Revista clinica espanola最新文献

{"title":"Resultados de la implementación del proyecto DP-TRANSFERS en Cataluña: un método traslacional para mejorar el cribado y la prevención de la diabetes en atención primaria","authors":"J.J. Cabré ,&nbsp;F. Barrio ,&nbsp;J. Vizcaíno ,&nbsp;A. Martínez ,&nbsp;T. Mur ,&nbsp;R. Sagarra ,&nbsp;S. Dalmau","doi":"10.1016/j.rce.2024.06.017","DOIUrl":"10.1016/j.rce.2024.06.017","url":null,"abstract":"<div><h3>Introduction</h3><div>DP-TRANSFERS is a translational lifestyle intervention project, which follows a previous protocol described in the DE-PLAN-CAT study.</div></div><div><h3>Objective</h3><div>Analyze the feasibility of reproducing the intensive intervention and estimating the effect of translation in real conditions of clinical practice in primary care.</div></div><div><h3>Methodology</h3><div>Implementation of the face-to-face group intervention adjusted to 2 years. After screening, the intervention consisted of a basic module and a continuity module. Stratifying by clusters (health centers), a representative sample (centers, professionals and participants) was evaluated (FINDRISC<!--> <!-->&gt;11 and/or prediabetes) from 2016 to 2020. The effect of the intervention on the incidence of diabetes was analyzed.</div></div><div><h3>Results</h3><div>The intervention, feasible in 95 of 123 centers, involved 343 of 647 professionals. Of 2,381 subjects screened, 1,713 participated in the basic module, with 1,186 participants completing the first year and 776 completing the second. 121 participants (7.06%) were diagnosed with diabetes: 77 (4.49%) during the first year; 44 (2.57%) during the second.</div><div>The bivariate analysis showed that those subjects in whom diabetes affected differed in: previous glycemic status, A1c, HDL-cholesterol, FINDRISC score and adherence to the Mediterranean diet, and in the differences between the beginning and end of the study of: body weight, BMI and abdominal circumference.</div></div><div><h3>Conclusions</h3><div>The intensive intervention substantially reduced (23.6%) the incidence of diabetes compared to that previously estimated in standardized intervention. The following acted as protective factors: a better glycemic status, lower baseline risk, elevated HDL-cholesterol, or achieving a reduction in weight or abdominal circumference during the study.</div></div>","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":"224 9","pages":"Pages 569-579"},"PeriodicalIF":2.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142573117","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":"La amiloidosis cardiaca empeora el pronóstico en los pacientes con insuficiencia cardiaca: hallazgos del estudio PREVAMIC","authors":"R. Ruiz Hueso ,&nbsp;P. Salamanca Bautista ,&nbsp;M.A. Quesada Simón ,&nbsp;S. Yun ,&nbsp;A. Conde Martel ,&nbsp;J.L. Morales Rull ,&nbsp;I. Fiteni Mera ,&nbsp;D. Abad Pérez ,&nbsp;I. Páez Rubio ,&nbsp;Ó. Aramburu Bodas ,&nbsp;en representación del grupo de trabajo PREVAMIC","doi":"10.1016/j.rce.2024.06.006","DOIUrl":"10.1016/j.rce.2024.06.006","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Cardiac amyloidosis (CA) is a common pathology in elderly patients that usually presents as heart failure (HF). However, it is not clear whether CA associated with HF has a worse prognosis compared with HF due to other etiologies.