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7. Variability in caesarean section rates for very preterm births at 28–31 weeks of gestation in 10 European regions: Results of the MOSAIC project

Author

Zeitlin, J, Di Lallo, D, Blondel, B, Weber, T, Schmidt, S, Künzel, W, Kollée, L, Papiernik, E, MOSAIC Research Group, Petrou, S, Petrou, S, Van Reempts, Patrick, and MOSAIC Research Group

Subjects
Adult, medicine.medical_specialty, medicine.medical_treatment, Gestational Age, Infant, Premature, Diseases, Cohort Studies, Pregnancy, Epidemiology, Humans, Medicine, Very Preterm Birth, Caesarean section, Prospective Studies, reproductive and urinary physiology, Fetus, Cesarean Section, business.industry, Obstetrics, Infant, Newborn, Obstetrics and Gynecology, Gestational age, medicine.disease, female genital diseases and pregnancy complications, Europe, Pregnancy Complications, Reproductive Medicine, Evaluation of complex medical interventions [NCEBP 2], Cohort, Premature Birth, Gestation, Female, Human medicine, business, caesarean section, mode of delivery, mortality, very preterm birth
Abstract

Objective Given the continuing debate about the benefits of caesarean section for very preterm infants, we sought to describe caesarean section rates for infants between 28 and 31 weeks of gestation in European regions and their association with regional mortality and short-term morbidity. Study design Singletons and twins without lethal congenital anomalies alive at onset of labour from 28 to 31 weeks of gestation from the 2003 MOSAIC cohort of very preterm births in 10 European regions were analysed (N = 3310). Determinants included maternal and fetal characteristics as well as regional caesarean section rates for all births. We explored correlations between caesarean section rates and mortality and morbidity on the regional level. Results 95% of infants from pregnancies complicated by hypertension or severe growth restriction detected antenatally were delivered by caesarean section (regional range: 90–100%) versus 55.4% (range: 29–84%) for other pregnancies. Regional caesarean section rates for births at all gestations ranged from 14% to 38% and were correlated with very preterm caesarean rates (p = 0.011). Determinants of caesarean section differed between regions with high versus low rates: multiples were more likely to be born by caesarean section in regions with high rates. There were no regional level correlations between caesarean section rates and mortality and morbidity. Conclusions With the exception of pregnancies with hypertension and growth restriction, there was broad variation in very preterm caesarean section rates between regions after adjustment for clinical factors. Given maternal risks associated with caesarean section, more research on its optimal use for very preterm deliveries is necessary.

Published
2010
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9. The Italian National Rare Diseases Registry

Author

Taruscio, D, Kodra, Y, Ferrari, G, Vittozzi, L, Annicchiarico, G, Attolini, E, Antonelli, A, Barone, R, Bembi, B, Deroma, L, Bianchi, F, Berni, C, Borsellino, L, Scondotto, S, Benedicenti, F, Zuech, P, Casucci, P, Patisso, Mc, Di Lallo, D, Di Nunzio ML, Di Palma, A., Volta, M, Vizioli, M, Facchin, P, Mazzucato, M, Gabrielli, O, Della Casa, R, Scala, I, Baraldo, G, Daina, E, Palka, G, Roccatello, Dario, Modena, V, Rossi, M, Tripaldi, D, and Angione, A.

Subjects
Male, Italy, National Health Programs, Regional, National and European actions in the field of Rare Diseases, Epidemiological Monitoring, Humans, rare diseases, Female, Registries, Community Networks
Abstract

Rare disease registries are a priority at European level and specific actions are being implemented by the European Commission to support their development.In Italy, a National Registry of rare diseases has been established in 2001 as a network of regional registries. The latter have gradually been established and the full coverage of the Italian territory was attained during 2011.Here we describe the basic features of the National Registry of rare diseases; the activities carried out to promote consistent operations in the regional registries; and the overall quality and composition of the records collected.After a validation process, including removal of duplicate records, 110,841 records of patients with rare diseases, single and with group denominations, are stored in the National Registry of rare diseases. They correspond to the overall diagnoses communicated to national registry by regional registries up to 30 June 2012.The quality of the data collected by the the National Registry of rare diseases has been assessed with respect to completeness and consistency of procedures. Variables characterising case and diagnosis showed a very limited number of missing values. Records reported at least one case of 485 rare conditions.To date, the National Registry of rare diseases is a surveillance system with the main objective of producing epidemiologic evidence on rare diseases in Italy, and of supporting policy making and health services planning.Data quality still represents a limitation for any sound epidemiological estimate of rare diseases in Italy. However, improvements of the quality of collected data and the completeness of case notifications should be strengthened.

Published
2014

13. Linee guida sul Taglio Cesareo (revisione Linee guida del 1999)

Author

Castellano, A, Dell'Aquila, C, Di Lallo, D, Ferrazzani, Sergio, Proietti, P, Scotto Di Palumbo, V, Spinelli, A, Torcia, F, and Tempesta, F.

Subjects
Settore MED/40 - GINECOLOGIA E OSTETRICIA, distocia, monitoraggio fetale, cesarean section, gravidanza, parto cesareo, pregnancy
Published
2006

14. [Italian Registry of Dialysis and Transplantation: 1996-2001 experience]

Author

Conte, F, Cappelli, G, Casino, F, Postorino, M, Quintaliani, G, Salomone, M, DI NAPOLI, A, Limido, A, Mancini, E, Nordio, M, Pinna, A, Santoro, Domenico, Alloatti, S, Bellinghieri, G, Bonadonna, A, Bonomini, M, Colasanti, G, DI GIULIO, S, DI IORIO, B, DI LALLO, D, Gaffi, G, Gesualdo, L, Locatelli, F, Piccoli, G, Quarello, F, Riegler, P, Salvadori, M, Santoro, A, Sparano, G, Vasile, A, and Trapianto, COMMISSIONE NAZIONALE REGISTRO ITALIANO DIALISI E.

