Short and long-term mortality in elderly patients with suspected not confirmed pulmonary embolism

2020 ◽  
Vol 73 ◽  
pp. 36-42 ◽  
Author(s):  
Hernan Polo Friz ◽  
Annalisa Orenti ◽  
Mattia Brambilla ◽  
Alessandro Caleffi ◽  
Valentina Pezzetti ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Elderly Patients ◽  
Short And Long Term ◽  
Long Term Mortality

Comorbidity assessment as predictor of short and long-term mortality in elderly patients with hemodynamically stable acute pulmonary embolism

2017 ◽  
Vol 44 (3) ◽  
pp. 316-323 ◽  
Author(s):  
Hernan Polo Friz ◽  
Valeria Corno ◽  
Annalisa Orenti ◽  
Chiara Buzzini ◽  
Chiara Crivellari ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Elderly Patients ◽  
Acute Pulmonary Embolism ◽  
Short And Long Term ◽  
Long Term Mortality

Short- and Long-term Mortality Risk After Acute Pulmonary Embolism

2018 ◽  
Vol 20 (12) ◽  
Author(s):  
Rajesh Gupta ◽  
Dylan D. Fortman ◽  
Daniel R. Morgenstern ◽  
Christopher J. Cooper
Keyword(s):  
Pulmonary Embolism ◽  
Mortality Risk ◽  
Acute Pulmonary Embolism ◽  
Short And Long Term ◽  
Long Term Mortality

scholarly journals Long-term prognostic value of delirium in elderly patients with acute cardiac diseases admitted to two cardiac intensive care units: a prospective study (DELIRIUM CORDIS)

2017 ◽  
Vol 7 (7) ◽  
pp. 661-670 ◽  
Author(s):  
Giovanni Falsini ◽  
Simone Grotti ◽  
Italo Porto ◽  
Giulio Toccafondi ◽  
Aureliano Fraticelli ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Onset Time ◽  
Confusion Assessment Method ◽  
Assessment Method ◽  
Cardiac Diseases ◽  
Confusion Assessment ◽  
Short And Long Term ◽  
Cardiac Intensive Care ◽  
Long Term Mortality

Background: Delirium is a frequent in-hospital complication in elderly patients, and is associated with poor clinical outcome. Its clinical impact, however, has not yet been fully addressed in the setting of the cardiac intensive care unit (CICU). The present study is a prospective, two-centre registry aimed at assessing the incidence, prevalence and significance of delirium in elderly patients with acute cardiac diseases. Methods: Between January 2014 and March 2015, all consecutive patients aged 65 years or older admitted to the CICU of our institutions were enrolled and followed for 6 months. Delirium was defined according to the confusion assessment method. Results: During the study period, 726 patients were screened for delirium. The mean age was 79.1±7.8 years. A total of 111 individuals (15.3%) were diagnosed with delirium; of them, 46 (41.4%) showed prevalent delirium (PD), while 65 (58.6%) developed incident delirium (ID). Patients 85 years or older showed a delirium rate of 52.3%. Hospital stay was longer in delirious versus non-delirious patients. Patients with delirium showed higher in-hospital, 30-day and 6-month mortality compared to non-delirious patients, irrespective of the onset time (overall, ID or PD). Six-month re-hospitalisation was significantly higher in overall delirium and the PD group, as compared to non-delirious patients. Kaplan–Meier analysis showed a significant reduction of 6-month survival in patients with delirium compared to those without, irrespective of delirium onset time (i.e. ID or PD). A positive confusion assessment method was an independent predictor of short and long-term mortality. Conclusions: Delirium is a common complication in elderly CICU patients, and is associated with a longer and more complicated hospital stay and increased short and long-term mortality. Our findings suggest the usefulness of a protocol for the early identification of delirium in the CICU. Clinicaltrials.gov: NCT02004665

scholarly journals Short- and long-term mortality after pulmonary embolism in patients with and without cancer

2018 ◽  
Vol 23 (3) ◽  
pp. 261-266 ◽  
Author(s):  
Ghazi Alotaibi ◽  
Cynthia Wu ◽  
Ambikaipakan Senthilselvan ◽  
Michael Sean McMurtry
Keyword(s):  
Pulmonary Embolism ◽  
Short Term ◽  
Term Survival ◽  
Patients With Cancer ◽  
Risk Of Death ◽  
All Cause Mortality ◽  
Short And Long Term ◽  
Incident Cases ◽  
Long Term Mortality

Pulmonary embolism (PE) is a major cause of mortality and morbidity. It is known that the risk of death varies by provoking factors; however, it is unknown if the risk of death persists beyond the initial diagnosis among patients with cancer-associated and non-cancer provoked patients. In this study, we aimed to investigate the effect of cancer on overall, short- and long-term mortality in a cohort of consecutive incident PE patients. Using administrative databases, we identified all incident cases of PE between 2004 and 2012 in Alberta, Canada. Cases were stratified by provoking factors (i.e. unprovoked, provoked, and cancer-associated). A multivariate Cox survival model was used to estimate the hazard ratios of short- and long-term death. We identified 8641 patients with PE, among which 42.2% were unprovoked, 37.9% were provoked and 19.9% were cancer-associated. The 1-year and 5-year survival probabilities were 60% (95% CI: 57–64%) and 39% (95% CI: 36–43%) in patients with cancer-associated PE, 93% (95% CI: 92–94%) and 80% (95% CI: 78–81%) in provoked PE, and 94% (95% CI: 93–95%) and 85% (95% CI: 83–87%) in unprovoked PE, respectively. Compared to patients with unprovoked events, both short-term and long-term survival in patients with cancer-associated PE have a higher observed risk of all-cause mortality in all age groups ( p<0.001). In contrast, patients with provoked events had a similar short- and long-term all-cause mortality. While PE has a significant mortality in all risk groups, patients with cancer have a higher risk of short-term mortality compared to patients with unprovoked PE.

