Anales Del Sistema Sanitario De Navarra最新文献_第7页

[Impact of pharmaceutical care in polymedicated patients admitted to a geriatric ward]. [在老年病房接受多种药物治疗的患者中药学服务的影响]。

IF 1 4区医学

Anales Del Sistema Sanitario De Navarra Pub Date : 2022-04-27 DOI: 10.23938/ASSN.0990

R Marín-Gorricho, C Lozano, C Torres, E Ramalle-Gómara, M F Hurtado-Gómez, R Pérez-Zuazo, J Molpeceres-García Del Pozo

{"title":"[Impact of pharmaceutical care in polymedicated patients admitted to a geriatric ward].","authors":"R Marín-Gorricho, C Lozano, C Torres, E Ramalle-Gómara, M F Hurtado-Gómez, R Pérez-Zuazo, J Molpeceres-García Del Pozo","doi":"10.23938/ASSN.0990","DOIUrl":"https://doi.org/10.23938/ASSN.0990","url":null,"abstract":"Background: The aim of the study was estimate the prevalence of potentially inappropriate prescribing (PIP) and drug related problems (DRP) in an acute geriatric ward, and to evaluate the impact of pharmaceutical intervention on their prevalence.Methods: Quasi-experimental, interventional study in polymedicated patients (= 6 drugs) who were admitted to a Geriatric ward in 2018-2019. PIP were analyzed according to STOPP/START 2014 criteria and DRP on the Third Consensus of Granada. The PIP and DRP detected, and the possible actions to correct them, were sent to the physician in charge. The effect of the intervention was analyzed at hospital discharge; if the change of prevalence of PIP and DRP was =75%, the pharmaceutical intervention was considered to be accepted.Results: Pharmaceutical intervention was performed on 218 patients, analyzing 1,837 prescriptions. On admission, PIP (90.8%) and DRP (99.5%) were observed. We carried out 1,227 interventions, 57.6% on DRP. More than half (53.6%) of the pharmaceutical interventions were accepted; the PIP according to the STOPP and START criteria was reduced by 49.7 and 22.1%, respectively; DRP decreased by 60.1%. The frequencies and medians of PRM and PPI according to the START and STOPP criteria decreased significantly at discharge. The variables most frequently associated with acceptance of the pharmaceutical intervention were the geriatrician at charge, the number of PPI START and the number of PPI STOPP.Conclusion: The detection of PIP and DRP of chronic treatment during hospital admission by the pharmacist, and in collaboration with the patient's doctor, helps to reduce the prevalence of PIP and DRP.","PeriodicalId":7775,"journal":{"name":"Anales Del Sistema Sanitario De Navarra","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/77/bb/assn-45-01-e0990.PMC10114036.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9320662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

[Starting of a new pediatric palliative care program in a general hospital: characteristics of the population and use of resources]. [在综合医院开展新的儿科姑息治疗项目:人口特点和资源利用]。

IF 1 4区医学

Anales Del Sistema Sanitario De Navarra Pub Date : 2022-04-27 DOI: 10.23938/ASSN.0989

L García-Trevijano Cabetas, P Del Villar Guerra, L Lozano Rincón, A Cano Garcinuño

{"title":"[Starting of a new pediatric palliative care program in a general hospital: characteristics of the population and use of resources].","authors":"L García-Trevijano Cabetas, P Del Villar Guerra, L Lozano Rincón, A Cano Garcinuño","doi":"10.23938/ASSN.0989","DOIUrl":"https://doi.org/10.23938/ASSN.0989","url":null,"abstract":"This article sets out to describe the characteristics of patients at a second-level hospital who are likely to receive pedi-atric palliative care (PPC), the frequency of visits to the emergency room, admissions and technological devices used. A retrospective study was carried out of the patients who received care from the start of the PPC program (January 2017 to January 2020) at a secondary-level hospital. Twenty-nine patients were included, 58.6% male with mean age at entry into the study of 2.3 years (SD: 2.4); 44.8% of them were from rural areas. The prevalence of multimorbidity was 41%, with a higher frequency of neurological patholo-gy. Respiratory infection was the most frequent cause of emergency care (n = 360) and hospitalization (n=145). Half of patients (51.7%) depended on medical devices. Better knowledge of the resources used by this population can lead to more effective distribution/management that in turn can enable PPC to be offered regardless of the place of residence.","PeriodicalId":7775,"journal":{"name":"Anales Del Sistema Sanitario De Navarra","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/10/00/assn-45-01-e0989.PMC10114008.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9327427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

[Spontaneous retrobulbar haemorrhage associated with anticoagulants]. 与抗凝剂相关的自发性球后出血。

IF 1 4区医学

Anales Del Sistema Sanitario De Navarra Pub Date : 2022-04-27 DOI: 10.23938/ASSN.0972

M J Vicente Altabás, M Romero Sanz, B Arias-Peso, L Arias Campo, M A Vicente Altabás, S Méndez Martínez

