scholarly journals Age is an independent risk factor for left atrial dysfunction: results from an observational study

2010 ◽  
Vol 18 (5) ◽  
pp. 243-247 ◽  
Author(s):  
M. A. M. Ploumen ◽  
L. H. B. Baur ◽  
M. J. Streppel ◽  
C. L. B. der Lodewijks-van Bolt ◽  
B. Winkens ◽  
...  
Keyword(s):  
Risk Factor ◽  
Observational Study ◽  
Left Atrial ◽  
Independent Risk Factor ◽  
Left Atrial Dysfunction

scholarly journals Complex Left Atrial Appendage Morphology Is an Independent Risk Factor for Cryptogenic Ischemic Stroke

2018 ◽  
Vol 5 ◽  
Author(s):  
Indranill Basu-Ray ◽  
Deepthi Sudhakar ◽  
Gregory Schwing ◽  
Dominique Monlezun ◽  
Lucy Zhang ◽  
...  
Keyword(s):  
Risk Factor ◽  
Ischemic Stroke ◽  
Left Atrial ◽  
Independent Risk Factor ◽  
Left Atrial Appendage ◽  
Atrial Appendage

scholarly journals Influence of Hyperglycemia Associated with Enteral Nutrition on Mortality in Patients with Stroke

Nutrients ◽  
2019 ◽  
Vol 11 (5) ◽  
pp. 996 ◽  
Author(s):  
López-Gómez ◽  
Delgado-García ◽  
Coto-García ◽  
Torres-Torres ◽  
Gómez-Hoyos ◽  
...  
Keyword(s):  
Multivariate Analysis ◽  
Risk Factor ◽  
Enteral Nutrition ◽  
Observational Study ◽  
Independent Risk Factor ◽  
Oral Feeding ◽  
Diabetic Patients ◽  
A Value ◽  
Longitudinal Observational Study ◽  
Lower Recovery

Objectives: To evaluate in patients admitted for stroke: (1) The frequency of hyperglycaemia associated with enteral nutrition (EN). (2) The risk of morbidity and mortality associated with the development of this type of hyperglycaemia. Methods: A longitudinal observational study was conducted in 115 non-diabetic patients admitted for stroke with EN. Age, functional capacity (Rankin scale), and blood plasma glucose (BPG) were recorded. Hyperglycaemia was considered as: a value higher than 126 mg/dL before the EN and/or a value higher than 150 mg/dL after a week of enteral nutrition. According to this, three groups were differentiated: HyperES: Those who had hyperglycemia before the beginning of the EN (33% patients); NoHyper: those who did not have hyperglycemia before or after (47.8% patients); and HyperEN: Those who did not have hyperglycemia before but suffered it after the beginning of the EN (19.1% patients). Results: The age was 72.72 (15.32) years. A higher rate of mortality was observed in the HyperEN group 45.50%, than HyperES 15.80% or NoHyper: 10.90%). A lower recovery of the oral feeding was observed in those patients of the HyperEN group 27.30%, than HyperES: 42.10% or NoHyper: 61.80%). In the multivariate analysis adjusting for age, sex, and Rankin scale the development of hyperglycemia in those who did not have it at the beginning (HyperEN) was an independent risk factor for non-recovery of the oral feeding (OR: 4.21 (1.20–14.79), p = 0.02); and mortality adjusted for age, sex and Rankin scale (OR: 6.83 (1.76–26.47), p < 0.01). Conclusions: In non-diabetic patients admitted for stroke with EN, the development of hyperglycaemia in relation to enteral nutrition supposes an independent risk factor for mortality and for the non-recovery of the oral feeding.

scholarly journals The Association between Cardiopulmonary Resuscitation in Out-of-Hospital Settings and Chest Injuries: A Retrospective Observational Study

2018 ◽  
Vol 33 (2) ◽  
pp. 171-175 ◽  
Author(s):  
Wataru Takayama ◽  
Hazuki Koguchi ◽  
Akira Endo ◽  
Yasuhiro Otomo
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Risk Factor ◽  
Cardiopulmonary Resuscitation ◽  
Observational Study ◽  
Independent Risk Factor ◽  
Retrospective Observational Study ◽  
Multivariate Logistic Regression ◽  
Chest Injuries ◽  
Independent Risk Factors

