{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T06:06:40Z","timestamp":1771654000749,"version":"3.50.1"},"reference-count":38,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,2,20]]},"DOI":"10.7759\/cureus.104005","type":"journal-article","created":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T05:35:40Z","timestamp":1771652140000},"source":"Crossref","is-referenced-by-count":0,"title":["Epidemiology and Short-Term Outcomes of Acute Coronary Syndrome in a Nigerian Tertiary Hospital: A Prospective Cohort Study"],"prefix":"10.7759","author":[{"given":"Akinwumi","family":"Ojo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Osagioduwa Mike","family":"Atoe-Imagbe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ifunanya","family":"Agu-Jefferson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ehi","family":"Ogbemudia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aisosa","family":"Ogbomo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Veronica","family":"Josephs","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Austine","family":"Obasohan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehx393","article-title":"2017 ESC guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: the task force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC)","volume":"39","author":"Ibanez B","year":"2018","unstructured":"Ibanez B, James S, Agewall S, et al.. 2017 ESC guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: the task force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J. 2018, 39:119-77. 10.1093\/eurheartj\/ehx393","journal-title":"Eur Heart J"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehaa575","article-title":"2020 ESC guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation","volume":"42","author":"Collet JP","year":"2021","unstructured":"Collet JP, Thiele H, Barbato E, et al.. 2020 ESC guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation. Eur Heart J. 2021, 42:1289-367. 10.1093\/eurheartj\/ehaa575","journal-title":"Eur Heart J"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2020.11.010","article-title":"Global burden of cardiovascular diseases and risk factors, 1990-2019: update from the GBD 2019 study","volume":"76","author":"Roth GA","year":"2020","unstructured":"Roth GA, Mensah GA, Johnson CO, et al.. Global burden of cardiovascular diseases and risk factors, 1990-2019: update from the GBD 2019 study. J Am Coll Cardiol. 2020, 76:2982-3021. 10.1016\/j.jacc.2020.11.010","journal-title":"J Am Coll Cardiol"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(21)00102-X","article-title":"Spatial, temporal, and demographic patterns in prevalence of smoking tobacco use and initiation among young people in 204 countries and territories, 1990-2019","volume":"6","author":"Reitsma MB","year":"2021","unstructured":"Reitsma MB, Flor LS, Mullany EC, Gupta V, Hay SI, Gakidou E. Spatial, temporal, and demographic patterns in prevalence of smoking tobacco use and initiation among young people in 204 countries and territories, 1990-2019. Lancet Public Health. 2021, 6:e472-81. 10.1016\/S2468-2667(21)00102-X","journal-title":"Lancet Public Health"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(18)30357-7","article-title":"Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1\u00b79 million participants","volume":"6","author":"Guthold R","year":"2018","unstructured":"Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1\u00b79 million participants. Lancet Glob Health. 2018, 6:e1077-86. 10.1016\/S2214-109X(18)30357-7","journal-title":"Lancet Glob Health"},{"key":"ref6","unstructured":"American College of Cardiology. Cover story | Acute coronary syndromes: new perspectives, new data. (2024). https:\/\/www.acc.org\/Latest-in-Cardiology\/Articles\/2024\/06\/01\/01\/42\/Cover-Story-Acute-Coronary-Syndromes-New-Perspecti...."},{"key":"ref7","article-title":"Heart disease and stroke statistics\u20142024 update: a report from the American Heart Association","volume":"149","author":"Benjamin EJ","year":"2024","unstructured":"Benjamin EJ, Muntner P, Alonso A, et al.. Heart disease and stroke statistics\u20142024 update: a report from the American Heart Association. Circulation. 