Rate of hepatocellular carcinoma diagnosis in cirrhotic patients with ultrasound-detected liver nodules
AbstractUltrasound (US) detection of liver nodules in cirrhotic patients requires further radiological examinations and often a follow-up with repeated short-term evaluations to verify the presence of hepatocellular carcinoma (HCC). Aims of the study were to assess the rate of HCC diagnosis and to identify HCC predictors in a cohort of cirrhotics followed-up after US detection of the liver nodule(s). One-hundred-eighty-eight consecutive cirrhotic patients (124 males, mean age 64.2  years) with liver nodule(s) detected by US were enrolled. All patients underwent second-level imaging [computed tomography (TC) or magneti...
Source: Internal and Emergency Medicine - October 27, 2020 Category: Emergency Medicine Source Type: research

A new rapid screening program based on risk scores for COVID-19 patients
AbstractWe aimed at establishing a new COVID-19 risk scores, serving as a guide for rapidly screening the COVID-19 patients in order to reduce the risk of COVID-19 hospital-related transmission. As the COVID-19 disease is breaking out across the world, hospital-related transmission is one of the main factors accountable for the spread of COVID-19. For COVID-19 prevention it is urgent to establish a fast and efficient screening strategy for the COVID-19 patients. We analyzed 335 patients (including 124 patients with COVID-19). Five significant clinical attributes were selected as the components for establishing a COVID-19 r...
Source: Internal and Emergency Medicine - October 27, 2020 Category: Emergency Medicine Source Type: research

Safety and effectiveness of biosimilar enoxaparin (Inhixa) for the prevention of thromboembolism in medical and surgical inpatients
AbstractIn 2016, biosimilar enoxaparin (Inhixa®, Techdow) was introduced in European markets with the same indications as branded enoxaparin (Clexane®, Sanofi). Its use is constantly increasing in clinical practice, however, little information from post-marketing clinical trials is available on its safety and effectiveness. We conducted an observational, retrospective study to assess the safety and effectiveness of Inhixa in preventing venous thromboembolism (VTE) in medically ill patients and in patients undergoing major abdominal surgery. We then compared our results with the incidence of symptomatic VTE and blee...
Source: Internal and Emergency Medicine - October 27, 2020 Category: Emergency Medicine Source Type: research

Choice of bronchoscopic intervention working channel for benign central airway stenosis
AbstractThe purpose of this study is to report our experiences over 12  years with bronchoscopic interventions in patients with benign central airway stenosis using three types of working channels (rigid bronchoscope, laryngeal mask, and endotracheal intubation), with a focus on their related advantages, disadvantages, and postoperative complications. We analyzed the clinical data from 273 patients with benign central airway stenosis who underwent a bronchoscopic intervention. The Wilcoxon rank-sum test was used to analyze the immediate results after the first bronchoscopic intervention, and the Chi-square test was us...
Source: Internal and Emergency Medicine - October 23, 2020 Category: Emergency Medicine Source Type: research

Can oral formulation increase the risk of lormetazepam abuse?
AbstractThe slowness of dripping and the presence of alcohol have been offered/suggested as possible causes for the increased risk of developing dependence to the oral formulation of lormetazepam rather than to other anxiolytic and hypnotic drugs. We hence assessed the time of dripping of the most used benzodiazepines and z-drugs oral solution products under experimental conditions and the different employed excipients through a comparative analysis of the Summaries of Product Characteristics. A wide range of the median overall dispensing time was found across the eight products included in the analysis. Among the products...
Source: Internal and Emergency Medicine - October 23, 2020 Category: Emergency Medicine Source Type: research

The role of lung ultrasound as a frontline diagnostic tool in the era of COVID-19 outbreak
AbstractThe diffusion of the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) worldwide prompted the World Health Organization to declare the status of pandemic. The molecular diagnosis of SARS-CoV-2 infection is based on the detection of viral RNA on different biological specimens. Unfortunately, the test may require several hours to be performed. In the present study, we evaluated the diagnostic accuracy of lung point-of-care ultrasound (POCUS) for SARS-CoV-2 pneumonia in a cohort of symptomatic patients admitted to one emergency department (ED) in a high-prevalence setting. This retrospective study enrolled ...
Source: Internal and Emergency Medicine - October 22, 2020 Category: Emergency Medicine Source Type: research

