Risultati per: Follow-up ottimale dopo embolia polmonare acuta
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1126 ENABLING LONG TERM FOLLOW UP AFTER VENTRAL HERNIA REPAIR THROUGH CLINICAL REGISTRY AND MEDICARE DATA LINKAGE
Sa1619 CHANGES IN LIVER DISEASE ETIOLOGY AND RACIAL ETHNIC MAKE-UP OF PERSONS WITH HEPATOCELLULAR CARCINOMA IN THE UNITED STATES: A MODELING STUDY BASED ON THE SEER-MEDICARE DATABASE
Sa1643 EXAMINING THE YIELD OF HEPATOLOGY CLINIC FOLLOW-UP IN PATIENTS WITH UNMET HEPATITIS B CARE
1306 NEOADJUVANT THERAPY REDUCES NODE POSITIVITY BUT DOES NOT CONFER SURVIVAL BENEFIT VERSUS UP-FRONT RESECTION FOR RESECTABLE INTRAHEPATIC CHOLANGIOCARCINOMA: A PROPENSITY-MATCHED ANALYSIS
Sa1574 IS LIVER FAT CONTENT MORE IMPORTANT THAN LIVER IRON IN TRYING TO REVERSE LIVER FIBROSIS IN PATIENTS WITH TRANSFUSION-DEPENDENT BETA THALASSAEMIA? – A FOLLOW-UP STUDY
Dimesso due volte da Pronto soccorso,muore per embolia polmonare
Gli accessi nell’arco di 48 ore, si spera verità da accertamenti
Survival status and predictors of mortality among preterm neonates admitted in Bench Sheko Zone, Sheka Zone and Keffa Zone Governmental Hospitals, Southwest Ethiopia (2021): prospective follow-up study
Introduction
Prematurity presents a significant challenge to the global community due to the rapid increase in its incidence and its disproportionate contribution to increased infant mortality rates.
Objective
To assess the survival status and predictors of mortality among preterm neonates.
Design
A multicentre prospective follow-up study was used.
Setting
625 preterm neonates were admitted to hospitals for secondary level of care. The study covers the Bench Maji Zone, Keffa Zone, Sheka Zone, nearby woredas and portions of the Gambella area in Southwest Ethiopia.
Participants
614 preterm neonates with gestational age less than 37 weeks were entered for follow-up and 400 neonates were censored. Neonates with severe fetal malformations and neonates who need urgent referral were excluded from the study.
Results
Overall, 200 (32.57%) participants died with an incidence rate of 61.69 deaths per 1000 person-day observations (95% CI: 53.71 to 70.86). Poor kangaroo mother care (KMC) services (adjusted HR (AHR)=0.19, 95% CI: 0.12 to 0.29), sex (AHR=0.66, 95%, CI: 0.47 to 0.94), not initiating breast feeding (HR=2.78, 95% CI: 1.8 to 4.28), hypothermia (AHR=0.63, 95% CI: 0.44 to 0.92), anaemia (AHR=6.2, 95% CI: 2.34 to 16.43) and gestational age less than 28 weeks (AHR=9.28, 95% CI: 1.78 to 48.42) were independent predictors.
Conclusion and recommendation
The rate of preterm neonatal mortality was high compared with the Ethiopia Demographic and Health Survey report nationally. Healthcare workers should encourage KMC services and breastfeeding initiation and prevent preterm neonates from being anaemic to increase their chances of survival.
What You May Have Missed in 2023: Keeping Up With the Constant Flow of New Medical Evidence
Annals of Internal Medicine, Ahead of Print.
What You May Have Missed in 2023: Keeping Up With the Constant Flow of New Medical Evidence
Annals of Internal Medicine, Ahead of Print.
Long-term follow-up study of necrotising pancreatitis: interventions, complications and quality of life
Objective
To describe the long-term consequences of necrotising pancreatitis, including complications, the need for interventions and the quality of life.
