Revista clinica espanola最新文献

筛选
英文 中文
The contribution of PET/MRI in benign/malignant nodule separation in thyroid incidentalomas detected in FDG PET/CT imaging PET/MRI对FDG PET/CT检查甲状腺偶发瘤良/恶性结节分离的贡献
Revista clinica espanola Pub Date : 2025-08-01 DOI: 10.1016/j.rceng.2025.502333
A. Nazari , S. Sager , S. Schenke , L. Uslu Beşli , C. Samancı , T. Öztürk , H.B. Sayman
{"title":"The contribution of PET/MRI in benign/malignant nodule separation in thyroid incidentalomas detected in FDG PET/CT imaging","authors":"A. Nazari ,&nbsp;S. Sager ,&nbsp;S. Schenke ,&nbsp;L. Uslu Beşli ,&nbsp;C. Samancı ,&nbsp;T. Öztürk ,&nbsp;H.B. Sayman","doi":"10.1016/j.rceng.2025.502333","DOIUrl":"10.1016/j.rceng.2025.502333","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Incidentalomas of the thyroid gland are frequently observed in oncological patients undergoing FDG PET/CT imaging for staging or treatment response assessment. This study aims to investigate the utility of SUVmax and ADC values measured by PET/MRI in distinguishing between benign and malignant thyroid nodules.</div></div><div><h3>Materials and methods</h3><div>We selected 108 patients (72 females, 36 males; mean age 54 ± 12 years) who underwent routine oncological FDG PET/CT scans for staging or treatment response assessment, with nodule sizes greater than 1 cm. A one-bed neck PET/MRI scan followed the whole-body PET/CT. SUVmax values were measured, and ADC maps were created using DWI with b factors of 50 and 1000 s/mm<sup>2</sup>. SUVmax and ADC values were correlated with FNAC results.</div></div><div><h3>Results</h3><div>FNAC results revealed 76 (70.4%) benign and 32 (29.6%) malignant nodules among the 108 patients. The mean SUVmax of malignant nodules was significantly higher than that of benign nodules (10.6 ± 8.3 vs. 5.94 ± 5.2, <em>p</em> &lt; 0.001). Similarly, the mean ADC value was lower in malignant nodules compared to benign ones (1.4 ± 0.6 × 10<sup>−3</sup> mm<sup>2</sup>/s vs. 1.8 ± 0.4 × 10<sup>−3</sup> mm<sup>2</sup>/s; <em>p</em> &lt; 0.001). A significant but weak correlation was found between FNAC results and mean SUVmax (<em>r</em> = 0.335), as well as a significant weak negative correlation with mean ADC values (<em>r</em> = −0.355). Using a cut-off value of 6 for SUVmax and 1.56 × 10<sup>−3</sup> mm<sup>2</sup>/s for ADC, the sensitivity, specificity, and accuracy for SUVmax were 68.7%, 73.6%, and 72.1%, respectively, while for ADC, they were 71.8%, 69.7%, and 70.4%, respectively. The PET/MRI system demonstrated a relative sensitivity, specificity, accuracy, PPV, and NPV of 90.62%, 51.32%, 62.96%, 43.94%, and 92.86%.</div></div><div><h3>Conclusion</h3><div>This study is one of the first in the literature to explore the use of FDG PET/MRI, a single-stop device, in distinguishing between benign and malignant thyroid nodules with high sensitivity and NPV.</div></div>","PeriodicalId":94354,"journal":{"name":"Revista clinica espanola","volume":"225 7","pages":"Article 502333"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295597","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}
引用次数: 0
Predictors of the appearance of radiological alterations at 12 months after COVID-19 pneumonia COVID-19肺炎后12个月影像学改变的预测因素
Revista clinica espanola Pub Date : 2025-08-01 DOI: 10.1016/j.rceng.2025.502325
C. Roig-Martí , I. Pérez-Catalán , S. Folgado-Escudero , M. Varea-Villanueva , Antonio Navarro-Ballester , M.P. Fernández-García , A. Segura-Fábrega , M.-L. Mateu-Campos , J. Usó-Blasco , J.-M. Ramos-Rincón
{"title":"Predictors of the appearance of radiological alterations at 12 months after COVID-19 pneumonia","authors":"C. Roig-Martí ,&nbsp;I. Pérez-Catalán ,&nbsp;S. Folgado-Escudero ,&nbsp;M. Varea-Villanueva ,&nbsp;Antonio Navarro-Ballester ,&nbsp;M.P. Fernández-García ,&nbsp;A. Segura-Fábrega ,&nbsp;M.-L. Mateu-Campos ,&nbsp;J. Usó-Blasco ,&nbsp;J.-M. Ramos-Rincón","doi":"10.1016/j.rceng.2025.502325","DOIUrl":"10.1016/j.rceng.2025.502325","url":null,"abstract":"<div><h3>Background and objective</h3><div>The radiological evolution after COVID-19 pneumonia is unknown. We propose to analyze the main radiological findings one year after COVID-19 pneumonia, as well as identify possible factors that may influence it.