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Explanation: Het betekent dat de patiënt niet in het ziekenhuis was opgenomen op het moment dat het infarct optrad.
Perhaps:
BACKGROUND:
The Coronary Artery Surgery Study (CASS) Registry is used to evaluate the effect of various baseline clinical and angiographic factors on mortality after acute out-of-hospital myocardial infarction (MI) in patients with and without prior coronary bypass surgery
METHODS AND RESULTS:
Among the CASS Registry patients, there were 985 medical and 369 surgical patients who had an MI out of the hospital within 3 years after enrollment. In the medical group, 20% died before hospitalization. Medical patients with baseline three-vessel disease or left ventricular (LV) dysfunction were at high risk of immediate death. For medical patients who were hospitalized with MI, mortality was higher for older patients and those with severe angina as well as for those with extensive disease and LV dysfunction. The total 30-day mortality for medical patients was 36%. In the surgical group, 12% died before hospitalization. Surgical patients with LV dysfunction or prior MI were at highest risk of immediate death. For surgical patients hospitalized with MI, mortality was significantly increased only for patients with baseline LV dysfunction. Mortality was not significantly higher for surgical patients with multivessel disease. The total 30-day mortality for surgical patients was 21%. The prior use of aspirin or beta-blockers was not associated with reduced mortality from subsequent MI for either medical or surgical patients. Although the prevalence of cigarette smoking was high among patients who had an MI, cigarette smoking did not alter the infarct-related mortality rate
Hartelijk bedankt! Ik heb de rest van de discussie pas net gelezen daar ik wegens urgente familie omstandigheden een paar dagen van huis ben weggeweest (mijn stilte de afgelopen dagen betekende niet dat ik geen interesse had voor deze interessante discussie!). De rest van de informatie m.b.t. deze patient maakt duidelijk dat het hier inderdaad om een infarct gaat die buiten het ziekenhuis plaatsvondt. 4 KudoZ points were awarded for this answer
Da wir aber keinen Grund haben anzunehmen, daβ eine Nierenischämie von groβer Tiefenwirkung schwerer zu beseitigen ist, als eine solche von geringerer Tiefenwirkung, so kommt gerade für erstere Fälle alles auf frühzeitige Erkennung und Behandlung an. Die schlechteste Prognose geben wenigstens die Fälle, die das akute Stadium ambulant durchgemacht haben.
I completely agree with you, that your reading is just as valid a possibility as mine (with the added value of coming from a Dutch native ;-) But, honestly, I think it is futile to try and find out which is the intended meaning as long as the asker does not show any concern or interest.
In these cases, it seems, the patient was not admitted to hospital immediately, it might have taken a few days or more, at the point where complications manifested.
Spoed MVR en CABG ivm papillairspier ruptuur na ambulant doorgemaakt onderwand infarct, post operatief ATN waarvoor tijdelijk CVVH, passagere HIT type 1, critical illness polyneuropathie.
I am not familiar enough with Dutch nuances to tell. This statement was really just based on the similar German word which would be used for the entire course of an infarction rather than the initial "thunderbolt" (as opposed to e.g. "auftreten" or "erleiden" in German).
Yet, if "doorgemaakt" is anywhere near German "durchgemacht", this would be a patient who was never hospitalized during the course of his/her infarction (e.g. suffering MI with atypical symptoms, which was only recognized in retrospect).
Ik denk het tweede. Maar Sanmar weet misschien meer.
Ik lees het zoals de situatie die is beschreven in de referentie in mijn antwoord.
Ook op grammaticale gronden:
ambulant doorgemaakt voorwandinfarct -->
voorwandinfarct dat ambulant is doorgemaakt/in ambulante toestand is doorgemaakt
in ambulante toestand --> in niet gehospitaliseerde toestand
Daarna worden ze/zijn ze op basis van de symptomen uiteraard zo snel mogelijk opgenomen.
Tina Vonhof (X)
Canada
Question@Barend
20:25 Dec 2, 2014
And if I understand it correctly, the patient is treated in Emergency and then sent home again, i.e., is never hospitalized (ambulant doorgemaakt van begin to eind) or does it refer only to the period the patient is having the MI before he/she gets to the hospital but may spend time in the hospital for further treatment and recovery?
Then secondly, symptoms develop at home, or just out of the hospital, and the patient is presented via ambulance to hospital and there they find out they had a MI before arrival.
Try "walk-in" for "ambulant" (as opposed to patients presenting via ambulance or hospital transfer) and "established" for "doorgemaakt" (as opposed to evolving infarct)?
Explanation: Het betekent dat de patiënt niet in het ziekenhuis was opgenomen op het moment dat het infarct optrad.
Perhaps:
BACKGROUND:
The Coronary Artery Surgery Study (CASS) Registry is used to evaluate the effect of various baseline clinical and angiographic factors on mortality after acute out-of-hospital myocardial infarction (MI) in patients with and without prior coronary bypass surgery
METHODS AND RESULTS:
Among the CASS Registry patients, there were 985 medical and 369 surgical patients who had an MI out of the hospital within 3 years after enrollment. In the medical group, 20% died before hospitalization. Medical patients with baseline three-vessel disease or left ventricular (LV) dysfunction were at high risk of immediate death. For medical patients who were hospitalized with MI, mortality was higher for older patients and those with severe angina as well as for those with extensive disease and LV dysfunction. The total 30-day mortality for medical patients was 36%. In the surgical group, 12% died before hospitalization. Surgical patients with LV dysfunction or prior MI were at highest risk of immediate death. For surgical patients hospitalized with MI, mortality was significantly increased only for patients with baseline LV dysfunction. Mortality was not significantly higher for surgical patients with multivessel disease. The total 30-day mortality for surgical patients was 21%. The prior use of aspirin or beta-blockers was not associated with reduced mortality from subsequent MI for either medical or surgical patients. Although the prevalence of cigarette smoking was high among patients who had an MI, cigarette smoking did not alter the infarct-related mortality rate
Barend van Zadelhoff Netherlands Local time: 04:03 Specializes in field Native speaker of: Dutch PRO pts in category: 87
Grading comment
Hartelijk bedankt! Ik heb de rest van de discussie pas net gelezen daar ik wegens urgente familie omstandigheden een paar dagen van huis ben weggeweest (mijn stilte de afgelopen dagen betekende niet dat ik geen interesse had voor deze interessante discussie!). De rest van de informatie m.b.t. deze patient maakt duidelijk dat het hier inderdaad om een infarct gaat die buiten het ziekenhuis plaatsvondt.
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