Clinical and Experimental Emergency Medicine最新文献_第2页

Can left atrial diameter measured by computed tomography predict the presence and degree of left ventricular diastolic dysfunction? CT 测量的 LA 直径能否预测左心室舒张功能障碍的存在和程度？

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-12-01 Epub Date: 2024-05-23 DOI: 10.15441/ceem.24.194

Gae An Kim, Ji Ung Na, Dong Hyuk Shin, Jang Hee Lee

{"title":"Can left atrial diameter measured by computed tomography predict the presence and degree of left ventricular diastolic dysfunction?","authors":"Gae An Kim, Ji Ung Na, Dong Hyuk Shin, Jang Hee Lee","doi":"10.15441/ceem.24.194","DOIUrl":"10.15441/ceem.24.194","url":null,"abstract":"Objective: This study was conducted to determine whether the presence and degree of left ventricular diastolic dysfunction (LVDD) can be predicted by the simple computed tomography -measured left atrial diameter (CTLAD).Methods: Among adult patients who underwent both chest CT imaging and echocardiography in the emergency department from January 2020 to December 2021, a retrospective cross-sectional study enrolled patients in whom the time interval between the two tests was <24 hours. Receiver operating characteristic (ROC) curve analysis was used to evaluate the diagnostic power of CTLAD for echocardiographic LVDD.Results: In a study involving 373 patients, 192 (51.5%) had LVDD. Among them, 122 (63.5%) had grade 1, 61 (31.8%) had grade 2, and nine (4.7%) had ≥grade 3. Median CTLAD values were 4.1 cm for grade 1, 4.5 cm for grade 2, and 4.9 cm for ≥grade 3. The area under the ROC curve value of CTLAD in distinguishing ≥grade 1, ≥grade 2 (optimal cutoff ≥4.4 cm), and ≥grade 3 (optimal cutoff ≥4.5 cm) were 0.588, 0.657 (sensitivity, 61.4%; specificity, 66.0%, positive predictive value, 29.5%; negative predictive value, 88.1%; odds ratio, 3.1), and 0.834 (sensitivity, 88.9%; specificity, 70.1%; positive predictive value, 6.8%; negative predictive value, 99.6%, odds ratio, 18.7), respectively.Conclusion: CTLAD ≥4.4 cm can be used as a rough reference value to distinguish LVDD of ≥grade 2, while CTLAD ≥4.5 cm can reliably distinguish LVDD of ≥grade 3. CTLAD might be a useful parameter for predicting LVDD in situations where echocardiography is not available.","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":"358-364"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141080657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Emergency department crowding: a national data report.

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-12-01 Epub Date: 2024-12-30 DOI: 10.15441/ceem.24.337

Hansol Chang, Eunsil Ko, Jin-Hee Lee, Minha Kim, Taerim Kim, Tae Gun Shin, Seongjung Kim

引用次数: 0

Navigating healthcare priorities in treatable mortality.

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-12-01 Epub Date: 2024-12-30 DOI: 10.15441/ceem.24.346

Kyuseok Kim

引用次数: 0

A narrative review of contemporary lethal pesticides: unveiling the ongoing threat of pesticide poisoning. 当代致命农药叙事评论》：揭开农药中毒的持续威胁。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-12-01 Epub Date: 2024-01-29 DOI: 10.15441/ceem.23.167

Sangchun Choi, Gi Woon Kim, Hoon Lim

引用次数: 0

Pediatric Trauma Management in Switzerland: Insights from a Nationwide Survey. 瑞士的儿科创伤管理：一项全国性调查的启示。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-10-16 DOI: 10.15441/ceem.24.251

Leopold Simma

{"title":"Pediatric Trauma Management in Switzerland: Insights from a Nationwide Survey.","authors":"Leopold Simma","doi":"10.15441/ceem.24.251","DOIUrl":"https://doi.org/10.15441/ceem.24.251","url":null,"abstract":"Objective: To explore and analyze pediatric trauma care practices across designated pediatric trauma centers (PTCs) in Switzerland. The focus is on reception, trauma team activation (TTA), trauma team composition, patient volumes, and infrastructure.Methods: A national online survey was conducted among all eight PTCs in Switzerland with an 18- item questionnaire. The survey investigated organizational aspects, criteria for TTA, patient volume, and communication modalities in pediatric emergency departments (PEDs).Results: All PTCs responded, revealing varied methods of TTA, and with reception of major trauma either within PEDs or at adjacent adult trauma facilities. Trauma team composition and activation criteria also differ among centers, with nonsurgeons often leading the teams and anesthesia as a default for airway management. TTA criteria vary widely, with the most common being the request of prehospital crew (62.5%) and physician discretion (50%). Trauma resuscitation is predominantly led by PED attendings (75%).Conclusion: The survey provides insights into the state of pediatric trauma care in Switzerland and emphasizes the importance of multidisciplinary teams and the variability in trauma management practices, which are often tailored to local circumstances. Despite the limitations of self-reported data and the small sample size due to the country's size, the results suggest that a national trauma registry would help to evaluate and optimize pediatric trauma care protocols.","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142459487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Epidemiology of Deep Venous Thrombosis Among United States Emergency Departments Over an Eight-Year Period. 八年间美国急诊科深静脉血栓的流行病学。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-10-16 DOI: 10.15441/ceem.24.299