Subjects
Adult, Male, Adolescent, Italian Registry of Dialysis and Transplantation, Incidence, Infant, Newborn, Infant, epidemiological data collected, Middle Aged, Kidney Transplantation, Italy, Renal Dialysis, Child, Preschool, Prevalence, Humans, Kidney Failure, Chronic, Female, Registries, Child, Peritoneal Dialysis, Aged
Abstract

The Italian Registry of Dialysis and Transplantation (RIDT) was born in 1996 under the aegis of the Italian Society of Nephrology, and it is organized as a federation of regional registries. This study aimed to completely revise the epidemiological data collected during the first 5 yrs (1996-2001) of RIDT activity to evaluate the trends of the main epidemiological features. During this period, regional registries were not always able to assure complete and exhaustive information according to RIDT requirements, owing to different levels of organization and functioning. To avoid any possible error in data analysis, information inadequately assessed was refused. The incidence of end-stage renal disease (ESRD) patients on renal replacement therapy (RRT) in Italy has increased from 114 pmp in 1996 to 139 pmp in 2001, that means an increase of 3.5%/yr, corresponding to 5718 patients during 1996 and 8000 patients during 2001. Primary renal diseases (according to the EDTA) in incident ESRD patients are vascular and diabetic nephropathy. Main dialysis modality in incident patients was hemodialysis (HD) (85%), while peritoneal dialysis (PD) was only 15%; pre-emptive transplantation was a very unusual modality. The prevalence of ESRD patients at 31 December was 693 pmp in 1996 and 827 pmp in 2001; among dialysis patients, the corresponding rates were 575 pmp and 657 pmp, respectively. Consequently, the number of dialyzed patients increased, respectively, from 28892 to 37919. The prevalent dialysis modality was bicarbonate dialysis in 74% of cases, followed by hemodiafiltration (HDF) in 15%, continuous ambulatory peritoneal dialysis (CAPD) in 7% and APD in 3%. The gross mortality rate in dialyzed patients was stable during this period, at approximately 14%, the main causes of death being cardiovascular diseases and cachexia.

Published
2004

17. DIALYSIS VASCULAR ACCESS

Author

Fontsere, N., primary, Mestres, G., additional, Burrel, M., additional, Barrufet, M., additional, Montana, X., additional, Arias, M., additional, Ojeda, R., additional, Maduell, F., additional, Campistol, J. M., additional, Nagaraja, P., additional, Rees, D., additional, Husein, T., additional, Chess, J., additional, Lin, C.-C., additional, Yang, W.-C., additional, Khosravi, M., additional, Kandil, H., additional, Cross, J., additional, Hopkins, S., additional, Collier, S., additional, Lopes, D., additional, Pereira, S., additional, Gomes, A. M., additional, Ventura, A., additional, Martins, V., additional, Seabra, J., additional, Rothuizen, T. C., additional, Damanik, F., additional, Visser, M. J. T., additional, Lavrijsen, T., additional, Cox, M. A. J., additional, Moroni, L., additional, Rabelink, T. J., additional, Rotmans, J. I., additional, Fontsere, N., additional, Cardozo, C., additional, Donate, J., additional, Soriano, A., additional, Muros, M., additional, Pons, M., additional, Mensa, J., additional, Navarro-Gonzalez, J. F., additional, Wijewardane, A., additional, Murley, A., additional, Powers, S., additional, Allen, C., additional, Baharani, J., additional, Wilmink, T., additional, Esenturk, M., additional, Zengin, M., additional, Dal, M., additional, Tahtal , N., additional, Shibata, K., additional, Shinzato, T., additional, Satta, H., additional, Nishihara, M., additional, Koguchi, N., additional, Kuji, T., additional, Kawata, S., additional, Kaneda, T., additional, Yasuda, G., additional, Scrivano, J., additional, Pettorini, L., additional, Rutigliano, T., additional, Ciavarella, G. M., additional, De Biase, L., additional, Punzo, G., additional, Mene, P., additional, Pirozzi, N., additional, El Haggan, W., additional, Belazrague, K., additional, Ehoussou, S., additional, Foucher, V., additional, El Salhy, M., additional, Ouellet, G., additional, Davis, J., additional, Caron, P., additional, Leblanc, M., additional, Romitelli, F., additional, Fazzari, L., additional, Ortu, G., additional, Di Stasio, E., additional, Loizzo, G., additional, Vigano, S. M., additional, Bacchini, G., additional, Rocchi, E., additional, Sala, V., additional, Pontoriero, G., additional, Letachowicz, K., additional, Go  biowski, T., additional, Kusztal, M., additional, Letachowicz, W., additional, Weyde, W., additional, Klinger, M., additional, Hollingsworth, L., additional, Roca-Tey, R., additional, Samon, R., additional, Ibrik, O., additional, Roda, A., additional, Gonzalez-Oliva, J. C., additional, Martinez-Cercos, R., additional, Viladoms, J., additional, Renaud, C. J., additional, Lim, E. K., additional, Seow, T. Y., additional, Teh, H. S., additional, Tosic, J., additional, Jankovic, A., additional, Djuric, P., additional, Radovic Maslarevic, V., additional, Popovic, J., additional, Dimkovic, N., additional, Kazantzi, A., additional, Trigka, K., additional, Buono, F., additional, Laurino, S., additional, Toriello, G., additional, Di Luccio, R., additional, Galise, A., additional, Kim, Y. O., additional, Yoon, S. A., additional, Kim, Y. S., additional, Choi, S. J., additional, Min, J. W., additional, Cheong, M. A., additional, Asano, M., additional, Oguchi, K., additional, Saito, A., additional, Onishi, Y., additional, Yamamoto, Y., additional, Fukuhara, S., additional, Akiba, T., additional, Akizawa, T., additional, Kurokawa, K., additional, Guedes Marques, M., additional, Ibeas, J., additional, Maia, P., additional, Ponce, P., additional, Chang, K. Y., additional, Park, H. S., additional, Kim, H. W., additional, Choi, B. S., additional, Park, C. W., additional, Yang, C. W., additional, Jin, D. C., additional, Likaj, E., additional, Seferi, S., additional, Caco, G., additional, Petrela, E., additional, Barbullushi, M., additional, Idrizi, A., additional, Thereska, N., additional, Lomonte, C., additional, Casucci, F., additional, Libutti, P., additional, Lisi, P., additional, Basile, C., additional, Ancarani, P., additional, Valsuani, G., additional, Cavallo, L., additional, Parodi, D., additional, Lorusso, C., additional, Renaud, C., additional, Lai, B. C., additional, Tho, S., additional, Yeoh, L., additional, Botelho, C., additional, Yankovoy, A., additional, Alexandr, S., additional, Smoliacov, A., additional, Stepanov, V., additional, Parker, C., additional, Davies, P., additional, Taylor, S., additional, Mikhail, A., additional, Gubensek, J., additional, Persic, V., additional, Vajdic, B., additional, Ponikvar, R., additional, Buturovic-Ponikvar, J., additional, Hadimeri, U., additional, Warme, A. V., additional, Stegmayr, B., additional, Suvakov, S., additional, Damjanovic, T., additional, Bajcetic, S., additional, Radovic-Maslarevic, V., additional, Simic, T., additional, Rroji, M., additional, Chua, H. L., additional, Kanda, H., additional, See, S. L., additional, Liew, N. C., additional, Tsuchida, K., additional, Tomo, T., additional, Fukasawa, M., additional, Kawashima, S., additional, Minakuchi, J., additional, Thanaraj, V., additional, Dhaygude, A., additional, Ikeda, K., additional, Forneris, G., additional, Cecere, P., additional, Pozzato, M., additional, Trogolo, M., additional, Vallero, A., additional, Mesiano, P., additional, Roccatello, D., additional, Keskin, L., additional, Casey, J. R., additional, Hanson, C. S., additional, Winkelmayer, W. C., additional, Craig, J., additional, Palmer, S., additional, Strippoli, G., additional, Tong, A., additional, Ferrara, D., additional, Scamarda, S., additional, Bernardino, L., additional, Amico, L., additional, Lorito, M. C., additional, Incalcaterra, f., additional, Visconti, L., additional, Visconti, G., additional, Valenza, F., additional, D'Amato, F., additional, Di Napoli, A., additional, Tazza, L., additional, Chicca, S., additional, Lapucci, E., additional, Silvestri, P., additional, Di Lallo, D., additional, Michelozzi, P., additional, and Davoli, M., additional

