ABSTRACT
Improved technology facilitates the acceptance of telemedicine. The aim was to analyze the effectiveness of telephone follow-up to detect severe SARS-CoV-2 cases that progressed to pneumonia. A prospective cohort study with 2-week telephone follow-up was carried out March 1 to May 4, 2020, in a primary healthcare center in Barcelona. Individuals aged ≥15 years with symptoms of SARS-CoV-2 were included. Outpatients with non-severe disease were called on days 2, 4, 7, 10 and 14 after diagnosis; patients with risk factors for pneumonia received daily calls through day 5 and then the regularly scheduled calls. Patients hospitalized due to pneumonia received calls on days 1, 3, 7 and 14 post-discharge. Of the 453 included patients, 435 (96%) were first attended to at a primary healthcare center. The 14-day follow-up was completed in 430 patients (99%), with 1798 calls performed. Of the 99 cases of pneumonia detected (incidence rate 20.8%), one-third appeared 7 to 10 days after onset of SARS-CoV-2 symptoms. Ten deaths due to pneumonia were recorded. Telephone follow-up by a primary healthcare center was effective to detect SARS-CoV-2 pneumonias and to monitor related complications. Thus, telephone appointments between a patient and their health care practitioner benefit both health outcomes and convenience.
ABSTRACT
Objetivo: Conocer el estado nutricional de los pacientes con Insuficiencia cardiaca (IC) y/o Enfermedad pulmonar obstructiva crónica (EPOC) atendidos en un centro de atención primaria de la ciudad de Barcelona y describir las características clínicas y sociodemográficas que puedan tener relación con el estado nutricional.Método: Estudio descriptivo transversal, durante los meses del 2014. En las visitas realizadas por enfermería, se recogieron las siguientes variables: en el caso de la IC grado de funcionalidad mediante la escala NYHA, en el caso de la EPOC, Grado de disnea mediante la escala BMRC. En ambos se determina el IMC, se administra la escala MNA, se valora el nivel de actividad física y la calidad de vida a través de la escala EQ-5D.Resultado: De los 192 participantes, el 59,4% eran Hombres y la media de edad de 77,64 años(ds10,12). De las enfermedades estudiadas el 40,1% eran IC, el 45,8% EPOC y ambas enfermedades el 14,1%. El riesgo de malnutrición fue del 11,4% de las personas con EPOC, el 16,9% de las personas con IC y el 33,3% de las personas con ambas patologías.(P 0,028)Al hacer la regresión logística con el resto de variables, el único factor asociado es el sexo, obteniendo los Hombres un OR 3 (1,008-8,95).Conclusiones El estado nutricional empeora cuando se padecen las dos patologías de manera concomitante.En la malnutrición o en el riesgo de padecerla, el sexo juega un papel muy importante
Targets: To know the nutritional status in patients with heart failure (HF) and with chronic obstructive pulmonary disease (COPD), cared in a Barcelona's primary health center and to describe the clinical and socio-demographic characteristics which may be related with the nutritional status.Method: A transversal descriptive study was performed during de year 2014. In nursing visits the following variables were collected: in HF patients, levels of functionality based in NYHA scale, in COPD patients, dyspnea grade based in BMRC scale. In both cases the body mass index (BMI) was determined; MNA scale is used, and also the physical activity and quality of life is evaluated by the EQ-5D scale.Results: Of the 192 participants, 59, 4% were men and had a mean age of 77, 64 years (ds10, 12. Of the studied diseases, 40, 1% were HF, 45, 8% COPD and 14, 1% both diseases). The risk of malnutrition was 11, 4% in COPD patients, 16, and 9% in people with HF and 33, 3% in both HF and COPD patients. (P 0,028)With the logistic regression with the other variables, the only associated factor was gender, having men an OR 3 (1,008-8, 95)Conclusions: The nutritional status gets worse in people with both pathologies in concomitantly way. Gender plays a crucial role in malnutrition or risk of the disease
Subject(s)
Humans , Male , Female , Aged , Aged, 80 and over , Pulmonary Disease, Chronic Obstructive/complications , Heart Failure/complications , Nutrition Disorders/epidemiology , Nutrition Assessment , Nutritional Status , Malnutrition/nursing , Quality of Life/psychology , Sickness Impact Profile , Symptom Flare Up , Cross-Sectional StudiesABSTRACT
BACKGROUND AND OBJECTIVE: The coronary risk (CR) is a good approximation of the global cardiovascular risk (GCR). Multiplying the CR per 1.3 we obtain the GCR, but we don't know if it is certain in our country. PATIENTS AND METHOD: Prospective cohort study with 851 patients of ages between 35-74 years old, without cardiovascular disease and followed during 5 years. CR include myocardial ischemia (angor pectoris or myocardial infarction). GCR include CR, cerebrovascular disease, and peripheral vascular disease. RESULTS: We registered 21 myocardial ischemia cases, 15 cerebrovascular disease cases and 8 peripheral vascular disease cases. The accumulated incidence was: 2.5% for CR and 5.2% for GCR (difference 2.7%; 95% confidence interval for the difference 0.9-4.6%; p < 0.05). To estimated GCR we should multiple CR per 2.1. CONCLUSIONS: CR is not a good approximation of GCR. We need to developed equation that include not only CR but also GCR.
