scholarly journals Pain in an Internal Medicine Ward: An Undervalued Reality?

Cureus ◽  
2021 ◽  
Author(s):  
Inês Egídio de Sousa ◽  
Maria Teresa Neves ◽  
Cristina Gouveia ◽  
Renato Guerreiro ◽  
Luciana Frade ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Internal Medicine Ward

scholarly journals Screening for atrial fibrillation during automated blood pressure measurement among patients admitted to internal medicine ward

2021 ◽  
Author(s):  
Giacomo Pucci ◽  
Edoardo Santoni ◽  
Valeria Bisogni ◽  
Camilla Calandri ◽  
Alberto Cerasari ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Atrial Fibrillation ◽  
Blood Pressure ◽  
Adult Population ◽  
Blood Pressure Measurement ◽  
University Hospital ◽  
Daily Routine ◽  
Internal Medicine Ward ◽  
Clinical Conditions ◽  
Electrocardiogram Ecg

AbstractAtrial fibrillation (AF), the commonest sustained cardiac arrhythmia affecting the adult population, is often casually discovered among hospitalized people. AF onset is indeed triggered by several clinical conditions such as acute inflammatory states, infections, and electrolyte disturbance, frequently occurring during the hospitalization. We aimed to evaluate whether systematic AF screening, performed through an automated oscillometric blood pressure (BP) device (Microlife WatchBP Office AFIB, Microlife AG, Switzerland), is effective for detecting AF episodes in subjects admitted to an Internal Medicine ward. 163 patients consecutively hospitalized at the Unit of Internal Medicine of the “Santa Maria” Terni University Hospital between November 2019 and January 2020 (mean age ± standard deviation: 77 ± 14 years, men proportion: 40%) were examined. Simultaneously with BP measurement and AF screening, a standard 12-lead electrocardiogram (ECG) was performed in all subjects. AF was diagnosed by ECG in 29 patients (18%). AF screening showed overall 86% sensitivity and 96% specificity. False negatives (n = 4) had RR-interval coefficient of variation lower than true positives (n = 25, p < 0.01), suggesting a regular ventricular rhythm during AF. The repeated evaluation substantially confirmed the same level of agreement. AF screening was positive in all patients with new-onset AF (n = 6, 100%). Systematic AF screening in patients admitted to Internal Medicine wards, performed using the Microlife WatchBP Office AFIB, is feasible and effective. The opportunity to implement such technology in daily routine clinical practice to prevent undiagnosed AF episodes in hospitalized patients should be the subject of further research.

scholarly journals Comparative study of the prevalence of sepsis in patients admitted to dermatology and internal medicine wards

2013 ◽  
Vol 88 (5) ◽  
pp. 739-747
Author(s):  
Luiz Mauricio Costa Almeida ◽  
Michelle dos Santos Diniz ◽  
Lorena dos Santos Diniz ◽  
Jackson Machado-Pinto ◽  
Francisco Chagas Lima Silva
Keyword(s):  
Internal Medicine ◽  
Comparative Study ◽  
Medical Records ◽  
Skin Barrier ◽  
Epidemiological Studies ◽  
Internal Medicine Ward ◽  
Cross Sectional ◽  
Systemic Corticosteroids ◽  
Internal Medicine Wards ◽  
Belo Horizonte

BACKGROUND: Sepsis is a common cause of morbidity and mortality among hospitalized patients. The prevalence of this condition has increased significantly in different parts of the world. Patients admitted to dermatology wards often have severe loss of skin barrier and use systemic corticosteroids, which favor the development of sepsis. OBJECTIVES: To evaluate the prevalence of sepsis among patients admitted to a dermatology ward compared to that among patients admitted to an internal medicine ward. METHODS: It is a cross-sectional, observational, comparative study that was conducted at Hospital Santa Casa de Belo Horizonte. Data were collected from all patients admitted to four hospital beds at the dermatology and internal medicine wards between July 2008 and July 2009. Medical records were analyzed for the occurrence of sepsis, dermatologic diagnoses, comorbidities, types of pathogens and most commonly used antibiotics. RESULTS: We analyzed 185 medical records. The prevalence of sepsis was 7.6% among patients admitted to the dermatology ward and 2.2% (p = 0.10) among those admitted to the internal medicine ward. Patients with comorbidities, diabetes mellitus and cancer did not show a higher incidence of sepsis. The main agent found was Staphylococcus aureus, and the most commonly used antibiotics were ciprofloxacin and oxacillin. There was a significant association between sepsis and the use of systemic corticosteroids (p <0.001). CONCLUSION: It becomes clear that epidemiological studies on sepsis should be performed more extensively and accurately in Brazil so that efforts to prevent and treat this serious disease can be made more effectively.

