Anales del sistema sanitario de Navarra最新文献

[Lessons learned from the evaluation of the Third Addiction Prevention Plan of Navarre].

Anales del sistema sanitario de Navarra Pub Date : 2025-04-08 DOI: 10.23938/ASSN.1119

Fernando Nicolas Baigorria Feltrin, Mikele Jauregui Elso, Jose Miguel Razkin Orobengoa, Itzal Puchol Martínez

引用次数: 0

[Long-term persistence of post-COVID-19 symptoms: A two-year follow-up of a Primary Care cohort].

Anales del sistema sanitario de Navarra Pub Date : 2025-03-12 DOI: 10.23938/ASSN.1101

Yolanda Barrera Martínez, Gerardo Andrés Boillat Oriani, Pedro Vega Montes, Elena Martínez Moreno, Alejandro Pérez Pérez, Ricardo José Casajuana Pérez, Francisca Muñoz Cobos

{"title":"[Long-term persistence of post-COVID-19 symptoms: A two-year follow-up of a Primary Care cohort].","authors":"Yolanda Barrera Martínez, Gerardo Andrés Boillat Oriani, Pedro Vega Montes, Elena Martínez Moreno, Alejandro Pérez Pérez, Ricardo José Casajuana Pérez, Francisca Muñoz Cobos","doi":"10.23938/ASSN.1101","DOIUrl":"10.23938/ASSN.1101","url":null,"abstract":"Background: This study aims to determine the prevalence of long COVID two years after initial infection, identify prognostic factors, and assess its impact on quality of life.Methodology: An ambispective cohort study was conducted with patients aged = 18 years from two health centers in Málaga, Spain, who tested positive for SARS-CoV-2 between October 2020 and May 2021. Systematic random sampling was performed in October 2022, with 5% precision, 5% alpha error, and 25% expected losses. The cohort was followed until May 2023. Dependent variables included long COVID (= 1 symptom lasting =8 weeks), symptom count, quality of life (EuroQol 5-D), and global health perception (EQ-EVA). Independent variables included age, sex, severity of initial infection severity, vaccination status, comorbidities, and reinfection.Results: Of 914 eligible individuals, 173 patients were sampled (mean age 47 years, 58.4% female). Long COVID was observed in 32.36% of participants, with 23% affected two years after infection. Fatigue and anosmia/dysgeusia were the most frequent symptoms. Prognostic factors for long COVID included higher initial infection severity, younger age, and reinfection. For symptom count, factors were depression, initial infection severity, and reinfection. Health perception was eight points lower in long COVID patients (77.72: SD=17.10 vs 86.15; SD=16.25; p<0.001). Female sex, older age, fewer comorbidities, and more vaccine doses were associated with better quality of life.Conclusions: Thirty-two percent of patients experienced long COVID, mainly fatigue and anosmia/dysgeusia. It associates with higher initial severity, younger age, and reinfection, negatively impacting quality of life.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927030/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143627317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Interventions to enhance the experience of family members and companions during surgical waiting: A systematic review].

Anales del sistema sanitario de Navarra Pub Date : 2025-02-26 DOI: 10.23938/ASSN.1094

