International Journal of Clinical Practice最新文献

{"title":"Electrocardiographic Findings in Patients Hospitalized With COVID-19: Retrospective Study","authors":"Sima Sobhani Shahri,&nbsp;Fateme Mahdizadeh,&nbsp;Abdol Sattar Pagheh,&nbsp;Mohammad Reza Khazdair,&nbsp;Mohamad Karimi,&nbsp;Seyed Mohammad Riahi,&nbsp;Mohammad Yousof Qoddusi,&nbsp;Moloud Foogerdi,&nbsp;Anahita Arian,&nbsp;Shima Heidary,&nbsp;Toba Kazemi","doi":"10.1155/ijcp/3806729","DOIUrl":"https://doi.org/10.1155/ijcp/3806729","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> COVID-19 can involve the heart, which is associated with an increase in morbidity and mortality and can detected by electrocardiogram (ECG). So, in this study, we assess ECG changes in COVID-19-infected patients during hospitalization.</p>\u0000 <p><b>Methods:</b> In this study, we examined the ECGs of 474 patients with COVID-19 positive at Birjand Vali-Asr Hospital (east of Iran). All the ECGs were taken by a single device and interpreted by a cardiologist. Demographic information, past medical history, and severity of COVID disease (in terms of oxygen saturation, respiratory distress, and need for emergency care) were entered in the checklist. Data were entered into SPSS Version 22 and analyzed. A <i>p</i> value of ≤ 0.05 was considered as a significant level.</p>\u0000 <p><b>Results:</b> The patient’s mean age was 57.13 ± 18.7 years, and 55% of them were men; 428 (89.5%) patients survived and 49 (10.5%) died. About 78% of patients had abnormal ECG, which was higher in deceased patients significantly (91.8%, <i>p</i> = 0.03). Most frequent abnormalities include 40.3% of dysrhythmia (sinus tachycardia, atrial fibrillation, and sinus bradycardia), 30.1% of abnormal rate (tachycardia, bradycardia), and 30% of low-voltage ECG. Statistical analysis showed that after multivariable logistic regression, tachycardia (OR = 2.65 [1.2–5.8]; <i>p</i> = 0.015) and ST-segment elevation (OR = 2.9 [1.2–7.2]; <i>p</i> = 0.023) were directly related to the disease severity and mortality.</p>\u0000 <p><b>Conclusion:</b> ECG changes are very common in COVID-19 patients, especially rate and rhythm changes. Tachycardia and ST segment elevation were associated with mortality. ECG changes are very common in COVID-19 patients, especially changes in rate and rhythm. Tachycardia and ST segment elevation were associated with mortality. Since the ECG is a simple, cheap, and safe diagnostic method, it is necessary to take an initial ECG from the patient in acute upper respiratory infections such as COVID-19, at least for patients with severe disease. In our study, the significant point was the presence of low voltage in ECG in one-third of the patients with COVID-19, which requires further research in this field.</p>\u0000 </div>","PeriodicalId":13782,"journal":{"name":"International Journal of Clinical Practice","volume":"2025 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/ijcp/3806729","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144493029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlations Between Thyroid Hormone Levels of Women With Twin Pregnancies in the Third Trimester and Pregnancy Complications and Pregnancy Outcomes","authors":"Lin Yang,&nbsp;Dan Lu,&nbsp;Zhi Liu,&nbsp;Anbang Wang,&nbsp;Aocheng Wang,&nbsp;Jianbo Xia","doi":"10.1155/ijcp/8447857","DOIUrl":"https://doi.org/10.1155/ijcp/8447857","url":null,"abstract":"&lt;div&gt;\u0000 &lt;p&gt;&lt;b&gt;Purpose:&lt;/b&gt; To explore changes in thyroid hormone levels of women with twin pregnancies in the third trimester under different pregnancy complications and pregnancy outcomes and to analyze their associated correlations.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Methods:&lt;/b&gt; A total of 646 women with twin pregnancies who attended their first prenatal visit and received subsequent prenatal care in our hospital were enrolled in this study. Their thyroid hormone levels—free thyroxine (FT4), thyroid-stimulating hormone (TSH), and thyroid peroxidase antibody (TPO-Ab)—in the third trimester were collected for analysis of correlations with pregnancy complications and outcomes, using Spearman’s correlation and a logistic regression model.