Publications by authors named "J D Ortiz-Gomez"
Purpose: Postoperative delirium (POD) is a common and serious neuropsychiatric syndrome that leads to higher morbidity and mortality. We investigated the association between serum C-reactive protein (CRP) and the occurrence of POD in older hip fracture patients, and whether CRP predicted POD better than a clinical model.
Methods: Patients aged ≥ 75 years admitted for surgical repair of an acute hip fracture were recruited.
Background: Pulmonary atelectasis is present even before surgery in patients with obesity. We aimed to estimate the prevalence and extension of preoperative atelectasis in patients with obesity undergoing bariatric surgery and to determine if variation in preoperative Spo2 values in the seated position at room air is explained by the extent of atelectasis coverage in the supine position.
Methods: This was a cross-sectional study in a single center specialized in laparoscopic bariatric surgery.
Objective: Delirium is a serious neuropsychiatric syndrome frequently occurring in hospitalized older adults, for which pharmacological treatments have shown limited effectiveness. Multicomponent physical exercise programs have demonstrated functional benefits; however, the impact of exercise on the course of delirium remains unexplored. The aim of this study was to investigate the effect of an individualized, multicomponent exercise intervention on the evolution of delirium and patient outcomes.
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- Postoperative delirium (POD) is a frequent issue in elderly patients after hip fracture surgery, leading to adverse outcomes, and this study aimed to find links between biomarkers and POD development.
- Sixty patients were observed for signs of POD after spinal anesthesia, using daily assessments to classify them into POD and non-POD groups, with blood and cerebrospinal fluid (CSF) samples collected for analysis.
- Results showed that 35% of patients developed POD, with a notable correlation between lower levels of the cytokine CXCL9 in both serum and CSF and the incidence of POD, suggesting that these biomarkers could help create predictive models for delirium.
Obesity is a major public health issue with various comorbidities. Sleeve gastrectomy has become a popular treatment for obesity, but it carries the risk of complications, particularly staple line leakage. This case study focused on a 32-year-old woman with grade II obesity and hiatal hernia who underwent laparoscopic sleeve gastrectomy.
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