</div></div><div><h3>Material and methods</h3><div>Cohort study of patients with COVID-19 pneumonia undergoing high-resolution computed tomography (HRCT) 12 months after hospital discharge. A descriptive study of the radiological findings and a multivariate analysis are carried out to identify the factors of the appearance of radiological anomalies.</div></div><div><h3>Results</h3><div><em>n</em> = 139 patients, with a mean age of 63 years and 66.2% male. The most frequent radiological findings were ground-glass opacities (59%), followed by bronchiectasis (42.4%), subpleural parenchymal bands (32.4%), atelectasis (13.7%), septal thickening (12.9%) and fibrotic tracts (9.4%). Male sex was associated with the presence of bronchiectasis (ORa = 3.55; <em>p</em> = 0.026), peak admission IL-6 levels &gt; 133 ng/L with the detection of subpleural parenchymal bands (ORa = 3.58; <em>p</em> = 0.048) and obesity with the occurrence of atelectasis (ORa = 3.70; <em>p</em> = 0.014). Systemic corticotherapy during admission decreased the risk of fibrotic tracts (ORa = 0.02; <em>p</em> = 0.003).</div></div><div><h3>Conclusions</h3><div>Lung damage persists with high frequency one year after COVID-19 pneumonia. Male sex, high peak admission IL-6 levels and obesity were risk factors for radiological abnormalities while systemic corticosteroid therapy decreased the occurrence of fibrotic tracts 12 months after hospital admission.</div></div>","PeriodicalId":94354,"journal":{"name":"Revista clinica espanola","volume":"225 7","pages":"Article 502325"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144337409","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}
引用次数: 0
Expert consensus on interstitial lung disease associated with systemic autoimmune diseases. Executive summary 专家共识:间质性肺疾病与系统性自身免疫性疾病相关。执行概要。
Revista clinica espanola Pub Date : 2025-08-01 DOI: 10.1016/j.rceng.2025.502326
A. González-García , M. Akasbi , M.P. Brito-Zerón , J.L. Callejas , I. Cusacovich , F. Jiménez Segovia , M. Martín Cascón , S. Prieto-González , L. Sáez Comet , C.P. Simeón , R. Solans Laque , J.S. García Morillo , on behalf of Systemic Autoimmune Disease Group (GEAS) of the Spanish Society of Internal Medicine (SEMI)
{"title":"Expert consensus on interstitial lung disease associated with systemic autoimmune diseases. Executive summary","authors":"A. González-García ,&nbsp;M. Akasbi ,&nbsp;M.P. Brito-Zerón ,&nbsp;J.L. Callejas ,&nbsp;I. Cusacovich ,&nbsp;F. Jiménez Segovia ,&nbsp;M. Martín Cascón ,&nbsp;S. Prieto-González ,&nbsp;L. Sáez Comet ,&nbsp;C.P. Simeón ,&nbsp;R. Solans Laque ,&nbsp;J.S. García Morillo ,&nbsp;on behalf of Systemic Autoimmune Disease Group (GEAS) of the Spanish Society of Internal Medicine (SEMI)","doi":"10.1016/j.rceng.2025.502326","DOIUrl":"10.1016/j.rceng.2025.502326","url":null,"abstract":"<div><div>Interstitial lung disease (ILD) is a frequent and potentially fatal manifestation of systemic autoimmune diseases (SAD). Early screening, diagnosis, and treatment with immunomodulators, and in some cases, antifibrotics, as well as appropriate follow-up, are essential to improving patients’ quality of life and survival. The complexity of these diseases and the limited robust evidence to guide clinical decision-making lead to significant variability in management guidelines. In this article, a group of experts in SAD has developed recommendations for the screening, diagnosis, treatment, and follow-up of ILD, considering the latest evidence, their clinical experience, and the results of a survey conducted among specialists. The diseases included are systemic sclerosis, Sjögren’s disease, idiopathic inflammatory myopathy, ANCA-associated vasculitis, sarcoidosis and systemic lupus erythematosus.</div></div>","PeriodicalId":94354,"journal":{"name":"Revista clinica espanola","volume":"225 7","pages":"Article 502326"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532374","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}
引用次数: 0
Conscientious objection to medical aid in dying: Knowledge, attitudes, and practices in primary care 对死亡医疗援助的良心反对:初级保健的知识、态度和实践。
Revista clinica espanola Pub Date : 2025-08-01 DOI: 10.1016/j.rceng.2025.502329
R. Triviño-Caballero , J. Franco , L. Sordo
