Tristan Struja
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View article: A causal inference framework to compare the effectiveness of life‐sustaining <scp>ICU</scp> therapies—using the example of cancer patients with sepsis
A causal inference framework to compare the effectiveness of life‐sustaining <span>ICU</span> therapies—using the example of cancer patients with sepsis Open
The rise in cancer patients could lead to an increase in intensive care units ( ICUs ) admissions. We explored differences in treatment practices and outcomes of invasive therapies between patients with sepsis with and without cancer. Adul…
View article: Sharing is caring: A systematic review of publicly available intensive care data sets
Sharing is caring: A systematic review of publicly available intensive care data sets Open
Each public ICU data set differs due to differences in medical practice, information technologies and approach to legal restrictions. This systematic review provides clinicians and data scientists with an overview of available public ICU d…
View article: Potential source of bias in AI models: lactate measurement in the ICU in sepsis patients as a template
Potential source of bias in AI models: lactate measurement in the ICU in sepsis patients as a template Open
Objective Health inequities may be driven by demographics such as sex, language proficiency, and race-ethnicity. These disparities may manifest through likelihood of testing, which in turn can bias artificial intelligence models. We aimed …
View article: Major Adverse Cardiac Events After Gastric Bypass vs Sleeve Gastrectomy
Major Adverse Cardiac Events After Gastric Bypass vs Sleeve Gastrectomy Open
Importance Metabolic bariatric surgery is the most effective and durable treatment for weight loss and improvement of cardiovascular diseases. With sleeve gastrectomy now surpassing gastric bypass as the most common procedure worldwide, co…
View article: Potential source of bias in AI models: Lactate measurement in the ICU as a template
Potential source of bias in AI models: Lactate measurement in the ICU as a template Open
View article: Step-by-step causal analysis of EHRs to ground decision-making
Step-by-step causal analysis of EHRs to ground decision-making Open
Causal inference enables machine learning methods to estimate treatment effects of medical interventions from electronic health records (EHRs). The prevalence of such observational data and the difficulty for randomized controlled trials (…
View article: Trends in antidiabetes medication use among hospitalised patients with type 2 diabetes: a retrospective single-centre cohort study
Trends in antidiabetes medication use among hospitalised patients with type 2 diabetes: a retrospective single-centre cohort study Open
Objectives Novel antidiabetes medications with proven cardiovascular or renal benefit, such as sodium-glucose cotransporter-2 inhibitors (SGLT-2i) and glucagon-like peptide 1 receptor agonists (GLP-1 RA), have been introduced to the market…
View article: BOLD: Blood-gas and Oximetry Linked Dataset
BOLD: Blood-gas and Oximetry Linked Dataset Open
View article: Variation in monitoring: Glucose measurement in the ICU as a case study to preempt spurious correlations
Variation in monitoring: Glucose measurement in the ICU as a case study to preempt spurious correlations Open
View article: Treatment of glucocorticoid- induced hyperglycemia in hospitalized patients - a systematic review and meta- analysis
Treatment of glucocorticoid- induced hyperglycemia in hospitalized patients - a systematic review and meta- analysis Open
View article: Análise de como os componentes do escore SOFA variam ao longo do tempo em sua contribuição para a mortalidade
Análise de como os componentes do escore SOFA variam ao longo do tempo em sua contribuição para a mortalidade Open
RESUMO Objetivo: Determinar como cada componente de órgão do escore SOFA difere em sua contribuição no risco de mortalidade e como essa contribuição pode variar ao longo do tempo. Métodos: Realizamos uma análise de regressão logística mult…
View article: Analyzing how the components of the SOFA score change over time in their contribution to mortality
Analyzing how the components of the SOFA score change over time in their contribution to mortality Open
Objective: Determine how each organ component of the SOFA score differs in its contribution to mortality risk and how that contribution may change over time. Methods: We performed multivariate logistic regression analysis to assess the con…
View article: Variation in monitoring: Glucose measurement in the ICU as a case study to preempt spurious correlations
Variation in monitoring: Glucose measurement in the ICU as a case study to preempt spurious correlations Open
Objective Health inequities can be influenced by demographic factors such as race and ethnicity, proficiency in English, and biological sex. Disparities may manifest as differential likelihood of testing which correlates directly with the …
View article: Evaluating equitable care in the ICU: Creating a causal inference framework to assess the impact of life-sustaining interventions across racial and ethnic groups
Evaluating equitable care in the ICU: Creating a causal inference framework to assess the impact of life-sustaining interventions across racial and ethnic groups Open
Background Variability in the provision of intensive care unit (ICU)-interventions may lead to disparities between socially defined racial-ethnic groups. Research Question We used causal inference to examine the use of invasive mechanical …
View article: BOLD: Blood-gas and Oximetry Linked Dataset – Open Source Research
BOLD: Blood-gas and Oximetry Linked Dataset – Open Source Research Open
Pulse oximeters measure peripheral arterial oxygen saturation (SpO 2 ) noninvasively, while the gold standard (SaO 2 ) involves arterial blood gas measurement. There are known racial and ethnic disparities in their performance. BOLD is a n…
View article: Barakat syndrome diagnosed decades after initial presentation
Barakat syndrome diagnosed decades after initial presentation Open
