Wiener Klinische Wochenschrift最新文献_第2页

Assessing the effects of spontaneous intracranial hypotension on quality of life, work ability and disability. 评估自发性颅内低血压对生活质量、工作能力和残疾的影响。

IF 1.9 4区医学

Wiener Klinische Wochenschrift Pub Date : 2024-09-03 DOI: 10.1007/s00508-024-02423-4

Ali Kapan, Thomas Waldhör, Christian Wöber

{"title":"Assessing the effects of spontaneous intracranial hypotension on quality of life, work ability and disability.","authors":"Ali Kapan, Thomas Waldhör, Christian Wöber","doi":"10.1007/s00508-024-02423-4","DOIUrl":"https://doi.org/10.1007/s00508-024-02423-4","url":null,"abstract":"Background: Spontaneous intracranial hypotension (SIH), characterized by headaches due to cerebrospinal fluid leaks or low pressure, is a challenging condition to diagnose and treat and affects the quality of life.Methods: An 8‑week online survey was conducted to assess the impact of SIH on symptoms, sociodemographics and quality of life. The cohort was comprised of patients who had a self-reported diagnosis of SIH and were divided into two groups: those with radiological evidence of SIH and those with clinical suspicion but no radiological evidence. Mental health and disability were evaluated using the Depression, Anxiety and Stress Scale-21 (DASS-21) and the Henry Ford Hospital Headache Disability Inventory (HDI).Results: A total of 86 participants were included in the study, 59 with radiological evidence and 27 without. Most participants were female (84.9%) with a mean age of 44.8 years. Orthostatic headache was more common in participants without radiological evidence (74.1% vs. 42.4%). The severity in those with radiological evidence was 27.1% mild, 27.1% moderate, 30.5% severe and 15.3% extremely severe, while those without had 7.4% mild, 18.5% moderate, 63.0% severe and 11.1% extremely severe headaches. Mental health assessment using the DASS-21 scale showed that 77.9% of all participants reported signs of depression, 96.5% reported anxiety and 89.5% reported stress. The HDI showed 2.3% total disability, 40.7% severe, 19.8% moderate and 37.2% mild. The impact on employment was significant: 15.1% were able to work full-time, 48.8% part-time, 30.2% were unable to work and 5.8% retired early due to SIH.Conclusion: The study demonstrates the broad impact of SIH affecting physical health, mental well-being, and socioeconomic status, and calls for multifaceted and robust management approaches to address its complex effects on patients.","PeriodicalId":23861,"journal":{"name":"Wiener Klinische Wochenschrift","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142120703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[State of the art treatment with Impella® in cardiac surgery in Austria]. [Impella®在奥地利心脏手术中的最新治疗技术]。

IF 1.9 4区医学

Wiener Klinische Wochenschrift Pub Date : 2024-09-01 Epub Date: 2024-09-09 DOI: 10.1007/s00508-024-02407-4

Dominik Wiedemann, Julia Dumfarth, Andreas F Zierer, Daniel Zimpfer

{"title":"[State of the art treatment with Impella® in cardiac surgery in Austria].","authors":"Dominik Wiedemann, Julia Dumfarth, Andreas F Zierer, Daniel Zimpfer","doi":"10.1007/s00508-024-02407-4","DOIUrl":"10.1007/s00508-024-02407-4","url":null,"abstract":"Since 2022, the mechanical left ventricular support system Impella 5.5® has been used in Austria for patients with cardiogenic shock, advanced heart failure, post-cardiotomy and low output syndrome. The surgical insertion of the Impella 5.5 via the subclavian artery or alternatively via the ascending aorta has become an established procedure for medium-term treatment in patients with cardiogenic shock and bridging scenarios, such as bridge to recovery, bridge to left ventricular assist device (LVAD), bridge to decision, and bridge to heart transplant (HTx) in Austria. All Impella left ventricular heart pumps share the common feature of unloading the left ventricle, with the Impella 5.5 achieving a full cardiac output of 5.5 l/min. The stable positioning via transaxillary or transaortic insertion enables rapid extubation and mobilization of patients in the intensive care unit (ICU), leading to a significantly shorter ICU stay. The combined support of Impella 5.5 with venoarterial extracorporeal membrane oxygenation (VA-ECMO) has also proven effective in certain scenarios. Several nonrandomized studies demonstrated the effectiveness and safety of the Impella 5.5 in practice, which have been included in multiple international guidelines. The advantages of the Impella 5.5 in practice include the easy handling with high positional stability, and low complications rates. This article describes the significance of surgical Impella treatment in Austria from the perspective of Austrian clinical experts.","PeriodicalId":23861,"journal":{"name":"Wiener Klinische Wochenschrift","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11393106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Heat vulnerability: health impacts of heat on older people in urban and rural areas in Europe. 热的脆弱性：热对欧洲城市和农村地区老年人健康的影响。

