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Martínez-Moragón E, Antepara Ercoreca I, Muñoz García M, Casas Maldonado F, Calvín Lamas M, Chiner Vives E, Crespo Diz C, Díaz-Pérez D, Eguiluz Gracia I, García Gil S, González-Pérez R, Habernau Mena A, Hermida Valverde T, Jornet Montaña S, López-Carrasco V, Martínez López I, Merino-Bohórquez V, Moreno-Ancillo Á, Mínguez Cabeza AC, Monte-Boquet E, Revuelta-Herrero JL, Sánchez-Cuellar S. Patient-reported outcome measures in severe asthma: an expert consensus. J Asthma 2024; 61:619-631. [PMID: 38146964 DOI: 10.1080/02770903.2023.2297372] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2023] [Accepted: 12/16/2023] [Indexed: 12/27/2023]
Abstract
OBJECTIVE The study aimed to reach a consensus on the most relevant patient-reported outcomes (PROs), the corresponding measures (PROMs), and measurement frequency during severe asthma patient follow-up. METHODS Two Delphi rounds were conducted. The questionnaire was developed based on a systematic literature review, a focus group with patients, and a nominal group with experts. It assessed PROs' relevance and the appropriateness (A) and feasibility (F) of PROMs using a Likert scale (1=totally agree; 9=totally disagree). The consensus was established when ≥75% of participants agreed (1-3) or disagreed (7-9). RESULTS Sixty-three professionals (25 hospital pharmacists, 14 allergists, 13 pulmonologists, and 11 nurses) and 5 patients answered the Delphi questionnaire. A consensus was reached on all PROs regarding their relevance. Experts agreed on the use of ACT (A:95.24%; F:95.24%), mini AQLQ (A:93.65; F:79.37%), mMRC dyspnea scale (A:85.71%; F:85.71%), TAI (A:92.06%; F:85.71%), MMAS (A:75.40%; F:82%), and the dispensing register (A:96.83%; F:92.06%). Also considered suitable were: SNOT-22 (A:90.48%; F:73.80%), PSQI (A:82.54; F:63.90%), HADS (A:82.54; F:64%), WPAI (A:77.78%; F:49.20%), TSQM-9 (A:79.37; F:70.50%) and knowledge of asthma questionnaire (A:77%; F:68.80%); however, their use in clinical practice was considered unfeasible. Panelists also agreed on the appropriateness of EQ-5D, which was finally included despite being considered unfeasible (A: 84.13%; F:67.20%) in clinical practice. Agreement was reached on using ACT, TAI, mMRC, and a dispensing register every three months; mini-AQLQ and MMAS every six months; and EQ-5D every twelve months. CONCLUSION This consensus paves the way toward patient-centered care, promoting the development of strategies supporting routine assessment of PROs in severe asthma management.
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Affiliation(s)
| | | | - María Muñoz García
- Servicio de Farmacia, Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain
| | | | - Marta Calvín Lamas
- Servicio de Farmacia, Complexo Hospitalario Universitario A Coruña, A Coruña, Spain
| | - Eusebi Chiner Vives
- Servicio de Neumología, Hospital Universitario San Juan de Alicante, Alicante, Spain
| | - Carlos Crespo Diz
- Servicio de Farmacia, Complejo Hospitalario Universitario de Pontevedra, Pontevedra, Spain
| | - David Díaz-Pérez
- Servicio de Neumología, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain
| | - Ibon Eguiluz Gracia
- Servicio de Alergología, Hospital Regional Universitario de Málaga, Málaga, Spain
| | - Sara García Gil
- Servicio de Farmacia, Hospital Universitario de Canarias, La Laguna, Spain
| | | | | | | | | | | | - Icíar Martínez López
- Servicio de Farmacia, Hospital Universitari Son Espases, Palma de Mallorca, Spain
| | | | - Álvaro Moreno-Ancillo
- Servicio de Alergología, Hospital General Nuestra Señora del Prado, Talavera de la Reina, Spain
| | | | - Emilio Monte-Boquet
- Servicio de Farmacia, Hospital Universitario y Politécnico La Fe, Valencia, Spain
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Blanco-Aparicio M, Almonacid C, Calvín Lamas M, Delgado J, Gandolfo-Cano M, López-Carrasco V, Vega JM, Díaz-Pérez D, Villamañán E. [Telemedicine and severe asthma in our environment: Views on the experience of professionals and suggestions to make it a reality]. Open Respir Arch 2023; 5:100239. [PMID: 37810420 PMCID: PMC10556775 DOI: 10.1016/j.opresp.2023.100239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2023] [Accepted: 03/02/2023] [Indexed: 03/19/2023] Open
Abstract
