Revista espanola de salud publica最新文献

{"title":"[Consultations to Emergency Departments for acute psychosis associated with illycit drugs use in Spain (REDUrHE Registry)].","authors":"Dima Ibrahim-Achi, Guillermo Burillo-Putze, Miguel Galicia, August Supervía, Joan Ortega Pérez, Marcos Expósito Rodríguez, Sebastián Matos Castro, Òscar Miró","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Mental health problems are increasing in Spain, and those related to drug use are a preventable aspect of public health. In Spain there are few studies on the incidence and characteristics of acute psychosis due to illegal drug use, especially at national and multicenter level, reason that motivated this paper.</p><p><strong>Methods: </strong>A prospective multicentre study was carried out in eleven hospital Emergency Departments in Spain, lasting twenty-four months (REDUrHE Registry). Patients with acute psychosis were compared with those with organic pathology, analysing demographic aspects, drugs involved, associated clinical manifestations and evolution Quantitative variables were compared using Student's t-test and qualitative variables were compared using the chi-squared test (or Fisher's exact test as appropriate) and the magnitude of the association with the presence of psychosis using logistic regression. A p-value of less than 0.05 was considered statistically significant or if the 95%CI of the OR excluded the value 1.</p><p><strong>Results: </strong>Of the 4,487 patients in the registry, 9.5% presented acute psychosis, with a median age of thirty-two years and 79% male. The main clinical features were agitation (53%, p=0.001), hallucinations (43.2%, p=0.001) and anxiety (40%, p=0.00). Psychosis was more frequent with cannabis (57.7%), cocaine (42%) and amphetamines and derivatives (26.4%), although in the analysis adjusted for co-drug use (39.5%), or in association with ethyl alcohol (57.7%), it was only statistically significant for cannabis (p=0.0). Patients with psychosis required more hospital admissions (38.1% vs. 10%, p=0.001), mainly in psychiatric units (34.1% vs. 4.2%, p=0.001), with hardly any intensive care unit admissions (0.4% vs. 2.1%, p=0.01). ED stay was high (29.3±73.8 hours vs 10.5±58.8 hours, p=0.001).</p><p><strong>Conclusions: </strong>In Spain, cannabis is the drug most associated with psychosis. This clinical condition produces more hospital admissions, although with a low risk at an organic level.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"97 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138483591","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}

{"title":"[Utility of the <i>Abeona Health® app</i> for patient participation in the identification of chemotherapy-induced toxicity according to the CTCAE classification].","authors":"Carlota de Miguel Barbero, Elvira Gea Rodríguez, Francesc Garcia Cuyàs","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Since 2003, the National Cancer Institute (NCI) of the United States of America has been one of the world leaders in classifying adverse effects (AEs). Currently, smartphones allow, among many other things, the monitoring of these AEs of chemotherapy from home to improve the safety and quality of life of patients. The aim was to perform a descriptive comparative analysis of the AEs content of the <i>Abeona Health® app</i> and the latest version of the CTCAE (Common Terminology Criteria for Adverse Events).</p><p><strong>Methods: </strong>The <i>Abeona Health® app</i> and the CTCAE v5 guide were used. Subsequently, the most recurrent AEs in the existing chemotherapy treatment were analysed according to the NCI and the Spanish Society of Medical Oncology (SEOM) and finally, whether patients could identify them.</p><p><strong>Results: </strong>The CTCAE v5 (collects 837 AEs), where two hundred and twenty-five are signs and symptoms. The NCI classifies fifty-five signs and symptoms as the most recurrent, and the SEOM sixteen, of which fifteen coincide with the NCI. The <i>Abeona Health®</i> application has seven AEs, all included in the CTCAE v5. Of these seven, six appear in the NCI lists of most recurrent AEs and four in the SEOM list, all identifiable by the patient.</p><p><strong>Conclusions: </strong>The <i>Abeona Health® app</i> is considered adequate for the patient participation in their self-care, although some fields could be expanded.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"97 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11566884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138810783","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}

