Search Results - "LEHTO, MIKA"
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Who visits primary health care general practitioners and why? A register-based study in a Finnish city
Published in International journal of circumpolar health (01-12-2024)“…This is a register-based study that examines the distribution of diagnoses made by general practitioners (GPs) in the public primary health care of the city of…”
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2
Poor Quality of Warfarin Treatment Increases the Risk of All Types of Intracranial Hemorrhage in Atrial Fibrillation
Published in Circulation Journal (25-02-2019)“…Background: Intracranial hemorrhage (ICH) is a devastating complication of oral anticoagulation. The aim of this study was to describe the spectrum of ICH and…”
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3
The nationwide Finnish anticoagulation in atrial fibrillation (FinACAF): study rationale, design, and patient characteristics
Published in European journal of epidemiology (2022)“…Atrial fibrillation (AF) is a major cause of ischemic stroke and the number of AF patients is increasing. Thus, up-to-date multifaceted data about the…”
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4
Associations of anaemia with bleeding and thrombotic complications in patients with atrial fibrillation treated with warfarin: a registry-based nested case–control study
Published in BMJ open (02-11-2023)“…ObjectivesWe studied association of laboratory testing beyond the international normalised ratio (INR) with bleeding and stroke/transient ischaemic attack…”
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Differences between recorded diagnoses of patients of an emergency department and office-hours primary care doctors: a register-based study in a Finnish town
Published in International journal of circumpolar health (01-01-2021)“…To determine the extent to which it is possible to provide continuity of primary care for those who visit Emergency Departments (EDs) we studied how recorded…”
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6
Adherence to oral anticoagulation in ischemic stroke patients with atrial fibrillation
Published in Annals of medicine (Helsinki) (01-01-2021)“…Non-vitamin K antagonist oral anticoagulants (NOAC) have superior safety and comparable efficacy profile compared to vitamin-K antagonists (VKAs), with more…”
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7
Comparison of two GP service provider models in older adults: a register-based follow-up study
Published in BJGP open (01-09-2023)“…In Finland, there have been various strategies attempting to provide access to GPs. The 'restricted-List General Practitioner model' (rLGP) was launched in…”
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Rural-urban differences in the initiation of oral anticoagulant therapy in patients with incident atrial fibrillation: A Finnish nationwide cohort study
Published in PloS one (31-10-2022)“…Little is known about rural-urban differences in the treatment and outcomes in patients with atrial fibrillation (AF). We aimed to assess whether the…”
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Time-in-therapeutic-range defined warfarin and direct oral anticoagulants in atrial fibrillation: a Nationwide Cohort Study
Published in Annals of medicine (Helsinki) (01-12-2024)“…Little is known how individual time-in-therapeutic-range (TTR) impacts the effectiveness and safety of warfarin therapy compared to direct oral anticoagulants…”
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10
Temporal trends in mortality and causes of death in patients with incident atrial fibrillation: a nationwide register study from 2010 to 2018
Published in BMJ open (13-09-2024)“…ObjectivesAtrial fibrillation (AF) is associated with increased mortality. Previous studies have reported conflicting results in temporal trends of mortality…”
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11
Mental Health Conditions and Nonpersistence of Direct Oral Anticoagulant Use in Patients With Incident Atrial Fibrillation: A Nationwide Cohort Study
Published in Journal of the American Heart Association (15-03-2022)“…Background Mental health conditions (MHCs) are associated with poor outcomes in patients with atrial fibrillation. However, persistence of oral anticoagulation…”
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12
Development of office-hours use of primary health centers in the early years of the 21st century: a 13-year longitudinal follow-up study
Published in International journal of circumpolar health (01-12-2022)“…This study, conducted in a Finnish city, examined whether a long-lasting observed trend in Finnish primary health care, namely, a decreasing rate of…”
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13
The impact of mental health conditions on oral anticoagulation therapy and outcomes in patients with atrial fibrillation: A systematic review and meta-analysis
Published in American journal of preventive cardiology (01-09-2021)“…One third of patients with atrial fibrillation (AF) are estimated to suffer from mental health conditions (MHCs). We conducted a systematic review and…”
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14
The influence of electronic reminders on recording diagnoses in a primary health care emergency department: a register-based study in a Finnish town
Published in Scandinavian journal of primary health care (01-06-2021)“…This study examines whether implementation of electronic reminders is associated with a change in the amount and content of diagnostic data recorded in primary…”
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15
Aortic Stenosis and Outcomes in Patients With Atrial Fibrillation: A Nationwide Cohort Study
Published in Journal of the American Heart Association (02-05-2023)“…Background Patients with aortic stenosis (AS) have been underrepresented in the trials evaluating direct oral anticoagulants (DOACs) in atrial fibrillation…”
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16
Comprehensive nationwide incidence and prevalence trends of atrial fibrillation in Finland
Published in Open heart (01-11-2022)“…ObjectiveAtrial fibrillation (AF) is a worldwide healthcare challenge owing to population ageing. In this study, we assessed the current trends in the…”
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Development of the use of primary health care emergency departments after interventions aimed at decreasing overcrowding: a longitudinal follow-up study
Published in BMC emergency medicine (14-06-2022)“…This study, conducted in a Finnish city, examined whether decreasing emergency department (ED) services in an overcrowded primary care ED and corresponding…”
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18
Do electronic reminders alter recorded diagnoses in primary care office-hours practices of health centers: A register-based study in a Finnish city
Published in SAGE open medicine (2021)“…Objectives: One purpose of electronic reminders is improvement of the quality of documentation in office-hours primary care. The aim of this study was to…”
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Mental health conditions and use of rhythm control therapies in patients with atrial fibrillation: a nationwide cohort study
Published in BMJ open (30-08-2022)“…ObjectivesMental health conditions (MHCs) have been associated with undertreatment of unrelated medical conditions, but whether patients with MHCs face…”
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Socioeconomic factors and bleeding events in patients with incident atrial fibrillation: A Finnish nationwide cohort study
Published in International journal of cardiology. Heart & vasculature (01-12-2022)“…•Income disparities are observed in the incidence of adverse bleeding events in patients with atrial fibrillation.•Especially the risk of gastrointestinal…”
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