38 results match your criteria: "Hospital Universitario General de Alicante[Affiliation]"

Background: Lung cancer remains a leading cause of cancer incidence and mortality worldwide. Although Spain contributes to global statistics related to cancer, it is difficult to discern aspects linked to clinical presentation of the disease or molecular testing. The Thoracic Tumor Registry (TTR) was created with the aim of filling this gap.

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Objectives: To determine functional changes and factors affecting 180-day functional prognosis among older patients attending a hospital emergency department (ED) after a fall.

Study Design: Retrospective analysis from a prospective cohort study (FALL-ER Registry) spanning one year that included individuals aged ≥65 years attending four Spanish EDs after a fall. We collected 9 baseline and 6 fall-related factors.

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Article Synopsis
  • The study investigates how the risk of malnutrition affects 30-day mortality rates in elderly patients experiencing acute heart failure (AHF) in emergency departments.
  • It analyzed data from 749 patients aged 65 and older, finding that 79.3% were at risk of malnutrition and the overall 30-day mortality rate was 8.8%.
  • The results indicate that malnutrition is a significant independent factor for higher 30-day mortality, suggesting that routine screening for malnutrition could improve patient care and management in emergency settings.
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Hyperkalemia, also in acute heart failure.

Rev Clin Esp (Barc)

March 2019

Servicio de Urgencias, Unidad de Corta Estancia y Unidad de Hospitalización a Domicilio, Hospital Universitario General de Alicante, Alicante, España.

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Article Synopsis
  • The study aims to profile elderly patients (65+) who seek emergency care after falling, focusing on the characteristics of the falls and the severity involved.
  • Conducted through a multicenter registry involving 1507 interviews, the research found high levels of comorbidity and a tendency for falls to occur at home during the day, often unobserved.
  • Only a third of patients received fall prevention recommendations, with certain factors like cognitive impairment and fear of falling influencing the likelihood of receiving such recommendations.
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Objectives: To analyse time trends in patient characteristics, clinical course, hospitalisation rate, and outcomes in acute heart failure along a 10-year period (2007-2016).

Methods: The EAHFE registry has prospectively collected 13,971 consecutive AHF patients diagnosed in 41 Spanish emergency departments (EDs) at five different time points (2007/2009/2011/2014/2016). Eighty patient-related variables and outcomes were described and statistically significant changes along time were evaluated.

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The objectives were to determine the impact of frailty and disability on 30-day mortality and whether the addition of these variables to HFRSS EFFECT risk score (FBI-EFFECT model) improves the short-term mortality predictive capacity of both HFRSS EFFECT and BI-EFFECT models in older patients with acute decompensated heart failure (ADHF) atended in the emergency department. We performed a retrospective analysis of OAK Registry including all consecutive patients ≥65 years old with ADHF attended in 3 Spanish emergency departments over 4 months. FBI-EFFECT model was developed by adjusting probabilities of HFRSS EFFECT risk categories according to the 6 groups (G1: non frail, no or mildly dependent; G2: frail, no or mildly dependent; G3: non frail, moderately dependent; G4: frail, moderately dependent; G5: severely dependent; G6: very severely dependent).

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Objective: A multimarker strategy may help determine the prognosis of patients with acute heart failure (AHF). The aim of this study was to evaluate the capacity of mid-regional pro-adrenomedullin (MRproADM), copeptin and interleukin-6 (IL-6) combined with conventional clinical and biochemical markers to predict the 30-day mortality of patients with AHF.

Methods: We performed an observational, multicenter, prospective study of patients attended in the emergency department (ED) for AHF.

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Introduction And Objectives: There is little evidence on the prognostic influence of intravenous nitrates in patients with acute heart failure. Our purpose was to determine the influence of this treatment on early mortality and new visits.

Methods: Prospective, multicenter cohort study of patients with acute heart failure in an emergency room during 2 periods (May 2009 and November-December 2011).

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Article Synopsis
  • The study analyzes data from the EAHFE registry, which focuses on clinical characteristics and treatment of acute heart failure (AHF) patients in 29 Spanish emergency departments over the years 2007, 2009, and 2011.
  • It includes data from 5,845 patients, averaging 79 years old, with high rates of comorbidities like hypertension, diabetes, and atrial fibrillation, and highlights their treatment approaches, such as the widespread use of diuretics.
  • The findings show trends in management changes over time, with insights into patient demographics, treatment outcomes, and the effectiveness of various therapies compared to other AHF registries.
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Characteristics of acute heart failure in very elderly patients - EVE study (EAHFE very elderly).

Eur J Intern Med

June 2014

Department of Clinical Management of the Emergency Medicine Department, Hospital Universitario Central of Asturias, Group of Investigation in Emergency Medicine-HUCA, Oviedo, Spain.

Objectives: To determine the characteristics and prognostic factors of early death in the very elderly with acute heart failure (AHF).

Patients And Methods: We performed a prospective, observational study of AHF patients attended in Emergency Departments (ED), analyzing 45 variables collected in ED and studying troponin, natriuretic peptides and echocardiographies, not always available in the ED. The patients were divided into 2 groups: nonagenarian (age ≥ 90 years) and controls (age < 90 years).

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Early-onset anemia after kidney transplantation is an independent factor for graft loss: a multicenter, observational cohort study.

Transplantation

October 2013

1 Hospital del Mar, Barcelona, Spain. 2 Hospital Universitario La Paz, Madrid, Spain. 3 Hospital Universitario General de Alicante, Alicante, Spain. 4 Hospital Universitario Virgen de la Arrixaca, Murcia, Spain. 5 Hospital Son Espases, Mallorca, Spain. 6 Hospital Universitario Virgen del Rocío, Sevilla, Spain. 7 Complejo Hospitalario Universitario Santiago, Santiago de Compostela, Spain. 8 Ciutat Sanitaria i Universitaria de Bellvitge, l'Hospitalet de Llobregat, Spain. 9 Hospital Regional Universitario Carlos Haya, Málaga, Spain. 10 Hospital 12 de Octubre, Madrid, Spain. 11 Hospital Universitario Dr. Peset, Valencia, Spain. 12 Hospital General Vall d'Hebron, Barcelona, Spain. 13 Hospital Universitario Marques de Valdecilla, Santander, Spain. 14 Hospital Clínic, Universidad de Barcelona, Institut d'Investigacions August Pi i Sunyer (IDIBAPS), Barcelona, Spain.

Background: The association of anemia with outcomes after renal transplantation (RT) is unclear.

Methods: We performed a retrospective study that included patients who received a RT in Spain in 2007. We collected data on anemia (hemoglobin [Hb] <11 g/dL and/or erythropoietic agents and/or transfusion in the previous month) as well as transplantation and clinical data during follow-up.

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