Published
2014
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18. [Socioeconomic inequalities in health care efficacy. Three examples in Lazio region]

Author

Rapiti E, Ca, Perucci, Agabiti N, Ancona C, Arcà M, Di Lallo D, Francesco Forastiere, Miceli M, and Porta D

Subjects
Adult, Male, Acquired Immunodeficiency Syndrome, Coronary Disease, Kidney Transplantation, Survival Rate, Treatment Outcome, Italy, Socioeconomic Factors, Humans, Kidney Failure, Chronic, Female, Coronary Artery Bypass, Health Services Administration
Abstract

There has been a limited number of studies in Italy investigating the relationship between socioeconomic inequalities and efficacy of treatments. This paper reviews three case studies on the association between socioeconomic status and disease outcome in the Lazio Region, Italy. The studies investigated: a) the probability of renal transplantation among patients with endstage renal disease; b) the survival of AIDS patients before and after the introduction of the new antiretroviral therapies; c) the 30-day mortality of patients who underwent coronary artery bypass graft surgery. The three studies demonstrate the complex relationship between socioeconomic status and both access to, and efficacy of, important health interventions.

Published
1999

20. Linee guida sul Taglio Cesareo (revisione Linee guida del 1999)

Author

Laziosanità - Agenzia di Sanità Pubblica, Castellano, A, Dell'Aquila, C, Di Lallo, D, Ferrazzani, Sergio, Proietti, P, Scotto Di Palumbo, V, Spinelli, A, Torcia, F, Tempesta, F., Ferrazzani, Sergio (ORCID:0000-0001-7382-2951), Laziosanità - Agenzia di Sanità Pubblica, Castellano, A, Dell'Aquila, C, Di Lallo, D, Ferrazzani, Sergio, Proietti, P, Scotto Di Palumbo, V, Spinelli, A, Torcia, F, Tempesta, F., and Ferrazzani, Sergio (ORCID:0000-0001-7382-2951)

Abstract

In molti paesi europei ed extra-europei si osserva un aumento dei parti che vengono assistiti con il taglio cesareo (TC), con frequenze che si collocano intorno al 25-30%. Anche nel Lazio si osserva un andamento simile: in un periodo di vent’anni, dal 1985 al 2005, i TC sono aumentati dal 23% al 42,7% con un incremento pari all’85,7%. Confrontando questi valori con quelli di altre regioni italiane, il Lazio insieme alla Campania, Basilicata, Sicilia, Puglia, Molise e Calabria si colloca ai primi posti, mentre altre regioni come la Lombardia, il Veneto e la Toscana presentano una frequenza di TC notevolmente inferiore (al di sotto del 30%); il Friuli Venezia Giulia ha la frequenza di TC più bassa (22%). Valori così elevati non sembrano giustificati da una maggiore frequenza di quelle condizioni cliniche (ad esempio ritardo di crescita intrauterino o patologie della placenta) che, correttamente, possono rappresentare un’indicazione ad assistere il parto con taglio cesareo. Anche escludendo dalla valutazione del fenomeno i cesarei ripetuti, che nel 2005 rappresentavano nella regione il 27,2% del totale dei cesarei, il tasso osservato di primi cesarei (35,3%) risulta ancora molto più elevato di quello di altri paesi e regioni italiane. C’è inoltre da sottolineare che sia il Piano Sanitario Nazionale del 2006-2008 che quello precedente hanno indicato tra gli obiettivi da raggiungere la riduzione del ricorso al taglio cesareo. E’ quindi opportuno valutare anche il contributo svolto da fattori “non clinici”. Un’analisi delle schede di nascita di tutti i parti effettuati nella regione ha evidenziato che, a parità di condizioni cliniche della donna e del feto, la probabilità di ricorso al TC è più alta del 35% nelle maternità private convenzionate e del 64% in quelle completamente private rispetto a quella osservata nelle maternità pubbliche. L’effetto del punto nascita, che a sua volta è determinato da fattori organizzativi della struttura ed individuali dei sing

