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Internal and Emergency Medicine OnlineFirst articles

23.04.2024 | IM - ORIGINAL

A COVID-19 specific multiparametric and ECG-based score for the prediction of in-hospital mortality: ELCOVID score

We aimed to develop and validate a COVID-19 specific scoring system, also including some ECG features, to predict all-cause in-hospital mortality at admission. Patients were retrieved from the ELCOVID study (ClinicalTrials.gov identifier: …

verfasst von:
Marco Zuin, Roberto Ferrari, Gabriele Guardigli, Michele Malagù, Francesco Vitali, Ottavio Zucchetti, Emanuele D’Aniello, Luca Di Ienno, Federico Gibiino, Paolo Cimaglia, Daniele Grosseto, Alessandro Corzani, Marcello Galvani, Paolo Ortolani, Andrea Rubboli, Gianfranco Tortorici, Gianni Casella, Biagio Sassone, Alessandro Navazio, Luca Rossi, Daniela Aschieri, Roberto Mezzanotte, Marco Manfrini, Matteo Bertini

23.04.2024 | CE - LETTER TO THE EDITOR

Gut microbiota, intestinal permeability, and systemic inflammation: a narrative review. Comment

In this letter to the Editor, the author reports his comment on the review article entitled “Gut microbiota, intestinal permeability, and systemic inflammation: a narrative review”, published in this Journal.

verfasst von:
Domenico Ribatti

20.04.2024 | IM - COMMENTARY

Treating colonic diverticula with rifaximin: a call to action

verfasst von:
Gabrio Bassotti

20.04.2024 | IM - ORIGINAL

Inpatient opioid withdrawal: a qualitative study of the patient perspective

Opioid withdrawal is common among hospitalized patients. Those with substance use disorders exhibit higher rates of patient-directed discharge. The literature lacks information regarding the patient perspective on opioid withdrawal in the hospital …

verfasst von:
Danielle M. Babbel, Patricia Liu, David R. Chen, Valerie M. Vaughn, Susan Zickmund, Kennedi Bloomquist, Tobias Zickmund, Elizabeth F. Howell, Stacy A. Johnson

20.04.2024 | IM - ORIGINAL

Metabolic risks remain a serious threat to cardiovascular disease: findings from the Global Burden of Disease Study 2019

Metabolic factors are major and controllable risk factors for cardiovascular diseases (CVD), and few studies have described this burden. We aim to assess it from 1990 to 2019 and predict the trends through 2034. Global Burden of Disease (GBD) …

verfasst von:
Runhong Li, Jinang Shao, Chengxiang Hu, Tong Xu, Jin Zhou, Jiaqi Zhang, Qitong Liu, Mengying Han, Ning Ning, Xiaoting Fan, Wenhui Zhou, Rong Huang, Yanan Ma, Lina Jin

18.04.2024 | IM - COMMENTARY

When pulmonary arterial hypertension complicates connective tissue diseases: we still have not found what we are looking for

verfasst von:
Antonietta Gigante, Silvia Papa, Edoardo Rosato, Roberto Badagliacca, Alberto Maria Marra

17.04.2024 | EM - ORIGINAL

Evaluation of use and identification of predictive factors for nonuse of peripheral venous catheters in the emergency department

The placement of peripheral venous catheters (PVC) is a frequent procedure in the emergency department (ED), which exposes patients to complications (hematoma, fluid leakage, phlebitis, edema, infection), increases hemolysis of blood samples, is …

verfasst von:
Florent Noel, Aurélie Lefèvre, Jacques-Emmanuel Galimard, Célina Pognonec, Christian Kassasseya, Sofiane Yefsah, Youri Yordanov, Pierre-Clément Thiebaud

17.04.2024 | CE - LETTER TO THE EDITOR

High early mortality rate among Nursing Home residents treated by Mobile Intensive Care Unit

verfasst von:
Eva Jaubert, Frédéric Balen, Vincent Bounes, Sandrine Charpentier, Xavier Dubucs

16.04.2024 | CE - LETTER TO THE EDITOR

High versus low chloride load in adult hyperglycemic emergencies with acute kidney injury, a multicenter retrospective cohort study: COMMENT

verfasst von:
Chia-Ter Chao

15.04.2024 | EM - ORIGINAL

Is pulmonary hypertension protective against cardiac tamponade? A systematic review

The presence of pulmonary hypertension (PH) may affect whether cardiac tamponade physiology develops from a pericardial effusion. Specifically, the increased intracardiac pressure and right ventricular hypertrophy associated with PH would …

verfasst von:
Robert James Adrian, Stephen Alerhand, Andrew Liteplo, Hamid Shokoohi

Open Access 15.04.2024 | IM - ORIGINAL

Enhancing discharge decision-making through continuous monitoring in an acute admission ward: a randomized controlled trial

