journal
https://read.qxmd.com/read/38910224/insights-into-geriatric-health-primary-sarcopenia-and-innate-immunity-dynamics-examining-sarc-f-serum-tlr-4-tlr-9-and-resolvin-levels
#1
JOURNAL ARTICLE
Seyda Bilgin, Veysel Suzan, Suna Avci, Hakan Yavuzer, Ibrahim Murat Bolayirli, Alper Doventas, Deniz Suna Erdincler
The aim of this study is to evaluate the relationship between serum TLR (Toll Like Receptor) 4, 9 and Resolvin E1 levels and primary sarcopenia in geriatric patients and to compare the diagnostic accuracy of these biomarkers with the SARC-F score. A total of 88 patients aged 65 years and older were evaluated in the study. Comorbidities and geriatric syndromes were identified and patients with secondary sarcopenia were excluded. EWGSOP2 criteria were used as diagnostic criteria for sarcopenia and SARC-F questionnaire was used to find individuals at risk for sarcopenia...
June 23, 2024: Internal and Emergency Medicine
https://read.qxmd.com/read/38907759/hirschsprung-s-disease-and-chilaiditi-syndrome-in-young-adults
#2
LETTER
Grigoriy Gurvits
No abstract text is available yet for this article.
June 22, 2024: Internal and Emergency Medicine
https://read.qxmd.com/read/38907758/usefulness-of-the-4a-s-test-for-detecting-delirium-in-critically-ill-patients-a-multicenter-prospective-observation-study
#3
JOURNAL ARTICLE
Jae Kyeom Sim, Kyungsoo Chung, Chi Rayng Chung, Jongmin Lee, Soon-Young Hwang, Young Seok Lee
The Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) is a robust and reliable instrument for discerning delirium within the specific context of the intensive care unit (ICU). Nonetheless, the CAM-ICU is burdened by various limitations, including a protracted learning curve and the need for frequent daily administration. The 4 A's Test (4AT) was formulated to assess delirium in hospitalized patients and may have distinct advantages over the CAM-ICU, particularly regarding practical applicability within the ICU bundle...
June 22, 2024: Internal and Emergency Medicine
https://read.qxmd.com/read/38907757/pericardial-tamponade-a-new-perspective-on-echocardiographic-features-and-application-of-a-prediction-score
#4
JOURNAL ARTICLE
Onyinyechi F Eke, Nour Al Jalbout, Lauren Selame, Jamie Gullikson, Hao Deng, Hamid Shokoohi
Few clinical decision rules have been used to guide clinical management and predict outcomes in patients with pericardial tamponade. The objectives of this study are to identify the echocardiographic features associated with adverse outcomes in patients with pericardial effusions requiring pericardiocentesis and to apply a previously described four-point clinical and echocardiographic score to predict clinical outcomes over 24-hr, 30-day, and 1-year intervals. We performed a retrospective cohort review of patients who had transthoracic echocardiogram (TTE) performed and underwent pericardiocentesis within 48 h of emergency department presentation at two large tertiary care institutions...
June 22, 2024: Internal and Emergency Medicine
https://read.qxmd.com/read/38907756/translational-artificial-intelligence-led-optimization-and-realization-of-estimated-discharge-with-a-supportive-weekend-interprofessional-flow-team-tailored-swift
#5
JOURNAL ARTICLE
Brandon Stretton, Andrew E C Booth, Shrirajh Satheakeerthy, Sarah Howson, Shaun Evans, Joshua Kovoor, Waqas Akram, Keith McNeil, Ashley Hopkins, Kathryn Zeitz, Alasdair Leslie, Peter Psaltis, Aashray Gupta, Sheryn Tan, Melissa Teo, Andrew Vanlint, Weng Onn Chan, Andrew Zannettino, Patrick G O'Callaghan, John Maddison, Samuel Gluck, Toby Gilbert, Stephen Bacchi
Weekend discharges occur less frequently than discharges on weekdays, contributing to hospital congestion. Artificial intelligence algorithms have previously been derived to predict which patients are nearing discharge based upon ward round notes. In this implementation study, such an artificial intelligence algorithm was coupled with a multidisciplinary discharge facilitation team on weekend shifts. This approach was implemented in a tertiary hospital, and then compared to a historical cohort from the same time the previous year...