Published
2006

21. Vascular access

Author

Coentrao, L., primary, Ribeiro, C., additional, Santos-Araujo, C., additional, Neto, R., additional, Pestana, M., additional, Rahman, E., additional, Rahman, H., additional, Ahmed, D., additional, Mousa, D., additional, El Bishlawi, M., additional, Shibahara, H., additional, Shibahara, N., additional, Takahashi, S., additional, Dupuis, E., additional, Duval, X., additional, Dornic, Q., additional, Bonnal, C., additional, Lucet, J.-C., additional, Cerceau, O., additional, Randoux, C., additional, Balde, C., additional, Besson, F., additional, Mentre, F., additional, Vrtovsnik, F., additional, Koutroubas, G., additional, Malindretos, P., additional, Zagotsis, G., additional, Makri, P., additional, Syrganis, C., additional, Mambelli, E., additional, Mancini, E., additional, Elia, C., additional, Guadagno, V., additional, Facchini, M. G., additional, Zucchelli, A., additional, Grazia, M., additional, Patregnani, L., additional, Santoro, A., additional, Stefan, G., additional, Stancu, S., additional, Capusa, C., additional, Ailioaiei, O. R., additional, Mircescu, G., additional, Anwar, S., additional, Little, C., additional, Kingston, R., additional, Diwakar, P., additional, Kaikini, R., additional, Nikolaou, E., additional, Loukas, G., additional, Sabry, A., additional, Alsaran, K., additional, Al Sherbeiny, S., additional, Abdulkader, M., additional, Kwak, I., additional, Song, S., additional, Seong, E., additional, Lee, S., additional, Lee, D., additional, Kim, I., additional, Rhee, H., additional, Silva, F., additional, Queiros, J., additional, Malheiro, J., additional, Cabrita, A., additional, Rocha, A., additional, Bamidis, P., additional, Liaskos, C., additional, Chryssogonidis, I., additional, Frantzidis, C., additional, Papagiannis, A., additional, Vrochides, D., additional, Lasaridis, A., additional, Nikolaidis, P., additional, Kotwal, S., additional, Muir, C., additional, Hawley, C., additional, Snelling, P., additional, Gallagher, M., additional, Jardine, M., additional, Shibata, K., additional, Toya, Y., additional, Umemura, S., additional, Iwamoto, T., additional, Ono, S., additional, Ikeda, E., additional, Kitazawa, A., additional, Kuji, T., additional, Koguchi, N., additional, Satta, H., additional, Nishihara, M., additional, Kawata, S., additional, Kaneda, T., additional, Yamada, Y., additional, Murakami, T., additional, Yanagi, M., additional, Yasuda, G., additional, Mathieu, S., additional, Yves, D., additional, Jean-Michel, T., additional, Nicolas, Q., additional, Jean-Francois, C., additional, Ibrahim, M., additional, Abdel Salam, M., additional, Awadalla, A., additional, Bichari, W., additional, Zaki, S., additional, Roca-Tey, R., additional, Samon, R., additional, Ibrik, O., additional, Roda, A., additional, Gonzalez-Oliva, J. C., additional, Martinez-Cercos, R., additional, Viladoms, J., additional, Lin, C.-C., additional, Yang, W.-C., additional, Kim, Y.-O., additional, Yoon, S.-A., additional, Yun, Y.-S., additional, Song, H.-C., additional, Kim, B.-S., additional, Cheong, M.-A., additional, Ogawa, T., additional, Kiba, T., additional, Okazaki, S., additional, Hatano, M., additional, Iwanaga, M., additional, Noiri, C., additional, Matsuda, A., additional, Hasegawa, H., additional, Mitarai, T., additional, DI Napoli, A., additional, DI Lallo, D., additional, Tazza, L., additional, De Cicco, C., additional, Salvatori, M. F., additional, Chicca, S., additional, Guasticchi, G., additional, Gelev, S., additional, Trajceska, L., additional, Srbinovska, E., additional, Pavleska, S., additional, Oncevski, A., additional, Dejanov, P., additional, Gerasomovska, V., additional, Selim, G., additional, Sikole, A., additional, Wilson, S., additional, Mayne, T., additional, Krishnan, M., additional, Holland, J., additional, Volz, A., additional, Good, L., additional, Nissenson, A., additional, Stavroulopoulos, A., additional, Aresti, V., additional, Maragkakis, G., additional, Kyriakides, S., additional, Rikker, C., additional, Juhasz, E., additional, Tornoci, L., additional, Tovarosi, S., additional, Greguschik, J., additional, Mag, O., additional, Rosivall, L., additional, Golebiowski, T., additional, Watorek, E., additional, Kusztal, M., additional, Letachowicz, K., additional, Letachowicz, W., additional, Madziarska, K., additional, Augustyniak Bartosik, H., additional, Krajewska, M., additional, Weyde, W., additional, Klinger, M., additional, Capitanini, A., additional, Lange, S., additional, Cupisti, A., additional, Schier, T., additional, Gobel, G., additional, Bosmuller, C., additional, Gruber, I., additional, Tiefenthaler, M., additional, Shipley, T., additional, Adam, J., additional, Sweeney, D., additional, Fenwick, S., additional, Mansy, H., additional, Ahmed, S., additional, Moore, I., additional, Vigeral, P., additional, Saksi, S., additional, Flamant, M., additional, Boulanger, H., additional, Park, W.-D., additional, Cheong, M. A., additional, Nikam, M., additional, Tavakoli, A., additional, Chemla, E., additional, Evans, J., additional, Malete, H., additional, Matyas, L., additional, Mogan, I., additional, Lazarides, M., additional, Ebner, A., additional, Shi, Y., additional, Zhang, J., additional, Cheng, J., additional, Frank, L. R., additional, Melanie, H., additional, Dominique, B., additional, Michel, G., additional, Ikeda, K., additional, Yasuda, T., additional, Yotueda, H., additional, Ebah, L., additional, Jayanti, A., additional, Kanigicherla, D., additional, Summers, A., additional, Manley, G., additional, Dutton, G., additional, Chalmers, N., additional, Mitra, S., additional, Checherita, I.-A., additional, Niculae, A., additional, Radulescu, D., additional, David, C., additional, Turcu, F. L., additional, Ciocalteu, A., additional, Persic, V., additional, Buturovic-Ponikvar, J., additional, Ponikvar, R., additional, Touam, M., additional, Menoyo, V., additional, Drueke, T., additional, Rifaat, M., additional, Muresan, C., additional, Abtahi, M., additional, Koochakipour, Z., additional, Joly, D., additional, Baharani, J., additional, Rizvi, S., additional, Ng, K. P., additional, Buzzi, L., additional, Sarcina, C., additional, Alberghini, E., additional, Ferrario, F., additional, Baragetti, I., additional, Santagostino, G., additional, Furiani, S., additional, Corghi, E., additional, Terraneo, V., additional, Rastelli, F., additional, Bacchini, G., additional, Pozzi, C., additional, Adorati Menegato, M., additional, Mortellaro, R., additional, Locicero, A., additional, Romano, A., additional, Manzini, P. P., additional, Steckiph, D., additional, Shintaku, S., additional, Kawanishi, H., additional, Moriishi, M., additional, Bansyodani, M., additional, Nakamura, S., additional, Saito, M., additional, Tsuchiya, S., additional, Barros, F., additional, Vaz, R., additional, Carvalho, B., additional, Martins, P., additional, Likaj, E., additional, Seferi, S., additional, Rroji, M., additional, Idrizi, A., additional, Duraku, A., additional, Barbullushi, M., additional, and Thereska, N., additional

Published
2012
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22. Cardiovascular complications in CKD 5D

