Stamatoula Tsikrika

Sotiria General Hospital

Author Statistics

Papers

Citation

H-Index

i-10 index

Research Trends

Author Order

Document Type

Co-Authors

AΙ

Andriana Ι. Papaioannou

National and Kapodistrian University of Athens

ΚB

Κonstantinos Bartziokas

e-Trikala (Greece)

ΚΚ

Κonstantinos Κostikas

University of Ioannina

Stelios Loukides

National and Kapodistrian University of Athens

Foteini Karakontaki

National and Kapodistrian University of Athens

PΚ

Paraskevi Κatsaounou

Evangelismos Hospital

Aikaterini Haniotou

Hospital Agioi Anargyroi

Spyros Papiris

University General Hospital Attikon

Laurent Béghin

Université de Lille

Maged Hassan

Iraqi University

Cooperative Institutions

British Association for Immediate Care Scotland

169

Universidad de Zaragoza

168

BASilar artery International Cooperation Study

150

Spanish Biomedical Research Centre in Physiopathology of Obesity and Nutrition

120

Universidad de Granada

112

National and Kapodistrian University of Athens

103

Inserm

Consejo Superior de Investigaciones Científicas

Instituto de Ciencia y Tecnología de Alimentos y Nutrición

Instituto de Salud Carlos III

Author Statistics

Papers

Citation

H-Index

i-10 index

Research Field

Stamatoula Tsikrika Sofia Pappa Eleni Kotina Anastasia Zygoura Athanasia Togia

Introduction: Several studies have reported associations between short-term effects of smog pollutants and hospital admissions with respiratory diagnoses. In Athens, on specific dates of December 2013 and January 2014, transient elevation of smog levels was noted. Aim: To examine the association between elevated smog and calls/medical reports to the National Emergency Medical Service (EKAB) for respiratory problems during dates with elevated airborne particles (PM10) and sulfur dioxide (SO2). Methods: The study compared non-parametric methods of time series data, adjusting for seasonal factors, day of the week, weather and pollen concentrations from 23-31/12/2013 and 4-6/02/2014 with same dates a year ago. Major source of this smog pollution was domestic coal burning due to illegal material of pellet stoves. Results: We found that a 10% change in SO2 levels resulted in a moderate increase 8% of relevant calls to the EKAB for December 2013. For the 7days period of December, increased values of airborne particles were associated with COPD exacerbations in men, mean aged 56±6yrs, with LOTT, from specific areas of residency (p=0.004). An increase percentage of 4% emergency calls were referred for asthmatic women, mean age 42±3yrs with middle/high dose of ICS in 4-6 January (p=0.004). Patients calling for smog-related respiratory problems used most commonly extreme dyspnea (41%), cough (20%), phlegm(8%), tachycardia(6%). In all admitted patients oxygen delivery was provided (p=0.001). Conclusions: We concluded that exposure even to transiently elevated PM10 and SO2 is associated with an increased volume of calls for COPD and asthma exacerbations in EKAB.

Cite

Citations (0)

Short term use of an e-cig: influence on clinical symptoms, vital signs and eCO levels

Tobacco Induced Diseases (2014)

Stamatoula Tsikrika Sophia Vakali Sophia Antiopi Gennimata Anastasios Palamidas Georgios Kaltsakas

Materials and methods Sixty two participants (32 men) with a mean age of 45.43 years have been recruited. Sixteen smokers were suffered by COPD, 12 smokers by asthma, 24 smokers had no overt airways disease. All were current smokers with a long smoking history. A group of 10 non-smokers was also included. The same brand of e-cig was used for 10 min inhaled 11mg. Clinical symptoms, vital signs, -heart rate, oxygen saturation (SpO2) and exhaled CO, was assessed pre and post the e-cig use.

Vital signs

10.1186/1617-9625-12-s1-a30

Cite

Citations (16)

Smoking of healthcare workers(HCWs) working in reference hospitals during the first wave of the COVID-19 pandemic

Nikolaos Athanasiou Sofia Pappa Dimitra Mpousiou Stamatoula Tsikrika Zafeiria Barmparessou

Introduction-Goal: To investigate addiction and mental health in HCWs working in COVID-19 reference hospitals during the first wave in Greece Method: The study was conducted in 7 reference hospitals for SARSCoV2. Online questionnaires were created via GoogleForms and they were sent to the participants through e-mail and social media applications.464HCWs were includedTab1 Results:a)HCWs smoke at 33,41%(19,18%ex-smokers). Doctors, nurses and rest HCWs smoking percentagesFig1 b) Most HCWs use classic cigarettesTab2 c) 9% of HCWs increased daily consumption of cigarettes during the pandemic d) Smokers HCWs experience depression(PHQ-9Scale)in 36,5% and stress disorders(GAD-7Scale)in 37% Fig2,3 e) Compliance with quarantine rules was higher in never smokers and in those without predisposing factorsFig4 f) Commorbidities were presented in 36% of smokers and 24% of ex-smokersFig5 Conclusion: A high percentage of HCWs working in COVID-19 reference hospitals, continued or even increased daily consumption of cigarettes during the first wave of Covid-19 pandemic. They also experienced higher rates of depression and stress compared to never-smokers and demonstrated a worse compliance with imposed quarantine rules. We suggest the creation of holistic smoking cessation centers that include depression and stress management of HCWs in order to achieve smoke-free hospitals worldwide and support HCWs9 psychological burden