scholarly journals Prevalence of potential drug–drug interactions among internal medicine ward in University of Gondar Teaching Hospital, Ethiopia

2014 ◽  
Vol 4 ◽  
pp. S204-S208 ◽  
Author(s):  
Akshaya Srikanth Bhagavathula ◽  
Alemayehu Berhanie ◽  
Habtamu Tigistu ◽  
Yishak Abraham ◽  
Yosheph Getachew ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Drug Interactions ◽  
Teaching Hospital ◽  
Potential Drug ◽  
Internal Medicine Ward

scholarly journals The Prevalence of Alprazolam Uses in Geriatric Patients at Dr. Mohammad Hoesin Hospital Palembang

2016 ◽  
Vol 5 (2) ◽  
pp. 193
Author(s):  
Yohanes Febrianto ◽  
Sutomo Tanzil ◽  
Theodorus Parulian
Keyword(s):  
Internal Medicine ◽  
Heart Disease ◽  
Medical Records ◽  
Geriatric Patients ◽  
Age Group ◽  
Internal Medicine Ward ◽  
Drug Utilization Study ◽  
Short Acting ◽  
Infectious Origin ◽  
Male Patients

<p>One of the most frequently prescribed drugs in geriatric patients is a benzodiazepine, especially a short-acting such as alprazolam. Unfortunately, alprazolam is oftenly used inappropriately because this drug has a short acting effect. Geriatric patients are more sensitive to this drug that can lead to the dependence. However, there is still lack of data on the use of this drug in geriatric patients. The aim of this study was to determine the prevalence of the use of alprazolam. A drug utilization study has been done for 2 months through analysis of patient’s medical records in the internal medicine ward at RSMH Palembang from June 1<sup>st</sup>, 2012 to May 31<sup>st</sup>, 2013. There were 25 out of 1634 patients receiving alprazolam, but only 23 patients whose data were obtained from the available medical records. Prevalence of alprazolam use was 1.408%. Based on gender, the prevalence was 1.798% in female and 1.09% in male patients. Proportion by age group was 91.3%, 8.7% and 0% in age group 60-74 years, 75-90 years and over 90 years, respectively. Based on the job, the population study comprised of the housewive (52.1%), unemployment (39.1%), and entrepreneur and farmer (4.3% together). The indication of usage was atheroscerotic heart disease, diarrhoea and gastroenteritis of presumed infectious origin, unspecified gastritis, and thyrotoxic heart disease. In other words, it could be said that the usage of alprazolam was inappropriate.</p>

scholarly journals Assessment of Inappropriate Prescribing to Elderly Patients in an Internal Medicine Ward According to the 2019 Beers Criteria

2020 ◽  
Vol 03 (02) ◽  
Author(s):  
Cátia Pereira ◽  
Ana Guiomar ◽  
Alexandra Cunha ◽  
Catarina Alves Cunha ◽  
José Pedro Barbosa ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Elderly Patients ◽  
Inappropriate Prescribing ◽  
Beers Criteria ◽  
Internal Medicine Ward

scholarly journals Evaluation of the implementation of a clinical pharmacy service on an acute internal medicine ward in Italy

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Nicola Lombardi ◽  
Li Wei ◽  
Maisoon Ghaleb ◽  
Enrico Pasut ◽  
Silvia Leschiutta ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Clinical Pharmacy ◽  
Pharmacy Service ◽  
Clinical Pharmacy Service ◽  
Internal Medicine Ward

scholarly journals Use and performance of non-invasive ventilation in Internal Medicine ward: a real-life study

2015 ◽  
Author(s):  
Francesco Ventrella ◽  
Armando Giancola ◽  
Sergio Cappello ◽  
Maria Pipino ◽  
Graziano Minafra ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Real Life ◽  
Invasive Ventilation ◽  
Internal Medicine Ward ◽  
Life Study ◽  
Non Invasive ◽  
Non Invasive Ventilation ◽  
Real Life Study ◽  
And Performance

Ability of physiological parameters versus clinical categories to predict mortality on admission to an internal medicine ward

2009 ◽  
Vol 20 (6) ◽  
pp. 636-639 ◽  
Author(s):  
Esther Francia ◽  
Olga Torres ◽  
Ana Laiz ◽  
Domingo Ruiz ◽  
Ignasi Gich ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Physiological Parameters ◽  
Internal Medicine Ward
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