The RICA-2 registry: design and baseline characteristics of the first 1,000 patients.

BACKGROUND AND OBJECTIVE: Heart failure (HF) is a syndrome of epidemic proportions and one of the main reasons for hospital admission. Patient registries provide real-world clinical practice information which is complementary to clinical trials. RICA-2 is a registry of the Spanish Society of Internal Medicine. Its main goal is to know the clinical and epidemiological characteristics and prognostic factors of patients with HF treated in Internal Medicine Departments. The objective of this study is to present the design of the RICA-2, the baseline characteristics of the first 1000 patients included and their comparison with those of the historical cohort of the RICA registry. METHODS: Observational, multicentre and prospective study of patients with HF with the following inclusion criteria: age equal to or greater than 18 years old, diagnosis of HF according to the European Guidelines, indistinct inclusion in decompensation or stable phase, of patients with "de novo" HF or chronic HF, regardless of left ventricular ejection fraction, aetiology and comorbidities. RESULTS: RICA-2 patients have advanced age (83 years old) and 51% are women. The comorbidity burden is higher than in the RICA registry (5 points in the Charlson comorbidity index), with predominating chronic decompensated HF (74%), hypertensive aetiology (39%) and preserved ejection fraction (52%). Most patients are pre-frail or vulnerable and are at risk of malnutrition. CONCLUSION: the RICA-2 represents a contemporary cohort of patients that will provide us with clinical, epidemiological and prognostic information on patients with acute and chronic HF treated in Internal Medicine.

Perceptual accuracy as measured by the Rorschach: are American norms applicable for cross-cultural assessment?

Cross-cultural applications of Rorschach's test assume that American norms may be applied, but this assumption has little empirical basis. In fact, several such investigations have indicated that culture-specific norms must be employed on key variables employed to assess subjects' perceptual accuracy. The current study compared responses of 19 Spanish children who scored low on a reading measure and were considered by their teachers to experience significant reading problems with 19 peers who scored significantly higher on that reading measure and who experienced no apparent reading problems. Perceptual accuracy of both groups, as measured by the F+ and X+ percents, was virtually identical. Results are discussed in the context of other research which has questioned the cross-cultural applicability of American norms with respect to perceptual accuracy.