{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T20:04:56Z","timestamp":1789761896877,"version":"4.0.1"},"reference-count":37,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:00:00Z","timestamp":1769040000000},"content-version":"vor","delay-in-days":21,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Dyspnoea accounts for nearly 5% of emergency department (ED) visits. Our aim was to describe the in-hospital and long-term outcomes of patients admitted to the ED for dyspnoea, based on their underlying aetiology, and to determine if prognosis varies according to the hospitalization setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analyzed 18 903 consecutive patients (48% male, average age 73 years) hospitalized after an ED visit for dyspnoea from January 2010 to December 2019, as part of the PARADISE cohort (PAthwAy of Dyspneic patIent in Emergency\u2014NCT02800122). Dyspnoea causes were classified as acute heart failure (AHF), respiratory infection (RI), chronic obstructive pulmonary disease (COPD), pulmonary embolism (PE), or asthma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>RI (30%), AHF (28%), and COPD (13%) were the predominant discharge diagnoses. In-hospital mortality stood at 12% overall, ranging from 1.1% in asthma to 15% in AHF and RI. Five-year all-cause mortality for patients discharged alive was 75% in AHF, 66% in RI, 62% in COPD, 37% in PE, and 26% in asthma. Hospitalization in specialized wards was associated with significantly reduced in-hospital mortality across all aetiologies, and with a decreased long-term mortality for RI and AHF (adjusted-HR 0.90, 95% CI 0.82\u20130.99, P = 0.02 for RI and adjusted-HR 0.90, 95% CI 0.82\u20130.99, P = 0.03 for AHF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients hospitalized for dyspnoea face a high-risk of mortality both in-hospital and post-discharge. In view of the strikingly high mortality in dyspneic patients and the potential benefits of specialized management, our study calls for rapidly setting up personalized in-hospital and post-discharge dyspnoea pathways.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ejhf\/xuaf027","type":"journal-article","created":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T12:29:19Z","timestamp":1767702559000},"page":"130-140","source":"Crossref","is-referenced-by-count":3,"title":["Short and long-term prognosis of hospitalization for dyspnoea based on aetiology and hospitalization ward: insights from the PARADISE cohort"],"prefix":"10.1093","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9200-2729","authenticated-orcid":false,"given":"Guillaume","family":"Baudry","sequence":"first","affiliation":[{"name":"Universit\u00e9 de Lorraine, INSERM, Centre d'Investigation Clinique Plurith\u00e9matique 1433, Inserm U1116, CHRU de Nancy , Nancy ,","place":["France"]},{"name":"INI-CRCT (Cardiovascular and Renal Clinical Trialists) F-CRIN Network , Nancy ,","place":["France"]},{"name":"REICATRA, Recherche et Enseignement en IC Avanc\u00e9e, Transplantation, Assistance , Vand\u0153uvre-l\u00e8s-Nancy ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Lacomblez","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Lorraine, INSERM, Centre d'Investigation Clinique Plurith\u00e9matique 1433, Inserm U1116, CHRU de Nancy , Nancy ,","place":["France"]},{"name":"INI-CRCT (Cardiovascular and Renal Clinical Trialists) F-CRIN Network , Nancy ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5650-3155","authenticated-orcid":false,"given":"Emmanuel","family":"Bresso","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Lorraine, INSERM, Centre d'Investigation Clinique Plurith\u00e9matique 1433, Inserm U1116, CHRU de Nancy , Nancy ,","place":["France"]},{"name":"INI-CRCT (Cardiovascular and Renal Clinical Trialists) F-CRIN Network , Nancy ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2958-943X","authenticated-orcid":false,"given":"Luca","family":"Monzo","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Lorraine, INSERM, Centre d'Investigation Clinique Plurith\u00e9matique 1433, Inserm U1116, CHRU de Nancy , Nancy ,","place":["France"]},{"name":"INI-CRCT (Cardiovascular and Renal Clinical Trialists) F-CRIN