Publications by authors named "Juan Manuel Fraga Sastrias"
The aim of this article was to analyze the timeliness of emergency medical care (time transpired between the injury and the first contact with the Emergency Medical System) and its assocation with different negative health outcome in traffic accident victims treated at two Mexican hospitals, one in Guadalajara, Jalisco, and the other in León, Guanajuato, based on data from the Motor Vehicle Accident Epidemiological Surveillance System of the Bloomberg Philanthropies' Global Road Safety Program. Information was obtained on all patients treated for motor vehicle injuries in referral hospitals from May 2012 to November 2014. Multinomial logistic regression was used to model the health outcomes, categorized as short stay, prolonged hospitalization, disability, and death, compared to timeliness of care, adjusted by different target variables.
View Article and Find Full Text PDFArticle Synopsis
- The study aimed to determine the minimum clinically important difference (MCID) for outcomes after out-of-hospital cardiac arrest (OHCA) through an international survey targeting emergency physicians and acute cardiovascular researchers.
- 160 respondents from 46 countries provided insights, revealing that higher baseline outcomes correspond to higher MCIDs; for example, a population with 25% survival had median MCIDs of 5% for both survival and favorable neurologic status at discharge.
- The findings suggest that understanding MCIDs for outcomes like ICU-free and hospital-free survival can help facilitate more rapid improvements in resuscitation care based on evidence-based practices.
In Mexico, out-of-hospital cardiac arrest is a health problem that represents 33,000 to 150,000 or more deaths per year. The few existent reports show mortality as high as 100% in contrast to some international reports that show higher survival rates. In Queretaro, during the last 5 years there were no successful resuscitation cases.
View Article and Find Full Text PDFObjective: Out-of-hospital cardiac arrest (OCHA) is a public health problem in which survival depends on community initial response among others. This study tries to analyze what's the proportional cost of enhancing such response by involving the police corps in it.
Materials And Methods: We analyzed retrospectively an OCHA registry started on June 2009.
Unlabelled: Syncope is a common symptom among older adults. Its aetiologic diagnosis is mainly clinical, but when it has an unknown origin, complementary studies are necessary. We present the experience of a single center in diagnosing Unknown Origin Syncope (UOS).
View Article and Find Full Text PDFObjective: Out-of-hospital cardiac arrest is one of the leading causes of death in Mexico, but many survival and prognostic factors are unknown. The aim of this study was to assess out-of-hospital cardiac arrest in a Mexican city.
Methods: This was a prospective, cohort study that evaluated the records of the major ambulance services in the city of Queretaro, Mexico.