8 documents found, page 1 of 1
The Role of Multidimensional Prognostic Index to Identify Hospitalized Older Ad...
Custodero, C; Veronese, N; Topinkova, E; Michalkova, H; Polidori, MC; Cella, A; Cruz-Jentoft, AJ; von Arnim, CAF; Azzini, M; Gruner, H; Castagna, ABackground: Data regarding the importance of multidimensional frailty to guide clinical decision making for remdesivir use in older patients with coronavirus disease 2019 (COVID-19) are largely unexplored. Objective: The aim of this research was to evaluate if the Multidimensional Prognostic Index (MPI), a multidimensional frailty tool based on the Comprehensive Geriatric Assessment (CGA), may help physicians i...
Tuberculosis Infection in HIV Vs Non‐HIV Patients
Rego de Figueiredo, I; Branco Ferrão, J; Dias, S; Vieira Alves, R; Drummond Borges, D; Torres, M; Guerreiro Castro, S; Lourenço, F; Antunes, AMObjectives: Tuberculosis (TB) is the most common opportunistic infection and cause of mortality among people living with HIV, and it is possible that it may also influence the evolution of the HIV infection. We assessed the differences between HIV-positive and -negative people infected with TB. Methods: The present study is a cross-sectional retrospective study by electronic record revision. We included patient...
The UriCath Study: Characterization of the Use of Indwelling Urinary Catheters ...
Almeida, P; Duque, S; Araújo, A; Vilas-Boas, A; Novais, A; Gruner, H; Gorjão Clara, JPurpose: Approximately 25% of older inpatients have an indwelling urinary catheter (IUC), 45-54% unnecessarily. This study aims to describe the prevalence, indications, and complications of IUC use in Portuguese older inpatients. Methods: Multicentric, cross-sectional, observational study conducted in Portuguese internal medicine wards (UriCath). Results: Of a total of 3135 inpatients from 39 hospitals, we incl...
Current Evidence on the Impact of Medication Optimization or Pharmacological In...
Pazan, F; Petrovic, M; Cherubini, A; Onder, G; Cruz-Jentoft, A; Denkinger, M; van der Cammen, T; Stevenson, J; Ibrahim, K; Rajkumar, C; Bakken, MBackground: Frailty and adverse drug effects are linked in the fact that polypharmacy is correlated with the severity of frailty; however, a causal relation has not been proven in older people with clinically manifest frailty. Methods: A literature search was performed in Medline to detect prospective randomized controlled trials (RCTs) testing the effects of pharmacological interventions or medication optimiza...
Pneumocystosis Pneumonia: A Comparison Study Between HIV and Non-HIV Immunocomp...
Rego de Figueiredo, I; Vieira Alves, R; Drummond Borges, D; Torres, M; Lourenço, F; Antunes, AM; Gruner, H; Panarra, APneumocystis pneumonia (PCP) is caused by the fungus Pneumocystis jirovecii, and its incidence has been on the rise in immunosuppressed patients without HIV. We performed a cross sectional study in patients with PCP and assessed demographic, clinical presentation and outcome measures such as mechanical ventilation and mortality differences between HIV and non-HIV patients. The two groups were statistically sign...
Sjögren's Syndrome: State of the Art on Clinical Practice Guideline
Romão, V; Talarico, R; Scirè, CA; Vieira, A; Alexander, T; Baldini, C; Gottenberg, JE; Gruner, H; Hachulla, E; Mouthon, L; Orlandi, M; Pamfil, CSjögren's syndrome (SS) is a complex autoimmune rheumatic disease that specifically targets salivary and lachrymal glands. As such, patients typically had ocular and oral dryness and salivary gland swelling. Moreover, skin, nasal and vaginal dryness are frequently present. In addition to dryness, musculoskeletal pain and fatigue are the hallmarks of this disease and constitute the classic symptom triad presente...
Clinical Presentation and Long-Term Outcomes of Systemic Sclerosis Portuguese P...
Vidal, C; Ruano, C; Bernardino, V; Lavado Carreira, P; Lladó, A; Santos, MC; Gruner, H; Panarra, A; Riso, N; Moraes-Fontes, MFINTRODUCTION: Systemic sclerosis is a complex disorder that requires systematic screening. Our objective is to report the European Scleroderma Trials and Research group centre affiliation and its impact in our clinical practice. MATERIAL AND METHODS: The European Scleroderma Trials and Research group affiliation process, database update and current patient evaluation, with respect to demographic and clinical fe...
Vaccination of Adult Patients with Systemic Lupus Erythematosus in Portugal
Moraes-Fontes, MF; Antunes, AM; Gruner, H; Riso, NIn the wake of the Portuguese vaccination program 50th anniversary it seems appropriate to review vaccination in patients with systemic lupus erythematosus. Controversial issues as regards the association between autoimmune diseases, infections, and vaccines are discussed as well as vaccine safety and efficacy issues as regards chronic immunosuppressant (IS) drug therapy. After a brief overview of national poli...