Network , Nancy ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8715-7753","authenticated-orcid":false,"given":"Alexandre","family":"Mebazaa","sequence":"additional","affiliation":[{"name":"University of Paris Cit\u00e9 , Paris ,","place":["France"]},{"name":"Inserm UMR-S 942, Cardiovascular Markers in Stress Conditions (MASCOT), Paris ,","place":["France"]},{"name":"Department of Anaesthesiology, Critical Care, Lariboisi\u00e8re\u2014Saint-Louis Hospitals, DMU Parabol, AP-HP Nord, Paris ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Duarte","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Lorraine, INSERM, Centre d'Investigation Clinique Plurith\u00e9matique 1433, Inserm U1116, CHRU de Nancy , Nancy ,","place":["France"]},{"name":"INI-CRCT (Cardiovascular and Renal Clinical Trialists) F-CRIN Network , Nancy ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D\u00e9borah","family":"Jaeger","sequence":"additional","affiliation":[{"name":"INSERM U1116, D\u00e9faillance Cardiovasculaire Aigu\u00eb et Chronique, University of Lorraine , Vand\u0153uvre-l\u00e8s-Nancy 54500 ,","place":["France"]},{"name":"Emergency Department, University Hospital of Nancy ,","place":["France"]},{"name":"INSERM U1116, University of Lorraine , Nancy ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrien","family":"Bassand","sequence":"additional","affiliation":[{"name":"Emergency Department, University Hospital of Nancy ,","place":["France"]},{"name":"INSERM U1116, University of Lorraine , Nancy ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aur\u00e9lien","family":"Buessler","sequence":"additional","affiliation":[{"name":"Emergency Department, University Hospital of Nancy ,","place":["France"]},{"name":"INSERM U1116, University of Lorraine , Nancy ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaetan","family":"Giacomin","sequence":"additional","affiliation":[{"name":"Emergency Department, University Hospital of Nancy ,","place":["France"]},{"name":"INSERM U1116, University of Lorraine , Nancy ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charl\u00e8ne","family":"Duchanois","sequence":"additional","affiliation":[{"name":"Emergency Department, University Hospital of Nancy ,","place":["France"]},{"name":"INSERM U1116, University of Lorraine , Nancy ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Torgny","family":"Wessman","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences Malm\u00f6, Lund University ,","place":["Sweden"]},{"name":"Department of Emergency Medicine, Skane University Hospital , Malm\u00f6 ,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7456-1570","authenticated-orcid":false,"given":"Faiez","family":"Zannad","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Lorraine, INSERM, Centre d'Investigation Clinique Plurith\u00e9matique 1433, Inserm U1116, CHRU de Nancy , Nancy ,","place":["France"]},{"name":"INI-CRCT (Cardiovascular and Renal Clinical Trialists) F-CRIN Network , Nancy ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tahar","family":"Chouihed","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Lorraine, INSERM, Centre d'Investigation Clinique Plurith\u00e9matique 1433, Inserm U1116, CHRU de Nancy , Nancy ,","place":["France"]},{"name":"INI-CRCT (Cardiovascular and Renal Clinical Trialists) F-CRIN Network , Nancy ,","place":["France"]},{"name":"Emergency Department, University Hospital of Nancy ,","place":["France"]},{"name":"INSERM U1116, University of Lorraine , Nancy ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3278-2057","authenticated-orcid":false,"given":"Nicolas","family":"Girerd","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Lorraine, INSERM, Centre d'Investigation Clinique Plurith\u00e9matique 1433, Inserm U1116, CHRU de Nancy , Nancy ,","place":["France"]},{"name":"INI-CRCT (Cardiovascular and Renal Clinical Trialists) F-CRIN Network , Nancy ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,1,22]]},"reference":[{"key":"2026050209113566600_xuaf027-B1","doi-asserted-by":"publisher","first-page":"1547","DOI":"10.1056\/NEJM199512073332307","article-title":"Pathophysiology of dyspnea","volume":"333","author":"Manning","year":"1995","journal-title":"N Engl J