37 results on '"Hinojosa-Pérez R"'
Search Results
2. Summary of the consensus document: “Clinical practice guide for the management of low cardiac output syndrome in the postoperative period of heart surgery”
- Author
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Pérez Vela, J.L., Martín Benitez, J.C., Carrasco Gonzalez, M., de la Cal López, M.A., Hinojosa Pérez, R., Sagredo Meneses, V., and del Nogal Saez, F.
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- 2012
- Full Text
- View/download PDF
3. Guías de práctica clínica para el manejo del síndrome de bajo gasto cardíaco en el postoperatorio de cirugía cardíaca
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Pérez Vela, J.L., Martín Benítez, J.C., Carrasco González, M., De la Cal López, M.A., Hinojosa Pérez, R., Sagredo Meneses, V., and del Nogal Saez, F.
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- 2012
- Full Text
- View/download PDF
4. Resumen del documento de consenso «Guías de práctica clínica para el manejo del síndrome de bajo gasto cardiaco en el postoperatorio de cirugía cardiaca»
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Pérez Vela, J.L., Martín Benitez, J.C., Carrasco Gonzalez, M., de la Cal López, M.A., Hinojosa Pérez, R., Sagredo Meneses, V., and del Nogal Saez, F.
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- 2012
- Full Text
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5. Kidney Failure After Heart Transplantation
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Escoresca Ortega, A.M., Ruíz de Azúa López, Z., Hinojosa Pérez, R., Ferrándiz Millón, C.M., Díaz Martín, A., Corcia Palomo, Y., and Lage Gallé, E.
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- 2010
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6. Prognosis After Heart Transplant in Patients With Pulmonary Hypertension Secondary to Cardiopathy
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Mogollón, M.V., Lage Gallé, E., Hinojosa Pérez, R., Herruzo Avilés, A., Sobrino Márquez, J.M., Romero Rodríguez, N., and Martínez Martínez, Á.
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- 2008
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7. Comparison Between Two Drugs on the Hemodynamic Evaluation of Pulmonary Hypertension Prior to Heart Transplantation
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Mogollón Jiménez, M.V., Escoresca Ortega, A.M., Hinojosa Pérez, R., Lage Gallé, E., Herruzo Avilés, Á., Sobrino Márquez, M., Frutos López, M., Romero Rodríguez, N., Pérez de la Yglesia, R., and Martínez Martínez, Á.
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- 2008
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8. Pharmacokinetic Evaluation of Mycophenolic Acid Profiles During the Period Immediately Following an Orthotopic Liver Transplant
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Fatela-Cantillo, D., Hinojosa-Pérez, R., Peralvo-Rodríguez, M.I., Serrano-Díaz Canedo, J., and Gómez-Bravo, M.A.
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- 2006
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9. Consequences of obesity in outcomes after cardiac surgery: analysis of the ARIAM registry
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Curiel-Balsera, EC, Muñoz-Bono, J, Delgado-Amaya, MJ, Hinojosa-Pérez, R, Reina-Toral, A, Gordillo-Brenes, A, and Rivera-Fernández, R
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- 2013
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10. Changes of Lactate Levels During Cardiopulmonary Bypass in Patients Undergoing Cardiac Transplantation: Possible Early Marker of Morbidity and Mortality
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Noval-Padillo, J.A., Serra-Gomez, C., Gomez-Sosa, L., Hinojosa-Perez, R., Huici-Moreno, M.J., Adsuar, A., Herruzo-Avilés, A., Lopez-Romero, J.L., León-Justel, A., and Guerrero-Montavez, J.M.
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- 2011
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11. Severe Rhabdomyolysis After Allogeneic Transplantation of Facial Structures: A Case Report
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Hinojosa Pérez, R., Porras López, M., Escoresca-Ortega, A.M., Herruzo Avilés, A., León, A., Noval, J.A., Gómez-Cía, T., Sicilia, D., and González Padilla, J.D.
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- 2010
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12. Considerations Regarding Major Bleeding After Cardiac Transplantation
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Diaz-Martin, A., Escoresca-Ortega, A.M., Hernandez-Caballero, C., Pena, M., Adsuar-Gómez, A., Herruzo-Aviles, A., and Hinojosa-Perez, R.
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- 2010
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13. Capítulo 17.5 - Trasplante renal
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Hinojosa Pérez, R. and Pérez Bernal, J.B.
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- 2017
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14. Capítulo 3.10 - Miocardiopatías
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Hinojosa Pérez, R. and Hernández Caballero, C.
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- 2017
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15. Correlation of Echocardiographic and Hemodynamic Parameters in Pulmonary Hypertension Assessment Prior to Heart Transplantation
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Mogollón Jiménez, M.V., Escoresca Ortega, A.M., Cabeza Letrán, M.L., Hinojosa Pérez, R., Lage Gallé, E., Sobrino Márquez, J.M., Herruzo Avilés, Á., Romero Rodríguez, N., Frutos López, M., Pérez de la Yglesia, R., and Martínez Martínez, Á.
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- 2008
- Full Text
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16. Application of the McCluskey Index to Predict Blood Product Requirements During Liver Transplantation
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Escoresca Ortega, A.M., Mogollón Jiménez, M.V., Hinojosa Pérez, R., Ferrándiz Millón, C.M., Salgado Algarrada, J.C., Herruzo Avilés, A., Porras López, F.M., Perez Bernal, J.B., and Gómez Bravo, M.A.
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- 2008
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17. Guías de práctica clínica para el manejo del síndrome de bajo gasto cardíaco en el postoperatorio de cirugía cardíaca
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Hinojosa Pérez R, del Nogal Saez F, Carrasco González M, de la Cal López Ma, Martín Benítez Jc, Pérez Vela Jl, and Sagredo Meneses
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medicine.medical_specialty ,business.industry ,Evidence-based medicine ,Critical Care and Intensive Care Medicine ,Surgery ,law.invention ,Cardiac surgery ,Ventricular failure ,Clinical Practice ,Randomized controlled trial ,Low cardiac output syndrome ,law ,Sample size determination ,medicine ,business ,Complication ,Intensive care medicine - Abstract
The low cardiac output syndrome is a potential complication in cardiac surgery patients and associated with increased morbidity and mortality. This guide is to provide recommendations for the management of these patients, immediately after surgery, admitted to the ICU. The recommendations are grouped into different sections, trying to answer from the most basic concepts such as the definition to the different sections of basic and advanced monitoring and ending with the complex management of this syndrome. We propose an algorithm for initial management, as well as two other for ventricular failure (predominantly left or right). Most of the recommendations are based on expert consensus because of the lack of randomized trials of adequate design and sample size in this group of patients. The quality of evidence and strength of the recommendations were made following the GRADE methodology. The guide is presented as a list of recommendations (and level of evidence for each recommendation) for each question on the selected topic. Then for each question, we proceed to the justification of the recommendations.
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- 2012
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18. Isquemia arterial aguda causada por embolismo paroadójico
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Revuelto Rey, J., Egea Guerrero, J.J., Hinojosa Pérez, R., and Martín Bermúdez, R.
