ABSTRACT
Introducción:La neumonía por la enfermedad por el coronavirus 19 (COVID-19) es la manifestación clínica más frecuente de esta afección, siendo aún desconocidas sus secuelas a largo plazo y la posible evolución a fibrosis pulmonar. El objetivo de este trabajo es una revisión a medio plazo de las secuelas en la radiografía simple de tórax (RxTx) de pacientes con diagnóstico previo de neumonía por la COVID-19.Pacientes y métodos:Revisión retrospectiva de pacientes con diagnóstico de neumonía por la COVID-19 en la que hemos valorado la persistencia de lesiones residuales en la RxTx de control y hemos analizado su posible relación con factores epidemiológicos, factores de riesgo, tratamientos recibidos y patrones radiológicos iniciales.Resultados:Se analizan 143 pacientes (52 mujeres y 91 hombres), con una edad media de 64 años. Se objetivó una resolución completa radiológica en 104 (73%) y resolución parcial en 39 (27%). De los factores de riesgo solo la edad se relacionó significativamente con la persistencia de lesiones residuales (OR: 1,06; IC 95%: 1,02-1,10). En relación con los tratamientos se encontraron diferencias significativas con el tocilizumab y los glucocorticoides, donde los pacientes tratados tenían más riesgo de lesiones residuales (OR 2,44 [1,03; 5,80] y 3,05 [1;43; 6,51]) respectivamente. En el análisis de los patrones radiológicos se observaron diferencias significativas en los pacientes que presentaban en la evolución aguda condensaciones periféricas y un patrón de empeoramiento radiológico precoz. Se evidenció una disociación clínico-radiológica: de los pacientes con lesiones residuales un 83% no tenía síntomas respiratorios.Discusión:Las neumonías por la COVID-19 pueden tener una resolución radiológica más lenta en pacientes de mayor edad y con ciertos patrones radiológicos iniciales, pero el desarrollo de fibrosis pulmonar en estos pacientes es un hecho aún cuestionable. (AU)
Introduction:COVID-19 pneumonia is the most frequent clinical manifestation of this disease, and its long-term sequelae and possible progression to pulmonary fibrosis are still unknown. The aim of this study is a mid-term review of the sequelae on plain chest radiography (CXR) in patients with a previous diagnosis of COVID-19 pneumonia.Patients and methods:Retrospective review of patients with a diagnosis of COVID-19 pneumonia, assessing the persistence of residual lesions in the control CXR and analysing their possible relationship with epidemiological factors, risk factors, treatments received and initial radiological patterns.Results:A total of 143 patients (52 women and 91 men) were analysed. Mean age was 64 years. Radiological complete resolution (CR) was observed in 104 (73%) and partial resolution (PR) in 39 (27%). Of the risk factors only age was significantly related to persistence of residual lesions (OR 1.06 CI 95% (1.02,1.10). In relation to treatments, significant differences were found with tocilizumab and glucocorticoids, where treated patients had a higher risk of residual lesions (OR 2.44 (1.03,5.80) and 3.05(1.43,6.51) respectively. In the analysis of radiological patterns, significant differences were observed in patients with peripheral condensations in the acute course and a pattern of early radiological worsening. A clinical-radiological dissociation was evident: 83% of patients with residual lesions had no respiratory symptoms.Discussion:COVID19 pneumonias may have a slower radiological resolution in older patients with certain initial radiological patterns, but the development of pulmonary fibrosis in these patients is still questionable. (AU)
Subject(s)
Humans , Coronavirus , Lung , Pneumonia , Pulmonary Fibrosis , X-Rays , Radiography, Thoracic , Retrospective Studies , Risk FactorsABSTRACT
Introduction: COVID-19 pneumonia is the most frequent clinical manifestation of this disease, and its long-term sequelae and possible progression to pulmonary fibrosis are still unknown. The aim of this study is a mid-term review of the sequelae on plain chest radiography (CXR) in patients with a previous diagnosis of COVID-19 pneumonia. Patients and methods: Retrospective review of patients with a diagnosis of COVID-19 pneumonia, assessing the persistence of residual lesions in the control CXR and analysing their possible relationship with epidemiological factors, risk factors, treatments received and initial radiological patterns. Results: A total of 143 patients (52 women and 91 men) were analysed. Mean age was 64 years. Radiological complete resolution (CR) was observed in 104 (73%) and partial resolution (PR) in 39 (27%). Of the risk factors only age was significantly related to persistence of residual lesions (OR 1.06 CI95% (1.02,1.10). In relation to treatments, significant differences were found with tocilizumab and glucocorticoids, where treated patients had a higher risk of residual lesions (OR 2.44 (1.03,5.80) and 3.05(1.43,6.51) respectively. In the analysis of radiological patterns, significant differences were observed in patients with peripheral condensations in the acute course and a pattern of early radiological worsening. A clinical-radiological dissociation was evident: 83% of patients with residual lesions had no respiratory symptoms. Discussion: COVID19 pneumonias may have a slower radiological resolution in older patients with certain initial radiological patterns, but the development of pulmonary fibrosis in these patients is still questionable.
