Revista clinica espanola最新文献

{"title":"891 - ESTUDIO FASE 3 (ESSENCE) DE SEMAGLUTIDA 2,4 MG VS. PLACEBO EN ESTEATOHEPATITIS NO ALCOHÓLICA NO CIRRÓTICA: CARACTERÍSTICAS BASALES, IMPACTO DE NUEVOS CRITERIOS DE ENFERMEDAD Y PRUEBAS NO INVASIVAS","authors":"Alba María Jiménez-Masip, en representación de P.N. Newsome","doi":"10.1016/S0014-2565(24)00216-9","DOIUrl":"10.1016/S0014-2565(24)00216-9","url":null,"abstract":"","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":"224 ","pages":"Page S7"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143176269","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":"1183 - CARACTERÍSTICAS CLÍNICAS, EVOLUCIÓN Y RESULTADOS DE PACIENTES CON ENDOCARDITIS INFECCIOSA Y COMPLICACIONES INTRACARDÍACAS","authors":"Miguel Ángel Consuegra Pérez, Ana María Gutiérrez Baena, Alexandra Arias Costa, María Alba Rivera Martínez, Manel Tuarón Ferrer, Laura Escolà-Vergé, Joaquín López-Contreras González, Sara Grillo","doi":"10.1016/S0014-2565(24)00281-9","DOIUrl":"10.1016/S0014-2565(24)00281-9","url":null,"abstract":"","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":"224 ","pages":"Pages S72-S73"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143174042","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":"239 - CORRELACIÓN ENTRE LA CARGA TROMBÓTICA EN LA EP AGUDA Y LA SITUACIÓN FUNCIONAL A LARGO PLAZO","authors":"Mª Dolores Joya Seijo, Diego Pereira Boo, Davinia Trujillo Luque, Javier Gimena Rodríguez, Elvira Barrios Garrido Lestache, Teresa Álvarez de Espejo Montiel, Raquel Barba Martín","doi":"10.1016/S0014-2565(24)00224-8","DOIUrl":"10.1016/S0014-2565(24)00224-8","url":null,"abstract":"","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":"224 ","pages":"Pages S15-S17"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143176715","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":"782 - ANÁLISIS SOBRE EL CONSUMO PREVIO DE PSICOFÁRMACOS EN PACIENTES CON ENFERMEDAD TROMBOEMBÓLICA: ¿ES TAN PREOCUPANTE COMO PENSAMOS?","authors":"Ana Isabel Lozano Jiménez, Melody Pérez López, Rocío Inmaculada Báñez Díaz, Adrián Hernández Concepción, Silvia García-Talavera Galvis, Samanta Ortega Hernández, Eduardo González Aragonés, Aída Gil Díaz","doi":"10.1016/S0014-2565(24)00227-3","DOIUrl":"10.1016/S0014-2565(24)00227-3","url":null,"abstract":"","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":"224 ","pages":"Pages S18-S19"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143176733","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 registro RICA-2: diseño y características basales de los primeros 1.000 pacientes","authors":"J.C. Trullàs ,&nbsp;M.C. Moreno-García ,&nbsp;V. Mittelbrunn-Alquézar ,&nbsp;A. Conde-Martel ,&nbsp;L. Soler-Rangel ,&nbsp;M. Montero-Pérez-Barquero ,&nbsp;J. Casado ,&nbsp;M. Sánchez-Marteles ,&nbsp;J.C. Arévalo-Lorido ,&nbsp;J. Pérez-Silvestre ,&nbsp;en representación de los investigadores del registro RICA-2","doi":"10.1016/j.rce.2024.06.010","DOIUrl":"10.1016/j.rce.2024.06.010","url":null,"abstract":"<div><h3>Background and objective</h3><div>Heart failure (HF) is a syndrome of epidemic proportions and one of the main reasons for hospital admission. Patient registries provide real-world clinical practice information which is complementary to clinical trials. RICA-2 is a registry of the Spanish Society of Internal Medicine. Its main goal is to know the clinical and epidemiological characteristics and prognostic factors of patients with HF treated in Internal Medicine Departments. The objective of this study is to present the design of the RICA-2, the baseline characteristics of the first 1000 patients included and their comparison with those of the historical cohort of the RICA registry.</div></div><div><h3>Methods</h3><div>Observational, multicentre and prospective study of patients with HF with the following inclusion criteria: age equal to or greater than 18 years old, diagnosis of HF according to the European Guidelines, indistinct inclusion in decompensation or stable phase, of patients with <em>de novo</em> HF or chronic HF, regardless of left ventricular ejection fraction, aetiology and comorbidities.</div></div><div><h3>Results</h3><div>RICA-2 patients have advanced age (83 years old) and 51% are women. The comorbidity burden is higher than in the RICA registry (5 points in the Charlson comorbidity index), with predominating chronic decompensated HF (74%), hypertensive aetiology (39%) and preserved ejection fraction (52%). Most patients are pre-frail or vulnerable and are at risk of malnutrition.</div></div><div><h3>Conclusion</h3><div>The RICA-2 represents a contemporary cohort of patients that will provide us with clinical, epidemiological and prognostic information on patients with acute and chronic HF treated in Internal Medicine.