Diagnostic delay in symptomatic uncomplicated diverticular disease: an Italian tertiary referral centre study
AbstractThe magnitude of the diagnostic delay of symptomatic uncomplicated diverticular disease (SUDD) is unknown; we aimed to evaluate SUDD diagnostic delay and its risk factors. SUDD patients diagnosed at a tertiary referral centre were retrospectively enrolled (2010 –2022). Demographic and clinical data were retrieved. Overall, patient-, and physician-dependant diagnostic delays were assessed. Univariate and multivariate analyses were fitted to identify risk factors for diagnostic delay. Overall, 70 SUDD patients (median age 65 years, IQR 52–74; F:M ratio = 1.6:1) were assessed. The median overall diagnostic d...
Source: Internal and Emergency Medicine - October 27, 2023 Category: Emergency Medicine Source Type: research
Fibrosis-4 index is closely associated with clinical outcomes in acute cardioembolic stroke patients with nonvalvular atrial fibrillation
This study aimed to investigate the associations between liver fibrosis —measured by the Fibrosis-4 (FIB-4) score—and stroke severity and short-term clinical outcomes of patients with acute CES due to nonvalvular atrial fibrillation (NVAF). A total of 522 patients were followed for a median of 90 days. We calculated the FIB-4 score and defined liver fibrosis as fol lows: likely advanced fibrosis (FIB-4 > 3.25), indeterminate advanced fibrosis (FIB-4, 1.45–3.25), and unlikely advanced fibrosis (FIB-4 < 1.45). Logistic regression analysis and Cox regression analysis were used to investigate the relatio...
Source: Internal and Emergency Medicine - October 27, 2023 Category: Emergency Medicine Source Type: research
Management of ischaemic stroke survivors in primary care setting: the road to holistic care
AbstractThe management of ischaemic stroke survivors is multidisciplinary, necessitating the collaboration of numerous medical professionals and rehabilitation specialists. However, due to the lack of comprehensive and holistic follow-up, their post-discharge management may be suboptimal. Achieving this holistic, patient-centred follow-up requires coordination and interaction of subspecialties, which general practitioners can provide as the first point of contact in healthcare systems. This approach can improve the management of stroke survivors by preventing recurrent stroke through an integrated post-stroke care, includi...
Source: Internal and Emergency Medicine - October 24, 2023 Category: Emergency Medicine Source Type: research
Hyperactive delirium during emergency department stay: analysis of risk factors and association with short-term outcomes
AbstractTo investigate factors related to the development of hyperactive delirium in patients during emergency department (ED) stay and the association with short-term outcomes. A secondary analysis of the EDEN (Emergency Department and Elderly Needs) multipurpose multicenter cohort was performed. Patients older than 65 years arriving to the ED in a calm state and who developed confusion and/or psychomotor agitation requiring intravenous/intramuscular treatment during their stay in ED were assigned to delirium group. Patients with psychiatric and epileptic disorders and intracranial hemorrhage were excluded. Thir ty-four...
Source: Internal and Emergency Medicine - October 21, 2023 Category: Emergency Medicine Source Type: research
Cardiac arrest-related lung edema: examining the role of downtimes in transpulmonary thermodilution analysis —comment
(Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - October 20, 2023 Category: Emergency Medicine Source Type: research