2024, 149:270-376.","journal-title":"Circulation"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.2174\/1573403x11309020008","article-title":"Heart failure in sub-Saharan Africa","volume":"9","author":"Bloomfield GS","year":"2013","unstructured":"Bloomfield GS, Barasa FA, Doll JA, Velazquez EJ. Heart failure in sub-Saharan Africa. Curr Cardiol Rev. 2013, 9:157-73. 10.2174\/1573403x11309020008","journal-title":"Curr Cardiol Rev"},{"key":"ref9","article-title":"Cardiovascular disease","author":"Mbewu A","year":"2006","unstructured":"Mbewu A, Mbanya JC. Cardiovascular disease. Disease and Mortality in Sub-Saharan Africa. Jamison DT, Feachem RG, Makgoba MW, et al. (ed): The International Bank for Reconstruction and Development \/ The World Bank, Washington, DC; 2006."},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.5334\/gh.403","article-title":"Cardiovascular diseases in sub-Saharan Africa compared to high-income countries: an epidemiological perspective","volume":"15","author":"Yuyun MF","year":"2020","unstructured":"Yuyun MF, Sliwa K, Kengne AP, Mocumbi AO, Bukhman G. Cardiovascular diseases in sub-Saharan Africa compared to high-income countries: an epidemiological perspective. Glob Heart. 2020, 15:15. 10.5334\/gh.403","journal-title":"Glob Heart"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.62347\/RIAQ1956","article-title":"Clinical characteristics and outcomes of patients undergoing percutaneous coronary intervention at Gesund Cardiac and Medical Center, Addis Ababa, Ethiopia, 2024","volume":"15","author":"Eskias K","year":"2025","unstructured":"Eskias K, Bekele A, Adal O, Hussien H, Demisse LB. Clinical characteristics and outcomes of patients undergoing percutaneous coronary intervention at Gesund Cardiac and Medical Center, Addis Ababa, Ethiopia, 2024. Am J Cardiovasc Dis. 2025, 15:29-38. 10.62347\/RIAQ1956","journal-title":"Am J Cardiovasc Dis"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)61215-4","article-title":"Use of secondary prevention drugs for cardiovascular disease in the community in high-income, middle-income, and low-income countries (the PURE Study): a prospective epidemiological survey","volume":"378","author":"Yusuf S","year":"2011","unstructured":"Yusuf S, Islam S, Chow CK, et al.. Use of secondary prevention drugs for cardiovascular disease in the community in high-income, middle-income, and low-income countries (the PURE Study): a prospective epidemiological survey. Lancet. 2011, 378:1231-43. 10.1016\/S0140-6736(11)61215-4","journal-title":"Lancet"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.4314\/ahs.v18i4.13","article-title":"Prevalence and pattern of cardiovascular-related causes of out-of- hospital deaths in Lagos, Nigeria","volume":"18","author":"Adegoke O","year":"2018","unstructured":"Adegoke O, Awolola NA, Ajuluchukwu JN. Prevalence and pattern of cardiovascular-related causes of out-of- hospital deaths in Lagos, Nigeria. Afr Health Sci. 2018, 18:942-9. 10.4314\/ahs.v18i4.13","journal-title":"Afr Health Sci"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19010211","article-title":"Ischemic heart disease in Nigeria: exploring the challenges, current status, and impact of lifestyle interventions on its primary healthcare system","volume":"19","author":"Nnate DA","year":"2021","unstructured":"Nnate DA, Eleazu CO, Abaraogu UO. Ischemic heart disease in Nigeria: exploring the challenges, current status, and impact of lifestyle interventions on its primary healthcare system. Int J Environ Res Public Health. 2021, 19:10.3390\/ijerph19010211","journal-title":"Int J Environ Res Public Health"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0000000000000413","article-title":"An estimate of the prevalence of hypertension in Nigeria: a systematic review and meta-analysis","volume":"33","author":"Adeloye D","year":"2015","unstructured":"Adeloye D, Basquill C, Aderemi AV, Thompson JY, Obi FA. An estimate of the prevalence of hypertension in Nigeria: a systematic review and meta-analysis. J Hypertens. 2015, 33:230-42. 