{"title":"Conscientious objection to medical aid in dying: Knowledge, attitudes, and practices in primary care","authors":"R. Triviño-Caballero ,&nbsp;J. Franco ,&nbsp;L. Sordo","doi":"10.1016/j.rceng.2025.502329","DOIUrl":"10.1016/j.rceng.2025.502329","url":null,"abstract":"<div><h3>Background/objective</h3><div>The Euthanasia Regulation Law includes the right to conscientious objection (CO). However, there is hardly any information available on its exercise or the grounds for objection. The objective of this study was to identify knowledge, attitudes, and practices (KAP) regarding CO to the provision of medical aid in dying (MAID) in primary care, which is the level of care where most provisions occur.</div></div><div><h3>Materials and methods</h3><div>Cross-sectional KAP model study. A total of 434 active General Practitioners (GPs) working in health centres across Spain were surveyed through self-administered questionnaires on knowledge, attitudes, and practices related to CO. A descriptive analysis of the responses in each domain was performed, followed by multivariate analyses to determine the factors related to having objected or considering doing so.</div></div><div><h3>Results</h3><div>Of the GPs surveyed, 46.3% practised in Madrid. 75.2% were women, with an average age of 47. 84.8% had received training in bioethics. 54.9% reported knowing the law, only 29% correctly answered questions about CO in end-of-life practices. 35% had objected or considered objecting. Higher rates of objection were observed among those practising in Madrid (aOR = 2.98; 95% CI 1.16–5.34), those with religious beliefs (aOR = 5.23; 95% CI 2.78–9.80), and those opposed to MAID (aOR = 12.63; 95% CI 5.80−27.50).</div></div><div><h3>Conclusions</h3><div>The main reasons for objecting are moral and emotional, although other contextual factors also emerge. Given the high level of ignorance of the practices to which one can object, improvements in training and institutional involvement are needed for responsible practice and to guarantee the MAID.</div></div>","PeriodicalId":94354,"journal":{"name":"Revista clinica espanola","volume":"225 7","pages":"Article 502329"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532373","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}
引用次数: 0
Comparison of real and standardized patients in Degree in Medicine: a randomized controlled intervention study 医学学位真实患者与标准化患者的比较:一项随机对照干预研究。
Revista clinica espanola Pub Date : 2025-06-01 DOI: 10.1016/j.rceng.2025.502306
N. Díez , B. Franchez , M.C. Rodríguez-Díez , M. Vidaurreta , M.T. Betés , S. Fernández , P. Palacio , F.J. Pueyo , N. Martín-Calvo
{"title":"Comparison of real and standardized patients in Degree in Medicine: a randomized controlled intervention study","authors":"N. Díez ,&nbsp;B. Franchez ,&nbsp;M.C. Rodríguez-Díez ,&nbsp;M. Vidaurreta ,&nbsp;M.T. Betés ,&nbsp;S. Fernández ,&nbsp;P. Palacio ,&nbsp;F.J. Pueyo ,&nbsp;N. Martín-Calvo","doi":"10.1016/j.rceng.2025.502306","DOIUrl":"10.1016/j.rceng.2025.502306","url":null,"abstract":"<div><h3>Introduction</h3><div>Simulated clinical scenarios allow students to learn in a safe environment. Although it is recommended that standardized patients (SP) participate in these scenarios, few studies compare the impact of SP and real patients (RP) on medical education.</div></div><div><h3>Methods</h3><div>Forty medical students per course (4th, 5th, and 6th) were selected and randomly assigned (1:1) to two groups: a scenario with RP or SP. The students and the external observer were unaware of the type of patient participating in the scenario. The students completed questionnaires on perceptions and knowledge, and the responsible professors and external observer completed questionnaires on perceptions. Qualitative information was collected through focus groups with the students.</div></div><div><h3>Results</h3><div>No significant differences were found between both groups in perceptions and acquired knowledge, but there was a significant difference in the probability of correctly identifying the type of patient (p &lt; 0.001): most students in the scenario with SP identified it as RP. No differences were found between groups in the professor and external observer questionnaires. Students were more prepared and involved if they believed they were facing a RP and considered the patient's feedback enriching, regardless of the type of patient.</div></div><div><h3>Conclusions</h3><div>Medical students do not differentiate SP from RP in scenarios and evaluate them similarly. Given the difficulty of having PR with diverse pathologies and severity levels, SP is a good alternative for training medical students.</div></div>","PeriodicalId":94354,"journal":{"name":"Revista clinica espanola","volume":"225 6","pages":"Article 502306"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056537","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}