This paper aims to examine the recent experience in telemedicine (TM) management of patients with severe asthma (SA). A committee of health professionals involved in asthma management (pulmonology, allergology, respiratory nursing, and hospital pharmacy) held discussion meetings on the practical experience of TM for the management of SA and the means available complemented with a bibliographic search to know the current status of TM in SA. The main barriers detected for the implementation of TM in SA have been the lack of technological training, the lack of registration of TM in the clinical history, the care overload, or the connectivity problems at the administration level. The practical solutions are provided such as the selection of the patient suitable for TM, the registration of TM in the medical record, its inclusion in the care objectives or the increase of funding for systems. Moreover, the main App and Webapp for use by patients are provided, and the portable equipment for remote functional respiratory tests. In conclusion, it is necessary that the teleconsultation has the same entity as the face-to-face visit with a schedule in the appointment's agenda and a structure of both the medical interview and the tests to be performed in each consultation. Additionally, should be promoted the implementation of a video call system, tools that allow the monitoring of both therapeutic adherence and inhalation technique, as well as the patient's lung function.
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Affiliation(s)
| | - Carlos Almonacid
- Servicio de Neumología, Hospital Universitario de Toledo, Toledo, España
| | - Marta Calvín Lamas
- Servicio de Farmacia, Complexo Hospitalario Universitario A Coruña, A Coruña, España
| | - Julio Delgado
- Unidad de Gestión Clínica Alergología, Hospital Virgen Macarena, Sevilla, España
| | - Mar Gandolfo-Cano
- Servicio de Alergología, Hospital Universitario de Fuenlabrada, Madrid, España
| | | | - José María Vega
- Servicio de Alergología, Hospital Regional Universitario de Málaga, Málaga, España
| | - David Díaz-Pérez
- Servicio de Neumología, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, España
| | - Elena Villamañán
- Servicio de Farmacia, Hospital Universitario La Paz, Madrid, España
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González-de la Torre H, Díaz-Pérez D, Pinto-Plasencia RJ, Reyero-Ortega B, Hernández-González E, Domínguez-Trujillo C. Attitudes, capacities and perceived barriers in research of nurses of the Canary Health Service. Enferm Clin (Engl Ed) 2023; 33:278-291. [PMID: 37392999 DOI: 10.1016/j.enfcle.2023.05.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/20/2023] [Accepted: 05/28/2023] [Indexed: 07/03/2023]
Abstract
OBJECTIVE To evaluate the attitudes, capacities and perceived barriers associated with research among nurses and midwives of the Canary Health Service (SCS). METHODS Descriptive observational cross-sectional study with an analytical component carried out in the different SCS departments by means of an online survey in which sociodemographic and specific variables, the Spanish version of the Attitudes towards Research and Development within Nursing Questionnaire (ATRDNQ-e) instrument and the BARRIERS scale were collected. Authorisation was obtained from the two provincial ethics committees. A descriptive and inferential analysis (Mann-Whitney U test and Kruskal-Wallis test, post hoc contrast by Dwass-Steel-Critchlow-Fligne test) was performed with JAMOVI® v.2.3.24 software. RESULTS A total of 512 nurses and midwives with a mean age of 41.82 years participated in the study. Regarding the scores with the ATRDNQ-e instrument, the dimension with the lowest score was «Language of research» (mean = 3.55/SD = 0.84) and the highest «Assessment of nursing research and development of the nursing discipline» (mean = 4.54/SD = 0.52). The total mean score with the BARRIERS scale was 54.33 (SD = 16.52), with «Organizational characteristics» being the highest scoring subscale (mean = 17.25/SD = 5.90). The two highest perceived barriers were «Not enough time at work to implement new ideas» (mean = 2.55/SD = 1.11) and «Nursing does not have time to read research» (mean = 2.46/ SD = 1.11). CONCLUSIONS SCS nurses have a positive attitude towards research, although there are some barriers where improvement actions for nursing research should be implemented.