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- 2010
19. Volver a empezar
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Seller-Pérez, G. and Hinojosa-Pérez, R.
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- 2009
20. Isquemia arterial aguda causada por embolismo paroadójico
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Revuelto Rey, J., primary, Egea Guerrero, J.J., additional, Hinojosa Pérez, R., additional, and Martín Bermúdez, R., additional
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- 2010
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21. Volver a empezar
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Seller-Pérez, G., primary and Hinojosa-Pérez, R., additional
- Published
- 2009
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22. Factores predictivos de las complicaciones neurológicas en el postrasplante hepático inmediato: Experiencia en el Centro de Investigaciones Médico Quirúrgicas de Cuba
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L. González-Rapado, Fernández-Maderos I, Pérez-Bernal J, Castellanos-Gutiérrez R, M. Samada-Suárez, Fernández-Valle A, Gómez-Peyre F, Alvarez-Rodríguez A, Hinojosa-Pérez R, J. C. Hernández-Perera, Lage-Dávila J, López-Cruz O, Bernardos-Rodríguez A, and Anselmo Abdo-Cuza
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Neurology (clinical) ,General Medicine - Abstract
Introduccion. El trasplante hepatico (TH) es hoy en dia un procedimiento de eleccion en un grupo de enfermedades hepaticas agudas y cronicas en estadio terminal. Sin embargo, no es una tecnica exenta de complicaciones; las neurologicas se comunican entre el 8 y el 47%. Objetivos. Presentar las complicaciones neurologicas (CN) inmediatas encontradas en nuestros pacientes, asi como determinar los factores predictivos y su relacion con la mortalidad. Pacientes y metodos. De los expedientes clinicos de los 26 pacientes que fueron tributarios de TH en el CIMEQ (julio 1999diciembre 2001), se recogio un grupo de variables relacionadas con el donante, el acto quirurgico y el posoperatorio, y se relaciono con la presencia de CN durante su estancia en la UCI. Resultados. Encontramos CN en 16 pacientes (61,5%); las mas frecuentes fueron la encefalopatia (30,8%), temblores (26,9%), y convulsiones (19,2%). No se encontro relacion entre la presencia de CN, y encefalopatia hepatica previa o con uso de donante suboptimo, ni represento un aumento significativo en la mortalidad. Existio una relacion significativa con el TH a receptores grado C de la clasificacion de ChildPugh, la presencia de hipotension intraoperatoria (p = 0,0164), y de disfuncion primaria del injerto hepatico (p = 0,041). Conclusiones. En nuestra serie, las CN representaron una morbilidad significativa en el postrasplante hepatico, sin repercusion significativa en la mortalidad. Su presencia se relaciona con variables del receptor, del acto operatorio y del posoperatorio inmediato.
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- 2003
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23. ESICM LIVES 2016: part three: Milan, Italy. 1–5 October 2016
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Velasquez, T., Mackey, G., Lusk, J., Kyle, U. G., Fontenot, T., Marshall, P., Shekerdemian, L. S., Coss-Bu, J. A., Nishigaki, A., Yatabe, T., Tamura, T., Yamashita, K., Yokoyama, M., Ruiz-Rodriguez, J. C., Encina, B., Belmonte, R., Troncoso, I., Tormos, P., Riveiro, M., Baena, J., Sanchez, A., Bañeras, J., Cordón, J., Duran, N., Ruiz, A., Caballero, J., Nuvials, X., Riera, J., Serra, J., Rutten, A. M. F., van Ieperen, S. N. M., Der Kinderen, E. P. H. M., Van Logten, T., Kovacikova, L., Skrak, P., Zahorec, M., Akcan-Arikan, A., Silva, J. C., Goldsworthy, M., Wood, D., Harrison, D., Parslow, R., Davis, P., Pappachan, J., Goodwin, S., Ramnarayan, P., Chernyshuk, S., Yemets, H., Zhovnir, V., Pulitano’, S. M., De Rosa, S., Mancino, A., Villa, G., Tosi, F., Franchi, P., Conti, G., Patel, B., Khine, H., Shah, A., Sung, D., Singer, L., Haghbin, S., Inaloo, S., Serati, Z., Idei, M., Nomura, T., Yamamoto, N., Sakai, Y., Yoshida, T., Matsuda, Y., Yamaguchi, Y., Takaki, S., Yamaguchi, O., Goto, T., Longani, N., Medar, S., Abdel-Aal, I. R., El Adawy, A. S., Mohammed, H. M. E. H., Mohamed, A. N., Parry, S. M., Knight, L. D., Denehy, L., De Morton, N., Baldwin, C. E., Sani, D., Kayambu, G., da Silva, V. Z. M., Phongpagdi, P., Puthucheary, Z. A., Granger, C. L., Rydingsward, J. E., Horkan, C. M., Christopher, K. B., McWilliams, D., Jones, C., Reeves, E., Atkins, G., Snelson, C., Aitken, L. M., Rattray, J., Kenardy, J., Hull, A. M., Ullman, A., Le Brocque, R., Mitchell, M., Davis, C., Macfarlane, B., Azevedo, J. C., Rocha, L. L., De Freitas, F. F. M., Cavalheiro, A. M., Lucinio, N. M., Lobato, M. S., Ebeling, G., Kraegpoeth, A., Laerkner, E., De Brito-Ashurst, I., White, C., Gregory, S., Forni, L. G., Flowers, E., Curtis, A., Wood, C. A., Siu, K., Venkatesan, K., Muhammad, J. B. H., Ng, L., Seet, E., Baptista, N., Escoval, A., Tomas, E., Agrawal, R., Mathew, R., Varma, A., Dima, E., Charitidou, E., Perivolioti, E., Pratikaki, M., Vrettou, C., Giannopoulos, A., Zakynthinos, S., Routsi, C., Atchade, E., Houzé, S., Jean-Baptiste, S., Thabut, G., Genève, C., Tanaka, S., Lortat-Jacob, B., Augustin, P., Desmard, M., Montravers, P., de