Search results for "EMERGENCIES"

showing 10 items of 122 documents

Current status of laparoscopy for acute abdomen in Italy: a critical appraisal of 2012 clinical guidelines from two consecutive nationwide surveys wi…

2017

Background: Several authors have demonstrated the safety and feasibility of laparoscopy in selected cases of abdominal emergencies. The aim of the study was to analyse the current Italian practice on the use of laparoscopy in abdominal emergencies and to evaluate the impact of the 2012 national guidelines on the daily surgical activity. Methods: Two surveys (42 closed-ended questions) on the use of laparoscopy in acute abdomen were conducted nationwide with an online questionnaire, respectively, before (2010) and after (2014) the national guidelines publication. Data from two surveys were compared using Chi-square or Fisher’s exact test, and data were considered significant when p < 0.05…

MaleLaparoscopic surgeryClinical auditmedicine.medical_specialtymedicine.medical_treatmentAbdominal emergencies; Acute abdomen; Clinical audit; Emergency laparoscopy guidelines; Laparoscopic acute care surgery; Laparoscopic surgery; Laparoscopy; Laparoscopy acute abdomen; National survey; Nationwide survey on laparoscopyComputer-assisted web interviewing030230 surgeryLaparoscopic surgeryNOClinical auditAcute abdomen03 medical and health sciences0302 clinical medicinemedicineHumansPractice Patterns Physicians'LaparoscopyAbdomen AcuteLaparoscopy acute abdomenNational surveymedicine.diagnostic_testbusiness.industryAbdominal emergencies; Acute abdomen; Clinical audit; Emergency laparoscopy guidelines; Laparoscopic acute care surgery; Laparoscopic surgery; Laparoscopy; Laparoscopy acute abdomen; National survey; Nationwide survey on laparoscopy; SurgeryGeneral surgeryAbdominal emergenciesmedicine.diseaseLaparoscopic surgery Abdominal emergencies Acute abdomen Laparoscopy National survey Nationwide survey on laparoscopy Emergency laparoscopy guidelines Clinical audit Laparoscopy acute abdomen Laparoscopic acute care surgeryCritical appraisalItalyAcute abdomenEmergency laparoscopy guidelineEmergency laparoscopy guidelinesHealth Care SurveysPractice Guidelines as TopicCholecystitisAbdominal emergencieLaparoscopic acute care surgeryFemale030211 gastroenterology & hepatologyLaparoscopySurgeryGuideline AdherenceEmergenciesmedicine.symptomNationwide survey on laparoscopybusinessAbdominal surgery
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Incidence and outcome of invasive candidiasis in intensive care units (ICUs) in Europe: results of the EUCANDICU project

2019

Contains fulltext : 206779.pdf (Publisher’s version ) (Open Access) BACKGROUND: The objective of this study was to assess the cumulative incidence of invasive candidiasis (IC) in intensive care units (ICUs) in Europe. METHODS: A multinational, multicenter, retrospective study was conducted in 23 ICUs in 9 European countries, representing the first phase of the candidemia/intra-abdominal candidiasis in European ICU project (EUCANDICU). RESULTS: During the study period, 570 episodes of ICU-acquired IC were observed, with a cumulative incidence of 7.07 episodes per 1000 ICU admissions, with important between-center variability. Separated, non-mutually exclusive cumulative incidences of candide…

