Publications by authors named "Almudena Gonzalez Montaos"

The diversity of patients with malignant pleural effusion (MPE) due to non-small cell lung cancer (NSCLC) as well as the variability in mutations makes it essential to improve molecular characterization. Describe clinical, pathological, and molecular characteristics MPE in a Caucasian population. Retrospective study of patients with NSCLC diagnosis who had undergone a molecular study from 1 January 2018-31 December 2022.

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Objective: This study aims to employ machine learning (ML) tools to cluster patients hospitalized for acute exacerbations of chronic obstructive pulmonary disease (COPD) based on their diverse social and clinical characteristics. This clustering is intended to facilitate the subsequent analysis of differences in clinical outcomes.

Methods: We analysed a cohort of patients with severe COPD from two Pulmonary Departments in north-western Spain using the k-prototypes algorithm, incorporating demographic, clinical, and social data.

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Article Synopsis
  • * Conducted on 137 patients, it found that 30.8% had suboptimal PIF upon admission, with female sex and lower forced expiratory volume in the 1st second (FEV1) as independent risk factors.
  • * By discharge, the rate of suboptimal PIF decreased to 17%, and overall PIF without resistance improved as patients moved towards a stable phase.
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Introduction: Falls deteriorate the quality of life of the elderly and the fear of falling has been shown to be an independent risk factor for frailty, so having tools for its evaluation is a priority. The short FES-I scale, short version (7 items) of the FES-I scale (16 items), assesses fear of falling. The objective of this study is to validate the short FES-I scale in the Spanish population over 70 years and to analyze the relationship between fear of falling, risk of falls and frailty.

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Introduction: Although a reduction in admissions for pathologies other than SARS-CoV-2 has been reported during the pandemic, there are hardly any specific studies in relation to COPD. The objective of this study was to analyse differences in the profile of those admitted for AEPOC and their prognosis during this period.

Methods: Prospective study (SocioEPOC validation cohort) conducted in two hospitals.

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Introduction: New tools such as cryobiopsy of mediastinal lymph nodes (cryoEBUS) have been described to improve the diagnostic usefulness of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA). The literature suggests that this novel procedure could be associated with greater diagnostic usefulness than conventional EBUS-TBNA.

Methods: To develop a systematic analysis and meta-analysis on the diagnostic diagnostic yield and safety of cryobiopsy of hilar and mediastinal adenopathies compared to EBUS-TBNA.

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Article Synopsis
  • Lung ultrasound (LUS) is more effective than X-ray in identifying lung issues in COVID-19 pneumonia, but its long-term diagnostic value post-recovery is not well-established.
  • *This multicenter study followed COVID-19 patients over 3 and 12 months post-discharge, using LUS and comparing the results with high-resolution CT scans.
  • *Findings indicated that LUS had higher sensitivity and specificity in medium-term evaluations compared to X-ray, suggesting its potential for monitoring long-term lung health in COVID-19 survivors.
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Introduction: Nebulized hypertonic saline (HS) improves quality of life and reduces exacerbations in patients with cystic fibrosis. It is unknown if it would offer the same benefits in other hypersecretory pathologies.

Methods: Retrospective observational study.

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Objective: Although the evidence to date remains limited, we hypothesized that performing protocolized lung ultrasound (LUS) in patients, admitted to a conventional pulmonology hospitalization unit, could improve diagnostic precision. The main objectives of this study were to evaluate the diagnostic contribution and changes in the treatments administered after performing a protocolized LUS in patients hospitalized in a Pulmonology Department ward.

Methodology: This was a prospective, observational study, which included patients admitted from the Emergency Department to a conventional Pulmonology Department hospitalization unit, after first being evaluated by a pulmonologist.

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Objective: To increase our knowledge of the patient variables related to the overburden of the caregivers of patients with acute exacerbations of chronic obstructive pulmonary disease (AECOPDs).

Methodology: This was a cross-sectional study of patients with severe COPD who have informal caregivers. We performed a multivariate analysis of sociodemographic (economic situation, care, dependence, social risk, and use of social services) and clinical (degree of dyspnea, previous hospitalizations, disease impact, pulmonary function, and comorbidity) factors and related these to the burden of informal caregivers, as evaluated using the Zarit scale.

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Objective: Although the importance of assessing inspiratory flow in the selection of treatments for chronic obstructive pulmonary disease (COPD) is understood, evaluation of this factor is not yet widespread or standardized. The objective of the present work was to evaluate the peak inspiratory flow (PIF) of patients with COPD and to explore the variables associated with a suboptimal PIF.

Methods: An observational, cross-sectional study was carried out at specialized nursing consultations over a period of 6 months.

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Synopsis of recent research by authors named "Almudena Gonzalez Montaos"

  • - Almudena Gonzalez Montaos focuses on respiratory diseases, particularly chronic obstructive pulmonary disease (COPD), evaluating clinical parameters such as peak inspiratory flow and the impact of hospitalizations due to exacerbations on patient outcomes.
  • - Recent research highlights the utilization of innovative diagnostic tools like lung ultrasound and cryobiopsy for better management and diagnosis of respiratory conditions, as well as the psychosocial aspects of patient care related to informal caregiver burden.
  • - Her work also examines the effects of the COVID-19 pandemic on COPD admissions and the long-term respiratory sequelae in patients post-illness, showing a commitment to understanding both immediate and lasting implications of respiratory diseases.