Revista clinica espanola最新文献_第10页

Valoración nutricional por ecografía del recto femoral y el tejido adiposo preperitoneal como predictores del riesgo de complicaciones del paciente hospitalizado 股骨直肠和腹膜前脂肪组织的超声营养评估作为住院患者并发症风险的预测指标

IF 2.9 4区医学

Revista clinica espanola Pub Date : 2023-12-01 DOI: 10.1016/j.rce.2023.09.001

R. Marín-Baselga , C. Sanz-Ortega , L. Platero-Dueñas , R. Sorriguieta-Torre , S. Palma-Milla , Y. Tung-Chen

{"title":"Valoración nutricional por ecografía del recto femoral y el tejido adiposo preperitoneal como predictores del riesgo de complicaciones del paciente hospitalizado","authors":"R. Marín-Baselga , C. Sanz-Ortega , L. Platero-Dueñas , R. Sorriguieta-Torre , S. Palma-Milla , Y. Tung-Chen","doi":"10.1016/j.rce.2023.09.001","DOIUrl":"10.1016/j.rce.2023.09.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Malnutrition and sarcopenia are associated with increased risk of adverse events and worse outcome in hospitalised patients. Ultrasonography is a useful tool in the assessment of body composition.</p></div><div><h3>Patients and methods</h3><p>Twenty-three patients admitted to a hospital ward were recruited. Ultrasonographic variables of muscle tissue and adipose tissue were collected, as well as their variation during admission. These were correlated with anthropometric, clinical and analytical data.</p></div><div><h3>Results</h3><p>We observed a correlation of ultrasound measurements with length of hospitalisation (maximum preperitoneal fat −0.585, rectus femoris thickness [RF] −0.539, RF area −0.540), frailty (RF −0.599) and dependency (RF 0.628). RF contractile capacity correlated with reported weekly exercise (0.642).</p></div><div><h3>Conclusion</h3><p>RF and preperitoneal fat thickness correlate with the number of days of admission and functional capacity, emerging as prognostic variables.</p></div>","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135515727","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: 2

Nueva era de la medicina basada en las células madre mesenquimales: bases, retos y perspectivas 基于间充质干细胞的医学新时代:基础、挑战与展望

IF 2.9 4区医学

Revista clinica espanola Pub Date : 2023-12-01 DOI: 10.1016/j.rce.2023.10.002

F.J. Vizoso , L.A. Costa , N. Eiro

引用次数: 0

Riesgo de hemorragia cerebral en el traumatismo craneal leve y tratamiento antitrombótico 轻度脑外伤和抗血栓治疗的脑出血风险

IF 2.9 4区医学

Revista clinica espanola Pub Date : 2023-12-01 DOI: 10.1016/j.rce.2023.09.005

J.J. Martínez-Rivas , F. Rodríguez-Lucas , G. Planells , D. Corrales , D. Cocho

{"title":"Riesgo de hemorragia cerebral en el traumatismo craneal leve y tratamiento antitrombótico","authors":"J.J. Martínez-Rivas , F. Rodríguez-Lucas , G. Planells , D. Corrales , D. Cocho","doi":"10.1016/j.rce.2023.09.005","DOIUrl":"10.1016/j.rce.2023.09.005","url":null,"abstract":"<div><h3>Introduction</h3><p>The observation time in mild traumatic brain injury (mTBI) is controversial. Our aim was to assess the risk of neurological complications in mTBI with and without antithrombotic treatment.</p></div><div><h3>Method</h3><p>We retrospectively evaluated patients with mTBI seen in the emergency room for 3 years. We considered MTBI those with Glasgow ≥13 at admission. A cranial CT was performed in all cases with <u>></u>1 risk factor at admission and at 24h in those with neurological impairment or initial pathological cranial CT. Complications in the following 3 months were retrospectively reviewed.</p></div><div><h3>Results</h3><p>We evaluated 907 patients with a mean age of 73±19 years. Ninety-one percent presented risk factors, with 60% on antithrombotic treatment. We detected 11% of initial brain hemorrhage, 0.4% at 24h, and no cases at 3 months. Antithrombotic treatment was not associated with an increased risk of brain hemorrhage (9.9% with vs. 11.9% without treatment, <em>P</em>=.3). 39% of the hemorrhages presented neurological symptoms (18% post-traumatic amnesia, 12% headache, 8% vomiting, 1% seizures), with 78.4% having mild symptoms. Of the 4 hemorrhages detected at 24h, 3 were asymptomatic and one case that worsened the initial headache. No asymptomatic patient without lesion on initial clinical cranial CT presented at 24h.</p></div><div><h3>Conclusions</h3><p>Our study suggests that patients with asymptomatic mTBI, without a lesion on the initial cranial CT, would not require the observation period or CT control regardless of antithrombotic treatment or INR level.</p></div>","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135615280","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

