Most Read Articles
6 days ago
Combining the DASH (Dietary Approaches to Stop Hypertension) diet with low sodium intake reduces systolic blood pressure (SBP) in individuals with pre- and stage 1 hypertension, with progressively higher reductions at greater levels of baseline SBP, a recent study has shown.
Tristan Manalac, 4 days ago
Major depressive disorder (MDD) appears to be more prevalent in females than in males, particularly in those who are divorced or widowed, a recent study from Singapore has found.
5 days ago
Tadalafil may not be effective for reducing the decline in ambulatory ability in boys with Duchenne muscular dystrophy (DMD), as shown in a recent study.
01 Dec 2017
At a symposium during the 25th Congress of the Obstetrical and Gynaecological Society of Malaysia in Kuala Lumpur, Professor Susan Davis discussed the unique implications of women living decades beyond menopause, and how healthcare professionals can best manage menopausal symptoms in the short and long term.

Hypertension ups risk of rebleeding after TIPSS

27 Aug 2017
29 sources of inaccuracy have been identified in the measurement of adults’ resting blood pressure in clinical settings.

Preascites and hypertension are independent risk factors for parent ascites, while hypertension is an independent risk factor for rebleeding following transjugular intrahepatic portosystemic stent shunt (TIPSS) therapy, a new cohort study has found.

Records of 124 patients who received TIPSS were used in the study. Participants were then divided into two groups: elderly (n=37; age 60 years; 62.6 percent male) and nonelderly (n=87; age <60 years; 73.6 percent male). Exclusion criteria included unsuccessful and emergency TIPSS treatments.

Propensity score matching was performed between the elderly and nonelderly groups to remove potential confounders. The primary outcome was treatment-related adverse events within 1 year. Total length of stay, postoperative hospital stays and hospital deaths were secondary outcomes.

Multivariate logistic regression revealed that hypertension was a significant independent risk factor for rebleeding (odds ratio [OR], 13.249; 95 percent CI, 1.29 to 136.073; p=0.03).

On the other hand, smoking (OR, 4.48; 1.43 to 14.033; p=0.01) and preascites (OR, 6.7; 2.04 to 22.005; p=0.002) were shown as independent risk factors for patients’ ascites following TIPSS treatment.

There were no significant differences between the elderly and nonelderly groups in terms of therapy-related adverse events such as fever (p=0.266), vomiting (p=0.443), bellyaches (p=0.59), diarrhoea (p=0.151), ascites (p=0.393) and rebleeding (p=0.27), suggesting that age was not a significant risk factor for poor outcomes.

“There are limitations to the present study because of its retrospective design. More patients are needed to match more pairs and increase the credibility of the results,” said researchers. 

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Most Read Articles
6 days ago
Combining the DASH (Dietary Approaches to Stop Hypertension) diet with low sodium intake reduces systolic blood pressure (SBP) in individuals with pre- and stage 1 hypertension, with progressively higher reductions at greater levels of baseline SBP, a recent study has shown.
Tristan Manalac, 4 days ago
Major depressive disorder (MDD) appears to be more prevalent in females than in males, particularly in those who are divorced or widowed, a recent study from Singapore has found.
5 days ago
Tadalafil may not be effective for reducing the decline in ambulatory ability in boys with Duchenne muscular dystrophy (DMD), as shown in a recent study.
01 Dec 2017
At a symposium during the 25th Congress of the Obstetrical and Gynaecological Society of Malaysia in Kuala Lumpur, Professor Susan Davis discussed the unique implications of women living decades beyond menopause, and how healthcare professionals can best manage menopausal symptoms in the short and long term.