text stringlengths 80 6.25k | text_len int64 32 3.12k | src stringclasses 7
values |
|---|---|---|
patiënten met diverticulitis en geïsoleerd pericolisch extraluminaal lucht initieel conservatief en laat de Overweeg patiënten met diverticulitis en geïsoleerd pericolisch extraluminaal lucht routinematig met antibiotica Overweeg bij patiënten met diverticulitis en geïsoleerd pericolisch extraluminaal lucht een r... | 569 | fms |
air may lower the threshold for surgery because of the fear of progression into free perforation Consequently, the found rate of #% may be an overestimation Third, the need for percutaneous abscess drainage was only reported # studies including ## patients Since percutaneous interventions represent an increasing par... | 615 | fms |
in de literatuur zijn vooralsnog te laag voor duidelijke conclusies ten aanzien Three prospective cohort studies (Lahat, ###; Mora, ###; Thorisson, ###) and # retrospective cohort studies Europe and # study in the United States of <PERSOON> Although all studies reported pericolic extraluminal air patients separately f... | 650 | fms |
of emergency surgery were reported in ### patients and rates of percutaneous abscess drainage in ## patients Seven studies reported rates of emergency surgery Six studies provided crude data and could be pooled in a emergency surgery One study (Sallinen, ###) only reported an adjusted odds ratio for the need for eme... | 625 | fms |
directe interventie, chirurgisch dan wel percutaan (eventueel met antibiotica) bij patiënten met diverticulitis met geïsoleerd pericolisch extraluminaal Interventie conservatieve behandeling van diverticulitis met pericolisch extraluminaal lucht (eventueel met De werkgroep achtte noodzaak tot spoedoperatie en/of per... | 600 | fms |
a multicentre state-wide study <PERSOON> E, et al Acute diverticulitis a decade of prospective follow-up <PERSOON> L, <PERSOON> X, et al Application of a modified Neff classification to patients with uncomplicated Sallinen VJ, Mentula PJ, Leppaniemi AK Nonoperative management of perforated diverticulitis with ext... | 674 | fms |
# ##) and percutaneous reinterventions than patients that underwent immediate sigmoid resection Also serious morbidity rates were slightly higher in the laparoscopic lavage group after # months (pooled ##% versus ##%; RR # ##, ##% CI # ## to # ##), just as the slightly higher risk of mortality after # month (pooled #%... | 661 | fms |
may only be a promising treatment option in Hinchey stage # patients, this incorrect composition of the groups may have masked the true treatment effect in Hinchey # patients Consensus about the importance of the different outcomes in determining future treatment strategies is lacking, which is reflected by the differ... | 577 | fms |
one third of the patients in the resection group showed perforation at pathological examination Since patients with overt perforation are likely to fail laparoscopic lavage management, similar rates of perforation in the laparoscopic lavage may have worsened the outcomes in this group Better preoperative diagnostics ... | 614 | fms |
een lager aantal opheffen stoma operaties, minder reoperaties te ondergaan dan sigmoïd resectie patiënten Op korte termijn (# maand) hebben laparoscopische lavage patiënten vaker een percutane reïnterventie nodig dan patiënten die een sigmoïd resectie hebben ondergaan Hoewel niet significant verschillend, lijke... | 637 | fms |
reported by the LADIES and SCANDIV trial, patients with stoma and costs were only reported by the DILALA and LADIES trial Most analyses were done according to the intention-to-treat principle Only the DILALA trial reported results of reoperation and mortality up to # months from a per-protocol analysis <PERSOON> SCA... | 625 | fms |
##) This effect is mostly caused by the higher number of stoma reversal operations in the resection group (Figure #) Figure # Forest plot f or the risk of needing reoperation within # or ## months <PERSOON> need for percutaneous abscess drainage was only reported in two studies at three different follow-up durations... | 628 | fms |
