Revista clinica espanola最新文献

{"title":"Carta al editor sobre el artículo «¿Cómo detectar a los pacientes mayores no institucionalizados en riesgo de malnutrición durante su hospitalización? Comparación de 8 herramientas de cribado de malnutrición o de riesgo nutricional»","authors":"F.J. Teigell Muñoz","doi":"10.1016/j.rce.2024.04.012","DOIUrl":"https://doi.org/10.1016/j.rce.2024.04.012","url":null,"abstract":"","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141294889","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}

{"title":"Réplica a carta al editor «Resumen ejecutivo del documento de consenso sobre el manejo de la anemia perioperatoria en España»","authors":"M. Muñoz, en representación del panel del documento de consenso sobre el manejo de la anemia perioperatoria en España","doi":"10.1016/j.rce.2024.05.001","DOIUrl":"https://doi.org/10.1016/j.rce.2024.05.001","url":null,"abstract":"","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141294891","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}

{"title":"El espejismo del DOI","authors":"K. Moustafa","doi":"10.1016/j.rce.2024.03.006","DOIUrl":"https://doi.org/10.1016/j.rce.2024.03.006","url":null,"abstract":"","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140823545","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}

{"title":"Carta al editor sobre «Los retos de la bioética en la práctica clínica del siglo XXI»","authors":"M.F. García Aguilera , N. García Méndez , E. Álvarez Muñoz , J. Lagarda Cuevas","doi":"10.1016/j.rce.2024.02.007","DOIUrl":"https://doi.org/10.1016/j.rce.2024.02.007","url":null,"abstract":"","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140823547","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}

{"title":"Sospecha clínica, diagnóstico y seguimiento de la amiloidosis cardíaca: documento de actualización y resumen ejecutivo","authors":"S. Yun ,&nbsp;J. Casado ,&nbsp;J. Pérez-Silvestre ,&nbsp;P. Salamanca ,&nbsp;P. Llàcer ,&nbsp;R. Quirós ,&nbsp;R. Ruiz-Hueso ,&nbsp;M. Méndez ,&nbsp;L. Manzano ,&nbsp;F. Formiga","doi":"10.1016/j.rce.2024.03.007","DOIUrl":"https://doi.org/10.1016/j.rce.2024.03.007","url":null,"abstract":"<div><p>In recent years, the interest in cardiac amyloidosis has grown exponentially. However, there is a need to improve our understanding of amyloidosis in order to optimise early detection systems. Therefore, it is crucial to incorporate solutions to improve the suspicion, diagnosis and follow-up of cardiac amyloidosis. In this sense, we designed a tool following the different phases to reach the diagnosis of cardiac amyloidosis, as well as an optimal follow-up: a) clinical suspicion, where the importance of the “red flags” to suspect it and activate the diagnostic process is highlighted; 2) diagnosis, where the diagnostic algorithm is mainly outlined; and 3) follow-up of confirmed patients. This is a practical resource that will be of great use to all professionals caring for patients with suspected or confirmed cardiac amyloidosis, to improve its early detection, as well as to optimise its accurate diagnosis and optimal follow-up.</p></div>","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140823534","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}