María José Moreno, Elena Martín-Gómez, Mónica Vázquez-Calatayud

{"title":"[Interventions to enhance the experience of family members and companions during surgical waiting: A systematic review].","authors":"María José Moreno, Elena Martín-Gómez, Mónica Vázquez-Calatayud","doi":"10.23938/ASSN.1094","DOIUrl":"10.23938/ASSN.1094","url":null,"abstract":"Background: Family members and companions play a crucial role in supporting a patient's postoperative recovery, fostering a positive attitude toward the hospital, and promoting overall well-being. This study aimed to identify effective interventions designed to enhance the experience of family members and companions during surgical waiting periods.Methods: A systematic review was conducted following PRISMA guidelines. A comprehensive search was performed in the PubMed, CINAHL, PsycINFO, and Cochrane databases for articles published in Spanish or English between January 2013 and December 2023. Data extracted from the studies included: country of origin, publication year, study design, sample size, study objective, characteristics of the interventions, tools used to measure effectiveness, and key findings. Methodological quality was assessed using Joanna Briggs Institute critical appraisal tools.Results: Eight studies were included, evealingr three main types of interventions: structured communication, telematic communication, and continuous communication. These interventions were heterogeneous in terms of key components, including provider, timing, location, format, frequency, and duration. Not all studies provided detailed information on these elements. Telematic communication, particularly explanatory videos lasting at least 20 minutes in the waiting room, was found to be effective in significantly reducing family anxiety, as measured by the STAI scale.Conclusions: The results highlight the limited number of interventions designed to improve the experience of families and companions during surgical waiting periods. There is a clear need for standardized interventions and outcome measurement tools to optimize emotional support, ultimately improving the family experience and well-being in this context.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association between pre-existing cardiovascular risk factors and post-acute sequelae of COVID-19 in older adults.

Anales del sistema sanitario de Navarra Pub Date : 2025-02-14 DOI: 10.23938/ASSN.1103

Guilherme José Silva Ribeiro, André de Araújo Pinto, Gabriela Corrêa Souza, Emilio Hideyuki Moriguchi

{"title":"Association between pre-existing cardiovascular risk factors and post-acute sequelae of COVID-19 in older adults.","authors":"Guilherme José Silva Ribeiro, André de Araújo Pinto, Gabriela Corrêa Souza, Emilio Hideyuki Moriguchi","doi":"10.23938/ASSN.1103","DOIUrl":"10.23938/ASSN.1103","url":null,"abstract":"Background: The long-term health impacts of COVID-19, including post-acute sequelae of SARS-CoV-2, remain insufficiently explored, especially concerning pre-existing cardiovascular risk factors in older adults. This study examines the association between these risk factors and post-acute sequelae of SARS-CoV-2 in this population.Methods: A retrospective study of Brazilian adults aged = 60 years assessed the persistence of post-acute sequelae of SARS-CoV-2 three months after infection in 2020. Cardiovascular risk factors (obesity, smoking, high blood pressure, diabetes mellitus, hypercholesterolemia, and chronic kidney disease) were analyzed in relation to sequelae and adjusting for sociodemographic variables. Data were obtained from the Department of Epidemiological Surveillance in Roraima, Brazil.Results: Of the 1,322 participants (55% female; mean age 70.4 years, SD = 7.87), 61.7% (95% CI: 59.1-63.9) reported at least one post-acute sequelae of SARS-CoV-2 at the three-month follow-up. The likelihood of post-acute sequelae of SARS-CoV-2 was significantly higher in participants with diabetes mellitus (OR = 4.39; 95% CI: 3.42-5.66), tobacco use (OR = 3.93; 95% CI: 2.47-6.23), hypertension (OR = 3.62; 95% CI: 2.73-4.78), or hypercholesterolemia (OR = 3.58; 95% CI: 2.80-4.59). Chronic kidney disease (OR = 2.28; 95% CI: 1.59-3.25) and obesity (OR = 1.83; 95% CI: 1.28-2.61) were less strongly associated.Conclusions: Pre-existing cardiovascular risk factors are linked to a higher likelihood of long-term COVID-19 sequelae in adults aged = 60 years old. Preventing and managing these factors are crucial for reducing the long-term effects of COVID-19, particularly during a pandemic.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ear malformation in a child with Goldenhar syndrome and its appropriate audiological management. 一名戈登哈尔综合征患儿的耳朵畸形及其听力治疗。

Anales del sistema sanitario de Navarra Pub Date : 2025-02-13 DOI: 10.23938/ASSN.1102

Andrés González Fernández, Manuela Del Carmen Zapata, José Zubicaray Ugarteche

引用次数: 0

[Simple gastroschisis complicated by multiple perforations, frozen abdomen, and loss of abdominal domain]. [单纯性胃裂并发多发性穿孔、腹部冰冻和腹域缺失]。

Anales del sistema sanitario de Navarra Pub Date : 2025-02-13 DOI: 10.23938/ASSN.1098

