Publications by authors named "Elisabetta Zorzi"

Background: Assessing the risk of intracranial hemorrhage (ICH) in patients with a mild traumatic brain injury (MTBI) who are taking direct oral anticoagulants (DOACs) is challenging. Currently, extensive use of computed tomography (CT) is routine in the emergency department (ED).

Objective: This study aims to investigate whether the clinical and laboratory characteristics presented at the ED evaluation can also estimate the risk of post-traumatic ICH in DOAC-treated patients with MTBI.

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Background: Recognising patients with pulmonary embolism continues to be a clinical challenge. In the Emergency Department, up to 50% of patients with pulmonary embolism can be delayed or even misdiagnosed. The ability of a triage system to correctly prioritise suspected embolism in these patients is fundamental for determining diagnostic-therapeutic procedures.

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Background: The established clinical risk factors for post-traumatic intracranial bleeding have not been evaluated in patients receiving DOACs yet.

Aim: Evaluating the association between clinic and patient characteristics and post-traumatic intracranial bleeding (ICH) in patients with mild traumatic brain injury (MTBI) and DOACs.

Methods: This is a retrospective observational study conducted on three Emergency Departments.

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More clinical data are required on the safety of direct oral anticoagulants (DOACs). Although patients treated with warfarin and DOACs have a similar risk of bleeding, short-term mortality after a gastrointestinal bleeding (GIB) episode in DOAC-treated patients has not been clarified. The objective of this study was to assess differences in 30-day mortality in patients treated with DOACs or warfarin admitted to the emergency department (ED) for GIB.

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Article Synopsis
  • The study investigates the risk of intracranial hemorrhage (ICH) in patients with mild traumatic brain injury (MTBI) who are on direct oral anticoagulants (DOACs) versus those on vitamin K antagonists (VKAs).
  • Among the 451 patients studied, those on DOACs had a lower incidence of overall and early intracranial bleeding compared to those on VKAs, suggesting that DOACs may be safer in this context.
  • A predictive nomogram was developed that incorporates various clinical factors to assess ICH risk, showing good accuracy for predicting complications after MTBI.
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Background: To investigate the association between both neutrophil to lymphocyte ratio (NLR) and platelet to lymphocyte ratio (PLR) and 30-day mortality in patients hospitalized for an episode of acute decompensated heart failure (ADHF).

Methods: 439 patients admitted to emergency department (ED) for an episode of ADHF. Clinical history, demographic, clinical and laboratory data recorded at ED admission and then correlated with 30-day mortality.

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Background: The usual history of chronic heart failure (HF) is characterized by frequent episodes of acute decompensation (ADHF), needing urgent management in the emergency department (ED). Since the diagnostic accuracy of routine laboratory tests remains quite limited for predicting short-term mortality in ADHF, this retrospective study investigated the potential significance of combining red blood cell distribution width (RDW) with other conventional tests for prognosticating ADHF upon ED admission.

Methods: We conducted a retrospective study including visits for episodes of ADHF recorded in the ED of the Uni versity Hospital of Verona throughout a 4-year period.

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Article Synopsis
  • The study examined whether changes in red blood cell distribution width (RDW) during hospital stays could predict mortality in patients with acutely decompensated heart failure (ADHF).
  • It involved 588 patients, measuring RDW at admission and again after 48 and 96 hours, finding that increases in RDW after 96 hours were linked to higher mortality rates at 30 and 60 days.
  • The results suggest that patients showing increased RDW may require more intensive management during their hospitalization for better outcomes.
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The effect of cardiac resynchronisation therapy on ventricular tachycardias (VT) has not been well established. This case-report demonstrates the favourable impact of biventricular pacing on ventricular arrhythmias. In 2004, a patient with dilated cardiomyopathy and ICD since 1999 was admitted to our Division for multiple VT.

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