RESUMO
PURPOSE: In the FACE Delirium trial, we investigated the feasibility of a structured FAmily-CEntered delirium prevention and treatment during the corona pandemic. METHODS: Patients hospitalized in a German geriatric medicine department were included in this single-center, prospective, single-arm feasibility study. Their relatives received a short training on delirium and volunteers or paid staff members facilitated video calls. The primary endpoint was reached when contact between patients and their relatives occurred on ≥ 80% of treatment days, either via video call or visit. RESULTS: 38 patients were included (age 83.0 ± 5.9 years; 73.7% women). 76.3% reached the primary endpoint. Due to the pandemic, 99.3% of the contacts were video calls with a duration of 24.8 ± 16.3 min. CONCLUSION: Family-centered delirium prevention and treatment using video calls is feasible among hospitalized geriatric patients. Daily implementation in clinical practice poses challenges and requires motivated and qualified staff.
Assuntos
Delírio , Hospitalização , Humanos , Feminino , Idoso , Idoso de 80 Anos ou mais , Masculino , Estudos Prospectivos , Delírio/diagnóstico , Delírio/prevenção & controleRESUMO
Diseases of the genitourinary tract in association with the BK virus (BKV) infection are increasing among renal allograft recipients. We herewith report a young, female renal transplant recipient who presented with allograft dysfunction secondary to proximal ureteric stenosis. The allograft function improved dramatically after correction and stenting of the stenosis. Our case suggests that screening for BKV infection should be an integral part of evaluation of allograft dysfunction.
Assuntos
Vírus BK/isolamento & purificação , Transplante de Rim/efeitos adversos , Infecções por Polyomavirus/virologia , Infecções Tumorais por Vírus/virologia , Obstrução Ureteral/virologia , Adulto , Constrição Patológica , Cistoscopia/instrumentação , Feminino , Humanos , Imunossupressores/efeitos adversos , Nefrostomia Percutânea , Infecções por Polyomavirus/diagnóstico , Infecções por Polyomavirus/terapia , Recidiva , Stents , Fatores de Tempo , Resultado do Tratamento , Infecções Tumorais por Vírus/diagnóstico , Infecções Tumorais por Vírus/terapia , Obstrução Ureteral/diagnóstico , Obstrução Ureteral/terapiaRESUMO
Best management of intracerebral hemorrhage (ICH) is subject to controversy. Therapeutic options especially depend on location, severity and complications of ICH. Evidence to distinguish between patients who might benefit from surgical intervention compared with best conservative management alone is still incomplete. This review presents the latest findings and important upcoming trials in respect of general and specific treatment of patients presenting with ICH.