# Forest plot f or the risk of mortality within # month, # months and ## months Part of the patients in the resection group underwent a <PERSOON>âs procedure, therefore more patients in this group had a stoma during the study Since not all stomaâs were reversed, significantly less patients had a stoma Figure # Fo... | 584 | fms |
dan wel resectie met primaire anastomose) bij volwassen patiënten met Op basis van titel en abstract werden in eerste instantie ## studies voorgeselecteerd Na raadpleging van de volledige tekst, werden vervolgens # studies geëxcludeerd (zie exclusietabel onder het tabblad Zeven onderzoeken, waarin resultaten van # g... | 554 | fms |
wegens geperforeerde acute diverticulitis en weeg hierbij de klinische conditie van de patiënt en expertise van de operateur mee Overweeg bij overige patiënten de <PERSOON> procedure Following several observational studies that showed clear benefits of primary anastomosis compared to a <PERSOON>âs procedure for p... | 581 | fms |
in complications in these patients Another important outcome that may affect patientsâ quality of life is the number of patients that end up with a permanent stoma Two studies showed significantly less patients with a stoma at the end of follow-up in the primary anastomosis group Some patients never had a stoma an... | 605 | fms |
anastomosis could be a one stage operation (without diverting ileostomy) <PERSOON> if a diverting ileostomy is created, reversal is less burdensome and is more frequently performed compared to a colostomy On the other hand, surgical morbidity may be higher when creating a primary anastomosis in an inflamed area and d... | 673 | fms |
from Bridoux and <PERSOON> reported follow-up durations differed per study <PERSOON> reported all outcomes within ## days and additionally reported a combined mortality rate during the first ## days after resection and after the stoma reversal surgery Bridoux reported outcomes after the resection but did not state th... | 695 | fms |
after surgery and primary ##% versus <PERSOON> ##% (p=# ###) on long-term after resection and stoma reversal surgery In the primary anastomosis group, significantly less patients were alive with a (probably permanent) stoma at the end of follow-up which was ## months in Bridoux and unknown in Oberkofler; RR primary ana... | 627 | fms |
<PERSOON>) Journal of the American College of <PERSOON> DA, et al A multicenter randomized clinical trial of primary anastomosis or <PERSOON>'s procedure for perforated left colonic diverticulitis with purulent or fecal peritonitis Annals of surgery Welke bijzondere patiëntengroepen vereisen een aangepaste behande... | 590 | fms |
adjustment (###) performed a meta-analysis including # studies, yielding comparable risks between the groups (pooled volgende zoekvragen (zoekstrategie is uitgevoerd voor alle stadia van diverticulitis waarna in de overwegingen gecompliceerde presentatie of beloop, kans op recidief, bij patiënten met gecompliceerde di... | 623 | fms |
ontstaan van diverticulitis en Brodribb voerde in ### de eerste gerandomiseerde dubbel-blind gecontroleerde trial uit bij patiënten met symptomatische diverticulitis De diagnose symptomatische diverticulitis was gebaseerd op een samengestelde symptoomscore bij patiënten met radiologisch bevestigde diverticulitis Ho... | 670 | fms |
met een minimaal ## gram vezels per dag voorgeschreven ## patiënten volgden dit advies op, ## niet De ## patiënten die een vezelverrijkt dieet volgden werden vergeleken met de ## die een vezelarm dieet volgden De groep met het vezelverrijkte dieet had significant minder complicaties en onderging minder operaties (... | 599 | fms |
(p=#,###), hadden meer perforaties (p=#,###) en recidief <PERSOON> and treatment of diverticular disease Results of a consensus development conference <PERSOON> scientific committee of the european association for endoscopic surgery Surg Leahy, A L , <PERSOON> fibre diet in symptomatic diverticular disease of the co... | 554 | fms |
intention-to-treat analysis, although some benefit of rifaximin was seen in additional analyses that were adjusted for several confounders Furthermore, this study was terminated early because of low accrual rates and the intention of the study was therefore changed to proof-of-concept One of the # observational studi... | 550 | fms |