Diana Cayetano Cabrera, Cristian Zalles Vidal, Alejandro Peñarrieta Daher, Julio César Moreno Alfonso, Katherine Bautista-Jiménez, Lourdes Melendez-Roque

{"title":"[Simple gastroschisis complicated by multiple perforations, frozen abdomen, and loss of abdominal domain].","authors":"Diana Cayetano Cabrera, Cristian Zalles Vidal, Alejandro Peñarrieta Daher, Julio César Moreno Alfonso, Katherine Bautista-Jiménez, Lourdes Melendez-Roque","doi":"10.23938/ASSN.1098","DOIUrl":"10.23938/ASSN.1098","url":null,"abstract":"Gastroschisis is a congenital malformation characterized by a visceral hernia and is one of the leading causes of short bowel syndrome in pediatric patients. This condition can result from congenital short bowel, but may also arise due to complications associated with the management of the abdominal wall defect. We present the case of a full-term newborn with simple gastroschisis who developed multiple gastrointestinal complications during initial management and was subsequently referred to our institution. On admission, the patient exhibited an open, frozen abdomen, enteroatmospheric fistulas, and loss of abdominal domain. Over the course of three months, various combined techniques were used, including primary intestinal sutures, jejunostomies with distal stoma feedback, botulinum toxin injections, and the construction of a polypropylene silo, with adjustments made based on the evolving complications. Ultimately, complete abdominal reconstruction was achieved. The patient's recovery was favorable, and he was discharged at five months of age with oral tolerance and appropriate weight and height gain.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11924814/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143412170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Transition in mental health from childhood to adulthood: A scoping review].

Anales del sistema sanitario de Navarra Pub Date : 2025-02-07 DOI: 10.23938/ASSN.1107

Adalia Del Carmen Guerra-Ortega, Claudio-Alberto Rodríguez-Suárez, Héctor González-de la Torre

{"title":"[Transition in mental health from childhood to adulthood: A scoping review].","authors":"Adalia Del Carmen Guerra-Ortega, Claudio-Alberto Rodríguez-Suárez, Héctor González-de la Torre","doi":"10.23938/ASSN.1107","DOIUrl":"10.23938/ASSN.1107","url":null,"abstract":"Background: The management of mental health conditions may deteriorate in adolescents during the transition from adolescent mental health services to adult mental health services. This study aimes to assess the impact of interventions and transition programs on treatment continuity and mental health outcomes for individuals moving between these services.Methods: A scoping review was conducted using the descriptors \"Child Psychiatry\", \"Adolescent Psychiatry\", \"Transition to Adult Care\", \"Mental Health Services\", and \"Continuity of Patient Care\" in Medline, Web of Science, Scopus, CINAHL, Cochrane Library, LILACS, and CUIDEN, from October to December 2023. Studies of any design published in English and Spanish were included, with no time restrictions. The quality of the studies was assessed using Joanna Briggs Institute tools.Results: Eight studies were included (two reviews, four qualitative studies, and two cohort studies), with quality ratings ranging from moderate to excellent. Only 23.5% of young people experienced a successful transition, with many facing delays and reduced long-term follow-up. Key factors for a successful transition included the transfer of information, parallel care, and the involvement of patients and family, while voluntary discharge and prior drug use before hospitalization hindered the transition process.Conclusions: To optimize the continuity of care during the transition from child/adolescent to adult mental health services, key strategies include the transfer of information, parallel care, and active participation. Implementing coordinated measures that address barriers, reduce delays, and enhance follow-up is essential. A proactive, individualized, and collaborative approach involving patients, families, and professionals is necessary to ensure comprehensive and effective care.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925476/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143401095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lessons learned from the COVID-19 pandemic on the global health needs of young children: A cross-sectional study.