10.1097\/HJH.0000000000000413","journal-title":"J Hypertens"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.4061\/2011\/869675","article-title":"High prevalence and low awareness of hypertension in a market population in Enugu, Nigeria","volume":"2011","author":"Ulasi II","year":"2011","unstructured":"Ulasi II, Ijoma CK, Onwubere BJ, Arodiwe E, Onodugo O, Okafor C. High prevalence and low awareness of hypertension in a market population in Enugu, Nigeria. Int J Hypertens. 2011, 2011:869675. 10.4061\/2011\/869675","journal-title":"Int J Hypertens"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-015-2101-y","article-title":"Erratum to: Prevalence of cardiovascular disease risk factors among a Nigerian adult population: relationship with income level and accessibility to CVD risks screening","volume":"15","author":"Oguoma VM","year":"2015","unstructured":"Oguoma VM, Nwose EU, Skinner TC, Digban KA, Onyia IC, Richards RS. Erratum to: Prevalence of cardiovascular disease risk factors among a Nigerian adult population: relationship with income level and accessibility to CVD risks screening. BMC Public Health. 2015, 15:891. 10.1186\/s12889-015-2101-y","journal-title":"BMC Public Health"},{"key":"ref18","article-title":"Myocardial infarction in Nigerians","volume":"25","author":"Falase AO","year":"1973","unstructured":"Falase AO, Cole TO, Osuntokun BO. Myocardial infarction in Nigerians. Trop Geogr Med. 1973, 25:147-50.","journal-title":"Trop Geogr Med"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.4314\/nmp.v55i6.45440","article-title":"Frequency and pattern of acute myocardial infarction in the University of Benin Teaching Hospital, Nigeria","volume":"55","author":"Josephs VA","year":"2009","unstructured":"Josephs VA. Frequency and pattern of acute myocardial infarction in the University of Benin Teaching Hospital, Nigeria. Niger Med Pract. 2009, 55:10.4314\/nmp.v55i6.45440","journal-title":"Niger Med Pract"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/804751","article-title":"Coronary artery disease and the profile of cardiovascular risk factors in South South Nigeria: a clinical and autopsy study","volume":"2014","author":"Essien OE","year":"2014","unstructured":"Essien OE, Andy J, Ansa V, Otu AA, Udoh A. Coronary artery disease and the profile of cardiovascular risk factors in South South Nigeria: a clinical and autopsy study. Cardiol Res Pract. 2014, 2014:804751. 10.1155\/2014\/804751","journal-title":"Cardiol Res Pract"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.09.017","article-title":"2014 AHA\/ACC guideline for the management of patients with non-ST-elevation acute coronary syndromes: a report of the American College of Cardiology\/American Heart Association task force on practice guidelines","volume":"64","author":"Amsterdam EA","year":"2014","unstructured":"Amsterdam EA, Wenger NK, Brindis RG, et al.. 2014 AHA\/ACC guideline for the management of patients with non-ST-elevation acute coronary syndromes: a report of the American College of Cardiology\/American Heart Association task force on practice guidelines. J Am Coll Cardiol. 2014, 64:e139-228. 10.1016\/j.jacc.2014.09.017","journal-title":"J Am Coll Cardiol"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2014.10.003","article-title":"Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging","volume":"28","author":"Lang RM","year":"2015","unstructured":"Lang RM, Badano LP, Mor-Avi V, et al.. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr. 2015, 28:1-39.e14. 10.1016\/j.echo.2014.10.003","journal-title":"J Am Soc Echocardiogr"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.281053","article-title":"World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects","volume":"310","year":"2013","unstructured":"World Medical Association Declaration of Helsinki. ethical principles for medical research involving human subjects. JAMA. 2013, 310:2191-4. 10.1001\/jama.2013.281053","journal-title":"JAMA"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.4314\/njm.v15i2.37095","article-title":"Ischaemic heart disease in Aminu Kano Teaching Hospital, Kano, Nigeria: a 5 year review","volume":"15","author":"Sani MU","year":"2006","unstructured":"Sani MU, Adamu B, Mijinyawa MS, Abdu A, Karaye KM, Maiyaki MB, Borodo MM. Ischaemic heart disease in Aminu Kano Teaching Hospital, Kano, Nigeria: a 5 year review. Niger J Med. 2006, 15:128-31. 