High incidence of heart failure in elderly patients with diabetes admitted in internal medicine department

2021 ◽  
Vol 331 ◽  
pp. e241
Author(s):  
I. Papakitsou ◽  
V. Mavrikaki ◽  
E. Petrakis ◽  
K. Vasilopoulos ◽  
M. Bagordakis ◽  
...  
2020 ◽  
Vol 18 (1) ◽  
pp. em263
Author(s):  
Rita Reis Correia ◽  
Pedro Leite Vieira ◽  
Marisa Linhares ◽  
Fábia Cruz ◽  
Sandra Martin ◽  
...  

ABOUTOPEN ◽  
2021 ◽  
Vol 8 (1) ◽  
pp. 92-98
Author(s):  
Irene Pomilio ◽  
Isidoro Mazzoni

Introduction: Hospital-acquired infections (HAIs) are the most serious and frequent complication of healthcare systems. In 2019 the Marche Region has introduced a project to check HAIs and also the use of antibiotics in empirical therapy. The aim of this analysis was to conduct a periodic descriptive prevalence study according to the regional plan. Materials and Methods: In the quarter January-March 2020, the Internal Medicine Department of the Mazzoni Hospital of Ascoli Piceno has been considered, enrolling patients with HAIs to whom has been prescribed at least one antibiotic in empirical therapy. To assess the prevalence of multi-drug resistant organisms (MDRO), microbiological isolates were examined and laboratory response times were measured as a quality indicator. Besides, the incidence of HAIs from medical device, the clinical outcomes and the average length of stay have been analyzed. Results: The results show: high incidence of HAIs and high percentage of MDRO. The response time of the laboratory analysis is on average over 48-72 hours after sampling. The data show a widespread use of broad-spectrum antibiotics and low adherence to the new regional empiric therapy guidelines. Conclusions: The high incidence of HAIs implies the urgent need of an active surveillance of an Antimicrobial Stewardship team. This would represent a strategic solution to prevent and limit antimicrobial resistance and reduce morbidity, mortality and costs.


Author(s):  
Axler Jean Paul ◽  
Lesly Ed Archer ◽  
Raema Mimrod Jean ◽  
Gérald Vernelus ◽  
Rodolphe Malebranche

Introduction Dilated cardiomyopathy is one of the most frequent causes of heart failure in the world, which is now considered a major public health problem both in developed countries where it is predominant, especially in the elderly, over 65 years of age and in patients on long-term treatment for heart disease, and in underdeveloped countries.The diagnosis of cardiomyopathies is essentially based on para-clinical examinations, more precisely on echocardiography. In Haiti, cardiovascular diseases are the leading causes of hospitalization and mortality. These diseases are the main causes of hospitalization at the Hospital of the State University of Haiti (HUEH), the largest hospital in the country, and represent 30% of all cases received in the internal medicine department. Methodology This is a retrospective quantitative study conducted on a sample of patients in the Cardiology Unit of the Internal Medicine Department of the Hospital of the State University of Haiti (HUEH).The study was conducted on 54 patients registered in the Cardiology Unit, during the period from January 8, 2014 to June 11, 2014 for heart failure. Result and discussion The 50 patients showed a predominance for women, 31 (62%) versus 19 (38%) for men, P=0.04. The results of our study showed that the majority of patients are female (62%), which is similar to the last study conducted on the unit by Dr. Malebranche, who found 62.4%The data showed that the reference examination for the confirmatory diagnosis of cardiomyopathy is echocardiography, with 92% of diagnoses. It should be noted that the other diagnoses were made on an echocardiographic basis but were not complete. These findings are similar to data from a recently published Swedish study in which cardiomyopathy was diagnosed by echocardiography in 99.6% of cases. For chest radiography, 100% of cases have cardiomegaly.65.96% of all heart failure cases are dilated cardiomyopathies compared to undiluted cardiomyopathies 14.89%, p<0.0001


2011 ◽  
Vol 22 ◽  
pp. S83
Author(s):  
Andrés Ruiz-Sancho ◽  
Leticia Ruiz-Rivera ◽  
Alfonso Lluna Carrascosa ◽  
Clara Lahoz García ◽  
César Magro-Checa ◽  
...  

2021 ◽  
Vol 7 (4) ◽  
pp. 1-5
Author(s):  
Mototaka Niwano ◽  

This comparative study evaluated the improvement in swallowing ability in elderly patients admitted with dysphagia. Between 2013 and 2018, 961 inpatients with dysphagia, aged ≥65, were admitted to the internal medicine department of our hospital. We divided these patients into two groups based on whether pneumonia was (n=691) or was not (n=270).


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