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Affiliation(s)
- Héctor González-de la Torre
- Unidad de Apoyo a la Investigación del Complejo Universitario Insular Materno-Infantil de Gran Canaria, Servicio Canario de la Salud, Las Palmas de Gran Canaria, Canary Islands, Spain; Departamento de Enfermería, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Canary Islands, Spain; Unidad de Apoyo a la Dirección del Servicio Canario de la Salud, Las Palmas de Gran Canaria, Canary Islands, Spain
| | - David Díaz-Pérez
- Unidad de Apoyo a la Dirección del Servicio Canario de la Salud, Las Palmas de Gran Canaria, Canary Islands, Spain; Servicio de Neumología y Cirugía torácica, Complejo Hospitalario Universitario Nuestra Señora de la Candelaria, Servicio Canario de la Salud, Santa Cruz de Tenerife, Canary Islands, Spain.
| | - Ricardo José Pinto-Plasencia
- Unidad de Apoyo a la Dirección del Servicio Canario de la Salud, Las Palmas de Gran Canaria, Canary Islands, Spain
| | - Begoña Reyero-Ortega
- Unidad de Apoyo a la Dirección del Servicio Canario de la Salud, Las Palmas de Gran Canaria, Canary Islands, Spain
| | | | - Conrado Domínguez-Trujillo
- Dirección general de RRHH del Servicio Canario de la Salud, Canary Islands, Spain; Escuela de doctorado de la Universidad de las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Canary Islands, Spain
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Cabezón-Gutiérrez L, Custodio-Cabello S, Palka-Kotlowska M, Díaz-Pérez D, Mateos-Dominguez M, Galindo-Jara P. Neoadjuvant immunotherapy for dMMR/MSI-H locally advanced rectal cancer: The future new standard approach? Eur J Surg Oncol 2023; 49:323-328. [PMID: 36400657 DOI: 10.1016/j.ejso.2022.10.018] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2022] [Accepted: 10/24/2022] [Indexed: 11/06/2022]
Abstract
INTRODUCTION This is a review of the evidence from studies of the efficacy and tolerability of neoadjuvant immunotherapy for mismatch repair-deficient (dMMR) or microsatellite instability-high (MSI-H) Locally Advanced Rectal Cancer (LARC). METHODS For this review, we searched EMBASE and MEDLINE until 22 September 2022. The terms used in the search included mismatch repair-deficient, microsatellite instability, rectal cancer, neoadjuvant and immunotherapy. RESULTS A total of 92 studies were obtained but only 9 were selected for the final analysis (one prospective and eight retrospective studies), including less than 20 patients per study. Neoadjuvant immunotherapy provides overall response rates of 100% (with and completed clinical response between 40 and 100%). CONCLUSION Our review discusses completed prospective and retrospective studies, ongoing clinical trials, and the clinical practice of using neoadjuvant immunotherapy for MSI-H/dMMR LARC. The promising results obtained, would open the door to exploring other alternatives for these patients, offering the possibility of avoiding chemoradiation therapy and surgery in the future.
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Affiliation(s)
- Luis Cabezón-Gutiérrez
- Medical Oncology, Hospital Universitario de Torrejon, Spain; Faculty of Medicine, Universidad Francisco de Vitoria, Madrid, Spain.
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Recio-Vivas AM, Mansilla-Domíngez JM, Belzunegui-Eraso Á, Peña-Otero D, Díaz-Pérez D, Lorenzo-Allegue L, Font-Jiménez I. Compliance with COVID-19 Prevention Measures in the Spanish Population during the New Normal: Will the Need for Greater Community Involvement Be One of the Lessons Learned? Int J Environ Res Public Health 2022; 19:15983. [PMID: 36498056 PMCID: PMC9737321 DOI: 10.3390/ijerph192315983] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/11/2022] [Revised: 11/16/2022] [Accepted: 11/26/2022] [Indexed: 06/17/2023]
Abstract
Throughout the pandemic, national and international health authorities have called on the population to collaborate and contribute with their behavior to control the problem. The aim of this study is to analyze the implementation of the protective measures against COVID-19 and to determine the factors involved in their compliance. To respond to the objectives, a cross-sectional study was performed involving a total of 5560 individuals. An ad hoc online questionnaire was created and shared through social networks, scientific societies, and various health institutions. The probability of high or total compliance with the protective measures was higher in women (OR = 1.401) and as age increases, with an OR = 2.524 in the interval between 31 and 64 years old and an OR = 2.896 in the oldest interval (65 and over). This study shows the characteristics of the population that considers it more likely to be infected by SARS-CoV-2, thus adopting greater adherence to prevention measures. Knowing which factors are associated with adherence to protective measures is essential for establishing effective pandemic control measures. Our findings may be useful for designing future awareness campaigns adapted to different socio-demographic characteristics in settings affected by COVID-19.