Med"},{"key":"2026050209113566600_xuaf027-B2","doi-asserted-by":"publisher","first-page":"435","DOI":"10.1164\/rccm.201111-2042ST","article-title":"An official American Thoracic Society statement: update on the mechanisms, assessment, and management of dyspnea","volume":"185","author":"Parshall","year":"2012","journal-title":"Am J Respir Crit Care Med"},{"key":"2026050209113566600_xuaf027-B3","doi-asserted-by":"publisher","first-page":"328","DOI":"10.1111\/acem.13118","article-title":"An observational study of dyspnea in emergency departments: the Asia, Australia, and New Zealand dyspnea in emergency departments study (AANZDEM)","volume":"24","author":"Kelly","year":"2017","journal-title":"Acad Emerg Med"},{"key":"2026050209113566600_xuaf027-B4","author":"McCaig"},{"key":"2026050209113566600_xuaf027-B5","doi-asserted-by":"publisher","first-page":"311","DOI":"10.1056\/NEJMc090911","article-title":"Rehospitalizations among patients in the medicare fee-for-service program","volume":"361","author":"Jencks","year":"2009","journal-title":"N Engl J Med"},{"key":"2026050209113566600_xuaf027-B6","doi-asserted-by":"publisher","first-page":"l4563","DOI":"10.1136\/bmj.l4563","article-title":"Hospital revisits within 30 days after discharge for medical conditions targeted by the hospital readmissions reduction program in the United States: national retrospective analysis","volume":"366","author":"Wadhera","year":"2019","journal-title":"BMJ"},{"key":"2026050209113566600_xuaf027-B7","doi-asserted-by":"publisher","first-page":"232","DOI":"10.1378\/chest.14-0800","article-title":"Recent advances in dyspnea","volume":"147","author":"Mahler","year":"2015","journal-title":"Chest"},{"key":"2026050209113566600_xuaf027-B8","doi-asserted-by":"publisher","first-page":"559","DOI":"10.1007\/s11739-021-02825-6","article-title":"Associations between biomarkers of multimorbidity burden and mortality risk among patients with acute dyspnea","volume":"17","author":"Wessman","year":"2022","journal-title":"Intern Emerg Med"},{"key":"2026050209113566600_xuaf027-B9","doi-asserted-by":"publisher","first-page":"681","DOI":"10.1111\/resp.13259","article-title":"Epidemiology, treatment, disposition and outcome of patients with acute exacerbation of COPD presenting to emergency departments in Australia and South East Asia: an AANZDEM study","volume":"23","author":"Kelly","year":"2018","journal-title":"Respirology"},{"key":"2026050209113566600_xuaf027-B10","doi-asserted-by":"publisher","first-page":"1242","DOI":"10.1002\/ejhf.890","article-title":"Clinical phenotypes and outcome of patients hospitalized for acute heart failure: the ESC heart failure long-term registry","volume":"19","author":"Chioncel","year":"2017","journal-title":"Eur J Heart Fail"},{"key":"2026050209113566600_xuaf027-B11","doi-asserted-by":"publisher","author":"Cairns","DOI":"10.15620\/cdc:115748"},{"key":"2026050209113566600_xuaf027-B12","doi-asserted-by":"publisher","first-page":"345","DOI":"10.1097\/MEJ.0000000000000571","article-title":"Epidemiology of patients presenting with dyspnea to emergency departments in Europe and the Asia-Pacific region","volume":"26","author":"Laribi","year":"2019","journal-title":"Eur J Emerg Med"},{"key":"2026050209113566600_xuaf027-B13","doi-asserted-by":"publisher","first-page":"3599","DOI":"10.1093\/eurheartj\/ehab368","article-title":"2021 ESC guidelines for the diagnosis and treatment of acute and chronic heart failure","volume":"42","author":"McDonagh","year":"2021","journal-title":"Eur Heart J"},{"key":"2026050209113566600_xuaf027-B14","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1007\/s11739-021-02783-z","article-title":"The association between length of stay in the emergency department and short-term mortality","volume":"17","author":"Wessman","year":"2022","journal-title":"Intern Emerg Med"},{"key":"2026050209113566600_xuaf027-B15","doi-asserted-by":"publisher","first-page":"238","DOI":"10.1067\/mem.2002.121523","article-title":"Older adults in the emergency department: a systematic review of patterns of use, adverse outcomes, and effectiveness of interventions","volume":"39","author":"Aminzadeh","year":"2002","journal-title":"Ann Emerg