Medicina Intensiva最新文献

{"title":"Electrical impedance tomography for the detection and management optimization of pulmonary embolism","authors":"Isabel Magaña Bru, Alicia Delgado Arroyo, Fernando Suarez Sipmann","doi":"10.1016/j.medin.2024.502134","DOIUrl":"10.1016/j.medin.2024.502134","url":null,"abstract":"","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 7","pages":"Article 502134"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144522516","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":"Ausencia congénita de la arteria coronaria circunfleja","authors":"Antonio Padilla-Serrano , Carmen de la Cueva Coca , Antonio Cárdenas Cruz","doi":"10.1016/j.medin.2025.502152","DOIUrl":"10.1016/j.medin.2025.502152","url":null,"abstract":"","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 7","pages":"Article 502152"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144522513","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":"Neuroaspergilosis: un desafío diagnóstico en los pacientes inmunosuprimidos ilustrado en una imagen de resonancia magnética","authors":"Almudena Domínguez González, Nuria Medina Cabrera, Alejandro Hueso Mor","doi":"10.1016/j.medin.2025.502151","DOIUrl":"10.1016/j.medin.2025.502151","url":null,"abstract":"","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 7","pages":"Article 502151"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144522354","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":"Fiabilidad intraobservador e interobservador de las escalas de fragilidad Clinical Frailty Scale-España y FRAIL-España en pacientes críticos","authors":"Susana Arias-Rivera ,&nbsp;María Mar Sánchez-Sánchez ,&nbsp;Raquel Jareño-Collado ,&nbsp;Marta Raurell-Torredà ,&nbsp;Lorena Oteiza-López ,&nbsp;Sonia López-Cuenca ,&nbsp;Israel John Thuissard-Vasallo ,&nbsp;Fernando Frutos-Vivar","doi":"10.1016/j.medin.2024.502131","DOIUrl":"10.1016/j.medin.2024.502131","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the intrarater and interrater reliability of the Clinical Frailty Scale-Spain (CFS-España) and FRAIL-España and the internal consistency of the FRAIL-España when implemented in critically ill patients by intensive care nurses and physicians.</div></div><div><h3>Design</h3><div>Descriptive, observational and metric study.</div></div><div><h3>Setting</h3><div>Intensive care unit (ICU) of Spain.</div></div><div><h3>Patients</h3><div>Patients<!--> <!-->&gt;<!--> <!-->18 years, with &gt;<!--> <!-->48 UCI hours.</div></div><div><h3>Intervention</h3><div>None.</div></div><div><h3>Main variables of interest</h3><div>On admission, frailty with CFS-España and FRAIL-España (by 3 nurses and 2 intensive care physicians), sex, age, comorbidities and severity.</div></div><div><h3>Results</h3><div>1,045 assessments were performed in 206 patients. Not frail patients on admission: 53% according to the CFS-Spain and 34% according to the FRAIL-Spain.</div><div>The intraclass correlation coefficient (ICC) shows almost perfect intrarater concordance (&gt;<!--> <!-->0.80 for CFS-España and &gt;<!--> <!-->0.90 for FRAIL-España). Agreement by frailty strata (non-fragile, pre-fragile and fragile patients) was substantial or almost perfect, with no major differences in ratings between nurses and physicians.</div><div>Interprofessional concordance shows an almost perfect ICC for both scales. The lowest agreement was obtained for the FRAIL-España ratings among physicians. In the frailty strata analysis, agreement was moderate. The highest agreement for the CFS-España was considering level 4 patients as frail.</div><div>High reliability of the FRAIL-España and strong correlation of all dimensions with the global assessment were obtained, except for the comorbidities dimension, with a weak correlation.</div></div><div><h3>Conclusion</h3><div>The CFS-España and FRAIL-España scales are reliable for assessing frailty in critically ill patients by nurses and/or intensive care physicians.