Chronic obstructive pulmonary disease and heart failure in real life: the tip of the iceberg in the sea of comorbidities. A prospective observational study
Monaldi Archives for Chest Disease,
Год журнала:
2025,
Номер
unknown
Опубликована: Фев. 4, 2025
Chronic
obstructive
pulmonary
disease
(COPD)
and
heart
failure
(HF)
are
two
of
the
most
common
conditions
treated
in
internal
medicine.
Although
it
is
known
that
these
diseases
often
coexist,
specific
characteristics
affected
patients
prognostic
implications
not
yet
well
understood.
Managing
with
both
COPD
HF
requires
an
integrated
treatment
approach.
The
aim
study
was
to
examine
association
between
HF.
We
conducted
a
prospective
observational
cohort
study.
All
consenting
admitted
Internal
Medicine
Department
from
Emergency
or
strongly
suspected
were
enrolled.
A
total
144
included,
47.2%
them
also
having
HF,
distributed
among
various
subcategories
as
follows:
10.4%
reduced
ejection
fraction
(HFrEF),
3.5%
mild-reduced
fraction,
33.3%
preserved
(HFpEF).
This
result
consistent
literature,
which
suggests
higher
prevalence
HFpEF
compared
HFrEF.
Doppler
echocardiography
performed
during
hospitalization.
Some
variables
showed
statistically
significant
difference
when
comparing
those
without
Interestingly,
follow-up
at
3
6
months
post-discharge
revealed
mortality
odds
ratio
(95%
confidence
interval)
10.0
(1.2-82.2).
could
contribute
better
understanding
arising
coexistence
emphasizing
importance
patient-centered
approach
managing
multiple
comorbidities.
Язык: Английский
Comanagement of surgical patients between neurosurgeons and internal-medicine clinicians: observational cohort study
Internal and Emergency Medicine,
Год журнала:
2025,
Номер
unknown
Опубликована: Фев. 11, 2025
Abstract
The
rising
prevalence
of
chronic
diseases
have
contributed
to
a
population
with
high
complexity
care.
There
has
been
an
increasing
need
for
new
organizational
model
based
on
the
interaction
in
same
department
between
specialist
skills
surgical
and
medical
disciplines.
This
study
aims
describe
implementation
hospitalist
co-management
program
Neurosurgery
Department
(ND)
its
impact
incidence
complications,
30
days
readmission
rate
causes,
number
transfers
Intensive
Care
Units
(ICU)/Neurosurgical
Unit
(NICU)
or
wards
(MW),
length-of
stay
(LOS),
mortality
satisfaction
health
workers.
We
conducted
observational
comparing
changes
before
after
Internal
medicine-Neurosurgical
Comanagement
(INC)
intervention.
retrospective
evaluation
patients
enrolled
INC
intervention
prospective
those
was
implemented.
defined
pre-INC
group
as
380
admitted
ND
neurosurgical
disease
January
2022
April
post-INC
367
2023
2023.
associated
significant
decrease
complications
during
hospital
(OR
0.52;
95%
CI;
0.39–0.70,
p
<
0.001),
in-hospital
reasons
0.95;
CI
0.93–0.97,
0.001)
numbers
ICU/NICU
0.31;
0.17–0.55,
MW
0.51;
0.33–0.77,
=
0.002).
During
period,
we
observed
workers,
evaluated
by
standardized
questionnaire.
In
our
study,
LOS,
30-day
were
not
significantly
INC.
Hospitalist
Neurosurgical
Departments
reduced
30-days
among
healthcare
but
without
LOS
rate.
Язык: Английский
Descriptions of advanced multimorbidity: A scoping review with content analysis
Journal of Multimorbidity and Comorbidity,
Год журнала:
2025,
Номер
15
Опубликована: Март 1, 2025
Multimorbidity
is
associated
with
adverse
clinical
outcomes,
including
increased
symptom
burden
and
healthcare
utilisation,
particularly
towards
the
end
of
life.
Despite
this,
there
no
accepted
method
to
identify
point
at
which
individuals
deteriorating
health
due
long-term
conditions
are
nearing
life
or
might
benefit
from
a
palliative
care
approach
-
conceptualised
as
'Advanced
Multimorbidity'.
