178 results match your criteria: "Hospital Universitario Joan XXIII[Affiliation]"

Impact of mechanical circulatory support on outcomes in Takotsubo syndrome complicated by cardiogenic shock: Insights from the RETAKO registry.

Int J Cardiol

January 2025

Department of Cardiology, Hospital Universitari Vall d'Hebron, Barcelona, Spain; Faculty of Biomedical and Health Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, Spain; Department of Cardiology, Hospital Universitario de Torrejón, Madrid, Spain.

Background: Cardiogenic shock (CS) complicates Takotsubo syndrome (TTS), significantly affecting patient outcomes. Since avoiding catecholamines, particularly inotropic agents, is recommended in TTS, temporary mechanical circulatory support (MCS) shows promise as a bridge to recovery. However, there is no prospective data on its use in TTS.

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Article Synopsis
  • Over the last decade, research has focused on how mechanical power contributes to ventilation-induced lung injury and its potential link to ICU mortality, but most studies have only looked at early mechanical ventilation data.
  • This study analyzed mechanical power in patients ventilated for over 24 hours in a Spanish ICU, determining how prolonged exposure to high mechanical power impacts mortality rates and hospital stay duration.
  • Researchers established that a mechanical power threshold of 18 J/min significantly correlates with increased ICU mortality; specifically, the risk of death rises by 0.1% for each additional hour patients are ventilated above this threshold.
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Objective: Objectives. To assess the impact of training for emergency department (ED) nurses on adequate thromboprophylaxis for patients admitted to hospital from the ED for medical conditions. Methods.

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Recovery of Left Ventricular Function and Long-Term Outcomes in Patients With Takotsubo Syndrome.

J Am Coll Cardiol

September 2024

Instituto Cardiovascular. Hospital Clínico San Carlos, Madrid, Spain; Faculty of Biomedical and Health Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, Spain; Hospital Universitario de Torrejón, Madrid, Spain.

Background: Takotsubo syndrome (TTS) is a form of transient left ventricular (LV) dysfunction that usually resolves within days to weeks.

Objectives: We aimed to assess the predictors and prognostic impact of time-to-LV recovery after TTS.

Methods: Prospective serial imaging data from the nationwide, multicenter RETAKO (REgistry on TAKOtsubo Syndrome) were comprehensively reviewed to assess the timing of LV recovery.

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Prophylaxis of venous thromboembolism in hospitalized patients admitted from Spanish emergency departments: the PROTESU II study.

Emergencias

June 2024

Departamento de Medicina Interna, Clínica Universidad de Navarra, Madrid, España. CIBER Enfermedades Respiratorias (CIBERES), Madrid, España. Interdisciplinar Teragnosis and Radiosomics (INTRA) Research Group, Universidad de Navarra, España.

Objective: To estimate the prevalence of inappropriate use of prophylaxis to prevent venous thromboembolism (VTE) in patients with medical diseases admitted to hospital from the emergency department. To explore variables associated with inappropriate thromboprophylaxis.

Methods: Prospective multicenter cohort study in 15 hospital emergency departments.

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Article Synopsis
  • Antithrombotic treatment (ATT) after left atrial appendage occlusion (LAAO) is debated, especially for patients at high bleeding risk.
  • This study compared simplified ATT, which involves single antiplatelet or no treatment, to conventional ATT, including dual antiplatelet or anticoagulation therapy, in very high bleeding risk patients.
  • Results showed no significant differences in major adverse outcomes between the two treatment groups; however, patients with a history of major bleeding had a lower incidence of major bleeding with the simplified ATT.
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Article Synopsis
  • The study investigates whether early intensive lipid-lowering therapy can help achieve lower LDL cholesterol levels in patients who have suffered an acute myocardial infarction (AMI).
  • It evaluates the effectiveness of a combination therapy (high-potency statin, bempedoic acid, and ezetimibe) compared to standard guideline-recommended treatment on patients at risk for high LDL levels.
  • The primary goal is to see if this intensive treatment can lead to at least 33% of patients reaching LDL levels below 55 mg/dL within 8 weeks after their AMI.
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Advancing ICU patient care with a Real-Time predictive model for mechanical Power to mitigate VILI.

Int J Med Inform

September 2024

Instituto de Investigación Sanitaria Pere i Virgili, Universidad Rovira i Virgili, Tarragona, Spain; Critical Care department, Hospital Universitario Joan XXIII, Tarragona, Spain; Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES). Instituto de Salud Carlos III, Spain.