</div></div>","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 7","pages":"Article 502131"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144522452","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":"Vasopresina: ¿por qué no en la enfermedad traumática grave?","authors":"Jesús Abelardo Barea-Mendoza ,&nbsp;Juan Antonio Llompart-Pou ,&nbsp;Adrian Marcos-Morales ,&nbsp;Mario Chico-Fernández","doi":"10.1016/j.medin.2025.502173","DOIUrl":"10.1016/j.medin.2025.502173","url":null,"abstract":"","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 7","pages":"Article 502173"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144522507","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":"Diagnóstico de colitis por ecografía en una Unidad de Cuidados Intensivos","authors":"Carmen María Marín Marín ,&nbsp;Paloma García Moreno ,&nbsp;Raúl Vicho Pereira","doi":"10.1016/j.medin.2024.502115","DOIUrl":"10.1016/j.medin.2024.502115","url":null,"abstract":"","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 7","pages":"Article 502115"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144522515","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":"Predictive performance of ROX index and its variations for NIV failure","authors":"Lada Lijović ,&nbsp;Tomislav Radočaj ,&nbsp;Nataša Kovač ,&nbsp;Marinko Vučić ,&nbsp;Paul Elbers","doi":"10.1016/j.medin.2024.502136","DOIUrl":"10.1016/j.medin.2024.502136","url":null,"abstract":"<div><h3>Objective</h3><div>To determine whether the ROX index and its variations can predict the risk of intubation in ICU patients receiving NIV ventilation using large public ICU databases.</div></div><div><h3>Design</h3><div>Retrospective observational cohort study.</div></div><div><h3>Setting</h3><div>Patient data was extracted from both the AmsterdamUMCdb and the MIMIC-IV ICU databases, which contained data related to 20,109 and 50,920 unique patients.</div></div><div><h3>Patients</h3><div>Non-invasively mechanically ventilated.</div></div><div><h3>Interventions</h3><div>Retrospective review of variables.</div></div><div><h3>Main variables of interest</h3><div>To assess the predictive values of models for each index, the ROX and its variations mROX, ROX-HR and mROX-HR were calculated based on mean values of SpO₂, respiratory rate, FiO₂ and PaO₂ from 2-h windows within the first 12 h of NIV.</div></div><div><h3>Results</h3><div>3344 patients were eligible for analysis of which 1344 were intubated, died or returned to NIV within 24 h of ending NIV. NIV failure group had higher SOFA scores and higher CRP levels at admission. There was no difference in duration of NIV therapy or 28-day mortality, but patients who failed NIV had longer length of stay. The best performing index was ROX with an AUROC of 0.626 at 10−12 h. All other indices for all other time windows were less discriminating.</div></div><div><h3>Conclusions</h3><div>The performance of ROX index and its variations to predict NIV failure in ICU patients across large public ICU databases was moderate at best and cannot currently be recommended for clinical decision support.</div></div>","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 7","pages":"Article 502136"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144522453","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":"Pósteres orales - INFECCIÓN/ANTIBIÓTICOS 8, ORGANIZACIÓN/GESTIÓN/CALIDAD 5, PATOLOGÍA DIGESTIVA CRÍTICA, DONACIÓN Y TRASPLANTES 2, CARDIOVASCULAR 7, CARDIOVASCULAR 8, INFECCIÓN/ANTIBIÓTICOS 9","authors":"","doi":"10.1016/S0210-5691(25)00184-6","DOIUrl":"10.1016/S0210-5691(25)00184-6","url":null,"abstract":"","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 ","pages":"Pages S197-S222"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145104177","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":"Junta Directiva de la SEMICYUC, Comité Local y Comité Científico","authors":"","doi":"10.1016/S0210-5691(25)00175-5","DOIUrl":"10.1016/S0210-5691(25)00175-5","url":null,"abstract":"","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 ","pages":"Page I"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108923","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":"Aneurisma gigante de arteria carótida interna izquierda con trombosis parcial","authors":"Alba Simón Paniello,&nbsp;Maria Candelaria Ruiz Garcia,&nbsp;Miguel Finger Kamps","doi":"10.1016/j.medin.2024.502116","DOIUrl":"10.1016/j.medin.2024.502116","url":null,"abstract":"","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 6","pages":"Article 502116"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144184704","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}