</div></div><div><h3>Material and methods</h3><div>Prospective, observational cohort study that recruited patients ≥65 years of age with HF in 30 Spanish centers. The cohort was divided according to whether the patients had AC or not. Patients were followed for 1 year.</div></div><div><h3>Results</h3><div>A total of 484 patients were included in the analysis. The population was elderly (median 86 years) and 49% were women CA was present in 23.8% of the included patients. In the CA group, there was a lower prevalence of diabetes mellitus and valvular disease. At one year of follow-up, mortality was significantly more frequent in patients with CA compared to those without (33.0 vs.14.9%, p<!--> <!-->&lt;<!--> <!-->0.001). However, there were no differences between both groups in visits to the emergency room or readmissions. In the multivariate analysis, the variables that were shown to predict all-cause mortality at one year of follow-up were chronic kidney disease (HR 1.75 (1.01-3.05) p<!--> <span>=</span> <!-->0.045), NT-proBNP levels (HR 2.51 (1.46-4.30) p<!--> <!-->&lt;<!--> <!-->0.001), confusion (HR 2.05 (1.01-4.17), p<!--> <span>=</span> <!-->0.048), and the presence of CA (HR 1.77 (1.11-2.84), p<!--> <span>=</span> <!-->0.017).</div></div><div><h3>Conclusion</h3><div>The presence of CA in elderly patients with HF is related to a worse prognosis at one year of follow-up. Early diagnosis of the pathology and multidisciplinary management can help improve patient outcomes.</div></div>","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":"224 8","pages":"Pages 494-502"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417146","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":"815 - ANEMIA HEMOLÍTICA POR ANTICUERPOS FRÍOS Y CALIENTES. DESCRIPCIÓN DE DOS CASOS CLÍNICOS POCO FRECUENTES","authors":"Marcos Lorenzo Andrés,&nbsp;Ana Calonge Arribas,&nbsp;María Torres Briegas,&nbsp;Marcela Calero Saavedra,&nbsp;Marina Gómez Alcalde,&nbsp;María Ángeles Duro Fernández,&nbsp;Laura Lapuerta Corchón,&nbsp;Carlos Jiménez Mayor","doi":"10.1016/S0014-2565(24)00240-6","DOIUrl":"10.1016/S0014-2565(24)00240-6","url":null,"abstract":"","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":"224 ","pages":"Pages S31-S32"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143127795","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":"1804 - ¿CÓMO SE MANEJA LA BACTERIEMIA POR STAPHYLOCOCCUS AUREUS EN UN HOSPITAL DE SEGUNDO NIVEL?","authors":"Laura García Escudero,&nbsp;Jesús del Castillo Carrillo,&nbsp;Marta Rodríguez Sanz,&nbsp;Ana Fernández Peinado,&nbsp;María Jesús González del Río,&nbsp;Sara María Quevedo Soriano,&nbsp;Víctor Antón Berenguer,&nbsp;Pablo del Valle Loarte","doi":"10.1016/S0014-2565(24)00292-3","DOIUrl":"10.1016/S0014-2565(24)00292-3","url":null,"abstract":"","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":"224 ","pages":"Pages S83-S84"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143128295","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":"1557 - PREVALENCIA DE ENFERMEDAD DE ALZHEIMER Y EPILEPSIA EN PACIENTES CON SÍNDROME DE DOWN EN SEGUIMIENTO EN CONSULTAS EXTERNAS DE UN HOSPITAL DE TERCER NIVEL","authors":"Laura Lucena Torres,&nbsp;María Inmaculada Calle Gómez,&nbsp;Antonio Rosales Castillo","doi":"10.1016/S0014-2565(24)00299-6","DOIUrl":"10.1016/S0014-2565(24)00299-6","url":null,"abstract":"","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":"224 ","pages":"Pages S90-S91"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143128296","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":"70 - FACTORES DE RIESGO Y EVOLUCIÓN