Eric Moyer, Kyle Bernard, Michael Gottlieb

{"title":"Epidemiology of Deep Venous Thrombosis Among United States Emergency Departments Over an Eight-Year Period.","authors":"Eric Moyer, Kyle Bernard, Michael Gottlieb","doi":"10.15441/ceem.24.299","DOIUrl":"https://doi.org/10.15441/ceem.24.299","url":null,"abstract":"Introduction: Deep vein thrombosis (DVT) is a significant cause of morbidity and mortality worldwide, accounting for substantial healthcare utilization. However, as management strategies have evolved, there is a critical need for current data on incidence, admission rates, and medical management of DVT in the ED setting.Methods: This cross-sectional study analyzed ED presentations for DVT from 2016-2023 using the Cosmos database. Inclusion criteria comprised patients aged ≥18 years with an ICD-10 code for acute extremity DVT. Outcomes included incidence rates, admission rates, and anticoagulant prescriptions. Data were analyzed using descriptive statistics, and subgroup analyses were performed for upper and lower extremity DVTs.Results: Out of 190,144,463 total ED encounters, DVT represented 368,044 cases (0.2%). Among these cases, 119,986 (32.6%) were admitted, with admission rates stable over the study period. Apixaban was the most prescribed anticoagulant (40.3%), followed by rivaroxaban (28.3%), enoxaparin (7.9%), warfarin (3.6%), and dabigatran (0.3%). Use of apixaban increased from 12.4% in 2016 to 56.2% in 2023. Lower extremity DVTs comprised 88.5% of cases, with a 32.1% admission rate, while upper extremity DVTs accounted for 11.7% of cases, with a 37.0% admission rate.Conclusion: This study provides a summary of DVT presentations and management in United States EDs over an eight52 year period. The findings highlight stable incidence rates, reduced admission rates compared to historical data, and a significant shift towards the use of DOACs, particularly apixaban, for outpatient management. These trends underscore the importance of evidence-based practices 54 and ongoing research to optimize DVT management and improve patient outcomes.","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142459485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Floating thrombus involving the aortic arch in a woman. 一名女性主动脉弓上的漂浮血栓。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-10-16 DOI: 10.15441/ceem.24.292

Gabriele Pagliariccio, Massimo Mattioli, Ilenia Di Sario

引用次数: 0

Single Lumen Displacement of a Hemodialysis Catheter into the Azygous Vein on a Chest Radiograph. 胸片上血液透析导管向颧静脉的单腔移位。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-10-16 DOI: 10.15441/ceem.24.298

Robert Hlavin, Michael Gottlieb

引用次数: 0

Assessing the efficacy of electrocardiogram for heart rate evaluation during newborn resuscitation at birth: a prospective observational study. 评估新生儿出生复苏期间心电图对心率评估的功效：一项前瞻性观察研究。

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-10-16 DOI: 10.15441/ceem.24.245

Kee Hyun Cho, Hyun Su Lee, Eun Sun Kim

{"title":"Assessing the efficacy of electrocardiogram for heart rate evaluation during newborn resuscitation at birth: a prospective observational study.","authors":"Kee Hyun Cho, Hyun Su Lee, Eun Sun Kim","doi":"10.15441/ceem.24.245","DOIUrl":"https://doi.org/10.15441/ceem.24.245","url":null,"abstract":"Objective: This study aimed to assess the efficacy of electrocardiogram (ECG) compared to pulse oximetry (PO) in detecting heart rate (HR) during high-risk newborn resuscitation.Methods: A prospective observational study was performed with high-risk delivery cases to measure the time required for HR detection. A conventional PO and a standard ECG monitor were used for HR assessment.Results: Forty-one infants were analyzed in the study, and 11 among them needed resuscitation. Nine were <32 gestational weeks (GA), 28 were 33-35 GA, and 4 were >36 GA at birth. ECG time for placement to HR detection was significantly faster than PO detection [30 (20-43.5) vs. 125 (100-175) seconds, P<0.001]. ECG time for placement to HR detection was the fastest in the infants below 32 GA at birth [19 (11.5-30) vs. 34.5 (25-44.25) vs. 39.5 (30-64.75) seconds, P=0.039).Conclusion: ECG effectively evaluated HR during neonatal resuscitation compared to PO. Low gestational age infants who need resuscitation often may benefit in HR evaluation with nearby standard ECG.","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142459483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Acute iodinate contrast medium reaction: look at the CT images! 急性碘酸造影剂反应：查看 CT 图像！

IF 1.9

Clinical and Experimental Emergency Medicine Pub Date : 2024-10-16 DOI: 10.15441/ceem.24.295

Annapaola Truono, Nicola Romano, Lorenzo Bacigalupo, Antonio Castaldi

引用次数: 0