Ecografía clínica en la valoración de la composición corporal: herramienta prometedora y oportunidad para los internistas 临床超声在身体成分评估中的应用:对内科医生来说是一个有前途的工具和机会

IF 2.9 4区医学

Revista clinica espanola Pub Date : 2023-12-01 DOI: 10.1016/j.rce.2023.09.002

J. Torres Macho , L.M. Beltrán Romero

引用次数: 0

Ley orgánica de regulación de la eutanasia: conocimiento e implicación de los médicos en España tras un año de su aplicación 安乐死组织法:西班牙医生在实施一年后的知识和参与

IF 2.9 4区医学

Revista clinica espanola Pub Date : 2023-12-01 DOI: 10.1016/j.rce.2023.09.003

G. Pujol-Fontrodona , J.M. Domínguez-Roldan , R. Valero

{"title":"Ley orgánica de regulación de la eutanasia: conocimiento e implicación de los médicos en España tras un año de su aplicación","authors":"G. Pujol-Fontrodona , J.M. Domínguez-Roldan , R. Valero","doi":"10.1016/j.rce.2023.09.003","DOIUrl":"10.1016/j.rce.2023.09.003","url":null,"abstract":"<div><h3>Background and aims</h3><p>The Organic Law Regulating Euthanasia (LORE, for its initials in Spanish) came into force in June 2021. This study aims to examine knowledge of the LORE among physicians licensed in Spain as well as their involvement with and the impact of the law.</p></div><div><h3>Methods</h3><p>This work is a descriptive, cross-sectional study conducted by means of a survey. Information was gathered through a self-administered questionnaire.</p></div><div><h3>Results</h3><p>The survey was answered by 1446 physicians licensed in Spain. The sample's demographic characteristics were as follows: 54.7% were women, the mean age was 52±14 years, and 66.0% worked in a hospital. Catalonia was the autonomous community with the most participants (44.6%). Regarding specialties, anesthesiology and resuscitation had the highest number of participants (21.9%), followed by family and community medicine (18.5%). The LORE was known in detail by 24.3% of physicians, 58.0% had a positive opinion of it, and 31.1% had direct experience with the euthanasia procedure. Practitioners working in the hospital setting perceived the law more favorably compared to those in the primary care setting (62.3% vs. 47.3%, <em>p</em>  <!-->0.01).</p></div><div><h3>Conclusions</h3><p>Most doctors did not have in-depth knowledge of the LORE, although a majority supported its existence, particularly those in hospital medicine. Most physicians who viewed the LORE negatively were male, older, and worked in primary care. A minority of physicians considered registering as conscientious objectors.</p></div>","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135614967","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

Tratamiento del lupus eritematoso sistémico: nuevas opciones terapéuticas 系统性红斑狼疮的治疗:新的治疗选择

IF 2.9 4区医学

Revista clinica espanola Pub Date : 2023-12-01 DOI: 10.1016/j.rce.2023.11.001

A. González-García , I. Cusácovich , G. Ruiz-Irastorza

引用次数: 0

Epidemiología y calidad asistencial de las intoxicaciones agudas en el adulto mayor de 65 años en Alicante, España 西班牙阿利坎特65岁以上成人急性中毒的流行病学和护理质量

IF 2.9 4区医学

Revista clinica espanola Pub Date : 2023-12-01 DOI: 10.1016/j.rce.2023.10.001

Á. Lirón-García , J.M. Ramos-Rincón , B. Valero-Novella , J. Marín-Aparicio , R. Sánchez-Martínez , P. Llorens