{"title":"[Multiple PCR <i>ALLPLEX TM ENTERO-DR</i> for multidrug-resistant Enterobacteriaceae management at Albacete University Hospital].","authors":"Pilar Cárdenas Soriano, José Miguel Cantero Escribano, Francisco Jesús Molina Cabrero, Ana Gómez-Juárez Sango, Jesús García Guerrero","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Multi-resistant Enterobacteriaceae (MRE) are a public health threat, with screening and isolation strategies being important to stop its dissemination. Multiplex PCR is a novel method capable of rapid diagnosis with high sensitivity and specificity. In this study, our objective was to evaluate its application to multidrug-resistant Enterobacteriaceae management since its implementation in our hospital.</p><p><strong>Methods: </strong>An observational retrospective descriptive study of multiplex PCR ALLPLEX TM ENTERO-DR results to screen inpatients colonized by MRE took place from November 2019 to May 2021. We calculated the percentage of positive, negative, non-identifiable or invalid results, identified microorganisms, reason for requesting it and subsequent actions. Median and I.R. from sampling time to partial and theoretical culture time, and since last colonization/infection depending on test results were calculated.</p><p><strong>Results: </strong>Resistance mechanisms were detected in 31.47% of tests, being E. coli ESBL (68.99%) the most frequently isolated microorganism. Median time to partial result was 5.75 hours (I.R.: 2.67), having statistically significant differences with theoretical time. The most important reason to request the test was screening (80.12%) and the most frequent action taken was not to isolate (41.70 %). Whenever forty-nine months or more since last colonization/infection have passed, only 14.81% of the samples tested positive.</p><p><strong>Conclusions: </strong>Multiplex PCR is a useful test to manage colonized patients, capable of giving a rapid result and allowing for quicker decision-making, contributing to a good use of resources and patient comfort.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"97 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11567164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138810483","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}

{"title":"[Conceptual framework of gambling and gambling-related harms].","authors":"Olga Sancho, Catrina Clotas, Montse Bartroli","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Gambling is a legitimate leisure activity in many countries that many people use. However, some of them suffer significant harm because of gambling. This may involve economic, social, physical or mental harm. These harms are not only suffered by the individual gambler, but affect the family, the community and society. The aim of this text is to propose a conceptual framework for understanding the determinants of gambling and its related harms and thus, contribute to the development of prevention policies to reduce its impact on health. The framework proposed in this manuscript places present evidence in the model of health inequalities, analyzing the effect of the socioeconomic and political context, the axes of inequalities, individual and social factors, and the health system in generating the health inequalities of gambling suffered by the most vulnerable groups. The evidence gathered in this framework suggests that health determinants lead to health inequality in relation to gambling and its associated harms.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"97 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11567419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138810343","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}

{"title":"[End of the use of masks in public spaces during the COVID-19 pandemic: impact on the mental health of pregnant women].","authors":"Francisco Javier Muñoz-Vela, Juan Gómez-Salgado, Francisco Javier Fernández-Carrasco, Regina Allande Cussó, Juana María Vázquez-Lara, Juan Jesús García Iglesias, Luciano Rodríguez-Díaz","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>COVID-19 has affected the entire population, generating a greater impact on certain vulnerable groups, such as pregnant women. The aim of this study was to evaluate the levels of fear and anxiety regarding the COVID-19 disease in pregnant women, using the AMICO_Pregnant scale, in the final phase of the health crisis caused by the disease, marked by the relaxation of isolation measures in public spaces.</p><p><strong>Methods: </strong>A descriptive cross-sectional study using the self-reported questionnaire AMICO_Pregnant was developed between March 24 and April 18, 2022. This was followed by a univariate and bivariate statistical analysis of the data collected.</p><p><strong>Results: </strong>A total of 479 surveys of pregnant women of different gestational ages were obtained. The bivariate analysis showed statistical significance in the AMICO_Pregnant scale score about several variables over the previous year: contact with the disease (p=0.025); number of previous pregnancies (p=0.019); changes in the birth plan (p=0.001); and vaccination status (p=0.01).</p><p><strong>Conclusions: </strong>The COVID-19 pandemic has impacted pregnant women's mental health, producing a negative effect on emotions. The research carried out shows a statistically significant relationship between the levels of fear and anxiety in pregnant women and factors such as the number of previous pregnancies, contact with the previous disease, vaccination level or expectations regarding the delivery or birth plan.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"97 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11566653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138810273","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}

