European heart journal. Acute cardiovascular care
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Eur Heart J Acute Cardiovasc Care · Dec 2020
Multicenter StudyOrganization of intensive cardiac care units in Europe: Results of a multinational survey.
The present survey aims to describe the intensive cardiac care unit organization and admission policies in Europe. ⋯ More than one-third of the admitted patients were considered intermediate or high risk. Although patients with higher illness severity were mostly admitted to high-level intensive cardiac care units, an admission policy mismatch was observed in 12% of the patients; this mismatch was partly related to insufficient logistic intensive cardiac care unit capacity.
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Eur Heart J Acute Cardiovasc Care · Dec 2020
Multicenter StudyNational trends in coronary intensive care unit admissions, resource utilization, and outcomes.
Emerging evidence suggests that coronary intensive care units are evolving into intensive care environments with an increasing burden of non-cardiovascular illness, but previous studies have been limited to older populations or single center experiences. ⋯ In a national dataset we observed a changing case-mix among patients admitted to a coronary intensive care unit, though the proportion of patients with a primary cardiac diagnosis remained stable. There was an increase in clinical acuity highlighted by critical care therapies, but in-hospital mortality rates for both primary cardiac and non-cardiac conditions declined across all hospitals. Our findings confirm the changing coronary intensive care unit case-mix and have implications for future coronary intensive care unit training and staffing.
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Eur Heart J Acute Cardiovasc Care · Dec 2020
Cardiac complications in patients hospitalised with COVID-19.
To determine the frequency and pattern of cardiac complications in patients hospitalised with coronavirus disease (COVID-19). ⋯ This large study among 3011 hospitalised patients with COVID-19 shows that the incidence of cardiac complications during hospital admission is low, despite a frequent history of cardiovascular disease. Long-term cardiac outcomes and the role of pre-existing cardiovascular disease in COVID-19 outcome warrants further investigation.