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4. A multidisciplinary program based on early care in a day hospital after heart failure hospitalizations. Reduction of 30-day readmissions in patients discharged from cardiology departments

Author

Vaqueriza Cubillo, D, primary, Dominguez Munoa, M, additional, Beltran Herrera, C, additional, Gomez Mariscal, E, additional, Suberviola Sanchez-Caballero, V, additional, Martinez Losas, P, additional, Cortes Beringola, A, additional, Nogales Romo, M T, additional, Giganto Arroyo, M L, additional, Cano Moracho, J M, additional, Gomez Alvarez, Z, additional, Cortina Camarero, C, additional, Briongos Figuero, S, additional, Estevez Paniagua, A, additional, and Munoz Aguilera, R, additional

Published
2022
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5. A multidisciplinary program based on early follow-up in a day hospital after heart failure hospitalizations. Reduction of 30-day readmissions in a population analysis over a 6-year period

Author

Vaqueriza Cubillo, D, primary, Beltran Herrera, C, additional, Dominguez Munoa, M, additional, Suberviola Sanchez-Caballero, V, additional, Gomez Mariscal, E, additional, Briongos Figuero, S, additional, Estevez Paniagua, A, additional, Sanchez Hernandez, A, additional, Cortina Camarero, C, additional, Sarrion Catala, M, additional, Jimenez Loeches, S, additional, Mora Yague, L, additional, Giganto Arroyo, M L, additional, Cano Moracho, J M, additional, and Munoz Aguilera, R, additional

Published
2022
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8. Early follow-up in the cardiological day hospital after heart surgery. Impact on hospital readmissions and emergency room visits

Author

Vaqueriza Cubillo, D, primary, Gomez Mariscal, E, additional, Dominguez Munoa, M, additional, Beltran Herrera, C, additional, Suberviola Sanchez-Caballero, V, additional, Cano Moracho, J.M, additional, Giganto Arroyo, M.L, additional, Mora Yague, L, additional, Jimenez Loeches, S, additional, Sarrion Catala, M.M, additional, Cortina Camarero, C, additional, Cortes Beringola, A, additional, Gonzalez Pinto, A, additional, Cuerpo Caballero, G, additional, and Munoz Aguilera, R, additional

Published
2021
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9. Incidence of Thromboembolic Events in Cancer Hospitalized Patients With COVID-19

Author

Rogado, Jacobo, primary, Obispo, Berta, additional, Muñoz-Rivas, Nuria, additional, Lara, Miguel Angel, additional, Mestre-Gómez, B., additional, Lorente-Ramos, R.M., additional, Rogado, J., additional, Franco-Moreno, A., additional, Obispo, B., additional, Salazar-Chiriboga, D., additional, Saez-Vaquero, T., additional, Torres-Macho, J., additional, Abad-Motos, A., additional, Cortina-Camarero, C., additional, Such-Diaz, A., additional, Ruiz-Velasco, E., additional, Muñoz-Rivas, N., additional, Sierra-Hidalgo, F., additional, Moya-Mateo, E., additional, de Carranza-López, M., additional, Herrera-Morueco, M.A., additional, Akasbi-Montalvo, M., additional, Pardo-Guimerá, V., additional, Medrano-Izquierdo, P., additional, Mariscal-Gómez, E., additional, Marín-Mori, K., additional, Figueras-González, C., additional, López-Lallave, S., additional, Díaz-Díaz, D., additional, Mauleón-Fernández, C., additional, Martín-Navarro, J., additional, Torres-Rubio, P., additional, Matesanz, C., additional, Moro-Alvarez, M.J., additional, Bustamante-Fermosel, A., additional, and Hernández-Rivas, J.A., additional

Published
2021
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10. Incidence of pulmonary embolism in non-critically ill COVID-19 patients. Predicting factors for a challenging diagnosis

Author

Mestre-Gómez, B., Lorente-Ramos, R. M., Rogado, J., Franco-Moreno, A., Obispo, B., Salazar-Chiriboga, D., Saez-Vaquero, T., Torres-Macho, J., Abad-Motos, A., Cortina-Camarero, C., Such-Diaz, A., Ruiz-Velasco, E., Churruca-Sarasqueta, J., Muñoz-Rivas, N., Sierra-Hidalgo, F., Moya-Mateo, E., de Carranza-López, M., Herrera-Moroueco, M. A., Akasbi-Montalvo, M., Pardo-Guimerá, V., Medrano-Izquierdo, P., Mariscal-Gómez, E., Marín-Mori, K., Figueras-González, C., López-Lallave, S., Díaz-Díaz, D., Mauleón-Fernández, C., Martín-Navarro, J., Torres-Rubio, P., Matesanz, C., Moro-Alvarez, M. J., Bustamante-Fermosel, A., and Hernández-Rivas, J. S. A.