{"title":"[Impact of the COVID-19 pandemic on cannabis use in young adults and general population: a systematic review].","authors":"Lorena Botella-Juan, Nuria Fernández-Suárez, Alba Marcos-Delgado, Antonio José Molina-de la Torre, Tania Fernández-Villa","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>The first COVID-19 lockdown was a very restrictive situation that may have impacted on the prevalence and patterns of cannabis use. The aim of this systematic review was to assess the evidence on cannabis use and reasons for use in different countries during first lockdown in young adults and general population.</p><p><strong>Methods: </strong>This study followed PRISMA guidelines, and the review protocol was registered in PROSPERO (registration CRD42022303181). The search was carried out in PubMed, Scopus, Web of Science y Embase databases. Inclusion criteria were: cross-sectional or cohort studies; population ≥16 years; exploring cannabis use during lockdown; and English or Spanish language.</p><p><strong>Results: </strong>Thirty studies, conducted in European countries (n=17), North America (n=12) and rest of the world (n=1), were analysed. The overall prevalence of cannabis use was found to be largely unchanged, but regular users tended to maintain (between 39.5% and 96.8% of the sample) or increase cannabis use (between 2.9% and 51.6%). The main decreases were among occasional users. Some reasons for the increase were boredom, loneliness, stress, coping and depressive symptoms. In addition, young people were the heaviest users, and being younger, live without family, financial problems and a low educational level were significantly (p-value<0.05) associated with increased use.</p><p><strong>Conclusions: </strong>Most regular users maintained or slightly increased their use, with young people being the main users. Concerning reasons for use like coping and depressive symptoms were found. Cannabis use needs to be addressed with strategies focused on the young population, considering occasional and regular use, as well as motivations.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"97 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138810405","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}

{"title":"[About One Health, the cobweb and the spider].","authors":"Javier Segura Del Pozo","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"97 ","pages":"e1-e4"},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138479867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Use of Roll Your Own Tobacco in the Basque Country: magnitude, socio-economic inequalities and evolution in the period 2013-2018].","authors":"Erika Valero Alzaga, Ainhoa Elosegui de Pérdigo, Tim Riffe, Unai Martín Roncero","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Despite the global reduction in smoking, the consumption of roll-your-own tobacco has increased in recent years in many countries, which may be slowing down the downward trend in smoking. The aim of this paper was to analyse the evolution of the number of people who use roll-your-own tobacco and tobacco of any type between 2013 and 2018 in the Basque Country and measure whether there were socioeconomic inequalities in its consumption.</p><p><strong>Methods: </strong>We carried out an observational and cross-sectional study of a representative sample of the population living in the Basque Country aged 16 to 59 years (n₂₀₁₃=6929 y n₂₀₁₈=7961) from the Basque Health Survey (2013 and 2018) and the Basque Addictions Survey (2018). We calculated prevalences of regular tobacco smoking in general and of roll-your-own cigarettes according to different socioeconomic variables for the years 2013 and 2018, as well as prevalence ratios for the estimation of change between these years and according to the above variables through robust Poisson regression models. We stratified analyses by sex and two age groups.</p><p><strong>Results: </strong>Overall smoking prevalence decreased between 2013 (men=27.7% and women=24.1%) and 2018 but remained the same for those who used roll-your-own tobacco (in 2013, men=5.1% and women=3.2%; in 2018=5.4% and 3.5%, respectively). In contrast to tobacco in general, which showed a clear socio-economic gradient, roll-your-own tobacco use was more prevalent among young people (in 2018, men=6.4% and women=4.1%), a group where the pattern by socio-economic status was less evident.</p><p><strong>Conclusions: </strong>Considering the persistence of roll-your-own tobacco consumption, we also should direct tobacco control towards this kind of product, and its use should be monitored and supervised, especially among young people.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"97 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571922/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138465288","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}