June 22, 2024: Internal and Emergency Medicine
https://read.qxmd.com/read/38904742/relationship-between-proton-pump-inhibitor-prescription-and-asthma-exacerbation-among-adult-patients-a-self-controlled-case-series-study
#6
JOURNAL ARTICLE
Tomohiro Akaba, Taisuke Jo, Etsuko Tagaya, Hideo Yasunaga
Proton-pump inhibitors (PPI) are empirically used to treat asthma symptoms such as cough; however, the effectiveness of PPI on asthma exacerbation has not been well studied. We aimed to evaluate the relationship between PPI use and asthma exacerbation using a large administrative claims database in Japan. We conducted a self-controlled case series using the JMDC Claims Database (JMDC, Inc., Tokyo, Japan). The cases included adult patients with asthma who were prescribed PPI and experienced at least one outcome event between January 2015 and December 2019...
June 21, 2024: Internal and Emergency Medicine
https://read.qxmd.com/read/38900240/overnight-stay-in-spanish-emergency-departments-and-mortality-in-older-patients
#7
JOURNAL ARTICLE
Òscar Miró, Sira Aguiló, Aitor Alquézar-Arbé, Cesáreo Fernández, Guillermo Burillo, Sergio Guzmán Martínez, María Esther Martínez Larrull, Andrea B Bravo Periago, Claudia Lorena Amarilla Molinas, Carolina Rangel Falcón, Paz Balado Dacosta, Rudiger Carlos Chávez Flores, Jorge Navarro Calzada, Eva María Fragero Blesa, Manuel Ángel Palomero Martín, Ángela Cobos Requena, Lidia Fuentes, Isabel Lobo Cortizo, Pablo González Garcinuño, María Bóveda García, Pedro Rivas Del Valle, Raquel Benavent Campos, Verónica Castro Jiménez, Vanesa Abad Cuñado, Olga Trejo Gutiérrez, María Del Mar Sousa Reviriego, Melanie Roussel, Juan González Del Castillo
To assess whether older adults who spend a night in emergency departments (ED) awaiting admission are at increased risk of mortality. This was a retrospective review of a multipurpose cohort that recruited all patients ≥ 75 years who visited ED and were admitted to hospital on April 1 to 7, 2019, at 52 EDs across Spain. Study groups were: patients staying in ED from midnight until 8:00 a.m. (ED group) and patients admitted to a ward before midnight (ward group). The primary endpoint was in-hospital mortality, truncated at 30 days, and secondary outcomes assessed length of stay for the index episode...
June 20, 2024: Internal and Emergency Medicine
https://read.qxmd.com/read/38900239/assessing-the-utility-of-frailty-scores-in-triage-a-comparative-study-of-validated-scales
#8
JOURNAL ARTICLE
Arian Zaboli, Francesco Brigo, Serena Sibilio, Gloria Brigiari, Magdalena Massar, Gabriele Magnarelli, Marta Parodi, Michael Mian, Norbert Pfeifer, Gianni Turcato
Currently, there is conflicting evidence regarding the efficacy of frailty scales and their ability to enhance or support triage operations. This study aimed to assess the utility of three common frailty scales (CFS, PRISMA-7, ISAR) and determine their utility in the triage setting. This prospective observational monocentric study was conducted at Merano Hospital's Emergency Department (ED) from June 1st to December 31st, 2023. All patients attending this ED during the 80-day study period were included, and frailty scores were correlated with three outcomes: hospitalization, 30-day mortality, and severity of condition as assessed by ED physicians...
June 20, 2024: Internal and Emergency Medicine
https://read.qxmd.com/read/38900238/sepsis-in-brazilian-emergency-departments
#9
JOURNAL ARTICLE
Angela Pettit Cornelius
No abstract text is available yet for this article.
June 20, 2024: Internal and Emergency Medicine
https://read.qxmd.com/read/38898216/new-opportunities-with-ends-for-people-who-smoke-and-do-not-intend-to-quit-smoking
#10
LETTER
Sooyong Kim
No abstract text is available yet for this article.
