A5039213592- Emergency and Acute Care Studies
- COVID-19 Clinical Research Studies
- Trauma and Emergency Care Studies
- Cardiac Arrest and Resuscitation
- Healthcare Policy and Management
- Disaster Response and Management
- Vaccine Coverage and Hesitancy
- COVID-19 diagnosis using AI
- Long-Term Effects of COVID-19
- SARS-CoV-2 and COVID-19 Research
- Patient Satisfaction in Healthcare
- COVID-19 and healthcare impacts
- Traffic and Road Safety
- Acute Myocardial Infarction Research
- Healthcare Systems and Reforms
- Primary Care and Health Outcomes
- Health and Well-being Studies
- Intensive Care Unit Cognitive Disorders
- Emergency Medicine Education and Research
- Sepsis Diagnosis and Treatment
- Occupational Health and Safety Research
- Machine Learning in Healthcare
- Aortic Disease and Treatment Approaches
- Viral Infections and Outbreaks Research
- Healthcare Education and Workforce Issues
Iran University of Medical Sciences
2015-2024
Rasool Akram Hospital
2017-2022
Shahid Beheshti University of Medical Sciences
2021
Tehran University of Medical Sciences
1998-2020
Shariati Hospital
2020
University of Tehran
1998-2012
Shahid Beheshti University
2009
Rationale: Given the expanding number of COVID-19 cases and potential for new waves infection, there is an urgent need early prediction severity disease in intensive care unit (ICU) patients to optimize treatment strategies. Objectives: Early mortality using machine learning based on typical laboratory results clinical data registered day ICU admission. Methods: We retrospectively studied 797 diagnosed with Iran United Kingdom (U.K.). To find parameters highest predictive values,...
To determine the safety and efficacy profile of teenager COVID-19 vaccination. In this retrospective cohort study, contact numbers parents teenagers under 18 years age referred to a vaccination centers in Tehran-Iran receive corona vaccine were collected, following information was obtained via phones: demographic information, type vaccine, number doses received, as well additional like complications required treatments. Eleven thousand forty-two subjects aged 10-18 years, mean 14.55 ± 1.83...
Background Tranexamic acid (TXA), a synthetic antifibrinolytic drug, is effective as treatment for serious hemorrhage, including bleeding arising from major trauma and post-operative interventions. Significant acute gastrointestinal may have poor outcome despite routine medical endoscopic treatments. The aim of this study was to assess whether early intravenous and/or plus topical administration TXA reduces the need urgent endoscopy bleeding. Method This double-blind randomized clinical...
Abstract Aims and objectives The present study aimed to investigate the effects of interprofessional education on healthcare providers' intentions engage in an shared decision‐making (IP‐SDM) process at emergency department exploring affecting factors their intentions. Methods We conducted through a sequential explanatory mixed method (quantitative‐qualitative) design. All ED residents nurses from two university hospitals were invited assigned intervention control groups. group was exposed...
Background: Early prediction of symptoms and mortality risks for COVID-19 patients would improve healthcare outcomes, allow the appropriate distribution resources, reduce costs, aid in vaccine prioritization self-isolation strategies, thus prevalence disease. Such publicly accessible models are lacking, however. Methods: Based on a comprehensive evaluation existing machine learning (ML) methods, we created two based solely age, gender, medical histories 23,749 hospital-confirmed from...
This study aimed to evaluate the efficiency of pre-hospital triage tools including qSOFA, NEWS, and PRESEP in determining prognosis probable COVID-19 patients. In this diagnostic accuracy study, all patients older than 16-year-old who were transferred hospital by Tehran Emergency Medical Services (EMS) during first month pandemic, entered study. The scores calculated using data gathered while providing care. primary outcome was death; secondary outcomes ICU admission, length stay ICU, stay....
Out-of-hospital cardiac arrest (OHCA) is the most stressful lifetime event for victims and an important issue emergency physicians. The status of hypothalamic pituitary- adrenal axis (HPA) function in successfully resuscitated cardiopulmonary has been recently interest researchers.In a prospective cohort study, 50 OHCA victims' serum cortisol levels were measured 5 minutes 1 hour after return spontaneous circulation (ROSC). data analyzed comparing one-week neurologic survival.Fifty blood...
