European Journal of Internal Medicine
October 201721 Articles
Surgical interventions come with complications and highly reported mortality after major surgery. The mortality may be a result of delayed detection of severe complications due to lower monitoring... more
Prognostic value of early warning scores in the emergency department (ED) and acute medical unit (AMU): A narrative review
A wide array of early warning scores (EWS) have been developed and are used in different settings to detect which patients are at risk of deterioration. The aim of this review is to provide an... more
Acute kidney injury (AKI) is common in critically ill patients and is associated with high morbidity and mortality. The availability of several biomarkers of kidney injury offers new tools for its... more
Internal Medicine Flashcard
A 37-year-old man with no significant medical history presented to our emergency department with abdominal pain and vomiting since the previous day. He had experienced dysphagia when eating solids... more
A 25year-old Nigerian woman, was admitted because of a 7month lasting lumbar pain irradiated to the abdomen. She's been in Italy for 5months. Her medical history was mute except for a malaria... more
Letter to the Editor
Transitions from one care setting to another is a well known risk factor for medication errors . Inaccurate or delayed information transfer between settings could lead to serious harm to patients... more
Superior safety of dual therapy with dabigatran and clopidogrel vs. triple therapy with warfarin, aspirin and clopidogrel in the RE-DUAL PCI trial: What is key, the strategy or the drug?
In line with the results of the PIONEER AF-PCI trial with rivaroxaban , those of the recent RE-DUAL PCI trial with dabigatran  further support the superior safety on bleeding events of dual... more
Association between statin exposure and venous thromboembolism risk in cancer patients. Data from the EDITH case-control study
The occurrence of venous thromboembolism (VTE) in cancer patients is strongly associated with a poor cancer outcome irrespective of cancer stage . Primary thromboprophylaxis with low-molecular... more
In the final year of the American Civil War, 1865, Chevalier Jackson was born on the 4th of November in Pittsburgh, Pennsylvania to a livestock raising family . The depiction of his youth by his... more
Frailty is a state of vulnerability resulting from cumulative decline in many physiological systems during a lifetime. It is progressive and considered largely irreversible, but its progression may... more
Serology is key to the diagnosis of autoimmune hepatitis (AIH). Clinicians need to be aware of which tests to request, how to interpret the laboratory reports, and be familiar with the laboratory... more
Nowadays point-of-care ultrasound (POCUS) is considered indispensable for critical care and emergency physicians. POCUS is a noninvasive tool, can be done at the bedside, leads to instant diagnostic... more
An acute hospital admission greatly increases one year mortality – Getting sick and ending up in hospital is bad for you: A multicentre retrospective cohort study
For most of the population a serious acute illness that require an emergency admission to hospital is a rare “once in a life time” event. This paper reports the one year mortality of patients... more
Mild water restriction with or without urea for the longterm treatment of SIADH: Can urine osmolality help the choice?
Treatment options for chronic SIADH include water restriction (WR) and urea. The usefulness of urine osmolality to guide the choice of the treatment option is not clearly defined. We hypothesized... more
Specific indications and clinical outcome in patients with subcutaneous ICD – A nationwide multicentre registry
Subcutaneous implantable cardioverter-defibrillators (S-ICD) are an innovative and less invasive alternative to transvenous ICD (TV-ICD) in selected patients. We aimed to investigate the underlying... more
Using scores to identify patients at risk of short term mortality at arrival to the acute medical unit: A validation study of six existing scores
“Early warning scores” (EWS) have been developed to quantify levels of vital sign abnormality. However, many scores have not been validated. The aim of this study was to validate six scores that all... more
Age-specific and year of birth changes in hospital admissions during a period of unexplained higher deaths in England
Policy makers have assumed that increase in medical demands and costs are attributable to the increasing age of the population and the inability of health and social care to limit demand.
Several frailty rating scales have been developed to detect and screen for the level of frailty. It is uncertain what diagnostic value screening of frailty level have in the emergency department.
Reflections in Internal Medicine
Hospital readmissions are a perennial problem. We reviewed readmissions to one institution (2002–2015) and investigated their dynamics.
After graduating in economics and political sciences, I subsequently worked for Shell, became a member of parliament, party leader and Finance Minister, then took up consultancy and now am the CEO of... more
Acute Oncology Care: A narrative review of the acute management of neutropenic sepsis and immune-related toxicities of checkpoint inhibitors
Cancer care has become increasingly specialized and advances in therapy have resulted in a larger number of patients receiving care. There has been a significant increase in the number of patients... more