Anales del sistema sanitario de Navarra Pub Date : 2025-01-31 DOI: 10.23938/ASSN.1097

Itsaso Elizalde, Olga Lopez-Dicastillo, Hazel Helen Andueza-Wood, Sara Sola-Cía, Cristina Lozano-Ochoa, Agurtzane Mujika, Naia Hernantes, Beatriz Pereda-Goikoetxea, Elena Antoñanzas-Baztán, María Jesús Pumar-Méndez

{"title":"Lessons learned from the COVID-19 pandemic on the global health needs of young children: A cross-sectional study.","authors":"Itsaso Elizalde, Olga Lopez-Dicastillo, Hazel Helen Andueza-Wood, Sara Sola-Cía, Cristina Lozano-Ochoa, Agurtzane Mujika, Naia Hernantes, Beatriz Pereda-Goikoetxea, Elena Antoñanzas-Baztán, María Jesús Pumar-Méndez","doi":"10.23938/ASSN.1097","DOIUrl":"10.23938/ASSN.1097","url":null,"abstract":"Background: This cross-sectional study assessed the global health needs of children aged 2 to 6 years and examined how socio-demographic characteristics influenced children's health needs observed following the COVID-19 pandemic.Methodology: Cross-sectional study conducted between January and March 2021 in three regions of northern Spain with similar household incomes. Participants were selected through one-stage cluster sampling. A self-reported questionnaire, Necesidades de salud de la Población Infantil, was used to assess children's health needs across seven dimensions and 125 items.Results: A total of 301 parents or caregivers completed the questionnaire. The dimensions parental self-efficacy, professional advice, child socio-emotional aspects, and situational influence were the most frequently reported as significant, while parent socio-emotional aspects, lifestyle, promotion of healthy lifestyles, and influence of significant people were the least emphasized. Life-style-related needs were particularly affected by the limited access to healthcare professionals and were more pronounced when children had a disability.Conclusions: The findings of this study provide valuable insights for the development of strategies, programs, and interventions aimed at promoting children's health by addressing the identified needs.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11811675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Communication as a strategic tool for person-centered care]. [沟通作为以人为本的护理的战略工具]。

Anales del sistema sanitario de Navarra Pub Date : 2024-12-27 DOI: 10.23938/ASSN.1106

María Sánchez-Marco, Antonio Esteve-Ríos, Silvia Escribano

引用次数: 0

Unmet health care needs among the working-age population: Evidence from the Great Recession in Spain (2008-2012). 劳动年龄人口未满足的保健需求：来自西班牙大衰退的证据（2008-2012年）。

Anales del sistema sanitario de Navarra Pub Date : 2024-12-24 DOI: 10.23938/ASSN.1093

Carla Blázquez-Fernández, David Cantarero-Prieto, Patricio Perez

{"title":"Unmet health care needs among the working-age population: Evidence from the Great Recession in Spain (2008-2012).","authors":"Carla Blázquez-Fernández, David Cantarero-Prieto, Patricio Perez","doi":"10.23938/ASSN.1093","DOIUrl":"10.23938/ASSN.1093","url":null,"abstract":"Background: This study examines the relationship between unmet healthcare needs and employment status, with a focus on how this relationship was influenced by the Spanish economic recession of 2008-2012.Methods: Data were obtained from the Spanish National Health Survey for 2006 and 2011-2012. The outcome variable was the presence of unmet healthcare needs, describing its reasons. The analysis included the period (pre-crisis/crisis), demographic variables (sex, age, Spanish citizenship), employment status, social factors (level of education, marital status, social-class), and health indicators (self-assessed health, chronic conditions, and limitations). Logistic regression was used to predict unmet health needs based on the period, employment status, and control variables.Results: The frequency of unmet healthcare needs was low and decreased further during the crisis (5% pre-crisis vs 3% during the crisis). Unmet healthcare needs were more strongly associated with health status than with employment status. However, among the unemployed, unmet healthcare needs increased during the crisis compared to the pre-crisis.Conclusions: The most vulnerable groups, characterized by higher unmet healthcare needs, included women, individuals with lower levels of education, and those in poorer health. These groups may require more targeted attention. These findings should be interpreted in the context of the Spanish National Health System, which is fully decentralized and provides healthcare and protection to all residents.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"47 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11783131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142884032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0