61 results match your criteria: "Hospital del Mar de Barcelona[Affiliation]"

Clinical-Epidemiological Profile, and Treatment Response in Relation to Associated Atopic Comorbidity in Atopic Dermatitis. Experience From the BIOBADATOP Registry.

Actas Dermosifiliogr

November 2024

Servicio de Dermatología, Hospital Universitari Germans Trias i Pujol, Germans Trias i Pujol Research Institute (IGTP), Badalona, Barcelona, España; Departament de Medicina, Universitat Autònoma de Barcelona (UAB), Barcelona, España.

Article Synopsis
  • A study was conducted on patients with atopic dermatitis (AD) to explore the impact of atopic comorbidities like asthma and allergic rhinitis on their treatment response.
  • Data was collected from the BIOBADATOP registry, involving 509 patients, mostly adults with severe AD, and analyzed for associations between atopic comorbidities and clinical characteristics.
  • Results indicated that patients with personal atopic comorbidities had more severe symptoms and a higher history of treatments, but no significant differences in treatment response were found after 6 and 12 months, suggesting a need for longer follow-up.
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The Midline Catheter Within the Context of Home Intravenous Antibiotic Treatment.

J Infus Nurs

November 2024

Author Affiliations: Department of Nursing Methodology, Quality and Research (Terradas Roblado, Lacueva Perez) and Home Hospitalization Department (Estevez Estevez), Hospital del Mar (Lafuente Cabrero, Civit Cuñado, García Sardelli, Molina Huerta), Barcelona, Spain; Department of Public Health, Mental Health and Maternal and Child Health Nursing (Esquinas) and Department of Basic Nursing (Tortosa), Faculty of Nursing, University of Barcelona, Spain.

Home intravenous antibiotic treatment (HIAT) consists of the administration of intravenous antibiotic therapy in the home of the patient. Short peripheral intravenous catheters have long been the first option for antimicrobial therapies. However, these devices are known for their short durability.

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Challenges in managing acute appendicitis differ across Europe: patient and system-level insights from observational cohort study data comparing two European countries.

Curr Probl Surg

November 2024

Chief of Surgical Critical Care and Emergency Surgery, Division of Traumatology, Surgical Critical Care and Emergency Surgery, Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA; Chair, Research Committee, European Society for Trauma and Emergency Surgery (ESTES).

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Lung and Diaphragm Protection During Mechanical Ventilation in Patients with Acute Respiratory Distress Syndrome.

Clin Chest Med

December 2024

Critical Care Medicine Department, Centro de Educación Médica e Investigaciones Clínicas "Norberto Quirno" (CEMIC), Av. E. Galván 4102, Ciudad de Buenos Aires, Argentina.

Patients with acute respiratory distress syndrome often require mechanical ventilation to maintain adequate gas exchange and to reduce the workload of the respiratory muscles. Although lifesaving, positive pressure mechanical ventilation can potentially injure the lungs and diaphragm, further worsening patient outcomes. While the effect of mechanical ventilation on the risk of developing lung injury is widely appreciated, its potentially deleterious effects on the diaphragm have only recently come to be considered by the broader intensive care unit community.

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Objectives: The aim of the present study was to evaluate the impact of chronic treatment with angiotensin-converting enzyme inhibitors (ACEI) or angiotensin receptor blockers (ARB) on short-term clinical outcomes after an episode of AHF.

Methods: A secondary analysis of patients included in the EAHFE (Epidemiology of Acute Heart Failure in Emergency Departments) cohort, which includes patients diagnosed with AHF in 45 Spanish Emergency Departments (EDs). The primary outcome was all-cause in-hospital mortality.

