Improving Machine Learning 30-Day Mortality Prediction by Discounting Surprising Deaths

Improving Machine Learning 30-Day Mortality Prediction by Discounting Surprising Deaths

Background Machine learning (ML) is an emerging tool for predicting need of end-of-life discussion and palliative care, by using mortality as a proxy. But deaths, unforeseen by emergency physicians at time of the emergency department (ED) visit, might have a weaker association with the ED visit. Objectives To develop an ML algorithm that predicts unsurprising…

Glucose and high-sensitivity troponin T predict a low risk of major adverse cardiac events in emergency department chest pain patients

Glucose and high-sensitivity troponin T predict a low risk of major adverse cardiac events in emergency department chest pain patients

Background Glucose is emerging as a biomarker for early and safe rule-out of acute myocardial infarction in emergency department (ED) chest pain patients. We evaluated the diagnostic accuracy of dual testing with high sensitivity TnT (hs-cTnT) and glucose for prediction of major adverse cardiac events (MACE) within 30 days. Methods This was a secondary analysis of…

Firearm-Related Homicide in Sweden: A Latent Class Analysis of Suspected Offenders
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Firearm-Related Homicide in Sweden: A Latent Class Analysis of Suspected Offenders

Sweden has witnessed a significant increase in the rate of firearm-related homicide. We therefore aimed to study the characteristics of individuals suspected of homicide, attempted homicide, preparation to commit homicide as well as conspiracy to commit homicide with a firearm in Sweden. By using information from different registers, suspected individuals between 2000 and 2017 and…

Nineteen victims of homicide and attempted homicide in Sweden – their injuries, cause of death, and offender relationship
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Nineteen victims of homicide and attempted homicide in Sweden – their injuries, cause of death, and offender relationship

Victims of homicide and attempted homicide are not uncommon in Sweden. We therefore aimed to study these victims to understand their injuries, their cause of death, and their relationship to the offender. All cases during five years in a district court in Sweden, where an offender had been convicted for homicide or attempted homicide, were…

Deadly violence in Sweden: Profiling offenders through a latent class analysis
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Deadly violence in Sweden: Profiling offenders through a latent class analysis

Sweden has in recent years witnessed increasing rates of firearm-related violence and homicide, which has contributed to increased rates of deadly violence. Attempts to profile offenders committing such crimes are of major importance, because such efforts may contribute to better preventive measures. We therefore aimed to study the characteristics of individuals convicted and/or suspected of homicide, attempted homicide, preparation to…

A Comparison between Indoor and Outdoor Rape Suspects in Sweden
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A Comparison between Indoor and Outdoor Rape Suspects in Sweden

As the number of rapes is increasing in Sweden, and the number of individuals convicted of these crimes is decreasing, it is of importance to study offender characteristics of those committing these crimes and the circumstances in which these crimes are conducted, such as indoors or outdoors. Data from Swedish population-based registers were used to…

Effectiveness and Safety of the European Society of Cardiology 0-/1-h Troponin Rule-Out Protocol: The Design of the ESC-TROP Multicenter Implementation Study

Effectiveness and Safety of the European Society of Cardiology 0-/1-h Troponin Rule-Out Protocol: The Design of the ESC-TROP Multicenter Implementation Study

Chest pain is one of the most common complaints at the emergency department (ED), and it is commonly the perceived likelihood of acute coronary syndrome (ACS) that drives management. Guidelines from the European Society of Cardiology (ESC) recommend the use of a 0-/1-h high-sensitivity cardiac troponin T (hs-cTnT) protocol to rule out or in ACS,…