Long-term follow-up data over two years were available.RESULTS:\n\nAmong the patients studied AG-120 solubility dmso (mean age 62 years), 64% presented with acute coronary syndrome. A PCI procedure was associated
with a significant increase in TnT levels (higher than 0.1 mu g/L) in 238 patients (20%). Multivariate logistic regression identified presentation with acute coronary syndrome or myocardial infarction, no statin use at the time of the procedure, increased CRP and increasing length of stent as independent predictors of TnT rise following PCI. Periprocedural TnT rise was not associated with adverse events in follow-up examinations (OR 1.09, 95% CI 0.73 to 1.65).CONCLUSIONS:\n\nMyocardial necrosis commonly occurred in otherwise successful PCI and was particularly prevalent in the proinflammatory milieu of a recent
myocardial infarction. This response was blunted with statin therapy. However, there was no long-term adverse sequelae of these troponin rises following otherwise uncomplicated PCI.”
“Near miss based analysis has been recently suggested to be more important in the medical field than focusing on adverse events, as in the industrial field To validate the utility of near miss-based analysis in the medical fields, we investigated whether or not predictors of near misses and adverse events were similar among nurses at teaching hospitals Of the 1,860 nurses approached, GSK1838705A 1,737 (93 4%) were included in the final analysis Potential predictors provided for analysis included gender, age, years of nursing experience, frequency of alcohol consumption, work place, ward rotation, frequency of night shifts, sleepiness during work, frequency of feeling unskilled, nurses’ job stressors, working conditions, and depression Variables for multivariate analysis
were determined by bivariable analysis Ordinal logistic analysis showed that predictors of near misses and adverse events were markedly similar Parameters that were significantly related to both near misses and adverse events were years of experience, frequency of night shifts, Internal ward, and time pressure (p<0 05 for all) The present study suggested that there was a negligible difference between choosing near miss- or adverse event-based analysis when identifying possible causes SB202190 in vivo of adverse events in the medical field”
“Background: There is a lack of evidence-based criteria to assist the diagnosis of infection following trauma splenectomy (TS). However, the literature suggests that white blood cell count (WBC) is associated with infection in patients who undergo TS. We sought to find whether there exist key differences in laboratory and clinical parameters that can assist the diagnosis of infection after TS. Methods: We evaluated all consecutive trauma patients who had undergone TS at a Level 1 trauma center from 2005 to 2011 for the development of infection.