MaleOutcome Assessmentlnfectious Diseases and Global Health Radboud Institute for Molecular Life Sciences [Radboudumc 4]MULTICENTERCritical Care and Intensive Care Medicinelaw.invention610 Medical sciences Medicine0302 clinical medicineRetrospective StudieRisk FactorslawOutcome Assessment Health CareEPIDEMIOLOGYMedicineCumulative incidencePREDICTORSCandidaMedicine(all)Cross InfectionIncidenceIncidence (epidemiology)lcsh:Medical emergencies. Critical care. Intensive care. First aidCandidiasisMiddle AgedIntensive care unitEuropeIntensive Care UnitsAbdominal candidiasis; Candida; Candidemia; Candidiasis; ICU; Incidence; Aged; Candidiasis Invasive; Cross Infection; Europe; Female; Humans; Incidence; Intensive Care Units; Male; Middle Aged; Outcome Assessment Health Care; Retrospective Studies; Risk FactorsCandidiasiFemaleSOFA scoreLife Sciences & BiomedicineHumanAbdominal candidiasismedicine.medical_specialtyInvasiveIntensive Care Unit610Abdominal candidiasis Candida Candidemia Candidiasis ICU Incidence03 medical and health sciencesCritical Care MedicineGeneral & Internal MedicineIntensive careSettore MED/41 - ANESTESIOLOGIAMANAGEMENTHumansCandidiasis InvasiveAgedRetrospective StudiesScience & TechnologyAbdominal candidiasis; Candida; Candidemia; Candidiasis; ICU; Incidencebusiness.industrySeptic shockINTRAABDOMINAL CANDIDIASISResearchCandidemia030208 emergency & critical care medicineRetrospective cohort studylcsh:RC86-88.9Odds ratiomedicine.diseaseHealth Carelnfectious Diseases and Global Health Radboud Institute for Health Sciences [Radboudumc 4]ICUEmergency medicineAbdominal candidiasibusinessCritical Care
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Personal, social, and environmental factors associated with lifejacket wear in adults and children: A systematic literature review.

2018

© 2018 Peden et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Objective Drowning claims 7% of the global burden of injury-related deaths. Lifejackets are routinely recommended as a drowning prevention strategy; however, a review of related factors regarding lifejacket wear has not previously been investigated. Methods This systematic review examined literature published from inception to December 2016 in English and German languages. The personal, social, and environmental factors associated with lif…

MalePhysiologyEthnic groupPsychological interventionpelastusliivitlcsh:MedicineTransportationAdolescentsGeographical locationsFamilies0302 clinical medicineMedicine and Health Sciencesadults030212 general & internal medicineturvallisuuskulttuuriYoung adultlcsh:ScienceChildChildrenaikuisetAlcohol ConsumptionMultidisciplinaryQualitative StudiesResearch AssessmentSystematic reviewlife jacketsResearch DesignEngineering and TechnologyFemale0305 other medical sciencePsychologyResearch ArticleWashingtonAdultSystematic ReviewsAdolescentympäristötekijätchildren (age groups)General Science & TechnologyMEDLINElapset (ikäryhmät)socioeconomic factorsResearch and Analysis Methodssafety culture03 medical and health sciencesYoung Adultenvironmental factorsEnvironmental healthHumanssosioekonomiset tekijätSwimmingShipsNutrition030505 public healthDrowningBiological LocomotionPreventionlcsh:RBiology and Life SciencesEvidence-based medicineBoatsUnited StatesDietAge GroupsPeople and PlacesNorth AmericaHousehold incomePopulation Groupingslcsh:QEmergencieshuman activitiesQualitative research
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Outcome after surgery for acute aortic dissection type A in patients over 70 years: data analysis from the German Registry for Acute Aortic Dissectio…

2010

Objective: The number of elderly patients undergoing emergency surgery for acute aortic dissection type A (AADA) is rising. Published results report a higher risk for thesepatients comparedwith younger patients. The aim of our study wasto analyse the surgicaloutcomeof these patients and to identify those at risk. Methods: Between July 2006 and June 2009, 44 centres participating in the German Registry for Acute Aortic Dissection Type A (GERAADA) reported a total of 1558 patients. As many as 381 patients were between 70 and 80 years of age (septuagenarians), while 83 patients were 80 years and older (octogenarians). We compared the clinical features and events occurring 30 days after surgery…