Pandemic

Depression

10.1183/13993003.congress-2021.pa3200

Cite

Citations (0)

The role of non-invasive modalities for assessing inflammation in patients with non-cystic fibrosis bronchiectasis

Cytokine (2017)

Stamatoula Tsikrika Katerina Dimakou Andriana Ι. Papaioannou Georgios Hillas Loukas Thanos

Neutrophilia

10.1016/j.cyto.2017.08.005

Cite

Citations (69)

Tobacco use among ICU patients with Candida auris infection in COVID 19 referral hospital.

Stamatoula Tsikrika Asimina Raftopoulou Vasiliki Nanou Marina Asmanidou Theoni Agapitou

Introduction: Candida auris has been reported as emerging yeast pathogen that can cause invasive bloodstream infections in healthcare settings, especially in ICU. Aim: To investigate the prevalence of C.auris among tobacco smokers regarding APACHE score, imaging, and inflammatory biomarkers. Material: We conducted a retrospective review of epidemiological, clinical, and microbiological records at a referral COVID 19 ICU between 08/2021-3/2022. Demographic data, tobacco use and addiction, comorbidities, microbiology investigation, emphysema score by chest CT, treatment regimens and outcomes were determined. Results: 40 patients (24 men), mean age 73.6 years with median ICU length of stay 42.5 days and 51.7% mortality. Current smokers 35±4 pack/yrs (11 men/7 women), ex-smokers (8 men/6 women) with Fagerström Test 6±2. Main comorbidities were diabetes (55%), CVD (48%), hypertension (61%), COPD (35%), ΒΜΙ>30 (34%), neoplasia (17%). Higher APACHE ΙΙ score was measured in current smokers (48±8) with higher Fagerström Test (p=0.001) and ex-smokers (39±6) (p=0.003). Current smokers and ex-smokers were hospitalized in ICU for a longer period 29±7 days (p=0.001). 31% current and ex-smokers patients with higher addiction presented CT findings of pulmonary emphysema with emphysema score (16/11 respectively) (p=0.001). Conclusion: Tobacco smoking is a serious comorbidity in COVID 19 ICU patients infected with C.auris with both current smokers and ex-smokers reveal more severe rates of mortality and morbidity

10.1183/13993003.congress-2023.pa3330

Cite

Citations (0)

Chest Drain Fall-Out Rate According to Suturing Practices: A Retrospective Direct Comparison

Respiration (2018)

Rachelle Asciak Dinesh Addala Juzer Karimjee Maaz Suhail Rana Stamatoula Tsikrika

Background: Chest drains often become displaced and require replacement, adding unnecessary risks to patients. Simple measures such as suturing of the drain may reduce fall-out rates; however, there is no direct data to demonstrate this and no standardized recommended practice that is evidence based. Objectives: The study aimed to analyze the rate of chest drain fall out according to suturing practice. Methods: Retrospective analysis of all chest drain insertions (radiology and pleural teams) in 2015–2016. Details of chest drain fall out were collected from patient electronic records. Drain “fall out” was pre-hoc defined as the drain tip becoming dislodged outside the pleural cavity unintentionally before a clinical decision was taken to remove the drain. Results: A total of 369 chest drains were inserted: sutured (n = 106, 28.7%; 44 male [41.5%], median age 74 [interquartile range (IQR) 21] years), and unsutured (n = 263, 71.3%; 139 male [52.9%], median age 68 [IQR 21] years). Of the sutured drains, 7 (6.6%) fell out after a mean of 3.3 days (SD 2.6) compared to 39 (14.8%; p = 0.04) unsutured drains falling out after a mean of 2.7 days (SD 2.0; p = 0.8). Conclusions: Within the limits of this retrospective analysis, these results suggest that suturing of drains is associated with lower fall-out rates.

Interquartile range

10.1159/000489230

Cite

Citations (9)

Prediction of the duration of hospitilization in acute COPD exacerbations: The AECOPD-F score

European Respiratory Journal (2014)

Filia Diamantea Κonstantinos Κostikas Κonstantinos Bartziokas Foteini Karakontaki Stamatoula Tsikrika

