Publications by authors named "B Martella"

Objectives: To assess the sociodemographic and diagnostic profile of data related to psychiatric readmissions to the psychiatric ward at Hospital Estadual Mário Covas between January 2008 and September 2015, in order to investigate the possible correlation between the rate of admission and readmission and the presence or absence of a discharged patient unit or other outpatient treatment unit.

Methods: This was a cross-sectional, descriptive study. Data on patients readmitted during the study period were sourced from a statistical analysis of the Hospital Estadual Mário Covas database using STATA 11.

View Article and Find Full Text PDF

Background: Despite improvements in surgical techniques and perioperative management, post-operative pancreatic fistula (POPF) remains a serious complication after pancreaticoduodenectomy (PD). The aim of this study was to evaluate the role of perioperative clinical variables of patients, including albumin level, in predicting pancreatic fistula.

Methods: A total of 86 patients underwent PD for pancreas cancer between 2011 and 2017 at our institution.

View Article and Find Full Text PDF

Background: Chronic mesenteric ischaemia (CMI) has a long asymptomatic period, but little is known about the clinical implications of this phase of the disease, particularly in the elderly, who are most exposed to the condition.

Aims: The aim of the present observational study was to survey the in-hospital clinical course of elderly patients during the non-specific phase of the disease due to occlusion of at least one splanchnic artery.

Methods: For a median of 29 months, we followed up 85 patients aged 65 and over who, for various clinical reasons, had undergone computed tomographic and magnetic resonance angiography during 2010 at Padua Teaching Hospital, assessing economic impact and reasons for admission.

View Article and Find Full Text PDF

Unlabelled: The Multidimensional Geriatric Assessment (MGA) is currently used for assessing geriatric oncological patients, but a new prognostic index - the Multidimensional Prognostic Index (MPI) - has a demonstrated prognostic value in cancer patients too. The present work was designed to compare the MPI and MGA as predictors of 12-month mortality. 160 patients ≥70 years old with locally-advanced or metastatic solid cancers consecutively joining our Geriatric Oncology Program were administered a Comprehensive Geriatric Assessment to calculate their MGA and MPI scores.

View Article and Find Full Text PDF
Article Synopsis
  • The study focuses on evaluating the effectiveness of the Multidimensional Prognostic Index (MPI) in elderly cancer patients (ECP) with advanced stages of disease, highlighting the need for Comprehensive Geriatric Assessment (CGA) before treatment decisions.
  • A total of 160 patients aged 70 and above with inoperable or metastatic solid cancer were assessed, revealing that measures like MPI, CIRS-SI, and others were significant indicators of mortality within 6 and 12 months.
  • The findings suggest that MPI remains a valuable prognostic tool even for older patients with serious cancer, and combined assessments with CIRS-SI and GDS can enhance its predictive capabilities.
View Article and Find Full Text PDF