MalePulmonary and Respiratory Medicinemedicine.medical_specialtylaw.inventionBlood Vessel Prosthesis ImplantationAortic aneurysmAneurysmlawGermanyCardiac tamponademedicineHumansIn patientRegistriesAgedAged 80 and overAortic dissectionbusiness.industryPatient SelectionAge FactorsGeneral MedicineOdds ratiomedicine.diseaseIntensive care unitConfidence intervalAortic AneurysmSurgeryAortic DissectionTreatment OutcomeAcute DiseaseFemaleSurgeryEmergenciesCardiology and Cardiovascular MedicinebusinessEuropean Journal of Cardio-Thoracic Surgery
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The use of emergency laparoscopy for acute abdomen in the elderly: the FRAILESEL Italian Multicenter Prospective Cohort Study

2020

As the world population is aging rapidly, emergency abdominal surgery for acute abdomen in the elderly represents a global issue, both in developed and developing countries. Data regarding all the elderly patients who underwent emergency abdominal surgery from January 2017 to December 2017 at 36 Italian surgical departments were analyzed with the aim to appraise the contemporary reality regarding the use of emergency laparoscopy for acute abdomen in the elderly. 1993 patients were enrolled. 1369 (68.7%) patients were operated with an open technique; whereas, 624 (31.3%) underwent a laparoscopic operation. The postoperative morbidity rate was 32.6%, with a statically significant difference b…

MaleSettore MED/18 - CHIRURGIA GENERALEEndoscopy GastrointestinalCohort Studies0302 clinical medicinePostoperative ComplicationsElderlyAbdomen80 and overMedicineProspective StudiesProspective cohort studyLaparoscopyAbdomen AcuteAged 80 and overmedicine.diagnostic_testMortality rateAge FactorsPrognosisMulticenter studyItalyAcute abdomen030220 oncology & carcinogenesisEmergency surgery030211 gastroenterology & hepatologyFemalemedicine.symptomCohort studyRiskGastrointestinalmedicine.medical_specialtyAcuteMalignancyNOAcute abdomen03 medical and health sciencesEmergency surgeryHumansAgedbusiness.industryacute abdomen; elderly; emergency surgery; laparoscopy; multicenter studyEndoscopymedicine.diseaseSurgerySurgeryLaparoscopyEmergenciesMorbiditybusinessProcedures and Techniques UtilizationAbdominal surgery
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Relationship between the Clinical Frailty Scale and short-term mortality in patients ≥ 80 years old acutely admitted to the ICU: a prospective cohort…

2021

Abstract Background The Clinical Frailty Scale (CFS) is frequently used to measure frailty in critically ill adults. There is wide variation in the approach to analysing the relationship between the CFS score and mortality after admission to the ICU. This study aimed to evaluate the influence of modelling approach on the association between the CFS score and short-term mortality and quantify the prognostic value of frailty in this context. Methods We analysed data from two multicentre prospective cohort studies which enrolled intensive care unit patients ≥ 80 years old in 26 countries. The primary outcome was mortality within 30-days from admission to the ICU. Logistic regression models for…

MaleShort term mortalityCritical Care and Intensive Care MedicineCohort Studies0302 clinical medicinekwetsbaarheidMedicine and Health Sciences80 and overMedicine610 Medicine & healthProspective cohort studyCorrelation of Data11 Medical and Health SciencesAged 80 and overOUTCOMESIntensive care unitsFrailtyVIP1Aged&nbspMedical emergencies. Critical care. Intensive care. First aidScale (social sciences)Femaleprospectief onderzoekLife Sciences & BiomedicineCRITICALLY-ILL PATIENTS 80 and overStudy groupsmedicine.medical_specialtyAnestesi och intensivvård80 jaar en ouder610 Medicine & healthINTENSIVE-CAREBED AVAILABILITYNO03 medical and health sciencesCritical Care MedicineIntensive caresterfteGeneral & Internal MedicineHumansIntensive care units; Aged; 80 and over; Frailty; Prospective studies; MortalityIn patientddc:610Aged 80 and over; Frailty; Intensive care units; Mortality; Prospective studies; Aged 80 and over; Cohort Studies; Correlation of Data; Female; Frailty; Humans; Intensive Care Units; Logistic Models; Male; Mortality; Prospective StudiesMortalityAgedScience & TechnologyAnesthesiology and Intensive Carebusiness.industryRC86-88.9Research030208 emergency & critical care medicineADULTSAged 80 and over; Frailty; Intensive care units; Mortality; Prospective studies;Emergency & Critical Care MedicineLogistic Models030228 respiratory systemintensivecareafdelingenAged 80 and overCritical illnessEmergency medicineVIP2 study group&nbspCRITICAL ILLNESSbusinessProspective studies
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A 15-Year Single-Center Experience of Endovascular Repair for Elective and Ruptured Abdominal Aortic Aneurysms