IF 1.9 4区医学

Wiener Klinische Wochenschrift Pub Date : 2024-09-01 Epub Date: 2024-08-19 DOI: 10.1007/s00508-024-02419-0

Christina Fastl, Arne Arnberger, Vera Gallistl, Viktoria K Stein, Thomas E Dorner

{"title":"Heat vulnerability: health impacts of heat on older people in urban and rural areas in Europe.","authors":"Christina Fastl, Arne Arnberger, Vera Gallistl, Viktoria K Stein, Thomas E Dorner","doi":"10.1007/s00508-024-02419-0","DOIUrl":"10.1007/s00508-024-02419-0","url":null,"abstract":"Exposure to extreme heat is associated with both increased morbidity and mortality, especially in older people. Health burdens associated with heat include heat stroke, diabetes mellitus, hypertension, ischemic heart diseases, heart failure and arrhythmia, pulmonary diseases but also injuries, problems with activities of daily living, and mental disorders. In Europe, there are remarkable spatial differences in heat exposure between urban and less populated areas. In Austria, for example, there is a significant gradual association between population density and the number of heat days, where the gradient of urbanization also follows the gradient of sea level. The European population is continuously ageing, especially in rural areas. Older adults are especially vulnerable to negative health consequences resulting from heat exposure, due to a lack of physiological, social, cognitive, and behavioral resources. Older people living in urban areas are particularly at risk, due to the urban heat island effect, the heat-promoting interplay between conditions typically found in cities, such as a lack of vegetation combined with a high proportion of built-up areas; however, older people living in rural regions often have less infrastructure to cope with extreme heat, such as fewer cooling centers and emergency services. Additionally, older adults still engaged in agricultural or forestry activities may be exposed to high temperatures without adequate protection or hydration. More research is required to examine factors responsible for heat vulnerability in older adults and the interactions and possibilities for increasing resilience in older urban and rural populations to the health consequences of heat.","PeriodicalId":23861,"journal":{"name":"Wiener Klinische Wochenschrift","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11390756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142000800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Wir stellen vor: ÖGP Grants und Preisträger*innen 2024. 我们向您介绍：ÖGP 2024 年赠款和获奖者。

IF 2.6 4区医学

Wiener Klinische Wochenschrift Pub Date : 2024-09-01 DOI: 10.1007/s00508-024-02430-5

引用次数: 0

State of the art treatment with Impella® in cardiac surgery in Austria. 在奥地利心脏手术中使用 Impella® 进行最先进的治疗。

IF 1.9 4区医学

Wiener Klinische Wochenschrift Pub Date : 2024-09-01 Epub Date: 2024-09-09 DOI: 10.1007/s00508-024-02408-3