Introducción: La neumonía por la enfermedad por el coronavirus 19 (COVID-19) es la manifestación clínica más frecuente de esta afección, siendo aún desconocidas sus secuelas a largo plazo y la posible evolución a fibrosis pulmonar. El objetivo de este trabajo es una revisión a medio plazo de las secuelas en la radiografía simple de tórax (RxTx) de pacientes con diagnóstico previo de neumonía por la COVID-19. Pacientes y métodos: Revisión retrospectiva de pacientes con diagnóstico de neumonía por la COVID-19 en la que hemos valorado la persistencia de lesiones residuales en la RxTx de control y hemos analizado su posible relación con factores epidemiológicos, factores de riesgo, tratamientos recibidos y patrones radiológicos iniciales. Resultados: Se analizan 143 pacientes (52 mujeres y 91 hombres). Edad media de 64 años. Se objetivó una resolución completa (RC) radiológica en 104 (73%) y resolución parcial (RP) en 39 (27%). De los factores de riesgo sólo la edad se relacionó significativamente con la persistencia de lesiones residuales (OR 1.06 IC95% (1.02,1.10). En relación con los tratamientos se encontraron diferencias significativas con el tocilizumab y glucocorticoides, donde los pacientes tratados tenían más riesgo de lesiones residuales (OR 2.44 (1.03,5.80) y 3.05(1.43,6.51) respectivamente. En el análisis de los patrones radiológicos se observaron diferencias significativas en los pacientes que presentaban en la evolución aguda condensaciones periféricas y un patrón de empeoramiento radiológico precoz. Se evidenció una disociación clínico-radiológica: de los pacientes con lesiones residuales un 83% no tenían síntomas respiratorios. Discusión: Las neumonías por COVID19 pueden tener una resolución radiológica más lenta en pacientes de mayor edad y con ciertos patrones radiológicos iniciales, pero el desarrollo de fibrosis pulmonar en estos pacientes es un hecho aún cuestionable.
ABSTRACT
INTRODUCTION: COVID-19 pneumonia is the most frequent clinical manifestation of this disease, and its long-term sequelae and possible progression to pulmonary fibrosis are still unknown. The aim of this study is a mid-term review of the sequelae on plain chest radiography (CXR) in patients with a previous diagnosis of COVID-19 pneumonia. PATIENTS AND METHODS: Retrospective review of patients with a diagnosis of COVID-19 pneumonia, assessing the persistence of residual lesions in the control CXR and analysing their possible relationship with epidemiological factors, risk factors, treatments received and initial radiological patterns. RESULTS: A total of 143 patients (52 women and 91 men) were analysed. Mean age was 64 years. Radiological complete resolution (CR) was observed in 104 (73%) and partial resolution (PR) in 39 (27%). Of the risk factors only age was significantly related to persistence of residual lesions (OR 1.06 CI 95% (1.02,1.10). In relation to treatments, significant differences were found with tocilizumab and glucocorticoids, where treated patients had a higher risk of residual lesions (OR 2.44 (1.03,5.80) and 3.05(1.43,6.51) respectively. In the analysis of radiological patterns, significant differences were observed in patients with peripheral condensations in the acute course and a pattern of early radiological worsening. A clinical-radiological dissociation was evident: 83% of patients with residual lesions had no respiratory symptoms. DISCUSSION: COVID19 pneumonias may have a slower radiological resolution in older patients with certain initial radiological patterns, but the development of pulmonary fibrosis in these patients is still questionable.
