Hospital Sant Antoni Abat

Sant Josep de sa Talaia, Spain

Hospital Sant Antoni Abat

Sant Josep de sa Talaia, Spain
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Pedemonte-Sarrias E.,University of Barcelona | Pedemonte-Sarrias E.,Hospital Universitari Germans Trias i Pujol | Pedemonte-Sarrias E.,Autonomous University of Barcelona | Salvador Playa T.,University of Barcelona | And 8 more authors.
International Journal of Ophthalmology | Year: 2017

● AIM: To determine the incidence of cystoid macular edema (CME) after Descemet’s stripping automated endothelial keratoplasty (DSAEK). ● METHODS: This study included all consecutive patients operated in a Spanish tertiary reference hospital over a period of four years. A total of 55 eyes from 47 patients matched the selection criteria. CME was diagnosed clinically at the slit-lamp and confirmed by optical coherence tomography. ● RESULTS: Six cases of CME were diagnosed postoperatively, which represented an incidence of 11%. Three patients had previously undergone DSAEK alone (7%; 3/41) and the other three, DSAEK combined with phacoemulsification (21%; 3/14). Five out of six patients with CME responded to standard therapy. ● CONCLUSION: CME is a possible complication after DSAEK and can be treated with standard therapy. CME appears more frequently when DSAEK is combined with phacoemulsification and posterior chamber (PC) intraocular lens (IOL) implantation. Intraoperative damage to the corneal endothelial cells might play a role in the pathogenesis of CME. As long as the causes remain unclear, we recommend administering prophylaxis when risk factors are present or when combined surgery is planned. © 2017, International Journal of Ophthalmology (c/o Editorial Office). All rights reserved.


Galvez-Barron C.,Fundacio Privada Sant Antoni Abat Research Unit | Sanguino M.J.,Hospital Sant Antoni Abat | Narvaiza L.,Hospital Sant Antoni Abat | Cavestany F.,Hospital Sant Antoni Abat | And 4 more authors.
Aging Clinical and Experimental Research | Year: 2013

Objective: Given the impact of recurrent falls in older people, risk evaluation for falling is an important part of geriatric assessment. Available clinical tools usually do not include patients' self-perceived risk of falling. The objective of this study was to evaluate association with and predictive capacity of self-perceived risk of falling in recurrent falls. Methods: Prospective cohort study. Patients attending a geriatric outpatients' clinic were recruited (Pfeiffer score <5). A baseline assessment and follow-up over 14 months was scheduled for each patient. Self-perceived risk of falling was assessed through four questions. Association with falls was evaluated through relative risk, survival curves (Kaplan-Meier), and Cox regression (recurrent falls as outcome variables). Predictive capacity was evaluated through sensitivity, specificity, and predictive values. Results: 52 participants answered all 4 questions, and 15 participants (27.2 %) presented recurrent falls. Question 1 (Do you think you may fall in the next few months?) was associated with the occurrence of recurrent falls according to relative risk [3.88 (CI95 %:1.48-10.09)] and survival curves (log Rank, p 0.004). Such relationship is maintained over time. Cox-regression also showed significant difference in relation to the answer for question 1 and recurrent falls [hazard ratio 4.044 (CI: 1.410-11.597); p 0.009]. Sensitivity, specificity, positive and negative predictive values (question 1) were 53.3 % (CI95 %:28.1-78.6), 84.2 % (CI95 %:72.6-95.8), 57.1 % (CI95 %:31.2-83.1), and 82.1 % (CI95 %:70.0-94.1), respectively. Conclusions: Patients' self-perceived risk of falling is related to recurrent falls amongst people with a high risk of falling and this parameter might be useful in falling risk evaluation. © 2013 Springer International Publishing Switzerland.


Galvez-Barron C.,Hospital Sant Antoni Abat | Narvaiza L.,Consorci Sanitari del Garraf | Dapena M.D.,Consorci Sanitari del Garraf | Macho O.,Consorci Sanitari del Garraf | Rodriguez-Molinero A.,Hospital Sant Antoni Abat
Aging Clinical and Experimental Research | Year: 2016

Background: In Europe, there is no conclusive data at national level about pain prevalence in non-institutionalized very old population. In USA, it has recently been reported a high prevalence (56 %); however, this data can not be extrapolated to other regions because the known influence of geographical and ethnic differences. Furthermore there are few data on use of treatments for pain in this population. Aims: To explore prevalence and considered pharmacological treatments for pain in this population. Methods: Transversal study on 551 participants aged 80 or more living in Spain (non-institutionalized). Probabilistic multistage sampling was carried out, stratified by sex and place of residence. All Spanish regions were considered for recruitment process. Pain (last 4 weeks), intensity (Face Pain Scale), localization and pharmacological treatments were evaluated by in-person interviews. Results: Pain’s prevalence was 52.5 % (CI 95 % 48.28–56.80) and 38.5 % experienced pain of at least moderate intensity. The most frequently involved body regions were lower limbs (26.6 %) and dorso-lumbar region (21.9 %). Only 40 % of participants with pain and 43.2 % with moderate or severe pain used analgesics, and paracetamol was less frequently used than non-steroidal anti-inflammatory drugs at any pain intensity. Age was not associated with higher prevalence [odds ratios 0.97 (CI 95 % 0.93–1.02) in females and 0.99 (CI 95 % 0.92–1.06) in males]. Conclusions: The prevalence of pain in non-institutionalized very old people is high. Pain is probably being undertreated, even moderate or severe pain. Guideline’s recommendations are probably not being considered to select the analgesic therapy. © 2015, Springer International Publishing Switzerland.


PubMed | Hospital Sant Antoni Abat and Consorci Sanitari del Garraf
Type: Journal Article | Journal: Aging clinical and experimental research | Year: 2016

In Europe, there is no conclusive data at national level about pain prevalence in non-institutionalized very old population. In USA, it has recently been reported a high prevalence (56%); however, this data can not be extrapolated to other regions because the known influence of geographical and ethnic differences. Furthermore there are few data on use of treatments for pain in this population.To explore prevalence and considered pharmacological treatments for pain in this population.Transversal study on 551 participants aged 80 or more living in Spain (non-institutionalized). Probabilistic multistage sampling was carried out, stratified by sex and place of residence. All Spanish regions were considered for recruitment process. Pain (last 4weeks), intensity (Face Pain Scale), localization and pharmacological treatments were evaluated by in-person interviews.Pains prevalence was 52.5% (CI 95% 48.28-56.80) and 38.5% experienced pain of at least moderate intensity. The most frequently involved body regions were lower limbs (26.6%) and dorso-lumbar region (21.9%). Only 40% of participants with pain and 43.2% with moderate or severe pain used analgesics, and paracetamol was less frequently used than non-steroidal anti-inflammatory drugs at any pain intensity. Age was not associated with higher prevalence [odds ratios 0.97 (CI 95% 0.93-1.02) in females and 0.99 (CI 95% 0.92-1.06) in males].The prevalence of pain in non-institutionalized very old people is high. Pain is probably being undertreated, even moderate or severe pain. Guidelines recommendations are probably not being considered to select the analgesic therapy.

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