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Results:&lt;/b&gt; Adverse events, such as premature birth, premature rupture of membranes, placental abruption, fetal distress, fetal growth restriction, neonatal asphyxia, pregnancy-induced hypertension, gestational diabetes mellitus, and postpartum hemorrhage, occurred among the 646 women with twin pregnancies in the third trimester. The highest proportion of pregnancy outcomes was premature birth, accounting for 42.26%, and the top two pregnancy complications were gestational diabetes mellitus and pregnancy-induced hypertension, accounting for 31.42% and 20.28%, respectively. Assisted reproduction and twin type correlated with fetal distress during the third trimester of pregnancy and neonatal asphyxia. Maternal age correlated with gestational diabetes mellitus in the third trimester of pregnancy and postpartum hemorrhage. FT4 levels varied in pregnant women with placental abruption, TSH levels varied in pregnant women with pregnancy-induced hypertension, and TPO-Ab levels varied in pregnant women with premature birth, placental abruption, and postpartum hemorrhage.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Study Limitations:&lt;/b&gt; This study only analyzed thyroid hormone levels at a single timepoint (third trimester) during pregnancy. Dynamic changes in hormone levels across different gestational stages—such as TSH suppression patterns in the first trimester due to hCG elevation or FT4 adjustments in the second trimester—were not tracked. This limitation may hinder the understanding of how temporal hormonal variations contribute to complications like gestational diabetes mellitus or placental abruption. For instance, transient TSH fluctuations in early pregnancy or mid-trimester FT4 instability might differently influence outcomes. Future studies should incorporate longitudinal monitoring at multiple intervals (e.g., first, second, and third trimesters) to capture hormonal trajectories and their phase-specific associations with adverse outcomes. Additionally, the exclusion of women with preexisting thyroid conditions or medication use limits the generalizability of findings to high-risk populations who may benefit most from thyroid monitoring. The single-timepoint design also precludes causal inference—while correlat","PeriodicalId":13782,"journal":{"name":"International Journal of Clinical Practice","volume":"2025 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/ijcp/8447857","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144339554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Everolimus-Coated Ureteral Stent on Ureteral Anastomosis and Renal Ischemia-Reperfusion Damage: A Rabbit Experimental Model","authors":"Fatih Sandikci,&nbsp;Alihan Kokurcan,&nbsp;Sanem Cimen Guler,&nbsp;Sertac Cimen,&nbsp;Tugba Taskin Turkmenoglu,&nbsp;Fevzi Nuri Aydin,&nbsp;M. Abdurrahim Imamoglu","doi":"10.1155/ijcp/5165509","DOIUrl":"https://doi.org/10.1155/ijcp/5165509","url":null,"abstract":"<div>\u0000 <p><b>Objective:</b> Ureteral stricture is defined as the narrowing of the ureter, which leads to functional impairment. This study aims to assess the fibrosis-reducing impact of everolimus, an mTOR inhibitor, on ureteral anastomoses and their potential to mitigate ischemia-reperfusion injury (IRI) in the ipsilateral kidney.</p>\u0000 <p><b>Materials-Methods:</b> Sixteen New Zealand rabbits were randomized into four groups. Group 1: it was determined as the control group. Right-sided kidneys were used in all groups. The renal pedicle was clamped with a noncrushing clamp for 30 min to create IRI. Subsequently, the ureter was transected from the midline. End-to-end anastomosis was performed without the use of a ureteral stent. Group 2: similar procedures were performed as Group 1. Differently, everolimus (Certican, 0.75 mg tablet, Novartis) tablet at a dose of 1 mg/kg was administered orally as once daily for 3 days following the surgical procedure. Group 3: following IRI similar to the other groups, ureter end-to-end anastomosis was performed using a bare stent. Group 4: after similar procedures, end-to-end anastomosis was performed using double J stents coated with everolimus. All rabbits were followed for 21 days after the initial surgeries and sacrificed at the end of this period. Both kidneys and ureters of the subjects were resected en bloc for histopathological and biochemical analysis.</p>\u0000 <p><b>Results:</b> There was less renal inflammatory cell infiltration, interstitial edema, vacuolar degeneration, and fibrosis in both oral everolimus and everolimus-coated stent groups than those in the other groups.</p>\u0000 <p><b>Conclusion:</b> We conclude that everolimus has the potential to prevent ureteral strictures.