Please cite this article in press as: Atehortúa-López LH, et al. Effects of hypertonic saline vs ... more Please cite this article in press as: Atehortúa-López LH, et al. Effects of hypertonic saline vs normal saline in lactate depuration after cardiovascular surgery. Arch Cardiol Mex. 2017. http://dx.doi.org/10.1016/j.acmx.2017.02.004
Introducción: la depresión es la principal causa de discapacidad y de suicidio a nivel mundial, s... more Introducción: la depresión es la principal causa de discapacidad y de suicidio a nivel mundial, se ha relacionado con diferentes patologías. Al menos el 65% de los pacientes con infarto agudo al miocardio (IAM) experimentan síntomas depresivos y 15 a 20% son diagnosticados con depresión mayor. No se conoce en el medio la prevalencia de depresión luego de IAM. Objetivos: estimar la prevalencia de depresión posterior a un episodio de IAM en tres hospitales de la ciudad de Cartagena, Colombia y describir la severidad de la depresión, el riesgo de complicaciones del IAM por medio del score GRACE y la morbimortalidad intrahospitalaria. Metodología: estudio descriptivo donde se evaluaron 76 pacientes que ingresaron a las siguientes instituciones: Clínica Universitaria San Juan de Dios, Hospital Universitario del Caribe y Nuevo Hospital Bocagrande, con diagnóstico de IAM desde octubre 2011 hasta junio 2012. A los participantes se les aplicó la escala HADS y el test de Zung para evaluar presencia de depresión. De las historias clínicas se obtuvieron los datos sociodemográficos, el examen físico y de laboratorio al igual que información sobre complicaciones intrahospitalarias. Se calculó la puntuación del score de riesgo de GRACE. Resultados: con el Test de Zung se encontró prevalencia del 79.0% de depresión. 18.4% de los pacientes sin depresión, 48.7% con depresión leve, 25.0% depresión moderada y 5.3% depresión grave. Con la escala HADS se estableció 10.5% de presencia de depresión. 19.7% sintomatología probable de depresión y 69.7% sin depresión. Entre los paciente que tuvieron score de riesgo de GRACE alto, el 84.4% presentó depresión según escala de Zung y el 12.5% según escala de HADS. Conclusión: la alta prevalencia encontrada de depresión, puede obedecer a que los pacientes con IAM reúnen factores de riesgo para depresión: edad avanzada, inactividad laboral y deterioro de la salud. Rev.cienc.biomed. 2013;4(1):42-53
Objective: The purpose of this research was to evaluate the discrimination and calibration of mor... more Objective: The purpose of this research was to evaluate the discrimination and calibration of mortality prediction of Simplified Acute Physiology Score 2, Simplified Acute Physiology Score 3, Mortality Probability Model II, and Mortality Probability Model III in peripartum women. Design: A retrospective cohort study.
International Journal of Gynecology & Obstetrics, 2013
Objective: To determine whether healthcare providers performed active management of the third sta... more Objective: To determine whether healthcare providers performed active management of the third stage of labor (AMTSL) as defined by FIGO/ICM and WHO, and as described by the Cochrane Collaboration. Methods: In a prospective observational study, a questionnaire regarding knowledge of AMTSL was administered to healthcare providers in the largest maternity teaching center in Colombia. It was subsequently observed whether and how the healthcare providers performed AMTSL in practice. The percentage of correct use of AMTSL was calculated. Results: Healthcare providers indicated they knew what AMTSL was but disagreed on the timing of prophylactic oxytocin use. In total, 241 deliveries were observed. Oxytocin at varying doses and routes was used in 239 (99.2%) deliveries. In all deliveries, the umbilical cord was clamped early. In 49 (20.3%) deliveries, controlled cord traction was performed. Uterine massage was carried out in 213 (88.4%) deliveries. According to the FIGO/ICM and WHO definitions, and the Cochrane Collaboration description, correct use of AMTSL occurred in 0.8%, 0.0%, and 8.3%, of cases, respectively. Conclusion: Correct use of AMTSL is low at the largest maternity teaching center in Colombia. There is an urgent need for a single definition of AMTSL, which could be used globally for research, training, and scaling-up the performance of AMTSL.
Objective: The purpose of this research was to evaluate the discrimination and calibration of mor... more Objective: The purpose of this research was to evaluate the discrimination and calibration of mortality prediction of Simplified Acute Physiology Score 2, Simplified Acute Physiology Score 3, Mortality Probability Model II, and Mortality Probability Model III in peripartum women. Design: A retrospective cohort study.
Objective: The purpose of this research was to evaluate the discrimination and calibration of mor... more Objective: The purpose of this research was to evaluate the discrimination and calibration of mortality prediction of Simplified Acute Physiology Score 2, Simplified Acute Physiology Score 3, Mortality Probability Model II, and Mortality Probability Model III in peripartum women. Design: A retrospective cohort study.
