[Living in nursing homes. Prognostic factor of mortality in respiratory infections?].

Respiratory infection is one of the most frequent diagnoses associated with high mortality. Living in a nursing home could be a predictive risk factor for mortality. The objective was to study the characteristics of patients with respiratory infection according to whether they came from their home or nursing homes, and to analyze whether their origin is a risk factor for mortality.

[Hospital mortality of community respiratory infections and associated with long-term care facilities: a systematic review].

Background: Respiratory infections are a cause of socio-health concern due to their high mortality and the economic cost. The number of patients from social care centers with respiratory infections requiring hospital admission is increasing in recent decades. The particularities of these patients could influence the evolution of these infections.

External validation of the PROFUND index in polypathological patients from internal medicine and acute geriatrics departments in Aragón.

The objective of the study was to validate externally and prospectively the PROFUND index to predict survival of polypathological patients after a year. An observational, prospective and multicenter study was performed. Polypathological patients admitted to an internal medicine or geriatrics department and attended by investigators consecutively between March 1 and June 30, 2011 were included.

Influence of gender on prognosis of acute coronary syndromes.

Introduction: Ischemic heart disease presents different features in men and women. We analyzed the relation between gender and prognosis in patients who had suffered a high-risk acute coronary syndrome (ACS).

Methods: This was a prospective analytical cohort study performed at Lozano Blesa University Hospital, Zaragoza, Spain, of 559 patients diagnosed with high-risk ACS with and without ST-segment elevation according to the American College of Cardiology/American Heart Association guidelines.

[Diagnostic ability of Chronic Kidney Disease Epidemiology Collaboration and Modification of Diet in Renal Disease-4 equations to estimate glomerular filtration rate in with multimorbidity patients].

Background And Objective: The Modification of Diet in Renal Disease (MDRD) equation is recommended by most scientific societies to calculate the estimated glomerular filtration rate (GFR). Recently the group Chronic Kidney Disease Epidemiology Collaboration (CKP-EPI) has published a new, more precise and accurate equation. We have analyzed its behavior in a group of polypathological patients (PP) and compared it with the classic MDRD-4.

[Features regarding acute coronary syndrome in elderly Spanish patients].

Objective: Elderly patients suffering from acute coronary syndrome (ACS) are poorly represented in research and practice clinical guides. This study was aimed at ascertaining characteristics in patients aged older than seventy years having a high risk of ACS.

Methods: This was a prospective and descriptive study of 161 patients aged older than seventy years suffering ACS with and without ST segment elevation and high risk according to ACC/AHA guidelines.

[Prognosis of cardiorenal syndrome in patients with acute coronary syndrome].

Background And Objective: The cardiorenal syndrome (CRS) includes numerous pathologies affecting the heart and kidney. The objective of this study is to know the characteristics and prognosis of the CRS in patients with acute coronary syndrome (ACS).

Patients And Method: A prospective study of 87 patients with ACS with and without ST-segment elevation at high risk and heart failure.

Subacute combined spinal cord degeneration and pancytopenia secondary to severe vitamin B12 deficiency.

Context: Decreased vitamin B12 concentration does not usually result in clinical or hematological abnormalities. Subacute combined spinal cord degeneration and pancytopenia are two serious and rarely displayed consequences that appear in severe deficits.

Case Report: We present the case of a patient with subacute combined spinal cord degeneration and pancytopenia secondary to severe and sustained vitamin B12 deficiency.

[Prognostic value of glomerular filtrate in acute coronary syndrome: Cockcroft's index or MDRD equation?].

Background And Objectives: One third of patients with a coronary event show kidney failure. Our aim is to establish the relationship between kidney failure and mortality in patients diagnosed of acute coronary syndrome (ACS) through Cockcroft Index (C-G) and MDRD-4 equation, analyzing which of them is better for prognostic stratification.

Patients And Method: Prospective study of 445 patients admitted consecutively between 2006 and 2007 with a high risk of ACS, dividing the sample depending on his kidney function at admission in < 60 mL/min/1.