Patterns of infections in older patients acutely admitted to medical wards: data from the REPOSI register

2019

In older adults infections are among the leading causes of emergency department visits, hospitalization, morbidity and mortality [1–3]. Infections also occur as adverse events during hospitalization, as highlighted by the large use of antibiotics in this setting, resulting in an increase of hospitalization length and mortality rate [4–6]. There is a paucity of studies, especially in European countries, that did offer a general pattern on all the types of infections occurring in acutely hospitalized older patients, being the literature mainly focused on single type of infections (i.e. pneumonia and urinary tract infections). To fill this gap of knowledge, we chose to observe and describe the…

Antibiotic use and associated factors in a large sample of hospitalised older people

2019

Objectives: The aims of this study were to assess (i) the prevalence of antibiotic use, (ii) factors associated with their use and (iii) the association with in-hospital mortality in a large sample of hospitalised older people in Italy.Methods: Data were obtained from the 2010-2017 REPOSI register held in more than 100 internal medicine and geriatric wards in Italy. Patients aged >= 65 years with at least one antibiotic prescription during their hospitalisation were selected. Multivariable logistic regression models were used to determine factors associated with antibiotic use.Results: A total of 5442 older patients were included in the analysis, of whom 2786 (51.2%) were prescribed anti…

Disability, and not diabetes, is a strong predictor of mortality in oldest old patients hospitalized with pneumonia

2018

Abstract Background Pneumonia causes more deaths than any other infectious disease, especially in older patients with multiple chronic diseases. Recent studies identified a low functional status as prognostic factor for mortality in elderly patients with pneumonia while contrasting data are available about the role of diabetes. The aim of this study was to evaluate the in-hospital, 3-month and 1-year mortality in elderly subjects affected by pneumonia enrolled in the RePoSi register. Methods We retrospectively analyzed the data collected on hospitalized elderly patients in the frame of the REPOSI project. We analyzed the socio-demographic, laboratory and clinical characteristics of subjects…

Understanding Factors Associated With Psychomotor Subtypes of Delirium in Older Inpatients With Dementia

2020

Objectives Few studies have analyzed factors associated with delirium subtypes. In this study, we investigate factors associated with subtypes of delirium only in patients with dementia to provide insights on the possible prevention and treatments. Design This is a cross-sectional study nested in the "Delirium Day" study, a nationwide Italian point-prevalence study. Setting and participants Older patients admitted to 205 acute and 92 rehabilitation hospital wards. Measures Delirium was evaluated with the 4-AT and the motor subtypes with the Delirium Motor Subtype Scale. Dementia was defined by the presence of a documented diagnosis in the medical records and/or prescription of acetylcholine…

New data on diversity of Pyrus (Rosaceae) in Sicily

2010

Reverse Electrodialysis Process: Analysis of Optimal Conditions for Process Scale-up

2014

Reverse Electrodialysis (SGP-RE or RED) process has been widely accepted as a viable and promising technology to produce electric energy from salinity difference (i.e salinity gradient power - e.g. using river water/seawater, or seawater and concentrated brines). Recent R&D efforts demonstrated how an appropriate design of the SGP-RE unit and a suitable selection of process conditions may crucially enhance the process performance. With this regard, a process simulator was developed and validated with experimental data collected on a lab-scale unit, providing a new modelling tool for process optimisation. In this work, performed within the REAPower project (www.reapower.eu), the process simu…

Sicilia in Atlante del giardino italiano 1750-1940

2009

Codice internazionale di nomenclatura per alghe, funghi e piante 1. Traduzione italiana della versione ufficiale inglese di McNeil J., & al. 2011: In…

2014

Iconografia della storia naturale delle Madonie

2011

Con lo spirito di divulgare l'opera di Francesco Minà Palumbo, alcuni fra coloro che negli ultimi decenni hanno contribuito allo studio del patrimonio naturale e naturale delle Madonie hanno aderito all'iniziativa promossa dal museo Naturalistico di Castelbuono dedicato allo scienziato e dal Dipartimento di Scienze Botaniche di Palermo per sostenere l'onere della pubblicazione concessa dagli eredi all'Editore Sellerio di Palermo.