Background: Hospital admissions for COPD exacerbations account for 70% of total costs of COPD treatment whereas the length of hospital stay (LOS) is directly related to this cost. Objectives: The aim of the present study was to investigate possible associations of demographic, clinical, laboratory and functional parameters with LOS of patients admitted for an acute exacerbation of COPD (AECOPD) and to provide a score for the prediction of prolonged LOS Methods: We included 164 consecutive patients admitted to two tertiary hospitals for AECOPD and we evaluated parameters possibly related to the duration of hospital stay. Results: Seven parameters evaluated on patient9 admission ( A ntonisen type of exacerbation, Number of E xacerbations in the previous year, C harlson index of comorbidities, O xygenation, Partial Pressure of Pa CO 2 in arterial blood gases, D yspnea according to the Borg dyspnea scale and history of Chronic Respiratory F ailure, were able to predict LOS and were included in a simple score named AECOPD-F Score. The AUC of the score for the prediction of prolonged hospital stay is 0.960, and a cut-off point ≥3 predicts prolonged length of stay with a sensitivity 84.5% and specificity 92.5%, 95% CI 0.917-0.984. The AECOPD-F score was validated in a second group of 88 patients admitted for AECOPD. In the validation group patients with AECOPD-F score ≥3 required prolonged LOS compared to those with a scorel3, [8.0 (6.0, 10.0) vs 6.5 (4.0, 9.0), p=0.007], respectively. Conclusion: The AECOPD-F Score could accurately predict LOS in hospitalized COPD patients. The implementation of this score in clinical practice could be useful in the discharge planning of such patients.

Source

Cite

Citations (0)

Application of a home-based exercise program combined with tele-rehabilitation in previously hospitalized patients with COVID-19: A feasibility, single-cohort interventional study

Pneumon (2022)

Eleni Kortianou Dimitrios Tsimouris Aspasia Mavronasou Sotirios Lekkas Nikolaos Kazatzis

1. Moris D, Schizas D. Lockdown During COVID-19: The Greek Success. In Vivo. 2020;34(suppl 3):1695-1699. doi:10.21873/invivo.11963 CrossRef Google Scholar

2019-20 coronavirus outbreak

10.18332/pne/146521

Cite

Citations (18)

From Recession to Depression? Prevalence and Correlates of Depression, Anxiety, Traumatic Stress and Burnout in Healthcare Workers during the COVID-19 Pandemic in Greece: A Multi-Center, Cross-Sectional Study

International Journal of Environmental Research and Public Health (2021)

Sofia Pappa Nikolaos Athanasiou Nikolaos Sakkas Stavros Patrinos Elpitha Sakka

The COVID-19 pandemic has the potential to adversely affect the mental health of healthcare workers (HCWs). The public healthcare system in Greece was already facing serious challenges at the outset of the outbreak following years of austerity and an escalating refugee crisis. This multi-center, cross-sectional study aims to assess the levels and associated risk factors of anxiety, depression, traumatic stress and burnout of frontline staff in Greece. A total of 464 self-selected HCWs in six reference hospitals completed a questionnaire comprising sociodemographic and work-related information and validated psychometric scales. The proportion of HCWs with symptoms of moderate/severe depression, anxiety and traumatic stress were 30%, 25% and 33%, respectively. Burnout levels were particularly high with 65% of respondents scoring moderate/severe in emotional exhaustion, 92% severe in depersonalization and 51% low/moderate in personal accomplishment. Predictive factors of adverse psychological outcomes included fear, perceived stress, risk of infection, lack of protective equipment and low social support. The psychological burden associated with COVID-19 in healthcare professionals in Greece is considerable, with more than half experiencing at least mild mental health difficulties. Findings signal the need for immediate organizational and individually tailored interventions to enhance resilience and support wellbeing under pandemic conditions.

Cross-sectional study

Depression

Pandemic

10.3390/ijerph18052390

Cite

Citations (87)

Knowledge, attitudes and practices regarding influenza and TB among health workers during seasonal influenza outbreak

Stamatoula Tsikrika Agis Terzidis Emanouil Pikoulis

Aim: The goal of this study was to quantify the psychological effects of working in high-risk hospitals related to TB and influenza during the seasonal influenza period. Methods: We evaluated 219 (140 women- 79 men) health care workers during 11/19-2/2020 based on a self-administered questionnaire, which was delivered to health, cleaning and security personnel. We study their demographic characteristics, work activity their attitude towards influenza and TB; risk perception, their relationships with previous level of exposure to infections and sources of information. Data were analyzed with SPSS 18. Results: One hundred three participants (82%) reported being anxious about their safety and 147 (67%) the safety of their families for seasonal influenza (p<0.0013). The most common precautionary actions for influenza were washing hands (79%), wearing mask(74%), gloves (72%) and avoiding public places (63%) (p<0.003). For TB, 66% of the participants want to take some days off because of the awareness or to be permanently removed (42%). They were mostly informed through television, influenza (49%)/TB (57%) and Internet (43%) for influenza/(38%) for TB (29%). Only 17% attended to a relative congress for influenza and 12% for TB. Most of respondents (69%) were vaccinated or indented to influenza vaccination (p<0.001) while 59% consider it safe. Unfortunately, 75% reported lack of confidence in influenza government politic (p<0.002) and 69% for TB (p<0.001) respectively. Conclusion: These results are encouraging to motivate heath workers to take preventive measures on avoiding outbreaks. Further efforts are necessary in order to achieve a pandemic prevention.

Seasonal influenza

Risk Perception

Risk Communication

Pandemic

10.1183/13993003.congress-2020.2391

Cite

Citations (0)