Molina, F. J. González, Barbadillo, S., Alejandro, R., Álvarez-Lerma, F., Vallés, J., Catalán, R. M., Palencia, E., Jareño, A., Granada, R. M., Ignacio, M. L., Cui, N., Liu, D., Wang, H., Su, L., Qiu, H., Li, R., Jaffal, K., Rouzé, A., Poissy, J., Sendid, B., Nseir, S., Paramythiotou, E., Rizos, M., Frantzeskaki, F., Antoniadou, A., Vourli, S., Zerva, L., Armaganidis, A., Gottlieb, J., Greer, M., Wiesner, O., Martínez, M., Acuña, M., Rello, J., Welte, T., Mignot, T., Soussi, S., Dudoignon, E., Ferry, A., Chaussard, M., Benyamina, M., Alanio, A., Touratier, S., Chaouat, M., Lafaurie, M., Mimoun, M., Mebazaa, A., Legrand, M., Sheils, M. A., Patel, C., Mohankumar, L., Akhtar, N., Noriega, S. K. Pacheco, Aldana, N. Navarrete, León, J. L. Ávila, Baquero, J. Durand, Bernal, F. Fernández, Ahmadnia, E., Hadley, J. S., Millar, M., Hall, D., Hewitt, H., Yasuda, H., Sanui, M., Komuro, T., Kawano, S., Andoh, K., Yamamoto, H., Noda, E., Hatakeyama, J., Saitou, N., Okamoto, H., Kobayashi, A., Takei, T., Matsukubo, S., Rotzel, H. B., Lázaro, A. Serrano, Prada, D. Aguillón, Gimillo, M. Rodriguez, Barinas, O. Diaz, Cortes, M. L. Blasco, Franco, J. Ferreres, Roca, J. M. Segura, Carratalá, A., Gonçalves, B., Turon, R., Mendes, A., Miranda, F., Mata, P. J., Cavalcanti, D., Melo, N., Lacerda, P., Kurtz, P., Righy, C., Rosario, L. E. de la Cruz, Lesmes, S. P. Gómez, Romero, J. C. García, Herrera, A. N. García, Pertuz, E. D. Díaz, Sánchez, M. J. Gómez, Sanz, E. Regidor, Hualde, J. Barado, Hernández, A. Ansotegui, Irazabal, J. M. Guergué, Spatenkova, V., Bradac, O., Suchomel, P., Urli, T., Lazzeri, E. Heusch, Aspide, R., Zanello, M., Perez-Borrero, L., Garcia-Alvarez, J. M., Arias-Verdu, M. D., Aguilar-Alonso, E., Rivera-Fernandez, R., Mora-Ordoñez, J., De La Fuente-Martos, C., Castillo-Lorente, E., Guerrero-Lopez, F., Rosario, L. E. De la Cruz, Ramírez, J. Roldán, León, J. P. Tirapu, Navarro-Guillamón, L., Cordovilla-Guardia, S., Iglesias-Santiago, A., Guerrero-López, F., Fernández-Mondéjar, E., Vidal, A., Perez, M., Juez, A., Arias, N., Colino, L., Perez, J. L., Pérez, H., Calpe, P., Alcala, M. A., Robaglia, D., Perez, C., Lan, S. K., Cunha, M. M., Moreira, T., Santos, F., Lafuente, E., Fernandes, M. J., Silva, J. G., Echeverría, J. G. Armando, Podlepich, V., Sokolova, E., Alexandrova, E., Lapteva, K., Shuinotsuka, C., Rabello, L., Vianna, G., Reis, A., Cairus, C., Salluh, J., Bozza, F., Torres, J. C. Barrios, Araujo, N. J. Fernández, García-Olivares, P., Keough, E., Dalorzo, M., Tang, L. K., De Sousa, I., Díaz, M., Marcos-Zambrano, L. J., Guerrero, J. E., Gomez, S. E. Zamora, Lopez, G. D. Hernandez, Cuellar, A. I. Vazquez, Nieto, O. R. Perez, Gonzalez, J. A. Castanon, Bhasin, D., Rai, S., Singh, H., Gupta, O., Bhattal, M. K., Sampley, S., Sekhri, K., Nandha, R., Aliaga, F. A., Olivares, F., Appiani, F., Farias, P., Alberto, F., Hernández, A., Pons, S., Sonneville, R., Bouadma, L., Neuville, M., Mariotte, E., Radjou, A., Lebut, J., Chemam, S., Voiriot, G., Dilly, M. P., Mourvillier, B., Dorent, R., Nataf, P., Wolff, M., Timsit, J. F., Ediboglu, O., Ataman, S., Ozkarakas, H., Kirakli, C., Vakalos, A., Avramidis, V., Obukhova, O., Kurmukov, I. A., Kashiya, S., Golovnya, E., Baikova, V. N., Ageeva, T., Haritydi, T., Kulaga, E. V., Rios-Toro, J. J., Lopez-Caler, C., Rodriguez-Fernandez, S., Sanchez-Orézzoli, M. Gomez, Martin-Gallardo, F., Nikhilesh, J., Joshi, V., Villarreal, E., Ruiz, J., Gordon, M., Quinza, A., Gimenez, J., Piñol, M., Castellanos, A., Ramirez, P., Jeon, Y. D., Jeong, W. Y., Kim, M. H., Jeong, I. Y., Ahn, M. Y., Ahn, J. Y., Han, S. H., Choi, J. Y., Song, Y. G., Kim, J. M., Ku, N. S., Shah, H., Kellner, F., Rezai, F., Mistry, N., Yodice, P., Ovnanian, V., Fless, K., Handler, E., Alejos, R. Martínez, Romeu, J. D. Martí, Antón, D. González, Quinart, A., Martí, A. Torres, Llaurado-Serra, M., Lobo-Civico, A., Ventura-Rosado, A., Piñol-Tena, A., Pi-Guerrero, M., Paños-Espinosa, C., Peralvo-Bernat, M., Marine-Vidal, J., Gonzalez-Engroba, R., Montesinos-Cerro, N., Treso-Geira, M., Valeiras-Valero, A., Martinez-Reyes, L., Sandiumenge, A., Jimenez-Herrera, M. F., Helyar, S., Riozzi, P., Noon, A., Hallows, G., Cotton, H., Keep, J., Hopkins, P. A., Taggu, A., Renuka, S., Sampath, S., Rood, P. J. T., Frenzel, T., Verhage, R., Bonn, M., Pickkers, P., van der Hoeven, J. G., van den Boogaard, M., Corradi, F., Melnyk, L., Moggia, F., Pienovi, R., Adriano, G., Brusasco, C., Mariotti, L., Lattuada, M., Bloomer, M. J., Coombs, M., Ranse, K., Endacott, R., Maertens, B., Blot, K., Blot, S., Amerongen, M. P. van Nieuw, van der Heiden, E. S., Twisk, J. W. R., Girbes, A. R. J., Spijkstra, J. J., Bell, C., Peters, K., Feehan, A., Churchill, K., Hawkins, K., Brook, R., Paver, N., Maistry, N., van Wijk, A., Rouw, N., van