Correction to: COVID ‑19: The crucial role of blood coagulation and fibrinolysis
The original article can be found online (Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - October 22, 2020 Category: Emergency Medicine Source Type: research

Angiotensin enzyme inhibitors and angiotensin receptor blockers as protective factors in COVID-19 mortality: a retrospective cohort study
AbstractTargeting the renin-angiotensin system is proposed to affect mortality due to coronavirus disease 2019 (COVID-19). We aimed to compare the mortality rates in COVID-19 patients who received angiotensin-converting enzyme inhibitors or angiotensin receptor blockers (ACEIs/ARBs) and those who did not. In this retrospective cohort study, mortality was considered as the main outcome measure. All underlying diseases were assessed by the chronic use of medications related to each condition. We defined two main groups based on the ACEIs/ARBs administration. A logistic regression model was designed to define independent pred...
Source: Internal and Emergency Medicine - October 21, 2020 Category: Emergency Medicine Source Type: research

Clinical profile and outcome of patients with chronic inflammatory arthritis and metabolic syndrome
AbstractSystemic chronic inflammation may favor the onset of metabolic syndrome (MetS) which represents a risk factor for CV events. Rheumatoid arthritis (RA), ankylosing spondylitis (AS) and psoriatic arthritis (PsA) are disorders with high prevalence of MetS. We assessed the factors associated with MetS and its prognostic role in non-selected RA/AS/PsA patients. Between March 2014 and April 2016, 458 patients (228 RA, 134 PsA, 96 AS) selected for a primary prevention program for cardiovascular diseases were analyzed. Primary and co-primary end points were a composite of all-cause death/all-cause hospitalization and CV de...
Source: Internal and Emergency Medicine - October 20, 2020 Category: Emergency Medicine Source Type: research

Correction to: Treat all COVID 19 ‑positive patients, but do not forget those negative with chronic diseases
In the original publication of the article, the given name and family name of all the author were swapped. The correct author name is given in this erratum. (Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - October 20, 2020 Category: Emergency Medicine Source Type: research

The Refeeding Syndrome: a neglected but potentially serious condition for inpatients. A narrative review
The objectives of this narrative review were to summarize the current knowledge and recommendations about the RFS and to provide useful tips to help physicians to recognize and prevent the syndrome. (Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - October 19, 2020 Category: Emergency Medicine Source Type: research

A risk score model to predict in-hospital mortality of patients with end-stage renal disease and acute myocardial infarction
In this study, we aimed to establish a risk score (RS) model to predict in-hospital mortality risk in patients with end-stage renal disease (ESRD) and acute myocardial infarction (AMI). A total of 113 consecutive patients with ESRD and AMI were retrospectively enrolled between January 1, 2015 and December 31, 2019. All patients received regular hemodialysis and were divided into two groups according to the prognosis during hospitalization. Univariable and multivariable logistic regression analyses were used to identify the risk factors of in-hospital mortality. A RS model was developed based on multiple regression analysis...
Source: Internal and Emergency Medicine - October 19, 2020 Category: Emergency Medicine Source Type: research

Influence of ventilatory strategies on outcomes and length of hospital stay: assist control and synchronized intermittent mandatory ventilation modes
(Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - October 19, 2020 Category: Emergency Medicine Source Type: research

Anticoagulation in patients with advanced liver disease: an open issue
AbstractLiver disease has been long considered as a risk factor for bleeding for the presence of prolongation of global tests of clotting activation and low platelet count. For this reason, the use of anticoagulants in patients with liver disease and an indication to anticoagulation, such as atrial fibrillation of venous thrombosis, has been poorly considered. Furthermore, recent studies underscored the fact that patients with chronic liver disease may experience thrombosis in portal as well as systemic circulation and treatment with anticoagulants should be considered. The introduction of direct oral anticoagulants has in...
Source: Internal and Emergency Medicine - October 18, 2020 Category: Emergency Medicine Source Type: research

