Impact of healthcare-associated infections within 7-days of acute stroke on health outcomes and risk of care-dependency: a multi-centre registry-based cohort study
AbstractHealthcare-associated infections (HCAIs) in patients admitted with acute conditions remain a major challenge to healthcare services. Here, we assessed the impact of HCAIs acquired within 7-days of acute stroke on indicators of care-quality outcomes and dependency. Data were prospectively collected (2014 –2016) from the Sentinel Stroke National Audit Programme for 3309 patients (mean age = 76.2 yr, SD = 13.5) admitted to four UK hyperacute stroke units (HASU). Associations between variables were assessed by multivariable logistic regression (odds ratios, 95% confidence intervals), adjuste d for age, sex, ...
Source: Internal and Emergency Medicine - March 22, 2024 Category: Emergency Medicine Source Type: research
Trends in non-focal neurological chief complaints and CT angiography utilization among adults in the emergency department
This study includes patients prese nting with headache and/or dizziness to the emergency department between January 2017 and December 2021. Patients who received a head and neck CTA were compared to those who did not. The main outcomes included annual head and neck CTA utilization and positivity rates, defined as the percent of scans with attributable acute pathologies. Among 24,892 emergency department visits, 2264 (9.1%) underwent head and neck CTA imaging. The percentage of patients who received a scan over the study period increased from 7.89% (422/5351) in 2017 to 13.24% (662/5001) in 2021, representing a 67.4% increa...
Source: Internal and Emergency Medicine - March 21, 2024 Category: Emergency Medicine Source Type: research
Non-dipper blood pressure pattern and glycemic alterations: does post-prandial glucose rise predict lack of nocturnal pressure drop?
(Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - March 21, 2024 Category: Emergency Medicine Source Type: research
Trends in non-focal neurological chief complaints and CT angiography utilization among adults in the emergency department
This study includes patients prese nting with headache and/or dizziness to the emergency department between January 2017 and December 2021. Patients who received a head and neck CTA were compared to those who did not. The main outcomes included annual head and neck CTA utilization and positivity rates, defined as the percent of scans with attributable acute pathologies. Among 24,892 emergency department visits, 2264 (9.1%) underwent head and neck CTA imaging. The percentage of patients who received a scan over the study period increased from 7.89% (422/5351) in 2017 to 13.24% (662/5001) in 2021, representing a 67.4% increa...
Source: Internal and Emergency Medicine - March 21, 2024 Category: Emergency Medicine Source Type: research
Non-dipper blood pressure pattern and glycemic alterations: does post-prandial glucose rise predict lack of nocturnal pressure drop?
(Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - March 21, 2024 Category: Emergency Medicine Source Type: research
Critical care management of acute intoxications, dynamics and changes over time: a cohort study
This study aimed to determine the characteristics of intoxicated patients in a tertiary center medical ICU in Austria over time and to investigate parameters associated with ICU mortality. This study was a retrospective data analysis including adult ICU patients from the years 2007 to 2021. In addition to ICU documentation, pre-hospital, and emergency department documents as well as autopsy reports were utilized. In an exploratory subanalysis, we compared these findings to a historical dataset from our facility from 1992 to 1996. We identified 581 cases admitted to the medical ICU because of acute poisoning (2007 –2021),...
Source: Internal and Emergency Medicine - March 19, 2024 Category: Emergency Medicine Source Type: research
Proposition of a universal algorithm for dispatcher telephone advice on first aid in drowning
(Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - March 19, 2024 Category: Emergency Medicine Source Type: research
Critical care management of acute intoxications, dynamics and changes over time: a cohort study
This study aimed to determine the characteristics of intoxicated patients in a tertiary center medical ICU in Austria over time and to investigate parameters associated with ICU mortality. This study was a retrospective data analysis including adult ICU patients from the years 2007 to 2021. In addition to ICU documentation, pre-hospital, and emergency department documents as well as autopsy reports were utilized. In an exploratory subanalysis, we compared these findings to a historical dataset from our facility from 1992 to 1996. We identified 581 cases admitted to the medical ICU because of acute poisoning (2007 –2021),...
Source: Internal and Emergency Medicine - March 19, 2024 Category: Emergency Medicine Source Type: research
Proposition of a universal algorithm for dispatcher telephone advice on first aid in drowning
(Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - March 19, 2024 Category: Emergency Medicine Source Type: research
Dysbiosis and nutrition in steatotic liver disease: addressing the unrecognized small intestinal bacterial overgrowth (SIBO) challenge
AbstractSteatotic liver disease (SLD) is characterized by hepatic fat accumulation, potentially causing major consequences such as liver decompensation. Currently, we lack medications for the treatment of SLD. Therapeutic recommendations for patients include a hypocaloric diet, weight loss, and physical activity. In particular, the Mediterranean diet is frequently recommended. However, this diet might exacerbate intestinal problems in a subset of patients with coexisting small intestinal bacterial overgrowth (SIBO). Previous studies have reported that SIBO is more predominant in patients with fatty liver than in healthy in...
Source: Internal and Emergency Medicine - March 18, 2024 Category: Emergency Medicine Source Type: research
High versus low chloride load in adult hyperglycemic emergencies with acute kidney injury: a multicenter retrospective cohort study
This study was registered in the UMIN clinical trial registration system (UMIN000025393, registered December 23, 2016). (Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - March 15, 2024 Category: Emergency Medicine Source Type: research
Factors triggering familial mediterranean fever attacks, do they really exist?
AbstractSeveral possible factors are hypothesized to trigger familial Mediterranean fever (FMF) attacks; however, there is no consensus on this matter. We aimed to identify these triggering factors and analyze their relationship with the Mediterranean fever gene mutation status. We prepared a questionnaire that included the most commonly mentioned possible trigger factors of familial Mediterranean fever. We administered a questionnaire to 882 patients. We used a questionnaire assessing the following: psychological stress, consumption of tea and coffee, relationship with menses, menopause and post-menopausal alleviation, se...
Source: Internal and Emergency Medicine - March 15, 2024 Category: Emergency Medicine Source Type: research
High versus low chloride load in adult hyperglycemic emergencies with acute kidney injury: a multicenter retrospective cohort study
This study was registered in the UMIN clinical trial registration system (UMIN000025393, registered December 23, 2016). (Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - March 15, 2024 Category: Emergency Medicine Source Type: research
Factors triggering familial mediterranean fever attacks, do they really exist?
AbstractSeveral possible factors are hypothesized to trigger familial Mediterranean fever (FMF) attacks; however, there is no consensus on this matter. We aimed to identify these triggering factors and analyze their relationship with the Mediterranean fever gene mutation status. We prepared a questionnaire that included the most commonly mentioned possible trigger factors of familial Mediterranean fever. We administered a questionnaire to 882 patients. We used a questionnaire assessing the following: psychological stress, consumption of tea and coffee, relationship with menses, menopause and post-menopausal alleviation, se...
Source: Internal and Emergency Medicine - March 15, 2024 Category: Emergency Medicine Source Type: research