2016

Purpose: To evaluate the differences in technical outcomes and secondary interventions between elective endovascular aneurysm repair (el-EVAR) procedures and those for ruptured aneurysms (r-EVAR). Methods: Of the 906 patients treated with primary EVAR from September 1998 until July 2012, 43 cases were excluded owing to the use of first-generation stent-grafts. Among the remaining 863 patients, 773 (89.6%) patients (mean age 72 years; 697 men) with asymptomatic or symptomatic abdominal aortic aneurysms (AAAs) were assigned to the el-EVAR group; 90 (10.4%) patients (mean age 73 years; 73 men) were assigned to the r-EVAR group based on blood outside the aortic wall on preoperative imaging. Th…

MaleTime FactorsDatabases Factualmedicine.medical_treatmentKaplan-Meier Estimate030204 cardiovascular system & hematologySingle CenterEndovascular aneurysm repairendovascular aneurysm repairPostoperative Complications0302 clinical medicineRisk Factors030212 general & internal medicineNetherlandsAged 80 and overmedicine.diagnostic_testruptured aneurysmEndovascular ProceduresMiddle AgedAbdominal aortic aneurysmTreatment OutcomeElective Surgical ProceduresreinterventionsFemaleStentsmedicine.symptomCardiology and Cardiovascular Medicinemedicine.medical_specialtyAortographycomplicationsAortic RuptureendoleakProsthesis DesignAortographyAsymptomaticDisease-Free SurvivalBlood Vessel Prosthesis Implantation03 medical and health sciencesabdominal aortic aneurysmBlood vessel prosthesismedicineHumansRadiology Nuclear Medicine and imagingAortic ruptureAgedRetrospective Studiesstent-graftbusiness.industryRetrospective cohort studymedicine.diseaseBlood Vessel ProsthesisSurgerySurgeryEmergenciesbusinessAortic Aneurysm AbdominalJournal of Endovascular Therapy
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Long-term results of simplified frozen elephant trunk technique in complicated acute type A aortic dissection: A case-control study.

2016

Aim To describe the long-term experience of a simplified frozen elephant trunk technique (sFETT) used in complicated acute type A aortic dissection (AAAD) treatment. Methods and results Between January 2001 and December 2012, 34 patients (mean age 59.9 ± 11.0 years) with complicated AAAD (DeBakey I) underwent an emergency surgery including sFETT. sFETT consisted in gluing the dissected aortic arch wall layers with gelatine-resorcinol adhesive and video-assisted antegrade open arch aortic stent-graft deployment in the arch or proximal descending aorta. In addition to sFETT, the aortic root was addressed with standard techniques. A 30-day mortality was 14.7% (five patients) due to bleeding (1…