{"title":"[Spontaneous retrobulbar haemorrhage associated with anticoagulants].","authors":"M J Vicente Altabás, M Romero Sanz, B Arias-Peso, L Arias Campo, M A Vicente Altabás, S Méndez Martínez","doi":"10.23938/ASSN.0972","DOIUrl":"https://doi.org/10.23938/ASSN.0972","url":null,"abstract":"Retrobulbar hemorrhage consists of bleeding in the retroseptal intraorbital region generating an orbital compartment syndrome. We present the case of an 86-year-old woman who came to the Emergency Room due to ocular pain and loss of vision in the left eye of six hours of evolution. The only medical history was atrial fibrillation on anticoagulant treatment with Dabigatran 300mg daily. The clinical examination was compatible with retrobulbar hemorrhage and the urgent CT confirmed the diagnosis, performing immediately after a canthotomy with cantolysis. In the absence of triggering factors, an orbital MRI was performed which ruled out the existence of arteriovenous malformations, diagnosing spontaneous retrobulbar hemorrhage associated with the use of anticoagulants. The uniqueness of this case is that it forms part of the small percentage of retrobulbar hemorrhages that are not associated with trauma or postsurgical causes, as well as in illustrating a very rare location of bleeding associated with anticoagulation.","PeriodicalId":7775,"journal":{"name":"Anales Del Sistema Sanitario De Navarra","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/49/53/assn-45-01-e0972.PMC10112294.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9326750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

[Presence and influence of attention deficit hyperactivity disorder symptoms in adults with an eating disorder]. [饮食失调的成年人注意缺陷多动障碍症状的存在和影响]。

IF 1 4区医学

Anales Del Sistema Sanitario De Navarra Pub Date : 2022-04-27 DOI: 10.23938/ASSN.0984

M Ruiz Feliu, A Cano Prous, M T Iglesias Gaspar, C Campos Mangas, J M Álvarez Martínez

{"title":"[Presence and influence of attention deficit hyperactivity disorder symptoms in adults with an eating disorder].","authors":"M Ruiz Feliu, A Cano Prous, M T Iglesias Gaspar, C Campos Mangas, J M Álvarez Martínez","doi":"10.23938/ASSN.0984","DOIUrl":"https://doi.org/10.23938/ASSN.0984","url":null,"abstract":"Background: The coexistence of eating disorders (ED) and attention deficit hyperactivity disorder (ADHD) is common. The aim of the study was to quantify the presence of ADHD symptoms in adult patients with ED and evaluate any possible correlation between both symptomatologies.Methods: Cross-sectional study of patients with ED. The following questionnaires were completed: the Eating Attitudes Test - 40 items (EAT-40), the Eating Disorder Inventory 3rd edition (EDI-3) and the abbreviated version of the Adult ADHD Self-Report Scale (ASRS v1.1). The patients who scored =12 points in ASRS v1.1 completed the Attention Deficit Hyperac-tivity Disorder Rating Scale (4th edition, ADHD-RS IV).Results: 42.6% of the 108 patients scored =12 in the ASRS v1.1. These subjects scored higher in bulimia and in some scales of psychological maladjustment of the EDI-3, and those with binging and/or purging behaviours scored higher in Psychobi-ological disorders of the EAT-40 and in Body dissatisfaction and Eating disorder risk composite scales of the EDI-3. There were no differences in ADHD-RS IV between pure restrictive syndromes (n=13) and those with binging and/or purging behaviours (n=33). We found that, in cases with binge/purge symptoms, ADHD symptoms correlated higher with ED symptoms and with general psychological maladjustment.Conclusion: ADHD symptoms are common in the clinical population with ED, and more in groups with binge/purge symptoms, although they are not necessarily more intense. The correlation between ADHD symptoms and ED is higher in cases with binging and/or purging behaviours. ADHD symptoms involve more psychological maladjustment and more serious ED symptomatology in cases with binge/purge symptoms.","PeriodicalId":7775,"journal":{"name":"Anales Del Sistema Sanitario De Navarra","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/52/41/assn-45-01-e0984.PMC10114044.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9327426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Facilitating elements of end-of-life health care in the public health system]. [促进公共卫生系统中临终卫生保健的要素]。

IF 1 4区医学

Anales Del Sistema Sanitario De Navarra Pub Date : 2022-04-27 DOI: 10.23938/ASSN.0986

E Antoñanzas-Baztán, L Elizalde-Soto

引用次数: 0

[CERCAR to COVID-19: A structured communication model for the follow-up of cases and contacts in Primary Care]. [CERCAR应对COVID-19:初级保健中病例和接触者随访的结构化沟通模式]。

IF 1 4区医学

Anales Del Sistema Sanitario De Navarra Pub Date : 2022-04-27 DOI: 10.23938/ASSN.0985

C Leal Costa, I Orcajada Muñoz, J L Díaz-Agea, M G Adánez-Martínez

引用次数: 0

[Clinical and social evaluation of depressed patients in a Psychogeriatric Day Hospital program]. [老年精神科日间医院项目抑郁症患者的临床和社会评价]。

IF 1 4区医学

Anales Del Sistema Sanitario De Navarra Pub Date : 2022-04-27 DOI: 10.23938/ASSN.0988

M Zabala Baquedano, M Echeverría Echeto, C Rubio Ortega, A Goñi Sarriés, G Jusué Erro