</p>\u0000 </div>","PeriodicalId":13782,"journal":{"name":"International Journal of Clinical Practice","volume":"2025 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/ijcp/5165509","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144323646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epidemiology and Long-Term Trends of Suicide-Related Hospitalizations in Taiwan: A Population-Based Study","authors":"Tsu-Hsuan Weng,&nbsp;Ho-Tsung Hsin,&nbsp;Chi-Hsiang Chung,&nbsp;Yao-Ching Huang,&nbsp;Shi-Hao Huang,&nbsp;Ren-Jei Chung,&nbsp;Bing-Long Wang,&nbsp;Pi-Ching Yu,&nbsp;Chien-An Sun,&nbsp;Chun-Teng Tsai,&nbsp;Wu-Chien Chien,&nbsp;Nian-Sheng Tzeng,&nbsp;Li-Yun Fann","doi":"10.1155/ijcp/2944393","DOIUrl":"https://doi.org/10.1155/ijcp/2944393","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Suicide is a significant public health issue worldwide, with profound impacts on individuals and society. In Taiwan, suicide has consistently ranked among the leading causes of death, with rates continuing to rise in recent years. Hospitalization due to suicide attempts or injuries is a key indicator of the severity of the issue and the effectiveness of preventive interventions. While suicide mortality has been widely studied, limited research has examined long-term trends in suicide-related hospitalizations, including variations by the methodology, gender, age, and region. Identifying these patterns is essential for developing effective suicide prevention programs and addressing high-risk populations.</p>\u0000 <p><b>Objectives:</b> To examine the epidemiology of suicide-related hospitalized patients, including overall suicide mortality, hospitalization incidence, hospitalization prevalence, and fatality rates—and to analyze long-term trends in Taiwan.</p>\u0000 <p><b>Methods:</b> This study utilized data from three national databases: the National Health Insurance Research Database (NHIRD), the Household Registration Database, and the Cause of Death Data in Taiwan. Information on 66,399 hospitalized patients with suicide-related injuries from January 1, 2000, to December 31, 2018, was collected from the NHIRD, and the Cause of Death Statistics from 1998 to 2020 was analyzed.</p>\u0000 <p><b>Results:</b> The proportion of females hospitalized for attempted suicide (55.01%) was higher than that of males (44.99%). Hospitalizations were predominantly higher among individuals aged 20–39 years (46.63%). The three most common suicide methods were ingestion of solid or liquid substances (62.75%), jumping from buildings (19.13%), and burning charcoal (12.08%). Among these, females had higher rates of ingesting solid or liquid substances (11.32/100,000), cutting with tools (0.15/100,000), and jumping from buildings (3.2/100,000), whereas males had higher rates of burning charcoal (1.41/100,000), hanging (0.39/100,000), and firearm use. Regarding age, young adults aged 20–49 years were more likely to attempt suicide by jumping from buildings, burning charcoal, or using gas, while older adults aged 65 years and above predominantly used ingestion of solids, hanging, or cutting tools. Furthermore, suicide methods exhibited substantial regional variations.</p>\u0000 <p><b>Conclusions:</b> From 1998 to 2020, suicide-related hospitalizations, mortality, and morbidity rates increased in Taiwan, underscoring a pressing public health concern that warrants immediate attention. The marked rise in hospitalization rates indicates that suicide attempts may be becoming more frequent or severe, emphasizing the urgent need to strengthen early intervention strategies.</p>\u0000 </div>","PeriodicalId":13782,"journal":{"name":"International Journal of Clinical Practice","volume":"2025 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/ijcp/2944393","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144291842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Influence of Integrated Care Coupled With Intermittent Pneumatic Compression on Postoperative Rehabilitation Results in Ankle Fracture Patients","authors":"Mo Zhang,&nbsp;Yekun Fang,&nbsp;Chunliu Li,&nbsp;Sai Li,&nbsp;Yanjiao Li,&nbsp;Jianning Liu","doi":"10.1155/ijcp/4473192","DOIUrl":"https://doi.org/10.1155/ijcp/4473192","url":null,"abstract":"<div>\u0000 <p><b>Objective:</b> To explore the effects of integrated nursing combined with intermittent pneumatic compression (IPC) intervention on postoperative recovery in patients with ankle fractures.