Author

Fusaro, M., primary, Fusaro, M., additional, Noale, M., additional, Tripepi, G., additional, D'angelo, A., additional, Miozzo, D., additional, Gallieni, M., additional, Study Group, P.-V., additional, Tsamelesvili, M., additional, Dimitriadis, C., additional, Papagianni, A., additional, Raidis, C., additional, Efstratiadis, G., additional, Memmos, D., additional, Mutluay, R., additional, Konca Degertekin, C., additional, Derici, U., additional, Deger, S. M., additional, Akkiyal, F., additional, Gultekin, S., additional, Gonen, S., additional, Tacoy, G., additional, Arinsoy, T., additional, Sindel, S., additional, Sanchez-Perales, C., additional, Vazquez, E., additional, Merino, E., additional, Perez Del Barrio, P., additional, Borrego, F. J., additional, Borrego, M. J., additional, Liebana, A., additional, Krzanowski, M., additional, Janda, K., additional, Dumnicka, P., additional, Krasniak, A., additional, Sulowicz, W., additional, Kim, Y.-O., additional, Yoon, S.-A., additional, Yun, Y.-S., additional, Song, H.-C., additional, Kim, B.-S., additional, Cheong, M. A., additional, Pasch, A., additional, Farese, S., additional, Floege, J., additional, Jahnen-Dechent, W., additional, Ohtake, T., additional, Furuya, R., additional, Iwagami, M., additional, Tsutsumi, D., additional, Mochida, Y., additional, Ishioka, K., additional, Oka, M., additional, Maesato, K., additional, Moriya, H., additional, Hidaka, S., additional, Kobayashi, S., additional, Guedes, A., additional, Malho Guedes, A., additional, Pinho, A., additional, Fragoso, A., additional, Cruz, A., additional, Mendes, P., additional, Morgado, E., additional, Bexiga, I., additional, Silva, A. P., additional, Neves, P., additional, Oyake, N., additional, Suzuki, K., additional, Itoh, S., additional, Yano, S., additional, Turkmen, K., additional, Kayikcioglu, H., additional, Ozbek, O., additional, Saglam, M., additional, Toker, A., additional, Tonbul, H. Z., additional, Gelev, S., additional, Trajceska, L., additional, Srbinovska, E., additional, Pavleska, S., additional, Amitov, V., additional, Selim, G., additional, Dzekova, P., additional, Sikole, A., additional, Bouarich, H., additional, Lopez, S., additional, Alvarez, C., additional, Arribas, I., additional, DE Sequera, P., additional, Rodriguez, D., additional, Tanaka, S., additional, Kanemitsu, T., additional, Sugahara, M., additional, Kobayashi, M., additional, Uchida, L., additional, Ishimoto, Y., additional, Kotera, N., additional, Tanimoto, S., additional, Tanabe, K., additional, Hara, K., additional, Sugimoto, T., additional, Mise, N., additional, Goldstein, B., additional, Turakhia, M., additional, Arce, C., additional, Winkelmayer, W., additional, Zayed, B. E.-D., additional, Said, K., additional, Nishimura, M., additional, Okamoto, Y., additional, Tokoro, T., additional, Nishida, M., additional, Hashimoto, T., additional, Iwamoto, N., additional, Takahashi, H., additional, Ono, T., additional, Sato, N., additional, Raimann, J., additional, Usvyat, L. A., additional, Sands, J., additional, Levin, N. W., additional, Kotanko, P., additional, Iwasaki, M., additional, Joki, N., additional, Tanaka, Y., additional, Ikeda, N., additional, Hayashi, T., additional, Kubo, S., additional, Imamura, T.-A., additional, Takahashi, Y., additional, Hirahata, K., additional, Imamura, Y., additional, Hase, H., additional, Claes, K., additional, Meijers, B., additional, Bammens, B., additional, Kuypers, D., additional, Naesens, M., additional, Vanrenterghem, Y., additional, Evenepoel, P., additional, Boscutti, G., additional, Calabresi, L., additional, Bosco, M., additional, Simonelli, S., additional, Boer, E., additional, Vitali, C., additional, Martone, M., additional, Mattei, P. L., additional, Franceschini, G., additional, Baligh, E., additional, El-Shafey, E., additional, Ezaat, A., additional, Zawada, A., additional, Rogacev, K., additional, Hummel, B., additional, Grun, O., additional, Friedrich, A., additional, Rotter, B., additional, Winter, P., additional, Geisel, J., additional, Fliser, D., additional, Heine, G. H., additional, Makino, J.-I., additional, Makino, K.-S., additional, Ito, T., additional, Genovesi, S., additional, Santoro, A., additional, Fabbrini, P., additional, Rossi, E., additional, Pogliani, D., additional, Stella, A., additional, Bonforte, G., additional, Remuzzi, G., additional, Bertoli, S., additional, Pozzi, C., additional, Pasquali, S., additional, Cagnoli, L., additional, Conte, F., additional, Buzadzic, I., additional, Tosic, J., additional, Dimkovic, N., additional, Djuric, Z., additional, Popovic, J., additional, Pejin Grubisa, I., additional, Barjaktarevic, N., additional, DI Napoli, A., additional, DI Lallo, D., additional, Salvatori, M. F., additional, Franco, F., additional, Chicca, S., additional, Guasticchi, G., additional, Onofriescu, M., additional, Hogas, S., additional, Luminita, V., additional, Mugurel, A., additional, Gabriel, V., additional, Laura, F., additional, Irina, M., additional, Adrian, C., additional, Bosch, E., additional, Baamonde, E., additional, Culebras, C., additional, Perez, G., additional, El Hayek, B., additional, Ramirez, J. I., additional, Ramirez, A., additional, Garcia, C., additional, Lago, M., additional, Toledo, A., additional, Checa, M. D., additional, Taira, T., additional, Hirano, T., additional, Nohtomi, K., additional, Hyodo, T., additional, Chiba, T., additional, Saito, A., additional, Kim, Y. K., additional, Choi, E. J., additional, Yang, C. W., additional, Kim, Y.-S., additional, Lim, P. S., additional, Ming Ying, W., additional, Ya-Chung, J., additional, Zaripova, I., additional, Kayukov, I., additional, Essaian, A., additional, Nimgirova, A., additional, Young, H., additional, Dungey, M., additional, Watson, E. L., additional, Baines, R., additional, Burton, J. O., additional, Smith, A. C., additional, Yamazaki, K., additional, Bossola, M., additional, Colacicco, L., additional, Scribano, D., additional, Vulpio, C., additional, Tazza, L., additional, Okada, T., additional, Okada, N., additional, Michibata, I., additional, Yura, T., additional, Montero, N., additional, Soler, M., additional, Pascual, M., additional, Barrios, C., additional, Marquez, E., additional, Rodriguez, E., additional, Orfila, M. A., additional, Cao, H., additional, Arcos, E., additional, Comas, J., additional, Pascual, J., additional, Ferrario, M., additional, Garzotto, F., additional, Sironi, T., additional, Monacizzo, S., additional, Basso, F., additional, Cruz, D. N., additional, Moissl, U., additional, Tetta, C., additional, Signorini, M. G., additional, Cerutti, S., additional, Ronco, C., additional, Mostovaya, I., additional, Grooteman, M., additional, Van den Dorpel, M., additional, Penne, L., additional, Van der Weerd, N., additional, Mazairac, A., additional, Den Hoedt, C., additional, Levesque, R., additional, Nube, M., additional, Ter Wee, P., additional, Bots, M., additional, Blankestijn, P., additional, Liu, J., additional, MA, K. L., additional, Zhang, X., additional, Liu, B. C., additional, Vladu, I.-D., additional, Mustafa, R., additional, Cana-Ruiu, D., additional, Vaduva, C., additional, Grauntanu, C., additional, Mota, E., additional, Singh, R., additional, Abbasian, N., additional, Stover, C., additional, Brunskill, N., additional, Burton, J., additional, Herbert, K., additional, Bevington, A., additional, Wu, M., additional, Tang, R.-N., additional, Gao, M., additional, Liu, H., additional, Chen, L., additional, LV, L.-L., additional, Liu, B.-C., additional, Nikodimopoulou, M., additional, Liakos, S., additional, Kapoulas, S., additional, Karvounis, C., additional, Fedak, D., additional, Kuzniewski, M., additional, Paulina, D., additional, Kusnierz-Cabala, B., additional, Kapusta, M., additional, Solnica, B., additional, Junque, A., additional, Vicent, E. S., additional, Moreno, L., additional, Fulquet, M., additional, Duarte, V., additional, Saurina, A., additional, Pou, M., additional, Macias, J., additional, Lavado, M., additional, Ramirez de Arellano, M., additional, Ryuzaki, M., additional, Nakamoto, H., additional, Kinoshita, S., additional, Kobayashi, E., additional, Takimoto, C., additional, Shishido, T., additional, Enia, G., additional, Torino, C., additional, Tripepi, R., additional, Panuccio, V., additional, Postorino, M., additional, Clementi, A., additional, Garozzo, M., additional, Bonanno, G., additional, Boito, R., additional, Natale, G., additional, Cicchetti, T., additional, Chippari, A., additional, Logozzo, D., additional, Alati, G., additional, Cassani, S., additional, Sellaro, A., additional, Zoccali, C., additional, Quiroga, B., additional, Verde, E., additional, Abad, S., additional, Vega, A., additional, Goicoechea, M., additional, Reque, J., additional, Lopez-Gomez, J. M., additional, Luno, J., additional, Cabre Menendez, C., additional, Moles, V., additional, Vives, J. P., additional, Villa, D., additional, Vinas, J., additional, Compte, T., additional, Arruche, M., additional, Diaz, C., additional, Soler, J., additional, Aguilera, J., additional, Martinez Vea, A., additional, De Mauri, A., additional, David, P., additional, Conte, M. M., additional, Chiarinotti, D., additional, Ruva, C. E., additional, De Leo, M., additional, Bargnoux, A.-S., additional, Morena, M., additional, Jaussent, I., additional, Chalabi, L., additional, Bories, P., additional, Dion, J.-J., additional, Henri, P., additional, Delage, M., additional, Dupuy, A.-M., additional, Badiou, S., additional, Canaud, B., additional, Cristol, J.-P., additional, Sironi, E., additional, Pieruzzi, F., additional, Galbiati, E., additional, Vigano, M. R., additional, Anpalakhan, S., additional, Rocha, S., additional, Chitalia, N., additional, Sharma, R., additional, Kaski, J. C., additional, Chambers, J., additional, Goldsmith, D., additional, Banerjee, D., additional, Cernaro, V., additional, Lacquaniti, A., additional, Lupica, R., additional, Lucisano, S., additional, Fazio, M. R., additional, Donato, V., additional, Buemi, M., additional, Segalen, I., additional, Vinsonneau, U., additional, Tanquerel, T., additional, Quiniou, G., additional, Le Meur, Y., additional, Seibert, E., additional, Girndt, M., additional, Zohles, K., additional, Ulrich, C., additional, Kluttig, A., additional, Nuding, S., additional, Swenne, C., additional, Kors, J., additional, Werdan, K., additional, Fiedler, R., additional, Van der Weerd, N. C., additional, Grooteman, M. P., additional, Van den Dorpel, M. A., additional, Nube, M. J., additional, Wetzels, J., additional, Swinkels, D. W., additional, Ter Wee, P. M., additional, Khandekar, A., additional, Khandge, J., additional, Lee, J. E., additional, Moon, S. J., additional, Choi, K. H., additional, Lee, H. Y., additional, Kim, B. S., additional, Tuaillon, E., additional, Rodriguez, A., additional, Chenine, L., additional, Vendrell, J.-P., additional, Sue, Y.-M., additional, Tang, C.-H., additional, Chen, Y.-C., additional, Segura, P., additional, Garcia Cortes, M. J., additional, Gil, J. M., additional, Biechy, M. M., additional, Poulikakos, D., additional, Shah, A., additional, Persson, M., additional, Dattolo, P., additional, Amidone, M., additional, Michelassi, S., additional, Moriconi, L., additional, Betti, G., additional, Conti, P., additional, Rosati, A., additional, Mannarino, A., additional, Panichi, V., additional, Pizzarelli, F., additional, Klejna, K., additional, Naumnik, B., additional, Koc-Zorawska, E., additional, Mysliwiec, M., additional, Dimitrie, S., additional, Simona, H., additional, Mihaela, O., additional, Gabriela, O., additional, Radu, S., additional, Octavian, P., additional, Akdam, H., additional, Akar, H., additional, Yenicerioglu, Y., additional, Kucuk, O., additional, Kurt Omurlu, I., additional, Thambiah, S., additional, Roplekar, R., additional, Manghat, P., additional, Fogelman, I., additional, Fraser, W., additional, Hampson, G., additional, Likaj, E., additional, Caco, G., additional, Seferi, S., additional, Rroji, M., additional, Barbullushi, M., additional, Thereska, N., additional, Serban, A., additional, Carmen, V., additional, Cristian, S., additional, Silvia, L., additional, and Covic, A., additional

