Comparison between the age, creatinine and ejection fraction II score and the European System for Cardiac Operative Risk Evaluation II: which score for which patient?

Objectives: Each surgical risk prediction model requires a validation analysis within a large 'real-life' sample. The aim of this study is to validate the age, creatinine and ejection fraction (ACEF) II risk score compared with the European System for Cardiac Operative Risk Evaluation (EuroSCORE) II.

Methods: All patients operated on at 8 Italian cardiac surgery centres in the period 2009-2019 with available data for the calculation of EuroSCORE II and ACEF II were included in the study.

Equilibrium disorders in workers exposed to mixed solvents.

. Organic solvents cause diseases of the vestibular system. However, little is known regarding the correlation between vestibular damage and exposure to organic solvents below threshold limit values.

Emergency Department crowding and hospital bed shortage: is Lean a smart answer? A systematic review.

Objective: Emergency Departments (EDs) worldwide face the challenges of crowding, waiting times, and cost containment. This review aims to provide a synthesis of the current literature focused on how Lean Thinking Principles and tools can be applied in an ED to address overcrowding and hospital admissions.

Materials And Methods: Primary studies showing Lean interventions and implementation in ED visits, not requiring additional resources measuring specific outcomes (i.

Impact of antibiotic stewardship on perioperative antimicrobial prophylaxis.

Objective: Antibiotic prophylaxis (AP) is useful to prevent antimicrobial overuse, misuse and abuse, as well against the occurrence of surgical site infections (SSIs). This study aimed to describe the implementation of a quality improvement intervention on AP for elective surgery, as informal interviews showed a lower than expected compliance with internal recommendations, and to evaluate intervention's effect in terms of main drug consumption.

Design: A quality improvement intervention on all elective cases within 14 main surgical departments was performed.

Occupational exposure to anaesthetic gases and high-frequency audiometry.

Objectives: Occupational exposure to anaestethic gases has been suggested to induce auditory damages. The aim of this study is to investigate high-frequency audiometric responses in subjects exposed to anaesthetic gases, in order to highlight the possible effects on auditory system.

Methods: The study was performed on a sample of 30 medical specialists of Messina University Anaesthesia and Intensive care.