0000000000619878

AUTHOR

Manuel Bernal-sprekelsen

0000-0001-8191-9833

showing 6 related works from this author

Timing, Complications, and Safety of Tracheotomy in Critically Ill Patients With COVID-19

2021

Importance: The current coronavirus disease 2019 (COVID-19) pandemic has led to unprecedented needs for invasive ventilation, with 10% to 15% of intubated patients subsequently requiring tracheotomy. Objective: To assess the complications, safety, and timing of tracheotomy performed for critically ill patients with COVID-19. Design, Setting, and Participants: This prospective cohort study assessed consecutive patients admitted to the intensive care unit (ICU) who had COVID-19 that required tracheotomy. Patients were recruited from March 16 to April 10, 2020, at a tertiary referral center. Exposures: A surgical tracheotomy was performed for all patients following recommended criteria for use…

Mechanical ventilationbusiness.industrymedicine.medical_treatmentHazard ratio030208 emergency & critical care medicineIntensive care unitlaw.invention03 medical and health sciences0302 clinical medicineTracheotomyOtorhinolaryngologyInterquartile rangelawAnesthesiamedicineIntubationSurgery030212 general & internal medicineProspective cohort studybusinessOriginal InvestigationCohort studyJAMA Otolaryngology–Head & Neck Surgery
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ELS live surgery: a developing story

2019

Since 2015, the European Laryngological Society (ELS) has organized on a yearly basis the European Laryngological Live Surgery Broadcast. The goal of this paper is to demonstrate the increasing worldwide audience. The number of individual computers logged in, number of estimated audience, and number of countries with an active audience were calculated and compared to the numbers in 2015. In 2018, 19 live interventions were performed in three parallel sessions. The surgeons worked in 10 departments in 8 different countries. The number of individual computers logged in increased from 1000 in 2015 to 16000 in 2018. The estimated audience increased from 3000 to 32000 visitors. The number of cou…

medicine.medical_specialtyInternationalityMedical/statistics & numerical dataShort CommunicationPsychological interventionVideo RecordingLaringe MalaltiesBroadcastingLive surgeryPhonosurgeryInternet/statistics & numerical data03 medical and health sciencesOtolaryngology0302 clinical medicineMedicineHumans030223 otorhinolaryngologySocieties MedicalInternetOtorhinolaryngologic Surgical Procedures/statistics & numerical dataCirurgiabusiness.industryGeneral MedicineOtolaryngology/educationSurgeryOtorhinolaryngologic Surgical ProceduresEuropeOtorhinolaryngologyLaryngeal malignancy030220 oncology & carcinogenesisRecurrent respiratory papillomatosisTeaching RoundsTeaching Rounds/methodsbusinessSocietiesSocieties Medical/statistics & numerical dataOïda
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Transoral laser microsurgery for glottic cancer in the elderly: Efficacy and safety

2018

Background Data about the results of transoral laser microsurgery (TLM) in elderly patients are limited. Methods A retrospective study of 72 consecutive cases of glottic carcinoma (63 pT1 and 9 pT2 cases) in elderly patients (≥70 years old, mean 76 years) treated with TLM was made. A systematic review of the literature was performed. Results Six patients (8%) had postoperative complications, but no treatment-related deaths were observed. Local recurrences occurred in 12 patients (16.5%): nine with pT1 (14%) and three with pT2 (33%) tumors. Five-year disease-specific survival (DSS), overall survival, and laryngectomy-free survival were 95%, 68%, and 88%, respectively. The literature review i…

MaleGlottisMicrosurgerymedicine.medical_specialtycomplicationsLaryngectomyTreatment resultselderly03 medical and health sciencesPostoperative Complications0302 clinical medicineOverall survivalHumansMedicineEffective treatmentTransoral laser microsurgerycomplications; elderly; laryngeal cancer; transoral laser microsurgery; Otorhinolaryngology2734 Pathology and Forensic Medicine030223 otorhinolaryngologytransoral laser microsurgeryLaryngeal NeoplasmsAgedRetrospective Studiesbusiness.industryOtorhinolaryngology2734 Pathology and Forensic MedicineBackground dataAge FactorsRetrospective cohort studySurgeryTreatment OutcomeOtorhinolaryngologyGlottic cancer030220 oncology & carcinogenesisCarcinoma Squamous Celllaryngeal cancerFemaleLaser TherapybusinessHead & Neck
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Factors of local recurrence and organ preservation with transoral laser microsurgery in laryngeal carcinomas; CHAID decision-tree analysis.