This study aimed to assess the effectiveness of an interprofessional education model (IPE) based on transtheoretical improve participants' collaborative practice. The was conducted in Iran using a controlled before-and-after design. participants (n = 91) were residents emergency medicine and nurses units from two teaching hospitals affiliated University Medical Sciences. intervention group 40) 22 18 nurses. control 51) consisted 20 31 classified their stage readiness change. interventions...
Predicting residents' academic performance is critical for medical educational institutions to plan strategies improving their achievement. This study aimed predict the of residents on preboard examinations based results in-training (ITE) using various data mining (DM) techniques. research was a descriptive cross-sectional pilot conducted at Iran University Medical Sciences, Iran. A sample 841 in six specialties participating ITEs between 2004 and 2014 selected through convenience sampling....
Professionalism is a core competency in the medical profession. In this paper, we aimed to confirm validity, reliability and acceptability of Mini-Evaluation Exercise (P-MEX) instrument for emergency medicine (EM) residency program. Twenty-two EM attending physicians completed 383 P-MEX forms (the Persian version) 90 residents. Construct validity was assessed via structural equation modeling (SEM). The coefficient estimated by generalizability theory, using two researcher-made questionnaires...
Despite enormous efforts in public education, treatment seeking time still remains more than optimal patients with acute coronary syndrome. This prospective study tries to determine the risk factors of pre-hospital delay Descriptive data 190 diagnosis syndrome attending 2 tertiary level teaching hospital emergency departments were analyzed delayed seeking. Demographic, social and clinical characteristics obtained they asked fully describe their symptoms actions had done after onset. Thirty...
Background: Mortality rate in rural areas is a useful measure of the health population and function system, which varies over space time. The objective this research to explore spatial temporal variations mortality Iran at county level 2006, 2011 2016. Methods: data were gathered from statistics published by Statistical Centre National Organization for Civil Registration. Global patterns assessed using Moran’s I local clusters through Local Moran’ I. Results: Spatial distribution shows that...
Objectives: Out-hospital Cardiac arrest is considered as a global disease, which causes high rate of morbidity and mortality. Although, the return spontaneous circulation occurs in 10 to 60 percent cases OHCA, with variety treatment, most patients faced multiple organ failure ultimately death. The investigations demonstrated that endogenous vasopressin levels successful resuscitation more than died patients. Therefore, it seems administration during cardiopulmonary could be useful. current...
Objectives: This study aimed to determine the accuracy of Face-Arm-Speech-Time (FAST) screening tool used by emergency medical dispatchers (EMDs) and technicians (EMTs) for diagnosis acute stroke its effect on patient's transfer time from scene hospital. Methods: was conducted retrospectively during a one-year period. Via census sampling, we recruited all patients over 18-years-old diagnosed with whether EMDs or EMTs. Pre-hospital operation forms hospital records were data gathering. Final...
Abstract Background Coronavirus disease 2019 (COVID–19) is currently one of the world's most critical health issues so far. Given importance appropriate treatment in pregnancy and controversies about Remdesivir effectiveness complications, present study aimed to evaluate impact on maternal, fetal, perinatal outcomes pregnant women with COVID–19 diseases. Methods A total 189 positive polymerase chain reaction (PCR) results for SARS–COV–2, oxygen saturation [SpO2] < 95%) were admitted 12...
Abstract We aimed to assess longitudinal changes in clinical indexes of corona disease 2019 (Covid‐19) patients with mild pulmonary infection during 5 days remdesivir therapy and determine the effect age gender on adverse effects (AE). Patients' data including inflammatory markers, liver renal function tests, heart rate (HR) were extracted from medical records. Linear mixed model (LMM) was used analyze patients' indexes. Gender inserted LMM as covariates find their correlation AE Of 84...
BackgroundMisconceptions about adverse side effects are thought to influence public acceptance of the Coronavirus disease 2019 (COVID-19) vaccines negatively. To address such perceived disadvantages vaccines, a novel machine learning (ML) approach was designed generate personalized predictions most common following injection six different COVID-19 based on personal and health-related characteristics.MethodsProspective data vaccination in 19943 participants from Iran Switzerland utilized. Six...
The first cause of death and disability constituting to the burden disease in Iran has been accident injury incidents. Young people are more at risk, these accidents have a negative effect on national gross domestic product (GDP), one hand, they increase costs health system other hand. Therefore, this study aimed analyze epidemiological pattern accidents.The variables 8 months 2016 included from Tehran Province, Iran; age, sex, how transfer hospital, consequences an accident, injured area,...