Subject(s)
COVID-19 , Pneumonia , Pulmonary Fibrosis , Aged , COVID-19/complications , COVID-19/diagnostic imaging , Disease Progression , Female , Humans , Lung , Male , Middle Aged , Radiography , Radiography, Thoracic , Retrospective Studies , Risk Factors , SARS-CoV-2 , X-RaysABSTRACT
No disponible
Subject(s)
Humans , Male , Middle Aged , Lung Neoplasms/diagnosis , Lung Neoplasms/complications , Carcinoma/complications , Carcinoma/diagnosis , Hemoptysis/etiology , Hemorrhage/etiology , Tomography, X-Ray Computed , Biopsy, Fine-NeedleABSTRACT
OBJECTIVE: The current literature about the body composition of elite football referees is scarce and almost non-existent. Therefore, and in order to establish the level of agreement between bioelectrical impedance analysis (BIA) and dual energy X-ray absorptiometry (DXA) in elite football referees, the aim of this study was to compare fat mass (FM) and fat-free mass (FFM) values measured with these two different methods. METHOD: A total of 30 male referees belonging to 1st, 2nd and 2ndB categories, and 36 assistant referees from 1st and 2nd categories in the Spanish national league participated in this study. Total and regional FM and FFM were assessed using a portable BIA analyser TANITA BC 418-MA (Tanita Corp., Tokyo, Japan) and DXA (Hologic Corp. Software version 12.4, Bedford, MA 01730). Agreement between methods was assessed by plotting the results in Bland-Altman graphs and the presence of heteroscedasticity was also examined. Differences between methods were analysed by two-paired samples t-test. RESULTS: For the whole group, BIA underestimated body fat percentage in 3.87 points (CI 95%=3.22-4.52; p=<0.01) and overestimated kg of total FFM in 3.56 points (CI 95%=3.08-4.05; p=<0.01), however, no heteroscedasticity was shown in any case (all p > 0.05). CONCLUSIONS: The present study suggests that according to DXA, BIA values calculated with a non-specific equation are underestimating total FM and, consequently, overestimating total FFM in male elite football referees
OBJETIVO: La literatura científica existente sobre la composición corporal en árbitros de fútbol es todavía escasa. Por lo tanto y para establecer el nivel de concordancia entre el análisis de impedancia bioeléctrica y la absorciometría de rayos X de doble energía en árbitros de fútbol de elite, el objetivo de este estudio fue comparar los valores de masa grasa (MG) y la masa libre de grasa (MLG) medidos con ambos métodos. MÉTODO: Un total de 30 árbitros pertenecientes a las categorías de 1ª, 2ª y 2ª división B, y 36 asistentes de 1ª y 2ª división de la liga española participaron en este estudio. La MG y la MLG tanto a nivel total como regional se evaluó utilizando la impedancia bioeléctrica TANITA BC 418-MA (Tanita Corp., Tokyo, Japan) y absorciometría de rayos X de doble energía (Hologic Corp. Software versión 12.4, Bedford, MA 01730). La concordancia entre métodos se evaluó con gráficos de Bland-Altman y también se examinó la presencia de heterocedasticidad. Las diferencias entre métodos se analizaron con la prueba T de Student para muestras relacionadas. RESULTADOS: Para el total de la muestra, la impedancia bioeléctrica infraestimó el porcentaje de MG en 3.87 puntos (IC 95%=3.22-4.52; p=<0.01) y sobreestimó los kg de MLG en 3.56 puntos (IC 95%=3.08-4.05; p=<0.01), sin embargo, en ningún caso se observó heterocedasticidad (todos p > 0.05). CONCLUSIÓN: El presente estudio sugiere que, tomando como referencia la absorciometría de rayos X de doble energía, la impedancia bioeléctrica calculada a partir de una ecuación no especifica para árbitros, infraestima la MG y consecuentemente, sobreestima la MLG en árbitros de fútbol de elite
OBJETIVO: A literatura atual sobre a composição corporal de árbitros de futebol de elite é escassa e quase inexistente. Portanto, afim de estabelecer o nível de concordância entre a bioimpedância elétrica (BIA) e a absorciometria por raios-X de dupla energia (DXA) em árbitros de futebol de elite, o objetivo deste estudo foi comparar os valores de massa gorda (FM) e massa livre de gordura (FFM) valores mensurados com estes dois diferentes métodos. MÉTODO: Um total de 30 árbitros pertencentes as categorias 1st, 2nd e 2ndB, e 36 árbitros assistentes da 1st e 2nd categorias da Liga Nacional Espanhola. A FM total e regional e a FFM foram avaliadas através de um analisador BIA portátil TANITA BC 418-MA (Tanita Corp., Tóquio, Japão) e DXA (Hologic Corp. Software versão 12.4, Bedford, MA 01730). A