There is no evidence to recommend azithromycin to prevent recurrent wheezing after bronchiolitis [No existen pruebas suficientes que recomienden la azitromicina para prevenir episodios de sibilancias recurrentes posbronquiolitis]
Bunuel Alvarez J.C.,Servicio Aragones de Salud
Pediatria de Atencion Primaria | Year: 2015
Review and assessment of a selected paper. Authors’ conclusions: azithromycin decreased interleukin-8 nasopharyngeal concentration during the study period, and delayed the onset of a subsequent third episode of recurrent wheezing during the monitoring period. Reviewers’ commentary: the results of this trial are not sufficient to recommend indiscriminate use of azithromycin for the treatment of acute bronchiolitis during admission, nor to prevent possible further episodes of recurrent wheezing. If azithromycin actually had any clinically important effect on acute bronchiolitis and its recurrences, it should be demonstrated in a clinical trial specifically designed for this purpose, since the results of a pilot trial cannot be taken as a basis for changes in everyday clinical practice. © 2015, Spanish Association of Primary Care Pediatrics. All rights reserved.
Results of implementing a programme to improve the quality of the contents in hospital discharge reports in cases of heart failure [Resultados tras la implementación de un programa de mejora de la calidad del contenido de los informes de alta hospitalaria en insuficiencia cardiaca]
Martin-Fortea M.P.,Hospital Clinico Universitario Lozano Blesa |
Amores-Arriaga B.,Hospital Clinico Universitario Lozano Blesa |
Sanchez-Marteles M.,Hospital Clinico Universitario Lozano Blesa |
Ruiz-Laiglesia F.,Hospital Clinico Universitario Lozano Blesa |
And 2 more authors.
Revista de Calidad Asistencial | Year: 2015
Objectives To analyse the information collected in hospital discharge reports (HDR) that are given to patients with a diagnosis of heart failure (HF), and demonstrate the improvement in the content of these reports after the introduction of an intervention. Material and methods HDR with HF as the main diagnosis issued by the Department of Internal Medicine were analysed, and the presence of the diagnosis, prognosis and therapeutic data in these HDR was compared in a sample before and after the intervention, which consisted of reporting the results of analysis of the initial sample to the physicians. Results A total of 651 HDR (371 pre-intervention and 280 post-intervention) were analysed. Most of the HDR (over 70%) did not include the functional class. Most of the HDR did not include information about echocardiogram performed before the hospitalization period analysed, and most of the HDR that collected this information did not determine if the HF was diastolic or systolic. In the post-intervention sample there was a lower percentage of HDR that prescribed angiotensin-converting enzyme inhibitors or angiotensin receptor blocker ii (26% vs 32%, P <.001). In 30% of the pre-intervention sample and 38% of the post-intervention sample there was indication of beta-blockers (P =.027). Conclusions A short discussion with the physicians responsible for patients with HF improves the inclusion of important data on the diagnosis, prognosis and treatment in the HDR. © 2014 SECA. Published by Elsevier España, S.L.U. All rights reserved.
Rubio E.,University of Zaragoza |
Comin M.,University of Zaragoza |
Monton G.,Servicio Aragones de Salud |
Martinez T.,University of Zaragoza |
Magallon R.,Instituto Aragones Of Ciencias Of La Salud
Revista Espanola de Geriatria y Gerontologia | Year: 2014
Objectives: To describe the use of health and social services, and to analyze the influence of functional capacity for Instrumental Activities of Daily Living (IADL) and other factors in their use. Method: Cross-sectional study in a non-institutionalized population older than 64 years old in a basic rural health area of Zaragoza. Dependent variables: use of different health and social services. Main independent variable: functional capacity for IADL according to the Lawton-Brody. Confounding variables: sociodemographic, physical exercise, comorbidity, self-perceived health, walking aids, social resources and economic resources (OARS-MAFQ). The relationship between the use of services and functional capacity for IADL was assessed using crude OR (ORC) and adjusted (adjusted OR) with CI95% by means of multivariate logistic regression models. Results: The use of social and health services increased with age and worse functional capacity for IADL. The increased use of health services was related with bad stage of health, limited social and economic resources, physical inactivity and female. The increased use of home help services was related with limited social resources, low education level and male. Regular physical activity and using walking aids were associated with greater participation in recreational activities. Conclusions: The probability of using social and health services increased in older people with impaired functional capacity for IADL. The specific use of them changed according to differences in health, demographic and contextual features. © 2013 SEGG.
Marchiori E.J.,Complutense University of Madrid |
Ferrer G.,Catedu Centro Aragones Of Tecnologias Para La Educacion |
Fernandez-Manjon B.,Complutense University of Madrid |
Fernandez-Manjon B.,Massachusetts General Hospital |
And 5 more authors.
Emergencias | Year: 2012
Objectives: 1) To assess the usefulness of an educational video game to teach the theory of basic life support to high school students; 2) to compare video-game instruction to the traditional teaching of basic life support maneuvers through practical demonstrations by health care professionals. Methods: An educational video game was developed according to the ILCOR 2010 guidelines. The study was carried out in a sample of 344 secondary school students in Aragon, Spain. The students, who were allocated to an experimental group and a control group, took a test before and after instruction in order to detect change in knowledge. Results: Viable data were obtained for 331 students. The 187 students in the experimental group had a mean grade of 5.41 (out of a maximum score of 10) before playing the game and a mean grade of 7.48 afterwards. Students in the control group had a mean grade of 4.95 before and 8.56 afterwards. The differences in each group were significant (t test). After bivariate analysis of variance, the differences in both groups remained significant. Conclusions: The experimental group achieved a significant increase in theoretical knowledge, although they learned less than students in the control group. The relevance of these results rests on the lower cost per instructional session for the video game, which can be played an unlimited number of times without supervision. Furthermore, the game can be distributed free of charge to institutions or individuals.
Paradas-Lara I.,Complutense University of Madrid |
Casado-Gomez I.,Complutense University of Madrid |
Martin C.,Complutense University of Madrid |
Martinez-Sanz E.,Servicio Aragones de Salud |
And 9 more authors.
Journal of Cranio-Maxillofacial Surgery | Year: 2014
We have recently presented the Old Spanish Pointer dog, with a 15-20% spontaneous congenital cleft palate rate, as a unique experimental model of this disease. This study aimed to describe the cleft palate of these dogs for surgical research purposes and to determine whether congenital cleft palate influences maxillofacial growth. Seven newborn Old Spanish Pointer dogs of both sexes, comprising a cleft palate group (n = 4) and a normal palate group (n = 3), were fed using the same technique. Macroscopic photographs and plaster casts from the palate, lateral radiographs and computer tomograms of the skull were taken sequentially over 41 weeks, starting at week 5. The cleft morphology, the size and the tissue characteristics in these dogs resembled the human cleft better than current available animal models. During growth, the cleft width varies. Most of the transverse and longitudinal measures of the palate were statistically lower in the cleft palate group. The cleft palate group showed hypoplasia of the naso-maxillary complex. This model of congenital cleft palate seems suitable for surgical research purposes. A reduced maxillofacial pre- and post-natal development is associated to the congenital cleft palate in the Old Spanish Pointer dog. © 2013 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.