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377 results

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Page 1
Management of acute upper gastrointestinal bleeding.
Stanley AJ, Laine L. Stanley AJ, et al. BMJ. 2019 Mar 25;364:l536. doi: 10.1136/bmj.l536. BMJ. 2019. PMID: 30910853
Upper gastrointestinal bleeding (UGIB) is a common medical emergency, with a reported mortality of 2-10%. Patients identified as being at very low risk of either needing an intervention or death can be managed as outpatients. ...Endoscopy should be undertaken …
Upper gastrointestinal bleeding (UGIB) is a common medical emergency, with a reported mortality of 2-10%. Patients identified as bein …
Risk stratification of acute pulmonary embolism.
de Wit K, D'Arsigny CL. de Wit K, et al. J Thromb Haemost. 2023 Nov;21(11):3016-3023. doi: 10.1016/j.jtha.2023.05.003. Epub 2023 May 13. J Thromb Haemost. 2023. PMID: 37187357 Free article. Review.
Given the high short-term mortality, management of high-risk PE cases focuses on immediate reperfusion therapies. Risk stratification of normotensive PE is important to identify patients with an elevated risk of hemodynamic collapse or an elevated risk …
Given the high short-term mortality, management of high-risk PE cases focuses on immediate reperfusion therapies. Risk stratif …
Diagnosis and management of nonvariceal upper gastrointestinal hemorrhage: European Society of Gastrointestinal Endoscopy (ESGE) Guideline.
Gralnek IM, Dumonceau JM, Kuipers EJ, Lanas A, Sanders DS, Kurien M, Rotondano G, Hucl T, Dinis-Ribeiro M, Marmo R, Racz I, Arezzo A, Hoffmann RT, Lesur G, de Franchis R, Aabakken L, Veitch A, Radaelli F, Salgueiro P, Cardoso R, Maia L, Zullo A, Cipolletta L, Hassan C. Gralnek IM, et al. Endoscopy. 2015 Oct;47(10):a1-46. doi: 10.1055/s-0034-1393172. Epub 2015 Sep 29. Endoscopy. 2015. PMID: 26417980 Free article.
ESGE recommends the use of the Glasgow-Blatchford Score (GBS) for pre-endoscopy risk stratification. Outpatients determined to be at very low risk, based upon a GBS score of 0 - 1, do not require early endoscopy nor hospital admission. ...In patients receivin …
ESGE recommends the use of the Glasgow-Blatchford Score (GBS) for pre-endoscopy risk stratification. Outpatients determined to …
Comparison of risk scoring systems for patients presenting with upper gastrointestinal bleeding: international multicentre prospective study.
Stanley AJ, Laine L, Dalton HR, Ngu JH, Schultz M, Abazi R, Zakko L, Thornton S, Wilkinson K, Khor CJ, Murray IA, Laursen SB; International Gastrointestinal Bleeding Consortium. Stanley AJ, et al. BMJ. 2017 Jan 4;356:i6432. doi: 10.1136/bmj.i6432. BMJ. 2017. PMID: 28053181 Free PMC article.
OBJECTIVE: To compare the predictive accuracy and clinical utility of five risk scoring systems in the assessment of patients with upper gastrointestinal bleeding. ...Optimum score thresholds to identify low risk and high risk patients were determined. …
OBJECTIVE: To compare the predictive accuracy and clinical utility of five risk scoring systems in the assessment of patients with up …
Risk assessment after acute upper gastrointestinal haemorrhage.
Rockall TA, Logan RF, Devlin HB, Northfield TC. Rockall TA, et al. Gut. 1996 Mar;38(3):316-21. doi: 10.1136/gut.38.3.316. Gut. 1996. PMID: 8675081 Free PMC article.
The aim of this study was to establish the relative importance of risk factors for mortality after acute upper gastrointestinal haemorrhage, and to formulate a simple numerical scoring system that categorizes patients by risk. ...This score can be used to determine …
The aim of this study was to establish the relative importance of risk factors for mortality after acute upper gastrointestinal haemo …
Epidemiological trends of subarachnoid hemorrhage at global, regional, and national level: a trend analysis study from 1990 to 2021.