Elevated Troponin T Predicts Both Short and Long-term Mortality after Pulmonary Embolism

2010 ◽  
Vol 19 ◽  
pp. S216-S217 ◽  
Author(s):  
A. Ng ◽  
V. Chow ◽  
A. Yong ◽  
T. Chung ◽  
L. Kritharides
Keyword(s):  
Pulmonary Embolism ◽  
Troponin T ◽  
Elevated Troponin ◽  
Short And Long Term ◽  
Long Term Mortality

Effect of heart failure on postoperative short and long-term mortality in elderly patients with hip fracture

Injury ◽  
2020 ◽  
Vol 51 (3) ◽  
pp. 694-698 ◽  
Author(s):  
Yong-Han Cha ◽  
Yong-Chan Ha ◽  
Hyun-Jun Ryu ◽  
Young-Kyun Lee ◽  
Sang Hyun Park ◽  
...  
Keyword(s):  
Heart Failure ◽  
Hip Fracture ◽  
Elderly Patients ◽  
Short And Long Term ◽  
Long Term Mortality

scholarly journals Fluctuation of Serum Sodium and Its Impact on Short and Long-Term Mortality following Acute Pulmonary Embolism

PLoS ONE ◽  
2013 ◽  
Vol 8 (4) ◽  
pp. e61966 ◽  
Author(s):  
Austin Chin Chwan Ng ◽  
Vincent Chow ◽  
Andy Sze Chiang Yong ◽  
Tommy Chung ◽  
Leonard Kritharides
Keyword(s):  
Pulmonary Embolism ◽  
Serum Sodium ◽  
Acute Pulmonary Embolism ◽  
Short And Long Term ◽  
Long Term Mortality

Impact of percutaneous coronary intervention on short and long-term prognosis of elderly patients with acute myocardial infarction from 2010 to 2017 in Japanese population

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
J Goto ◽  
T Watanabe ◽  
Y Kobayashi ◽  
T Toshima ◽  
M Wanezaki ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Coronary Intervention ◽  
Short Term ◽  
Percutaneous Coronary ◽  
Short Term Mortality ◽  
Short And Long Term ◽  
Group 3 ◽  
Long Term Prognosis ◽  
Long Term Mortality

Abstract Background Advances in therapies have successfully decreased short-term mortality in patients with acute myocardial infarction (AMI). Although aging population is recently increasing in developed countries, there are few reports about the association between prevalence of percutaneous coronary intervention (PCI) and long-term prognosis in elderly patients with AMI in Japan. Purpose The aim of this study was to clarify the prevalence of PCI and the impact of PCI on short and long-term prognosis of elderly patients with AMI. Methods and results We investigated the prevalence of PCI and short-term mortality in 4,109 patients with AMI who were registered in Yamagata AMI Registry from 2010 to 2017. Long-term mortality was investigated using data from death certification in July 2019. We divided patients with AMI into three age groups (group 1, &lt;65 years old; group 2, 65–79 years old; and group 3, ≥80 years old). Short-term mortality within 30 days was 6.5%, 12.1%, and 28.6%, respectively. Also, prevalence of PCI was 88.0%, 84.7%, and 62.7%, respectively. Multivariate analysis revealed that age, PCI, and severity of Killip classification were significantly associated with short-term mortality after adjustment for confound factors in group 3. Since the prevalence of PCI in group 3 was the lowest among three groups, the cause of PCI not being executed was investigated in 1,429 patients aged ≥80 years old. Elderly patients who didn't undergo PCI was older, more women, and had higher prevalence of chronic kidney disease, previous stroke, and severe Killip classification. Multivariate analysis revealed that age and Killip III/IV were significantly associated with non-executed PCI after adjustment for confound factors. Next, we investigated impact of PCI on long-term mortality in elderly patients who escaped acute death. Multivariate Cox hazard analysis revealed that PCI was associated with lower mortality after adjustment for confound factors (adjusted hazard ratio 2.47, 95% CI: 1.47–4.06; p=0.0008). Conclusion Lower prevalence of PCI and higher short-term mortality were observed in elderly patients with AMI aged ≥80 years old. PCI ameliorated long-term mortality as well as short-term mortality in elderly patients with AMI. Funding Acknowledgement Type of funding source: None

scholarly journals Predictors of medium- and long-term mortality in elderly patients with acute pulmonary embolism

Heliyon ◽  
2020 ◽  
Vol 6 (9) ◽  
pp. e04857
Author(s):  
Hernan Polo Friz ◽  
Annalisa Orenti ◽  
Elia Gelfi ◽  
Elena Motto ◽  
Laura Primitz ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Elderly Patients ◽  
Acute Pulmonary Embolism ◽  
Long Term Mortality

The Effect of an Impaired Arousal on Short- and Long-Term Mortality of Elderly Patients Admitted to an Acute Geriatric Unit

2016 ◽  
Vol 17 (3) ◽  
pp. 214-219 ◽  
Author(s):  
Giuseppe Bellelli ◽  
Andrea Mazzone ◽  
Alessandro Morandi ◽  
Nicola Latronico ◽  
Sabrina Perego ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Geriatric Unit ◽  
Short And Long Term ◽  
Long Term Mortality
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