Med"},{"key":"2026050209113566600_xuaf027-B16","doi-asserted-by":"publisher","first-page":"1338","DOI":"10.1002\/ejhf.1492","article-title":"Acute heart failure congestion and perfusion status\u2014impact of the clinical classification on in-hospital and long-term outcomes; insights from the ESC-EORP-HFA heart failure long-term registry","volume":"21","author":"Chioncel","year":"2019","journal-title":"Eur J Heart Fail"},{"key":"2026050209113566600_xuaf027-B17","doi-asserted-by":"publisher","first-page":"1180","DOI":"10.1001\/archinte.163.10.1180","article-title":"In-hospital mortality following acute exacerbations of chronic obstructive pulmonary disease","volume":"163","author":"Patil","year":"2003","journal-title":"Arch Intern Med"},{"key":"2026050209113566600_xuaf027-B18","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1016\/S1473-3099(17)30592-3","article-title":"Effect of procalcitonin-guided antibiotic treatment on mortality in acute respiratory infections: a patient level meta-analysis","volume":"18","author":"Schuetz","year":"2018","journal-title":"Lancet Infect Dis"},{"key":"2026050209113566600_xuaf027-B19","doi-asserted-by":"publisher","first-page":"542","DOI":"10.1016\/j.cardfail.2013.05.016","article-title":"National patterns of heart failure hospitalizations and mortality by sex and age","volume":"19","author":"Rodriguez","year":"2013","journal-title":"J Card Fail"},{"key":"2026050209113566600_xuaf027-B20","doi-asserted-by":"publisher","first-page":"220","DOI":"10.1038\/nrcardio.2015.14","article-title":"The vulnerable phase after hospitalization for heart failure","volume":"12","author":"Greene","year":"2015","journal-title":"Nat Rev Cardiol"},{"key":"2026050209113566600_xuaf027-B21","doi-asserted-by":"publisher","first-page":"1023","DOI":"10.1016\/S0140-6736(17)33326-3","article-title":"Global surveillance of trends in cancer survival 2000-14 (CONCORD-3): analysis of individual records for 37 513 025 patients diagnosed with one of 18 cancers from 322 population-based registries in 71 countries","volume":"391","author":"Allemani","year":"2018","journal-title":"Lancet"},{"key":"2026050209113566600_xuaf027-B22","doi-asserted-by":"publisher","first-page":"S36","DOI":"10.1161\/CIRCOUTCOMES.115.002621","article-title":"Sex and race\/ethnicity-related disparities in care and outcomes after hospitalization for coronary artery disease among older adults","volume":"9","author":"Li","year":"2016","journal-title":"Circ Cardiovasc Qual Outcomes"},{"key":"2026050209113566600_xuaf027-B23","doi-asserted-by":"publisher","first-page":"755","DOI":"10.1093\/eurheartj\/ehy378","article-title":"Epidemiology report: trends in sex-specific cerebrovascular disease mortality in Europe based on WHO mortality data","volume":"40","author":"Shah","year":"2019","journal-title":"Eur Heart J"},{"key":"2026050209113566600_xuaf027-B24","doi-asserted-by":"publisher","first-page":"3042","DOI":"10.1016\/j.jacc.2017.04.042","article-title":"Time-to-furosemide treatment and mortality in patients hospitalized with acute heart failure","volume":"69","author":"Matsue","year":"2017","journal-title":"J Am Coll Cardiol"},{"key":"2026050209113566600_xuaf027-B25","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1097\/ACI.0000000000000346","article-title":"Asthma guidelines: the global initiative for asthma in relation to national guidelines","volume":"17","author":"Becker","year":"2017","journal-title":"Curr Opin Allergy Clin Immunol"},{"key":"2026050209113566600_xuaf027-B26","doi-asserted-by":"publisher","first-page":"625","DOI":"10.1183\/13993003.01170-2015","article-title":"A review of national guidelines for management of COPD in Europe","volume":"47","author":"Miravitlles","year":"2016","journal-title":"Eur Respir J"},{"key":"2026050209113566600_xuaf027-B27","doi-asserted-by":"publisher","first-page":"1250","DOI":"10.1183\/09031936.00105211","article-title":"New guidelines for the management of adult lower respiratory tract infections","volume":"38","author":"Woodhead","year":"2011","journal-title":"Eur Respir J"},{"key":"2026050209113566600_xuaf027-B28","doi-asserted-by":"publisher","first-page":"543","DOI":"10.1093\/eurheartj\/ehz405","article-title":"2019 ESC guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European