Galen, T., Evelein-Brugman, S., Krishna, B., Putzu, A., Fang, M., Berto, M. Boscolo, Belletti, A., Cassina, T., Cabrini, L., Mistry, M., Alhamdi, Y., Welters, I., Abrams, S. T., Toh, C. H., Han, H. S., Gil, E. M., Lee, D. S., Park, C. M., Winder-Rhodes, S., Lotay, R., Doyle, J., Ke, M. W., Huang, W. C., Chiang, C. H., Hung, W. T., Cheng, C. C., Lin, K. C., Lin, S. C., Chiou, K. R., Wann, S. R., Shu, C. W., Kang, P. L., Mar, G. Y., Liu, C. P., Dubó, S., Aquevedo, A., Jibaja, M., Berrutti, D., Labra, C., Lagos, R., García, M. F., Ramirez, V., Tobar, M., Picoita, F., Peláez, C., Carpio, D., Alegría, L., Hidalgo, C., Godoy, K., Bakker, J., Hernández, G., Sadamoto, Y., Katabami, K., Wada, T., Ono, Y., Maekawa, K., Hayakawa, M., Sawamura, A., Gando, S., Marin-Mateos, H., Perez-Vela, J. L., Garcia-Gigorro, R., Peiretti, M. A. Corres, Lopez-Gude, M. J., Chacon-Alves, S., Renes-Carreño, E., Montejo-González, J. C., Parlevliet, K. L., Touw, H. R. W., Beerepoot, M., Boer, C., Elbers, P. W. G., Tuinman, P. R., Abdelmonem, S. A., Helmy, T. A., El Sayed, I., Ghazal, S., Akhlagh, S. H., Masjedi, M., Hozhabri, K., Kamali, E., Zýková, I., Paldusová, B., Sedlák, P., Morman, D., Youn, A. M., Ohta, Y., Sakuma, M., Bates, D., Morimoto, T., Su, P. L., Chang, W. Y., Lin, W. C., Chen, C. W., Facchin, F., Zarantonello, F., Panciera, G., De Cassai, A., Venrdramin, A., Ballin, A., Tonetti, T., Persona, P., Ori, C., Del Sorbo, L., Rossi, S., Vergani, G., Cressoni, M., Chiumello, D., Chiurazzi, C., Brioni, M., Algieri, I., Guanziroli, M., Colombo, A., Tomic, I., Crimella, F., Carlesso, E., Gasparovic, V., Gattinoni, L., Neto, A. Serpa, Schmidt, M., Pham, T., Combes, A., de Abreu, M. Gama, Pelosi, P., Schultz, M. J., Katira, B. H., Engelberts, D., Giesinger, R. E., Ackerley, C., Zabini, D., Otulakowski, G., Post, M., Kuebler, W. M., McNamara, P. J., Kavanagh, B. P., Pirracchio, R., Rigon, M. Resche, Carone, M., Chevret, S., Annane, D., Eladawy, S., El-Hamamsy, M., Bazan, N., Elgendy, M., De Pascale, G., Vallecoccia, M. S., Cutuli, S. L., Di Gravio, V., Pennisi, M. A., Antonelli, M., Andreis, D. T., Khaliq, W., Singer, M., Hartmann, J., Harm, S., Carmona, S. Alcantara, Almudevar, P. Matia, Abellán, A. Naharro, Ramos, J. Veganzones, Pérez, L. Pérez, Valbuena, B. Lobo, Sanz, N. Martínez, Simón, I. Fernández, Arrigo, M., Feliot, E., Deye, N., Cariou, A., Guidet, B., Jaber, S., Leone, M., Resche-Rigon, M., Baron, A. Vieillard, Gayat, E., Balik, M., Kolnikova, I., Maly, M., Waldauf, P., Tavazzi, G., Kristof, J., Herpain, A., Su, F., Post, E., Taccone, F., Vincent, J. L., Creteur, J., Lee, C., Hatib, F., Jian, Z., Buddi, S., Cannesson, M., Fileković, S., Turel, M., Knafelj, R., Gorjup, V., Stanić, R., Gradišek, P., Cerović, O., Mirković, T., Noč, M., Tirkkonen, J., Hellevuo, H., Olkkola, K. T., Hoppu, S., Chiang, C. C., Juan, W. C., Lin, P. H., Fong, K. Y., Hou, D. S., Chen, Y. S., Paul, M., Bougouin, W., Geri, G., Dumas, F., Champigneulle, B., Legriel, S., Charpentier, J., Mira, J. P., Sandroni, C., Zimmerman, J., Sullivan, E., Noursadeghi, M., Fox, B., Sampson, D., McHugh, L., Yager, T., Cermelli, S., Seldon, T., Bhide, S., Brandon, R. A., Brandon, R. B., Zwaag, J., Beunders, R., Kox, M., Gul, F., Arslantas, M. K., Genc, D., Zibandah, N., Topcu, L., Akkoc, T., Cinel, I., Greco, E., Lauretta, M. P., Garcia, I. Palacios, Cordero, M., Martin, A. Diaz, Pallás, T. Aldabó, Montero, J. Garnacho, Rey, J. Revuelto, Malo, L. Roman, Montoya, A. A. Tanaka, Martinez, A. D. C. Amador, Ayala, L. Y. Delgado, Zepeda, E. Monares, Granillo, J. Franco, Sanchez, J. Aguirre, Alejo, G. Camarena, Cabrera, A. Rugerio, Montenegro, A. Pedraza, Beduneau, G., Schortgen, F., Piquilloud, L., Zogheib, E., Jonas, M., Grelon, F., Runge, I., Terzi, N., Grangé, S., Barberet, G., Guitard, P. G., Frat, J. P., Constan, A., Chrétien, J. 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S., Kashyap, R., Gajic, O., Yoshihiro, S., Sakuraya, M., Hirata, A., Kawamura, N., Tsutui, T., Yoshida, K., Hashimoto, Y., Chang, C. H., Hu, H. C., Chiu, L. C., Hung, C. Y., Li, S. H., Kao, K. C., Sibley, S., Drover, J., D’Arsigny, C., Parker, C., Howes, D., Moffatt, S., Erb, J., Ilan, R., Messenger, D., Ball, I., Harrison, M., Ridi, S., Andrade, A. H., Costa, R. C., Souza, V. A., Gonzalez, V., Amorim, V., Rolla, F., Filho, C. A. C. Abreu, Miranda, R., Atchasiri, S., Buranavanich, P., Wathanawatthu, T., Suwanpasu, S., Bureau, C., Rolland-Debord, C., Poitou, T., Clavel, M., Perbet, S., Kouatchet, A., Similowski, T., Demoule, A., Diaz, P., Nunes, J., Escórcio, S., Silva, G., Chaves, S., Jardim, M., Câmara, M., Fernandes, N., Duarte, R., Jardim, J. J., Pereira, C. A., Nóbrega, J. J., Chen, C. M., Lai, C. C., Cheng, K. C., Chou, W., Lee, S. J., Cha, Y. S., Lee, W. Y., Onodera, M., Nakataki, E., Oto, J., Imanaka, H., Nishimura, M., Khadjibaev, A., Sabirov, D., Rosstalnaya, A., Akalaev, R., Parpibaev, F., Antonucci, E., Rossini, P., Gandolfi, S., Montini, E., Orlando, S., van Nes, M., Karachi, F., Hanekom, S., Pereira, U. V., Parkin, M. S. W., Moore, M., Carvalho, K. V. Silva, Min, H. J., Kim, H. J., Choi, Y. Y., Lee, E. Y., Song, I., Kim, D. J., E, Y. Y., Kim, J. W., Park, J. S., Lee, J. H., Suh, J. W., Jo, Y. H., Ferrero-Calleja, J., Merino-Vega, D., González-Jiménez, A. I., Sigcha, M. Sigcha, Hernández-Tejedor, A., Martin-Vivas, A., Gabán-Díez, Á., Luna, R. Ruiz-de, De la Calle-Pedrosa, N., Temprano-Gómez, I., Afonso-Rivero, D., Pellin-Ariño, J. I., Algora-Weber, A., Fumis, R. R. L., Ferraz, A. B., Junior, J. M. Vieira, Kirca, H., Cakin, O., Unal, M., Mutlu, H., Ramazanoglu, A., Cengiz, M., Nicolini, E. A., Pelisson, F. G. F., Nunes, R. S., da