10.4314\/njm.v15i2.37095","journal-title":"Niger J Med"},{"key":"ref25","article-title":"Changing trend in the incidence of myocardial infarction among medical admissions in Ilorin, north-central Nigeria","volume":"20","author":"Kolo PM","year":"2013","unstructured":"Kolo PM, Fasae AJ, Aigbe IF, Ogunmodede JA, Omotosho AB. Changing trend in the incidence of myocardial infarction among medical admissions in Ilorin, north-central Nigeria. Niger Postgrad Med J. 2013, 20:5-8.","journal-title":"Niger Postgrad Med J"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.4236\/wjcd.2023.133009","article-title":"Acute coronary syndromes: epidemiological, clinical and management aspects in Thies (Senegal)","volume":"13","author":"Affangla DA","year":"2023","unstructured":"Affangla DA, Degue JP, Mboup WN, et al.. Acute coronary syndromes: epidemiological, clinical and management aspects in Thies (Senegal). World J Cardiovasc Dis. 2023, 13:114-23. 10.4236\/wjcd.2023.133009","journal-title":"World J Cardiovasc Dis"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehs219","article-title":"Presentation, management, and outcomes of 25 748 acute coronary syndrome admissions in Kerala, India: results from the Kerala ACS Registry","volume":"34","author":"Mohanan PP","year":"2013","unstructured":"Mohanan PP, Mathew R, Harikrishnan S, et al.. Presentation, management, and outcomes of 25 748 acute coronary syndrome admissions in Kerala, India: results from the Kerala ACS Registry. Eur Heart J. 2013, 34:121-9. 10.1093\/eurheartj\/ehs219","journal-title":"Eur Heart J"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-014-0182-6","article-title":"Alcohol consumption, drinking patterns, and ischemic heart disease: a narrative review of meta-analyses and a systematic review and meta-analysis of the impact of heavy drinking occasions on risk for moderate drinkers","volume":"12","author":"Roerecke M","year":"2014","unstructured":"Roerecke M, Rehm J. Alcohol consumption, drinking patterns, and ischemic heart disease: a narrative review of meta-analyses and a systematic review and meta-analysis of the impact of heavy drinking occasions on risk for moderate drinkers. BMC Med. 2014, 12:182. 10.1186\/s12916-014-0182-6","journal-title":"BMC Med"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.5937\/scriptamed51-27722","article-title":"Acute coronary syndrome (STEMI, NSTEMI and unstable angina pectoris) and risk factors, similarities and differences","volume":"51","author":"Mihajlovi\u0107 D","year":"2020","unstructured":"Mihajlovi\u0107 D, Maksimovi\u0107 \u017dM, Doj\u010dinovi\u0107 B, Banjac N. Acute coronary syndrome (STEMI, NSTEMI and unstable angina pectoris) and risk factors, similarities and differences. Scr Med. 2020, 51:252-60. 10.5937\/scriptamed51-27722","journal-title":"Scr Med"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1016\/j.jelectrocard.2006.02.003","article-title":"Precordial ST-segment elevation in acute occlusion of the proximal right coronary artery","volume":"39","author":"Celik T","year":"2006","unstructured":"Celik T, Yuksel UC, Kursaklioglu H, Iyisoy A, Kose S, Isik E. Precordial ST-segment elevation in acute occlusion of the proximal right coronary artery. J Electrocardiol. 2006, 39:301-4. 10.1016\/j.jelectrocard.2006.02.003","journal-title":"J Electrocardiol"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000044237","article-title":"Trends and disparities in acute coronary syndrome-related mortality in the United States: implications for healthcare","volume":"104","author":"Khan MK","year":"2025","unstructured":"Khan MK, Khan IA, Javed AM, et al.. Trends and disparities in acute coronary syndrome-related mortality in the United States: implications for healthcare. Medicine (Baltimore). 2025, 104:e44237. 10.1097\/MD.0000000000044237","journal-title":"Medicine (Baltimore)"},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.116.004319","article-title":"Outcomes of women and men with acute coronary syndrome treated with and without percutaneous coronary revascularization","volume":"6","author":"Udell JA","year":"2017","unstructured":"Udell JA, Koh M, Qiu F, et al.. Outcomes of women and men with acute coronary syndrome treated with and without percutaneous coronary revascularization. J Am Heart Assoc. 