0000000001056632
AUTHOR
Isabel Vilaseca
Timing, Complications, and Safety of Tracheotomy in Critically Ill Patients With COVID-19
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…
Factors of local recurrence and organ preservation with transoral laser microsurgery in laryngeal carcinomas; CHAID decision-tree analysis.
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…
Incidencia de una semana de docencia en la fonación de los profesores
En este artículo se presenta, por un lado, una valoración subjetiva de los propios profesores sobre sus características vocales a partir de un resumen del Voice Handicap Index (VHI) (Jacobson et alii, 1997), un cuestionario rigurosamente validado. Concretamente se evalúa la percepción del propio profesor sobre su discapacidad vocal a partir de la versión reducida VHI-10 (Rosen et alii, 2004). De forma complementaria, se ofrecen los resultados de un análisis objetivo de diferentes parámetros (jitter, shimmer, relación armónicos-ruido, duración o F0 media, etc). Los informantes son docentes que trabajan en colegios de Madrid y Barcelona, en un abanico de niveles educativos que cubre enseñanza…