June 19, 2024: Internal and Emergency Medicine
https://read.qxmd.com/read/38896167/use-of-resources-in-elderly-patients-consulting-the-emergency-department-analysis-of-the-emergency-department-and-elder-needs-cohort-eden-21
#11
JOURNAL ARTICLE
Elena Fuentes, Javier Jacob, Juan González Del Castillo, Francisco Javier Montero-Pérez, Aitor Alquezar-Arbé, Eric Jorge García-Lamberechts, Sira Aguiló, Cesáreo Fernández-Alonso, Guillermo Burillo-Putze, Pascual Piñera, Lluís Llauger, Verónica Vázquez-Rey, Elena Carrasco-Fernández, Ricardo Juárez, María José Blanco-Hoffman, Eva de Las Nieves Rodríguez, Rafaela Rios-Gallardo, María Amparo Berenguer-Diez, Sandra Guiu, Nieves López-Laguna, Violeta Delgado-Sardina, Francisco Javier Diego-Robledo, Patxi Ezponda, Andrea Martínez-Lorenzo, Juan Vicente Ortega-Liarte, Inmaculada García-Rupérez, Setefilla Borne-Jerez, Adriana Gil-Rodrigo, Pere Llorens, Òscar Miró
The elderly population frequently consults the emergency department (ED). This population could have greater use of EDs and hospital health resources. The EDEN cohort of patients aged 65 years or older visiting the ED allowed this association to be investigated. To analyse the association between healthcare resource use and the characteristics of patients over 65 years of age who consult hospital EDs. We performed an analysis of the EDEN cohort, a retrospective, analytical, and multipurpose registry that includes patients over 65 years of age who consulted in 52 Spanish EDs...
June 19, 2024: Internal and Emergency Medicine
https://read.qxmd.com/read/38888722/infections-and-gender-clues-for-diagnosis-of-adrenal-insufficiency-a-case-report-and-a-review-of-the-literature
#12
JOURNAL ARTICLE
Giacomo Grandi, Michele Di Stefano, Chiara Cebrelli, Caterina Mengoli, Antonio Di Sabatino
The clinical presentation of adrenal insufficiency, a condition causing adrenal hormone deficiency, is characterised by non-specific symptoms and signs: consequently, an important diagnostic delay is often evident which correlates with an increased mortality. This case report shows how the clustering of some symptoms and signs may hamper the diagnostic suspicion for this condition: serum electrolyte alterations and weight loss, when associated to recurrent infections and, in female patients, an empty sella may further guide the clinician towards a diagnosis of adrenal insufficiency...
June 18, 2024: Internal and Emergency Medicine
https://read.qxmd.com/read/38886268/contrast%C3%A2-associated-acute-kidney-injury-in-myocardial-infarction-patients-undergoing-elective-percutaneous-coronary-intervention-insight-from-the-iodixanol-aki-registry
#13
JOURNAL ARTICLE
Zaiyan Chen, Denglu Zhou, Yanbing Jiang, Li Xiang, Hao Cheng, Qi Mao, Ning Zhao, Lan Huang, Kanghua Ma, Xiaohui Zhao
Previous studies have reported a high occurrence of contrast-associated acute kidney injury (CA-AKI) in myocardial infarction (MI) patients undergoing primary percutaneous coronary intervention (PCI). However, the data on CA-AKI in MI patients who underwent elective PCI are limited. To evaluate the incidence of CA-AKI in MI patients undergoing elective PCI. The data were sourced from the Iodixanol-AKI Registry of MI patients scheduled to undergo elective PCI in 8 medical centers from May 2020 to November 2021...
June 17, 2024: Internal and Emergency Medicine
https://read.qxmd.com/read/38874881/cardiac-compression-by-a-giant-abdominal-mass-an-unfrequent-mimicker-of-myocardial-infarction
#14
JOURNAL ARTICLE
Martín Negreira-Caamaño, Rocío Rodríguez-Santolino, Eduardo Peñaloza-Martínez, Fernando Arribas-Ynsaurriaga, Laura Domínguez-Pérez
No abstract text is available yet for this article.
June 14, 2024: Internal and Emergency Medicine
https://read.qxmd.com/read/38874880/machine-learning-predictions-of-the-adverse-events-of-different-treatments-in-patients-with-ischemic-left-ventricular-systolic-dysfunction
#15
JOURNAL ARTICLE
Wenjie Chen, Jinghua Liu, Yuchen Shi
This study aimed to develop several new machine learning models based on hibernating myocardium to predict the major adverse cardiac events(MACE) of ischemic left ventricular systolic dysfunction(LVSD) patients receiving either percutaneous coronary intervention(PCI) or optimal medical therapy(OMT). This study included 329 LVSD patients, who were randomly assigned to the training or validation cohort. Least absolute shrinkage and selection operator(LASSO) regression was used to identify variables associated with MACE...