2017, 6:10.1161\/JAHA.116.004319","journal-title":"J Am Heart Assoc"},{"key":"ref33","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00391-8","article-title":"High-sensitivity cardiac troponin I at presentation in patients with suspected acute coronary syndrome: a cohort study","volume":"386","author":"Shah AS","year":"2015","unstructured":"Shah AS, Anand A, Sandoval Y, et al.. High-sensitivity cardiac troponin I at presentation in patients with suspected acute coronary syndrome: a cohort study. Lancet. 2015, 386:2481-8. 10.1016\/S0140-6736(15)00391-8","journal-title":"Lancet"},{"key":"ref34","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0706824","article-title":"Cardiac troponin and outcome in acute heart failure","volume":"358","author":"Peacock WF 4th","year":"2008","unstructured":"Peacock WF 4th, De Marco T, Fonarow GC, Diercks D, Wynne J, Apple FS, Wu AH. Cardiac troponin and outcome in acute heart failure. N Engl J Med. 2008, 358:2117-26. 10.1056\/NEJMoa0706824","journal-title":"N Engl J Med"},{"key":"ref35","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199610033351401","article-title":"The effect of pravastatin on coronary events after myocardial infarction in patients with average cholesterol levels. Cholesterol and Recurrent Events Trial investigators","volume":"335","author":"Sacks FM","year":"1996","unstructured":"Sacks FM, Pfeffer MA, Moye LA, et al.. The effect of pravastatin on coronary events after myocardial infarction in patients with average cholesterol levels. Cholesterol and Recurrent Events Trial investigators. N Engl J Med. 1996, 335:1001-9. 10.1056\/NEJM199610033351401","journal-title":"N Engl J Med"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehw046","article-title":"Percent reduction in LDL cholesterol following high-intensity statin therapy: potential implications for guidelines and for the prescription of emerging lipid-lowering agents","volume":"37","author":"Ridker PM","year":"2016","unstructured":"Ridker PM, Mora S, Rose L. Percent reduction in LDL cholesterol following high-intensity statin therapy: potential implications for guidelines and for the prescription of emerging lipid-lowering agents. Eur Heart J. 2016, 37:1373-9. 10.1093\/eurheartj\/ehw046","journal-title":"Eur Heart J"},{"key":"ref37","doi-asserted-by":"publisher","DOI":"10.1007\/s00059-011-3544-2","article-title":"[The length of hospital stay in patients with acute coronary syndrome is reduced by establishing a chest pain unit]","volume":"37","author":"Keller T","year":"2012","unstructured":"Keller T, Tzikas S, Scheiba O, et al.. [The length of hospital stay in patients with acute coronary syndrome is reduced by establishing a chest pain unit]. Herz. 2012, 37:301-7. 10.1007\/s00059-011-3544-2","journal-title":"Herz"},{"key":"ref38","doi-asserted-by":"publisher","DOI":"10.1590\/s0066-782x2012005000005","article-title":"Emergency service admission time and in-hospital mortality in acute coronary syndrome","volume":"98","author":"Takada JY","year":"2012","unstructured":"Takada JY, Roza LC, Ramos RB, Avakian SD, Ramires JA, Mansur Ade P. Emergency service admission time and in-hospital mortality in acute coronary syndrome. Arq Bras Cardiol. 2012, 98:104-10. 10.1590\/s0066-782x2012005000005","journal-title":"Arq Bras Cardiol"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/439240-epidemiology-and-short-term-outcomes-of-acute-coronary-syndrome-in-a-nigerian-tertiary-hospital-a-prospective-cohort-study","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T05:35:41Z","timestamp":1771652141000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/439240-epidemiology-and-short-term-outcomes-of-acute-coronary-syndrome-in-a-nigerian-tertiary-hospital-a-prospective-cohort-study"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,20]]},"references-count":38,"URL":"https:\/\/doi.org\/10.7759\/cureus.104005","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2026,2,20]]}}}