Background: Invasive Mechanical Ventilation (IMV) in Intensive Care Units (ICU) significantly increases the risk of Ventilator-Induced Lung Injury (VILI), necessitating careful management of mechanical power (MP). This study aims to develop a real-time predictive model of MP utilizing Artificial Intelligence to mitigate VILI.

Methodology: A retrospective observational study was conducted, extracting patient data from Clinical Information Systems from 2018 to 2022.

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Sex-Related Differences in the Phenotype and Course of Inflammatory Bowel Disease: SEXEII Study of ENEIDA.

Clin Gastroenterol Hepatol

November 2024

Gastroenterology Department, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain; Instituto de Investigación Sanitaria de Aragón, Zaragoza, Spain; University of Zaragoza, School of Medicine, Zaragoza, Spain.

Background & Aims: The impact of patient sex on the presentation of inflammatory bowel disease (IBD) has been poorly evaluated. Our aims were to assess potential disparities in IBD phenotype and progression between sexes.

Methods: We performed an observational multicenter study that included patients with Crohn's disease (CD) or ulcerative colitis from the Spanish Estudio Nacional en Enfermedad Inflamatoria intestinal sobre Determinantes genéticos y Ambientales registry.

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[Impact of a primary care pharmacy unit on the optimization of pharmacological treatment of type 2 diabetic patients].

Aten Primaria

September 2024

Dirección Atención Primaria Camp de Tarragona, Tarragona, España; Grup de Recerca Emergent en Intervencions Sanitàries i Activitats Comunitàries GRE ISAC (2021 SGR 00884); Grup de Recerca en Qualitat i Seguretat dels Pacients de Tarragona (2022 6G22/035). Electronic address:

Objective: To evaluate the impact of a pharmaceutical intervention on treatment optimization in patients with type 2 diabetes mellitus.

Design: Before-after intervention study. SITE: Health centers of the Primary Care Department of Camp de Tarragona.

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Clustering COVID-19 ARDS patients through the first days of ICU admission. An analysis of the CIBERESUCICOVID Cohort.

Crit Care

March 2024

Centro de Investigación Biomédica en Red en Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain.

Background: Acute respiratory distress syndrome (ARDS) can be classified into sub-phenotypes according to different inflammatory/clinical status. Prognostic enrichment was achieved by grouping patients into hypoinflammatory or hyperinflammatory sub-phenotypes, even though the time of analysis may change the classification according to treatment response or disease evolution. We aimed to evaluate when patients can be clustered in more than 1 group, and how they may change the clustering of patients using data of baseline or day 3, and the prognosis of patients according to their evolution by changing or not the cluster.

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Renal impairment and outcome in Takotsubo syndrome: Insights from a national multicentric cohort.

Int J Cardiol

June 2024

Department of Cardiology, Hospital Clínico San Carlos, Madrid, Spain; Faculty of Biomedical and Health Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, Madrid and School of Medicine, Universidad Complutense, Madrid, Spain. Electronic address:

Introduction: Data on the association between kidney function and Takotsubo syndrome (TTS) outcomes are scarce and conflictive.

Objective: To assess the impact of chronic kidney disease (CKD) and acute renal failure (ARF) in patients with TTS.

Material And Methods: Patients from the prospective nation-wide (RETAKO) registry were included and divided into quartiles of maximum creatinine (Cr) level during hospitalization.

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Article Synopsis
  • - Takotsubo syndrome (TTS) during the peripartum period is a significant health issue, with unclear prognosis compared to the general TTS population, prompting a study utilizing a nationwide registry.
  • - Analysis showed that peripartum TTS patients commonly experience atypical symptoms like dyspnea, have different echocardiographic findings, and less ST-segment elevation than other TTS patients.
  • - Despite presenting with higher Killip status upon admission, peripartum TTS patients often have good long-term prognoses, even though their conditions are mainly secondary and linked to physical stressors.
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Background: Prediction of the response to a biological treatment in psoriasis patients would allow efficient treatment allocation.

Objective: To identify polymorphisms associated with secukinumab response in psoriasis patients in a daily practice setting.

Methods: We studied 180 SNPs in patients with moderate-to-severe plaque psoriasis recruited from 15 Spanish hospitals.

