Anales del sistema sanitario de Navarra最新文献_第2页

[Parapharyngeal abscess caused by a foreign body in a paediatric patient: A case report and literature review]. [小儿异物致咽旁脓肿一例报告及文献复习]。

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Anales del sistema sanitario de Navarra Pub Date : 2026-08-14 DOI: 10.23938/ASSN.1172

Beatriz Heras Cazorla, Jorge Bedia García, Irene Gómez Gregoris, Miguel Víctor Grijalba Uche, Pablo Crespo Escudero

引用次数: 0

[Patient-reported reasons for missed otolaryngology outpatient appointments]. 【患者报告的耳鼻喉科错过门诊预约的原因】。

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Anales del sistema sanitario de Navarra Pub Date : 2026-08-14 DOI: 10.23938/ASSN.1166

Aurora López-Llames, Paula Hernández-Ruiz, Vicente García-Román, Elena Ronda-Perez

{"title":"[Patient-reported reasons for missed otolaryngology outpatient appointments].","authors":"Aurora López-Llames, Paula Hernández-Ruiz, Vicente García-Román, Elena Ronda-Perez","doi":"10.23938/ASSN.1166","DOIUrl":"10.23938/ASSN.1166","url":null,"abstract":"Background: Non-attendance at hospital outpatient clinics disrupts continuity of care and reduces healthcare efficiency, particularly in high-demand specialties. This study analyzes patient-reported reasons for non-attendance at otolaryngology (ENT) outpatient clinics, classifies them according to their potential avoidability, and assesses the frequency of subsequent appointment rescheduling.Methods: A retrospective observational study was conducted at a secondary-level public hospital. Among 1,117 missed outpatient appointments recorded in 2024, a random sample of 299 was selected. Structured telephone interviews were carried out between February and June 2025. Reasons for non-attendance were categorized using a predefined classification and grouped as avoidable or unavoidable. Descriptive analyses were performed, together with ?² and Mann-Whitney U tests. Open-ended responses underwent descriptive thematic analysis and were mapped to the dimensions of Levesque's access-to-care framework.Results: The final analyses included 232 appointments (77.5%). Failure to receive appointment notification was the most frequently reported reason for non-attendance (32.3%), followed by work-related or personal scheduling conflicts (19.4%). Overall, 42.2% of missed appointments were considered potentially avoidable, whereas only 25.0% of them were subsequently rescheduled. Neither avoidability nor rescheduing was associated with age, sex, or nationality. The approachability dimension accounted for 44.6% of all reported reasons.Conclusions: Non-attendance at ENT outpatient clinics is largely attributable to potentially modifiable factors, particularly failures in the appointment notification process. Despite missed appointments, only one quarter of patients subsequently rescheduled their appointment.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"49 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13548295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148760690","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

High-risk profiles for functional and cognitive decline following COVID-19 confinement in nursing home residents: A multicentre observational study 一项多中心观察性研究：养老院坐月子期间功能和认知能力下降的高风险概况

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Anales del sistema sanitario de Navarra Pub Date : 2026-07-24 DOI: 10.23938/ASSN.1165

Isabel San Martín-Erice, Cristina García-Vivar, Sara Furtado-Eraso, Ibai Tamayo-Rodríguez, Leticia San Martín-Rodríguez, Nelia Soto-Ruiz, Paula Escalada-Hernández

{"title":"High-risk profiles for functional and cognitive decline following COVID-19 confinement in nursing home residents: A multicentre observational study","authors":"Isabel San Martín-Erice, Cristina García-Vivar, Sara Furtado-Eraso, Ibai Tamayo-Rodríguez, Leticia San Martín-Rodríguez, Nelia Soto-Ruiz, Paula Escalada-Hernández","doi":"10.23938/ASSN.1165","DOIUrl":"10.23938/ASSN.1165","url":null,"abstract":"Background: To examine changes in functional and cognitive status among nursing home residents following COVID-19 confinement and to identify personal and clinical resident characteristics associated with greater decline.Methods: A multicentre retrospective observational study was conducted in nursing homes in Navarra, Spain. Functional and cognitive status were assessed before and after the confinement using the Barthel Index (BI), Mini Cognitive Examination (MEC), and Global Deterioration Scale (GDS). Resident characteristics, nursing home characteristics, and the nursing diagnosis Disrupted Thought Processes were analysed. Univariate and multivariable linear mixed-effects models were used to identify factors associated with changes in BI, MEC, and GDS scores.Results: The final analytical sample comprised 178 residents. All three outcomes deteriorated significantly following confinement. Mean BI and MEC scores decreased by 5.0 and 2.0 points, respectively, whereas mean GDS scores increased by 0.24 points. In multivariable analyses, Disrupted Thought Processes was associated with greater cognitive decline measured by MEC (B = 1.29; 95% CI: 0.40-2.18; p = 0.005). Difficulties in instrumental activities of daily living were associated with greater deterioration in GDS (B = 0.19; 95% CI: 0.02-0.37; p = 0.030) and BI scores (B = 3.60; 95% CI: 0.01-7.19; p = 0.049). Male sex was associated with greater BI decline (B = 4.07; 95% CI: -7.68 to -0.45; p = 0.028).Conclusions: COVID-19 confinement associates with functional and cognitive decline among nursing home residents. Disrupted Thought Processes may be a useful clinical indicator for identifying residents at increased risk of cognitive deterioration during prolonged isolation.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"49 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13439796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148586462","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