Mesalazine showed some improvement in physical quality of life in one study but failed to show an effect on recurrence rates in all studies Therefore prophylactic treatment of mesalazine after an One randomized controlled trial studied the effect of probiotics on rates of recurrent diverticulitis and persistent gastro... | 592 | fms |
randomised placebo controlled trial (RCT) that confirmed the acute diverticulitis diagnosis by imaging or colonoscopy and two observational cohort studies (# prospective and # retrospective) that confirmed the Tursi, ###) All studies employed an intermittent antibiotic treatment protocol with rifaximin (a poorly absorb... | 635 | fms |
and placebo treatment Stollmann treated patients daily for # months with a total follow-up of ## months Parente treated patients daily during the entire follow-up duration of ## months Raskin reported results from # identical and worldwide RCTâs (PREVENT # and PREVENT #) with daily mesalazine or placebo treatment ... | 652 | fms |
withdrawal numbers; ##% of all patients completed their ##-week treatment and only ##% completed the ##-week study Main reasons for withdrawal were adverse events, voluntary withdrawal and recurrent diverticulitis requiring surgery Also, the number of withdrawals differed between groups Global Symptom Scores (GSS) w... | 695 | fms |
group (RR # ##; ##% CI # #<DATUM> (Figure #) (Parente, ###; Stollmann, ###) Also two trials reported ## months followup results showing comparable risks as well (pooled RR <DATUM> ##% CI # ## to # ##) (<PERSOON> physical condition quality of life (according to a Therapy Impact Questionnaire) was Figure # Forest plot... | 653 | fms |
voor de uitkomstmaat aantal recidieven en/of persisterende klachten bij behandeling met antiinflammatoire medicatie begon op âhoogâ, aangezien het bewijs afkomstig is uit gerandomiseerd gecontroleerd probiotica begon op âhoogâ, aangezien het bewijs afkomstig is uit gerandomiseerd gecontroleerd onderzoek Vervol... | 570 | fms |
<PERSOON> A, et al One year intermittent rifaximin plus fibre supplementation versus fibre supplementation alone to prevent diverticulitis recurrence A proof-of-concept study Digestive and <PERSOON> A, et al Intermittent treatment with mesalazine in the prevention of diverticulitis recurrence A randomised multicen... | 589 | fms |
the primary episode is likely to be the most complicated one and that subsequent episodes have a milder clinical course (Ritz, ###; Chapman, ###) Because of these developments in literature, the number of elective sigmoid resections decreased as they are performed on individual grounds rather than routinely Only chro... | 603 | fms |
Although statistically significant, the lower bound of the difference in GIQLI score among groups crossed the minimum clinically important difference Therefore, the quality of life was significantly better in the surgical group but it was not proven whether this difference is clinically relevant This improved quality... | 583 | fms |
Patient characteristics and patients preferences therefore play an important role in deciding whether or not to perform an elective sigmoid resection and in Recurrent diverticulitis and persistent complaints are seen in up to ##% of patients after an episode of acute diverticulitis <PERSOON> elective sigmoid resection... | 661 | fms |
to the daily practice in the Netherlands Primary outcome was quality of life according to the GIQLI questionnaire (a questionnaire assessing gastro-intestinal complaints in which a higher score indicated a better quality of life) at ## months after inclusion (conservative group) or surgery (surgical group) Secondary ... | 731 | fms |
component, VAS-pain and EQ-#D) were significantly better in the surgical group Only the mental component score from the SF-## questionnaire was comparable among treatment groups Rates of serious morbidity were comparable among groups (surgery ##/## (##%) versus conservative ##/## (##%); p=# ###) Thirteen per cent of... | 627 | fms |