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Affiliation(s)
- Ana María Recio-Vivas
- Department of Nursing, Faculty of Biomedical and Health Science, Universidad Europea de Madrid, 28670 Madrid, Spain
| | | | - Ángel Belzunegui-Eraso
- Medical Anthropology Research Center, Faculty of Nursing, Rovira i Virgili University, 43002 Tarragona, Spain
| | - David Peña-Otero
- Sub-Directorate of Caring, Cantabrian Health Service, Material Resources Unit, Management of Products, Equipment and Health Technology, Hospital Universitario Marqués de Valdecilla, 39011 Cantabria, Spain
- Nursing Area, IDIVAL Research Institutes Valdecilla, 39011 Cantabria, Spain
- Respiratory Nursing Department at Sociedad Española de Neumología y Cirugía Torácica (SEPAR), 08029 Barcelona, Spain
| | - David Díaz-Pérez
- Respiratory Nursing Department at Sociedad Española de Neumología y Cirugía Torácica (SEPAR), 08029 Barcelona, Spain
- Pneumology and Thoracic Surgery Service of the Hospital Universitario Nuestra Señora de Candelaria, 38010 Santa Cruz de Tenerife, Spain
| | - Laura Lorenzo-Allegue
- Department of Nursing, Faculty of Biomedical and Health Science, Universidad Europea de Madrid, 28670 Madrid, Spain
| | - Isabel Font-Jiménez
- Department of Nursing, Faculty of Biomedical and Health Science, Universidad Europea de Madrid, 28670 Madrid, Spain
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Gurbani N, Acosta-Sorensen M, Díaz-Pérez D, Figueira-Goncalves JM, Ramallo-Fariña Y, Trujillo-Castilla JL. Clinical outcomes and lung ultrasound findings in COVID-19 follow up: Calm comes after the storm? Respir Med Res 2022; 82:100907. [PMID: 35870365 PMCID: PMC9299820 DOI: 10.1016/j.resmer.2022.100907] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2021] [Revised: 03/09/2022] [Accepted: 03/10/2022] [Indexed: 12/01/2022]
Affiliation(s)
- Nikita Gurbani
- Respiratory Medicine and Thoracic Surgery Department, Guy's and St Thomas NHS Foundation Trust, University Hospital Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain.
| | - Marco Acosta-Sorensen
- Respiratory Medicine and Thoracic Surgery Department, Guy's and St Thomas NHS Foundation Trust, University Hospital Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain
| | - David Díaz-Pérez
- Respiratory Medicine and Thoracic Surgery Department, Guy's and St Thomas NHS Foundation Trust, University Hospital Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain
| | - Juan Marco Figueira-Goncalves
- Respiratory Medicine and Thoracic Surgery Department, Guy's and St Thomas NHS Foundation Trust, University Hospital Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain; Instituto Universitario de Enfermedades Tropicales y Salud Publica de Canarias, Universidad de La Laguna, Santa Cruz de Tenerife, Spain
| | - Yolanda Ramallo-Fariña
- Canary Islands Health Research Institute Foundation (FIISC), Tenerife, ES, Spain; Research Network on Health Services in Chronic Diseases (REDISSEC), ES, Madrid, Spain
| | - José Luis Trujillo-Castilla
- Respiratory Medicine and Thoracic Surgery Department, Guy's and St Thomas NHS Foundation Trust, University Hospital Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain
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7
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Recio-Vivas AM, Font-Jiménez I, Mansilla-Domínguez JM, Belzunegui-Eraso A, Díaz-Pérez D, Lorenzo-Allegue L, Peña-Otero D. Fear and Attitude towards SARS-CoV-2 (COVID-19) Infection in Spanish Population during the Period of Confinement. Int J Environ Res Public Health 2022; 19:ijerph19020834. [PMID: 35055656 PMCID: PMC8775959 DOI: 10.3390/ijerph19020834] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/10/2021] [Revised: 01/08/2022] [Accepted: 01/10/2022] [Indexed: 12/12/2022]
Abstract
In January 2020, the WHO classified SARS-CoV-2 infection as a public health emergency and it was declared a pandemic on 11 March 2020. The media warned about the danger of infection, fuelling the population’s fear of the new situation and increasing the perception of risk. This fear can cause behaviour that will determine the course of the pandemic and, therefore, the purpose of this study was to analyse the fear of infection from COVID-19 among the Spanish population during the state of emergency. A cross-sectional, descriptive observational study was conducted with 16,372 participants. Data on sociodemographic factors, health factors, risk perception and fear were collected through an online survey. Level of fear is associated with older age, a lower level of education, having a person infected with SARS-CoV-2 in the immediate surroundings and living with and belonging to the most socioeconomically vulnerable group of people. Risk perception is associated with increased preventive behaviour. This paper provides relevant information for the public health sector since it contributes first-hand knowledge of population data that is highly useful in terms of prevention. Understanding the experiences of people in this pandemic helps to create more effective future intervention strategies in terms of planning and management for crisis situations.