This
scoping
review
explored
how
Advanced
described
operationalised
within
literature.
Multiple
electronic
databases
Grey
Literature
sources
were
searched
following
frameworks.
Two
reviewers
independently
performed
screening
data
extraction.
Content
analysis
was
used
examine
different
descriptions
Multimorbidity.
Stakeholder
consultations
undertaken
clinicians,
academics
public
participants.
Patient
involvement
separately
integrated
throughout
this
conceptualisation,
design
reporting.
Forty-four
identified
38
publications.
These
varied
in
terms
descriptors
used.
Eighteen
relied
on
single
indicator
Multimorbidity;
24
multidimensional
approach.
highlighted
need
for
that
user-friendly
actionable.
The
lack
standardised
definition
risks
variance
research
practice,
potentially
affecting
patient
care.
A
consensus
defining
would
enable
better
identification
patients
who
could
approach,
ensuring
more
consistent
person-centred
care,
well
supporting
policy
development.
Язык: Английский
Co-management hospitalist services for neurosurgery. Where are we?
European Journal of Internal Medicine,
Год журнала:
2024,
Номер
132, С. 148 - 149
Опубликована: Сен. 27, 2024
Язык: Английский
Cardiovascular disease (CVD) outcomes and associated risk factors in a medicare population without prior CVD history: an analysis using statistical and machine learning algorithms
Internal and Emergency Medicine,
Год журнала:
2023,
Номер
18(5), С. 1373 - 1383
Опубликована: Июнь 9, 2023
Язык: Английский
Roles considered important for hospitalist and non-hospitalist generalist practice in Japan: a survey study
BMC Primary Care,
Год журнала:
2023,
Номер
24(1)
Опубликована: Июль 7, 2023
An
increased
focus
on
quality
and
patient
safety
has
led
to
the
evolution
of
hospitalists.
The
number
hospitalists
covering
ward
outpatient
care
is
rise
in
Japan.
However,
it
unclear
what
roles
hospital
workers
themselves
consider
important
their
practice.
Therefore,
this
study
investigated
non-hospitalist
generalists
Japan
for
practice
specialty.This
was
an
observational
that
included
Japanese
(1)
currently
working
a
general
medicine
(GM)
or
internal
department
(2)
at
hospital.
Using
originally
developed
questionnaire
items,
we
surveyed
items
generalists.There
were
971
participants
(733
hospitalists,
238
non-hospitalist)
study.
response
rate
26.1%.
Both
non-hospitalists
ranked
evidence-based
as
most
In
addition,
diagnostic
reasoning
inpatient
medical
management
second
third
practice,
while
elderly
third.This
first
investigating
comparing
those
generalists.
Many
considered
are
within
outside
academic
societies.
We
found
areas
likely
see
further
specifically
emphasized
them.
future,
expect
suggestions
research
enhancing
value
emphasise
upon.
Язык: Английский
Teorías del envejecimiento biológico: una revisión integradora
Revista Española de Geriatría y Gerontología,
Год журнала:
2024,
Номер
59(6), С. 101530 - 101530
Опубликована: Июль 11, 2024
Язык: Английский
Clinical assessment and management of patients with multimorbidity
Vnitřní lékařství,
Год журнала:
2023,
Номер
69(3), С. 173 - 180
Опубликована: Май 16, 2023
Internal
medicine
specialists,
also
known
as
general
internal
specialists
are
specialist
physicians
trained
to
manage
particularly
complex
or
multisystem
disease
conditions
that
single-organ-disease
may
not
be
deal
with.
The
management
of
multimorbidity,
however,
is
often
complex,
and
requires
specific
clinical
skills
corresponding
experience
in
appropriate
diagnostic
therapeutic
procedures.
Multimorbidity
associated
with
a
decline
many
aspects
health
consequence
an
increase
hospital
admissions,
polypharmacy,
use
care
social
resouces.
When
prescribing
patients
all
the
risks
benefits,
well
possible
interactions
should
carefully
considered.
prescription
appropriateness
can
assessed
by
validated
tools
like
STOPP-START
criteria.
Beneficial
part
good
deprescribing
-
planned
supervised
process
dose
reduction
withdrawal
medications
no
longer
needed
circumstances
patient.
Язык: Английский