Anales del sistema sanitario de Navarra最新文献_第5页

[Trends in the epidemiology of pertussis in Malaga, Spain (2017-2024)]. [西班牙马拉加百日咳流行病学趋势（2017-2024）]。

Anales del sistema sanitario de Navarra Pub Date : 2024-12-05 DOI: 10.23938/ASSN.1091

Ignacio Rodriguez-Vergara Pérez, David Moscoso Sánchez, Julián Manuel Domínguez Fernández, Sara Estefanía Montenegro Jaramillo, María Amores Alguacil

{"title":"[Trends in the epidemiology of pertussis in Malaga, Spain (2017-2024)].","authors":"Ignacio Rodriguez-Vergara Pérez, David Moscoso Sánchez, Julián Manuel Domínguez Fernández, Sara Estefanía Montenegro Jaramillo, María Amores Alguacil","doi":"10.23938/ASSN.1091","DOIUrl":"10.23938/ASSN.1091","url":null,"abstract":"Background: Description of the epidemiological evolution of pertussis in the province of Malaga, Spain (2017 - 2024), disease severity, and vaccination coverage.Methods: A cross-sectional study was conducted using reported cases from the Andalusian Notifiable Diseases Network (RedAlerta). The incidence of pertussis was calculated per 100,000 inhabitants for each health district, quarter, and year. Additionally, the relationship between severe cases (hospitalizations) and vaccination status was analyzed.Results: A total of 181 pertussis cases were identified. Of these, 56.4% were reported during the pre-pandemic period (2017-2019), while 9.95% occurred between 2020 and 2023. An increase in cases was observed in the first quarter of 2024 (n = 61; 33.7% of the total cases), compared to previous years (1 to 46 cases). The 0 to 20-year group accounted for 71.3% of cases, of which 57.4% had received at least partial vaccination prior to contracting pertussis. Severe disease requiring hospitalization occurred in 25.6% of cases, with a higher frequently among unvaccinated individuals (70% vs 18.3%; p < 0.001). Among hospitalized cases, 42.4% had not received any prior doses of the vaccine. Additionally, 47.1% of the 17 pertussis cases in children aged =1 year had not received any vaccination and had no history of maternal vaccination during pregnancy.Conclusions: An increase in reported pertussis cases is observed in early 2024 in Malaga, but hospitalization rates among confirmed cases remained stable. A significant association is found between prior vaccination against pertussis and reduced disease severity (hospitalization) in the 0 to 20-year-old age group.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"47 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11683426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142788373","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

[Validity of the PEDOMETER® mobile application for evaluating cardiorespiratory fitness and fatigue resistance in cardiac rehabilitation. A pilot study]. [PEDOMETER®移动应用程序在心脏康复中评估心肺健康和疲劳抵抗的有效性][初步研究]。

Anales del sistema sanitario de Navarra Pub Date : 2024-12-02 DOI: 10.23938/ASSN.1078

Miguel Gómez-Alguacil, Virginia Llanos-Ruíz, Leire Moreno-Galdós, María Madrigal-Azcona, Antonio López-Román, Roberto Cano-de-la-Cuerda, Isabel M Alguacil-Diego

{"title":"[Validity of the PEDOMETER® mobile application for evaluating cardiorespiratory fitness and fatigue resistance in cardiac rehabilitation. A pilot study].","authors":"Miguel Gómez-Alguacil, Virginia Llanos-Ruíz, Leire Moreno-Galdós, María Madrigal-Azcona, Antonio López-Román, Roberto Cano-de-la-Cuerda, Isabel M Alguacil-Diego","doi":"10.23938/ASSN.1078","DOIUrl":"10.23938/ASSN.1078","url":null,"abstract":"Background: A mobile application (app) may facilitate the administration of the 6-minute walk test (6MWT), a commonly used tool in cardiac rehabilitation. This pilot study, conducted with cardiac rehabilitation patients, aimed to evaluate: 1) the criterion validity of the PEDOMETER® app compared to the 6MWT in assessing cardiorespiratory fitness and fatigue resistance, and 2) the construct validity of the PEDOMETER ® app in relation to the Hospital Anxiety and Depression Scale (HADS) and the Health Index of the EuroQol-5D 3L questionnaire (EQ-5D).Methods: Twenty patients undergoing cardiac rehabilitation at HM Puerta del Sur Hospital (Mostoles, Spain) performed the 6MWT while using the PEDOMETER ® app on a smartphone worn on their arm. Pearson's correlation coefficient was calculated to assess the relationship between the distance recorded in meters during the 6MWT and that recorded by the app, as well as between the app and the anxiety and depression dimensions of the HADS, and the Health Index EQ-5D.Results: The criterion validity of the 6MWT and the PEDOMETER ® app was excellent (r = 0.981; p < 0.001). Regarding construct validity, the app showed a moderate negative correlation with the depression dimension of the HADS (r= -0.493), but not with the anxiety dimension or the EQ-5D.Conclusions: The free PEDOMETER ® app demonstrates excellent criterion validity when compared to the 6MWT. The app shows a moderate negative correlation with the depression dimension of the HADS.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"47 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11682700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142776252","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

