of gout and hyperuricemia are on the rise in the United States corresponding with an increase in risk factors for these conditions, such as obesity, metabolic syndrome, and the use of diuretics. A progressive disorder, untreated gout can ... ...

    Abstract The prevalence of gout and hyperuricemia are on the rise in the United States corresponding with an increase in risk factors for these conditions, such as obesity, metabolic syndrome, and the use of diuretics. A progressive disorder, untreated gout can be debilitating and result in tophi, chronic arthropathy, and recurrent kidney stones. Although joint aspiration is needed for a definitive diagnosis, the majority of patients are diagnosed presumptively based on medical history and presentation with characteristic signs and symptoms. Patients with gout also often have multiple comorbidities, and there is an increasing body of evidence that shows hyperuricemia is associated with incidence hypertension, diabetes, chronic kidney disease, and heart failure. Clinical strategies for the management of gout and hyperuricemia must include considerations for these and other common cardiometabolic and renal conditions. In addition to acute flare therapy and prophylaxis, the treatment of gout involves lowering serum uric acid (SUA) levels with the urate-lowering therapies (ULTs) allopurinol or febuxostat. Once begun, treatment with ULT is lifelong. However, inadequate dosing and patient nonadherence or intolerance to therapy often lead to treatment failure. Recent guidelines from the American College of Rheumatology stress tailoring therapy and target SUA level (traditionally <6 mg/dL, but lower levels may be needed for certain patients) based on gout severity and the presence of comorbid conditions. Because painful acute gout flares may result in trips to the emergency department and because the majority of gout cases are managed in primary care, it is important for clinicians practicing in these settings to be able to diagnose and treat this condition and communicate with patients to improve their understanding of the disease process and adherence to treatment.
    MeSH term(s) Allopurinol/therapeutic use ; Comorbidity ; Disease Management ; Drug Administration Schedule ; Febuxostat ; Gout/blood ; Gout/complications ; Gout/diagnosis ; Gout/epidemiology ; Gout/etiology ; Gout/therapy ; Gout Suppressants/administration & dosage ; Gout Suppressants/therapeutic use ; Humans ; Hyperuricemia/blood ; Hyperuricemia/epidemiology ; Hyperuricemia/therapy ; Medication Adherence ; Primary Health Care/standards ; Risk Factors ; Severity of Illness Index ; Thiazoles/therapeutic use ; United States/epidemiology ; Uric Acid/blood
    Chemical Substances Gout Suppressants ; Thiazoles ; Febuxostat (101V0R1N2E) ; Uric Acid (268B43MJ25) ; Allopurinol (63CZ7GJN5I)
    Language English
    Publishing date 2014-01
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Video-Audio Media
    ZDB-ID 80015-6
    ISSN 1555-7162 ; 1873-2178 ; 0002-9343 ; 1548-2766
    ISSN (online) 1555-7162 ; 1873-2178
    ISSN 0002-9343 ; 1548-2766
    DOI 10.1016/j.amjmed.2013.11.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Oral Antiplatelet Therapy Administered Upstream to Patients With NSTEMI.

    Pollack, Charles V / Peacock, W Frank / Bhandary, Durgesh D / Silber, Steven H / Bhalla, Narinder / Rao, Sunil V / Diercks, Deborah B / Frost, Alex / Bangalore, Sripal / Heitner, John F / Johnson, Charles / DeRita, Renato / Khan, Naeem D

    Critical pathways in cardiology

    2020  Volume 19, Issue 4, Page(s) 166–172

    Abstract: Objective: To describe from a noninterventional registry (Utilization of Ticagrelor in the Upstream Setting for Non-ST-Segment Elevation Acute Coronary Syndrome), the short-term ischemic and hemorrhagic outcomes in patients with non-ST elevation ... ...