Silva, S. L., Carreira, M. M., Bellissimo-Rodrigues, F., Ferez, M. A., Basile-Filho, A., Chao, H. C., Chen, L., Hravnak, M., Clermont, G., Pinsky, M., Dubrawski, A., Varas, J. Luján, Montero, R. Molina, Sánchez-Elvira, L. Alcázar, Díaz, P. Villa, Delgado, C. Pintado, Ruiz, B. Llorente, Guerrero, A. Pardo, Galache, J. A. Cambronero, Sherif, H., Hassanin, H., El Hossainy, R., Samy, W., Ly, H., David, H., Burtin, P., Charpentier, C., Barral, M., Courant, P., Fournel, E., Gaide-Chevronnay, L., Durand, M., Albaladejo, P., Payen, J. F., Chavanon, O., Ortiz, A. Blandino, Pozzebon, S., Fumagalli, F., Scala, S., Affatato, R., De Maglie, M., Zani, D., Novelli, D., Marra, C., Luciani, A., De Zani, D., Luini, M., Letizia, T., Pravettoni, D., Staszewsky, L., Belloli, A., Di Giancamillo, M., Scanziani, E., Kye, Y. C., Yu, K. M., Babini, G., Grassi, L., Reinikainen, M., Skrifvars, M., Kappler, F., Blobner, M., Schaller, S. J., Roasio, A., Costanzo, E., Cardellino, S., Fontana, V., Park, M., You, K. M., Ko, S. B., Beane, A., Thilakasiri, M. C. K. T., De Silva, A. P., Stephens, T., Sigera, C. S., Athapattu, P., Jayasinghe, S., Padeniya, A., Haniffa, R., Sáez, V. Chica, Ruiz-Ruano, R. de la Chica, González, A. Sánchez, Kunze-Szikszay, N., Wand, S., Klapsing, P., Wetz, A., Heyne, T., Schwerdtfeger, K., Troeltzsch, M., Bauer, M., Quintel, M., Moerer, O., Cook, D. J., Rutherford, W. B., Scales, D. C., Adhikari, N. K., Cuthbertson, B. H., Suzuki, T., Fushimi, K., Iwamoto, M., Nakagawa, S., Mendsaikhan, N., Begzjav, T., Lundeg, G., Dünser, M. W., Romero, D. González, Padilla, Y. Santana, Kleinpell, R., Chouris, I., Radu, V., Stougianni, M., Lavrentieva, A., Lagonidis, D., Price, R. D. T., Day, A., Arora, N., Henderson, M. A., Hickey, S., Costa, M. I. Almeida, Carvalho, J. P., Gomes, A. A., Mergulhão, P. J., Chan, K. K. C., Maghsoudi, B., Tabei, S. H., Sabetian, G., Tabatabaei, H. R., Akbarzadeh, A., Saigal, S., Pakhare, A., Joshi, R., Pattnaik, S. K., Ray, B., Rousseau, A. F., Michel, L., Bawin, M., Cavalier, E., Reginster, J. Y., Damas, P., Bruyere, O., Zhou, J. C., Cauwenberghs, H., De Backer, A., Neels, H., Deblier, I., Berghmans, J., Himpe, D., Barea-Mendoza, J. A., Portillo, I. Prieto, Fernández, M. Valiente, Gigorro, R. Garcia, Vela, J. L. Perez, Mateos, H. Marín, Alves, S. Chacón, Varas, G. Morales, Rodriguez-Biendicho, A., Carreño, E. Renes, González, J. C. Montejo, Yang, J. S., Lin, K. L., Choi, Y. J., Yoon, S. Z., Gordillo-Brenes, A., Fernandez-Zamora, M. D., Herruzo-Aviles, A., Garcia-Delgado, M., Hinojosa-Perez, R., Pascual, O. Agudo, Irazabal, J. M. Guergue, Pérez, A. González, Fernández, P. Alvarez, Amor, L. Lopéz, Albaiceta, G. Muñiz, Calvo, S. Aldunate, Spazzadeschi, A., Marrazzo, F., Gandola, A., Sciurti, R., Savi, C., Tseng, C. J., Bertini, P., De Sanctis, F., Guarracino, F., Baldassarri, R., Buitinck, S. H., van der Voort, P. H. J., Tsunano, Y., Izawa, M., Tane, N., Ghosh, S., Gupta, A., De Gasperi, A., Mazza, E., Limuti, R., Prosperi, M., Bissenova, N., Yergaliyeva, A., Talan, L., Yılmaz, G., Güven, G., Yoruk, F., Altıntas, N. D., Mukherjee, D. N., Agarwal, L. K., Mandal, K., Balsera, B., Martinez, M., Garcia, M., Castellana, D., Lopez, R., Barcenilla, F., Kaminsky, G. E., Carreño, R., Escribá, A., Fuentes, M., Gálvez, V., Del Olmo, R., Nieto, B., Vaquerizo, C., Alvarez, J., De la Torre, M. A., Torres, E., Bogossian, E., Nouer, S. Aranha, Salgado, D. Ribeiro, Jiménez, G. Jiménez, Vidal, M. Vallverdú, Gaite, F. Barcenilla, Martínez, M. Palomar, Doganci, M., Izdes, S., Besevli, S. Guzeldag, Alkan, A., Kayaaslan, B., Penichet, S. M. Marrero, López, M. A. De La Cal, Santana, S. Ruíz, Repessé, X., Artiguenave, M., Paktoris-Papine, S., Espinasse, F., Dinh, A., El Sayed, F., Charron, C., Géri, G., Vieillard-Baron, A., Dimitroulakis, K., Ferré, A., Guillot, M., Teboul, J. L., Lichtenstein, D., Mézière, G., Richard, C., Monnet, X., Prīdāne, S., Sabeļņikovs, O., Bianchi, I., Kondili, E., Psarologakis, C., Kokkini, S., Amargianitakis, V., Babalis, D., Chytas, A., Chouvarda, I., Vaporidi, K., Georgopoulos, D., Trapp, O., Kalenka, A., Karbing, D. S., Gioia, A., Moro, F., Corte, F. Dalla, Mauri, T., Rees, S. E., Petrova, M. V., Mohan, R., Butrov, A. V., Beeharry, S. D., Vatsik, M. V., Sakieva, F. I., Gobert, F., Fernandez, R., Labaune, M. A., Burle, J. F., Barbier, J., Vincent, B., Cleyet, M., Shinotsuka, C. Righy, Törnblom, S., Nisula, S., Vaara, S., Poukkanen, M., Andersson, S., Pesonen, E., Xie, Z., Liao, X., Kang, Y., Zhang, J., Kubota, K., Egi, M., Mizobuchi, S., Hegazy, S., El-Keraie, A., El Sayed, E., El Hamid, M. Abd, Rodrigues, N. J., Pereira, M., Godinho, I., Gameiro, J., Neves, M., Gouveia, J., e Silva, Z. Costa, Lopes, J. A., Mckinlay, J., Kostalas, M., Kooner, G., Dudas, G., Horton, A., Kerr, C., Karanjia, N., Creagh-Brown, B., Yamazaki, A., Ganuza, M. Sanz, Molina, J. A. Martinez, Martinez, F. Hidalgo, Freile, M. T. Chiquito, Fernandez, N. Garcia, Travieso, P. Medrano, Bandert, A., Frithiof, R., Lipcsey, M., Smekal, D., Schlaepfer, P., Durovray, J. D., Plouhinec, V., Chiappa, C., Bellomo, R., Schneider, A. G., Mitchell, S., Durrant, J., Street, H., Dunthorne, E., Shears, J., Caballero, C. Hernandez, Hutchison, R., Schwarze, S., Ghabina, S., Thompson, E., Prowle, J. R., Kirwan, C. J., Gonzalez, C. A., Pinto, J. L., Orozco, V., Patiño, J. A., Garcia, P. K., Contreras, K. M., Rodriguez, P., and Echeverri, J. E.
