Polskie Archiwum Medycyny Wewnętrznej
-
Pol. Arch. Med. Wewn. · Jan 2021
Multicenter StudyObesity in patients with established coronary artery disease over a 20-year period (1997-2017).
Body mass reduction in overweight and obese people so as to reduce blood pressure, low‑density lipoprotein cholesterol level, and the risk of type 2 diabetes as well as to lower the risk of recurrent cardiovascular events is strongly recommended in current guidelines. ⋯ The analysis of 5 multicenter surveys showed a gradual increase in BMI and waist circumference in patients with established coronary artery disease over the course of 2 decades.
-
Pol. Arch. Med. Wewn. · Jan 2021
Use of non-pharmacological interventions in patients with cognitive impairment: a comparison of residential and nursing homes in Poland.
Availability of nonpharmacological interventions to manage neuropsychiatric symptoms is important to reduce the use of psychotropic drugs in residents with dementia in long‑term care facilities (LTCFs). ⋯ We found a relatively high use of medical rehabilitation and occupational therapy and significant diversity between facilities in use of CT, PT, and maintaining/enhancing ADL.
-
Pol. Arch. Med. Wewn. · Jan 2021
Prevalent medication-related harm identified in patients admitted to geriatric ward: cross-sectional and survival-based contributors.
Medication‑related harm (MRH) has been recognized as a global public health issue. ⋯ Geriatric-based deprescribing and drug optimization mitigate the negative impacts of MRH on patient survival and may decrease the rehospitalization rate and healthcare costs. Thiazides, ACEIs, SSRIs, and paracetamol, if indicated, were associated with better survival in geriatric patients.
-
Pol. Arch. Med. Wewn. · Jan 2021
Factors associated with the symptomatic status of carotid artery stenosis: identification in a cross-sectional study and development of a scoring system.
The identification of asymptomatic patients at high risk of internal carotid artery (ICA) stenosis destabilization and symptom occurrence is crucial for prognosis estimation. ⋯ This cross‑sectional study indicated that the analysis of selected imaging and clinical parameters may enable clinicians to estimate the risk of symptomatic ICA stenosis. The proposed scoring system requires further prospective validation.