Result 1 - 9 of total 9
Curr. Women's Health Rev.
| Keywords | covid19 |
|---|---|
| Publisher | WHO |
| Document type | Article |
| Note | WHO #Covidence: #707644 |
| Database | COVID19 |
Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.
Curr. Women's Health Rev.
| Keywords | covid19 |
|---|---|
| Publisher | WHO |
| Document type | Article |
| Note | WHO #Covidence: #789051 |
| Database | COVID19 |
Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.
Current Women s Health Reviews
COVID-19 and the Necessary Humanistic Shift in Medical Care
2020 Volume 16, Issue 4, Page(s) 257–258
| Keywords | Obstetrics and Gynaecology ; covid19 |
|---|---|
| Language | English |
| Publisher | Bentham Science Publishers Ltd. |
| Publishing country | nl |
| Document type | Article ; Online |
| ISSN | 1573-4048 |
| DOI | 10.2174/157340481604200903141517 |
| Database | BASE - Bielefeld Academic Search Engine (life sciences selection) |
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Current Women s Health Reviews
Better Patient Data and Faster Research by Restructuring Electronic Health Record Systems
2020 Volume 16, Issue 3, Page(s) 167–168
| Keywords | Obstetrics and Gynaecology ; covid19 |
|---|---|
| Language | English |
| Publisher | Bentham Science Publishers Ltd. |
| Publishing country | nl |
| Document type | Article ; Online |
| ISSN | 1573-4048 |
| DOI | 10.2174/157340481603200722150556 |
| Database | BASE - Bielefeld Academic Search Engine (life sciences selection) |
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.
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2022 Volume 23, Issue 10, Page(s) 822–830
Abstract: Objectives: Currently, there are no prediction tools available to identify patients at risk of needing high-complexity care following cardiac catheterization for congenital heart disease. We sought to develop a method to predict the likelihood a patient ...
| Abstract | Objectives: Currently, there are no prediction tools available to identify patients at risk of needing high-complexity care following cardiac catheterization for congenital heart disease. We sought to develop a method to predict the likelihood a patient will require intensive care level resources following elective cardiac catheterization. Design: Prospective single-center study capturing important patient and procedural characteristics for predicting discharge to the ICU. Characteristics significant at the 0.10 level in the derivation dataset (July 1, 2017 to December 31, 2019) were considered for inclusion in the final multivariable logistic regression model. The model was validated in the testing dataset (January 1, 2020 to December 31, 2020). The novel pre-procedure cardiac status (PCS) feature, collection started in January 2019, was assessed separately in the final model using the 2019 through 2020 dataset. Setting: Tertiary pediatric heart center. Patients: All elective cases coming from home or non-ICU who underwent a cardiac catheterization from July 2017 to December 2020. Interventions: None. Measurements and main results: A total of 2,192 cases were recorded in the derivation dataset, of which 11% of patients ( n = 245) were admitted to the ICU, while 64% ( n = 1,413) were admitted to a medical unit and 24% ( n = 534) were discharged home. In multivariable analysis, the following predictors were identified: 1) weight less than 5 kg and 5-9.9 kg, 2) presence of systemic illness, 3) recent cardiac intervention less than 90 days, and 4) ICU Admission Tool for Congenital Heart Catheterization case type risk categories (1-5), with C -statistics of 0.79 and 0.76 in the derivation and testing cohorts, respectively. The addition of the PCS feature fit into the final model resulted in a C -statistic of 0.79. Conclusions: The creation of a validated pre-procedural risk prediction model for ICU admission following congenital cardiac catheterization using a large volume, single-center, academic institution will improve resource allocation and prediction of capacity needs for this complex patient population. |
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| MeSH term(s) | Cardiac Catheterization/adverse effects ; Child ; Heart Defects, Congenital/epidemiology ; Heart Defects, Congenital/surgery ; Humans ; Intensive Care Units ; Logistic Models ; Patient Admission ; Prospective Studies ; Risk Factors |
| Language | English |
| Publishing date | 2022-07-14 |
| Publishing country | United States |
| Document type | Journal Article |
| ZDB-ID | 2052349-X |
| ISSN | 1947-3893 ; 1529-7535 |
| ISSN (online) | 1947-3893 |
| ISSN | 1529-7535 |
| DOI | 10.1097/PCC.0000000000003028 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
| Zs.A 5600: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG) |
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| Zs.MO 472: Show issues |
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Circulation. Cardiovascular interventions
2024 Volume 17, Issue 3, Page(s) e012834
Abstract: Background: Current metrics used to adjust for case mix complexity in congenital cardiac catheterization are becoming outdated due to the introduction of novel procedures, innovative technologies, and expanding patient subgroups. This study aims to ... ...