respiratory society (ERS)","volume":"41","author":"Konstantinides","year":"2020","journal-title":"Eur Heart J"},{"key":"2026050209113566600_xuaf027-B29","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1016\/j.ijcard.2022.01.006","article-title":"The prognostic value of time from symptom onset to thrombolysis in patients with pulmonary embolism","volume":"352","author":"Keskin","year":"2022","journal-title":"Int J Cardiol"},{"key":"2026050209113566600_xuaf027-B30","doi-asserted-by":"publisher","first-page":"e002460","DOI":"10.1161\/CIRCHEARTFAILURE.115.002460","article-title":"Mortality associated with heart failure after myocardial infarction: a contemporary community perspective","volume":"9","author":"Gerber","year":"2016","journal-title":"Circ Heart Fail"},{"key":"2026050209113566600_xuaf027-B31","doi-asserted-by":"publisher","first-page":"787","DOI":"10.1177\/1747493018798526","article-title":"Long-term neurological, vascular, and mortality outcomes after stroke","volume":"13","author":"Singh","year":"2018","journal-title":"Int J Stroke"},{"key":"2026050209113566600_xuaf027-B32","doi-asserted-by":"publisher","first-page":"e074684","DOI":"10.1136\/bmj-2022-074684","article-title":"Breast cancer mortality in 500 000 women with early invasive breast cancer diagnosed in England, 1993-2015: population based observational cohort study","volume":"381","author":"Taylor","year":"2023","journal-title":"BMJ"},{"key":"2026050209113566600_xuaf027-B33","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1136\/gutjnl-2020-320625","article-title":"Colon and rectal cancer survival in seven high-income countries 2010\u20132014: variation by age and stage at diagnosis (the ICBP SURVMARK-2 project)","volume":"70","author":"Araghi","year":"2021","journal-title":"Gut"},{"key":"2026050209113566600_xuaf027-B34","doi-asserted-by":"publisher","first-page":"146","DOI":"10.1016\/j.urology.2013.08.081","article-title":"Treatment and 5-year survival in patients with nonmetastatic prostate cancer: the Norwegian experience","volume":"83","author":"Foss\u00e5","year":"2014","journal-title":"Urology"},{"key":"2026050209113566600_xuaf027-B35","doi-asserted-by":"publisher","first-page":"1045","DOI":"10.1097\/CCM.0b013e3181cc4824","article-title":"Impact of time to antibiotics on survival in patients with severe sepsis or septic shock in whom early goal-directed therapy was initiated in the emergency department","volume":"38","author":"Gaieski","year":"2010","journal-title":"Crit Care Med"},{"key":"2026050209113566600_xuaf027-B36","doi-asserted-by":"publisher","first-page":"1980","DOI":"10.1161\/CIRCULATIONAHA.112.000311","article-title":"Impact of onset-to-reperfusion time on stroke mortality: a collaborative pooled analysis","volume":"127","author":"Mazighi","year":"2013","journal-title":"Circulation"},{"key":"2026050209113566600_xuaf027-B37","doi-asserted-by":"publisher","first-page":"1223","DOI":"10.1161\/01.CIR.0000121424.76486.20","article-title":"Time delay to treatment and mortality in primary angioplasty for acute myocardial infarction: every minute of delay counts","volume":"109","author":"De Luca","year":"2004","journal-title":"Circulation"}],"container-title":["European Journal of Heart Failure"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/eurjhf\/advance-article-pdf\/doi\/10.1093\/ejhf\/xuaf027\/66545427\/xuaf027.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/eurjhf\/article-pdf\/28\/1\/130\/66545427\/xuaf027.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/eurjhf\/article-pdf\/28\/1\/130\/66545427\/xuaf027.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T13:11:42Z","timestamp":1777727502000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/eurjhf\/article\/28\/1\/130\/8438774"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":37,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,1,22]]},"published-print":{"date-parts":[[2026,5,2]]}},"URL":"https:\/\/doi.org\/10.1093\/ejhf\/xuaf027","relation":{},"ISSN":["1388-9842","1879-0844"],"issn-type":[{"value":"1388-9842","type":"print"},{"value":"1879-0844","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,1]]},"published":{"date-parts":[[2026,1]]}}}