Search results for "Anemia"
showing 10 items of 352 documents
Evaluación de los niveles plasmáticos de hepcidina en pacientes con anemia ferropénica y cáncer colorectal
2017
RESUMEN TESIS DOCTORAL TITULO: “Evaluación de los niveles plasmáticos de hepcidina en pacientes con anemia ferropénica y cáncer colorectal.” AUTOR: María Vila Montañés INTRODUCCIÓN El objetivo general de este trabajo fue determinar los niveles plasmáticos de hepcidina y su posible relación con el tratamiento con hierro intravenoso. El hierro es una terapia clave en el manejo de la anemia preoperatoria en los pacientes con cáncer colorectal. La anemia preoperatoria es una entidad prevalente en los pacientes con cáncer de colon, especialmente en los que están pendientes de intervención quirúrgica. Sus efectos nocivos han sido estudiados y actualmente se considera factor de riesgo de morbilida…
Tratamiento de la anemia ferropénica posthemorragia digestiva aguda: ferroterapia oral vs. intravenosa
2021
Antecedentes: la hemorragia digestiva aguda es una afección muy prevalente y la anemia ferropénica subsiguiente es una comorbilidad común; sin embargo, faltan guías de tratamiento de la anemia para los pacientes afectados. Objetivo: comparar la eficacia y seguridad del hierro carboximaltosa (FCM) intravenoso y el sulfato ferroso oral (FeSulf) en pacientes con anemia secundaria a hemorragia digestiva no varicosa, determinar la influencia de ambos tratamientos en la calidad de vida durante el seguimiento de los pacientes y valorar los efectos secundarios y adherencia a ambos tratamientos. Método: un estudio prospectivo de 42 días aleatorizó a 61 pacientes con hemoglobina <10 g / dl al alta (d…
Maternal hyperphenylalaninemia syndrome: neuropsychological evaluation of four subjects during childhood and adolescence.
2006
Abstract Maternal hyperphenylalanemia during pregnancy may induce a severe embryopathy characterized by microcephaly, mental retardation, facial dysmorphy and congenital heart defects. Four subjects, two pairs of sibs, with maternal hyperphenylalaninemia syndrome were included in this study and their neuropsychological performances were assessed. Maternal levels of hyperphenylalaninemia were similar in both mothers, one of them had not been diagnosed with the condition until her two children were examined at the ages of 10 and 6 years. A severe cognitive deficit was detected in all 4 subjects, with a typical profile of impaired perceptive abilities, behavioural disturbances, motor difficult…
The Value of a Complete Blood Count (CBC) for Sepsis Diagnosis and Prognosis.
2021
Sepsis represents an important global health burden due to its high mortality and morbidity. The rapid detection of sepsis is crucial in order to prevent adverse outcomes and reduce mortality. However, the diagnosis of sepsis is still challenging and many efforts have been made to identify reliable biomarkers. Unfortunately, many investigated biomarkers have several limitations that do not support their introduction in clinical practice, such as moderate diagnostic and prognostic accuracy, long turn-around time, and high-costs. Complete blood count represents instead a precious test that provides a wealth of information on individual health status. It can guide clinicians to early-identify …
The definition, screening, and treatment of postpartum anemia: A systematic review of guidelines.
2020
Background: Postpartum anemia can negatively affect maternal health and interfere with early parenting. Thus, it is important to have clear, evidence-informed recommendations on its diagnosis and treatment. Objective: To compare global recommendations regarding the appropriate management of postpartum anemia and to highlight similarities and differences. Methods: Systematic searches were conducted in the databases PubMed, CINAHL, LILACS, TRIP database, and Scopus, and in the websites of health institutions and scientific societies. Search terms were related to anemia and the postpartum period. Two hundred and eighty papers were identified; the full texts of 30 sets of guidelines were review…
INTESTINAL INFECTION BY CRYPTOSPORIDIUM IN THREE CHILDREN WITH ABDOMINAL PAIN AND CHRONIC DIARRHOEA
1985
Children infection by Cryptosporidium sp. have been communicated since 1976 usually associated to acute diarrohoeal disease. This protozoa has been isolated recently in SIDA patients with serious illness. Three new cases, the first of spanish pediatric literature, are described in this paper. Children were males; two of them twins. Age ranged 24 to 27 m. All lived in Valencia, and went to infant's school with high stand of living and domestic animal relationship. The most frequent symptom was well located colic abdominal pain with day predominance and 2 months of evolution in the twins. The third case began with abdominal pain and discomfort. Three months before had been treated with Metron…
Carga de comorbilidad y beneficio de la revascularización en ancianos con síndrome coronario agudo
2021
Introduction and objectives: To evaluate the interaction between comorbidity burden and the benefits of in-hospital revascularization in elderly patients with non-ST-segment elevation acute coronary syndrome (NSTEACS). Methods: This retrospective study included 7211 patients aged ≥ 70 years from 11 Spanish NSTEACS registries. Six comorbidities were evaluated: diabetes, peripheral artery disease, cerebrovascular disease, chronic pulmonary disease, renal failure, and anemia. A propensity score was estimated to enable an adjusted comparison of in-hospital revascularization and conservative management. The end point was 1-year all-cause mortality. Results: In total, 1090 patients (15%) died. Th…
Derivation and validation of a novel bleeding risk score for elderly patients with venous thromboembolism on extended anticoagulation
2017
SummaryExisting clinical scores do not perform well in predicting bleeding in elderly patients with acute venous thromboembolism (VTE). We sought to derive an easy-to-use clinical score to help physicians identify elderly patients with VTE who are at high-risk of bleeding during extended anticoagulation (>3 months). Our derivation sample included 743 patients aged ≥65 years with VTE who were enrolled in a prospective multicenter cohort study. All patients received extended anticoagulation with vitamin K antagonists. We derived our score using competing risk regression, with the time to a first major bleeding up to 36 months of extended anticoagulation as the outcome, and 17 candidate var…
Supportive care of the older cancer patient
2003
Aging is associated with decreased functional reserve of multiple organ systems and with changes in the pharmacokinetics and pharmacodinamics of drugs. Older individuals express enhanced susceptibility to the complications of cytotoxic chemotherapy, especially to myleotoxicity, mucositis, cardiotoxicity and neurotoxicity. The management of older individuals with chemotherapy involves then prevention of these complications. General precautions include proper patient selection, based on the comprehensive geriatric assessment (CGA), dose adjustment for agents that are renally excreted to the patient creatinine clearance and maintenance of hemoglobin levelsor =12 g/dl. Filgrastim and pegfilgras…
What are the risk factors of failure of enhanced recovery after right colectomy? Results of a prospective study on 140 consecutive cases
2020
Purpose Nausea and vomiting is the main cause of failure of enhanced recovery protocol (ERP) after right hemicolectomy. Methods From January 2013 to January 2018, all patients undergoing right hemicolectomy were prospectively included. Patients undergoing emergency surgery, additional complex procedure or temporary stoma, nasogastric tube (NGT) maintenance, or abdominal drainage were excluded. Failure of ERP was defined as nausea/vomiting precluding oral feeding after POD3 and/or the occurrence of postoperative ileus requiring NGT and/or length of stay (LOS) ≥ 8 days except for patients awaiting admission in rehabilitation unit. Risk factors of failure of ERP were identified using univariat…