Value of simultaneous functional assessment in association with acute rest perfusion imaging for predicting short- and long-term outcomes in emergency department patients with chest pain

2008 ◽  
Vol 15 (6) ◽  
pp. 774-782 ◽  
Author(s):  
Michael C. Kontos ◽  
Anthony Haney ◽  
Joseph P. Ornato ◽  
Robert L. Jesse ◽  
James L. Tatum
2021 ◽  
Vol 22 (6) ◽  
pp. 1262-1269
Author(s):  
Elizabeth Goldberg ◽  
Kohei Hasegawa ◽  
Alexis Lawrence ◽  
Jeffrey Kline ◽  
Carlos Camargo

Introduction: Coinfection with severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) and another virus may influence the clinical trajectory of emergency department (ED) patients. However, little empirical data exists on the clinical outcomes of coinfection with SARS-CoV-2 Methods: In this retrospective cohort analysis, we included adults presenting to the ED with confirmed, symptomatic coronavirus 2019 who also underwent testing for additional viral pathogens within 24 hours. To investigate the association between coinfection status with each of the outcomes, we performed logistic regression. Results: Of 6,913 ED patients, 5.7% had coinfection. Coinfected individuals were less likely to experience index visit or 30-day hospitalization (odds ratio [OR] 0.57; 95% confidence interval [CI], 0.36-0.90 and OR 0.39; 95% CI, 0.25–0.62, respectively). Conclusion: Coinfection is relatively uncommon in symptomatic ED patients with SARS-CoV-2 and the clinical short- and long-term outcomes are more favorable in coinfected individuals.


2016 ◽  
Vol 67 (13) ◽  
pp. 513
Author(s):  
Tarun Jain ◽  
Richard Nowak ◽  
Michael Hudson ◽  
Tiberio Frisoli ◽  
Gordon Jacobsen ◽  
...  

Circulation ◽  
2021 ◽  
Vol 144 (Suppl_2) ◽  
Author(s):  
Janet Bray ◽  
Stuart Howell ◽  
Stephen Bernard ◽  
Karen L Smith ◽  
Judith Finn ◽  
...  

Introduction: The majority of research has examined out-of-hospital cardiac arrest (OHCA) patients admitted to intensive care units (ICU). Little is known about patients who are admitted to non-ICU wards. Our study aims to describe short and long term outcomes in OHCA patients admitted directly to medical wards from the emergency department. Methods: Data were obtained from the Victorian Ambulance Cardiac Arrest Registry and 12 hospitals for adult, non-traumatic OHCA cases transported to ED between 2014 and 2016. Results: Of 1578 OHCAs, 213 (13.5%) were admitted to medical or cardiac wards -only four were admitted for palliation. The majority were witnessed (38% bystander, 58% paramedic), received bystander CPR (91%, n=81/89), median downtime was 4 minutes (IQR 2-12), 179 (84%) were in a shockable rhythm, and 15 received public access defibrillation. Most had ROSC on arrival at ED (99%) and were conscious in ED (91%). Re-arrest inhospital occurred in 16 cases, the majority had a cardiac aetiology (85%) and underwent angiography (75%, 112/160 proceeded to PCI). The majority were discharged alive (n=194, 91%) and most survivors were discharged home (n=176/194, 84%) with good neurological outcomes (CPC 0-2 =94%, CPC 3= 4%). Survivors from the wards made up 30% of the overall OHCA survivors. Of survivors, 175 were alive at 12 months and 159 completed follow-up. The majority of those working prior were working at 12-months (78/92, 85%), 87% in the same role. The mean EuroQol index score for respondents was 0.77 (SD, 0.15). The mean 12-item short form Mental Component Summary score for patients was 55.0 (SD, 8.1), whereas the mean Physical Component Summary score was 49.1 (SD, 9.1). Conclusion: In our region OHCA patients admitted to wards have favourable arrest characteristics, and have good short- and long-term outcomes which are similar to regular acute coronary syndrome patients.


2008 ◽  
Vol 10 (3) ◽  
pp. 308-314 ◽  
Author(s):  
Justin A. Ezekowitz ◽  
Jeffery A. Bakal ◽  
Padma Kaul ◽  
Cynthia M. Westerhout ◽  
Paul W. Armstrong

1992 ◽  
Vol 69 (3) ◽  
pp. 145-151 ◽  
Author(s):  
Thomas H. Lee ◽  
Henry H. Ting ◽  
Jonathan B. Shammash ◽  
Jane R. Soukup ◽  
Lee Goldman

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