Management of patients with chronic heart failure and type 2 diabetes mellitus: the SCODIAC-II study
AbstractSCODIAC was a pilot study which revealed an increasing use of SGLT2i in 123 outpatients affected with Heart Failure (HF) and Type 2 Diabetes Mellitus. SCODIAC-II study, the second phase of the program, has been carried out to determine diagnostic and therapeutic pathways in a larger group of patients and to verify whether the use of innovative antidiabetic therapies could modify echocardiographic parameters and cardiovascular therapies. 406 HF-diabetic patients, referred to Cardiologists and Diabetologists of pertaining healthcare districts in Campania, were enrolled in this retrospective study and divided in Group...
Source: Internal and Emergency Medicine - October 17, 2020 Category: Emergency Medicine Source Type: research

Disorders of sodium balance and its clinical implications in COVID-19 patients: a multicenter retrospective study
ConclusionSodium balance disorder, particularly hyponatremia, is a common condition among hospitalized patients with COVID-19 in Hubei, China, and it is associated with a higher risk of severe illness and increased in-hospital mortality. (Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - October 16, 2020 Category: Emergency Medicine Source Type: research

Request of hospital care dropped for TIA but remained stable for stroke during COVID-19 pandemic at a large Italian university hospital
AbstractReduced incidence of stroke during COVID-19 pandemic was sometimes  reported. While decrease in stroke incidence and fear of patients to go to the hospitals were sometimes invoked to explain this decrease, reduction in urban pollution was also hypothesized as a possible cause. We investigated statistically the incidence of ischemic and hemorrhagic stroke, and of transient ischemic attacks, at a large Italian tertiary stroke center during the pandemic. We analyzed statistically the number of transient ischemic attacks (TIA), ischemic strokes (IS) and hemorrhagic strokes (HS) between March 8 and May 2, 2020...
Source: Internal and Emergency Medicine - October 15, 2020 Category: Emergency Medicine Source Type: research

Clinical reasoning and COVID 19 pandemic: current influencing factors Let us take a step back!
(Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - October 12, 2020 Category: Emergency Medicine Source Type: research

Clinical characteristics and outcomes in elderly with coronavirus disease 2019 in Beijing, China: a retrospective cohort study
In this study, we aimed to explore the clinical characteristics and outcomes in older patients with COVID-19. Ninety-one patients with SARS-CoV-2 infection were included in the study, 27 of which (29.67%) were elder ly. The median age of these 27 patients was 74.9 years (interquartile range 68–82; range 65–94 years), and 15 (55.56%) were female. Elderly with COVID-19 in Beijing (China) were more likely to have underlying comorbidities and more frequently tended to have critical illness and suffer from mor e complications. The main treatments of the elderly consisted of symptomatic and respiratory supp...
Source: Internal and Emergency Medicine - October 10, 2020 Category: Emergency Medicine Source Type: research

Clinical implications of ANCA positivity in a hospital setting: a tertiary center experience
AbstractANCA testing plays an established critical role in the diagnosis of ANCA Associated vasculitis (AAV). The spectrum of diseases associated with positive ANCA has recently broadened, thus calling into question the diagnostic implications of ANCA positivity in a hospital setting. We retrospectively studied all adult patients who had a positive ANCA test (by Indirect Immunofluorescence (IIF), ELISA or both) performed over the span of 19  years. Subjects were then divided into discordant (positive on one assay) and concordant ANCA (positive on both assays) groups based on their ANCA positivity status. The two group...
Source: Internal and Emergency Medicine - October 5, 2020 Category: Emergency Medicine Source Type: research

Unintentional fish bone ingestion causing perforation of small intestine
(Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - October 5, 2020 Category: Emergency Medicine Source Type: research

