Introdução: As doenças respiratórias são uma das principais causas de morbidade e mortalidade no país e na Europa. O Programa de Formação da Especialidade de Medicina Interna contempla o domínio de conhecimentos nesta área, mas de uma forma genérica. Apresentamos uma proposta curricular para formação em doenças respiratórias na Medicina Interna em Portugal, inspirada pelas recomendações da European Respiratory ...
Introdução: Nos sobreviventes de infeção grave por SARS-CoV-2 as sequelas psiquiátricas a médio e longo prazo são expectáveis. Estudos portugueses a incidirem nesta temática são parcos. O nosso objectivo foi fazer avaliação da prevalência a médio prazo e preditores de doenças psiquiátricas nos sobreviventes COVID-19. Métodos: Estudo longitudinal e prospectivo com sobreviventes de infeção grave por SARS-CoV-2, a...
Introduction: Mid- and long-term health effects of SARS-CoV-2 infection have been increasingly recognised. Our goal was to evaluate health-related quality of life in critically ill patients,treated in a non-ICU setting, and associated factors with poor outcomes. Methods: Health-related quality of life in SARS-CoV-2 survivorswas evaluated 3 and 6 months after discharge, using St. George's Respiratory Questionnai...
Introduction: Acute respiratory failure (ARF) is one of the most prevalent causes of observation in the emergency department in an ageing population. Non-invasive positive pressure ventilation (NIPPV) has shown good results in critically ill with ARF. The evidence of NIPPV outcomes in old patients is scarce. The aim of our study is to analyse outcomes of NIPPV use in this population. Methods: We conducted a pro...
Introduction: Heart failure frequently coexists with several comorbidities. Our aim is to evaluate the prognostic role of various comorbidities in the risk of acute heart failure development. Material and methods: Comorbidities of patients with acute heart failure were, retrospectively, compared to a control group of patients with chronic heart failure admitted to an Internal Medicine unit in a 2-year period. L...
An accurate knowledge of the epidemiology of community-acquired pneumonia (CAP) is key for selecting appropriate antimicrobial treatments. Very few etiological studies assessed the appropriateness of empiric guideline recommendations at a multinational level. This study aims at the following: (i) describing the bacterial etiologic distribution of CAP and (ii) assessing the appropriateness of the empirical treat...
Introduction: Mediterranean spotted fever, an ancient zoonotic disease raising current issues. This study aims to reevaluate the disease clinical picture and to identify prognostic factors related to severe disease.Material and Methods: We evaluate cases admitted to a central hospital during 12-year period. The risk factors were determined by uni and multivariate analysis, comparing patients admitted in general...