Design
Long-term follow-up of a prospective multicentre cohort of 373 necrotising pancreatitis patients (2005–2008) was performed. Patients were prospectively evaluated and received questionnaires. Readmissions (ie, for recurrent or chronic pancreatitis), interventions, pancreatic insufficiency and quality of life were compared between initial treatment groups: conservative, endoscopic/percutaneous drainage alone and necrosectomy. Associations of patient and disease characteristics during index admission with outcomes during follow-up were assessed.
Results
During a median follow-up of 13.5 years (range 12–15.5 years), 97/373 patients (26%) were readmitted for recurrent pancreatitis. Endoscopic or percutaneous drainage was performed in 47/373 patients (13%), of whom 21/47 patients (45%) were initially treated conservatively. Pancreatic necrosectomy or pancreatic surgery was performed in 31/373 patients (8%), without differences between treatment groups. Endocrine insufficiency (126/373 patients; 34%) and exocrine insufficiency (90/373 patients; 38%), developed less often following conservative treatment (p50% during initial admission was associated with percutaneous/endoscopic drainage (OR 4.3 (95% CI 1.5 to 12.2)), pancreatic surgery (OR 3.2 (95% CI 1.1 to 9.5) and development of endocrine insufficiency (OR13.1 (95% CI 5.3 to 32.0) and exocrine insufficiency (OR6.1 (95% CI 2.4 to 15.5) during follow-up.
Conclusion
Acute necrotising pancreatitis carries a substantial disease burden during long-term follow-up in terms of recurrent disease, the necessity for interventions and development of pancreatic insufficiency, even when treated conservatively during the index admission. Extensive ( >50%) pancreatic parenchymal necrosis seems to be an important predictor of interventions and complications during follow-up.
Building Up without Breaking Down
New England Journal of Medicine, Volume 390, Issue 13, April 2024.
Long-Term Follow-Up Confirms That Delaying Drainage of Infected Necrotizing Pancreatitis Is Safe
Many patients in the delayed-intervention group avoided intervention entirely.
Five-Year Follow-Up of Surgery vs Functional Bracing for Closed Displaced Humeral Shaft Fractures
This study compares outcomes of surgery and functional bracing for closed humeral shaft fractures after 5 years of follow-up.
SCALE-UP II: protocol for a pragmatic randomised trial examining population health management interventions to increase the uptake of at-home COVID-19 testing in community health centres
Introduction
SCALE-UP II aims to investigate the effectiveness of population health management interventions using text messaging (TM), chatbots and patient navigation (PN) in increasing the uptake of at-home COVID-19 testing among patients in historically marginalised communities, specifically, those receiving care at community health centres (CHCs).
Methods and analysis
The trial is a multisite, randomised pragmatic clinical trial. Eligible patients are >18 years old with a primary care visit in the last 3 years at one of the participating CHCs. Demographic data will be obtained from CHC electronic health records. Patients will be randomised to one of two factorial designs based on smartphone ownership. Patients who self-report replying to a text message that they have a smartphone will be randomised in a 2x2x2 factorial fashion to receive (1) chatbot or TM; (2) PN (yes or no); and (3) repeated offers to interact with the interventions every 10 or 30 days. Participants who do not self-report as having a smartphone will be randomised in a 2×2 factorial fashion to receive (1) TM with or without PN; and (2) repeated offers every 10 or 30 days. The interventions will be sent in English or Spanish, with an option to request at-home COVID-19 test kits. The primary outcome is the proportion of participants using at-home COVID-19 tests during a 90-day follow-up. The study will evaluate the main effects and interactions among interventions, implementation outcomes and predictors and moderators of study outcomes. Statistical analyses will include logistic regression, stratified subgroup analyses and adjustment for stratification factors.
Ethics and dissemination
The protocol was approved by the University of Utah Institutional Review Board. On completion, study data will be made available in compliance with National Institutes of Health data sharing policies. Results will be disseminated through study partners and peer-reviewed publications.
Trial registration number
ClinicalTrials.gov: NCT05533918 and NCT05533359.
Infermieri Nursing up, al via le trattative per il contratto della Sanità
‘Aumentare l’indennità e giro di vite sugli straordinari’