Published
2012
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29. Mother-Reported Exposure to Traffic Noise and Sleep Disorders at Six Months of Age in a Birth Cohort Study

Author

Porta, D, primary, Forastiere, F, additional, Brahe, C, additional, Cota, F, additional, Curro, V, additional, De Santis, M, additional, Di Lallo, D, additional, Di Napoli, A, additional, Mastroiacovo, P, additional, Parenti, D, additional, Piscicelli, C, additional, Tiziano, F D., additional, Trimboli, A, additional, Visintini, F, additional, Zuppa, A A., additional, and Perucci, C A., additional

Published
2006
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33. 15 Determinants of Nosocomial Infection (NI) in Six Italian Neonatal Intensive Care Units (NICUs).

Author

Auriti, C, primary, Pezzotti, P, additional, Ronchetti, M P, additional, Marrocco, G, additional, Quondamcarlo, A, additional, Arioni, C, additional, Serra, G, additional, Bacolla, G, additional, Ravà, L, additional, Bagnoli, F, additional, Buonocore, G, additional, De Felice, C, additional, Mastropasqua, S, additional, Mari, G, additional, Corchia, C, additional, Seganti, G, additional, Di Lallo, D, additional, and Orzalesi, M, additional

Published
2005
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37. Epidemiologia degli infortuni sul lavoro nella Regione Lazio.