Subjects
Male, medicine.medical_specialty, Computed Tomography Angiography, medicine.drug_class, Low molecular weight heparin, 030204 cardiovascular system & hematology, Thrombophilia, Chemoprevention, Article, Fibrin Fibrinogen Degradation Products, 03 medical and health sciences, 0302 clinical medicine, Internal medicine, Pulmonary angiography, Electronic Health Records, Humans, Medicine, Cumulative incidence, 030212 general & internal medicine, Lung, Computed tomography angiography, Antithrombotic therapy, medicine.diagnostic_test, SARS-CoV-2, business.industry, Incidence, Incidence (epidemiology), Pulmonary embolism, COVID-19, Anticoagulants, Hematology, Middle Aged, medicine.disease, COVID-19 Drug Treatment, Computed tomography pulmonary angiography, Causality, Hospitalization, Spain, Hypercoagulable state, Female, business, Cardiology and Cardiovascular Medicine, Dyslipidemia
Abstract

Recent studies suggest that thrombotic complications are a common phenomenon in the novel SARS-CoV-2 infection. The main objective of our study is to assess cumulative incidence of pulmonary embolism (PE) in non critically ill COVID-19 patients and to identify its predicting factors associated to the diagnosis of pulmonary embolism. We retrospectevely reviewed 452 electronic medical records of patients admitted to Internal Medicine Department of a secondary hospital in Madrid during Covid 19 pandemic outbreak. We included 91 patients who underwent a multidetector Computed Tomography pulmonary angiography(CTPA) during conventional hospitalization. The cumulative incidence of PE was assessed ant the clinical, analytical and radiological characteristics were compared between patients with and without PE. PE incidence was 6.4% (29/452 patients). Most patients with a confirmed diagnosed with PE recieved low molecular weight heparin (LMWH): 79.3% (23/29). D-dimer peak was significatly elevated in PE vs non PE patients (14,480 vs 7230 mcg/dL, p = 0.03). In multivariate analysis of patients who underwent a CTPA we found that plasma D-dimer peak was an independen predictor of PE with a best cut off point of > 5000 µg/dl (OR 3.77; IC95% (1.18–12.16), p = 0.03). We found ninefold increased risk of PE patients not suffering from dyslipidemia (OR 9.06; IC95% (1.88–43.60). Predictive value of AUC for ROC is 75.5%. We found a high incidence of PE in non critically ill hospitalized COVID 19 patients despite standard thromboprophylaxis. An increase in D-dimer levels is an independent predictor for PE, with a best cut-off point of > 5000 µg/ dl.

Published
2020
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13. Increased Incidence of In-Hospital Ischemic Stroke During SARS-CoV-2 Outbreak: A Single-Center Study.

Author

Sierra-Hidalgo, Fernando, Aragón Revilla, Esther, Arranz García, Paz, Martínez-Acebes, Eva, Gómez-Moreno, Sonia Mayra, Muñoz-Rivas, Nuria, Esquivel López, Alberto, the Infanta Leonor Thrombosis Research Group, Mestre-Gómez, B., Lorente-Ramos, R. M., Rogado, J., Franco-Moreno, A., Obispo, B., Salazar-Chiriboga, D., Sáez-Vaquero, T., Torres-Macho, J., Abad-Motos, A., Cortina-Camarero, C., Such-Díaz, A., and Ruiz-Velasco, E.

Subjects
CORONAVIRUS diseases, ISCHEMIC stroke, SARS-CoV-2, COVID-19, VIRUS diseases, POISSON regression
Abstract

