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4 results on '"Rodrigo Mata"'

1. Impact of comorbidities on hospital mortality in patients with acute pancreatitis: a population-based study of 110,021 patients

Author

Nils Jimmy Hidalgo, Elizabeth Pando, Rodrigo Mata, Nair Fernandes, Sara Villasante, Marta Barros, Daniel Herms, Laia Blanco, Joaquim Balsells, and Ramon Charco

Subjects
Acute pancreatitis, Hospital mortality, Comorbidity, Charlson index, Elixhauser index, Diseases of the digestive system. Gastroenterology, RC799-869
Abstract

Abstract Background The impact of pre-existing comorbidities on acute pancreatitis (AP) mortality is not clearly defined. Our study aims to determine the trend in AP hospital mortality and the role of comorbidities as a predictor of hospital mortality. Methods We analyzed patients aged ≥ 18 years hospitalized with AP diagnosis between 2016 and 2019. The data have been extracted from the Spanish National Hospital Discharge Database of the Spanish Ministry of Health. We performed a univariate and multivariable analysis of the association of age, sex, and comorbidities with hospital mortality in patients with AP. The role of the Charlson and Elixhauser comorbidity indices as predictors of mortality was evaluated. Results A total of 110,021 patients diagnosed with AP were hospitalized during the analyzed period. Hospital mortality was 3.8%, with a progressive decrease observed in the years evaluated. In multivariable analysis, age ≥ 65 years (OR: 4.11, p 1.5 (OR: 2.03, p 1.5 (OR: 2.71, p

Published
2023
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2. The role of high serum triglyceride levels on pancreatic necrosis development and related complications

Author

Nils Jimmy Hidalgo, Elizabeth Pando, Piero Alberti, Rodrigo Mata, Nair Fernandes, Montse Adell, Sara Villasante, Laia Blanco, Joaquim Balsells, and Ramon Charco

Subjects
Acute pancreatitis, Triglyceride, Pancreatic necrosis, Hypertriglyceridemia, Diseases of the digestive system. Gastroenterology, RC799-869
Abstract

Abstract Background The relevance of elevated serum triglyceride (TG) levels in the early stages of acute pancreatitis (AP) not induced by hypertriglyceridemia (HTG) remains unclear. Our study aims to determine the role of elevated serum TG levels at admission in developing pancreatic necrosis. Methods We analyzed the clinical data collected prospectively from patients with AP. According to TG levels measured in the first 24 h after admission, we stratified patients into four groups: Normal TG (

Published
2023
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3. The role of procalcitonin as a prognostic factor for acute cholangitis and infections in acute pancreatitis: a prospective cohort study from a European single center

Author

Cristina Dopazo, Nils Hidalgo, María José Gomez-Jurado, Ramón Charco, Joaquim Balsells, Elizabeth Pando, P. Alberti, L. Vidal, L. Blanco, Mireia Caralt, Rodrigo Mata, C. Gomez, Nair Fernandes, and Arturo Cirera

Subjects
Calcitonin, medicine.medical_specialty, Cholangitis, Single Center, Procalcitonin, Internal medicine, medicine, Humans, Prospective Studies, Risk factor, Prospective cohort study, Hepatology, Pancreatitis, Acute Necrotizing, business.industry, Incidence (epidemiology), Gastroenterology, Area under the curve, Prognosis, bacterial infections and mycoses, medicine.disease, Anti-Bacterial Agents, C-Reactive Protein, ROC Curve, Concomitant, Acute Disease, Acute pancreatitis, business, Biomarkers, hormones, hormone substitutes, and hormone antagonists
Abstract

Background. Infection in acute pancreatitis will worsen the disease prognosis. The aim of our study was to analyze the role of procalcitonin as a prognostic biomarker for infections and clinical severity. Method. A prospective single-cohort observational study of patients diagnosed of acute pancreatitis (n = 152) was designed. PCT determination was tested on admission (first 72 hours). Infections (biliary, extrapancreatic and infected pancreatic necrosis), need for antibiotics, need for urgent ERCP and severity scores for acute pancreatitis was assessed. ROC curves were designed and the area under the curve was calculated. Logistic regression for multivariate analysis was performed to evaluate the association between procalcitonin optimal cut-off level and major complications. Results. PCT > 0.68mg/dL had higher incidence of global infection, acute cholangitis, bacteraemia, infected pancreatic necrosis, use of antibiotics in general, and need for urgent ERCP. In the multivariate regressions analysis, PCT > 0.68mg/dL at admission demonstrated to be a strong risk factor for complications in acute pancreatitis. Discussion. PCT levels can be used as a reliable laboratory test to predict infections and the clinical severity of acute pancreatitis. High levels of PCT predict antibiotics prescription as well as the need for urgent ERCP in patients with concomitant clinically severe cholangitis.