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Background: Dialysis patients have been maintaining a high rate of cardiovascular morbidity and mortality. For this reason, it is to introduce necessary new technical advances in clinical practice. There is a relation between toxins retention and inflammation, mortality and morbidity.

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Background: Age is a major risk factor for venous thromboembolism (VTE), yet patients aged ≥90 years are under-represented in clinical trials of anticoagulant therapy. The objectives were to describe and compare patient clinical characteristics, treatments, and outcomes (VTE recurrence, bleeding, and mortality) during the first 3 months of anticoagulation between VTE patients aged ≥90 years and those aged <90 years.

Methods: We analyzed data from the Registro Informatizado Enfermedad TromboEmbὀlica (RIETE), an ongoing global observational registry of patients with objectively confirmed acute VTE.

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Procalcitonin and C-reactive protein to rule out early bacterial coinfection in COVID-19 critically ill patients.

Intensive Care Med

August 2023

CIBER de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain.

Article Synopsis
  • The study investigates the effectiveness of procalcitonin (PCT) and C-reactive protein (CRP) as biomarkers for identifying bacterial coinfection in COVID-19 patients admitted to ICUs in Spain.
  • Of 4,076 patients studied, only 3% had bacterial coinfection, and while PCT and CRP showed high negative predictive values, their overall predictive capability was found to be low.
  • The findings indicate that measuring PCT and CRP at hospital admission is not a reliable method for diagnosing bacterial coinfection in COVID-19 pneumonia patients.
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Introduction And Objectives: Vaccines against SARS-CoV-2 have been a major scientific and medical achievement in the control of the COVID-19 pandemic. However, very infrequent cases of inflammatory heart disease have been described as adverse events, leading to uncertainty in the scientific community and in the general population.

Methods: The Vaccine-Carditis Registry has included all cases of myocarditis and pericarditis diagnosed within 30 days after COVID-19 vaccination since August 1, 2021 in 29 centers throughout the Spanish territory.

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Importance: Ileocolic intussusception is an important cause of intestinal obstruction in children. Reduction of ileocolic intussusception using air or fluid enema is the standard of care. This likely distressing procedure is usually performed without sedation or analgesia, but practice variation exists.

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Autosomal dominant polycystic kidney disease in young adults.

Clin Kidney J

June 2023

Inherited Kidney Diseases, Nephrology Department, Fundació Puigvert, Institut d'Investigació Biomèdica Sant Pau (IIB-SANT PAU), Universitat Autònoma de Barcelona, Barcelona, Spain.

Article Synopsis
  • The study focuses on the clinical features of autosomal dominant polycystic kidney disease (ADPKD) in young adults aged 18-30, highlighting their morbidity despite the disease typically appearing in adulthood.
  • In a cohort of 346 young adults, the average age of hypertension diagnosis was just over 21, with a prevalence of 28%, which increased with age.
  • The findings suggest that young adults with ADPKD experience significant health issues, underscoring the importance of early detection and management of hypertension in this group.
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Invasive Pulmonary Aspergillosis: Not Only a Disease Affecting Immunosuppressed Patients.

Diagnostics (Basel)

January 2023

Department of Intensive Care Medicine, Multidisciplinary Intensive Care Research Organization (MICRO), St. James's Hospital, D08 NHY1 Dublin, Ireland.

Fungal infections have become a common threat in Intensive Care Units (ICU). The epidemiology of invasive fungal diseases (IFD) has been extensively studied in patients severely immunosuppressed over the last 20-30 years, however, the type of patients that have been admitted to hospitals in the last decade has made the healthcare system and ICU a different setting with more vulnerable hosts. Patients admitted to an ICU tend to have older age and higher severity of disease.

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Background: The long-term cardiovascular (CV) outcomes of COVID-19 have not been fully explored.

Methods: This was an international, multicenter, retrospective cohort study conducted between February and December 2020. Consecutive patients ≥18 years who underwent a real-time reverse transcriptase-polymerase chain reaction (RT-PCR) for SARS-CoV2 were included.

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Endothelial Damage and the Microcirculation in Critical Illness.

Biomedicines

December 2022

Department of Intensive Care Medicine, St. James's Hospital, James's Street, D08 NHY1 Dublin, Ireland.

Endothelial integrity maintains microcirculatory flow and tissue oxygen delivery. The endothelial glycocalyx is involved in cell signalling, coagulation and inflammation. Our ability to treat critically ill and septic patients effectively is determined by understanding the underpinning biological mechanisms.

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