引用次数: 0
In reply to the article of Ivars N, et al. “Clinical features, management in the emergency department and mortality of acute heart failure episodes in patients with chronic obstructive pulmonary disease” 回复Ivars N等人的文章。慢性阻塞性肺疾病患者急性心力衰竭发作的临床特点、急诊处理和死亡率
Revista clinica espanola Pub Date : 2025-06-01 DOI: 10.1016/j.rceng.2025.502298
A. Gil-Rodrigo , M.-J. Luque-Hernández , L. Cuesta-García , C. Martínez-Buendía
{"title":"In reply to the article of Ivars N, et al. “Clinical features, management in the emergency department and mortality of acute heart failure episodes in patients with chronic obstructive pulmonary disease”","authors":"A. Gil-Rodrigo ,&nbsp;M.-J. Luque-Hernández ,&nbsp;L. Cuesta-García ,&nbsp;C. Martínez-Buendía","doi":"10.1016/j.rceng.2025.502298","DOIUrl":"10.1016/j.rceng.2025.502298","url":null,"abstract":"","PeriodicalId":94354,"journal":{"name":"Revista clinica espanola","volume":"225 6","pages":"Article 502298"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065537","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}
引用次数: 0
On the difficulty of clinical diagnosis of acute heart failure in the emergency department 浅谈急诊科急性心力衰竭临床诊断的难点。
Revista clinica espanola Pub Date : 2025-06-01 DOI: 10.1016/j.rceng.2025.502301
Ò. Miró , N. Ivars , P. Llorens
{"title":"On the difficulty of clinical diagnosis of acute heart failure in the emergency department","authors":"Ò. Miró ,&nbsp;N. Ivars ,&nbsp;P. Llorens","doi":"10.1016/j.rceng.2025.502301","DOIUrl":"10.1016/j.rceng.2025.502301","url":null,"abstract":"","PeriodicalId":94354,"journal":{"name":"Revista clinica espanola","volume":"225 6","pages":"Article 502301"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030521","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}
引用次数: 0
Aging with HIV: a cross-sectional look at comorbidities 衰老与HIV:合并症的横断面观察。
Revista clinica espanola Pub Date : 2025-06-01 DOI: 10.1016/j.rceng.2025.502310
M.C. Montes , J.A. Rueda-Camino , N. Rallón , S. Nistal-Juncos , R. Barba Martín
{"title":"Aging with HIV: a cross-sectional look at comorbidities","authors":"M.C. Montes ,&nbsp;J.A. Rueda-Camino ,&nbsp;N. Rallón ,&nbsp;S. Nistal-Juncos ,&nbsp;R. Barba Martín","doi":"10.1016/j.rceng.2025.502310","DOIUrl":"10.1016/j.rceng.2025.502310","url":null,"abstract":"<div><h3>Background</h3><div>People living with HIV (PLHIV) are at increased risk of multimorbidity compared to the general population. The goal of this study is to evaluate the prevalence of non-infectious comorbidities and geriatric syndromes in PLHIV ≥ 50 years old.</div></div><div><h3>Methods</h3><div>A cross-sectional analysis was conducted on a cohort of PLHIV regularly followed at an outpatient clinic in a University Hospital in Spain, focusing on PLHIV aged 50 and above. Participants were categorized by age into ten-year intervals. Crude and standardized prevalence of each comorbidity and its trend across age groups were estimated. The prevalence of multimorbidity (≥2 diseases) was also evaluated. All prevalence were estimated with the exact method.</div></div><div><h3>Results</h3><div>We evaluated 122 PLHIV, of which 25.4% were women and 13% resided in nursing homes. The median time between HIV diagnosis and the last documented visit was 19 (9–29) years. Overall prevalence of multimorbidity was 37% (95% CI 28.4 %–45.6 %), being the most prevalent comorbidities cardiovascular risk factors dyslipidemia (37.7%; 95% CI 29.6 %–46.6 %), hypertension (26.2%; 95% CI: 19.2 %–34.7 %), diabetes mellitus (14.8%; 95% CI: 9.5 %–22.1 %) and non-AIDS defining cancers (15.6%; 95% CI: 10.2 %–23.0 %). The most common geriatric syndromes were fractures/osteoporosis (9.8%; 95% CI: 5.7 %–16.4 %), dementia (8.2%; 95% CI: 4.5–14.4 %) and frailty (8.2%; 95% CI: 4.5–14.4 %). The prevalence of most comorbidities and multimorbidity showed a significantly increasing trend across age groups.