European journal of internal medicine
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Eur. J. Intern. Med. · Oct 2020
Multicenter StudyPrevalence and risk factors for pulmonary embolism in patients with suspected acute exacerbation of COPD: a multi-center study.
Pulmonary embolism (PE) prevalence in acute exacerbations of COPD is highly variable. ⋯ PE prevalence is not negligible in this setting. A number of risk factors may help clinicians in identification of patients at increased risk of PE.
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Eur. J. Intern. Med. · Aug 2020
Multicenter StudyInfluence of sex on long-term prognosis in patients with atrial fibrillation treated with oral anticoagulants. Results from the prospective, nationwide FANTASIIA study.
While many risk factors for Atrial Fibrillation (AF) have been identified, there are important differences in their relative impact between sexes. The aim of our study was to investigate the influence of sex as a long-term predictor of adverse events in "real world" AF patients treated with direct oral anticoagulants. ⋯ In this "real world" study of anticoagulated AF patients, women could have a protective role against development of adverse events, mainly on all-cause mortality and combined events.
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Eur. J. Intern. Med. · Jul 2020
Multicenter Study Observational StudyImpact of treatment strategies on long-term outcome of CTO patients.
The percutaneous coronary intervention (PCI) for chronic total occlusions (CTO) remains debated. Therefore the aim of this large-scale observational multi-center registry was to compare the long-term outcome of CTO patients undergoing different therapeutic approaches comparing successful CTO revascularization either by PCI or coronary artery bypass graft (CABG), failed CTO-PCI and optimal medical therapy (OMT) alone. ⋯ This study showed an improved long-term outcome for CTO revascularization compared to optimal medical therapy, independent from revascularization mode, with the highest survival rate in patients undergoing successful CTO-PCI.
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Eur. J. Intern. Med. · Jul 2020
Multicenter StudyA new simplified model for predicting 30-day mortality in older medical emergency department patients: The rise up score.
Currently, accurate clinical models that predict short-term mortality in older (≥ 65 years) emergency department (ED) patients are lacking. We aimed to develop and validate a prediction model for 30-day mortality in older ED patients that is easy to apply using variables that are readily available and reliably retrievable during the short phase of an ED stay. ⋯ We developed and externally validated an accurate and simplified prediction model for 30-day mortality in older ED patients. This model may be useful to identify patients at risk of short-term mortality and to apply personalised medical care.
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Eur. J. Intern. Med. · Jun 2020
Multicenter Study Observational StudyHigh prevalence of malnutrition in Internal Medicine wards - a multicentre ANUMEDI study.
Disease-related malnutrition is a significant problem in hospitalized patients, with high prevalence rates depending on the studied population. Internal Medicine wards are the backbone of the hospital setting. However, prevalence and determinants of malnutrition in these patients remain unclear. We aimed to determine the prevalence of malnutrition in Internal Medicine wards and to identify and characterize malnourished patients. ⋯ Prevalence of malnutrition in the Internal Medicine population is very high, with the majority of patients having critical need for multidisciplinary intervention. Low education level, admissions during previous year, and multiple comorbidities increase the odds of being malnourished.