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Article Synopsis
  • - Obesity is a major global health concern, with a significant rise in deaths and disability-adjusted life years (DALYs) linked to high body mass index (BMI) from 1990 to 2021, notably increasing by over 2.5 times for both genders.
  • - The main health issues associated with high BMI in 2021 included diabetes, heart disease, and stroke, with low-middle socio-demographic index (SDI) countries experiencing the largest increase in disease burden.
  • - The findings call for urgent monitoring and intervention efforts to address the growing health impact of high BMI from 1990 to 2021, especially given the stable death rates for women and rising rates for men.
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Article Synopsis
  • Weaning patients from mechanical ventilation is essential for managing acute respiratory failure, and spontaneous breathing trials (SBT) help determine who is ready for extubation despite the risk of extubation failure.
  • A study analyzed diaphragmatic function through electrical activity of the diaphragm (EAdi) in difficult-to-wean patients, categorizing them into extubation success and failure based on whether they needed reintubation within 48 hours.
  • Findings showed that EAdi significantly increased during SBT phases, with values above 30 μV predicting extubation failure with high sensitivity, indicating that EAdi could be a valuable tool for improving weaning outcomes in critical care.
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The management of schizophrenia necessitates a comprehensive treatment paradigm that considers individual patient nuances and the efficacy of lurasidone in addressing schizophrenia symptoms, particularly at elevated dosages. Numerous randomized trials have affirmed the efficacy of lurasidone across various dimensions of schizophrenia, demonstrating marked enhancements in positive, negative and cognitive symptoms compared to a placebo. In addition, lurasidone exhibits potential in ameliorating agitation amongst acutely ill patients, showcasing greater efficacy at higher doses.

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Background: Moderate-to-severe atopic dermatitis (AD) can be difficult to manage in paediatric patients, and there are few licensed treatments available for this age group. Dupilumab is approved for the treatment of AD in children older than 6 months.

Objectives: To assess the effectiveness and safety of dupilumab in a real-world cohort of paediatric patients with AD in Spain.

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Background: While the indication for noninvasive ventilation (NIV) in severely hypoxemic patients with acute heart failure (AHF) is often indicated and may improve clinical course, the benefit of early initiation before patient arrival to the emergency department (ED) remains unknown.

Objective: This study aimed to assess the impact of early initiation of NIV during emergency medical service (EMS) transportation on outcomes in patients with AHF.

Design: A secondary retrospective analysis of the EAHFE (Epidemiology of AHF in EDs) registry.

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[Translated article] Melanoma Registry of the Spanish Academy of Dermatology and Venereology (REGESMEL): Description and Data in its First Year of Operation.

Actas Dermosifiliogr

July 2024

Unidad de Investigación, Academia Española de Dermatología y Venereología, Madrid, Spain; Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain. Electronic address:

Introduction: The incidence of melanoma is rising in Spain. The prognostic stages of patients with melanoma are determined by various biological factors, such as tumor thickness, ulceration, or the presence of regional or distant metastases. The Spanish Academy of Dermatology and Venereology (AEDV) has encouraged the creation of a Spanish Melanoma Registry (REGESMEL) to evaluate other individual and health system-related factors that may impact the prognosis of patients with melanoma.

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Combining loop with thiazide diuretics in patients discharged home after a heart failure decompensation: Association with 30-day outcomes.

Eur J Intern Med

September 2024

Emergency Department, Short Stay Unit and Hospitalization at Home Unit, Hospital General de Alicante, Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL), Universidad Miguel Hernández, Alicante, Spain. Electronic address:

Objective: To investigate the association of the addition of thiazide diuretic on top of loop diuretic and standard of care with short-term outcomes of patients discharged after surviving an acute heart failure (AHF) episode.

Methods: This is a secondary analysis of 14,403 patients from three independent cohorts representing the main departments involved in AHF treatment for whom treatment at discharge was recorded and included loop diuretics. Patients were divided according to whether treatment included or not thiazide diuretics.

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Article Synopsis
  • PRP (Pityriasis Rubra Pilaris) is a rare skin condition with unclear causes and no established treatment guidelines, making it challenging for healthcare providers.
  • A study involving 65 patients, the largest European series on PRP, revealed that it primarily affects men, with an average age of 51, while older patients (average age 61) often present with more severe erythrodermic forms.
  • The results showed that most younger patients and non-erythrodermic adults managed their condition with topical corticosteroids, whereas a significant number of erythrodermic patients needed biologic therapy, taking about 6.5 months for a complete response.
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Objective: To explore combined non-invasive-respiratory-support (NIRS) patterns, reasons for NIRS switching, and their potential impact on clinical outcomes in acute-hypoxemic-respiratory-failure (AHRF) patients.

Design: Retrospective, single-center observational study.

Setting: Intensive Care Medicine.

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Article Synopsis
  • Various neoadjuvant treatments for advanced colon cancer are becoming available, and effective preoperative staging is essential for choosing the right approach.
  • A study involving 50 centers and 1,950 patients focused on the diagnostic accuracy of CT scans for T4 colon tumors, revealing significant limitations in terms of sensitivity and specificity for staging.
  • The findings indicated that while CT had high accuracy for detecting peritoneal metastases, its overall performance for T4 staging and lymph node classification was inadequate, highlighting the need for improved diagnostic methods.
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Impact of High-Flow Nasal Cannula Use in Subjects With COVID-19 ARDS at High Altitudes: Clinical Presentation and Prognostic Factors.