    Abstract Objective: To describe from a noninterventional registry (Utilization of Ticagrelor in the Upstream Setting for Non-ST-Segment Elevation Acute Coronary Syndrome), the short-term ischemic and hemorrhagic outcomes in patients with non-ST elevation myocardial infarction (MI) are managed with a loading dose (LD) of a P2Y12 inhibitor (P2Y12i) given at least 4 hours before diagnostic angiography and delineation of coronary anatomy. Prior data on the effects of such "upstream loading" have been inconsistent.
    Methods: In 53 US hospitals, we evaluated the in-hospital care and outcomes of patients with confirmed non-ST elevation MI managed with an interventional strategy and loaded upstream (at least 4 h before diagnostic angiography) with oral P2Y12i therapy. Patients entered into the database were grouped into 1 of 4 cohorts for analysis: (1) overall cohort, (2) thienopyridine (clopidogrel or prasugrel) load, (3) ticagrelor load, and (4) ticagrelor-consistent. The fourth cohort is a subset of cohort 3 that received ticagrelor throughout the index hospital stay and at discharge. We evaluated in-hospital clinical course and ischemic and bleeding outcomes in all patients and also 30-day outcomes in the ticagrelor-consistent cohort.
    Results: A total of 3355 patients were enrolled, of whom 1087 had 30-day follow-up. The mean (±SD) age was 63.3 ± 12.5 years, and 62.6% were male. Thrombolysis in MI and Global Registry of Acute Coronary Events scores placed these patients in the intermediate risk range, and CRUSADE scores were in the moderate risk range. The LD in Utilization of Ticagrelor in the Upstream Setting for Non-ST-Segment Elevation Acute Coronary Syndrome was clopidogrel in 45.6%, ticagrelor in 53.6%, and prasugrel in 0.8%. The median upstream interval (LD to angiography) was 17:27 hours and did not change appreciably over the course of the data collection period (2/15-10/19). Access was radial in 48.6% and femoral in 51.4%. Postangiography management was medical only in 32.3%, percutaneous coronary intervention in 59.4%, and coronary artery bypass grafting in 8.3%. Median length of stay was 2.7 days, and median time from angiography to coronary artery bypass grafting was 3.6 days. In-hospital mortality was 0.51%, and major bleeding (thrombolysis in MI) was 0.24%; the in-hospital major adverse cardiovascular events rate was 0.7%, and stent thrombosis occurred in 0.18%. No significant differences were seen between the ticagrelor and clopidogrel cohorts in hospital, but 16% received more than 1 P2Y12i in-hospital. On follow-up (93.2% response), 86.7% of patients reported taking ticagrelor as directed.
    Conclusions: Upstream loading of P2Y12i was associated with very low rates of bleeding and short length of stay in a large cohort of non-ST elevation MI (NSTEMI) patients managed invasively.
    MeSH term(s) Acute Coronary Syndrome/drug therapy ; Aged ; Clopidogrel ; Humans ; Male ; Middle Aged ; Non-ST Elevated Myocardial Infarction/drug therapy ; Percutaneous Coronary Intervention ; Platelet Aggregation Inhibitors ; Prasugrel Hydrochloride ; Purinergic P2Y Receptor Antagonists ; Ticagrelor ; Treatment Outcome
    Chemical Substances Platelet Aggregation Inhibitors ; Purinergic P2Y Receptor Antagonists ; Clopidogrel (A74586SNO7) ; Prasugrel Hydrochloride (G89JQ59I13) ; Ticagrelor (GLH0314RVC)
    Language English
    Publishing date 2020-10-25
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2079676-6
    ISSN 1535-2811 ; 1535-282X
    ISSN (online) 1535-2811
    ISSN 1535-282X
    DOI 10.1097/HPC.0000000000000243
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: The safety of oral anticoagulants registry (SOAR): A national, ED-based study of the evaluation and management of bleeding and bleeding concerns due to the use of oral anticoagulants.

    Pollack, Charles V / Peacock, W Frank / Bernstein, Richard A / Clark, Carol L / Douketis, James / Fermann, Gregory J / Fiore, Gregory J / Frost, Alex / Jahromi, Babak / Johnson, Charles / Merli, Geno / Silber, Steven / Villines, Todd C / Fanikos, John

    The American journal of emergency medicine

    2019  Volume 38, Issue 6, Page(s) 1163–1170

    Abstract: Objective: The Safety of Oral Anticoagulants Registry (SOAR) was designed to describe the evaluation and management of patients with oral anticoagulant (OAC)-related major bleeding or bleeding concerns who present to the emergency department (ED) with ... ...

    Abstract Objective: The Safety of Oral Anticoagulants Registry (SOAR) was designed to describe the evaluation and management of patients with oral anticoagulant (OAC)-related major bleeding or bleeding concerns who present to the emergency department (ED) with acute illness or injury. Patients in the ED are increasingly taking anticoagulants, which can cause bleeding-related complications as well as impact the acute management of related or unrelated clinical issues that prompt presentation. Modifications of emergency evaluation and management due to anticoagulation have not previously been studied.
    Methods: This was a multicenter observational in-hospital study of patients who were judged to be experiencing an active OAC effect and had (a) an obvious bleeding event or (b) were deemed at risk for serious bleeding spontaneously, after injury, or during an indicated invasive procedure. Diagnostic testing, therapies employed, and clinical outcomes were collected.
    Results: Thirty-one US hospitals contributed data to SOAR. Of 1513 subjects, acute hemorrhage (AH) qualified 78%, while 22% had a bleeding concern (BC). Warfarin was the index OAC in 37.3%, dabigatran in 13.3%, and an anti-Factor X
    Conclusion: Care of anticoagulated patients in the acute care setting is inconsistent, reflecting the diversity of presentation. As the prevalence of OAC use increases with the aging of the US population, further study and targeted educational efforts are needed to drive more evidence-based care of these patients.
    MeSH term(s) Aged ; Aged, 80 and over ; Dabigatran/adverse effects ; Dabigatran/therapeutic use ; Emergency Service, Hospital/organization & administration ; Emergency Service, Hospital/statistics & numerical data ; Factor Xa Inhibitors/adverse effects ; Factor Xa Inhibitors/therapeutic use ; Female ; Gastrointestinal Hemorrhage/epidemiology ; Gastrointestinal Hemorrhage/etiology ; Hemorrhage/epidemiology ; Hemorrhage/etiology ; Humans ; Intracranial Hemorrhages/epidemiology ; Intracranial Hemorrhages/etiology ; Male ; Middle Aged ; Registries/standards ; Registries/statistics & numerical data ; Warfarin/adverse effects ; Warfarin/therapeutic use
    Chemical Substances Factor Xa Inhibitors ; Warfarin (5Q7ZVV76EI) ; Dabigatran (I0VM4M70GC)
    Language English
    Publishing date 2019-12-28
    Publishing country United States
    Document type Journal Article ; Multicenter Study ; Observational Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 605890-5
    ISSN 1532-8171 ; 0735-6757
    ISSN (online) 1532-8171
    ISSN 0735-6757
    DOI 10.1016/j.ajem.2019.12.023
    Database MEDical Literature Analysis and Retrieval System OnLINE

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