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Affiliation(s)
- Ana María Recio-Vivas
- Department of Nursing, Faculty of Biomedical and Health Science, Universidad Europea de Madrid, 28670 Madrid, Spain; (A.M.R.-V.); (I.F.-J.); (L.L.-A.)
| | - Isabel Font-Jiménez
- Department of Nursing, Faculty of Biomedical and Health Science, Universidad Europea de Madrid, 28670 Madrid, Spain; (A.M.R.-V.); (I.F.-J.); (L.L.-A.)
| | - José Miguel Mansilla-Domínguez
- Department of Nursing, Faculty of Biomedical and Health Science, Universidad Europea de Madrid, 28670 Madrid, Spain; (A.M.R.-V.); (I.F.-J.); (L.L.-A.)
- Correspondence:
| | - Angel Belzunegui-Eraso
- Medical Anthropology Research Centre, Department of Quantitative Methods at the Faculty of Nursing, Rovira i Virgili University, 43002 Tarragona, Spain;
| | - David Díaz-Pérez
- Respiratory Nursing Department at SEPAR, Respiratory Nurse at the Pneumology and Thoracic Surgery Service of the Hospital Universitario Nuestra Señora de Candelaria (Tenerife), 38010 Santa Cruz, Spain;
| | - Laura Lorenzo-Allegue
- Department of Nursing, Faculty of Biomedical and Health Science, Universidad Europea de Madrid, 28670 Madrid, Spain; (A.M.R.-V.); (I.F.-J.); (L.L.-A.)
| | - David Peña-Otero
- Respiratory Nursing Department at SEPAR, Nurse Member of the IDIVAL and IiSGM Research Institutes, 28007 Madrid, Spain;
- Hospital de Sierrallana, Cantabrian Health Service, 39300 Torrelavega, Spain
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Delgado Romero J, Blanco-Aparicio M, Cisneros Serrano C, Díaz-Pérez D, Ferrando Piqueres R, López Carrasco V, Merino-Bohórquez V, Soto-Retes L, Domínguez Ortega J. Biological therapy at-home administration support for patients with severe asthma: BioCart©. J Investig Allergol Clin Immunol 2022; 32:482-484. [DOI: 10.18176/jiaci.0786] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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9
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Valera Felices JL, Gimeno Cardells A, Gimeno Peribañez MA, Díaz-Pérez D, Miranda Valladares S, Peña-Otero D. [Risk factors associated with SARS-CoV-2 infection among health professionals in Spain]. An Sist Sanit Navar 2021; 44:397-404. [PMID: 34664553 DOI: 10.23938/assn.0971] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
BACKGROUND Occupational infection rates for SARS-CoV-2 among health professionals in Spain are high in comparison to other countries. The objective of the study was to describe and analyze the risk factors associated with this transmission. METHODS Cross-sectional study with non-probabilistic snowball sampling of health professionals (medicine, nursing, physiotherapy, auxiliary care) of different levels of care (primary care, hospital, nursing homes, etc.), who were in contact or not with patients with COVID-19, in June 2020 in Spain. We prepared an electronic survey of 81 questions structured in four blocks: sociodemographic variables, knowledge about COVID-19, availability and use of personal protective equipment (PPE), and environmental protection measures and training received. RESULTS 855 health workers responded, 81.5% women and the mean age was 44 years (28-68). 93.4% knew the main symptoms but 40.4% did not identify the route of transmission via droplets and contact. 67.5% of them cared for COVID-19 patients without adequate PPE and 29.1% wore the same PPE continuously for more than 4 hours. 25.6% of workers had not received any type of training in donning and removing the PPE and 61.2% of them were unable to previously practice the process. The frequency of coronavirus infection among health professionals was 19.4%, which is higher in those professionals who had not received specific training (25.8 vs 17.2%, p=0.009). CONCLUSION Training, drafting protocols and screening programs, supervising the situations of greatest risk, ensuring the availability of material and increasing the commitment of health institutions to support health personnel should be im-plemented as contagion prevention strategies.