{"title":"Interrelación multidimensional de la fragilidad en los pacientes mayores con diabetes mellitus","authors":"M.C. Gamero-Sánchez ,&nbsp;I. Barreto ,&nbsp;J.C. Arévalo-Lorido ,&nbsp;J. Maese-Calvo ,&nbsp;N. Mayoral-Testón ,&nbsp;J. Carretero-Gómez ,&nbsp;D. Fernández-Bergés","doi":"10.1016/j.rce.2024.04.002","DOIUrl":"https://doi.org/10.1016/j.rce.2024.04.002","url":null,"abstract":"<div><h3>Background and objective</h3><p>Patients with diabetes mellitus (DM) experience accelerated aging and, thus, a high prevalence of frailty. Our aim is to outline the type of frailty and prefrailty from a multidimensional perspective and the interaction of these dimensions in this scenery.</p></div><div><h3>Material and methods</h3><p>Observational study of patients with DM over 60 years-old. Variables related to nutrition, cognitive and emotional status, physical and instrumental functional capacity and social resources were collected. They were divided into three groups (robust, prefrail and frail) according to the Fried scale. Each of the variables in the groups were compared and a correspondence analysis was carried out to see the influence of some dimensions with others in each stage of frailty.</p></div><div><h3>Results</h3><p>188 patients (mean age 72.6<!--> <u>+</u> <!-->7.5) were analysed. Of them, 105 patients had prefrailty and 66 were frail. With the exception of social resources, the rest of the variables had an increasing prevalence depending on the stage of frailty. However, in the correspondence analysis (with 22.9% of variation explained by two dimensions) it was only patients with frailty who were associated with worse functional capacity, cognitive and emotional situation and mild to moderate social incapacity.</p></div><div><h3>Conclusions</h3><p>In our sample there was a high prevalence of prefrailty, and frailty associated with an increase in the prevalence of other different dimensions except social resources. However, the interaction between these dimensions was only evident in the case of patients with frailty.</p></div>","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140823541","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}

{"title":"Eventos cardiovasculares graves en asistentes a partidos de la liga nacional de fútbol antes y después de la COVID-19","authors":"L. Consuegra-Sánchez ,&nbsp;J.A. Martínez","doi":"10.1016/j.rce.2024.03.005","DOIUrl":"https://doi.org/10.1016/j.rce.2024.03.005","url":null,"abstract":"","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140823546","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}

{"title":"Anchura del bulbo de la arteria carótida interna: un nuevo parámetro potencial para la predicción de enfermedades vasculares cerebrales","authors":"İ. Ökçesiz ,&nbsp;H. Dönmez ,&nbsp;M. Mustafa Etleç ,&nbsp;A. Öztürk","doi":"10.1016/j.rce.2024.04.001","DOIUrl":"https://doi.org/10.1016/j.rce.2024.04.001","url":null,"abstract":"<div><h3>Objective</h3><p>To investigate the relationship between the width of the internal carotid artery (ICA) bulb and cerebral vascular diseases including stroke and intracranial aneurysms.</p></div><div><h3>Material and methods</h3><p>In total 300 patients who had supra-aortic computed tomography angiography (CTA) were enrolled in this study from 2015 to 2021. The study groups consisted of 100 ischemic stroke patients, 100 patients with intracranial aneurysms, and 100 control subjects. The intracranial aneurysm patient group was divided into two subgroups according to the presence of subarachnoid hemorrhage (SAH). The largest diameters of the ICA C1 (cervical) and C2 (petrous) segments in all individuals were measured bilaterally on CTA images. The ICA diameter ratios of the cases were measured using the formula (C1-C2)/C1. The relationship between the age and ICA vessel analysis was evaluated as well.</p></div><div><h3>Results</h3><p>The mean ICA bulb width values in the ischemic stroke patient group and the intracranial aneurysm patient group were significantly higher than the control group (<em>P</em>&lt;.001). The ICA C1 and C2 segment diameter values and ICA diameter ratio were smaller in the intracranial aneurysm patients with SAH than those who had not (<em>P</em>= 0.7). There was a statistically significant but weak relationship between the age and ICA diameter ratios in all study groups (R-squared value of 0.26, <em>P</em>= 0.03).</p></div><div><h3>Conclusion</h3><p>ICA bulb width is a parameter that can be easily evaluated with neuroimaging modalities and is a successful method that may be used for predicting the risk of ischemic stroke or the presence of an intracranial aneurysm.</p></div>","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140823539","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}