Lv B, Lan JX, Si YF, Ren YF, Li MY, Guo FF, Tang G, Bian Y, Wang XH, Zhang RJ, Du ZH, Liu XF, Yu SY, Tian CL, Cao XY, Wang J. Lv B, et al. Mil Med Res. 2024 Jul 11;11(1):46. doi: 10.1186/s40779-024-00551-6. Mil Med Res. 2024. PMID: 38992778 Free PMC article.
BACKGROUND: Subarachnoid hemorrhage (SAH) is a subtype of hemorrhagic stroke characterized by high mortality and low rates of full recovery. ...High systolic blood pressure stands out as a key risk factor for SAH. More specific supportive measures are necessary to a …
BACKGROUND: Subarachnoid hemorrhage (SAH) is a subtype of hemorrhagic stroke characterized by high mortality and low rates of full re …
Outpatient versus inpatient treatment for patients with acute pulmonary embolism: an international, open-label, randomised, non-inferiority trial.
Aujesky D, Roy PM, Verschuren F, Righini M, Osterwalder J, Egloff M, Renaud B, Verhamme P, Stone RA, Legall C, Sanchez O, Pugh NA, N'gako A, Cornuz J, Hugli O, Beer HJ, Perrier A, Fine MJ, Yealy DM. Aujesky D, et al. Lancet. 2011 Jul 2;378(9785):41-8. doi: 10.1016/S0140-6736(11)60824-6. Epub 2011 Jun 22. Lancet. 2011. PMID: 21703676 Free article. Clinical Trial.
By 90 days, three (1.8%) outpatients but no inpatients had developed major bleeding (95% UCL 4.5%; p=0.086). Mean length of stay was 0.5 days (SD 1.0) for outpatients and 3.9 days (SD 3.1) for inpatients. INTERPRETATION: In selected low-risk patients w …
By 90 days, three (1.8%) outpatients but no inpatients had developed major bleeding (95% UCL 4.5%; p=0.086). Mean length of st …
Endometrial Thickness as Diagnostic Triage for Endometrial Cancer Among Black Individuals.
Doll KM, Pike M, Alson J, Williams P, Carey E, Stürmer T, Wood M, Marsh EE, Katz R, Robinson WR. Doll KM, et al. JAMA Oncol. 2024 Aug 1;10(8):1068-1076. doi: 10.1001/jamaoncol.2024.1891. JAMA Oncol. 2024. PMID: 38935372 Free PMC article.
False-negative probability at the 5-mm threshold was similar among EC risk factor groups: postmenopausal bleeding (12.4%; 95% CI, 7.8%-18.5%), body mass index greater than 40 (9.3%; 95% CI, 3.1%-20.3%); and age 50 years or older (12.8%; 95% CI, 8.4%-18.5%). . …
False-negative probability at the 5-mm threshold was similar among EC risk factor groups: postmenopausal bleeding (12.4%; 95% …
Scoring systems for risk stratification in upper and lower gastrointestinal bleeding.
Radaelli F, Rocchetto S, Piagnani A, Savino A, Di Paolo D, Scardino G, Paggi S, Rondonotti E. Radaelli F, et al. Best Pract Res Clin Gastroenterol. 2023 Dec;67:101871. doi: 10.1016/j.bpg.2023.101871. Epub 2023 Oct 7. Best Pract Res Clin Gastroenterol. 2023. PMID: 38103927 Review.
Several scoring systems have been developed for both upper and lower GI bleeding to predict the bleeding severity and discriminate between low-risk patients, who may be suitable for outpatient management, and those who would likely need hospital-based …
Several scoring systems have been developed for both upper and lower GI bleeding to predict the bleeding severity and discrimi …
[Pulmonary embolism].
Söffker G, Kluge S. Söffker G, et al. Dtsch Med Wochenschr. 2015 Jan;140(2):89-96. doi: 10.1055/s-0041-100003. Epub 2015 Jan 22. Dtsch Med Wochenschr. 2015. PMID: 25612280 German.
Pulmonary Embolism Severity Index) is recommended. Therefore, the intermediate-risk group can be further subdivided. ...Due to the high risk of bleeding in the PEITHO study, however, a critical individual risk-benefit evaluation should be done. …
Pulmonary Embolism Severity Index) is recommended. Therefore, the intermediate-risk group can be further subdivided. ...Due to …
377 results