Background: Meta-analyses of observational studies report a 1.1–1.7% pooled risk of stroke among patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection requiring hospitalization, but consultations for stroke and reperfusion procedures have decreased during the outbreak that occurred during the first half of the year 2020. It is still unclear whether a true increase in the risk of stroke exists among patients with coronavirus disease 2019 (COVID-19). In-hospital ischemic stroke (IHIS) complicated the 0.04–0.06% of all admissions in the pre-COVID-19 era, but its incidence has not been assessed among inpatients with COVID-19. We aimed to compare IHIS incidence among patients with SARS-CoV-2 infection with that of inpatients with non-COVID-19 illnesses from the same outbreak period and from previous periods. Methods: This historical cohort study belongs to the COVID-19@Vallecas cohort. The incidence of IHIS was estimated for patients with SARS-CoV-2 hospitalized during March–April 2020 [COVID-19 cohort (CC)], for patients with non-COVID-19 medical illness hospitalized during the same outbreak period [2020 non-COVID-19 cohort (20NCC)], and for inpatients with non-COVID-19 illness admitted during March–April of the years 2016–2019 [historical non-COVID-19 cohort (HNCC)]. Unadjusted risk of IHIS was compared between the three cohorts, and adjusted incidence rate ratio (IRR) of IHIS between cohorts was obtained by means of Poisson regression. Results: Overall, 8126 inpatients were included in this study. Patients in the CC were younger and more commonly men than those from the HNCC and 20NCC. Absolute risk of IHIS was 0.05% for HNCC, 0.23% for 20NCC, and 0.36% for CC, (p = 0.004 for HNCC vs. CC). Cumulative incidence for IHIS by day nine after admission, with death as a competing risk, was 0.09% for HNCC, 0.23% for 20NCC, and 0.50% for CC. In an adjusted Poisson regression model with sex, age, needing of intensive care unit admission, and cohort (HNCC as reference) as covariates, COVID-19 was an independent predictor for IHIS (IRR 6.76, 95% confidence interval 1.66–27.54, p = 0.01). A nonsignificant increase in the risk of IHIS was observed for the 20NCC (IRR 5.62, 95% confidence interval 0.93–33.9, p = 0.06). Conclusions: SARS-CoV-2 outbreak was associated with an increase in the incidence of IHIS when compared with inpatients from a historical cohort. Viral infection itself may be related to the increased risk of IHIS among patients with COVID-19, but in view of our results from the 20NCC, it is likely that other factors, such as hospital saturation and overwhelming of health systems, may have played a role in the increased frequency of IHIS. [ABSTRACT FROM AUTHOR]

Published
2022
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24. Incidence of Thromboembolic Events in Cancer Hospitalized Patients With COVID-19

Author

Mestre-Gómez, B., Lorente-Ramos, R.M., Rogado, J., Franco-Moreno, A., Obispo, B., Salazar-Chiriboga, D., Saez-Vaquero, T., Torres-Macho, J., Abad-Motos, A., Cortina-Camarero, C., Such-Diaz, A., Ruiz-Velasco, E., Muñoz-Rivas, N., Sierra-Hidalgo, F., Moya-Mateo, E., de Carranza-López, M., Herrera-Morueco, M.A., Akasbi-Montalvo, M., Pardo-Guimerá, V., Medrano-Izquierdo, P., Mariscal-Gómez, E., Marín-Mori, K., Figueras-González, C., López-Lallave, S., Díaz-Díaz, D., Mauleón-Fernández, C., Martín-Navarro, J., Torres-Rubio, P., Matesanz, C., Moro-Alvarez, M.J., Bustamante-Fermosel, A., Hernández-Rivas, J.A., Rogado, Jacobo, Obispo, Berta, Muñoz-Rivas, Nuria, and Lara, Miguel Angel

Published
2021
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25. Incidence of pulmonary embolism in non-critically ill COVID-19 patients. Predicting factors for a challenging diagnosis.

Author

Mestre-Gómez, B., Lorente-Ramos, R. M., Rogado, J., Franco-Moreno, A., Obispo, B., Salazar-Chiriboga, D., Saez-Vaquero, T., Torres-Macho, J., Abad-Motos, A., Cortina-Camarero, C., Such-Diaz, A., Ruiz-Velasco, E., Churruca-Sarasqueta, J., Muñoz-Rivas, N., Infanta Leonor Thrombosis Research Group, Sierra-Hidalgo, F., Moya-Mateo, E., de Carranza-López, M., Herrera-Moroueco, M. A., and Akasbi-Montalvo, M.