Published
2022
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4. Management of acute diverticulitis with pericolic free gas (ADIFAS). an international multicenter observational study

Author

Tejedor, Patricia, Pastor, Carlos, Pellino, Gianluca, Di Saverio, Salomone, Gorter-Stam, Marguerite, Sylla, Patricia, Francis, Nader, Javier Tomas Morales-Bernaldo de Quiros, Pablo Hernández Sanz, Carlos, Pastor, Alicia Alvarellos Pérez, Lucía Granero Peiró, Jorge Lucía Granero, Vicente, Simó, Patricia, Tejedor, Luis Miguel Jiménez, Maria Luz Fernández, Vincenzo, Vigorita, Laura Rodríguez Fernández, Marta Paniagua García-Señoráns, Alejandro, Forero, Isabel, Prieto, Beatriz Díaz San Andrés, Luis Asensio Gómez, Fernando, Prieto, Víctor, Turrado, Xavier Morales Sevillano, Felipe García Sánchez, Esther María Cano Pecharromán, Tamara Llamero Sanz, Mercedes Estaire Gómez, Pilar Olivenza Palomar, Manuel Losada Ruiz, Beatriz Diéguez Fernández, Miguel Hernández García, Alfredo Alonso Poza, Ariel Jullien Petrelli, María Labalde Martínez, Ana, Rodríguez, Pablo, Mendendez, Antonio, Navarro-Sánchez, Iván, Soto-Darias, Luis, Sánchez-Guillén, Marina, Bosch-Ramírez, Marta Castro Suárez, Marta Tasende Presedo, Dennis César Lévano-Linares, Silvia, Salvans, Gianluca, Pellino, Eloy, Espín-Basany, Rodrigo, Mata, Carlos, Petrola, Carmen, Cagigas, Rubén Caiña Ruiz, Natalia, Suárez, Tatiana Gómez Sánchez, Eva María Sancho Maraver, Carmen Sánchez de la Orden, Rosalía Velasco López, María, Pelloni, Aida, Rahy-Martin, Juan, Ocaña, Laura Fernández Vega, Álvaro, García-Granero, Natalia Alonso Hernández, Jeancarlos, Trujillo-Díaz, Eduardo de San Pío Carvajal, Elena Sagarra Cebolla, Zahira Gómez Carmona, Cristina Gras Gómez, Núria Mestres Petit, Ruiz de la Hermosa, María Luisa de Fuenmayor Valera, Jesús Bollo Rodríguez, Sabrina, Garbarino, Roberta, Tutino, Marco, Massani, Ugo, Grossi, Nicola, Passuello, Giacomo, Zanus, Gallo, Gaetano, Gilda de Paola, Alice, Frontali, Isabella, Pezzoli, Nicola, Cillara, Antonello, Deserra, Francesca, D’Agostino, Nigri, Giuseppe, Zerunian, Marta, Laghi, Andrea, Emmanuele, Abate, Letizia, Laface, Francesco, Roscio, CLERICI BAGOZZI, Federico, Marco Vito Marino, Martina de Leonardis, Lodovico, Sartarelli, Mauro, Montuori, Enrico, Pinotti, Gian Marco Palini, Caterina, Marietta, Pietro, Schettino, Giovanni, Romano, Alan, Biloslavo, Giada, Aizza, Nicolò, Tamini, Mauro, Podda, Giuseppe, Esposito, Grande, Michele, Michela, Campanelli, Leandro, Siragusa, Lapolla, Pierfrancesco, Mingoli, Andrea, Brachini, Gioia, Paola De Nardi, Giaime Gonario Arru, Chiarugi, Massimo, Dario, Tartaglia, Enrico, Cicuttin, Federico, Coccolini, Mauro, Zago, Morena, Burati, Ludovica, Gibelli, Matteo, Runfola, Matteo, Palmeri, Matteo, Bianchini, Alfredo, Annicchiarico, Mario, Giuffrida, Fausto, Catena, Gennaro, Perrone, Mansoor, Khan, Qurrat Al Ain Atif, George, Davis, Hamid, Joseph, Garvin, Sharjeel, H Paul, Hamid, Mustafa, James, Byrne, Ata, Khan, Nicolas, Avellaneda, Augusto, Carrie, German, Espil, Elgun, Samadov, Arturan, Ibrahimli, Semra Demirli Atici, Sinue, Cázarez-Huazano, Oscar, Santes, Noel, Salgado-Nesme, Jorge Luis Aguilar Frasco, Zoe, Garoufalia, Nikolaos, Nikiteas, Jurij Aleš Košir, and Jan, Grosek

Subjects
surgery, diverticulitis, nonoperative management, diverticular disease, complication, diverticulosis
Published
2023

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