[Prevalence of cannabis use in Primary Care]. [初级保健中大麻使用的流行程度]。

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Anales del sistema sanitario de Navarra Pub Date : 2026-07-24 DOI: 10.23938/ASSN.1170

Alba Sánchez Valverde, Rocío Abarca Dotor, Carlos Lopez Muley, Ximena Soledad Samaniego Vasquez, Neus Parellada Esquius

{"title":"[Prevalence of cannabis use in Primary Care].","authors":"Alba Sánchez Valverde, Rocío Abarca Dotor, Carlos Lopez Muley, Ximena Soledad Samaniego Vasquez, Neus Parellada Esquius","doi":"10.23938/ASSN.1170","DOIUrl":"10.23938/ASSN.1170","url":null,"abstract":"Background: To estimate the prevalence of cannabis use among adults attending primary care, identify the age of initiation and associated sociodemographic characteristics, and describe patterns of dependence risk.Methods: A cross-sectional descriptive study was conducted in three primary healthcare centres in the Barcelona metropolitan area. Adults aged 18 - 45 years were selected by simple random sampling. Telephone interviews used cannabis related questions from the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST), validated by the World Health Organization. Cannabis use prevalence and dependence risk were analysed by sociodemographic characteristics using multiple logistic regression.Results: Of 237 individuals contacted, 221 participated (93.25%). Among the participants, 58.8% were women, with a mean age of 33.5 years (SD = 8.1). Overall, 53.4% had used cannabis at least once in their lifetime, with a mean age of initiation of 18.4 years (SD = 4.1). Among lifetime users, 25.4% had a moderate risk of dependence. After adjustment for age and socioeconomic status, cannabis use was more likely among men than women (OR = 2.11; 95% CI: 1.21-3.72). Overall, 22.9% had used cannabis within the previous three months, and 81.5% of these users had a moderate risk of dependence. Moderate dependence risk was more frequent with lower educational attainment.Conclusions: Cannabis use prevalence exceeded that reported in previous studies and was higher in men. One-quarter of lifetime cannabis users had a moderate risk of dependence according to the ASSIST, particularly those with lower educational attainment.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"49 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13439795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148586488","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

[Stroke mimic after wasp sting in a child with Charcot-Marie-Tooth neuropathy X type 1]. [一名患有沙科-玛丽-图斯神经病变X型1的儿童被黄蜂蜇伤后的中风模拟]。

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Anales del sistema sanitario de Navarra Pub Date : 2026-07-21 DOI: 10.23938/ASSN.1157

Alicia Hernando Larroy, Alicia Frías Herrero, José Luis Peña Segura, Daniel Palanca Arias

引用次数: 0

[The origins of smallpox vaccination in Navarre: The contribution of the physician Manuel Gil y Albéniz (1801-1836)]. [天花疫苗在纳瓦拉的起源：Manuel Gil y albacimniz医生的贡献（1801-1836）]。

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Anales del sistema sanitario de Navarra Pub Date : 2026-07-21 DOI: 10.23938/ASSN.1167