Summary Barakat syndrome, also called HDR syndrome, is a rare genetic disorder encompassing hypoparathyroidism (H), sensorineural deafness (D) and renal disease (R). A 64-year-old woman was referred to our endocrinology clinic for a switch…
View article: Racial Disparities in Invasive ICU Treatments Among Septic Patients:High Resolution Electronic Health Records Analysis fromMIMIC-IV
Racial Disparities in Invasive ICU Treatments Among Septic Patients:High Resolution Electronic Health Records Analysis fromMIMIC-IV Open
Background: Low-resolution administrative databases can give biased results, whereas high-resolution, time-stamped variables from clinical databases like MIMIC-IV might provide nuanced insights. We evaluated racial-ethnic disparitie…
View article: Step-by-step causal analysis of Electronic Health Records to ground decision making
Step-by-step causal analysis of Electronic Health Records to ground decision making Open
Accurate predictions, as with machine learning, may not suffice to provide optimal healthcare for every patient. Indeed, prediction can be driven by shortcuts in the data, such as racial biases. Causal thinking is needed for data-driven de…
View article: Causal thinking for decision making on Electronic Health Records: why and how
Causal thinking for decision making on Electronic Health Records: why and how Open
Accurate predictions, as with machine learning, may not suffice to provide optimal healthcare for every patient. Indeed, prediction can be driven by shortcuts in the data, such as racial biases. Causal thinking is needed for data-driven de…
View article: Prediction of In-Hospital Falls Using NRS, PACD Score and FallRS: A Retrospective Cohort Study
Prediction of In-Hospital Falls Using NRS, PACD Score and FallRS: A Retrospective Cohort Study Open
Background: Harmful in-hospital falls with subsequent injuries often cause longer stays and subsequently higher costs. Early identification of fall risk may help in establishing preventive strategies. Objective: To assess the predictive ab…
View article: Comparison of Cardiovascular Procedure Rates in Patients With Supplementary vs Basic Insurance in Switzerland
Comparison of Cardiovascular Procedure Rates in Patients With Supplementary vs Basic Insurance in Switzerland Open
Importance Switzerland’s mandatory health insurance provides universal coverage, but residents can opt for supplementary private insurance for nonessential, nonvital amenities. It is debated whether people with supplementary private insura…
View article: Prevalence, Risk Factors and Outcomes Associated with Physical Restraint in Acute Medical Inpatients over 4 Years—A Retrospective Cohort Study
Prevalence, Risk Factors and Outcomes Associated with Physical Restraint in Acute Medical Inpatients over 4 Years—A Retrospective Cohort Study Open
Background: Physical restraints are frequently used in acute care hospitals. Their application is associated with negative outcomes, while their intended preventive effect is debated. Objectives: To determine the prevalence of physical res…
View article: Treatment of Glucocorticoid- induced hyperglycemia in hospitalized patients - A Systematic Review and Meta- Analysis
Treatment of Glucocorticoid- induced hyperglycemia in hospitalized patients - A Systematic Review and Meta- Analysis Open
Purpose: Glucocorticoid (GC)-induced hyperglycemia is a frequent issue, however there are no specific guidelines for this diabetes subtype. Although treat-to-target insulin is recommended in general to correct hyperglycemia, it remains unc…
View article: Association of proteomic markers with nutritional risk and response to nutritional support: A secondary pilot study of the EFFORT trial using an untargeted proteomics approach
Association of proteomic markers with nutritional risk and response to nutritional support: A secondary pilot study of the EFFORT trial using an untargeted proteomics approach Open
View article: Glucose control after glucocorticoid administration in hospitalized patients – a retrospective analysis
Glucose control after glucocorticoid administration in hospitalized patients – a retrospective analysis Open
View article: Call, chosen, HA2T2, ANDC: validation of four severity scores in COVID-19 patients
Call, chosen, HA2T2, ANDC: validation of four severity scores in COVID-19 patients Open
View article: Comparison of characteristics, predictors and outcomes between the first and second COVID-19 waves in a tertiary care centre in Switzerland: an observational analysis
Comparison of characteristics, predictors and outcomes between the first and second COVID-19 waves in a tertiary care centre in Switzerland: an observational analysis Open
AIM OF THE STUDY To compare admission characteristics, predictors and outcomes of patients with confirmed coronavirus disease 2019 (COVID-19) hospitalised in a tertiary care hospital in Switzerland during the first and second waves of the …
View article: Association of metabolomic markers and response to nutritional support: A secondary analysis of the EFFORT trial using an untargeted metabolomics approach
Association of metabolomic markers and response to nutritional support: A secondary analysis of the EFFORT trial using an untargeted metabolomics approach Open
View article: Synchronous pituitary and pineal gland lesions presenting with panhypopituitarism in a patient with widespread colorectal cancer: a case report
Synchronous pituitary and pineal gland lesions presenting with panhypopituitarism in a patient with widespread colorectal cancer: a case report Open
A 60-year-old man presented to our hospital because of febrile neutropenia due to chemotherapy for his metastasized colon cancer. During hospital stay, polyuria and polydipsia were noted. He reported that his thirst had become increasingly…
View article: Outcomes of Hospitalized Patients with Glucocorticoid-Induced Hyperglycemia—A Retrospective Analysis
Outcomes of Hospitalized Patients with Glucocorticoid-Induced Hyperglycemia—A Retrospective Analysis Open
Background: Glucocorticoid (GC)-induced hyperglycemia is a frequent side effect in hospitalized patients. Guidelines recommend treat-to-target treatment between 6–10 mmol/L (108–180 mg/dL) with insulin, but data on outcome is scarce. We in…