Stratification for Identification of Prognostic Categories In the Acute RESpiratory Distress Syndrome (SPIRES) Score.

OBJECTIVES: To develop a scoring model for stratifying patients with acute respiratory distress syndrome into risk categories (Stratification for identification of Prognostic categories In the acute RESpiratory distress syndrome score) for early prediction of death in the ICU, independent of the underlying disease and cause of death. DESIGN: A development and validation study using clinical data from four prospective, multicenter, observational cohorts. SETTING: A network of multidisciplinary ICUs. PATIENTS: One-thousand three-hundred one patients with moderate-to-severe acute respiratory distress syndrome managed with lung-protective ventilation. INTERVENTIONS: None. MEASUREMENTS AND MAIN …

Comparación entre CA125 y NT-proBNP para valorar la congestión en insuficiencia cardíaca aguda

Resumen Antecedentes El antigeno carbohidrato 125 (CA125) y los peptidos natriureticos tipo B son marcadores subrogados de congestion en pacientes con insuficiencia cardiaca aguda (ICA). El objetivo del estudio fue valorar la asociacion entre CA125 y NT-proBNP y parametros de congestion en pacientes con ICA. Metodos y resultados Estudio observacional prospectivo multicentrico, que incluyo a 191 pacientes hospitalizados por ICA. Se registro la presencia de derrame pleural, edema periferico y diametro de vena cava inferior (V C I) durante las primeras 24-48 horas tras el ingreso y se evaluo su asociacion independiente con las concentraciones de CA125 y la fraccion amino-terminal del peptido n…

Comparison between CA125 and NT-proBNP for evaluating congestion in acute heart failure

Abstract Background Carbohydrate antigen 125 (CA125) and B-type natriuretic peptides are surrogate markers of congestion in patients with acute heart failure (AHF). The aim of the study was to assess the association between CA125 and NT-proBNP and congestion parameters in patients with AHF. Methods and results Prospective multicentre observational study that included 191 patients hospitalised for AHF. We recorded the presence of pleural effusion, peripheral oedema and inferior vena cava (IVC) diameter during the first 24–48 h after admission and evaluated their independent association with CA125 concentrations and the amino-terminal fraction of pro-B-type natriuretic peptide (NT-proBNP). Th…

Congestión venosa en insuficiencia cardiaca aguda: mucho más que un epifenómeno

A methodology to estimate forest fires burned areas and burn severity degrees using Sentinel-2 data. Application to the October 2017 fires in the Iberian Peninsula

Abstract A methodology to estimate the extent of areas affected by forest fires, as well as the burn severity levels using Sentinel 2 images (10 and 20 m) is proposed and applied to the fires occurred in October 2017 in Spain and Portugal. An extension larger than 250,000 ha and 4 burn severity levels (low, moderate, high and very high) have been obtained. The comparison with the European Forest Fire Information System (EFFIS), which uses MODIS images (250 m), shows that the methodology improves the area estimate by 10 % in commission area. In terms of burn severity levels, the Separability index (SI) and the Kappa statistic (k) show a high correlation between Sentinel-2 and EFFIS (SI value…

Mid-term Prognostic Implication of hospitalized COVID-19 patients with Prior Heart Failure diagnosis