</p>\u0000 <p><b>Methods:</b> Seventy-two patients with ankle fractures who underwent surgical treatment at the Third Hospital of Hebei Medical University from July 2021 to October 2023 were selected and randomly assigned to two groups: 36 patients in the Routine care group and 36 patients in the IPC group. Postsurgery, the Routine care group received standard traditional nursing care, while the IPC group received integrated nursing coupled with IPC intervention. Pain levels, ankle joint function, incidence of complications, psychological state, and quality of life were assessed and compared between the two groups following intervention.</p>\u0000 <p><b>Results:</b> Following the intervention, the IPC group reported lower pain levels compared to the routine care group; ankle joint function scores and range of motion were superior in the IPC group; the incidence of complications was reduced in the IPC group relative to the routine care group; levels of anxiety and depression were diminished in the IPC group; and the IPC group enjoyed a higher quality of life compared to the routine care group.</p>\u0000 <p><b>Conclusion:</b> Postoperative integrated nursing combined with IPC intervention for patients with ankle fractures effectively alleviates pain, enhances ankle joint function, and reduces complications, while also positively impacting patients’ psychological well-being and overall quality of life.</p>\u0000 </div>","PeriodicalId":13782,"journal":{"name":"International Journal of Clinical Practice","volume":"2025 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/ijcp/4473192","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144281402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The IKONIA Cohort: A Tertiary Center’s Five-Year Experience in Pulmonary Hypertension Management","authors":"Yakup Alsancak,&nbsp;Oznur Keskin,&nbsp;Ahmet Taha Sahin,&nbsp;Sefa Tatar,&nbsp;Ahmet Seyfeddin Gurbuz,&nbsp;Mehmet Akif Duzenli","doi":"10.1155/ijcp/9985937","DOIUrl":"https://doi.org/10.1155/ijcp/9985937","url":null,"abstract":"<div>\u0000 <p><b>Aim and Background:</b> Pulmonary hypertension (PH) is a progressive disease that significantly impacts patient morbidity and mortality. The recent ESC/ERS Guidelines classify PH into five groups, emphasizing the need for specific treatment in certain subgroups. This study presents a 5-year follow-up of patients diagnosed with precapillary PH at our center, aiming to analyze treatment outcomes and associated clinical characteristics.</p>\u0000 <p><b>Methods:</b> This single-center retrospective cohort study included 65 patients diagnosed with precapillary PH between January 2018 and January 2024. Comprehensive assessments including medical history, echocardiography, and laboratory tests were performed. Treatment efficacy was evaluated through echocardiographic and laboratory parameter changes.</p>\u0000 <p><b>Results:</b> The cohort primarily consisted of patients with idiopathic pulmonary arterial hypertension, and 40% received combination therapy. Notable improvements were observed in pulmonary artery pressure, tricuspid regurgitant velocity, and hemodynamic parameters. Despite therapeutic intervention, a mortality rate of 15.4% was recorded, highlighting the complexity of PH management.</p>\u0000 <p><b>Conclusion:</b> This study underscores the multifaceted nature of PH and the importance of a multidisciplinary approach for optimal diagnosis and management. While combination therapy shows promise in improving patient outcomes, the persistent mortality rate emphasizes the need for enhanced awareness and early diagnosis in PH.</p>\u0000 </div>","PeriodicalId":13782,"journal":{"name":"International Journal of Clinical Practice","volume":"2025 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/ijcp/9985937","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144273300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of the Optical Biometry Based on Swept-Source Optical Coherence Tomography and Ultrasound-Based Biometry Device in Patients With Mature Cataract","authors":"Masoud Khorrami-Nejad,&nbsp;Mehdi Khodaparast,&nbsp;Ghaith Hussein Ali,&nbsp;Ali Majdi,&nbsp;Mahsa Ranjbar-Pazooki,&nbsp;Elham Azizi","doi":"10.1155/ijcp/5679146","DOIUrl":"https://doi.org/10.1155/ijcp/5679146","url":null,"abstract":"<div>\u0000 <p><b>Objectives:</b> To compare the agreement and reliability values between an optical biometry based on swept-source optical coherence tomography (OCT) (IOLMaster 700; Carl Zeiss, Germany) and an ocular ultrasound-based biometry device (Nidek; US-4000 Echoscan, Japan) for axial length (AL), anterior chamber depth (ACD), and lens thickness (LT) measurements.