Author

Marchetiti, Aurora, Mantovani, Jessica, Di Lallo, D., Di Napo, A., and Guasticchi, Gabriella

Subjects
INDUSTRIAL safety, WORK-related injuries, EPIDEMIOLOGY, EMPLOYEES
Abstract

Copyright of La Medicina del Lavoro is the property of Mattioli 1885 SpA and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2011

38. Access to level III perinatal care for pregnancies of very short duration (less than 32 weeks)

Author

Di Napoli A, Di Lallo D, Franco F, Scapillati ME, Zocchetti C, Agostino R, and Orzalesi M

Abstract

Aims: To evaluate to which extent pregnancies of very short duration (<32 weeks' gestation) are concentrated in level III centers. Methods: Area-based study in the 57 maternity units of the Lazio Region (Italy), years 2003-2004, including: 1012 live births (gestational age 22-31 weeks), 261 fetal losses (22-31 weeks) and 209 induced abortions (22-25 weeks). Variables associated with access to a level III unit were evaluated through multivariable logistic regression models. Results: 83.7% of all pregnancies <32 weeks (88.8% of live births, 71.6% of fetal losses and 75.1% of induced abortions) were admitted to a level III perinatal center; 23.4% of live newborns, delivered in a level III hospital, were subsequently transferred to a same level facility. The probability that a fetal loss was not treated in a level III perinatal unit was higher for women without pregnancy complication, with lower education level, and living outside the metropolitan area. Conclusions: Regionalization of perinatal care in Lazio is not satisfactory. Concentration of high-risk deliveries in level III centers is good, but in utero transfer is insufficient. This study can help to define the effectiveness of different organizational systems on access to locally available perinatal facilities and to optimize general organizational patterns of perinatal care. [ABSTRACT FROM AUTHOR]

Published
2009
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39. Radioactivité dans le lait maternel et contamination de l’environnement*

Author

Campos Venuti, G., Risica, S., Simula, S., Di Lallo, D., Bertollini, R., Perucci, C.A., Campos Venuti, G., Risica, S., Simula, S., Di Lallo, D., Bertollini, R., and Perucci, C.A.

Abstract

Après l’accident de Tchernobyl, nous avons entrepris un programme de contrôle de la radioactivité artificielle dans le lait maternel, dans la ville de Rome. Cette recherche s’est déroulée en 1986 et en 1987 et est encore en cours. Nous avons confronté les concentrations de césium 134 et 137 mesurées avec celles du lait de vache et du lait en poudre. La dose efficace a été calculée pour les nourrissons.

Published
1988
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40. Pressure ulcer risk in long-term units: prevalence and associated factors.

Author

Capon A, Pavoni N, Mastromattei A, and Di Lallo D

Subjects
BEDSORE risk factors, RISK management in business, MEDICAL care, LONG-term health care, NURSING, GERONTOLOGY
Abstract

AIM: This paper is a report of a study to assess pressure ulcer prevalence in a group of long-term units and to describe the main factors associated both with risk for and presence of a pressure ulcer. BACKGROUND: Despite being potentially preventable, pressure ulcers are highly frequent among institutionalized patients and are associated with increased morbidity and mortality. METHOD: A cross-sectional study was carried out, involving 571 patients from 10 long-term units in Rome, Italy. Healthcare staff in each unit evaluated pressure ulcer risk and collected clinical data while a single Registered Nurse assessed all patients to identify pressure ulcers. Univariate and multivariate analyses were performed for the two outcomes: condition at risk for pressure ulcers (Braden score < or = 16) and pressure ulcer presence. The data were collected in February-March 2005. FINDINGS: The overall prevalence of pressure ulcers was 27%. Multivariate analysis showed a statistically significant positive association between high-risk condition of pressure ulcer and previous stroke (OR = 1.96; 95% CI 1.30-2.96), previous trauma (OR = 1.83; 95% CI 1.12-2.99) and cognitive decline (OR associated with a 1 point Short Portable Mental State Questionnaire increase = 1.26; 95% CI 1.05-1.50). The model for pressure ulcer presence confirmed a statistically significant excess in patients with cardiovascular diseases (OR = 1.79; 95% CI 1.13-2.85), with high Activity of Daily Living scores (OR associated with a 1 point increase 1.38; 95% CI 1.03-1.84) and low Braden Scale scores (OR associated with a 1 point increase = 0.80; 95% CI 0.70-0.87). The risk of pressure ulcers according to number of full-time nurses and auxiliary staff per 10 beds lower than five was marginally statistically significant (OR = 1.60; 95% CI 0.98-2.61). CONCLUSION: Further research is needed to validate our findings and further prospective research is needed to identify ways of preventing pressure ulcers. Our data on staffing suggest that organizational factors should be taken into account when exploring determinants of pressure ulcers. [ABSTRACT FROM AUTHOR]

Published
2007
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44. Determinants of hospitalization in a cohort of chronic dialysis patients in central Italy

Author

Anteo Di Napoli, Pezzotti, P., Di Lallo, D., Tancioni, V., Papini, P., Guasticchi, G., Addessi, M. A., Ajam, M. F., Alfarone, C., Ancarani, E., Baldinelli, G., Balducci, A., Barbera, V., Barone, P., Battista, M. L., Beraldi, M. P., Biagini, M., Boccia, E., Bravi, M., Brunetti, G., Bucciolini, S., Buono, A., Canulla, F., Caschera, M., Casciani, C. U., Castellano, F., Cavarretta, L., Cerulli, N., Cherubini, C., Chiappini, M. G., Colonnelli, R., Costantini, S., Cuzziol, C., D Adamo, G., Bella, E., Cicco, C., Virgiliis, G., Della Grotta, F., Di Giandomenico, W., Di Giulio, S., Di Legge, R., Di Lullo, L., Di Toro, M. R., Esposto, C., Falcone, C., Felicioni, R., Feliziani, C., Ferrazzoli, F., Filippini, A., Fini, R., Firmi, G., Flammini, A., Forte, F., Franceschelli, L., Galiardi, M. S., Gentile, M., Germani, A., Giordano, F., Giustini, A., Hassan, S., Iamundo, V., Iannacci, R., Iorio, L., Jankovic, L., Luciani, G., Manca, S., Mantella, D., Mangieri, M., Mariano, V., Marin, M., Marinelli, A., Marinelli, R., Massa, P., Mauro, L. M., Mauro, M. M., Meschini, L., Mignozzi, M., Militello, A., Misiti, L., Morabito, S., Morosetti, M., Morricone, A., Moscoloni, M., Murrone, P., Nacca, R., Nazzaro, L., Onorato, L., Pace, G., Palumbo, R., Panzieri, G., Paolozzi, G., Paone, A., Parravano, M., Pasquarelli, C., Pelosi, M., Petroni, S., Poggi, A., Polito, P., and Ponzio, R.

45. Use of health and social care services in a cohort of italian dementia patients

Author

Scalmana, S., Anteo Di Napoli, Franco, F., Vanacore, N., Di Lallo, D., Letizia Giarrizzo, M., and Guasticchi, G.

