Publications by authors named "Fernando Lipovestky"
[Clinical approach to the patient with obesity document by the Argentine Society of Medicine, the Uruguayan Society of Internal Medicine, and the International Forum of Internal Medicine].
Medicina (B Aires)
December 2024
Obesity is one of the non-communicable chronic diseases with the highest increase in recent decades in Latin America, affecting children, adolescents, and especially young adults. Forty percent of adults have a body mass index greater than 25 kg/m2. Numerous studies have demonstrated a relationship between obesity and cardiovascular diseases such as hypertension, coronary artery disease, heart failure, cardiac arrhythmias, diabetes, sleep apnea, and oncological diseases, among others.
View Article and Find Full Text PDFArticle Synopsis
- The classification system for intra-abdominal infections categorizes patients based on infection onset, peritonitis type, and disease severity, and has shown effective risk stratification in ICU settings.
- A study focusing on 165 ICU patients with pancreatic infections found a mortality rate of 35.2%, with older age, localized peritonitis, and persistent inflammation as key risk factors.
- Ultimately, the research indicates that ongoing inflammation and complications in managing pancreatic infections are critical for predicting short-term patient outcomes.
Background: Acute kidney injury (AKI) is associated with high morbidity and mortality rates in the intensive care unit (ICU). In low- and middle-income countries (LMICs), epidemiological information about this condition is still scarce. Our main objective was to characterize its epidemiology, prognosis, and its treatment.
View Article and Find Full Text PDFObjective: To describe epidemiology and age-related mortality in critically ill older adults with intra-abdominal infection.
Methods: A secondary analysis was undertaken of a prospective, multi-national, observational study (Abdominal Sepsis Study, ClinicalTrials.gov #NCT03270345) including patients with intra-abdominal infection from 309 intensive care units (ICUs) in 42 countries between January and December 2016.
Article Synopsis
- - The study highlights a global concern: medical students often lack adequate nutrition education to meet the competencies and attitudes necessary for effective nutrition care as physicians.
- - A panel of Latin American nutrition experts participated in a Delphi survey to identify and agree upon 130 essential nutrition competencies, categorized into four main areas: basic nutrition concepts, public nutrition, nutrition status and disease, and nutrition care processes.
- - The research concludes that medical school curricula should incorporate these competencies to enhance health promotion, disease prevention, and treatment related to nutrition, ultimately improving healthcare outcomes.
Nutrition in medical education in Latin America: Results of a cross-sectional survey.
JPEN J Parenter Enteral Nutr
January 2022
Rationale: The gap between the nutrition education provided to medical students and the nutrition competences and attitudes needed for doctors to provide effective nutrition care is a global concern. The goal of this study was to investigate the curricular content on nutrition education in Latin American medical schools and to evaluate the self-perceived knowledge, attitudes, and barriers to nutrition practice of final-year medical students.
Methods: Eighty-five public and private medical schools from 17 Latin American countries were invited to participate in the study.
Purpose: To describe the epidemiology of intra-abdominal infection in an international cohort of ICU patients according to a new system that classifies cases according to setting of infection acquisition (community-acquired, early onset hospital-acquired, and late-onset hospital-acquired), anatomical disruption (absent or present with localized or diffuse peritonitis), and severity of disease expression (infection, sepsis, and septic shock).
Methods: We performed a multicenter (n = 309), observational, epidemiological study including adult ICU patients diagnosed with intra-abdominal infection. Risk factors for mortality were assessed by logistic regression analysis.