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- 2016
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24. Clinical and epidemiological characterization in the follow-up of newborns with COVID-19: a descriptive study.
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Dávila-Aliaga C, Torres-Marcos E, Paucar-Zegarra R, Hinojosa-Pérez R, Espinoza-Vivas Y, Mendoza-Ibáñez E, Marín D, Espínola-Sánchez M, De la Cruz-Dávila J, and Arango-Ochante P
- Subjects
- Cesarean Section, Female, Follow-Up Studies, Humans, Infant, Infant, Low Birth Weight, Infant, Newborn, Infectious Disease Transmission, Vertical, Pregnancy, SARS-CoV-2, COVID-19, Pregnancy Complications, Infectious epidemiology
- Abstract
Introduction: COVID-19 disease affects newborns, but its middle and long-term effects are still unclear., Objective: To describe the clinical and epidemiological characteristics and follow-up of newborns infected with SARS-CoV-2., Methods: An observational and descriptive study. We included newborns with SARS-CoV-2 positive RT-PCR born from SARS-CoV-2 seropositive mothers. Delivery and newborn care were provided at the 'Instituto Nacional Materno Perinatal' from Peru between June 1 and September 30, 2020. Perinatal information was collected from medical records. Remote follow-up and face-to-face evaluations gathered epidemiological and clinical information, in addition to serological and RT-PCR tests for SARS-CoV-2. Descriptive statistics were used for analysis., Results: During the study period, 4733 neonates were born at the institution. We found that 1488 (31.4%) were born from seropositive for SARS-CoV-2 mothers. Finally, we included the 34 (2.3%) newborns with positive RT-PCR for SARS-CoV-2. Regarding the included newborns, 29.4% were delivered by cesarean section, 26.5% had low birth weight, 11.8% were preterm, 26.5% were hospitalized, and one died. Twenty-eight had a remote follow-up, and 18 also had a face-to-face follow-up. A total of 64.3% were exclusively breastfed, 28.6% were mixed breastfed, and 7.1% used a substitute formula. The face-to-face evaluation was performed between one and four months of chronological age. We found that 100% had negative control RT-PCR test for COVID-19, 38.9% had a negative serological test (IgM, IgG), and 61.1% positive IgG., Conclusions: Neonatal SARS-CoV-2 infection is rare, and most infected infants are asymptomatic. Vaginal delivery, breastfeeding, and joint isolation did not related with complications during hospital care. Infants under remote and in-person follow-up showed favorable clinical evolution during the study period.
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- 2021
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25. Maternal-perinatal outcomes in pregnant women with covid-19 in a level III hospital in Peru.
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Dávila-Aliaga C, Hinojosa-Pérez R, Espinola-Sánchez M, Torres-Marcos E, Guevara-Ríos E, Espinoza-Vivas Y, Mendoza-Ibañez E, and Saldaña-Díaz C
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- Female, Hospitals, Humans, Infant, Newborn, Peru epidemiology, Pregnancy, Pregnancy Outcome, Pregnant Women, SARS-CoV-2, COVID-19, Pregnancy Complications, Infectious
- Abstract
The present study aimed to describe the perinatal outcomes of newborns of mothers with 2019 coronavirus infection identified before delivery in a level III hospital in Peru. Sociodemographic variables, obstetric complications, and neonatal morbidities were evaluated in the births that occurred between April 1 and June 30, 2020, at the National Maternal Perinatal Institute of Peru. 43 newborns were registered: 93% came from asymptomatic mothers, the most frequent obstetric complications were premature rupture of membranes (18.6%) and pre-eclampsia (11.6%), 65.1% of the births were vaginally, only one of the newborns had a positive result to RT-PCR for COVID-19, the comorbidities of the newborns were prematurity (11.3%) and low birth weight (9.3%); four were admitted to intermediate care and two to intensive care. It is concluded that 2.4% of newborns born to mothers with COVID-19 presented positive molecular test of RT-PCR, 14% of newborns presented morbidity as prematurity, low birth weight, sepsis and pneumonia that required ventilation. Neonatal morbidity was found in newborns whose RT-PCR test was negative for COVID-19.
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- 2021
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26. [Perinatal outcomes and serological results in neonates of pregnant women seropositive to SARS-CoV-2: A cross-sectional descriptive study].
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Dávila-Aliaga C, Espínola-Sánchez M, Mendoza-Ibáñez E, Guevara-Ríos E, Torres-Marcos E, Hinojosa-Pérez R, Espinoza-Vivas Y, Álvarez-Carrasco R, Velásquez-Vásquez C, Meza-Santibáñez L, Gonzales-Carrillo O, Arango-Ochante P, Racchumí-Vela A, and Saldaña-Díaz C
- Subjects
- Adolescent, Adult, COVID-19 Serological Testing, Cross-Sectional Studies, Female, Humans, Infant, Newborn, Male, Pregnancy, Pregnancy Complications, Infectious diagnosis, Pregnancy Outcome, Retrospective Studies, Young Adult, COVID-19 diagnosis, COVID-19 mortality
- Abstract
Introduction: SARS-CoV-2 has spread rapidly throughout the world. However, its ability to cause severe disease is not homogeneous according to sex and the different age groups., Objective: To determine perinatal characteristics, morbidity, mortality, and serological results in neonates from seropositive pregnant women to SARS-CoV-2., Methods: We did a retrospective, descriptive, cross-sectional study. We included all newborns from positive pregnant women to SARS-CoV-2, between April 15 and May 10, 2020, who delivered in the National Perinatal Maternal Institute of Peru. The study extracted maternal and neonatal variables collected from the medical charts. The data were analyzed using descriptive statistics and Fischer's exact test., Results: One hundred fourteen neonates were identified, 36.8% IgM/IgG positive for SARS-CoV-2, 7% IgG, and 56.2% had negative serology. The obstetric complications were premature rupture of membranes (14.9%) and preterm birth (8,8%). 8.8% of newborns had an Apgar score of less than or equal to six minutes, and of those, only one persisted after five minutes; three newborns died. There was an association between the type of maternal immunoglobulin and the serology of the newborn (p < 0.05). No association was observed between perinatal results and maternal immunoglobulin type (p > 0.05) or serological results in the newborn for SARS-CoV-2 (p > 0.05)., Conclusion: 43.9% of seropositive mothers' neonates to SARS-CoV-2 had a positive serological result, more frequently type IgM/IgG. 10.5% of the neonates had some morbidity, more frequent prematurity, low birth weight, and 2.6% died. Perinatal results were not associated with the type of immunoglobulin of mothers seropositive to SARS-CoV-2; similarly, perinatal results were not associated with serological results in the newborn.