June 14, 2024: Internal and Emergency Medicine
https://read.qxmd.com/read/38872064/a-therapeutic-cooperation-by-bempedoic-acid-and-proprotein-convertase-subtilisin-kexin-type-9-inhibitors-in-statin-intolerance-inherited-dyslipidemias
#16
LETTER
Francesco Sbrana, Federico Bigazzi, Carmen Corciulo, Beatrice Dal Pino
No abstract text is available yet for this article.
June 13, 2024: Internal and Emergency Medicine
https://read.qxmd.com/read/38864971/agreement-of-point-of-care-ultrasound-and-final-clinical-diagnosis-in-patients-with-acute-heart-failure-acute-coronary-syndrome-and-shock-pocus-not-missing-the-target
#17
JOURNAL ARTICLE
José Atilio Núñez-Ramos, Dagoberto Duarte-Misol, María Andrea Burgos Petro, Keren Jemima Sarmiento Pérez, Vanessa Paola Gutiérrez Echeverry, Sergio Velasco Malagón
Point-of-care ultrasound (POCUS) is an important tool for clinical diagnosis and decision-making in critical and non-critical scenarios. Dyspnea, chest pain, and shock are conditions susceptible to evaluation with ultrasound considering diagnostic accuracy and clinical impact already proven. There is scarce evidence in diagnosis agreement using ultrasound as an extension of physical examination. We aimed to evaluate ED patients in whom POCUS was performed, to analyze agreement between clinical initial diagnosis using ultrasound images and final diagnosis...
June 12, 2024: Internal and Emergency Medicine
https://read.qxmd.com/read/38861112/short-term-memory-loss-ataxia-and-diplopia-in-a-middle-aged-woman
#18
JOURNAL ARTICLE
Nicolini Giacomo, Marasco Giovanni, Flavio Metelli, Fuccio Lorenzo
No abstract text is available yet for this article.
June 11, 2024: Internal and Emergency Medicine
https://read.qxmd.com/read/38850357/practical-approach-to-acute-pancreatitis-from-diagnosis-to-the-management-of-complications
#19
REVIEW
Donatella Padula, Aurelio Mauro, Paolo Maggioni, Hayato Kurihara, Antonio Di Sabatino, Andrea Anderloni
The purpose of this review is to provide a practical guide for the clinical care of patients with acute pancreatitis (AP) from the management of the early phases of disease to the treatment of local complications. AP is one of the most frequent causes of gastroenterological admission in emergency departments. It is characterized by a dynamic and unpredictable course and in its most severe forms, is associated with organ dysfunction and/or local complications, requiring intensive care with significant morbidity and mortality...
June 8, 2024: Internal and Emergency Medicine
https://read.qxmd.com/read/38850356/rifaximin-in-diverticulosis-and-diverticular-disease-a-national-survey-among-italian-gastroenterologists-and-general-practitioners
#20
JOURNAL ARTICLE
Luigi Gatta, Massimo Bellini, Carmelo Scarpignato, Walter Marrocco, Alberto Chiriatti, Antonio Grosso, Christian Lambiase, Paolo Usai-Satta, Roberto Vassallo, Pierluigi Bartoletti, Fabio Monica, Raffaele Manta, Silvestro Scotti, Marco Soncini
The management of patients with diverticular disease remains challenging. The aim of this national survey was to assess how gastroenterologists and general practitioners use rifaximin to manage diverticulosis and diverticular disease. Members of the Italian Association of Hospital Gastroenterologists and Endoscopists (AIGO) and the Italian Federation of General Practitioners (FIMMG) were invited to complete a 39-item online survey concerning the use of rifaximin in five clinical settings: (1) diverticulosis; (2) reducing symptoms in symptomatic uncomplicated diverticular disease; (3) reducing the occurrence of diverticulitis in patients with symptomatic uncomplicated diverticular disease (primary prevention); (4) reducing the recurrence of diverticulitis in patients with previous attacks of diverticulitis (secondary prevention); (5) treatment of uncomplicated acute diverticulitis...
June 8, 2024: Internal and Emergency Medicine
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