[Diagnostic comparison of bedside lung ultrasound and chest radiography in the intensive care unit]. [重症监护室床旁肺部超声和胸部放射摄影的诊断比较]。

Anales del sistema sanitario de Navarra Pub Date : 2024-11-15 DOI: 10.23938/ASSN.1088

Juan-Ambrosio Martínez-Molina, Miguel Angel Martínez-González, Marc Vives Santacana, Ariel Duilio González Delgado, Karlos Reviejo Jaka, Pablo Monedero

{"title":"[Diagnostic comparison of bedside lung ultrasound and chest radiography in the intensive care unit].","authors":"Juan-Ambrosio Martínez-Molina, Miguel Angel Martínez-González, Marc Vives Santacana, Ariel Duilio González Delgado, Karlos Reviejo Jaka, Pablo Monedero","doi":"10.23938/ASSN.1088","DOIUrl":"10.23938/ASSN.1088","url":null,"abstract":"Background: Bedside lung ultrasound (POCUS) offers advantages over chest X-ray, including better cost-effectiveness for diagnosing certain pulmonary pathologies. This study compares the diagnostic concordance between portable chest X-rays and bedside lung ultrasounds in the intensive care unit (ICU).Methods: Adult ICU patients were included. POCUS was performed using the abbreviated BLUE protocol. Diagnostic results from POCUS and chest radiographies were compared using the intensivist clinical diagnosis - based on clinical examinations and lung ultrasounds - as the reference. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the ultrasounds were calculated.Results: A total of 100 patients were included, 71 with pulmonary pathologies. The average time to perform the ultrasound was 308 seconds. Ultrasound identified pathology in 20 patients with a normal chest radiographs. Diagnostic discrepancies occurred in 30 patients, highlighting ultrasound´s superior sensitivity in detecting atelectasis, pleural effusions, and pulmonary edema. Ultrasound demonstrated sensitivity (S) of 85%, specificity (E) of 100%, positive predictive value (PPV) of 100%, and negative predictive value (NPV) of 55%.Conclusion: Lung point-of-care ultrasound at ICU admission detects more pathologies and does not miss significant abnormalities seen on chest X-rays. It also shows good diagnostic accuracy. These findings suggest that pulmonary POCUS, using an abbreviated protocol, could be a viable alternative to chest radiography for initial evaluation and follow-up of pulmonary pathologies in critically ill patients, potentially improving care quality and management.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"47 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11629103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640280","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

Differential psychosocial consequences between male and female workers who have suffered an amputation in an occupational accident. 因工伤事故截肢的男女工人之间的社会心理后果差异。

Anales del sistema sanitario de Navarra Pub Date : 2024-11-14 DOI: 10.23938/ASSN.1090

