Risultati per: Artrite psoriasica e altre comorbilità in pazienti con psoriasi nel setting della medicina generale
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Sa1129 THE UTILITY OF COLOGUARD IN A REAL-WORLD COMMUNITY SETTING
Sa1090 REAL-WOLRD IMPACT OF GLP-1 RECEPTOR AGONISTS ON ENDOSCOPIC PATIENT OUTCOMES IN AN AMBULATORY SETTING. A RETROSPECTIVE STUDY AT A LARGE TERTIARY CENTER.
Sa1111 IDENTIFYING INAPPROPRIATE PRESCRIBING PRACTICES OF PROTON PUMP INHIBITORS IN AN INPATIENT HOSPITAL SETTING
Mo1864 UPADACITINIB AS RESCUE THERAPY FOR THE TREATMENT OF ACUTE SEVERE COLITIS IN AN ACUTE CARE SETTING
Mo1937 PROVIDER COMFORT LEVEL AND BARRIERS TO NUTRITION EDUCATION AND COUNSELING IN THE OUTPATIENT GASTROENTEROLOGY SETTING: A MULTI-CENTER CROSS-SECTIONAL SURVEY OF CLINICIANS
Tu1899 METABOLIC MARKERS OF CLOSTRIDIOIDES DIFFICILE INFECTION IN THE SETTING OF INFLAMMATORY COLITIS
Mo1867 RETROSPECTIVE REVIEW OF INFLIXIMAB USE FOR ACUTE SEVERE ULCERATIVE COLITIS IN A COMMUNITY TEACHING HOSPITAL SETTING
Sa1627 HIGH LEVELS OF HBV GENOTYPE DIVERSITY IN A CHICAGO AREA HOSPITAL SETTING
Parte lo studio per misurare la tossicità finanziaria per le pazienti con tumore al seno
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Artrite reumatoide, buoni risultati con un farmaco antitumorale
Terapia sperimentata su 6 casi difficili da team italo-tedesco
Identificazione della malattia renale cronica in Medicina Generale
Outcome, predictors and longitudinal trajectories of subjects with critical illness polyneuropathy and myopathy (CINAMOPS): study protocol of an observational cohort study in a clinical and post-clinical setting
Introduction
Critical illness polyneuropathy and myopathy (CIP/CIM) are frequent complications in the intensive care unit (ICU) with major consequences for the progress and outcome of subjects. CIP/CIM delays the weaning process, prolongs the hospital stay and increases the mortality rate. Additionally, it may have long-term consequences beyond the hospitalisation phase with prolonged disability. Even though there is growing interest in CIP/CIM, research about the clinical and post-clinical course as well as the middle-term and long-term outcomes of subjects with CIP/CIM is scarce. A large prospective study of critically ill subjects is needed with accurate diagnosis during the acute stage and comprehensive assessment during long-term follow-up.
Methods and analysis
This prospective observational cohort study aims to compare the clinical and post-clinical course of chronically critically ill subjects with and without the diagnosis of CIP/CIM and to determine predictors for the middle-term and long-term outcomes of subjects with CIP/CIM. In addition, the influence of the preclinical health status and the preclinical frailty on the long-term outcome of subjects with CIP/CIM will be investigated.
This single-centre study will include 250 critically ill patients who were invasively ventilated for at least 5 days at the ICU and show reduced motor strength. At five study visits at admission and discharge to neurological rehabilitation, and 12, 18 and 24 months after disease onset, a comprehensive test battery will be applied including assessments of functioning and impairment, independence, health-related quality of life, activity and participation, cognition, gait and balance, fatigue, mental health and frailty.
Secondary objectives are the documentation of therapy goals, therapy content and achieved milestones during the rehabilitation, to evaluate the clinimetric properties of the Mini-BESTest in critically ill patients, and to evaluate the time course and outcome of subjects with CIP/CIM after SARS-CoV-2 infection.
Ethics and dissemination
The study was approved by the ethical committee of the Ludwig-Maximilians University Munich. Participants will be included in the study after having signed informed consent.
Results will be published in scientific, peer-reviewed journals and at national and international conferences.
Trial registration number
German Clinical Trial Register (DRKS00021753).
Stop al numero chiuso a Medicina, adottato il testo base in Senato
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Studio su 5mila pazienti oncologici per valutare la qualità di vita
In 80 centri italiani. ‘Non si parla più solo di sopravvivenza’
Implementing Telestroke in the Inpatient Setting: Identifying Factors for Success
Stroke, Ahead of Print. BACKGROUND:Inpatient telestroke programs have emerged as a solution to provide timely stroke care in underserved areas, but their successful implementation and factors influencing their effectiveness remain underexplored. This study aimed to qualitatively evaluate the perspectives of inpatient clinicians located at spoke hospitals participating in a newly established inpatient telestroke program to identify implementation barriers and facilitators.METHODS:This was a formative evaluation relying on semistructured qualitative interviews with 16 inpatient providers (physicians and nurse practitioners) at 5 spoke sites of a hub-and-spoke inpatient telestroke program. The Integrated-Promoting Action on Research Implementation in Health Services framework guided data analysis, focusing on the innovation, recipients, context, and facilitation aspects of implementation. Interviews were transcribed and coded using thematic analysis.RESULTS:Fifteen themes were identified in the data and mapped to the Integrated-Promoting Action on Research Implementation in Health Services framework. Themes related to the innovation (the telestroke program) included easy access to stroke specialists, the benefits of limiting patient transfers, concerns about duplicating tests, and challenges of timing inpatient telestroke visits and notes to align with discharge workflow. Themes pertaining to recipients (care team members and patients) were communication gaps between teams, concern about the supervision of inpatient telestroke advanced practice providers and challenges with nurse empowerment. With regard to the context (hospital and system factors), providers highlighted familiarity with telehealth technologies as a facilitator to implementing inpatient telestroke, yet highlighted resource limitations in smaller facilities. Facilitation (program implementation) was recognized as crucial for education, standardization, and buy-in.CONCLUSIONS:Understanding barriers and facilitators to implementation is crucial to determining where programmatic changes may need to be made to ensure the success and sustainment of inpatient telestroke services.