</div></div>","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":"224 8","pages":"Pages 522-533"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417249","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 de riesgo de mortalidad en pacientes con enfermedad del coronavirus 2019 con hipoxemia silente","authors":"B. Ximenes Braz ,&nbsp;G. Cavalcante Meneses ,&nbsp;G.B. da Silva Junior ,&nbsp;A.M. Costa Martins ,&nbsp;A.F. de S. Mourão Feitosa ,&nbsp;G.C. Lima Chagas ,&nbsp;E. De Francesco Daher","doi":"10.1016/j.rce.2024.06.004","DOIUrl":"10.1016/j.rce.2024.06.004","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the predictors of mortality in hospitalized patients with severe acute respiratory syndrome (SARS) due to COVID-19 presenting with silent hypoxemia.</div></div><div><h3>Material and methods</h3><div>Retrospective cohort study of hospitalized patients with SARS due to COVID-19 and silent hypoxemia at admission, in Brazil, from January to June 2021. The primary outcome of interest was in-hospital death. Multivariable logistic regression analysis was performed.</div></div><div><h3>Results</h3><div>Of 46,102 patients, the mean age was 59<!--> <!-->±<!--> <!-->16<!--> <!-->years, and 41.6% were female. During hospitalization, 13,149 patients died. Compared to survivors, non-survivors were older (mean age, 66 vs. 56 years; <em>P</em> <!-->&lt;<!--> <!-->0.001), less frequently female (43.6% vs. 40.9%; <em>P</em> <!-->&lt;<!--> <!-->0.001), and more likely to have comorbidities (74.3% vs. 56.8%; <em>P</em> <!-->&lt;<!--> <!-->0.001). Non-survivors had higher needs for invasive mechanical ventilation (42.4% vs 6.6%; <em>P</em> <!-->&lt;<!--> <!-->0.001) and intensive care unit admission (56.9% vs 20%; <em>P</em> <!-->&lt;<!--> <!-->0.001) compared to survivors. In the multivariable regression analysis, advanced age (OR: 1.04; 95%CI: 1.037-1.04), presence of comorbidities (OR: 1.54; 95%CI: 1.47-1.62), cough (OR: 0.74; 95%CI: 0.71-0.79), respiratory distress (OR: 1.32; 95%CI: 1.26-1.38), and need for non-invasive respiratory support (OR: 0.37; 95%CI: 0.35-0.40) remained independently associated with death.</div></div><div><h3>Conclusions</h3><div>Advanced age, presence of comorbidities, and respiratory distress were independent risk factors for mortality, while cough and requirement for non-invasive respiratory support were independent protective factors against mortality in hospitalized patients with SARS due to COVID-19 with silent hypoxemia at presentation.</div></div>","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":"224 8","pages":"Pages 485-493"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417145","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":"1778 - CARACTERÍSTICAS CLÍNICAS Y EVOLUCIÓN DE LOS PACIENTES CON ENDOCARDITIS INFECCIOSA PORTADORES DE DISPOSITIVOS INTRACARDÍACOS EN UN HOSPITAL TERCIARIO","authors":"Ana María Gutiérrez-Baena,&nbsp;Miguel Ángel Consuegra,&nbsp;Alexandra Arias Costa,&nbsp;María Alba Rivera Martínez,&nbsp;Ana Bonet Basiero,&nbsp;Laura Escolà-Vergé,&nbsp;Joaquín López-Contreras,&nbsp;Sara Grillo","doi":"10.1016/S0014-2565(24)00290-X","DOIUrl":"10.1016/S0014-2565(24)00290-X","url":null,"abstract":"","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":"224 ","pages":"Pages S81-S84"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143128190","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":"1015 - ANÁLISIS DESCRIPTIVO DE MENINGITIS Y MENINGOENCEFALITIS INFECCIOSAS AGUDAS EN UN HOSPITAL COMARCAL ESPAÑOL A LO LARGO DE UNA DÉCADA","authors":"Blanca Navas Soler,&nbsp;Blanca Pérez-Crespo Fernández,&nbsp;Juan Vicente Blasco Birlanga,&nbsp;María Merino Trigueros,&nbsp;María Dolores Hernández Rabadán,&nbsp;Hilarión García Morante,&nbsp;David López Parra,&nbsp;Jara Llenas García","doi":"10.1016/S0014-2565(24)00272-8","DOIUrl":"10.1016/S0014-2565(24)00272-8","url":null,"abstract":"","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":"224 ","pages":"Pages S63-S65"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143131913","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":"1857 - MEJORANDO LA SEGURIDAD DEL PACIENTE EN MEDICINA INTERNA: LAS RONDAS DE SEGURIDAD","authors":"Isabel González Anglada,&nbsp;Cristina Garmendia Fernández,&nbsp;Carlos Guijarro Herraiz,&nbsp;Juan Gabriel Sánchez Cano,&nbsp;Claudia Pérez González,&nbsp;David Martín García,&nbsp;María Martín Ampuero,&nbsp;Paula García Duque","doi":"10.1016/S0014-2565(24)00304-7","DOIUrl":"10.1016/S0014-2565(24)00304-7","url":null,"abstract":"","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":"224 ","pages":"Pages S95-S96"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143174024","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":"48 - IMPLEMENTACIÓN DE LA METODOLOGÍA LEAN EN UN SERVICIO DE MEDICINA INTERNA. MEJORA DEL PROCESO DE HOSPITALIZACIÓN","authors":"Ramón Boixeda Viu,&nbsp;Irene Rivas Castaño,&nbsp;Manel Vera Palou,&nbsp;Javier Fernández Fernández,&nbsp;Diana González Gómez,&nbsp;Nuria Rubi Montserrat,&nbsp;Daria Rubio López,&nbsp;Mónica Ballester Roca","doi":"10.1016/S0014-2565(24)00302-3","DOIUrl":"10.1016/S0014-2565(24)00302-3","url":null,"abstract":"","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":"224 ","pages":"Pages S93-S94"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143174026","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}