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- 2020
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27. Transplantation in Congenital Heart Disease: A Challenge.
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Palomo-López N, Escalona-Rodríguez S, Martín-Villén L, Herruzo-Avilés Á, Hinojosa-Pérez R, Escoresca-Ortega A, Porras-López M, Corcia-Palomo Y, and Adsuar-Gómez A
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- Adult, Cohort Studies, Female, Heart Defects, Congenital mortality, Humans, Male, Retrospective Studies, Survival Rate, Young Adult, Heart Defects, Congenital surgery, Heart Transplantation mortality
- Abstract
Background: Heart failure is the leading cause of death in grown-up congenital heart disease patients (GUCH). Although heart transplantation (OHT) remains the gold standard in end-stage heart failure, the ratio of GUCH patients undergoing this procedure remains low., Objective: Describe the cohort of GUCH patients undergoing heart transplantation at a third-level hospital., Methods: A retrospective review of GUCH patients undergoing OHT between 1997 and 2019 was conducted at a single tertiary university hospital. We included different preoperative (demographic and clinical data, cardiac catheterization data from the last routine hemodynamic monitoring) and postoperative variables (complications, survival)., Results: Fourteen patients were enrolled. The median age was 25.5 years (range, 20.7-32.2). Eight patients (57.1%) were male. The median preoperative left ventricular ejection fraction was 37% (range, 22.5%-55%). As for preoperative hemodynamic evaluation, the median for the mean arterial pulmonary pressure was 19 mm Hg (range, 12-22.5), for the capillary wedge pressure was 16 mm Hg (range, 13.5-19.5), and for pulmonary vascular resistance was 1.83 Wood units (range, 1-4). After OHT, 6 patients (42.9%) suffered an infection, the most common of which was respiratory (3 out of 6). Four patients (28.6%) needed renal replacement therapy, and 4 patients (28.6%) presented liver failure. Four patients (28.6%) developed graft failure, thus requiring mechanical support with extracorporeal membrane oxygenation during a median of 6 days (range, 1-17.5). Survival rate of patients under extracorporeal membrane oxygenation was 50%, and overall survival rate was 78.6%., Conclusion: OHT represents a good option for GUCH patients, with good overall survival rates., (Copyright © 2020 Elsevier Inc. All rights reserved.)
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- 2020
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28. Prolonged Mechanical Ventilation as a Predictor of Mortality After Cardiac Surgery.
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Fernandez-Zamora MD, Gordillo-Brenes A, Banderas-Bravo E, Arboleda-Sánchez JA, Hinojosa-Pérez R, Aguilar-Alonso E, Herruzo-Aviles Á, Curiel-Balsera E, Sánchez-Rodríguez Á, and Rivera-Fernández R
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- Aged, Cause of Death, Female, Humans, Intensive Care Units statistics & numerical data, Male, Middle Aged, Operative Time, Prospective Studies, Risk Factors, Spain epidemiology, Time Factors, Cardiac Surgical Procedures methods, Cardiac Surgical Procedures mortality, Multiple Organ Failure etiology, Multiple Organ Failure mortality, Postoperative Complications mortality, Respiration, Artificial adverse effects, Respiration, Artificial methods, Sepsis etiology, Sepsis mortality
- Abstract
Background: Mortality among the small percentage of cardiac surgery patients receiving prolonged mechanical ventilation is high, but this issue appears to be inadequately addressed in guidelines., Methods: This study is a retrospective analysis of prospective, multi-center, and observational study in Spain including all adults undergoing cardiac surgery in 3 Andalusian hospitals between June 2008 and December 2012., Results: The study included 3,588 adults with mean ± SD age of 63.5 ± 12.8 y and with median (interquartile range) EuroSCORE of 5 (3-7) points. Prolonged mechanical ventilation (> 24 h) was required by 415 subjects (11.6%), with ICU mortality of 44.3% (184 subjects), and was not required by 3,173 subjects (88.4%), with ICU mortality of 3.1% (99 subjects, P < .001). Prolonged mechanical ventilation was associated with more complications and was required by 4.5% of subjects with a EuroSCORE <5, 11.2% with a score of 5-7, 27.2% with a score of 8-10, and 32.2% with a score > 10. In the multivariable analysis, ICU mortality was associated with illness severity, duration of bypass surgery, surgery type, and prolonged mechanical ventilation (odds ratio 15.19, 95% CI 11.56-22.09). The main cause of death was multiple organ failure and sepsis in subjects who required prolonged mechanical ventilation (50.3%) and cardiogenic shock in those who did not (59.2%)., Conclusion: Prolonged postoperative mechanical ventilation was required by 10-20% of cardiac surgery subjects, who constitute a specific group that represents most of the postoperative mortality, which is associated with multiple organ failure and sepsis., Competing Interests: The authors have disclosed no conflicts of interest., (Copyright © 2018 by Daedalus Enterprises.)
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- 2018
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29. The dark side of the swan.
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Roldán-Reina ÁJ, Martín-Villén L, Corcia-Palomo Y, and Hinojosa-Pérez R
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- 2017
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30. [Consequences of obesity in outcomes after cardiac surgery. Analysis of ARIAM registry].
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Curiel-Balsera E, Muñoz-Bono J, Rivera-Fernández R, Benitez-Parejo N, Hinojosa-Pérez R, and Reina-Toral A
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- Acute Kidney Injury epidemiology, Acute Kidney Injury etiology, Aged, Body Mass Index, Cardiovascular Diseases epidemiology, Female, Humans, Intensive Care Units statistics & numerical data, Length of Stay statistics & numerical data, Male, Middle Aged, Postoperative Complications epidemiology, Prognosis, Prospective Studies, Registries statistics & numerical data, Reoperation statistics & numerical data, Respiration, Artificial statistics & numerical data, Risk Factors, Sepsis epidemiology, Spain epidemiology, Treatment Outcome, Cardiac Surgical Procedures mortality, Obesity complications
- Abstract
Background and Objetive: Obesity is a disease that affects a large part of the population and has been associated with worse outcomes after cardiac surgery. The aim of our study is to evaluate the consequences of obesity related to postoperative complications, hospital length of stay and mortality., Methods: Observational, prospective, multicenter study of patients included in ARIAM registry of adult cardiac surgery between March 2008 to March 2011. We analyzed clinical variables, the surgical procedure, postoperative complications and mortality, comparing the group of patients with body mass index (BMI) greater or less than 30 kg/m(2)., Results: The study included 4,172 patients with a mean age of 64.03 (SD 12.08) years, BMI 28.53 (4.7) and EuroSCORE 5.58 (2.91). In 1,490 patients (35.7%) BMI was greater than 30. There were no differences in the development of overall postoperative complications (33% in obese and non-obese 35.8%, P=.07), although there were less appreciated reoperation rate or stroke (P<.05), as well as further development postoperative renal failure (P=.009). After adjusting for severity and length of cardio by pass time, obese patients had lower mortality without being statistically significant. OR 0.94 (0.79-1.04). There were no differences in ICU length of stay, but obese patients had greater Ward length of stay 9.04 (10.43) vs. 8.18 (9.2) days, P=.01., Conclusions: Obese patients undergoing cardiac surgery have a mortality, rate of complications and length of stay similar to non-obese. Obese patients required less reoperations but developed more frequently postoperative renal failure., (Copyright © 2012 Elsevier España, S.L. All rights reserved.)
