Publications by authors named "Francesco Albertoni"

Background: Delayed neurological sequelae (DNS) are a significant complication of acute carbon monoxide poisoning (COP). The Glasgow Coma Scale (GCS) is frequently used to assess neurological status, but its prognostic value for DNS is not universally established.

Objectives: To evaluate the association between GCS at emergency department (ED) presentation and the development of DNS in COP patients METHODS: A systematic review and meta-analysis was conducted on observational studies that reported on GCS and the subsequent occurrence of DNS.

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Article Synopsis
  • Acute carbon monoxide poisoning (COP) is a significant cause of emergency department visits, with symptoms that can range from mild to critical, making diagnosis challenging.
  • This systematic review evaluates the accuracy of CO pulse oximetry (SpCO) against conventional blood gas analysis for measuring carboxyhemoglobin (COHb) levels in suspected COP cases.
  • Findings from six studies involving 1,734 patients indicate that while SpCO has high specificity (93%), its low sensitivity (65%) renders it unsuitable as a screening tool in emergency settings, but it may have potential for use in prehospital situations.
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We describe a large outbreak associated with a crusted (Norwegian) scabies case in an immunocompromised patient following treatment with TNF-α inhibitor (adalimumab) for psoriasis arthritis. The increasing use of TNF-α inhibitors should induce clinicians to consider this serious parasitic infection when evaluating skin rashes in patients receiving biologic therapies.

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