Rubén Nevado, Alfonso Arteaga, Javier Fernández-Montalvo

{"title":"Differential psychosocial consequences between male and female workers who have suffered an amputation in an occupational accident.","authors":"Rubén Nevado, Alfonso Arteaga, Javier Fernández-Montalvo","doi":"10.23938/ASSN.1090","DOIUrl":"10.23938/ASSN.1090","url":null,"abstract":"Background: The main goals of this study are to determine the sociodemographic, occupational and psychosocial characteristics and type of amputation of people affected by occupational amputations in Navarre, Spain, and to analyse the differing characteristics based on sex.Methods: People affected by occupational amputations in Navarra between January 2000 and December 2019 were identified by the Public and Work Health Institute of Navarre. Sociodemographic, amputation, psychopathological (Symptom Checklist, SCL-90-R; Severity Posttraumatic Stress Disorder Scale-Revised, EGS-R), maladjustment (Maladjustment Scale), pain (Numeric Pain Rating Scale) and suicide (Columbia Scale Screening for Suicidal Ideation, C-SSRS) characteristics were assessed.Results: Of the 557 workers identified, 80 were included in the study. The results showed the presence of relevant psychosocial repercussions with a moderately high level of psychopathological symptoms, a Post-Traumatic Stress Disorder (PTSD) prevalence rate of 10%, re-experimentation as the most relevant symptom, and labour and leisure as the most affected areas. Sex differences were found in PTSD re-experimentation symptoms (higher in women) and leisure maladjustment (higher in men). No sex differences were found in the remaining variables studied.Conclusions: This study demonstrates the relevance of psychosocial consequences in workers with amputations. Research on this topic is necessary due to the scarcity of studies conducted to date.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"47 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11629104/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635728","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

Hamman syndrome in an 18-year-old male patient. 一名 18 岁男性患者的 Hamman 综合征。

Anales del sistema sanitario de Navarra Pub Date : 2024-11-14 DOI: 10.23938/ASSN.1096

Laura Campos Modesto, Pedro Rodrigo Magalhães Negreiros de Almeida, Vitorino Modesto Dos Santos, Fernanda Silva Bertulucci Angotti, Lilian Sousa Santana, Nathalia Gadelha Costa Hentges

引用次数: 0

Fruit and vegetables loss and waste in preschools belonging to the National Board of Kindergartens of Chile. 智利国家幼儿园委员会下属幼儿园的水果和蔬菜损耗与浪费情况。

Anales del sistema sanitario de Navarra Pub Date : 2024-10-14 DOI: 10.23938/ASSN.1089

Ximena Rodríguez Palleres, Claudio Villota Arcos, Álvaro Toledo San Martín, Fancy Rojas González, Juan Manuel Castagnini

{"title":"Fruit and vegetables loss and waste in preschools belonging to the National Board of Kindergartens of Chile.","authors":"Ximena Rodríguez Palleres, Claudio Villota Arcos, Álvaro Toledo San Martín, Fancy Rojas González, Juan Manuel Castagnini","doi":"10.23938/ASSN.1089","DOIUrl":"10.23938/ASSN.1089","url":null,"abstract":"Background: Food waste is a global issue affecting society from environmental, nutritional, and social perspectives. In collaboration with the National Board of Preschools, fruit and vegetable waste generated during the preparation of lunch was quantified in four preschools in the Metropolitan area of Santiago in Chile.Methods: This study was conducted in four preschools, two in the Western area of Santiago and two in the Eastern area, of which two hold environmental quality certifications. Over a five-day period, the weight of raw materials and waste from vegetables (peels) and fruit (pomace) were measured. Percentages of vegetable and fruit post-cleaning losses and waste were evaluated.Results: Vegetable loss exceeded 20% in 31% of the preschools, primarily from carrots and potatoes. Fruit losses were higher, with pears accounting for the most significant waste, recorded in 75% of the study centers. No differences in vegetable loss was found between centers, while variations were observed for fruit. Preschools with environmental quality certifications wasted less onions (p = 0.016) but more pears (p = 0.036).Conclusions: There is higher fruit loss than vegetable loss, with onions and tomatoes being the least wasted. Possessing an environmental quality certification does not guarantee a significant reduction in overall losses. Handling and storage conditions may play a key role in minimizing losses. Further studies are needed to provide evidence that can guide improvements in Chile's National Board of Preschools services, aiming for a more sustainable lunch preparation processes.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"47 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11673439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485223","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

Effects of a plank-based strength training programme on muscle activation in patients with long COVID: a case series. 以平板支撑为基础的力量训练计划对长程COVID患者肌肉激活的影响：一个病例系列。

Anales del sistema sanitario de Navarra Pub Date : 2024-10-02 DOI: 10.23938/ASSN.1083

Sofía Laguarta-Val, María Carratalá-Tejada, Francisco Molina-Rueda, Ricardo Moreta-Fuentes, Diego Fernández-Vázquez, Raúl López-González, Carmen Jiménez-Antona, César Moreta-Fuentes, Alberto Javier Fidalgo-Herrera, Juan Carlos Miangolarra-Page, Víctor Navarro-López