{"title":"Epidemiología y calidad asistencial de las intoxicaciones agudas en el adulto mayor de 65 años en Alicante, España","authors":"Á. Lirón-García , J.M. Ramos-Rincón , B. Valero-Novella , J. Marín-Aparicio , R. Sánchez-Martínez , P. Llorens","doi":"10.1016/j.rce.2023.10.001","DOIUrl":"https://doi.org/10.1016/j.rce.2023.10.001","url":null,"abstract":"<div><h3>Introduction</h3><p>The objective of this study was to examine the epidemiology of acute poisonings in the emergency department (ED) of a tertiary center and to analyze the compliance level with quality indicators (QIs) in patients 65 years and older compared rest of adults.</p></div><div><h3>Materials and methods</h3><p>This was an observational and retrospective study that included diagnosed cases of acute poisoning in patients over 14 years old treated in the ED of a tertiary hospital. Demographic variables, type of toxic substances, and cause of poisoning were collected, along with 19 QIs and patient outcomes, with the main outcome variable being the degree of compliance with the QIs.</p></div><div><h3>Results</h3><p>A total of 1144 cases were recorded, with 10.4% (<em>n</em>  =0.015), experience more accidental poisonings (37.6% vs. 25.7%; <em>p</em>  =0.003). There were fewer cases of alcohol poisoning (5% vs. 17.8%; <em>p</em>  <0.001) in this age group. Most QIs showed a high degree of compliance (>85%) in both patients 65 years and older and rest of adults. However, there were differences in the indication of oxygen therapy in cases of carbon monoxide poisoning (64.2% vs. 40.9%; <em>p</em>  <!-->0.005).</p></div><div><h3>Conclusions</h3><p>The epidemiological profile of poisoning in patients 65 years and older differs from that of adult patients, with a similar degree of compliance with QIs. Based on the results obtained, there does not appear to be significant differences in the management of poisoned patients based on their age.</p></div>","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138501229","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

664 - IMPACTO DE LA BACTERIEMIA EN PACIENTES CON INFECCIÓN URINARIA 664 - 菌血症对尿路感染患者的影响

IF 2.9 4区医学

Revista clinica espanola Pub Date : 2023-11-01 DOI: 10.1016/S0014-2565(23)00254-0

Elena Resa Ruiz, Sofía Viñola Hernández, Manuel Madrazo López, María Civera Barrachina, Laura Piles Roger, Manuel López Torres, Arturo Artero Mora

引用次数: 0

18 - VALIDACIÓN DEL ALGORITMO IN SHAPE II PARA LA EXCLUSIÓN DE ENFERMEDAD TROMBOEMBÓLICA CRÓNICA EN PACIENTES CON TROMBOEMBOLISMO PULMONAR 18 - 在肺血栓栓塞症患者中排除慢性血栓栓塞症的 In shape II 算法的验证

IF 2.9 4区医学

Revista clinica espanola Pub Date : 2023-11-01 DOI: 10.1016/S0014-2565(23)00240-0

Mª Dolores Joya Seijo, José Antonio Rueda Camino, Alejandro Saenz de Urturi Rodríguez, Ana Cristina Gil Abizanda, María Angelina García, María Claudia Montes Romero, María Elvira Barrios Garrido-Lestache, Raquel Barba Martín

引用次数: 0

2129 - EFECTO DE LAS OLAS DE CALOR EXTREMO SOBRE LA MORBILIDAD Y LOS INGRESOS HOSPITALARIOS EN UNA CIUDAD DEL MEDITERRÁNEO OCCIDENTAL 2129 - 地中海西部城市极端热浪对发病率和入院率的影响

IF 2.9 4区医学

Revista clinica espanola Pub Date : 2023-11-01 DOI: 10.1016/S0014-2565(23)00294-1

Andreu Bujosa Mateu, María Villalonga Comas, Lluis Planas Bibiloni, Manuel Díaz Cañestro, Jaume Orfila Timoner, Javier Murillas Angoiti

引用次数: 0