MaleTime FactorsElephant trunksComputed Tomography AngiographyVideo-Assisted SurgeryKaplan-Meier Estimate030204 cardiovascular system & hematologyComplicated acute type A aortic dissectionSettore MED/22 - Chirurgia VascolareAortic aneurysm0302 clinical medicinePostoperative ComplicationsRisk Factorsfrozen elephant trunkComputed tomography angiographyAortic dissectionAged 80 and overmedicine.diagnostic_testMedicine (all)Endovascular ProceduresGeneral MedicineMiddle AgedAortic AneurysmTreatment OutcomeAcute typeAcute DiseaseFemaleStentsCardiology and Cardiovascular MedicineAdultReoperationmedicine.medical_specialtyAortographyProsthesis DesignAortography03 medical and health sciencesBlood Vessel Prosthesis ImplantationBlood vessel prosthesismedicineHumansRadiology Nuclear Medicine and imagingAgedRetrospective StudiesComplicated acute type A aortic dissection; frozen elephant trunk; Surgery; Medicine (all); Radiology Nuclear Medicine and Imaging; Cardiology and Cardiovascular Medicinebusiness.industryLong term resultsmedicine.diseaseSurgeryBlood Vessel ProsthesisAortic Dissection030228 respiratory systemSurgeryTissue AdhesivesEmergenciesbusinessVascular
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Mortality rates and risk factors for emergent open repair of abdominal aortic aneurysms in the endovascular era

2018

The background of this paper is to report the mortality at 30 and 90 days and at mean follow-up after open abdominal aortic aneurysms (AAA) emergent repair and to identify predictive risk factors for 30- and 90-day mortality. Between 1997 and 2002, 104 patients underwent emergent AAA open surgery. Symptomatic and ruptured AAAs were observed, respectively, in 21 and 79% of cases. Mean patient age was 70 (SD 9.2) years. Mean aneurysm maximal diameter was 7.4 (SD 1.6) cm. Primary endpoints were 30- and 90-day mortality. Significant mortality-related risk factor identification was the secondary endpoint. Open repair trend and its related perioperative mortality with a per-year analysis and a co…

Malemedicine.medical_specialtyAbdominal compartment syndromemedicine.medical_treatment610 Medicine & healthSymptomatic030204 cardiovascular system & hematologySettore MED/22 - Chirurgia VascolareEndovascular aneurysm repairEndovascular aneurysm repair03 medical and health sciences0302 clinical medicineAneurysmRisk FactorsmedicineHumansMortalityRisk factorAgedRetrospective Studiesbusiness.industryOpen repairMortality rateEndovascular Procedures10060 Epidemiology Biostatistics and Prevention Institute (EBPI)PerioperativeMiddle Agedmedicine.diseaseSurvival AnalysisRupturedAbdominal aortic aneurysm10020 Clinic for Cardiac Surgery2746 SurgerySurgeryTreatment Outcome030220 oncology & carcinogenesisAbdominal aortic aneurysmFemaleVascular GraftingSurgeryEmergenciesbusinessAortic Aneurysm AbdominalFollow-Up StudiesAbdominal surgeryUpdates in Surgery
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Eurotransplant special request for high-urgency status after liver transplantation for hepatocellular carcinoma: a case report.

2008

Hepatic artery thrombosis after liver transplantation remains a major indication for retransplantation. We report the case of a 49-year-old man with a hepatocellular carcinoma in the setting of cirrhosis associated with chronic hepatitis B and C infections who underwent split liver transplantation. The patient experienced a complicated postoperative course, characterized by 2 relaparotomies for necrosis of segment IV, and a late hepatic artery thrombosis, first discovered on postoperative day 20. His subsequent course was characterized by relapsing cholangitis and liver abscesses requiring antibiotics and percutaneous drainage. Transient control of the septic complications allowed for the f…

Malemedicine.medical_specialtyCirrhosisPercutaneousCarcinoma Hepatocellularmedicine.medical_treatmentLiver transplantationNecrosisHepatic ArterymedicineHumansTransplantationDeceased donorbusiness.industryLiver NeoplasmsCancerThrombosisMiddle Agedmedicine.diseaseHepatitis BHepatitis CSurgeryTumor recurrenceLiver TransplantationTreatment OutcomeHepatocellular carcinomaSurgeryEmergenciesLiver cancerbusinessTransplantation proceedings
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