{"title":"Factores determinantes de la precisión de la oximetría de pulso: revisión bibliográfica","authors":"D. León-Valladares ,&nbsp;L.A. Barrio-Mateu ,&nbsp;N. Cortés-Carmona ,&nbsp;G. Fuentes-Lizana ,&nbsp;A.M. Cabanas ,&nbsp;K. Latorre-Progulakis ,&nbsp;M. Fuentes Guajardo ,&nbsp;P. Martín-Escudero","doi":"10.1016/j.rce.2024.03.001","DOIUrl":"https://doi.org/10.1016/j.rce.2024.03.001","url":null,"abstract":"<div><h3>Objective</h3><p>Identify and reach consensus on the variables that affect the measurement of oxygen saturation (SpO₂) using pulse oximetry.</p></div><div><h3>Methods</h3><p>We applied inclusion and exclusion criteria to select relevant studies in databases such as EBSCO and PubMed. The search strategies, carried out until December 2023, focused on publications that addressed the technology of pulse oximeters and variables that influence their accuracy. We assessed the risk of bias of the included studies and used standardized methods for synthesis of results.</p></div><div><h3>Results</h3><p>Twenty-three studies were included. The synthesis of the results highlighted that equipment with tetrapolar technology showed greater precision in SpO₂ measurements. Increased skin pigmentation, hemoglobinopathies and high skin temperatures can lead to an overestimation of SpO₂, while factors such as low perfusion, cold skin temperature, nail polish or tattoos, hypoxemia, anemia and high altitude training, they may underestimate it. On the other hand, motion artifacts, light pollution, frequency<!--> <!-->&gt;<!--> <!-->150<!--> <!-->bpm, electromagnetic interference and location of the sensor can cause distortion of the photoplethymography signal.</p></div><div><h3>Conclusions</h3><p>The synthesis of the results highlighted that skin pigmentation and light interference can lead to an overestimation of SpO₂, while other factors such as low perfusion and altitude tend to underestimate it. The studies presented variability and heterogeneity in their designs, evidencing limitations in the consistency and precision of the evidence. Despite these limitations, the results underscore the importance of considering multiple variables when interpreting pulse oximetry measurements to ensure their reliability. The findings have significant implications for clinical practice and future research.</p></div>","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140823544","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}

{"title":"Preguntas PICO y metodología DELPHI para mejorar el manejo de los pacientes con porfiria hepática aguda","authors":"A. Riera-Mestre ,&nbsp;J.S. García Morillo ,&nbsp;J. Castelbón Fernández ,&nbsp;M.E. Hernández-Contreras ,&nbsp;P. Aguilera Peiró ,&nbsp;J. Jacob ,&nbsp;F. Martínez Valle ,&nbsp;E. Guillén-Navarro ,&nbsp;M. Morales-Conejo","doi":"10.1016/j.rce.2024.04.003","DOIUrl":"https://doi.org/10.1016/j.rce.2024.04.003","url":null,"abstract":"<div><h3>Background</h3><p>Acute hepatic porphyrias (AHPs) are a group of rare diseases that encompasses acute intermittent porphyria, variegate porphyria, hereditary coproporphyria, and 5-aminolaevulinic acid dehydratase deficiency porphyria. Symptoms of AHP are nonspecific which, together with its low prevalence, difficult the diagnosis and follow-up of these patients.</p></div><div><h3>Material and methods</h3><p>This project used DELPHI methodology to answer PICO questions related to management of patients with AHPs. The objective was to reach a consensus among multidisciplinary porhyria experts providing answers to those PICO questions for improving diagnosis and follow-up of patients with AHP.</p></div><div><h3>Results</h3><p>Ten PICO questions were defined and grouped in four domains: 1.<!--> <!-->Biochemical diagnosis of patients with AHP. 2.<!--> <!-->Molecular tests for patients with AHP. 3.<!--> <!-->Follow-up of patients with AHP. 4.<!--> <!-->Screening for long-term complications of patients with AHP.</p></div><div><h3>Conclusions</h3><p>PICO questions and DELPHI methodology have provided a consensus on relevant and controversial issues for improving the management of patients with AHP.</p></div>","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S001425652400078X/pdfft?md5=1e297bb47359b16d1dcd021f490e6adf&pid=1-s2.0-S001425652400078X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140823540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}