{"title":"[Clinical and social evaluation of depressed patients in a Psychogeriatric Day Hospital program].","authors":"M Zabala Baquedano, M Echeverría Echeto, C Rubio Ortega, A Goñi Sarriés, G Jusué Erro","doi":"10.23938/ASSN.0988","DOIUrl":"https://doi.org/10.23938/ASSN.0988","url":null,"abstract":"Background: The aim of this study was to identify the problems of patients with severe depressive symptoms (GDS>9) according to the HoNOS+65 scale, to evaluate the effectiveness of a partial hospitalization program to reduce severe depressive symptoms, and to identify independent predictors.Methods: Pre-post study of patients with depression treated at the psychogeriatric Day Hospital (HDPG) of Pamplona (Spain). The scores obtained on the HoNOS+65, MMSE, GDS, BARTHEL, ALSAR, and COTE scales were compared at admission and discharge, and the prognostic factors for no improvement of severe depressive symptoms were determined.Results: The 75.3% of the 81 patients were women, with a mean age of 69.9 years (range: 57-88). At discharge, severe depressive symptoms only remained for 25.9%, who significantly improved on the HoNOS+65 total and COTE scales while problems of physical deterioration were maintained and cognitive ones increased. Patients with GDS <9 at discharge showed significant reductions in all the problems presented at admisión, except for the level of dependency (Barthel). On admission, the patiens who did not improve showed more severe despressive symptoms and greater behavioral and social problems: the three variables were independent predictors for no improvement of severe depressive symptoms.Conclusions: The HDPG program had a positive impact on patients with severe depressive symptoms. The clinical and social improvement achieved supports the HDPG format as an adequate alternative for the care of elderly patients with severe depressive symptoms.","PeriodicalId":7775,"journal":{"name":"Anales Del Sistema Sanitario De Navarra","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/43/6a/assn-45-01-e0988.PMC10114041.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9327424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Pulmonary cavitations, late complication of COVID-19]. [肺部空化，COVID-19晚期并发症]。

IF 1 4区医学

Anales Del Sistema Sanitario De Navarra Pub Date : 2022-04-27 DOI: 10.23938/ASSN.0974

H Lozano Gómez, S Herrero García, M J Arche Banzo, B Villanueva Anadón, M C Díaz Melé, J J Araiz Burdio

引用次数: 0

[Prevalence of diabesity in the Spanish working population: influence of sociodemographic variables and tobacco consumption]. [西班牙劳动人口中糖尿病患病率:社会人口学变量和烟草消费的影响]。

IF 1 4区医学

Anales Del Sistema Sanitario De Navarra Pub Date : 2022-04-27 DOI: 10.23938/ASSN.0977

A A López-González, J I Ramírez Manent, M T Vicente-Herrero, E García Ruiz, M Albaladejo Blanco, N López Safont

{"title":"[Prevalence of diabesity in the Spanish working population: influence of sociodemographic variables and tobacco consumption].","authors":"A A López-González, J I Ramírez Manent, M T Vicente-Herrero, E García Ruiz, M Albaladejo Blanco, N López Safont","doi":"10.23938/ASSN.0977","DOIUrl":"https://doi.org/10.23938/ASSN.0977","url":null,"abstract":"Background: Obesity predisposes to type 2 diabetes so often that the combination is called diabesity. The aim of this study was to determine the prevalence of diabesity in the working population and to analyze the variables associated with it.Method: Cross-sectional study between January 2019 and June 2020 by 418,343 workers from 18 to 67 year-old, from different professions and Spanish geographic areas. The prevalence of diabesity was determined with six different for-mulae for obesity: BMI (body mass index), CUN BAE (Clínica Universidad de Navarra Body Adiposity Estimator), ECORE-BF (Equation Córdoba for Estimation of Body Fat), Formula Palafolls, FMI (fat mass index) of Deuremberg and RFM (relative fat mass). The association between diabetes and age, sex, social class and tobacco was analyzed.Results: The global prevalence of diabetes ranged from 2.6% for BMI to 5.8% for the Palafolls formula. The variable most related to diabesity was age over 50 years (OR?=?5.9; 95%CI: 5.7-6.2 for BMI, and OR?=?8.1; 95%CI: 7.9-8.4 for FMI of Deuremberg). Male sex and social class III related with diabesity estimated by all formulas, while being a smoker was only related with the Palafolls formula.Conclusion: Diabesity prevalence varies depending on the formula used, with much lower prevalence among women and increased with age independent of the formula used. Its prevalence is higher in the lower social classes.","PeriodicalId":7775,"journal":{"name":"Anales Del Sistema Sanitario De Navarra","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ea/3e/assn-45-01-e0977.PMC10112296.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9383145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

[Analysis of the status of cardiac rehabilitation in Spain: an exploratory review]. 【西班牙心脏康复现状分析:探索性回顾】。

IF 1 4区医学

Anales Del Sistema Sanitario De Navarra Pub Date : 2022-04-27 DOI: 10.23938/ASSN.0991

M F Pujalte, M Richart-Martínez, J Perpiñá-Galvañ

引用次数: 1