DE LA TROMBOSIS VENOSA SUPERFICIAL: ESTUDIO PROSPECTIVO EN UN CENTRO DE REFERENCIA","authors":"Alejandro Díez Vidal,&nbsp;Jordan Morán Martínez,&nbsp;Elia Ramírez Vicente,&nbsp;Camilo Mendieta Rodríguez,&nbsp;Javier González Cepeda,&nbsp;Sergio Carrasco Molina,&nbsp;María Angélica Rivera Núñez,&nbsp;Yale Tung Chen","doi":"10.1016/S0014-2565(24)00223-6","DOIUrl":"10.1016/S0014-2565(24)00223-6","url":null,"abstract":"","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":"224 ","pages":"Pages S14-S17"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143128713","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":"240 - CARACTERÍSTICAS EPIDEMIOLÓGICAS Y CLÍNICAS DE LA INFECCIÓN POR CRYPTOCOCCUS NEOFORMANS EN LOS 10 ÚLTIMOS AÑOS EN UN HOSPITAL DE TERCER NIVEL","authors":"Laia Vallès Guixà,&nbsp;Meritxell Gavaldà Manso,&nbsp;Carla Iglesias Escobar,&nbsp;Ana Moragues Palou de Comasema,&nbsp;Alexandre Zidouh Jiménez,&nbsp;María Luisa Martín Pena,&nbsp;Melchor Riera Jaume,&nbsp;Adrián Ferre Beltrán","doi":"10.1016/S0014-2565(24)00247-9","DOIUrl":"10.1016/S0014-2565(24)00247-9","url":null,"abstract":"","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":"224 ","pages":"Pages S38-S39"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143129131","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":"245 - ESTUDIO DE LA ENFERMEDAD POR CITOMEGALOVIRUS EN LA ENFERMEDAD INFLAMATORIA INTESTINAL","authors":"Andrea Riaño Pérez,&nbsp;Lourdes Lajara Villar,&nbsp;Alejandro Cintas Martínez,&nbsp;Ángel Naharro Cuenca,&nbsp;María Escamilla Espinola,&nbsp;Laura Serna Torres,&nbsp;Miguel Ángel Auladell Alemany,&nbsp;Francisco Mariano Jover Díaz","doi":"10.1016/S0014-2565(24)00248-0","DOIUrl":"10.1016/S0014-2565(24)00248-0","url":null,"abstract":"","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":"224 ","pages":"Pages S39-S40"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143175135","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":"662 - DESCRIPCIÓN DE UNA SERIE DE PACIENTES ADULTOS CON DUPLICACIÓN 22Q11.2","authors":"Manuela Moreno Higueras,&nbsp;Georgette Fatoul del Pino,&nbsp;Susana García Linares,&nbsp;Antonio M. Poyatos Andújar,&nbsp;Pilar Giner Escobar","doi":"10.1016/S0014-2565(24)00297-2","DOIUrl":"10.1016/S0014-2565(24)00297-2","url":null,"abstract":"","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":"224 ","pages":"Pages S88-S90"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143175733","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":"666 - ENDOCARDITIS INFECCIOSA CON HEMOCULTIVO NEGATIVO. IMPLICACIONES DIAGNÓSTICAS, TERAPÉUTICAS Y PRONÓSTICAS. REGISTRO ESPAÑOL DE ENDOCARDITIS INFECCIOSA EN MEDICINA INTERNA (REEIMI) DEL GRUPO DE TRABAJO DE ENFERMEDADES INFECCIOSAS (GTEI)","authors":"Carlos Bea Serrano,&nbsp;Juan Cantón de Seoane,&nbsp;Adriana Hernández Belmonte,&nbsp;David Puertas Miranda,&nbsp;Josep Cucurull Canosa,&nbsp;Pablo Ortiz de Urbina Fernández,&nbsp;M. de los Ángeles Tejero Delgado,&nbsp;Azucena Rodríguez Guardado,&nbsp;Fátima Boumhir Lendínez,&nbsp;Onán Pérez Hernández,&nbsp;Arturo Artero,&nbsp;M. Victoria Muñoz Alba,&nbsp;Javier de la Fuente Aguado,&nbsp;María Sánchez Ledesma","doi":"10.1016/S0014-2565(24)00263-7","DOIUrl":"10.1016/S0014-2565(24)00263-7","url":null,"abstract":"","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":"224 ","pages":"Pages S54-S57"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143176735","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}