Prevention of anthracycline-induced cardiotoxicity: a systematic review and meta-analysis
AbstractAnthracyclines are extensively used in oncologic patients, in particular for breast cancer and hematological malignancies. Cardiac injury is a potentially dangerous side effect of these drugs. In this systematic review, we analyzed published randomized controlled trials (RCTs) to assess if potential cardioprotective drugs (i.e., renin –angiotensin–aldosterone system [RAAS] blockers and β-blockers) may prevent heart damage by anthracyclines. Studies were identified by electronic search of MEDLINE and EMBASE database until August 2020. The impact of cardioprotective drugs to prevent anthracyclines-in...
Source: Internal and Emergency Medicine - October 2, 2020 Category: Emergency Medicine Source Type: research

Lung ultrasound as diagnostic tool for SARS-CoV-2 infection
AbstractThe aim of this study was to explore the role of lung ultrasound (LUS) in the diagnosis of SARS-CoV-2 infection and to verify its utility in the prediction of lung disease ’s severity and outcome. Fifty-three consecutive patients presenting to the Emergency Department of Santa Maria delle Grazie Hospital with high suspicion of SARS-CoV-2 infection underwent diagnostic test for SARS-CoV-2 on samples obtained from nasopharyngeal swab as well as complete proper diagnos tic work-up that included clinical evaluation, laboratory tests, blood gas analyses, chest CT and LUS. A semiquantitative analysis of B-lines dis...
Source: Internal and Emergency Medicine - October 2, 2020 Category: Emergency Medicine Source Type: research

Protective role of statins in COVID 19 patients: importance of pharmacokinetic characteristics rather than intensity of action
(Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - October 2, 2020 Category: Emergency Medicine Source Type: research

External jugular vein aneurysm: a rare cause of fluctuating neck swelling
(Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - October 1, 2020 Category: Emergency Medicine Source Type: research

The association of diabetes and hyperglycemia with sepsis outcomes: a population-based cohort analysis
In this study, diabetes was not associated with worse clinical outcomes in community-onset sepsis. However, high glucose levels at sepsis onset are independently associated with a worse prognosis, par ticularly among diabetic patients. Future trials should explore whether glycemic control could impact the outcomes and should be part of the management of sepsis, among the general adult septic population. (Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - September 21, 2020 Category: Emergency Medicine Source Type: research

Clam ingestion: unusual cause of large bowel obstruction
(Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - September 21, 2020 Category: Emergency Medicine Source Type: research

Cardiac involvement at presentation in patients hospitalized with COVID-19 and their outcome in a tertiary referral hospital in Northern Italy
AbstractThe correlation between myocardial injury and clinical outcome in COVID-19 patients is gaining attention in the literature. The aim of the present study was to evaluate the role of cardiac involvement and of respiratory failure in a cohort of COVID-19 patients hospitalized in an academic hospital in Lombardy, one of the most affected Italian (and worldwide) regions by the epidemic. The study included 405 consecutive patients with confirmed COVID-19 admitted to a medical ward from February 25th to March 31st, 2020. Follow-up of surviving patients ended either at hospital discharge or by July 30th, 2020. Myocardial i...
Source: Internal and Emergency Medicine - September 21, 2020 Category: Emergency Medicine Source Type: research

Correction to: Methodological aspects of superiority, equivalence, and non-inferiority trials
In the original publication of the article, the given name and family name of the author were swapped. The correct author name is given in this erratum. (Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - September 21, 2020 Category: Emergency Medicine Source Type: research

Antithrombotic management and outcomes of patients with atrial fibrillation treated with NOACs early at the time of market introduction: Main results from the PREFER in AF Prolongation Registry
AbstractThe management of patients with atrial fibrillation (AF) has rapidly changed with increasing use of non-vitamin K antagonist oral anticoagulants (NOACs) and changes in the use of rhythm control therapy. The prevention of thromboembolic events European Registry in Atrial Fibrillation Prolongation Registry (PREFER Prolongation) enrolled consecutive patients with AF on NOACs between 2014 and 2016 in a multicentre, prospective, observational study with one-year follow-up, focusing on the time of introduction of NOACs. Overall, 3783 patients were enrolled, with follow-up information available in 3223 (85%). Mean age was...
Source: Internal and Emergency Medicine - September 20, 2020 Category: Emergency Medicine Source Type: research