Subjects
Aged, 80 and over, Cohort Studies, Male, Italy, Social Work, Psychiatric, Humans, Dementia, Female, Health Services, Aged
Abstract

The aim of this study, conducted in the Region of Lazio, Italy, in 2008-2010, was to describe the use, over a one-year period, of health and social care services in a cohort of 712 patients with a diagnosis of dementia. These patients had never previously used such services. We evaluated the association between the patients' sociodemographic and clinical characteristics and their use of services. Sociodemographic and clinical data were collected at baseline using validated instruments, while the use of services was investigated at the end of the one-year follow-up through a structured (questionnaire-based) interview with the caregiver. We found that 11.9% of patients used health or social care services. The most frequent diagnoses were: Alzheimer's disease (72.1%), mixed dementia (20.5%), and vascular dementia (9.7%). A higher probability of use of services was observed in patients with: more than five years of schooling (OR=1.79; 95%CI:1.08-2.96); one or more comorbidity (OR=4.87; 95%CI:2.05- 11.57); severe (OR=4.78; 95%CI:1.75-13.06) or moderate dementia (OR=2.08; 95%CI:0.98-4.40). The low health and social care service use among dementia patients in this study could be explained by a lack of availability of services. Public health authorities should plan adequate networks of services, considering both patients and caregivers' needs.

46. Italian Registry of Dialysis and Transplantation: 1996-2001 experience,Registro Italiano Dialisi e Trapianto. Esperienza 1996-2001

Author

Conte, F., Cappelli, G., FRANCESCO CASINO, Postorino, M., Quintaliani, G., Salomone, M., Di Napoli, A., Limido, A., Mancini, E., Nordio, M., Pinna, A., Santoro, D., Alloatti, S., Bellinghieri, G., Bonadonna, A., Bonomini, M., Colasanti, G., Di Giulio, S., Di Iorio, B., Di Lallo, D., Gaffi, G., Gesualdo, L., Locatelli, F., Piccoli, G., Quarello, F., Riegler, P., Salvadori, M., Santoro, A., Sparano, G., and Vasile, A.

49. Early and late mortality in elderly patients after hip fracture: a cohort study using administrative health databases in the Lazio region, Italy

Author

Di Lallo Domenico, Franzo Antonella, Pezzotti Patrizio, Castronuovo Esmeralda, and Guasticchi Gabriella

Subjects
Geriatrics, RC952-954.6
Abstract

Abstract Background Hip fractures represent one of the most important causes of morbidity and mortality in elderly people. We evaluated the risk and the potential determinants of early, mid and long term mortality, in a population-based cohort of subjects aged ≥ 65 years old. Methods Using hospital discharge database we identified all hospitalized hip fracture cases of 2006, among residents in Lazio Region aged ≥ 65 years old. The mortality follow-up was performed through a deterministic record-linkage between the cohort and the death registry for the years 2006 and 2007. Kaplan-Meier method was used to calculate cumulative survival probability after admission. Shared frailties Cox regression model was used to estimate adjusted hazard ratios (HRs) for early (within 1 month), mid (1-6 months) and long term (6-24 months) mortality. As possible cofactors we considered age, gender, marital status, education degree, comorbidities, surgical intervention, and hospital volume of surgical treatment for hip fracture. Results We identified 6,896 patients; 78% were females, median age was 83 and 9% had two or more comorbidities. Five percent died during hospital stay; the cumulative probability of dying at 30, 180 days, and at 2 years was 7%, 18% and 30%. In the first month following admission, we found a significantly increased HR with older age, male sex, not married status, history of hearth disease, chronic pulmonary and renal disease; for those who had surgery there was a significantly increased HR within two days after surgical intervention and a significantly decreased HR thereafter compared to those who received a conservative management. Between 1 and 6 months significantly increased HRs were for older age, male sex and higher hospital volume of surgical treatment. After six months, significantly increased HRs were for older age, male sex, presence of dementia and other low prevalence diseases. Conclusion In Lazio region the risk of dying after hip fracture is similar to that found in high-income countries. Both clinical and organizational factors of acute care are associated with the risk of early mortality. As time passes, some of these factors tend to become less important while older age, male gender, the presence of cognitive problems and the presence of other comorbidities remain significant.

Published
2011
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50. Perinatal outcomes among immigrant mothers over two periods in a region of central Italy

Author

Di Lallo Domenico, De Curtis Mario, Lucchini Renato, Franco Francesco, Polo Arianna, Asole Simona, Cacciani Laura, and Guasticchi Gabriella

Subjects
Public aspects of medicine, RA1-1270
Abstract

Abstract Background The number of immigrants has increased in Italy in the last twenty years (7.2% of the Italian population), as have infants of foreign-born parents, but scanty evidence on perinatal outcomes is available. The aim of this study was to investigate whether infants of foreign-born mothers living in Italy have different odds of adverse perinatal outcomes compared to those of native-born mothers, and if such measures changed over two periods. Methods The source of this area-based study was the regional hospital discharge database that records perinatal information on all births in the Lazio region. We analysed 296,739 singleton births born between 1996-1998 and 2006-2008. The exposure variable was the mother's region of birth. We considered five outcomes of perinatal health. We estimated crude and adjusted odds ratios and 95% confidence intervals (CIs) to evaluate the association between mother's region of birth and perinatal outcomes. Results Perinatal outcomes were worse among infants of immigrant compared to Italian mothers, especially for sub-Saharan and west Africans, with the following crude ORs (in 1996-1998 and 2006-2008 respectively): 1.80 (95%CI:1.44-2.28) and 1.95 (95%CI:1.72-2.21) for very preterm births, and 1.32 (95%CI:1.16-1.50) and 1.32 (95%CI:1.25-1.39) for preterm births; 1.18 (95%CI:0.99-1.40) and 1.17 (95%CI:1.03-1.34) for a low Apgar score; 1.22 (95%CI:1.15-1.31) and 1.24 (95%CI:1.17-1.32) for the presence of respiratory diseases; 1.47 (95%CI:1.30-1.66) and 1.45 (95%CI:1.34-1.57) for the need for special or intensive neonatal care/in-hospital deaths; and 1.03 (95%CI:0.93-1.15) and 1.07 (95%CI:1.00-1.15) for congenital malformations. Overall, time did not affect the odds of outcomes differently between immigrant and Italian mothers and most outcomes improved over time among all infants. None of the risk factors considered confounded the associations. Conclusion Our findings suggest that migrant status is a risk factor for adverse perinatal health. Moreover, they suggest that perinatal outcomes improved over time in some immigrant women. This could be due to a general improvement in immigrants' health in the past decade, or it may indicate successful application of policies that increase accessibility to mother-child health services during the periconception and prenatal periods for legal and illegal immigrant women in Italy.

Published
2011
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