Subject(s)
Cardiovascular Diseases/epidemiology , Heart Diseases/epidemiology , Adult , Aged , Cohort Studies , Female , Humans , Male , Middle Aged , Risk AssessmentABSTRACT
Fundamento y objetivo: Se considera que el riesgo coronario (RC) es una buena aproximación al riesgo cardiovascular global (RCG). Si se multiplica el RC por 1,3, se obtendría el RCG, pero desconocemos si esto es cierto en España. Pacientes y método: Estudio de cohorte prospectiva, con 851 pacientes de 35-74 años sin enfermedades cardiovasculares, seguidos durante 5 años. El RC incluyó la cardiopatía isquémica (angina o infarto agudo de miocardio) y el RCG, el RC más la enfermedad cerebrovascular y la arteriopatía periférica de extremidades inferiores. Resultados: Se registró 21 casos de cardiopatía isquémica, 15 de enfermedad cerebrovascular y 8 de arteriopatía periférica. La incidencia acumulada fue del 2,5% para el RC y el 5,2% para el RCG (diferencia del 2,7%; intervalo de confianza del 95% de la diferencia, 0,9-4,6%; p < 0,05). Para estimar el RCG tendríamos que multiplicar el RC por 2,1. Conclusiones: El RC no es una buena aproximación al RCG. Es preciso desarrollar ecuaciones que incluyan el RCG y no sólo el RC
Background and objective: The coronary risk (CR) is a good approximation of the global cardiovascular risk (GCR). Multiplying the CR per 1.3 we obtain the GCR, but we don't know if it is certain in our country. Patients and method: Prospective cohort study with 851 patients of ages between 35-74 years old, without cardiovascular disease and followed during 5 years. CR include myocardial ischemia (angor pectoris or myocardial infarction). GCR include CR, cerebrovascular disease, and peripheral vascular disease. Results: We registered 21 myocardial ischemia cases, 15 cerebrovascular disease cases and 8 peripheral vascular disease cases. The accumulated incidence was: 2.5% for CR and 5.2% for GCR (difference 2.7%; 95% confidence interval for the difference 0.9-4.6%; p < 0.05). To estimated GCR we should multiple CR per 2.1. Conclusions: CR is not a good approximation of GCR. We need to developed equation that include not only CR but also GCR
Subject(s)
Male , Female , Adult , Aged , Middle Aged , Humans , Risk Adjustment/methods , Coronary Disease/epidemiology , Cardiovascular Diseases/epidemiology , Myocardial Ischemia/epidemiology , Cerebrovascular Disorders/epidemiology , Peripheral Vascular Diseases/epidemiology , Cohort StudiesABSTRACT
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Subject(s)
Child , Female , Humans , Needles , Arthritis, Infectious , Combined Modality Therapy , Amoxicillin , Elbow Joint , Foreign Bodies , Drug Therapy, Combination , Clavulanic AcidABSTRACT
La carrera de enfermeria de la Universidad Tecnica del Beni firmo el convenio de proceso de cambio curricular materno infantil, Bolivia tiene en su cituación de salud una esperanza de vida que apenas alcanza a 48 años población predominante joven, tasa de mortalidad infantil de 102 por 1000 una de las mayores de Latino America, tasa de mortalidad materna que alcanza a 48 por 10000, por causas eminentemente prevenibles por inmunización...