kwaliteit van leven een voor de besluitvorming kritieke uitkomstmaat en recidief naar gerandomiseerde klinische onderzoeken Tevens zijn de gerelateerde artikelen handmatig doorzocht De zoekverantwoording is weergegeven onder het tabblad Verantwoording De literatuurzoekactie leverde ### Op basis van titel en abstract... | 547 | fms |
not been proven to prevent recurrent diverticulitis or persistent complaints sufficiently for diverticulitis patients in general, no specific recommendations could be made for patient subgroups as young patients <PERSOON> main role age may play in the management of recurrent diverticulitis and persistent complaints is... | 548 | fms |
a factor in the decision making process for elective sigmoid resection in the prevention of recurrent diverticulitis Obviously, younger patient can have different demands because of working activities or physically demanding hobbies than elderly patients, meaning that more recurrent episodes may actually be a reason f... | 549 | fms |
Aspirin and calcium channel antagonists were not associated with complicated diverticulitis rates and the effect of paracetamol has not been studied at all Although an association between NSAIDs or opioids and diverticular perforation was found, due to the methodological limitations of the studies it is not possible t... | 620 | fms |
between the groups (pooled De bewijskracht voor de uitkomstmaat gecompliceerde presentatie of beloop initiële episode is âlaagâ aangezien het bewijs afkomstig is van observationeel onderzoek Vervolgens is de bewijskracht één niveau verlaagd gezien tegenstrijdige resultaten (inconsistentie); hoge heterogeniteit ... | 633 | fms |
patients found lower rates of ACN and CRC Three studies found <DATUM> ACN in these uncomplicated patients Since most studies did not include a control group, these rates can only be compared to rates in literature <PERSOON> incidence of ACN in studies including asymptomatic screening colonoscopy populations varies b... | 603 | fms |
suspected lesions could have been missed on ultrasound and therefore the incidence of malignancy may be slightly higher in patients who did not undergo CT Although an earlier Dutch study (Van de Wall, ###) including both CT-proven and ultrasound-proven diverticulitis patients, found comparable prevalences (ACN in # ou... | 597 | fms |
of patients, the discomfort, costs and possible morbidity of a colonoscopy could be avoided in most Het aantal patiënten na een episode van acute diverticulitis waarbij een advanced adenoom Het aantal patiënten na een episode van acute diverticulitis waarbij een colorectaal carcinoom Na een episode van acute divertic... | 624 | fms |
###) included sex and age matched control patients with a familial history of colorectal cancer or neoplasia (not occurring below the age of ##) that underwent screening colonoscopy in the same hospitals as the diverticulitis patients All ## studies reported rates of colorectal carcinoma (of which # studies reported r... | 656 | fms |
controls pooled # #%; RR # ##, ##% CI # ## to # ##) (Figure #) Sixteen studies reported CRC rates in only diverticulitis patients, yielding a pooled rate of <DATUM> (Figure #) <PERSOON>-analysis of uncomplicated diverticulitis subgroup from # studies demonstrated a lower rate of # #% (Figure #) Colorectal carcinoma... | 617 | fms |
Op basis van titel en abstract werden in eerste instantie ### studies voorgeselecteerd Na raadpleging van de volledige tekst, werden vervolgens ### studies geëxcludeerd (zie exclusietabel onder het tabblad Alexandersson BT, Hreinsson JP, Stefansson T, et al <PERSOON> risk of colorectal cancer after an attack of unco... | 608 | fms |
De z e ric htlijn is to t stand ge ko me n o p initiatie f van Ne de rlandse Ve re niging vo o r Tho raxc hirurgie Operative interventions to reduce the incidence of atrial fibrillation Anticoagulation for patients with de novo atrial fibrillation after cardiac surgery Additional benefit of magnesium in patients having... | 532 | fms |
kan kortdurend maar ook langer aanwezig zijn Er bestaan verschillende oorzaken Een van deze oorzaken is het ondergaan van een operatie Cardio-thoracale operaties zijn operaties waarbij wordt geopereerd aan het hart en/of de longen Bij ## tot ## procent van alle patiënten die worden geopereerd aan het hart en/of de... | 602 | fms |