</div></div><div><h3>Conclusions</h3><div>PLHIV who are over 50 years of age have a high prevalence of non-infectious comorbidities and geriatric syndromes. Multimorbidity increases with age in this population group.</div></div>","PeriodicalId":94354,"journal":{"name":"Revista clinica espanola","volume":"225 6","pages":"Article 502310"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055685","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}
引用次数: 0
SGLT2 inhibitors after acute heart failure: great benefit, low prescription rates 急性心力衰竭后的SGLT2抑制剂:疗效显著,处方率低。
Revista clinica espanola Pub Date : 2025-06-01 DOI: 10.1016/j.rceng.2025.502299
R. Quirós-López
{"title":"SGLT2 inhibitors after acute heart failure: great benefit, low prescription rates","authors":"R. Quirós-López","doi":"10.1016/j.rceng.2025.502299","DOIUrl":"10.1016/j.rceng.2025.502299","url":null,"abstract":"","PeriodicalId":94354,"journal":{"name":"Revista clinica espanola","volume":"225 6","pages":"Article 502299"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056609","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}
引用次数: 0
Is home hospitalization of acute patients who are admitted due to infection safe and effective? 因感染入院的急性病人在家住院安全有效吗?
Revista clinica espanola Pub Date : 2025-06-01 DOI: 10.1016/j.rceng.2025.502308
L. Moreno Núñez , C. Garmendia Fernández , M. Ruiz Muñoz , J. Collado Álvarez , C. Jimeno Griño , Á. Prieto Callejero , E. Pérez Fernández , I. González Anglada
{"title":"Is home hospitalization of acute patients who are admitted due to infection safe and effective?","authors":"L. Moreno Núñez ,&nbsp;C. Garmendia Fernández ,&nbsp;M. Ruiz Muñoz ,&nbsp;J. Collado Álvarez ,&nbsp;C. Jimeno Griño ,&nbsp;Á. Prieto Callejero ,&nbsp;E. Pérez Fernández ,&nbsp;I. González Anglada","doi":"10.1016/j.rceng.2025.502308","DOIUrl":"10.1016/j.rceng.2025.502308","url":null,"abstract":"<div><h3>Introduction</h3><div>Home hospitalization (HH) is a safe, effective and more efficient modality of care than conventional hospitalization (CH). There is little scientific evidence comparing these two models of hospitalization in patients admitted from the Emergency Department (ED) for infection.</div></div><div><h3>Material and methods</h3><div>Retrospective cohort study between October 1 and December 15, 2023 of patients admitted from the ED for infection. Two cohorts were analyzed, the first one, patients admitted to CH in Internal Medicine, Geriatrics or Infectious Diseases units and the second one, patients admitted to HH. Patients with hemodynamic instability, those who died in the first 48 hours of admission, Staphylococcus aureus bacteremia, catheter-associated bacteremia, osteoarticular infection, meningitis, diverticulitis, fever without focus, and infections with undrained focus were excluded.</div></div><div><h3>Results</h3><div>257 patients were analyzed, 151 in CH and 106 in HH. The median duration of antibiotherapy was 9 days in HC vs 7 in HH (p &lt; 0.001), the mean length of stay was longer in CH vs HH (6 vs 4; p = 0.007). More laboratory tests were performed in CH vs HH (3 vs 1, p &lt; 0.001), radiographs (11% vs 0%), ultrasound (12% vs 2%) and computed axial tomography (13% vs 3%, p &lt; 0.001). Patients admitted to CH had more confusional syndrome than those admitted to HH (15% vs 2%; p &lt; 0.001). There were no differences in mortality or readmissions. In the multivariate linear regression analysis, patients admitted to HH shortened their hospital stay by 1 day (95% CI: -2.2- -0.185) compared to those admitted to CH.</div></div><div><h3>Conclusion</h3><div>Patients admitted for infection in HH from the ED have a shorter hospital stay than patients admitted to CH.</div></div>","PeriodicalId":94354,"journal":{"name":"Revista clinica espanola","volume":"225 6","pages":"Article 502308"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144133403","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}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信