Systematic review of the prevalence of current smoking among hospitalized COVID-19 patients in China: could nicotine be a therapeutic option? Reply
(Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - September 20, 2020 Category: Emergency Medicine Source Type: research

Chronic abdominal pain and haematuria in internal medicine: do not forget about the Nutcracker syndrome
(Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - September 19, 2020 Category: Emergency Medicine Source Type: research

When should a rare inherited connective tissue disorder be suspected in bicuspid aortic valve by primary-care internists and cardiologists? Proposal of a score
AbstractSize threshold for aortic surgery in bicuspid aortic valve  (BAV) is debated. Connective tissue disorders (CTDs) are claimed as a clinical turning point, suggesting early surgery in BAV patients with CTD. Thus, we aimed at developing a score to detect high risk of carrying CTDs in consecutive BAVs from primary care. Ninety-eight BAVs without ectopia lentis or personal/family history of aortic dissection were studied at the Marfan syndrome Tuscany Referral Center. Findings were compared with those detected in 84 Marfan patients matched for sex and age. We selected traits with high statistical difference between...
Source: Internal and Emergency Medicine - September 18, 2020 Category: Emergency Medicine Source Type: research

Management practices of emergency departments in general hospitals based on blockage of chain of infection during a COVID-19 epidemic
This study describes the prevention and control measures in the emergency department of PKUFH during the outbreak of COVID-19, aiming to provide some reference for domestic and international medical institutions. (Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - September 17, 2020 Category: Emergency Medicine Source Type: research

Which preoperative screening tool should be applied to older patients undergoing elective surgery to predict short-term postoperative outcomes? Lessons from systematic reviews, meta-analyses and guidelines: heart and non-cardiac surgery need a different approach?
(Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - September 16, 2020 Category: Emergency Medicine Source Type: research

Are we on brink of a second COVID-19 wave in Italy? Let ’s look at Google Trends
(Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - September 16, 2020 Category: Emergency Medicine Source Type: research

COVID-19, coagulopathy and venous thromboembolism: more questions than answers —comment
(Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - September 16, 2020 Category: Emergency Medicine Source Type: research

Echocardiographic assessment of the right ventricle in COVID -related acute respiratory syndrome
AbstractIn patients with the novel coronavirus (COVID-19) infection, the echocardiographic assessment of the right ventricle (RV) represents a pivotal element in the understanding of current disease status and in monitoring disease progression. The present manuscript is aimed at specifically describing the echocardiographic assessment of the right ventricle, mainly focusing on the most useful parameters and the time of examination. The RV direct involvement happens quite often due to preferential lung tropism of COVID-19 infection, which is responsible for an interstitial pneumonia characterized also by pulmonary hypoxic v...
Source: Internal and Emergency Medicine - September 15, 2020 Category: Emergency Medicine Source Type: research

Right ventricular lead perforation revealed by diaphragmatic stimulation
We present a case of diaphragmatic stimulation induced by right ventricular pacemaker lead perforation. (Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - September 15, 2020 Category: Emergency Medicine Source Type: research

A pproaching acute pain in emergency settings; European Society for Emergency Medicine (EUSEM) guidelines —part 2: management and recommendations
This article provides treatment recommendations from recently developed guidelines, based on a review of the literature, current practice across Europe and the clinical expertise of the EPI advisors. The recommendations have been developed, evaluated, and refined for both adults and children (aged  ≥ 1 year, ≤ 15 years), with the assumption of timely pain assessment and reassessment and the possibility to implement analgesia. To provide flexibility for use across Europe, options are provided for selection of appropriate pharmacological treatment. (Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - September 14, 2020 Category: Emergency Medicine Source Type: research

Approaching acute pain in emergency settings: European Society for Emergency Medicine (EUSEM) guidelines —part 1: assessment
This article provides the methodology used to inform the guidelines, including survey results of EUSEM members on assessment and treatment of acute pain. A companion manuscript in this issue presents an evidence-based review and recommendations for individualised evaluation of acute pain in patients in emergency settings. (Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - September 14, 2020 Category: Emergency Medicine Source Type: research