Please cite this article in press as: Atehortúa-López LH, et al. Effects of hypertonic saline vs ... more Please cite this article in press as: Atehortúa-López LH, et al. Effects of hypertonic saline vs normal saline in lactate depuration after cardiovascular surgery. Arch Cardiol Mex. 2017. http://dx.doi.org/10.1016/j.acmx.2017.02.004
Introducción: la depresión es la principal causa de discapacidad y de suicidio a nivel mundial, s... more Introducción: la depresión es la principal causa de discapacidad y de suicidio a nivel mundial, se ha relacionado con diferentes patologías. Al menos el 65% de los pacientes con infarto agudo al miocardio (IAM) experimentan síntomas depresivos y 15 a 20% son diagnosticados con depresión mayor. No se conoce en el medio la prevalencia de depresión luego de IAM. Objetivos: estimar la prevalencia de depresión posterior a un episodio de IAM en tres hospitales de la ciudad de Cartagena, Colombia y describir la severidad de la depresión, el riesgo de complicaciones del IAM por medio del score GRACE y la morbimortalidad intrahospitalaria. Metodología: estudio descriptivo donde se evaluaron 76 pacientes que ingresaron a las siguientes instituciones: Clínica Universitaria San Juan de Dios, Hospital Universitario del Caribe y Nuevo Hospital Bocagrande, con diagnóstico de IAM desde octubre 2011 hasta junio 2012. A los participantes se les aplicó la escala HADS y el test de Zung para evaluar presencia de depresión. De las historias clínicas se obtuvieron los datos sociodemográficos, el examen físico y de laboratorio al igual que información sobre complicaciones intrahospitalarias. Se calculó la puntuación del score de riesgo de GRACE. Resultados: con el Test de Zung se encontró prevalencia del 79.0% de depresión. 18.4% de los pacientes sin depresión, 48.7% con depresión leve, 25.0% depresión moderada y 5.3% depresión grave. Con la escala HADS se estableció 10.5% de presencia de depresión. 19.7% sintomatología probable de depresión y 69.7% sin depresión. Entre los paciente que tuvieron score de riesgo de GRACE alto, el 84.4% presentó depresión según escala de Zung y el 12.5% según escala de HADS. Conclusión: la alta prevalencia encontrada de depresión, puede obedecer a que los pacientes con IAM reúnen factores de riesgo para depresión: edad avanzada, inactividad laboral y deterioro de la salud. Rev.cienc.biomed. 2013;4(1):42-53
Objective: The purpose of this research was to evaluate the discrimination and calibration of mor... more Objective: The purpose of this research was to evaluate the discrimination and calibration of mortality prediction of Simplified Acute Physiology Score 2, Simplified Acute Physiology Score 3, Mortality Probability Model II, and Mortality Probability Model III in peripartum women. Design: A retrospective cohort study.
International Journal of Gynecology & Obstetrics, 2013
Objective: To determine whether healthcare providers performed active management of the third sta... more Objective: To determine whether healthcare providers performed active management of the third stage of labor (AMTSL) as defined by FIGO/ICM and WHO, and as described by the Cochrane Collaboration. Methods: In a prospective observational study, a questionnaire regarding knowledge of AMTSL was administered to healthcare providers in the largest maternity teaching center in Colombia. It was subsequently observed whether and how the healthcare providers performed AMTSL in practice. The percentage of correct use of AMTSL was calculated. Results: Healthcare providers indicated they knew what AMTSL was but disagreed on the timing of prophylactic oxytocin use. In total, 241 deliveries were observed. Oxytocin at varying doses and routes was used in 239 (99.2%) deliveries. In all deliveries, the umbilical cord was clamped early. In 49 (20.3%) deliveries, controlled cord traction was performed. Uterine massage was carried out in 213 (88.4%) deliveries. According to the FIGO/ICM and WHO definitions, and the Cochrane Collaboration description, correct use of AMTSL occurred in 0.8%, 0.0%, and 8.3%, of cases, respectively. Conclusion: Correct use of AMTSL is low at the largest maternity teaching center in Colombia. There is an urgent need for a single definition of AMTSL, which could be used globally for research, training, and scaling-up the performance of AMTSL.
Objective: The purpose of this research was to evaluate the discrimination and calibration of mor... more Objective: The purpose of this research was to evaluate the discrimination and calibration of mortality prediction of Simplified Acute Physiology Score 2, Simplified Acute Physiology Score 3, Mortality Probability Model II, and Mortality Probability Model III in peripartum women. Design: A retrospective cohort study.
Objective: The purpose of this research was to evaluate the discrimination and calibration of mor... more Objective: The purpose of this research was to evaluate the discrimination and calibration of mortality prediction of Simplified Acute Physiology Score 2, Simplified Acute Physiology Score 3, Mortality Probability Model II, and Mortality Probability Model III in peripartum women. Design: A retrospective cohort study.
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