Clinical characteristics were compared between groups, and a logistic regression model determined predictors of 30-day all-cause mortality for each group.\n\nResults: Subjects with malignancy were older (60.8 +/- 13.9 vs. 54.5 +/- 18.8 y, P < 0.001), had fewer risk factors for PE, and had a higher 30-day all-cause mortality (19.6% vs. 3.2%, P < 0.001). The malignancy group had fewer predictors of death compared with the nonmalignancy group; advanced age, presence of coronary artery disease, history of stroke, and chronic obstructive lung disease were significantly
more predictive of death in the nonmalignancy population. An enlarged right ventricle on CTPA (right to left ventricular diameter ratio > 1.0) had a higher risk of 30-day death only among subjects with no known malignancy at the time of the CTPA (odds U0126 ratio = 4.08, 95% confidence interval: 1.67-9.96).\n\nConclusions: Among subjects who present with acute PE, those with a malignancy had different clinical characteristics and predictors of mortality when compared with the cohort of subjects with no known malignancy. A computed tomography-derived right to left ventricular diameter ratio predicts 30-day all-cause mortality only for those subjects who do not have a malignancy.”
“Background:
Referrals from rural health centers to urban hospitals join waiting lists as outpatients for hospital admission and hospital treatment. This influences quality of life (QoL) of the rural population and retired people who require medical attention without traveling, provided no risks are involved. this website For this reason, a rural region of Spain has adopted a strategy to deliver telemedicine (TM) specialized care (Extremadura model) as
a political decision. Objectives: The present study aimed at objectively assessing QoL on aspects of health and well-being for citizens benefiting from this system. Methods: We performed a randomized study of 800 primary care patients referred for specialized care: 420 regular face-to-face hospital referrals and 380 referred to a hospital specialist at a distance by TM. The study used two questionnaires: AS1842856 price a modified version of the classical SF-12v2 (TM) short form questionnaire for health and well-being and a specific author-elaborated questionnaire. The latter focused on major patient concerns such as (1) discomfort and pain relief, (2) swift diagnosis, (3) swift treatment, (4) swift decision on hospital admission or not, (5) avoidance of traveling, (6) avoidance of red tape, and (7) personal attention. QoL was assessed twice: before referral to a hospital specialist and 6 months after referral to the same. The results were statistically compared. Results: Both groups showed comparable health status with added advantages for TM referrals such as (1) less traveling (p = 0.