Minerva anestesiologica
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Minerva anestesiologica · Nov 2017
Multicenter Study Comparative StudyElderly versus non-elderly patients with intra-abdominal candidiasis in the ICU.
Intra-abdominal candidiasis (IAC) has a considerable cost in terms of mortality and morbidity. We sought to study the epidemiology, characteristics and outcome of elderly (>75 years old) versus non-elderly patients with IAC and risk factors for mortality in elderly patients. ⋯ Factors independently predicting mortality in elderly patients with IAC were ESRD and inadequate abdominal source control. Elderlies were found to have more pulmonary and cardiac morbidities and had higher mortality than non-elderlies.
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Minerva anestesiologica · Nov 2017
Observational StudyQuality of recovery after gastroscopy, colonoscopy, or both endoscopic procedures: an observational pilot study.
Gastroscopy and colonoscopy are procedures with low complication rates and patients are usually discharged few hours after the procedures. Nevertheless, postoperative cognitive decline is a common condition, is often missed, and can potentially affect patients' ability to drive and undertake other daily living activities. The primary aim was to assess the incidence of failure to recover at Day 1 after either colonoscopy, gastroscopy, or both procedures combined. ⋯ This study showed that incomplete recovery is common past discharge after gastroscopy, colonoscopy, or both procedures and the study demonstrated modest but clinically important differences in early quality of recovery between the procedures.
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Minerva anestesiologica · Nov 2017
Editorial CommentAre you "too old" to survive a traumatic brain injury?
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Minerva anestesiologica · Nov 2017
Age-related outcome of patients after traumatic brain injury: a single-centre observation.
The purpose of the present study was to analyze clinical features of patients with traumatic brain injury (TBI), their age-related outcomes and determinants of long-term outcome. ⋯ Older patients are at higher risk for long-term unfavorable outcomes than younger patients. Use of anticoagulants and/or antiplatelet agents and lower hemoglobin levels during rescue phase are associated with unfavorable long-term outcomes. Fall prevention in the elderly should be a key target of intervention programs.