Cardiology Committee for Practice Guidelines and Policy Conferences ACC/AHA/ESC Guidelines for the Management of <PERSOON> ###;#<DATUM> âlxx <PERSOON> J Are prophylactic b-blockers of benefit in reducing the incidence of atrial fibrillation Andrews TC, Reimold SC, Berlin JA, Antman EM Prevention of supraventricula... | 560 | fms |
<PERSOON> WL, <PERSOON> G, <PERSOON> Jr SC ACC/AHA guidelines for coronary artery bypass graft surgery A report of the American College of Cardiology/American Heart Association Task Force on practice guidelines (Committee to revise the ### <PERSOON> J Is Sotalol more effective than standard beta-blockers for prophyl... | 474 | fms |
a randomised open trial <PERSOON> of sotalol and metoprolol in the prevention of atrial <PERSOON> sotalol reduces the incidence of atrial fibrillation after coronary artery bypass surgery Thorac Cardiovasc Surg ###;## ##â# <PERSOON> O, <PERSOON> HT, <PERSOON> comparative value of low dose sotalol vs <PERSOON> amio... | 502 | fms |
J <PERSOON> J Bi-atrial pacing significantly reduces the incidence of atrial fibrillation post cardiac surgery <PERSOON> magnesium prophylaxis reduce the incidence of atrial fibrillation following coronary Miller S, <PERSOON> SJ Effects of Magnesium on atrial fibrillation after cardiac Alghamdi <INSTELLING>, Al-<PER... | 468 | fms |
Intravenous magnesium sulfate prophylaxis for atrial fibrillation after coronary <PERSOON> G Is there a role for prophylaxis against atrial fibrillation for patients undergoing <PERSOON> ME, <PERSOON> DH, Downey RJ, Ginsberg RJ Effects of diltiazem versus digoxin on dysrhythmias and cardiac function after pneumonecto... | 517 | fms |
surgery reduce the incidence of postoperative atrial Reston JT, Tregear SJ, Turkelson CM <PERSOON>-analysis of short-term and mid-term outcomes following off-pump coronary <PERSOON> EWL, Grobbee DE Metaanalysis on the effect of off-pump coronary bypass <PERSOON> AM, Nathoe HM, Grobbee DE, de <PERSOON> CJ, Octopus Stu... | 477 | fms |
final results from a prospective randomised study <PERSOON> DE, Robles De <PERSOON> EO, de Jaegere PP, Octopus Study Group Early outcome after off-pump versus on-pump coronary <PERSOON> Off-pump coronary artery bypass surgery technique for total arterial myocardial revascularization a prospective randomised study <... | 457 | fms |
Interactive Cardiovasc Thorac Surg ###;##â ## Gavaghan TP, Feneley MP, Campbell TJ, <PERSOON> JJ Atrial tachyarrhythmias after cardiac surgery results of disopyramide <PERSOON> GA, el <PERSOON> GS, Wheatley DJ Arrhythmia prophylaxis after coronary artery surgery <PERSOON>-disordered breathing a novel predictor ... | 490 | fms |
TJ, Gavaghan TP, <PERSOON> JJ Intravenous sotalol for the treatment of atrial fibrillation and flutter after cardiopulmonary bypass Comparison with disopyramide and digoxin in a randomised trial <PERSOON> circadian variation in heart rate variability before surgery in patients developing postoperative AF <PERSOON> ... | 482 | fms |
a <PERSOON> NG, Henault LE, Selby JV, Singer DE Effect of intensity of oral anticoagulation on stroke severity and mortality in atrial fibrillation <PERSOON> B, <PERSOON> A, <PERSOON> atrial fibrillation and mortality after coronary artery bypass surgery <PERSOON> after coronary artery bypass <PERSOON> role of anti... | 567 | fms |
JK, Rubal BJ Effect of magnesium sulfate on ventricular rate control in atrial fibrillation <PERSOON> M Effect of intravenous magnesium on heart rate and heart rate variability in patients with Chiladakis JA, <PERSOON> AS Intravenous magnesium sulfate versus diltiazem in paroxysmal <PERSOON> magnesium sulfate versu... | 598 | fms |
old problem crying out for new solutions <PERSOON> JW Atrial fibrillation after coronary bypass aetiology and pharmacologic prevention Hill LL, De <PERSOON> Jr CW Management of atrial fibrillation after cardiac surgery Part II Prevention and treatment <PERSOON> DB, Kowey PR Management and prevention of atrial ... | 572 | fms |
