Publications by authors named "Gloria Miro"
Background: Community-acquired pneumonia (CAP) is a frequent cause of death worldwide. As recently described, CAP shows different biological endotypes. Improving characterization of these endotypes is needed to optimize individualized treatment of this disease.
View Article and Find Full Text PDFBackground: Sepsis diagnosis can be incorrectly associated with the presence of hypotension during an infection, so the detection and management of non-hypotensive sepsis can be delayed. We aimed to evaluate how the presence or absence of hypotension, on admission at the emergency department, affects the initial management and outcomes of patients with community-onset severe sepsis.
Methods: Demographic, clinical, laboratory, process of care, and outcome variables were recorded for all patients, at the emergency department of our university hospital, who presented with community-onset severe sepsis, between 1 March and 31 August in three consecutive years.
Purpose: To determine the frequency of limitations on life support techniques (LLSTs) on admission to intensive care units (ICU), factors associated, and 30-day survival in patients with LLST on ICU admission.
Methods: This prospective observational study included all patients admitted to 39 ICUs in a 45-day period in 2011. We recorded hospitals' characteristics (availability of intermediate care units, usual availability of ICU beds, and financial model) and patients' characteristics (demographics, reason for admission, functional status, risk of death, and LLST on ICU admission (withholding/withdrawing; specific techniques affected)).
Article Synopsis
- The study aimed to assess the incidence and epidemiological aspects of community-acquired severe sepsis necessitating ICU admission, addressing shortcomings in previous research.
- Conducted over 9 years with a population of 180,000 adults, it recorded 917 severe sepsis episodes, mainly from pulmonary infections, with an average age of 65.2 years and a mortality rate of 19.7%.
- Findings indicate an annual incidence rate of 51.54 episodes per 100,000 adults, requiring approximately 2 ICU beds daily, highlighting key risk factors for mortality linked to severity scores and known infection causes.
Background And Objective: Advanced directives documents (ADD), allow respect and know patient's intentions in health matters, when they are not able by themselves, for decision making. The aim of this study is making a valoration of the knowledgment of this documents in human immunodeficiency virus (HIV) infected patients, as well as their own knowledgment about this patology and possible complications.
Patients And Method: HIV infected patients controlled in 2 centers (Hospital de Mataró and Hospital de Granollers).