In Acute Admission Wards, vital signs are commonly measured only intermittently. This may result in failure to detect early signs of patient deterioration and impede timely identification of patient stability, ultimately leading to prolonged stays …

verfasst von:
Niels Kant, Sjoerd H. Garssen, Carlijn A. Vernooij, Gert-Jan Mauritz, Mark V. Koning, Frank H. Bosch, Carine J. M. Doggen

Open Access 15.04.2024 | IM - ORIGINAL

Heart failure, recurrent vascular events and death in patients with ischemic stroke—results of the MonDAFIS study

Heart failure (HF) is associated with poor outcome after stroke, but data from large prospective trials are sparse.We assessed the impact of HF on clinical endpoints in patients hospitalized with acute ischemic stroke or transient ischemic attack …

verfasst von:
Serdar Tütüncü, Manuel C. Olma, Claudia Kunze, Joanna Dietzel, Johannes Schurig, Michael Rosenkranz, Robert Stingele, Matthias Maschke, Peter U. Heuschmann, Paulus Kirchhof, Ulrich Laufs, Darius G. Nabavi, Joachim Röther, Götz Thomalla, Roland Veltkamp, Matthias Endres, Karl Georg Haeusler, for the MonDAFIS Investigators

Open Access 14.04.2024 | IM - ORIGINAL

Clinical outcomes of clostridioides difficile infection in the very elderly

Clostridioides difficile infection (CDI) is associated with considerable morbidity, mortality, and economic cost [ 1 ]. The incidence of CDI is on the rise during the last decades, posing challenges to healthcare organizations [ 2 ]. CDI is the …

verfasst von:
Sameer Kassem, Nizar Hijazi, Nili Stein, Adnan Zaina, Mohammad Ganaim

12.04.2024 | CE - MEDICAL ILLUSTRATION

Fish bone perforation of the transverse colon

verfasst von:
Fang Yuan, Yueming Liu, Manying Wen

Open Access 12.04.2024 | IM - ORIGINAL

Fecal calprotectin levels in patients with non-celiac wheat sensitivity: a proof of concept

Some data suggest the existence of intestinal inflammation in patients with non-celiac wheat sensitivity (NCWS). We aimed to verify whether fecal calprotectin (FCP), a marker of intestinal inflammation, could be used to confirm this inflammatory …

verfasst von:
Aurelio Seidita, Alessandra Giuliano, Maurizio Soresi, Marta Chiavetta, Emilio Nardi, Giuseppe Mogavero, Giulio Giannone, Antonio Carroccio, Pasquale Mansueto

11.04.2024 | CE-Systematic reviews and meta-analysis

Endovascular therapy for posterior cerebral artery occlusion: systematic review with meta-analysis

Endovascular therapy (EVT) is a highly effective stroke treatment, but trials validating this intervention did not include patients with posterior cerebral artery (PCA) occlusion. The aim of this systematic review with meta-analysis was to assess …

verfasst von:
Marta Oliveira, Pedro Barros, Marta Rodrigues, Manuel Ribeiro, Vera Afreixo, Tiago Gregório

Open Access 11.04.2024 | EM - ORIGINAL

Management of acute exacerbations of COPD in the emergency department and its associations with clinical variables

Acute exacerbation of chronic obstructive pulmonary disease (AECOPD) is a common cause for emergency department (ED) visits. Still, large scale studies that assess the management of AECOPD in the ED are limited. Our aim was to evaluate treatment …

verfasst von:
Ophir Freund, Ariel Melloul, Sabrina Fried, Eyal Kleinhendler, Avraham Unterman, Evgeni Gershman, Avishay Elis, Amir Bar-Shai

11.04.2024 | EM - ORIGINAL

Development and validation of a nomogram for assessing comorbidity and frailty in triage: a multicentre observational study

Assessing patient frailty in the Emergency Department (ED) is crucial; however, triage frailty and comorbidity assessment scores developed in recent years are unsatisfactory. The underlying causes of this phenomenon could reside in the nature of …

verfasst von:
Arian Zaboli, Serena Sibilio, Gabriele Magnarelli, Norbert Pfeifer, Francesco Brigo, Gianni Turcato

11.04.2024 | CE - LETTER TO THE EDITOR

Contrasting obesity: is something missing here? Comment

Dear Editors, after reading your interesting and sharp point of view article “Contrasting obesity: is something missing here?” discussing the ineffectiveness of the current measures used to fight obesity, we decided to share some related …

verfasst von:
Francesca Battista, Daniel Neunhaeuserer, Marco Vecchiato, Giulia Quinto, Andrea Ermolao

10.04.2024 | EM - ORIGINAL

Racial differences in triage assessment at rural vs urban Maine emergency departments

Data continue to accumulate demonstrating that those belonging to racialized groups face implicit bias in the emergency care delivery system across many indices, including triage assessment. The Emergency Severity Index (ESI) was developed and …

verfasst von:
Madeleine M. Puissant, Isha Agarwal, Elizabeth Scharnetzki, Anya Cutler, Hadley Gunnell, Tania D. Strout