the treatment of postoperative atrial fibrillation/atrial flutter after open heart surgery <PERSOON> GE, <PERSOON> M, <PERSOON> of propafenone versus procainamide for the acute treatment of atrial fibrillation after cardiac surgery <PERSOON> JE, Padhi ID, Goldberg AD, Silverman NA, Webb CR, Higgins RS, Paone G, <PERS... | 603 | fms |
postoperative atrial fibrillation trial design and pilot study results Card Electrophysiol Rev ###;<DATUM> <PERSOON> GJ, Krahn AD, <PERSOON>-control versus conversion strategy in Hilleman DE, Reyes AP, Mooss AN, Packard KA Esmolol versus diltiazem in atrial fibrillation following coronary artery <PERSOON> LK, <PERS... | 638 | fms |
they have recently updated their findings as a Cochrane review [##] Ferguson et al [##] performed a large retrospective analysis of the STS surgical database containing ###,### patients to look at the mortality and morbidity associated with peri-operative b-blocker use After propensity analysis, they found a decreas... | 691 | fms |
a four-arm study comparing low or high doses of sotalol or propranolol in ### patients Sotalol ## mg tds resulted in an incidence of ##% of AF compared with ##% incidence of low dose propranolol ( p = ns) Auer et al [##] studied ### patients randomised to four regimes including sotalol or metoprolol <PERSOON> incid... | 703 | fms |
showed that the number needed to treat with sotalol over standard b-blockers was ## to prevent an additional case of AF In these studies, either ## mg tds or ## mg bd were low in side effects but doses higher than this caused a higher Amiodarone should be used for prophylaxis of AF in all patients undergoing cardiac s... | 627 | fms |
amiodarone group and ##% in the control group ( p = # ##) Ten of these RCTs were summarised by <PERSOON> et al [##], who reported an incidence of AF of <DATUM> in the amiodarone groups, and an incidence of ##% in control groups, giving a NNT of seven to prevent an additional case of AF Since our review, one additio... | 639 | fms |
in patients undergoing cardiac surgery This search is fully documented in the ICVTS (<PERSOON> and Dunning [##]) together with a summary of all identified papers Four hundred and fifty eight papers were identified using the presented search strategy From these, ## papers represented the best evidence on this topic ... | 627 | fms |
varied among the studies As the incidence of AF generally peaked around day # in these studies, #â# days of pacing seem Prophylaxis with magnesium is an effective strategy to minimise the incidence of AF for patients undergoing cardiac surgery This may safely be given in addition to other strategies to reduce the i... | 644 | fms |
a NNT of ## to prevent one episode of ventricular tachyarrhythmia (VT) Shiga et al also summarised the complications reported in ### patients They found no episodes of bradycardia or hypotension However, important differences were found between all these studies and no one prophylactic regime was found to be superi... | 697 | fms |
magnesium pre-operatively, then # mg/(kg h) post-operatively for ## h or placebo in ## patients Thirtytwo treatment patients went into AF compared with ## control patients, which was a non-significant trend towards benefit However, the reduction in AF was Yeatman et al [##] performed the largest study on magnesium p... | 674 | fms |
### ml # #% NaCl solution (at ## ml/h) the day before surgery, just after cardiopulmonary bypass and once daily for # days after surgery As this study demonstrates the largest benefit in a well-conducted study, perhaps this should be regarded as the optimal regime so far investigated There is currently inadequate evi... | 676 | fms |
A second large study was performed by Van Mieghem et al [##] in ### patients in an unblinded RCT They evaluated prophylactic verapamil and found that the incidence of AF reduced from ##% to #% This was a nonsignificant finding and, importantly, ##% of patients experienced bradycardia or hypotension as a result of ve... | 671 | fms |
the morphine group to <DATUM> in the bupivacaine group and there was no excess of side Finally Terzi et al [##] in ### performed an unblinded RCT in ### patients, allocating ## patients to In summary, digoxin and verapamil do not reduce the incidence of AF Amiodarone may cause ARDS, and cannot be recommended Flecai... | 638 | fms |