{"title":"Effects of a plank-based strength training programme on muscle activation in patients with long COVID: a case series.","authors":"Sofía Laguarta-Val, María Carratalá-Tejada, Francisco Molina-Rueda, Ricardo Moreta-Fuentes, Diego Fernández-Vázquez, Raúl López-González, Carmen Jiménez-Antona, César Moreta-Fuentes, Alberto Javier Fidalgo-Herrera, Juan Carlos Miangolarra-Page, Víctor Navarro-López","doi":"10.23938/ASSN.1083","DOIUrl":"10.23938/ASSN.1083","url":null,"abstract":"Background: This study aimed to analyse the effects of a plank-based strength training programme on muscle activation in patients with long COVID.Subjects and methods: Case series study that included patients with long COVID who participated in a 12-week trunk and pelvic muscle strength training programme. Clinical variables and the modified fatigue impact scale (MFIS) were used to assess fatigue levels. Percentage of muscle activation during a core muscle plank was measured via surface electromyography. Pre- and post-intervention results were compared using the Wilcoxon signed-rank test and evaluated with Cohen's D effect size (ES).Results: Twenty-one subjects participated in the study; 81% female, mean age 47.5 years (range: 28-55 years), and median duration of symptoms 21 months (range: 5-24 months); 90.5% of the participants experienced fatigue (MFIS score = 38). Muscle activation during plank exercises improved across all muscles after the intervention, with significant increases in the left (p = 0.011, medium ES) and right external oblique (p =0.039, small ES) muscles and the right latissimus dorsi muscle (p = 0.039, small ES). Additionally, significant reductions in fatigue were observed in the total MFIS score (p = 0.004, medium ES) and in the physical (p < 0.001, large ES) and psychosocial subscales (p = 0.033, small ES).Conclusions: Results suggest that a plank-based strength training programme may be effective in enhancing trunk and pelvic muscle activation in individuals with long COVID.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"47 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11487214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373988","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

Knowledge and awareness on vector-borne diseases: a pending subject for the Spanish society? 对病媒传播疾病的了解和认识：西班牙社会有待解决的问题？

Anales del sistema sanitario de Navarra Pub Date : 2024-08-30 DOI: 10.23938/ASSN.1080

Moisés Gonzálvez, María Del Mar Asensio, Clara Muñoz-Hernández, Rocío Ruiz de Ybáñez

{"title":"Knowledge and awareness on vector-borne diseases: a pending subject for the Spanish society?","authors":"Moisés Gonzálvez, María Del Mar Asensio, Clara Muñoz-Hernández, Rocío Ruiz de Ybáñez","doi":"10.23938/ASSN.1080","DOIUrl":"10.23938/ASSN.1080","url":null,"abstract":"Background: To evaluate the level of knowledge and risk perception regarding vector-borne diseases in the Spanish society and identify the risk factors associated with the level of understanding.Methodology: An online survey was conducted between January and May 2021, targeting Spanish adults. The survey consisted of 11 questions assessing knowledge and risk perception related to vector-borne diseases. Sociodemographic variables predicting the outcome variable (objective level of knowledge, determined by correctly naming two vector-borne diseases) were analyzed using multiple logistic regression. The outcome variable was then compared with the self-reported knowledge declared by the participants (kappa coefficient),k.Results: Out of the 1,646 respondents who completed the survey, 72.2% were female and 59.8% were >40 years old). Additionally, 87.3% showed a high risk perception and 61.7% understood what is a vector; however, only 36.3% had an objective level of knowledge (k= 0.353). The variables being >40 years (p <0.0001), having a monthly income >1,500 € (p <0.0001), and owning pets (p= 0.0423) were positively related with an objective level of knowledge on vector-borne diseases (adjusted effects).Conclusions: Both knowledge and perception of the risk on vector-borne diseases need to be strengthened in Spain, especially in regions where vector-borne diseases are endemic, emerging, or re-emerging. These preliminary results underscore the necessity of enhancing institutional efforts to build a robust knowledge base within the Spanish society, extending beyond scientific forums.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"47 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11408904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121548","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

[Exposure to noise at home, emotional behaviour, and attention deficit hyperactivity disorder in 9-year-old children]. [9岁儿童的家庭噪音暴露、情绪行为和注意力缺陷多动症]。

Anales del sistema sanitario de Navarra Pub Date : 2024-08-29 DOI: 10.23938/ASSN.1079