Ramón Santonja Alarcón, Carlos González Guitián, Jose Tuells

{"title":"[The origins of smallpox vaccination in Navarre: The contribution of the physician Manuel Gil y Albéniz (1801-1836)].","authors":"Ramón Santonja Alarcón, Carlos González Guitián, Jose Tuells","doi":"10.23938/ASSN.1167","DOIUrl":"10.23938/ASSN.1167","url":null,"abstract":"Background: The introduction of smallpox vaccination in the early nineteenth century marked a major milestone in the history of public health in Spain. Although its early dissemination has been mainly studied from an institutional perspective, the contribution of local physicians to its implementation remains less well understood.Methods: Historical study based on documentary sources conducted using primary sources, including archival records, historical newspapers, and medical memoirs, together with relevant secondary literature. The study focuses on the career of the Navarrese physician Manuel Gil y Albéniz (1767-1849), who practised in the town of Cascante (Navarre).Results: Gil y Albéniz introduced smallpox vaccination in Cascante in 1801, during the early stage of its adoption in Spain. He carried out hundreds of vaccinations and played an important role in disseminating vaccine material throughout Navarre. His writings describe methods for preserving and transmitting vaccine material and document strategies that enabled vaccination to continue during the Peninsular War. He also participated in scientific networks as a corresponding member of the Royal Academy of Medicine of Barcelona (1803) and the Medical-Surgical Society of Cádiz (1820). His Colección de memorias médicas (1820) brings together his principal clinical observations.Conclusions: Manuel Gil y Albéniz was among the earliest physicians to introduce smallpox vaccination in Navarre. His career highlights the important contribution of local physicians in the dissemination of vaccination and the early development of public health in nineteenth-century Spain.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"49 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13439793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148538052","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

[Subacute meningoencephalitis following intravesical BCG instillation immunotherapy]. [膀胱内卡介苗免疫治疗后亚急性脑膜脑炎]。

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Anales del sistema sanitario de Navarra Pub Date : 2026-07-03 DOI: 10.23938/ASSN.1145

Edurne Bidegain Garbala, Miren Arteaga Mazuelas, Vanesa Jarne Betrán, María Luisa Abínzano Guillén

引用次数: 0

[Treatment with dabrafenib and trametinib in an intrahepatic cholangiocarcinoma harboring a BRAF V600E mutation]. [达非尼和曲美替尼治疗含有BRAF V600E突变的肝内胆管癌]。

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Anales del sistema sanitario de Navarra Pub Date : 2026-06-24 DOI: 10.23938/ASSN.1159

Arturo Gámiz Rejano, Ana Isabel Gago Sánchez, Rosa María Rodríguez Alonso

引用次数: 0

[Efficiency after integrating a hospital with a 'new management model']. （将医院与“新管理模式”整合后的效率）。

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Anales del sistema sanitario de Navarra Pub Date : 2026-04-29 DOI: 10.23938/ASSN.1162

Mateo Cacho Uzal, Juan Cueva Ares, Fe Lopez-Juiz, Francisco Reyes Santías

{"title":"[Efficiency after integrating a hospital with a 'new management model'].","authors":"Mateo Cacho Uzal, Juan Cueva Ares, Fe Lopez-Juiz, Francisco Reyes Santías","doi":"10.23938/ASSN.1162","DOIUrl":"10.23938/ASSN.1162","url":null,"abstract":"Background: This study evaluates the efficiency of a hospital under two management models, private (2015-2018) and public (2019-2022), and examines the impact of the COVID-19 pandemic (2020-2021).Methods: Hospital efficiency was evaluated using an output-oriented data envelopment analysis model with variable returns to scale. Outputs included consultations, emergency visits, surgical procedures, admissions, and inpatient stays, assuming a constant input (=1). Robustness was assessed using a parametric bootstrap (1,500 replications) to obtain bias-corrected efficiency scores and confidence intervals. An interrupted time series analysis was conducted to estimate a counterfactual scenario under continued private management and compare it with observed outcomes under public management.Results: Efficiency under private management remained consistently close to the frontier during 2015-2018. Under public management, efficiency declined sharply during the pandemic, reaching near-zero values in 2020-2021. Bootstrap results confirmed that these reductions were statistically significant and not random. A partial recovery was observed in 2022; however, efficiency remained below counterfactual projections.Conclusions: While efficiency performed stably under private management, the public model was markedly affected by the pandemic, though showing signs of resilience thereafter. These findings highlight the sensitivity of hospital efficiency to external crises and governance structures, underscoring the need to strengthen resilience, digitalization, and sustainability to maintain efficiency and equity in future health system disruptions.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"49 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13227081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147794219","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

[Anales del Sistema Sanitario de Navarra in 2025: Progress continues]. [纳瓦拉2025年卫生系统报告：继续取得进展]。

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Anales del sistema sanitario de Navarra Pub Date : 2026-04-29 DOI: 10.23938/ASSN.1163

Pere Godoy, Carmen Beorlegui

引用次数: 0