concordância entre os métodos foi avaliada através da plotagem dos resultados nos gráficos de Bland-Altman e a presença de heteroscedasticidade também foi examinada. As diferenças entre os métodos foram analisadas pelo teste t para duas amostras pareadas. RESULTADOS: Para o grupo como um todo, a BIA subestimou o percentual de gordura corporal em 3.87 pontos (IC 95% = 3.22-4.52; p = <0.01) e superestimou a kg total de FFM em 3.56 pontos (IC 95% = 3.08-4.05; p = <0,01), no entanto, nenhuma heteroscedasticidade foi mostrada em nenhum caso (todos p> 0.05). CONCLUSÕES: O presente estudo sugere que, de acordo com a DXA, os valores da BIA calculados com uma equação não específica estão subestimando a FM total e, consequentemente, superestimando a FFM total em árbitros de futebol de elite do sexo masculino
Subject(s)
Humans , Male , Adult , Body Composition , Soccer , Absorptiometry, Photon , Electric ImpedanceABSTRACT
No disponible
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Humans , Female , Adult , Valsalva Maneuver , Bronchogenic Cyst/diagnostic imaging , Bronchogenic Cyst/surgery , Tomography, Emission-Computed , Trachea/diagnostic imaging , Trachea/pathologySubject(s)
Bronchogenic Cyst/diagnostic imaging , Tomography, X-Ray Computed , Valsalva Maneuver , Adult , Female , HumansABSTRACT
No disponible
Subject(s)
Humans , Female , Aged, 80 and over , Lung Neoplasms/diagnosis , Endoscopic Ultrasound-Guided Fine Needle Aspiration , Biopsy, Fine-Needle/methods , Geriatric Assessment/methods , Lymphatic Metastasis/diagnosis , Neoplasm Staging/methods , Frail Elderly , Patient-Centered Care/methodsABSTRACT
BACKGROUND: Epidemiologic research to learn the incidence, type, location, and severity of female soccer injuries and the risk factors for sustaining a sport injury is the first step in developing preventive policies. The aim of this study was to analyze the incidence of injuries in the population of female soccer players in Spain. METHODS: The injuries incurred by 25,397 female soccer players were registered by the medical staff of the Spanish Football Federation during 1 season. A standardized medical questionnaire was used to classify the injury according to type, severity, location, and injury mechanism. A total of 2108 injuries was reported with an incidence of 0.083 injuries per player per season. Most injuries were in the lower limbs (74.0%), mainly affecting knee (30.4%) and ankle joints (17.9%). RESULTS: The proportion of injuries derived from contact with another player was higher during matches (33.7%) than during training (11.4%; p < 0.001). Noncontact injuries were classified as severe more frequently than were contact injuries (51.0% vs. 42.6%; p < 0.001). A higher incidence of injury was found in adult soccer players (≥18 years) vs. their counterparts younger than18 years (0.094 vs. 0.072 injuries per player per year, respectively; p < 0.001). There were no differences between age groups in any other injury variable (e.g., type, mechanism, location, or severity; p > 0.05). CONCLUSION: Most female soccer injuries were located at the knee and ankle; the injury mechanism determined the playing time lost; and the player's age did not affect injury characteristics.
Subject(s)
Carcinoma, Non-Small-Cell Lung/pathology , Lung Neoplasms/pathology , Aged, 80 and over , Biopsy, Fine-Needle/methods , Carcinoma, Non-Small-Cell Lung/secondary , Clavicle , Female , Humans , Image-Guided Biopsy , Lymphatic Metastasis/pathology , Punctures , Ultrasonography, InterventionalABSTRACT
No disponible
Subject(s)
Humans , Tracheoesophageal Fistula/diagnostic imaging , Tracheoesophageal Fistula/surgery , Endoscopy , Pneumonia/complications , Cough/complications , Deglutition Disorders/complications , Bronchoscopy , GastroscopySubject(s)
Bronchial Fistula/diagnostic imaging , Esophageal Fistula/diagnostic imaging , Tomography, X-Ray Computed , Bronchial Fistula/complications , Bronchial Fistula/surgery , Bronchoscopy , Cough/etiology , Esophageal Fistula/complications , Esophageal Fistula/surgery , Gastroscopy , Humans , Male , Pneumonia/etiology , RecurrenceABSTRACT
No disponible
Subject(s)
Humans , Male , Middle Aged , Pancreatic Fistula/etiology , Pancreatitis/complications , Tracheoesophageal Fistula/etiology , Pancreatic Pseudocyst/diagnosisSubject(s)
Fistula/etiology , Pancreatic Fistula/etiology , Pancreatitis, Chronic/complications , Pleural Diseases/etiology , Pleural Effusion/etiology , Fistula/diagnostic imaging , Humans , Male , Middle Aged , Pancreatic Fistula/diagnostic imaging , Pleural Diseases/diagnostic imaging , Pleural Effusion/diagnostic imaging , Tomography, X-Ray ComputedABSTRACT