Abstract

Recent studies suggest that thrombotic complications are a common phenomenon in the novel SARS-CoV-2 infection. The main objective of our study is to assess cumulative incidence of pulmonary embolism (PE) in non critically ill COVID-19 patients and to identify its predicting factors associated to the diagnosis of pulmonary embolism. We retrospectevely reviewed 452 electronic medical records of patients admitted to Internal Medicine Department of a secondary hospital in Madrid during Covid 19 pandemic outbreak. We included 91 patients who underwent a multidetector Computed Tomography pulmonary angiography(CTPA) during conventional hospitalization. The cumulative incidence of PE was assessed ant the clinical, analytical and radiological characteristics were compared between patients with and without PE. PE incidence was 6.4% (29/452 patients). Most patients with a confirmed diagnosed with PE recieved low molecular weight heparin (LMWH): 79.3% (23/29). D-dimer peak was significatly elevated in PE vs non PE patients (14,480 vs 7230 mcg/dL, p = 0.03). In multivariate analysis of patients who underwent a CTPA we found that plasma D-dimer peak was an independen predictor of PE with a best cut off point of > 5000 µg/dl (OR 3.77; IC95% (1.18–12.16), p = 0.03). We found ninefold increased risk of PE patients not suffering from dyslipidemia (OR 9.06; IC95% (1.88–43.60). Predictive value of AUC for ROC is 75.5%. We found a high incidence of PE in non critically ill hospitalized COVID 19 patients despite standard thromboprophylaxis. An increase in D-dimer levels is an independent predictor for PE, with a best cut-off point of > 5000 µg/ dl. [ABSTRACT FROM AUTHOR]

Published
2021
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30. Nutrición enteral domiciliaria (NED): registro nacional 2000.

Author

Alimentació, Nutrició, Creixement i Salut Mental, Departament de Bioquímica i Biotecnologia, Universitat Rovira i Virgili, J. Salas; M. Planas; M. Castellá; P. P. García Luna; J. Chamorro; C. Gómez Candela; M. D. Carbonell; J. A. Irles; M. Jiménez; E. Morejón; A. Pérez de la Cruz; M.ª A. Bobis; A. Rodríguez Pozo; G. Adrio; A. J. Calañas; P. Gómez Enterría; A. Mancha; E. Martí Bonmatí; I. Martínez; A. Celador; E. Camarero; C. Tusón; J. A. Carrera; Grupo NADYA-SENPE, Alimentació, Nutrició, Creixement i Salut Mental, Departament de Bioquímica i Biotecnologia, Universitat Rovira i Virgili, and J. Salas; M. Planas; M. Castellá; P. P. García Luna; J. Chamorro; C. Gómez Candela; M. D. Carbonell; J. A. Irles; M. Jiménez; E. Morejón; A. Pérez de la Cruz; M.ª A. Bobis; A. Rodríguez Pozo; G. Adrio; A. J. Calañas; P. Gómez Enterría; A. Mancha; E. Martí Bonmatí; I. Martínez; A. Celador; E. Camarero; C. Tusón; J. A. Carrera; Grupo NADYA-SENPE

Abstract

Objetivo: Un año más, el Grupo de Trabajo NADYASENPE, presenta el análisis del registro de los pacientes con Nutrición Enteral Domiciliaria (NED) de nuestro país correspondiente al año 2000. Material y métodos: La información se ha recogido en un cuestionario cerrado incluido en nuestra página web (www.nadya-senpe.com). Este formulario incluye datos epidemiológicos, indicación del motivo de este tratamiento, pauta de tratamiento y vía de acceso, complicaciones y hospitalizaciones, seguimiento de los pacientes, calidad de vida y evolución. Los datos son procesados y analizados por el equipo coordinador. Resultados: Se han registrado datos de 22 hospitales que representan un total de 2.986 pacientes analizados, con una edad media de 65,1 ± 19,7 años. Predominio de pacientes con alteraciones neurológicas (41,2%), seguidos de los neoplásicos (33,3%). El tiempo medio de NED fue 6,3 ± 4,4 meses. Se observó una elevada prevalencia de la vía oral (50,8%), seguido de la administración a través de sonda nasogástrica (SNG) (30,5%), siendo el porcentaje de ostomías de un 17,4%. La fórmula polimérica fue la más utilizada en un 83,2%. Los pacientes fueron controlados, mayoritariamente, por la unidad de nutrición de su hospital de referencia (70,1%). Las complicaciones, relacionadas con la nutrición, más frecuentemente observadas fueron las gastrointestinales (0,25 complicaciones/paciente), seguidas de las mecánicas (0,19 complicaciones/paciente), y de las metabólicas (0,007 complicaciones/pacientes). Se realizaron 0,3 cambios de sonda/paciente/año. Se registraron 0,03 hospitalizaciones/ paciente, asociadas a la nutrición. Al finalizar el año, el 54,9% de los pacientes continuaban en activo, mientras que en un 30,3% se suspendió la NED por diversos motivos. El 21,9% no presentab

Published
2003

46. Reply

Author

Lindemann, M.L. Mateos, primary and Camarero, C., additional

Published
2000
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