Irene Alfanjarín Monfort, Marisa Rebagliato, Marisa Estarlich, Amparo Cases, Ferran Ballester, Sabrina Llop, María-José López-Espinosa, Llúcia González

{"title":"[Exposure to noise at home, emotional behaviour, and attention deficit hyperactivity disorder in 9-year-old children].","authors":"Irene Alfanjarín Monfort, Marisa Rebagliato, Marisa Estarlich, Amparo Cases, Ferran Ballester, Sabrina Llop, María-José López-Espinosa, Llúcia González","doi":"10.23938/ASSN.1079","DOIUrl":"10.23938/ASSN.1079","url":null,"abstract":"Background: The purpose of this study was to assess the relationship between noise disturbance at home, sleep disturbance, and neurodevelopmental problems in 9-year-old children.Material and methods: Noise exposure (frequency) perceived by 430 9-year-old children from the INMA cohort in Valencia, Spain, were reported by their mothers. The risk of developing attention deficit hyperactivity disorder, as well as internalizing and externalizing problems, were assessed using the Child Behaviour Checklist.Results: The risk of internalizing (18%) and externalizing problems (11.7%) was higher compared to the risk of developing attention deficit hyperactivity disorder (1.4%) and were more prevalent in boys than in girls. The most common and bothersome noise exposures were generated at home (50.8-55.3%) and by neighbours (24.5%). The risk of neurodevelopmental problems was associated with sleep disturbances, particularly in relation with attention deficit hyperactivity disorder (16.1 vs 4%; p<0.001), with no differences observed between sex. Sleep disturbances were significantly more common in children exposed to noise from household or neighbours. High levels of noise exposure from street traffic and neighbours were linked to an increased risk of attention deficit hyperactivity disorder, while noise from other children at home was associated with a higher risk of internalizing and externalizing problems. These effects remained consistent even after adjusting for sleep disturbances.Conclusions: High levels of noise annoyance from various sources perceived at home are differently associated with the risks of different neurodevelopmental problems in 9-year-old boys and girls, with sleep disturbances not influencing this relationship.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"47 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11408905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121547","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

[Analysis of serious trauma injury patterns in Navarre (Spain) (2010-2019)]. [纳瓦拉（西班牙）严重创伤模式分析（2010-2019 年）]。

Anales del sistema sanitario de Navarra Pub Date : 2024-08-29 DOI: 10.23938/ASSN.1085

Eider Arbizu Fernández, Arkaitz Galbete Jimenez, Tomás Belzunegui Otano, Mariano Fortún Moral, Alfredo Echarri Sucunza

{"title":"[Analysis of serious trauma injury patterns in Navarre (Spain) (2010-2019)].","authors":"Eider Arbizu Fernández, Arkaitz Galbete Jimenez, Tomás Belzunegui Otano, Mariano Fortún Moral, Alfredo Echarri Sucunza","doi":"10.23938/ASSN.1085","DOIUrl":"10.23938/ASSN.1085","url":null,"abstract":"Background: The aim of this study is to describe major trauma cases in Navarre and analyze differences based on mortality groups, sex, and mode of injury.Methods: Cross-sectional study of major traumas (severity =3) registered in Navarre between 2010 and 2019. We analyzed the type of trauma, intentionality, the mode of injury, and the affected anatomical area. The odds ratio for major trauma associated with different variables was calculated.Results: The study included 2,609 patients; mean age was 54.7 years (0-101) and 70.9% were male. A predominance of accidental (84%) / blunt (94.7%) major traumas was recorded, primarily resulting from falls (46.5%) and car accidents (18.4%). Women experienced more falls and pedestrian accidents, while men had more motorcycle, bicycle, knife/firearm accidents, and contusions. Most major traumas affected the head and thorax. Head trauma was significantly more common in deceased individuals and women, while thoracic trauma was more frequent in patients who died on-site and in men. Head injuries were caused by falls from low heights and firearms, whereas thoracic injuries resulted from car accidents and falls from height. The risk of major trauma decreased with age; deceased patients were between two and three times more likely to present lesions in all anatomical areas.Conclusions: Gender differences are observed in intentionality, type, and mode of injury. Head and thoracic injuries are potentially life-threatening and abdominal and extremity/pelvic ring injuries are associated with early deaths. This suggests that the extent and severity of these injuries complicate treatment and management.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"47 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11409568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121546","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