| Abstract | Background: Current metrics used to adjust for case mix complexity in congenital cardiac catheterization are becoming outdated due to the introduction of novel procedures, innovative technologies, and expanding patient subgroups. This study aims to develop a risk adjustment methodology introducing a novel, clinically meaningful adverse event outcome and incorporating a modern understanding of risk. Methods: Data from diagnostic only and interventional cases with defined case types were collected for patients ≤18 years of age and ≥2.5 kg at all Congenital Cardiac Catheterization Project on Outcomes participating centers. The derivation data set consisted of cases performed from 2014 to 2017, and the validation data set consisted of cases performed from 2019 to 2020. Severity level 3 adverse events were stratified into 3 tiers by clinical impact (3a/b/c); the study outcome was clinically meaningful adverse events, severity level ≥3b (3bc/4/5). Results: The derivation data set contained 15 224 cases, and the validation data set included 9462 cases. Clinically meaningful adverse event rates were 4.5% and 4.2% in the derivation and validation cohorts, respectively. The final risk adjustment model included age <30 days, Procedural Risk in Congenital Cardiac Catheterization risk category, and hemodynamic vulnerability score (C statistic, 0.70; Hosmer-Lemeshow Conclusions: CHARM II (Congenital Heart Disease Adjustment for Risk Method II) risk adjustment methodology allows for equitable comparison of clinically meaningful adverse events among institutions and operators with varying patient populations and case mix complexity performing pediatric cardiac catheterization. |
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| MeSH term(s) | Child ; Humans ; Infant ; Risk Factors ; Treatment Outcome ; Cardiac Catheterization/adverse effects ; Cardiac Catheterization/methods ; Heart Defects, Congenital/diagnosis ; Heart Defects, Congenital/therapy ; Hemodynamics ; Risk Adjustment/methods |
| Language | English |
| Publishing date | 2024-01-23 |
| Publishing country | United States |
| Document type | Journal Article |
| ZDB-ID | 2450797-0 |
| ISSN | 1941-7632 ; 1941-7640 |
| ISSN (online) | 1941-7632 |
| ISSN | 1941-7640 |
| DOI | 10.1161/CIRCINTERVENTIONS.123.012834 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
| Zs.A 6746: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG) |
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The Annals of thoracic surgery
2022 Volume 116, Issue 1, Page(s) 86–93
Abstract: Background: Early postoperative catheterizations (EPOCs) within 6 weeks after a congenital heart surgical procedure can treat residual lesions and provide important clinical information. However, EPOCs are often assumed to impose additional risk on a ... ...
| Abstract | Background: Early postoperative catheterizations (EPOCs) within 6 weeks after a congenital heart surgical procedure can treat residual lesions and provide important clinical information. However, EPOCs are often assumed to impose additional risk on a vulnerable patient population. This study aimed to describe the EPOC population, evaluate procedural safety, compare EPOC patients with procedure-matched non-EPOC patients, and determine risk factors for poor outcomes using data from the Congenital Cardiac Catheterization Project on Outcomes registry. Methods: In a retrospective cohort, demographic, clinical, and procedural characteristics were analyzed for diagnostic and interventional catheterizations performed in 13 participating institutions from January 2014 to December 2017, excluding patients after heart transplant. The primary outcome was a high-severity adverse event (AE). Three distinct analyses included (1) describing the full cohort and EPOC patients, (2) comparing EPOC patients with and without a high-severity AE, and (3) comparing EPOC patients with controls matched on case type. Results: This study included 17,776 catheterizations, with 1399 EPOCs. The high-severity AE rate was 6.4% overall, 8.9% in the EPOC cohort, and 8.4% in matched controls (P = .74). The association between EPOC status and high-severity AE was not significant in a multivariable model (P = .17). In EPOCs with a high-severity AE, median procedure duration was 30 minutes longer (P < .001), and median time from surgical procedure to catheterization was 3 days longer (P = .05). Conclusions: EPOC was not associated with additional risk. Individual patient characteristics of size and hemodynamic vulnerability may serve as informative predictors. Timely catheterization may preempt further clinical deterioration, and intraprocedure duration optimization may correlate with improved outcomes. |
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| MeSH term(s) | Humans ; Retrospective Studies ; Heart Defects, Congenital/diagnosis ; Risk Factors ; Cardiac Catheterization/adverse effects ; Hemodynamics |
| Language | English |
| Publishing date | 2022-12-05 |
| Publishing country | Netherlands |
| Document type | Multicenter Study ; Journal Article |
| ZDB-ID | 211007-6 |
| ISSN | 1552-6259 ; 0003-4975 |
| ISSN (online) | 1552-6259 |
| ISSN | 0003-4975 |
| DOI | 10.1016/j.athoracsur.2022.11.028 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
| Zs.A 252: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG) |
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Heart (British Cardiac Society)
2023 Volume 109, Issue 9, Page(s) 710–718
Abstract: Objective: As COVID-19 continues to affect the global population, it is crucial to study the impact of the disease in vulnerable populations. This study of a diverse, international cohort aims to provide timely, experiential data on the course of ... ...
