Publications by authors named "Caridad Soler Morejon"

Article Synopsis
  • COVID-19 quickly spread globally, and its connection to chronic health conditions is still under investigation, prompting a study analyzing 65,535 patients in Mexico from January to May 2020 to understand the impact of these comorbidities on patient outcomes.
  • The study revealed that chronic comorbidities were present in nearly half of the patients, with significant clinical outcomes like hospital admission and mortality influenced by factors such as age, sex, and specific diseases, though the effects differed between those with and without COVID-19.
  • Findings suggest that knowing how chronic conditions affect the severity of COVID-19 can help identify high-risk patients, but further research is needed to confirm these results and explore the unique impacts of specific comorbid
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Cancer patients account for 15% of all admissions to intensive care unit (ICU) and 5% will experience a critical illness resulting in ICU admission. Mortality rates have decreased during the last decades because of new anticancer therapies and advanced organ support methods. Since early critical care and organ support is associated with improved survival, timely identification of the onset of clinical signs indicating critical illness is crucial to avoid delaying.

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Article Synopsis
  • Intracranial pressure (ICP) monitoring for severe traumatic brain injury (sTBI) varies worldwide due to differences in resources and medical philosophies, with a lack of comprehensive management strategies for suspected intracranial hypertension (SICH) when monitoring is absent.
  • A consensus conference with 43 Latin American medical professionals refined the existing BEST:TRIP algorithm, creating the CREVICE (Consensus REVised ICE) algorithm to define SICH and outline management and treatment options.
  • The CREVICE algorithm serves as a structured decision-support model for sTBI management in settings without ICP monitoring, aiming to improve clinical care and guide future research, while being based on expert consensus due to limited existing literature.
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Background: Severe traumatic brain injury (sTBI) is a significant global health problem disproportionately affecting low- and middle-income countries (LMICs). Management of intracranial hypertension in sTBI is crucial to survival and optimal recovery. Practitioners in high-income countries routinely use intracranial pressure (ICP) monitors although their usefulness has been questioned.

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Background: The decision to re-operate after abdominal surgery is still difficult, especially in the setting of intraabdominal sepsis. Mathematical models provide a good aid to both diagnosis and decision-making.

Methods: A prospective observational study was conducted with 300 patients consecutively admitted to the intensive care unit of an academic institution affiliated to Calixto García Medical Faculty following abdominal surgery from January 2008 to January 2010.

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Background: Mechanical ventilation (MV) is considered a predisposing factor for increased intra-abdominal pressure (IAP), especially when positive end-expiratory pressure (PEEP) is applied or in the presence of auto-PEEP. So far, no prospective data exists on the effect of MV on IAP. The study aims to look on the effects of MV on IAP in a group of critically ill patients with no other risk factors for intra-abdominal hypertension (IAH).

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Background: Although the World Society for Abdominal Compartment Syndrome in its guidelines recommends midaxillary line (MAL) as zero reference level in intra-abdominal pressure (IAP) measurements in aiming at standardizing the technique, evidence supporting this suggestion is scarce. The aim of this study is to study if the zero reference position influences bladder pressure measurements as estimate for IAP.

Methods: The IAP of 100 surgical patients was measured during the first 24 h of admission to the surgical intensive care unit of General Calixto Garcia Hospital in Havana (Cuba) following laparotomy.

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