Medicina Clinica最新文献_第2页

Factors associated with in-hospital and 12-month mortality in patients undergoing hip arthroplasty for femoral neck fracture 股骨颈骨折髋关节置换术患者住院和12个月死亡率的相关因素

IF 2.6 4区医学

Medicina Clinica Pub Date : 2025-05-30 DOI: 10.1016/j.medcli.2025.107021

Julieta Passini-Sánchez , Juan Miguel Gómez-Palomo , Ana Martínez-Crespo , Plácido Zamora-Navas

{"title":"Factors associated with in-hospital and 12-month mortality in patients undergoing hip arthroplasty for femoral neck fracture","authors":"Julieta Passini-Sánchez , Juan Miguel Gómez-Palomo , Ana Martínez-Crespo , Plácido Zamora-Navas","doi":"10.1016/j.medcli.2025.107021","DOIUrl":"10.1016/j.medcli.2025.107021","url":null,"abstract":"<div><h3>Introduction</h3><div>The increase in the incidence of hip fractures in elderly patients is associated with higher mortality, with rates as high as 30% per year. The aim of this study was to identify the factors associated with in-hospital and 12-month mortality in patients undergoing hip arthroplasty for femoral neck fracture. While the type of procedure (HA vs. THA) was analysed, the primary focus was on clinical and perioperative variables influencing mortality.</div></div><div><h3>Material and methods</h3><div>A retrospective case–control study was conducted with a sample of 476 patients treated with THA or HA between 2016 and 2018. A multivariate analysis was performed, to identify the variables with the most significant impact on in-hospital mortality and mortality within the first year of follow-up.</div></div><div><h3>Results</h3><div>In-hospital mortality was 6.8%, while 12-month mortality reached 10.9%. The variables associated with higher mortality were age, respiratory disease, renal insufficiency, chronic anaemia, use of antiplatelet or anticoagulant medications, and being bedridden or chair-bound. No statistically significant differences were observed regarding the type of procedure (THA or HA).</div></div><div><h3>Conclusions</h3><div>The use of antiplatelet or anticoagulant medications, chronic renal insufficiency, and being bedridden or chair-bound were associated with higher in-hospital mortality. Chronic anaemia, respiratory disease, chronic renal insufficiency, and being bedridden or chair-bound correlated with an increase in mortality during the first year.</div></div>","PeriodicalId":18578,"journal":{"name":"Medicina Clinica","volume":"165 3","pages":"Article 107021"},"PeriodicalIF":2.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144168347","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

Autism and central and peripheral hearing loss: A systematic review 自闭症与中枢性和外周性听力损失：一项系统综述

IF 2.6 4区医学

Medicina Clinica Pub Date : 2025-05-30 DOI: 10.1016/j.medcli.2025.107029

Miguel Caballero-Borrego , Aina Valverde-Domínguez , Marta Sandoval

{"title":"Autism and central and peripheral hearing loss: A systematic review","authors":"Miguel Caballero-Borrego , Aina Valverde-Domínguez , Marta Sandoval","doi":"10.1016/j.medcli.2025.107029","DOIUrl":"10.1016/j.medcli.2025.107029","url":null,"abstract":"<div><h3>Background and objective</h3><div>Individuals with autism spectrum disorder (ASD) may have an increased risk of developing both peripheral and central hearing loss. This study conducts a systematic review of the literature to determine their relationship.</div></div><div><h3>Material and method</h3><div>A systematic search of the PubMed and Web of Science databases was conducted for studies evaluating the potential association between autism and hearing loss. The initial search identified 840 studies. After applying the inclusion criteria, 21 studies were analysed.</div></div><div><h3>Results</h3><div>Seventeen studies found a predisposition to developing either central or peripheral hearing loss. Autistic children were also found to have an increased incidence of ear infections. In children with both autism and hearing loss, delays in diagnosis of either condition were observed due to overlapping clinical presentations.</div></div><div><h3>Conclusion</h3><div>Children with autism may have a higher risk for hearing impairment. Hearing tests are recommended to avoid delays in diagnosis and to provide the best therapeutic options.</div></div>","PeriodicalId":18578,"journal":{"name":"Medicina Clinica","volume":"165 2","pages":"Article 107029"},"PeriodicalIF":2.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167306","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

Enfermedades transmitidas por garrapatas duras en España 西班牙由硬蜱传播的疾病

IF 2.6 4区医学

Medicina Clinica Pub Date : 2025-05-30 DOI: 10.1016/j.medcli.2025.106989

José A. Oteo, Sonia Santibáñez, Aránzazu Portillo

引用次数: 0

Sarcomas cardíacos: estudio de 7 casos 心脏肉瘤：7例研究

IF 2.6 4区医学

Medicina Clinica Pub Date : 2025-05-30 DOI: 10.1016/j.medcli.2025.107016

Santiago Fernández-Gordón Sánchez , Miguel Ángel Japón Rodríguez , Nieves Romero-Rodríguez

引用次数: 0

Dyspnea and hemoptysis caused by leech infestation 水蛭侵袭引起呼吸困难和咯血