are included, the difference was increased rather than decreased They did caution that most studies excluded patients such as non-elective surgery, reoperation, renal failure and impaired left ventricular function While Reston et al also found significant benefits in terms of stroke, myocardial infarction (MI) and m... | 663 | fms |
AF between the two groups with a ##% incidence in the OPCAB group and a ##% incidence in the CABG group Muneretto et al [##] performed an RCT in ### patients comparing total arterial OPCAB with total arterial CABG They found that the incidence of AF was ##% in the OPCAB group and ##% in the CABG group, which showed ... | 632 | fms |
non-significant These studies are, therefore, in broad agreement with the already performed metaanalyses that found significant differences Our summary of the recent RCTs gives a NNT of ## to avoid one Ventral cardiac denervation has not been convincingly shown to affect the incidence of postoperative AF in Posterior... | 627 | fms |
They conducted a pilot study and subsequent cohort study in ### patients, with the treatment group protected from the standard procedures of aortic fat pad disruption They found that there was no difference between the groups in the incidence of AF and concluded that the aortic fat <PERSOON> and Guvendik [##] carried ... | 615 | fms |
after cardiac surgery is not fully understood Standard practice after cardiac surgery is to maintain serum potassium at the upper half of the normal range (<DATUM> mmol/l) <PERSOON> traditionally accepted view is that hypokalaemia predisposes towards potentially fatal ventricular dysrhythmias and that avoiding the ri... | 623 | fms |
the number of studies, with the number of patients included in the studies and the findings Five studies assessed amiodarone for the treatment of AF [##â##] Regimes were broadly similar using # mg/kg intravenously over between # and ## min followed by a maintenance regime of ##â## mg/h No study used a placebo gro... | 625 | fms |
to be better than placebo and digoxin Esmolol may be superior to diltiazem but with more complications Five studies looked at propafenone [##,##,##â##] Regimes used were either an iv bolus of #â# mg/kg over ##â## min, followed by an infusion of ## mg/kg over ## h or an oral dose of ### mg Propafenone caused a... | 603 | fms |
novo AF after cardiac surgery? If stroke risk is increased, can anticoagulation reduce this incidence post cardiac surgery? <PERSOON> this reduction be achieved without undue increase in bleeding complications? After cardiac surgery, patients with AF should be anticoagulated while in AF and full anticoagulation should ... | 621 | fms |
disabling and non-disabling strokes It is interesting to note that, though the incidence of intracranial haemorrhage was twice that of placebo, the difference was not statistically significant <PERSOON> mean international normalised ratio (INR) achieved was # #â<DATUM> in primary prevention trials and <DATUM> in a ... | 638 | fms |
also showed a #% stroke rate in patients with AF compared with <DATUM> in the sinus rhythm group, performing a similar study to Stamou in a cohort of ### patients Creswell et al [#] found that the incidence of stroke was <DATUM> if the patient was in AF compared with <DATUM> in those with sinus rhythm in a cohort ... | 609 | fms |
than ## h However, they only quote two pre-### papers <PERSOON> [##] supported these recommendations in a review published in ###, stating that warfarin anticoagulation should be started after ## h He further recommends that in higher risk patients, even if sinus rhythm returns, warfarin should be continued for # wee... | 588 | fms |
in one of these positions, the alternative Evidence was sought for the optimal position of electrodes for patients undergoing external cardioversion for AF This search is fully documented in the ICVTS (Nagarajan and Dunning [##]) together with a summary of all identified papers We identified ### papers using the pres... | 590 | fms |
in the ICVTS (Patel et al [##]) together with a summary of all identified papers Four hundred and sixty six papers were identified using the presented search strategy From these, eight papers represented the best evidence on this topic Despite searching Medline, Embase, CINAHL, Cochrane and American Heart Associati... | 599 | fms |