2018

BACKGROUND Indications of transoral laser microsurgery (TLM) are conditioned by the risk of local relapse. OBJECTIVE To evaluate prognostic factors of local relapse and local control with TLM (LC-TLM). METHODS Local relapse and LC-TLM were evaluated in 1119 patients. Logistic regression and CHAID decision tree analysis were performed. RESULTS Local relapse correlated to previous radiotherapy failure (8.45, CI 95%: 2.64-27.03; P < .001), paraglottic involvement (2.42, CI: 1.41-4.15; P = .001), anterior commissure involvement (2.12, CI: 1.43-3.14; P < .001), grade of differentiation (1.74, CI: 1.18-2.57; P = .005), and alcohol consumption (1.4, CI: 0.99-1.98; P = .057). Local relapse tended t…

AdultMalemedicine.medical_specialtyMicrosurgerymedicine.medical_treatmentAnterior commissureLogistic regression03 medical and health sciencesYoung Adult0302 clinical medicineRisk FactorsMedicineHumansTransoral laser microsurgery030223 otorhinolaryngologyLaryngeal NeoplasmsAgedRetrospective StudiesAged 80 and overbusiness.industryCarcinomaDecision TreesOrgan PreservationMiddle AgedCHAIDSurgeryRadiation therapyLarynx carcinomaLogistic ModelsTreatment OutcomeOtorhinolaryngology030220 oncology & carcinogenesisFemaleLaser TherapyNeoplasm Recurrence LocalbusinessAlcohol consumptionHeadneck
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Executive summary of EPOS 2020 including integrated care pathways.

2020

The European Position Paper on Rhinosinusitis and Nasal Polyps 2020 is the update of similar evidence based position papers published in 2005 and 2007 and 2012 (1-3). The core objective of the EPOS2020 guideline is to provide revised, up-to-date and clear evidence-based recommendations and integrated care pathways in ARS and CRS. EPOS2020 provides an update on the literature published and studies undertaken in the eight years since the EPOS2012 position paper was published and addresses areas not extensively covered in EPOS2012 such as paediatric CRS and sinus surgery. EPOS2020 also involves new stakeholders, including pharmacists and patients, and addresses new target users who have become…

Medical educationExecutive summaryEvidence-based practicebusiness.industryOutcome measurementsDelivery of Health Care IntegratedMEDLINEGeneral MedicineGuidelineSinus surgery3. Good healthIntegrated care03 medical and health sciences0302 clinical medicineNasal PolypsOtorhinolaryngologyChronic DiseaseMedicinePosition paperHumansSinusitis030223 otorhinolaryngologybusinessRhinitisRhinology
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Real-life assessment of chronic rhinosinusitis patients using mobile technology: the mySinusitisCoach project by EUFOREA

2020

Abstract Background Chronic rhinosinusitis (CRS) is a chronic inflammatory disease associated with a substantial personal and socioeconomic burden. Monitoring of patient‐reported outcomes by mobile technology offers the possibility to better understand real‐life burden of CRS. Methods This study reports on the cross‐sectional evaluation of data of 626 users of mySinusitisCoach (mSC), a mobile application for CRS patients. Patient characteristics of mSC users were analysed as well as the level of disease control based on VAS global rhinosinusitis symptom score and adapted EPOS criteria. Results The mSC cohort represents a heterogeneous group of CRS patients with a diverse pattern of major sy…

Aplicacions mòbilsSYMPTOMSSinusititsvisual analogue scale0302 clinical medicineQuality of lifeMedicine and Health SciencesImmunology and AllergyNasal polyps030223 otorhinolaryngologyRhinitisnasal polypreal‐world evidenceASSOCIATION3. Good healthPREVALENCEALLERGIC RHINITISpatient-reported outcome measureCohortOriginal Articlepatient‐reported outcome measureENDOSCOPIC SINUS SURGERYmedicine.medical_specialtyVisual analogue scaleImmunologyMobile health technology03 medical and health sciencesNasal PolypsInternal medicinemedicineotorhinolaryngologic diseasesHumansNASALSinusitisreal-world evidenceDisease burdenMobile health technology; nasal polyp; patient-reported outcome measure; real-world evidence; visual analogue scaleTelecommunication in medicineAsthmabusiness.industryRhinitis Sinusitis and Upper Airway DiseaseFunctional endoscopic sinus surgerymedicine.diseasePrecision medicineSEVERITYCross-Sectional Studies030228 respiratory system3121 General medicine internal medicine and other clinical medicineChronic DiseaseMobile appsQuality of LifeASTHMAHuman medicineORIGINAL ARTICLESVISUAL ANALOG SCALEbusinessTelecomunicació en medicina
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