AbstractObjectivesThe aim of this study was to assess the risk of cardiopulmonary resuscitation (CPR) performed in out-of-hospital settings for chest injuries in patients with out-of-hospital cardiac arrest (OHCA).MethodsThis retrospective, observational study was conducted in an emergency critical care medical center in Japan. Non-traumatic OHCA patients transferred to the hospital from April 2013 through August 2016 were analyzed. The outcome was defined by chest injuries related to CPR, which is composite of rib fractures, sternal fractures, and pneumothoraces. A multivariate logistic regression analysis was performed to assess the independent risk factors for chest injuries related to CPR. The threshold of out-of-hospital CPR duration that increased risk of chest injuries was also assessed.ResultsA total of 472 patients were identified, of whom 233 patients sustained chest injuries. The multivariate logistic regression model showed that the independent risk factors for chest injuries were age and out-of-hospital CPR duration (age: AOR=1.06 [95% CI, 1.04 to 1.07]; out-of-hospital CPR duration: AOR=1.03 [95% CI, 1.01 to 1.05]). In-hospital CPR duration was not an independent risk factor for chest injuries. When the duration of out-of-hospital CPR extended over 15 minutes, the likelihood of chest injuries increased; however, this association was not statistically significant.ConclusionsLong duration of out-of-hospital CPR was an independent risk factor for chest injuries, possibly due to the difficulty of maintaining adequate quality of CPR. Further investigations to assess the efficacy of alternative CPR devices are expected in cases requiring long transportation times.TakayamaW, KoguchiH, EndoA, OtomoY. The association between cardiopulmonary resuscitation in out-of-hospital settings and chest injuries: a retrospective observational study. Prehosp Disaster Med. 2018;33(2):171–175.

scholarly journals The effect of coronary slow flow on left atrial structure and function

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Zhiyuan Shui ◽  
Yunzhi Wang ◽  
Mingxue Sun ◽  
Yiqun Gao ◽  
Shunji Liang ◽  
...  
Keyword(s):  
Risk Factor ◽  
Coronary Angiography ◽  
Left Atrial ◽  
Independent Risk Factor ◽  
Global Longitudinal Strain ◽  
Structure And Function ◽  
Control Group ◽  
Slow Flow ◽  
Coronary Slow Flow ◽  
And Function

AbstractThe coronary slow flow phenomenon (CSFP) is common in coronary angiography, however its impact on left atrial (LA) function is still controversial. This study aims to evaluate the LA structure and function of patients with CSFP using two-dimensional speckle tracking echocardiography (2D-STE). Consecutive patients scheduled for coronary angiography from January 2016 to September 2017 were enrolled in this study. Patients’ demographic data, clinical histories, laboratory and angiographic findings were collected and recorded. Diagnostic criteria for CSFP is based on Beltrame et al. proposed in 2012. Meanwhile 139 patients who have no significant stenosis (≤ 40%) and normal blood flow were selected as control. All patients received an echocardiographic examination 24 h before coronary angiography. LA structure and function were measured with echocardiography and 2D-STE. Our results showed that among the 1,954 patients who had received coronary angiography, 512 patients were included in the analysis after the exclusion criteria was implemented. Of those, 101 patients met the CSFP criteria (5.5%). CSFP is mainly seen in LAD (~ 70%). There was no statistical difference in baseline characteristics between the CSFP group and control group, except for a higher proportion of smokers in the CSFP group (P = 0.001). The percentage of monocytes is an independent risk factor for the occurrence of CSFP (P = 0.036) after binary logistic regression analysis. The LA global longitudinal strain (LA-GLS, represents reservoir functions) decreased and LA strain rate at late diastole (LA-SRa, represents booster function) increased in patients with CSFP compared to the control group (P < 0.05). Correlation test of continuous variables by Pearson test suggested that LA-GLS was negatively correlated with TIMI frame count (TFC). We concluded that the percentage of monocytes is an independent risk factor for the CSFP; the LA reservoir and booster functions were impaired in patients with CSFP; LA-GLS is negatively correlated with TFC.

scholarly journals Obesity is a strong independent risk factor for short-term mortality and adverse outcomes in Mexican patients with COVID-19: A national observational study

2021 ◽  
Author(s):  
Ashuin Kammar-García ◽  
Juan Mauricio Vera-Zertuche ◽  
Javier Mancilla-Galindo ◽  
Mariana Tlalpa-Prisco ◽  
Patricia Aguilar-Alonso ◽  
...  
Keyword(s):  
Risk Factor ◽  
Observational Study ◽  
Independent Risk Factor ◽  
Adverse Outcomes ◽  
Short Term ◽  
Short Term Mortality ◽  
Mexican Patients
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