Medicine

Objective: The aim of this study was to assess associations between endostatin levels and short-term mortality in unsorted acute hospitalised dyspnoea patients with or without congestive heart failure (CHF), adjusted for common cardiovascular risk factors. Design, setting and participants In this prospective observational study, 723 hospitalised patients who visited the emergency department at Skåne University…

Despite the fact that the majority of those who die from opioid overdoses have been in contact with healthcare, social services, or the justice system, a new analysis shows that a large group – nearly half – lacks significant care connections related to their drug problems. To strengthen preventive efforts against overdoses, a change in…

Background Dyspnoea is one of the emergency department’s (ED) most common and deadly chief complaints, but frequently misdiagnosed and mistreated. We aimed to design a diagnostic decision support which classifies dyspnoeic ED visits into acute heart failure (AHF), exacerbation of chronic obstructive pulmonary disease (eCOPD), pneumonia and “other diagnoses” by using deep learning and complete,…

Background: European guidelines recommend the use of a 0h/1h hs‐cTn (high‐sensitivity cardiac troponin) protocol in patients with acute chest pain. We aimed to determine the performance of this protocol in routine care when supplemented with patient history and ECG and a recommendation to refrain from noninvasive testing in low‐risk patients. Methods and Results: This was…

The study aimed to improve ED triage for dyspnoeic adult patients using AI, analyzing data from two Swedish EDs. Key predictive variables prioritized by the AI included previous heart failure diagnosis, atrial fibrillation on ECG, COPD complaints, and specific medications. Surprisingly, veterinary medication intake showed predictive value, while traditional indicators like vital signs and sex…