Algemene informatie over de kenmerken, oorzaken en gevolgen van een hypertensief spoedgeval De behandeling van patiënten met een hypertensief spoedgeval en adviezen voor behandeling van Aanbevelingen ten aanzien van organisatie van de zorg rondom patiënten met (verdenking op) een Hypertensie is de medische term voor... | 591 | fms |
met ernstige hypertensie zonder acute hypertensieve orgaanschade (zie voor beleid de module 'Behandeling van ernstige Voor- en nadelen van de interventie en de kwaliteit van het bewijs De prognose van een hypertensief spoedgeval met retinopathie is de afgelopen jaren sterk verbeterd Door verschillende studies met vers... | 564 | fms |
orgaanschade werden onderzocht is geen conclusie te trekken of gecontroleerde bloeddruk verlaging middels Het uitsluiten van een hypertensief spoedgeval bij patiënten die geen symptomen hebben kost veel tijd, wat door de betrokken ervaringsdeskundigen als onprettig werd ervaren Een volstrekt asymptomatische presentat... | 582 | fms |
in een focusgroep aan dat de diagnostiek op de SEH vaak lang duurde; dit kan in een deel gereduceerd worden Rationale/ balans tussen de argumenten voor en tegen de interventie Het risico is dat patiënten met orale medicatie behandeld worden en een te snelle, ongecontroleerde bloeddrukdaling ontstaat die kan leiden tot... | 583 | fms |
Om vast te stellen welke diagnostiek nodig is bij ernstige hypertensie, is het van belang te weten wat de prognose is van ernstige hypertensie met of zonder symptomen Hierop kan worden bepaald wanneer uitgebreidere aanvullende diagnostiek nodig is om vast te stellen of acute intraveneuze behandeling nodig is Als een ... | 640 | fms |
werd gerapporteerd is het niet mogelijk een conclusie te trekken over prognose voor nierfalen bij verschillende patiënten Vanwege het ontbreken van gegevens over progressie naar een spoedgeval of over orgaanschade is het niet mogelijk een conclusie te trekken over prognose voor patiënten Guiga (###) vergeleek kortete... | 747 | fms |
systolische/ diastolische bloeddruk bij inclusie was ###,# (SD ##,#)/###,# (SD ##,#) mmHg Door overlijden, overplaatsing en ##% lost to follow-up wegens andere redenen was slechts ##% van de gevallen nog steeds onder controle tot het einde van ### #,#) (diastolisch) mmHg Deze patiënten hadden een gemiddelde follow-... | 809 | fms |
waren hoge bloeddruk bij ## (##%) patiënten Voor de resterende ##% was de opname het gevolg van een bijkomende complicatie (visusstoornis n=## (##%), beroerte n=## (##%), hartfalen n=## (##%) of niet-specifieke symptomen zoals hoofdpijn of duizeligheid (n=## Amraoui (###) had als doel de renale uitkomsten van patiën... | 766 | fms |
Zuid-Aziatische afkomst Patiënten werden tussen ### en ### geïncludeerd; alleen de gegevens van de periode ###-### werden beschreven vanwege het verandering in prognose over tijd De retrospectieve cohortstudie van Ayalon-Dangur (###) includeerde patiënten van ) <LEEFTIJD> jaar die werden ontslagen van de SEH van e... | 678 | fms |
Voor deze vraag werd alleen de groep doorverwezen naar het ziekenhuis meegenomen en beschreven Gemiddeld genomen waren patiënten was onbekend hoe hypertensie gedefinieerd was Patiënten werden geïdentificeerd uit een database met geanonimiseerde data van alle SEH-bezoeken in de provincie Ontario in Canada, de Canad... | 622 | fms |
besloten de resultaten niet te poolen, maar weer te geven in tabel # en figuur # Tabel # Overzicht van studies met gegevens over mortaliteit bekend staande als maligne hypertensie); Urgentie, hypertensieve urgentie zonder orgaanschade; De mortaliteit is hoger bij een hypertensief spoedgeval vergeleken met een spoedgev... | 649 | fms |
verschil in de definitie en wijze van rapportage <PERSOON> (###) rapporteerde bijvoorbeeld dat # (#%) patiënten met een spoedgeval en alleen retinopathie eindstadium nierziekte kregen Amraoui (###) vermeldde dat # patiënten met een spoedgeval en alleen retinopathie waren overleden ten gevolge van nierfalen en dat #... | 645 | fms |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.