Respir Care

June 2023

Critical Care Department, Hospital del Mar de Barcelona, Spain; and Grupo de Investigación en Patología Crítica, IMIM, Departamento de Medicina y Ciéncias de la Vida (MELIS), Universitat Pompeu Fabra, Barcelona, Spain.

Background: High-flow nasal cannula (HFNC) reduces the need for intubation in adult subject with acute respiratory failure. Changes in hypobaric hypoxemia have not been studied for subject with an HFNC in ICUs at altitudes > 2,600 m above sea level. In this study, we investigated the efficacy of HFNC treatment in subjects with COVID-19 at high altitudes.

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Background: We aimed to determine the effect of dual anti-HER2 blockade compared to monotherapy on clinically important outcomes.

Methods: We carried out a systematic review updated until July 2022. The outcomes included pathological complete response (pCR), clinical response, event-free survival, and overall survival.

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Usefulness of Inhaled Sedation in Patients With Severe ARDS Due to COVID-19.

Respir Care

March 2023

Service of Intensive Care Medicine, Hospital del Mar de Barcelona, IMIM (GREPAC), Department of Medicine (MELIS), Universitat Pompeu Fabra, Barcelona, Spain.

Article Synopsis
  • Sedation in intensive care is essential for improving patient outcomes, but rising opioid use leads to addiction concerns, worsened by the COVID-19 pandemic which increased the need for high-dose sedatives.* -
  • A study analyzed 283 ICU patients comparing inhaled sedation to intravenous (IV) sedation, finding that inhaled sedation significantly reduced the need for high doses of opioids, muscle relaxants, and had a lower risk of delirium.* -
  • Results indicate inhaled sedation allows for lower medication doses, making it a viable alternative for critically ill patients needing extended ventilatory support when IV sedation isn't available.*
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Antibiotic desensitization as a potential tool in antimicrobial stewardship programs: retrospective data analysis and systematic literature review.

Expert Rev Anti Infect Ther

November 2022

Pharmacy Service, Hospital del Mar, Infectious Pathology and Antimicrobials Research Group (IPAR), Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Universitat Autònoma de Barcelona (UAB), Universitat Pompeu Fabra (UPF), Barcelona, Spain.

Article Synopsis
  • The study looked at how to help patients with allergies to antibiotics, which can make treatments less effective.
  • Researchers tested a method called antibiotic desensitization and found it generally worked well and safely for these patients.
  • In their review, they saw that almost all desensitization attempts were successful and no patients died from this procedure, suggesting it’s a good option for those allergic to penicillin.
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A non-systematic review of the published scientific evidence has been carried out on the duration of empirical antibiotic treatment in surgical intra-abdominal infections (IIA) with effective focus control. Given the progressive increase in antibiotic resistance, it is urgent to have strategies to reduce the pressure on the microbiota. The American guidelines made by Mazuski et al.

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Clinical guide to perioperative management for videothoracoscopy lung resection (Section of Cardiac, Vascular and Thoracic Anesthesia, SEDAR; Spanish Society of Thoracic Surgery, SECT; Spanish Society of Physiotherapy).

Rev Esp Anestesiol Reanim (Engl Ed)

May 2022

Sección de Anestesia Cardiaca, Vascular y Torácica, SEDAR, Anestesiología, Reanimación y T. Dolor, Hospital Universitario La Fe de Valencia, Universitat de València, Valencia, Spain.

The introduction of video-assisted thoracoscopic (VATS) techniques has led to a new approach in thoracic surgery. VATS is performed by inserting a thoracoscope through a small incisions in the chest wall, thus maximizing the preservation of muscle and tissue. Because of its low rate of morbidity and mortality, VATS is currently the technique of choice in most thoracic procedures.

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Objective: Unexplained infertility is a relevant indication for controlled ovarian stimulation associated to intrauterine insemination. The "step-up" and "step-down" gonadotropin-based protocols were designed to reduce multiple pregnancy and ovarian hyperstimulation syndrome in polycystic ovary syndrome patients, but there is no related evidence in normoovulatory women undergoing intrauterine insemination. Our aim was to compare the efficacy and safety of both protocols with intrauterine insemination in unexplained infertility patients.

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