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Affiliation(s)
- J L Valera Felices
- Servicio de Neumología. Hospital Universitari Son Espases. Palma de Mallorca. España.
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Peña-Otero D, Bello Dronda S, Díaz-Pérez D, de la Rosa Carrillo D. One year on: Are we ready for COVID? Arch Bronconeumol 2021; 57:517-518. [PMID: 34059451 PMCID: PMC8163601 DOI: 10.1016/j.arbr.2021.05.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Accepted: 02/17/2021] [Indexed: 12/15/2022]
Affiliation(s)
- David Peña-Otero
- Enfermería, Hospital Sierrallana, Subdirección de Cuidados del Servicio Cántabro de Salud, Miembro IDIVAL e IiSGM, Área de Enfermería Respiratoria-SEPAR, Torrelavega, Cantabria, Spain
| | | | - David Díaz-Pérez
- Enfermería, Hospital Universitario Nuestra Señora de Candelaria, Servicio Canario de Salud, Área de Enfermería Respiratoria-SEPAR, Santa Cruz de Tenerife, Spain
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Villar-Álvarez F, Martínez-García MÁ, Jiménez D, Fariñas-Guerrero F, Ortiz de Lejarazu-Leonardo R, López-Campos JL, Blanco-Aparicio M, Royo-Crespo Í, García-Ortega A, Trilla-García A, Trujillo-Reyes JC, Fernández-Prada M, Díaz-Pérez D, Laporta-Hernández R, Valenzuela C, Menéndez R, de la Rosa-Carrillo D. [SEPAR Recommendations for COVID-19 Vaccination in Patients With Respiratory Diseases]. Open Respir Arch 2021; 3:100097. [PMID: 38620748 PMCID: PMC7983358 DOI: 10.1016/j.opresp.2021.100097] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023] Open
Abstract
The Spanish Society of Pneumonology and Thoracic Surgery (SEPAR) has elaborated this document of recommendations for COVID-19 vaccination in patients with respiratory diseases aimed to help healthcare personnel make decisions about how to act in case of COVID-19 vaccination in these patients.The recommendations have been developed by a group of experts in this field after reviewing the materials published up to March 7, 2021, the information provided by different scientific societies, drug agencies and the strategies of the governmental bodies up to this date.We can conclude that COVID-19 vaccines are not only safe and effective, but also prior in vulnerable patients with chronic respiratory diseases. In addition, an active involvement of healthcare professionals, who manage these diseases, in the vaccination strategy is the key to achieve good adherence and high vaccination coverage.