| Abstract | Objective: As COVID-19 continues to affect the global population, it is crucial to study the impact of the disease in vulnerable populations. This study of a diverse, international cohort aims to provide timely, experiential data on the course of disease in paediatric patients with congenital heart disease (CHD). Methods: Data were collected by capitalising on two pre-existing CHD registries, the International Quality Improvement Collaborative for Congenital Heart Disease: Results: The study included 339 COVID-19 cases in paediatric patients with CHD from 35 sites worldwide. Of these cases, 84 patients (25%) required hospitalisation, and 40 (12%) required ICU care. Age <1 year, recent cardiac intervention, anatomical complexity, clinical cardiac status and overall risk were all significantly associated with need for hospitalisation and ICU admission. A multivariable model for ICU admission including clinical cardiac status and recent cardiac intervention produced a c-statistic of 0.86. Conclusions: These observational data suggest risk factors for hospitalisation related to COVID-19 in paediatric CHD include age, lower functional cardiac status and recent cardiac interventions. There is a need for further data to identify factors relevant to the care of patients with CHD who contract COVID-19 illness. |
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| MeSH term(s) | Humans ; Child ; Adolescent ; COVID-19/epidemiology ; COVID-19/complications ; Heart Defects, Congenital/epidemiology ; Heart Defects, Congenital/therapy ; Heart Defects, Congenital/complications ; Intensive Care Units ; Risk Factors |
| Language | English |
| Publishing date | 2023-04-12 |
| Publishing country | England |
| Document type | Journal Article |
| ZDB-ID | 1303417-0 |
| ISSN | 1468-201X ; 1355-6037 |
| ISSN (online) | 1468-201X |
| ISSN | 1355-6037 |
| DOI | 10.1136/heartjnl-2022-321208 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
| Ui IV Zs.40: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG) |
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| Zs.MO 112: Show issues |
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2021 Volume 43, Issue 3, Page(s) 596–604
Abstract: The objective of this study was to evaluate the impact of the regular introduction of new technologies into interventional cardiac catheterization procedures, in this case new atrial septal defect (ASD) closure devices, while conducting a multi-center ... ...
| Abstract | The objective of this study was to evaluate the impact of the regular introduction of new technologies into interventional cardiac catheterization procedures, in this case new atrial septal defect (ASD) closure devices, while conducting a multi-center collaborative initiative to reduce radiation usage during all procedures. Data were collected prospectively by 8 C3PO institutions between January 1, 2014 and December 31, 2017 for ASD device closure procedures in the cardiac catheterization lab during a quality improvement (QI) initiative aimed at reducing patient radiation exposure. Radiation exposure was measured in dose area product per body weight (µGy*m |
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| MeSH term(s) | Cardiac Catheterization/methods ; Fluoroscopy/methods ; Heart Septal Defects, Atrial/surgery ; Humans ; Quality Improvement ; Radiation Dosage ; Radiation Exposure/prevention & control ; Retrospective Studies ; Septal Occluder Device ; Treatment Outcome |
| Language | English |
| Publishing date | 2021-11-07 |
| Publishing country | United States |
| Document type | Journal Article |
| ZDB-ID | 800857-7 |
| ISSN | 1432-1971 ; 0172-0643 |
| ISSN (online) | 1432-1971 |
| ISSN | 0172-0643 |
| DOI | 10.1007/s00246-021-02762-3 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
| Zs.A 1528: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG) |
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.