Dominik Wiedemann, Julia Dumfarth, Andreas F Zierer, Daniel Zimpfer

{"title":"State of the art treatment with Impella® in cardiac surgery in Austria.","authors":"Dominik Wiedemann, Julia Dumfarth, Andreas F Zierer, Daniel Zimpfer","doi":"10.1007/s00508-024-02408-3","DOIUrl":"10.1007/s00508-024-02408-3","url":null,"abstract":"Since 2022, the mechanical left ventricular support system Impella 5.5® has been used in Austria for patients with cardiogenic shock, advanced heart failure, post-cardiotomy and low output syndrome. The surgical insertion of the Impella 5.5 via the subclavian artery or alternatively via the ascending aorta has become an established procedure for medium-term treatment in patients with cardiogenic shock and bridging scenarios, such as bridge to recovery, bridge to left ventricular assist device (LVAD), bridge to decision, and bridge to heart transplant (HTx) in Austria. All Impella left ventricular heart pumps share the common feature of unloading the left ventricle, with the Impella 5.5 achieving a full cardiac output of 5.5 l/min. The stable positioning via transaxillary or transaortic insertion enables rapid extubation and mobilization of patients in the intensive care unit (ICU), leading to a significantly shorter ICU stay. The combined support of Impella 5.5 with venoarterial extracorporeal membrane oxygenation (VA-ECMO) has also proven effective in certain scenarios. Several nonrandomized studies demonstrated the effectiveness and safety of the Impella 5.5 in practice, which have been included in multiple international guidelines. The advantages of the Impella 5.5 in practice include the easy handling with high positional stability, and low complications rates. This article describes the significance of surgical Impella treatment in Austria from the perspective of Austrian clinical experts.","PeriodicalId":23861,"journal":{"name":"Wiener Klinische Wochenschrift","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11392965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The prevalence of presbyphagia in older adults: a systematic review and meta-analysis. 老年人老花眼的发病率：系统回顾和荟萃分析。

IF 1.9 4区医学

Wiener Klinische Wochenschrift Pub Date : 2024-09-01 Epub Date: 2024-05-01 DOI: 10.1007/s00508-024-02366-w

Jianzheng Cai, Zhina Gong, Yingying Zhang, Haifang Wang, Chunyan Niu, Yinuo Dai

{"title":"The prevalence of presbyphagia in older adults: a systematic review and meta-analysis.","authors":"Jianzheng Cai, Zhina Gong, Yingying Zhang, Haifang Wang, Chunyan Niu, Yinuo Dai","doi":"10.1007/s00508-024-02366-w","DOIUrl":"10.1007/s00508-024-02366-w","url":null,"abstract":"Background and objective: Presbyphagia is defined as structural, physiological and innervational alterations in the swallowing process as a result of aging and is considered to be involved in the etiology of dysphagia. This systematic review and meta-analysis aimed to estimate the prevalence of presbyphagia in older adults without disease-related dysphagia.Methods: In this study five databases were searched in October 2023 with no time limitation. Combined effect sizes of presbyphagia prevalence were calculated using random effect models. Meta-regression and subgroup analyses were conducted to identify sources of heterogeneity. Egger's test and a funnel plot were employed to examine publication bias.Results: A total of 19 studies were selected for analysis. Overall, the prevalence of presbyphagia in older adults was 30.8% (95% confidence interval [CI] 24.8-36.7%). Publication bias was adjusted for using the fill-and-trim method and the corrected pooled prevalence of presbyphagia was 17.3% (95% CI 11.0-23.6%). In addition, the meta-regression findings revealed that the assessment tool had significant effects upon heterogeneity.Conclusion: Although the pooled prevalence of presbyphagia in older adults was 17.3%, the lack of large representative studies limited the interpretation of these findings. In the future, further large studies that diagnose presbyphagia using standardized assessment tools would facilitate new avenues to reduce the risk of dysphagia in older adults.","PeriodicalId":23861,"journal":{"name":"Wiener Klinische Wochenschrift","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Renal sympathetic denervation 2024 in Austria: recommendations from the Austrian Society of Hypertension : Endorsed by the Austrian Society of Nephrology and the Working Group of Interventional Cardiology of the Austrian Society of Cardiology. 奥地利 2024 年肾交感神经去势：奥地利高血压学会的建议：经奥地利肾脏病学会和奥地利心脏病学会介入心脏病学工作组认可。