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Affiliation(s)
- Felipe Villar-Álvarez
- Servicio de Neumología, IIS Fundación Jiménez Díaz, Universidad Autónoma de Madrid, Madrid, España
- Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, España
| | - Miguel Ángel Martínez-García
- Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, España
- Servicio de Neumología, Hospital Universitario y Politécnico la Fe, Valencia, España
| | - David Jiménez
- Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, España
- Servicio de Neumología, Hospital Ramón y Cajal y Universidad de Alcalá (IRYCIS), Madrid, España
| | | | | | - José Luis López-Campos
- Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, España
- Unidad Médico-Quirúrgica de Enfermedades Respiratorias, Instituto de Biomedicina de Sevilla (IBiS), Hospital Universitario Virgen del Rocío/Universidad de Sevilla, Sevilla, España
| | | | - Íñigo Royo-Crespo
- Dirección Médica, Hospital Universitario San Jorge, Huesca, IIS-Aragón, Aragón, España
| | - Alberto García-Ortega
- Servicio de Neumología, Hospital Universitario y Politécnico la Fe, Valencia, España
- Instituto de Investigación Sanitaria La Fe (IISLAFE), Valencia, España
| | - Antoni Trilla-García
- Servicio de Medicina Preventiva y Epidemiología, Hospital Clínic – Universidad de Barcelona, Barcelona, España
| | | | - María Fernández-Prada
- Servicio Medicina Preventiva y Salud Pública, Hospital Vital Álvarez Buylla, Mieres, Asturias, España
| | - David Díaz-Pérez
- Servicio de Neumología y Cirugía Torácica, Hospital Universitario Nuestra Señora de Candelaria, Tenerife, España
| | | | - Claudia Valenzuela
- Servicio de Neumología, Hospital Universitario de la Princesa, Universidad Autónoma de Madrid, Madrid, España
| | - Rosario Menéndez
- Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, España
- Servicio de Neumología, Hospital Universitario y Politécnico la Fe, Valencia, España
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12
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Peña-Otero D, Bello Dronda S, Díaz-Pérez D, de la Rosa Carrillo D. One Year On: Are We Ready for COVID? Arch Bronconeumol 2021; 57:S0300-2896(21)00089-2. [PMID: 33795187 PMCID: PMC7955579 DOI: 10.1016/j.arbres.2021.02.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Accepted: 02/17/2021] [Indexed: 12/15/2022]
Affiliation(s)
- David Peña-Otero
- Enfermería, Hospital Sierrallana, Subdirección de Cuidados del Servicio Cántabro de Salud. Miembro IDIVAL e IiSGM. Área de Enfermería Respiratoria-SEPAR, Torrelavega, Cantabria, España
| | | | - David Díaz-Pérez
- Enfermería, Hospital Universitario Nuestra Señora de Candelaria, Servicio Canario de Salud. Área de Enfermería Respiratoria-SEPAR, Santa Cruz de Tenerife, España
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13
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Vaquero-Lozano P, Lassaletta-Goñi I, Giner-Donaire J, Gómez-Neira MDC, Serra-Batlles J, García-García R, Álvarez-Gutiérrez FJ, Blanco-Aparicio M, Díaz-Pérez D. [Asthma 2020 Nursing Consensus Document]. Open Respir Arch 2021; 3:100079. [PMID: 37497358 PMCID: PMC10369614 DOI: 10.1016/j.opresp.2020.100079] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2020] [Accepted: 11/30/2020] [Indexed: 02/07/2023] Open
Abstract
Asthma is a chronic respiratory disease which presents with a risk of exacerbations. Good patient management and continuous monitoring are crucial for good disease control, and pharmacological and non-pharmacological interventions are essential for proper treatment. Nurses specialised in asthma can contribute to the correct management of asthmatic patients. They play a key role in diagnostic tests, administration of medication, and patient follow-up and education. This consensus arose from the need to address an aspect of asthma management that does not appear in the specific recommendations of current guidelines. This document highlights and updates the role of specialized nurses in the care and management of asthma patients, offering conclusions and practical recommendations with the aim of improving their contribution to the treatment of this disease. Proposed recommendations appear as the result of a nominal consensus which was developed during 2019, and validated at the beginning of 2020.