{"title":"[Comparison of Heart, Grace Scores and clinical parameters as predictors of cardiovascular events in patients with chest pain in the Emergency Department].","authors":"María Pérez Corral, Pedro José Satústegui Dordá, Eva Benito Ruiz, Adrián Solans Atance, Mª Teresa Fernández Rodrigo","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Risk assessment of patients with chest pain is based on clinical parameters; however, without a scoring system, such as risk stratification scales, estimates are less precise and accurate. The aim of this paper was to compare the HEART, GRACE score and clinical parameters in the prediction of major cardiovascular events (cardiovascular mortality or acute myocardial infarction) during hospitalization, in patients with chest pain attended in the emergency department.</p><p><strong>Methods: </strong>A descriptive observational study of patients with ischemic chest pain, who attended to the Miguel Servet University Hospital emergency department (Zaragoza, Spain) during one year was carried out. HEART and GRACE scores were calculated retrospectively from clinical history. Quantitative variables were expressed as mean (±standard deviation), and qualitative variables as frequencies and percentages. A bivariate analysis was carried out using the chi-square test. The performance of the scales and clinical parameters was compared by calculating the area under the curve. The primary outcome was the occurrence of a major cardiovascular event (cardiovascular mortality or acute myocardial infarction) during hospital admission.</p><p><strong>Results: </strong>306 patients were registered (66.3% men, n=203), with a mean age of 71.45±12.85 years and a 48.7% history of ischemic heart disease. The areas under the curve for HEART scales, GRACE and clinical parameters were 0.80 (95% CI: 0.73-0.86), 0.79 (95% CI: 0.72-0.85) and 0.74 (95% CI: 0.68-0.80), respectively. During hospitalization, the incidence of the primary event was 13.4% and no low-risk patient, in both scales, presented a major cardiovascular event.</p><p><strong>Conclusions: </strong>In patients with ischemic chest pain attended in the emergency department, the GRACE and HEART scale have a greater area under curve than clinical parameters.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"97 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138465285","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}

{"title":"[Uso de cigarros electrónicos en los espacios libres de humo y vapeo: una revisión sistemática.]","authors":"David Zepeta-Hernández, Nora Angélica Armendáriz-García, Nazaria Martínez-Díaz, María Magdalena Alonso-Castillo","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>The effect of smoke-free spaces on the use of electronic cigarettes has not been empirically demonstrated. The objective of this systematic review was to evaluate the influence of smoke-free and vape policies on the use of electronic cigarettes in young adults and adults.</p><p><strong>Methods: </strong>A systematic review was carried out according to PRISMA criteria in the Web of Science, PubMed and SCOPUS databases. Keywords used were: Electronic Nicotine Delivery Systems, Smoke-Free Policy, Young Adult and Adult. We included studies that analyzed the use of electronic cigarettes in smoke-free spaces in adults aged fifteen years and older. The search was conducted from January 2010 to March 2022. Risk of bias was analyzed with the Mixed Methods Assessment Tool.</p><p><strong>Results: </strong>The search identified 861 records. A total of 840 records were excluded because they did not meet the inclusion criteria. The final sample included ten studies on smoke-free spaces, six studies on vape-free spaces and five studies on smoke-free spaces and vape-free spaces. The main risk of bias in the studies was the sampling and measurements used. Most studies associate the use of electronic cigarettes and smoke-free spaces.</p><p><strong>Conclusions: </strong>Studies suggest that the use of electronic cigarettes and smoke-free spaces and vape are associated. Studies with higher quality of evidence and simultaneous implementation of smoke-free and vape-free spaces are required.</p>","PeriodicalId":94199,"journal":{"name":"Revista espanola de salud publica","volume":"97 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11567139/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138465289","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}