</p>\u0000 <p><b>Methods:</b> In this cross-sectional study, 101 eyes of 101 consecutive patients with mature cataract underwent routine eye examinations. Then, ocular biometry measurements through optical biometry and contact ultrasound biometry were carried out. The intraclass correlation coefficient (ICC) for reliability and Bland–Altman plots for the agreement between the mean findings of the two devices were analyzed.</p>\u0000 <p><b>Results:</b> The mean age of patients was 61.6 ± 13.1 (range, 27–94) years. For AL, the mean differences were small (0.10 mm), but with a very strong correlation and excellent agreement (<i>r</i> = 0.999, ICC = 0.999, <i>p</i> &lt; 0.001) between the two devices. Similarly, for ACD, the correlation was very high with excellent reliability (<i>r</i> = 0.958, ICC = 0.974, <i>p</i> &lt; 0.001), though the ultrasound biometer reported a slightly deeper mean ACD (by 0.13 mm). For LT, the agreement and correlation were lower (<i>r</i> = 0.508, ICC = 0.663, <i>p</i> &lt; 0.001), with the optical biometer reporting a thicker mean LT (0.31 mm) than the ultrasound biometer.</p>\u0000 <p><b>Conclusion:</b> AL and ACD measurements from the optical biometry based on swept-source OCT and ultrasound can be used interchangeably in patients with mature cataract. However, LT measurements from the two devices should not be considered interchangeable.</p>\u0000 </div>","PeriodicalId":13782,"journal":{"name":"International Journal of Clinical Practice","volume":"2025 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/ijcp/5679146","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144273525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interlaboratory Reference Change Values for Thyroid Function Indicators Across Analytical Systems: A Comparative Analysis","authors":"Ying Huang,&nbsp;Yan Zhang,&nbsp;Dahai He,&nbsp;Yehong Xie,&nbsp;Xiaohua Xu,&nbsp;Chaoqiong Zhou,&nbsp;Dian Yuan,&nbsp;Lirui Kong","doi":"10.1155/ijcp/6664598","DOIUrl":"https://doi.org/10.1155/ijcp/6664598","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> The clinical application of reference change values (RCVs) is primarily used within the same laboratory analytical system, with limited research addressing its application across different analytical systems in various laboratories. The aim of this study is to estimate the analytical variation (CV_A) and interlaboratory reference variation values (IL-RCV) using external quality assessment (EQA) data and biological variation data, to assess the interoperability of test results for thyroid function indicators across laboratories, and to provide reliable information for clinicians.</p>\u0000 <p><b>Methods:</b> Data for thyroid function indicators, including thyroid-stimulating hormone (TSH), triiodothyronine (T₃), thyroxine (T₄), free T₃ (FT₃), and free T₄ (FT₄), were obtained from eight analytical systems participating in the first EQA conducted by the Clinical Laboratory Center of the National Health Commission in the United States in 2022. The average coefficient of variation (CV) from the five quality control materials was used to determine the CV_A of each indicator across laboratories. Within-subject variation (CV_I) and between-subject biological variation (CV_G) data were obtained on the European Federation of clinical Chemistry and Laboratory Medicine (EFLM) biological variation website. IL-RCV values for each indicator with 95% (bilateral) probability were calculated using the log-normal method and the application of these values between laboratories was evaluated.</p>\u0000 <p><b>Results:</b> The coefficients of CV_A of thyroid function indicators differ across various analytical systems, with 27 individual items having a CV_A greater than the Analyze Performance Specification target values (7%), and the overall range spanning from 3.08% to 11.85%. In addition to TSH and Abbott’s T₃, the average CV_A for all the tests exceeded the estimated data from the EFLM website. With 95% bilateral probability, the positive IL-RCV (IL-RCVpos) ranged from 17.7% to 68.4%, while the negative IL-RCV (IL-RCVneg) ranged from −15.0% to −40.6%, with the percentage of IL-RCVpos is higher than that of IL-RCVneg.