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- 2013
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31. [Clinical practice guide for the management of low cardiac output syndrome in the postoperative period of heart surgery].
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Pérez Vela JL, Martín Benítez JC, Carrasco González M, de la Cal López MA, Hinojosa Pérez R, Sagredo Meneses V, and del Nogal Saez F
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- Adult, Algorithms, Cardiac Output, Low complications, Cardiac Output, Low etiology, Cardiac Output, Low metabolism, Cardiac Output, Low physiopathology, Cardiac Surgical Procedures adverse effects, Counterpulsation, Extracorporeal Circulation, Hemodynamics, Humans, Monitoring, Physiologic, Postoperative Period, Ventricular Dysfunction etiology, Ventricular Dysfunction therapy, Cardiac Output, Low diagnosis, Cardiac Output, Low therapy
- Abstract
The low cardiac output syndrome is a potential complication in cardiac surgery patients and associated with increased morbidity and mortality. This guide is to provide recommendations for the management of these patients, immediately after surgery, admitted to the ICU. The recommendations are grouped into different sections, trying to answer from the most basic concepts such as the definition to the different sections of basic and advanced monitoring and ending with the complex management of this syndrome. We propose an algorithm for initial management, as well as two other for ventricular failure (predominantly left or right). Most of the recommendations are based on expert consensus because of the lack of randomized trials of adequate design and sample size in this group of patients. The quality of evidence and strength of the recommendations were made following the GRADE methodology. The guide is presented as a list of recommendations (and level of evidence for each recommendation) for each question on the selected topic. Then for each question, we proceed to the justification of the recommendations., (Copyright © 2011 Elsevier España, S.L. y SEMICYUC. All rights reserved.)
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- 2012
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32. [Paradoxical embolism causing acute arterial ischemia].
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Revuelto Rey J, Egea Guerrero JJ, Hinojosa Pérez R, and Martín Bermúdez R
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- Acute Disease, Arteries, Female, Humans, Middle Aged, Embolism, Paradoxical complications, Ischemia etiology
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- 2010
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33. [Starting over].
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Seller-Pérez G and Hinojosa-Pérez R
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- Brain Death, Critical Care, Humans, Medicine, Organ Preservation methods, Spain, Tissue and Organ Harvesting methods, Tissue and Organ Procurement standards, Terminal Care methods, Tissue Donors, Tissue and Organ Procurement methods
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- 2009
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34. [Maintenance of the organ donor].
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Seller Pérez G and Hinojosa Pérez R
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- Humans, Preoperative Care, Tissue Donors classification, Tissue and Organ Procurement standards
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- 2009
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35. [Predictive factors of neurological complications in the period immediately after liver transplant: experiences in the Centro de Investigaciones Médico Quirúrgicas in Cuba].
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Abdo-Cuza A, González-Rapado L, López-Cruz O, Pérez-Bernal J, Castellanos-Gutiérrez R, Gómez-Peyre F, Hinojosa-Pérez R, Lage-Dávila J, Alvarez-Rodríguez A, Fernández-Valle A, Fernández-Maderos I, Samada-Suárez M, Hernández-Perera JC, and Bernardos-Rodríguez A
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- Adolescent, Adult, Cuba, Humans, Liver Transplantation mortality, Middle Aged, Neuropsychological Tests, Postoperative Period, Predictive Value of Tests, Prognosis, Retrospective Studies, Liver Transplantation adverse effects, Nervous System Diseases diagnosis, Nervous System Diseases etiology, Postoperative Complications
- Abstract
Introduction: Liver transplant (LT) is today a first choice procedure in a group of hepatic diseases in their acute and chronic terminal stages. It is not, however, a technique that is completely free of complications and those of a neurological nature constitute between 8 47% of those reported. AIMS. The purpose of this study is to present the immediate neurological complications (NC) found in our patients, as well as to determine the predictive factors and their relation to the mortality rate., Patients and Methods: From the medical records of 26 patients who received LT at the CIMEQ (July 1999 December 2001), we collected a group of variables related to the donor, the surgical procedure and the post operative period and associated them to the occurrence of NC while these patients were in the ICU., Results: NC were found in 16 patients (61.5%), the most frequent being encephalopathy (30.8%), tremor (26.9%), and convulsions (19.2%). No relation was found between the presence of NC and prior hepatic encephalopathy, the use of a suboptimal donor, nor did it represent a significant increase in the mortality rate. There was a significant relation with LT to recipients rated as grade C on the Child Pugh classification system, the presence of intraoperative hypotension (p= 0.0164) and primary dysfunction of the liver graft (p= 0.041)., Conclusions: NC represented a significant cause of morbidity in the period following a liver transplant in our series, although they had no significant repercussion on the mortality rate. Their presence is related to variables concerning the recipient, the surgical procedure itself and the immediate post operative period.
- Published
- 2003
36. [Acute rhabdomyolysis in convulsive pathology].
- Author
-
Navarrete Navarro P, Vázquez Mata G, de la Higuera Torres-Puchol J, Alvarez Márquez E, Hinojosa Pérez R, and Fornieles Pérez H
- Subjects
- Adult, Aged, Creatine Kinase blood, Female, Humans, Male, Middle Aged, Myoglobin blood, Rhabdomyolysis blood, Status Epilepticus blood, Tetanus blood, Rhabdomyolysis etiology, Status Epilepticus complications, Tetanus complications
- Published
- 1987
37. [Acute rhabdomyolysis in diabetic ketoacidosis and hyperosmolar coma].
- Author
-
Navarrete Navarro P, Vázquez Mata G, de la Higuera Torres-Puchol J, Alvarez Márquez E, Hinojosa Pérez R, and Fornieles Pérez H
- Subjects
- Acute Disease, Adult, Aged, Female, Humans, Male, Middle Aged, Diabetic Coma complications, Diabetic Ketoacidosis complications, Hyperglycemic Hyperosmolar Nonketotic Coma complications, Rhabdomyolysis etiology
- Published
- 1986
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