The American journal of emergency medicine
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Comment Letter
Intracranial hemorrhage and out of hospital cardiac arrest.
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Review Meta Analysis
The effect of early vasopressin use on patients with septic shock: A systematic review and meta-analysis.
The effect of early vasopressin initiation on clinical outcomes in patients with septic shock is uncertain. A systematic review and meta-analysis was performed to evaluate the impact of early start of vasopressin support within 6 h after the diagnosis on clinical outcomes in septic shock patients. ⋯ Early initiation of vasopressin in patients within 6 h of septic shock onset was not associated with decreased short-term mortality, new onset arrhythmias, shorter ICU length of stay and length of hospitalization, but can reduce the use of RRT. Further large-scale RCTs are still needed to evaluate the benefit of starting vasopressin in the early phase of septic shock.
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Review Meta Analysis
Periodontal disease and myocardial infarction risk: A meta-analysis of cohort studies.
The objective of this meta-analysis was to systematically assess the association between periodontal disease (PD) and myocardial infarction (MI). ⋯ This meta-analysis suggests that PD is modestly associated with MI, especially in women, which is similar to the conclusions of earlier meta-analyses of case-control or observational studies. PD may be an untraditional risk factor for cardiovascular diseases, including MI; thus, maintaining periodontal health may be an effective measure to prevent MI. More cohort studies are still needed to further explore the relationship between the incidence of MI and PD.