No disponible
Subject(s)
Humans , Male , Female , Aged , Aged, 80 and over , Sarcoidosis/complications , Sarcoidosis, Pulmonary/complications , Sarcoidosis, Pulmonary/diagnosis , Sarcoidosis, Pulmonary/therapy , Bronchoscopy/methods , Bronchoscopy/trends , Bronchoscopy , Radionuclide Imaging/methods , Radionuclide Imaging , Health Services for the Aged/organization & administration , Old Age Assistance/organization & administration , Old Age Assistance/standards , Bronchoalveolar Lavage/instrumentation , Bronchoalveolar Lavage/methods , Bronchoalveolar LavageABSTRACT
Introducción: La literatura actual relativa a la composición corporal de los árbitros de fútbol de élite es escasa y prácticamente inexistente. Por tanto, los objetivos de este estudio fueron evaluar y realizar un seguimiento del porcentaje de grasa corporal (%GC) a los árbitros de fútbol de élite españoles, y a los árbitros asistentes, a lo largo de toda la temporada. Material y Métodos: En este estudio participaron doscientos veintiocho árbitros y árbitros asistentes (edad media 32,5 ± 5,1), que arbitran en la primera división de España (La Liga), la segunda división y la segunda división B. Se utilizó un analizador de impedancia bioeléctrica (TANITA BC 418-MA) para evaluar el porcentaje de grasa corporal. Durante la temporada se realizaron un total de cuatro mediciones en los árbitros de primera división, y tres para el resto de los grupos. Resultados: Realizando un análisis por categoría y función, los asistentes de primera división tuvieron un mayor porcentaje de grasa corporal en todas las evaluaciones (p < 0,05). Se observaron pequeñas variaciones (de alrededor del 1%) en cuanto al porcentaje de GC dentro de los distintos grupos a lo largo de la temporada de competición. Conclusión: El porcentaje de grasa corporal en los árbitros españoles de élite permanece constante, tras analizar la categoría, función y edad a lo largo de la temporada de competición. Todos los grupos incluidos en el estudio reportaron unos valores saludables en cuanto a grasa corporal, comprendidos entre el 8 y el 14%, lo que podría contribuir directamente al logro de los elevados estándares requeridos para el arbitraje, y a la mejora del nivel de arbitraje en las ligas españolas
Introduction: The current literature about the body composition of elite football referees is scarce and almost non-existent. Therefore, the aim of this study was to assess and track the percentage of body fat (%BF) of elite Spanish football referees and assistant referees across an entire season. Material and methods: Two hundred and twenty-eight referees and assistant referees (mean age 32.5 ± 5.1 y), refereeing in Spanish First category (La Liga), Second category, and Second-B category, took part in this study. A bioelectrical impedance analyser (TANITA BC 418-MA) was used to evaluate %BF. A total of four-time-points for 1st category referees and three for all other groups were performed throughout the season. Results: Analysing by category and role, 1st category assistants had the highest %BF in all assessments (p < 0.05). Small variations (around 1%) in %BF within groups were observed across the competitive season. Conclusion: The %BF in elite Spanish referees remains constant, analysing by category, role and age, throughout a competitive season. All groups in this study reported healthy %BF values, between 8 and 14%, which might directly help to achieve the high standards required when refereeing and to improve the level of refereeing in the Spanish leagues
Subject(s)
Humans , Male , Adult , Sports/physiology , Soccer/physiology , Body Composition/physiology , Adipose Tissue , Anthropometry/methods , Body Weights and Measures/statistics & numerical data , Electric ImpedanceSubject(s)
Sarcoidosis/diagnosis , Thoracic Diseases/diagnosis , Age of Onset , Aged , Biomarkers , Biopsy , Diagnosis, Differential , Diagnostic Techniques, Respiratory System , Granuloma/diagnosis , Humans , Mediastinal Diseases/diagnosis , Mediastinal Diseases/epidemiology , Mediastinal Diseases/therapy , Peptidyl-Dipeptidase A/blood , Sarcoidosis/epidemiology , Sarcoidosis/therapy , Sarcoidosis, Pulmonary/diagnosis , Sarcoidosis, Pulmonary/epidemiology , Sarcoidosis, Pulmonary/therapy , Thoracic Diseases/epidemiology , Thoracic Diseases/therapyABSTRACT
No disponible
