0000000000697076

AUTHOR

N. Avenia

showing 4 related works from this author

Emergency hernia repair in the elderly: multivariate analysis of morbidity and mortality from an Italian registry

2020

Abstract Purpose The incidence of inguinal hernia is higher in elderly because of aging-related diseases like prostatism, bronchitis, collagen laxity. A conservative management is common in elderly to reduce surgery-related risks, however watchful waiting can expose to obstruction and strangulation. The aim of the present study was to assess the impact of emergency surgery in a large series of elderly with complicated groin hernia and to identify the independent risk factors for postoperative morbidity and mortality. The predictive performance of prognostic risk scores has been also assessed. Methods This is a prospective observational study carried out between January 2017 and June 2018 in…

medicine.medical_specialtymedicine.medical_treatmentSettore MED/18 - CHIRURGIA GENERALENOPostoperative complicationsElderlyLaparotomymedicineHerniaIncarcerated herniabusiness.industryExplorative laparotomyGroin hernia · Incarcerated hernia · Elderly · Postoperative complications · Emergency surgery · Charlson’s comorbidity indexmedicine.diseaseHernia repairComorbiditySurgeryGroin herniaInguinal herniaCharlson’s comorbidity indexEmergency surgerySurgerybusinessWatchful waitingCharlson’s comorbidity index; Elderly; Emergency surgery; Groin hernia; Incarcerated hernia; Postoperative complicationsAbdominal surgery
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Frailty and emergency surgery in the elderly: protocol of a prospective, multicenter study in Italy for evaluating perioperative outcome (The FRAILES…

2018

Improvements in living conditions and progress in medical management have resulted in better quality of life and longer life expectancy. Therefore, the number of older people undergoing surgery is increasing. Frailty is often described as a syndrome in aged patients where there is augmented vulnerability due to progressive loss of functional reserves. Studies suggest that frailty predisposes elderly to worsening outcome after surgery. Since emergency surgery is associated with higher mortality rates, it is paramount to have an accurate stratification of surgical risk in such patients. The aim of our study is to characterize the clinicopathological findings, management, and short-term outcom…

Elderly patient; Emergency surgery; Frailty; Geriatric; Risk assessment; Scores; Aged; Aged 80 and over; Clinical Protocols; Emergencies; Female; Frailty; Humans; Italy; Logistic Models; Male; Multivariate Analysis; Outcome Assessment Health Care; Postoperative Complications; Prognosis; Prospective Studies; ROC Curve; Risk Assessment; Frail ElderlyMaleOutcome Assessment030230 surgerylaw.invention0302 clinical medicinePostoperative ComplicationsQuality of lifeClinical ProtocolslawOutcome Assessment Health Care80 and overProspective StudiesProspective cohort studyMultivariate AnalysiAged 80 and overEmergencieFrailtyMortality rateScoreScoresPrognosisIntensive care unitElderly patient; Emergency surgery; Frailty; Geriatric; Risk assessment; Scores; Aged; Aged 80 and over; Clinical Protocols; Emergencies; Female; Frailty; Humans; Italy; Logistic Models; Male; Multivariate Analysis; Outcome Assessment (Health Care); Postoperative Complications; Prognosis; Prospective Studies; ROC Curve; Risk Assessment; Frail ElderlyItaly030220 oncology & carcinogenesiselderly patient emergency surgery frailty geriatric risk assessment scoresEmergency surgeryFemaleRisk assessmentElderly patientHumanmedicine.medical_specialtyElderly patient; Emergency surgery; Frailty; Geriatric; Risk assessment; Scores;Logistic ModelPrognosiFrail ElderlyRisk AssessmentNO03 medical and health sciencesOutcome Assessment (Health Care)medicineHumansClinical ProtocolAgedbusiness.industryPerioperativeElderly patient; Emergency surgery; Frailty; Geriatric; Risk assessment; ScoresSurgeryHealth CareProspective StudieSettore MED/18 - Chirurgia GeneraleLogistic ModelsROC CurveEmergency medicineMultivariate AnalysisLife expectancyObservational studySurgeryPostoperative ComplicationEmergenciesbusinessGeriatric
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The THYCOVIT (Thyroid Surgery during COVID-19 pandemic in Italy) study: results from a nationwide, multicentric, case-controlled study

2021

AbstractThe outbreak of the COVID-19 pandemic has led to a disruption of surgical care. The aim of this multi-centric, retrospective study was to evaluate the impact of the pandemic on surgical activity for thyroid disease among the Italian Units of Endocrine Surgery. Three phases of the pandemic were identified based on the epidemiological situation and the public measures adopted from the Italian Government (1st phase: from 9th March to 3rd May 2020; 2nd phase: from 4th May to 14th June; 3rd phase: from 15th June to 31st). The patients operated upon during these phases were compared to those who underwent surgery during the same period of the previous year. Overall, 3892 patients from 28 …

COVID-19; Endocrine surgery; SARS-CoV-2; Thyroid carcinoma; Thyroidectomymedicine.medical_specialtymedicine.medical_treatmentThyroid GlandCOVID-19; Endocrine surgery; SARS-CoV-2; Thyroid carcinoma; Thyroidectomy; Humans; Italy; Retrospective Studies; SARS-CoV-2; COVID-19; Pandemics; Thyroid GlandNOThyroid carcinomaRetrospective StudiePandemicEpidemiologymedicineHumansThyroid cancerPandemicsLS7_4Retrospective StudiesPandemicbusiness.industrySARS-CoV-2Thyroid diseaseThyroidectomyCase-control studyCOVID-19Retrospective cohort studymedicine.diseaseSurgeryEndocrine surgeryEndocrine surgeryItalyThyroidectomyOriginal ArticleSurgerybusinessHuman
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Impact of the COVID-19 pandemic on surgery for thyroid cancer in Italy: nationwide retrospective study

2021

N/A

2019-20 coronavirus outbreakmedicine.medical_specialtyAcademicSubjects/MED00910Coronavirus disease 2019 (COVID-19)medicine.medical_treatmentSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)pandemicsNOPandemicResearch LettermedicinehumansThyroid cancerThyroid NeoplasmLS7_4Thyroid Neoplasms; Thyroidectomy; SARS-CoV-2; COVID-19; Pandemics; ItalyPandemicbusiness.industrySARS-CoV-2thyroid neoplasmsThyroidectomyCOVID-19Retrospective cohort studymedicine.diseaseComorbidityCOVID-19; comorbidity; humans; Italy; retrospective studies; SARS-CoV-2; thyroid neoplasms; pandemics; thyroidectomySettore MED/18 - Chirurgia Generalecomorbidityretrospective studiesItalyEmergency medicinethyroidectomyThyroidectomySurgeryAcademicSubjects/MED00010business
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