European journal of internal medicine
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Eur. J. Intern. Med. · May 2017
Multicenter Study Observational StudyGuideline-adherent therapy for stroke prevention in atrial fibrillation in different health care settings: Results from RAMSES study.
No studies have been conducted in Turkey to compare the quality of stroke prevention therapies provided in different healthcare settings in patients with atrial fibrillation (AF). Therefore, we aimed to evaluate possible differences between secondary (SH) and tertiary hospital (TH) settings in the effectiveness of implementing AF treatment strategies. ⋯ This study demonstrates the marked disparity between patient groups with AF presenting at SHs and THs. The use of guideline-recommended therapy is not adequate in either type of centre, overtreatment was more prevalent in THs and undertreatment was more prevalent in SHs.
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Eur. J. Intern. Med. · May 2017
Multicenter Study Observational StudyThe effect of a short-stay unit on hospital admission and length of stay in acute heart failure: REDUCE-AHF study.
To determine whether the presence of a short-stay unit(SSU) in a hospital influences the percentage of admissions, length of hospital stay(LOS) and outcomes in emergency department(ED) patients with acute heart failure(AHF). ⋯ The data suggest that SSU may improve the safety of emergency care of patients with AHF, but at the cost of a higher rate of hospital admissions, and it may also reduce the LOS for admitted patients without affecting post discharge safety.