</p>\u0000 <p><b>Conclusions:</b> There are differences in the CV_A of thyroid function indicators across different analytical systems, and the IL-RCV is not comparable. Clinicians should pay attention when interpreting reports and it is recommended to use analytical systems from the same manufacturer for the management and follow-up of patients with thyroid diseases.</p>\u0000 </div>","PeriodicalId":13782,"journal":{"name":"International Journal of Clinical Practice","volume":"2025 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/ijcp/6664598","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144220278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “Evaluation of Atrioventricular Valve Regurgitation in Detection of Atrioventricular Septal Defects at First Trimester Ultrasound”","authors":"","doi":"10.1155/ijcp/9893219","DOIUrl":"https://doi.org/10.1155/ijcp/9893219","url":null,"abstract":"<p>Z. Guo, Y. Yan, Y. Zhili, et al., “Evaluation of Atrioventricular Valve Regurgitation in Detection of Atrioventricular Septal Defects at First Trimester Ultrasound,” <i>International Journal of Clinical Practice</i> 2024, no. 1 (2024): 1–8, https://doi.org/10.1155/2024/5027009.</p><p>In the article titled “Evaluation of Atrioventricular Valve Regurgitation in Detection of Atrioventricular Septal Defects at First Trimester Ultrasound,” there was an error in affiliation numbers 1–3. In the corrected affiliation, the hospital name has been changed from “Jiangxi Provincial Maternal and Child Health Hospital” to “Jiangxi Maternal and Child Health Hospital.” The corrected affiliation appears below:</p><p>¹Department of Ultrasound, Jiangxi Maternal and Child Health Hospital, Nanchang, China</p><p>²Department of Prenatal Diagnosis, Jiangxi Maternal and Child Health Hospital, Nanchang, China</p><p>³Department of Reproduction Medicine Center, Jiangxi Maternal and Child Health Hospital, Nanchang, China</p><p>We apologize for this error.</p>","PeriodicalId":13782,"journal":{"name":"International Journal of Clinical Practice","volume":"2025 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/ijcp/9893219","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144197234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Death Risk Score Model of Hospitalized COVID-19 Patients: A Cohort Study","authors":"Gustavo A. Cruz,&nbsp;Thais B. Boteon,&nbsp;Henrique Pott,&nbsp;Sigrid de Sousa dos Santos,&nbsp;Bruna Dias de Lima Fragelli,&nbsp;Cynthia Aparecida de Castro,&nbsp;Joice Margareth de Almeida Rodolpho,&nbsp;Davi Casale Aragon,&nbsp;Fernanda de F. Anibal,&nbsp;Meliza Goi Roscani","doi":"10.1155/ijcp/6356936","DOIUrl":"https://doi.org/10.1155/ijcp/6356936","url":null,"abstract":"<div>\u0000 <p><b>Introduction:</b> The aim of this study was to establish a predictive model of risk of mortality in hospitalized COVID-19 patients.</p>\u0000 <p><b>Methods:</b> Cohort study in hospitalized patients due to COVID-19 followed-up until death or discharge. They underwent clinical evaluation and laboratory tests on hospital admission and were investigated until death or hospital discharge. A death model risk was purposed based on clinical predictors on hospital admission.</p>\u0000 <p><b>Results:</b> A total of 215 patients were enrolled, with 39 deaths. The predictors of risk of mortality were age (relative risk (RR): 3,05 [1.65–5.63]), serum creatinine (RR: 7.39 [3.81–14.34]), peripheral blood lymphocyte counts (RR: 5.94 [3.78–9.31]), platelet counts (RR: 3.26 [1.81–5.9]), serum lactate dehydrogenase (LDH; RR: 5.85 [3.75–9.17), and C-reactive protein (CRP; RR: 3.36 [1.66–6.79]). The death risk considering the punctuation (points) above was age &gt; 64 years (1 point), platelet counts &lt; 197,000 cell/mm³ (1 point), LDH &gt; 823 UI/L (1 point), lymphocytes &lt; 373,000 cell/mm³ (1 point), creatinine &gt; 1.2 mg/dL (1 point), and CRP &gt; 7.68 mg/dL (1 point). The death risk considering the punctuation (points) above was 6: 95%, 5: 85%–92%, 4: 50%–88%, 3: 29%–74%, 2: 17%–39%, and 1: 14%–31%.</p>\u0000 <p><b>Conclusion:</b> The routine laboratory on hospital admission may be a good predictor of mortality during the hospitalization follow-up of COVID-19 patients. A score risk may be adjusted and calculated based on these markers.</p>\u0000 </div>","PeriodicalId":13782,"journal":{"name":"International Journal of Clinical Practice","volume":"2025 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/ijcp/6356936","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144191120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}