IF 1.9 4区医学

Wiener Klinische Wochenschrift Pub Date : 2024-09-01 Epub Date: 2024-09-23 DOI: 10.1007/s00508-024-02440-3

David Zweiker, Christian Koppelstätter, Katharina Hohenstein, Irene Lang, Sabine Perl, Heiko Bugger, Mathias-Christoph Brandt, Sabine Horn, Ronald K Binder, Bruno Watschinger, Matthias Frick, Alexander Niessner, Thomas Weber

{"title":"Renal sympathetic denervation 2024 in Austria: recommendations from the Austrian Society of Hypertension : Endorsed by the Austrian Society of Nephrology and the Working Group of Interventional Cardiology of the Austrian Society of Cardiology.","authors":"David Zweiker, Christian Koppelstätter, Katharina Hohenstein, Irene Lang, Sabine Perl, Heiko Bugger, Mathias-Christoph Brandt, Sabine Horn, Ronald K Binder, Bruno Watschinger, Matthias Frick, Alexander Niessner, Thomas Weber","doi":"10.1007/s00508-024-02440-3","DOIUrl":"https://doi.org/10.1007/s00508-024-02440-3","url":null,"abstract":"Renal sympathetic denervation (RDN) is an interventional supplement to medical treatment in patients with arterial hypertension. While the first sham-controlled trial, SYMPLICITY HTN‑3 was neutral, with improved procedural details, patient selection and follow-up, recent randomized sham-controlled trials of second-generation devices show a consistent blood pressure lowering effect of RDN, as compared to sham controls. These new data and the recent U.S. Food and Drug Administration (FDA) premarket approval of two RDN devices are the basis for the present recommendations update.This joint position paper from the Austrian Society of Hypertension, together with the Austrian Society of Nephrology and the Working Group of Interventional Cardiology from the Austrian Society of Cardiology includes an overview about the available evidence on RDN and gives specific recommendations for the work-up, patient selection, pretreatment, procedural management and follow-up in patients undergoing RDN in Austria. Specifically, RDN may be used in clinical routine care, together with lifestyle measures and antihypertensive drugs, in patients with resistant hypertension (i.e. uncontrolled blood pressure on 3 antihypertensive drugs) and in those with uncontrolled hypertension, after adequate work-up, if institutional, patient-related and procedural conditions are fulfilled.","PeriodicalId":23861,"journal":{"name":"Wiener Klinische Wochenschrift","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142296745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diagnosis and management of eosinophilic esophagitis and esophageal food impaction in adults : A position paper issued by the Austrian Society of Gastroenterology and Hepatology (ÖGGH). 成人嗜酸性粒细胞食管炎和食管食物嵌塞的诊断和治疗：奥地利胃肠病学和肝脏病学协会 (ÖGGH)发布的立场文件。

IF 1.9 4区医学

Wiener Klinische Wochenschrift Pub Date : 2024-09-01 Epub Date: 2024-09-04 DOI: 10.1007/s00508-024-02401-w

Hansjörg Schlager, Franziska Baumann-Durchschein, Karin Steidl, Michael Häfner, Patrick Dinkhauser, Michael Weitersberger, Josef Holzinger, Markus Mader, Hans Peter Gröchenig, Christian Madl, Philipp Schreiner

引用次数: 0

48th Annual Meeting of the Austrian Society of Pneumology8th Annual Meeting of the Austrian Society of Thoracic Surgery. 第 48 届奥地利肺炎学会年会第 8 届奥地利胸外科学会年会。

IF 2.6 4区医学

Wiener Klinische Wochenschrift Pub Date : 2024-09-01 DOI: 10.1007/s00508-024-02429-y

引用次数: 0

MUW researcher of the month. MUW 月度研究员。

IF 1.9 4区医学

Wiener Klinische Wochenschrift Pub Date : 2024-09-01 DOI: 10.1007/s00508-024-02439-w

引用次数: 0