Wiener klinische Wochenschrift
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Wien. Klin. Wochenschr. · Feb 2022
Is there a correlation between hypomagnesemia linked to long-term proton pump inhibitor use and the active agent?
One of the electrolyte disorders considered to be linked to proton pump inhibitors (PPI) use is hypomagnesemia. The aim of this study was to assess the incidence of hypomagnesemia linked to long-term PPI use and the correlation with active agents. ⋯ In light of the data obtained it was concluded that hypomagnesemia linked to PPI use is associated with the type of PPI. While patients using rabeprazole had the lowest rates, those using omeprazole had significantly higher rates of hypomagnesemia. Additionally, there was a proportional correlation between age and duration of use with the risk of development of hypomagnesemia.
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Wien. Klin. Wochenschr. · Feb 2022
Multicenter StudyUnderweight but not overweight is associated with excess mortality in septic ICU patients.
Higher survival has been shown for overweight septic patients compared with normal or underweight patients in the past. This study aimed at investigating the management and outcome of septic ICU patients in different body mass index (BMI) categories in a large multicenter database. ⋯ In this cohort, underweight was associated with a worse outcome, whereas obese patients evidenced lower mortality. Our analysis thus supports the thesis of the obesity paradox.
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Wien. Klin. Wochenschr. · Feb 2022
Croatian version of the neck disability index can distinguish between acute, chronic and no neck pain : Results of a validation study.
Longitudinal study to test the validity and reliability of the Croatian version of the neck disability index (NDI-CRO) for use in patients. ⋯ The NDI-CRO is a valid index for measuring the degree of neck disability in people with acute and chronic neck pain and in control group. It is strongly correlated with pain VAS and PHQ‑9 index.
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Wien. Klin. Wochenschr. · Feb 2022
Randomized Controlled TrialAdverse drug events during transitions of care : Randomized clinical trial of medication reconciliation at hospital admission.
During transitions of care, patient's medications are prone to medication errors. This study evaluated the impact of pharmacist-led medication reconciliation at hospital admission on unintentional medication discrepancies and adverse drug events. ⋯ Medication reconciliation at hospital admission failed to reduce unintentional discrepancies and adverse drug events, possibly due to its poor integration into clinical practice. Discrepancies resulted in patient harm even during the short period of hospitalization, which warrants the implementation of medication reconciliation at hospital admission.
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Wien. Klin. Wochenschr. · Feb 2022
The impact of rest breaks on subjective fatigue in physicians of the General Hospital of Vienna.
Medical doctors are affected by high levels of occupational burnout. Work organization such as sufficient rest breaks can decrease stress and fatigue; however, rest breaks are often skipped under high workload and time pressure. The present study sought to investigate the effect of self-determined rest breaks on acute and daily levels of fatigue in physicians of the General Hospital of Vienna. ⋯ Self-determined rest breaks were effective in reducing acute fatigue in hospital physicians during work. The failure to find an effect on the increase of work-related fatigue may be due to the infrequency of rest breaks in hospital physicians.