Publications by authors named "G Rivasi"
Aim: The study aimed to assess the haemodynamic effects of fludrocortisone and midodrine, alone or combined, in patients with recurrent syncope and/or symptoms due to hypotension and ≥ 1 daytime systolic blood pressure (SBP) drop < 90 mmHg or ≥ 2 daytime SBP drops < 100 mmHg recorded by 24-h ambulatory blood pressure monitoring (ABPM1).
Method: A total of 53 patients (mean age, 40.9 ± 18.
Article Synopsis
- Hospital-at-home (HaH) services, like the "Gruppo di Intervento Rapido Ospedale-Territorio" (GIROT) in Florence, offer an alternative to traditional hospital care for older adults, potentially minimizing hospital admissions and complications.
- A study of 391 patients (average age 88.4 years) revealed high mortality rates over 6 months (53.8%) and hospitalizations (37.9%), with predictors for 6-month mortality including age and severe disability.
- The GIROT model demonstrates high patient satisfaction and suggests the need for tailored care plans for older patients at risk of complications.
Article Synopsis
- Frailty is a significant geriatric syndrome affecting older adults, particularly influencing their surgical and oncological care, especially in cases of renal masses or renal cell carcinoma (RCC).
- A review of literature highlighted that frailty is a negative prognostic factor that can impact treatment outcomes; screening tools like the G8 and Mini-COG are essential for assessing older patients and guiding comprehensive evaluations by geriatricians.
- Integrating geriatricians into multidisciplinary tumor boards and creating specific care pathways for frailty assessment can enhance individualized treatment strategies and improve clinical outcomes for older patients with RCC.
Introduction: Increasing evidence supports the implementation of geriatric assessment in the workup of older patients with aortic stenosis (AS). In 2012, an online European survey revealed that geriatricians were rarely involved in the assessment of candidates for transcatheter aortic valve implantation (TAVI). After a "call to action" for early involvement of geriatricians in AS evaluation, the survey was repeated in 2022.
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