Publications by authors named "M Gutierrez-Valencia"

Objective: The objective of this study is to analyze the appropriateness of the indication for urinary catheterization (UC) in hospitalized patients and to analyze possible associated factors.

Methods: Cross-sectional observational study conducted in 15 hospitals. Patients over the age of 18 with UC were included in the study.

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  • A recent study evaluated the prevalence of potentially inappropriate medications (PIM) in hospitalized adults aged 75 and older across 16 hospitals in Spain.
  • The study included 4,183 patients and found that 23.5% were prescribed PIMs, with a notable variation in prevalence between hospitals (10% to 42.5%).
  • Benzodiazepines were the most common PIMs, and many patients continued their PIMs from pre-admission into the hospital; however, few were still prescribed at discharge, highlighting the need for better medication management for older adults.
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  • * Approximately 17.4% of residents used at least one strong anticholinergic medication, with significant variation across countries (from 1.3% in China to 27.1% in Italy).
  • * The findings indicated higher usage among residents with cognitive impairment and those classified as most frail, suggesting the need for targeted deprescribing to minimize medication-related risks.
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Background: Complexities in older patient care and frequent polypharmacy requires tailored tools, specific skills and interdisciplinary collaborations. Traditional disease-centered education often overlooks these issues. Despite digital gamification's relevance in health education, limited exploration exists for gamified platforms addressing polypharmacy, especially within comprehensive geriatric assessment (CGA).

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Objective: To determine the efficacy and safety of CAR-T therapy in the treatment of patients with hematologic malignancies, in comparison with other current therapies.

Design: A living systematic review.

Methods: We will include randomized trials evaluating the effect of CAR-T therapy versus other active treatments, hematopoietic stem cell transplantation, best supportive care or any other intervention in patients with hematologic malignancies.

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