The use of whole blood in traumatic bleeding: a systematic review
AbstractHemostatic resuscitation is currently considered a standard of care for the management of life-threatening hemorrhage, but in some critical settings the access to high quantities of blood components is problematic. Whole blood (WB) transfusion has been proposed as an alternative modality for hemostatic resuscitation of traumatic major bleeding. To assess the efficacy and safety of WB in trauma-associated massive bleeding, we performed a systematic review of the literature. We selected studies comparing WB transfusions to transfusion of blood components (COMP) in massive trauma bleeding; both randomized clinical tri...
Source: Internal and Emergency Medicine - September 14, 2020 Category: Emergency Medicine Source Type: research

Derivation and validation of the clinical prediction model for COVID-19
AbstractThe epidemic phase of Coronavirus disease 2019 (COVID-19) made the Worldwide health system struggle against a severe interstitial pneumonia requiring high-intensity care settings for respiratory failure. A rationalisation of resources and a specific treatment path were necessary. The study suggests a predictive model drawing on clinical data gathered by 119 consecutive patients with laboratory-confirmed COVID-19 admitted in Busto Arsizio hospital. We derived a score that identifies the risk of clinical evolution and in-hospital mortality clustering patients into four groups. The study outcomes have been compared ac...
Source: Internal and Emergency Medicine - September 14, 2020 Category: Emergency Medicine Source Type: research

Progressive and atypical neurological symptoms in refractory systemic AL amyloidosis
(Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - September 13, 2020 Category: Emergency Medicine Source Type: research

A rare case of ANCA-associated cerebral vasculitis
(Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - September 12, 2020 Category: Emergency Medicine Source Type: research

Community and hospital pharmacists in Europe: encroaching on medicine?
AbstractPharmacy has been historically regarded as a discipline between health and chemistry devoted to drug development, production, and compounding. These tasks have been almost lost with the industrial manufacturing, and dispensing remains the main activity of pharmacists. Hospital pharmacists are usually employees in their workplace, while the professional framework of community pharmacists is very different, being pharmacies predominantly private shops in almost all European countries. In the last years pharmacists have strongly advocated that the focus of their services should switch from ‘product’ to &ls...
Source: Internal and Emergency Medicine - September 12, 2020 Category: Emergency Medicine Source Type: research

Poor right ventricular function is associated with impaired exercise capacity and ventilatory efficiency in transthyretin cardiac amyloid patients
AbstractCardioPulmonary Exercise Test (CPET) is the gold standard to evaluate functional capacity in patients at high risk of heart failure (HF). Few studies with a limited number of subjects and conflicting results, analyzed the role of CPET in patients with systemic amyloidosis. Aims of our study were the assessment of the response to exercise in patients with Transthyretin amyloid (ATTR) cardiomyopathy (CA), and the correlation of clinical, biohumoral and echocardiographic parameters with CPET parameters, such as VO2 peak and VE/VCO2 slope. From February 2018 to March 2019, 72 cardiac ATTR patients were prospectively en...
Source: Internal and Emergency Medicine - September 11, 2020 Category: Emergency Medicine Source Type: research

The use of antioxidants against high ferritin-induced oxidation in COVID-19 patients: a biochemical approach
(Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - September 10, 2020 Category: Emergency Medicine Source Type: research

Cause-specific death in hospitalized individuals infected with SARS-CoV-2: more than just acute respiratory failure or thromboembolic events
The objective of this study is to assess the association between COVID-19 and cause-specific death. The design is retrospective cohort study. We included data from inpatients diagnosed with COVID-19 between March 18 and April 21, 2020, who died during their hospital stay. Demographic, clinical and management data were collected. Causes of death were ascertained by review of medical records. The sample included 128 individuals. The median age was 84 (IQR 75 –89), 57% were men. In 109 patients, the death was caused by SARS-CoV-2 infection, whereas in 19 (14.8%, 95 CI 10–22%), the infection acted only as a precipi...
Source: Internal and Emergency Medicine - September 9, 2020 Category: Emergency Medicine Source Type: research

Decline in emergency medical service missions during the COVID-19 pandemic: results from the fifth largest city in Germany
(Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - September 5, 2020 Category: Emergency Medicine Source Type: research