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Affiliation(s)
- Paz Vaquero-Lozano
- Servicio de Neumología, CEP Hermanos Sangro, Hospital General Universitario Gregorio Marañón, Madrid, España
| | | | - Jordi Giner-Donaire
- Servicio de Neumología y Alergia, Hospital de la Santa Creu i Sant Pau, Barcelona, España
| | | | - Joan Serra-Batlles
- Servicio de Neumología, Hospital Universitario de Vic, Barcelona, España
| | - Rocío García-García
- Servicio de Neumología, Hospital Universitario 12 de Octubre, Madrid, España
| | | | | | - David Díaz-Pérez
- Servicio de Neumología y Cirugía Torácica, Hospital Universitario Nuestra Señora de Candelaria, Sta. Cruz de Tenerife, España
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14
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Sibila O, Molina-Molina M, Valenzuela C, Ríos-Cortés A, Arbillaga-Etxarri A, Torralba García Y, Díaz-Pérez D, Landete P, Mediano O, Tomás López L, Rodríguez Pascual L, Jara-Palomares L, López-Reyes R, de la Rosa Carrillo D. [Spanish Society of Pulmonology and Thoracic Surgery (SEPAR) Consensus for post-COVID-19 Clinical Follow-up]. Open Respir Arch 2020; 2:278-283. [PMID: 38620714 PMCID: PMC7550863 DOI: 10.1016/j.opresp.2020.09.002] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
SARS-CoV-2 infection can cause a range of respiratory sequelae, especially in patients who have had severe Covid-19 pneumonia. Given the high number of patients who have developed this infection over a short period of time, numerous post-Covid-19 follow-up visits are being carried out, but no clinical follow-up protocol has been established to advise on the complementary tests to be performed and the frequency of these procedures. This consensus document was drawn up by professionals from different areas of the Spanish Society of Pulmonology and Thoracic Surgery (SEPAR) in order to assist the clinician in identifying possible respiratory complications that may occur during the months following the acute disease, and to protocolize their follow-up and additional tests to be performed. It recommends examinations and interventions to be carried out at various stages in the post-Covid-19 period, and details the specific objectives of these procedures. Primarily, we aim to ensure that patients receive timely clinical follow-up, following a pre-established schedule that takes into account the severity of the disease and the likelihood of long-term sequelae. Another objective is to avoid overloading the health system by eschewing examinations and/or consultations that are, in many cases, unnecessary. Finally, we define criteria for referring patients with specific established sequelae (interstitial lung disease, pulmonary vascular disease, bronchiectasis) to the corresponding specialized units.
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Affiliation(s)
- Oriol Sibila
- Servicio de Neumología, Institut Clínic del Tòrax. Hospital Clínic, Barcelona, España
| | - María Molina-Molina
- Unidad Intersticio del Servicio de Neumología, Hospital Universitario de Bellvitge, Hospitalet de Llobregat, España
| | - Claudia Valenzuela
- Servicio de Neumología, Hospital La Princesa, Universidad Autónoma de Madrid, Madrid, España
| | | | | | | | - David Díaz-Pérez
- Servicio de Neumología, Hospital Universitario Nuestra Señora de Candelaria, Tenerife, España
| | - Pedro Landete
- Servicio de Neumología, Hospital La Princesa, Universidad Autónoma de Madrid, Madrid, España
| | - Olga Mediano
- Servicio de Neumología, Hospital Universitario de Guadalajara, Departamento de Medicina, Universidad de Alcalá de Henares, Madrid, España
- CIBER de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, España
| | - Laura Tomás López
- Servicio de Neumología, Hospital Txagorritxu, Organización Sanitaria Integrada Araba, Vitoria, España
| | | | - Luis Jara-Palomares
- CIBER de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, España
- Servicio de Neumología, Hospital Virgen del Rocío, Sevilla, España
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15
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Laso-García IM, Arias-Fúnez F, Duque-Ruiz G, Díaz-Pérez D, Lorca-Álvaro J, Burgos-Revilla FJ. Well-Leg Compartment Syndrome After Percutaneous Nephrolithotomy in the Galdakao-Modified Supine Valdivia Position. Res Rep Urol 2020; 12:295-302. [PMID: 32802806 PMCID: PMC7386809 DOI: 10.2147/rru.s259357] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2020] [Accepted: 06/18/2020] [Indexed: 11/30/2022] Open
Abstract
Purpose The objective is to present a case of well-leg compartment syndrome in the Galdakao-modified supine Valdivia position. Results The case of a 32-year-old male, obese (105 Kg) and a former smoker is presented. The patient was positioned in the Galdakao-modified supine Valdivia position, with lower limbs bandaged, to perform a right percutaneous nephrolithotomy. In the immediate postoperative period, significant pain was reported in the left lower limb. The limb appeared oedematous and cyanotic, although pedis pulses were preserved. Doppler ultrasound ruled out venous thrombosis. Suspecting compartment syndrome, the patient underwent a complete decompression fasciotomy of the four left leg compartments. After the surgery, values of creatine phosphokinase reached 80.000 UI/L and serum creatinine levels were 1.53 mg/dL. The patient was taken to the intensive care unit. Six months after the episode, the patient still needs rehabilitation care. The compartment syndrome is a rare complication in lithotomy position, but never described in the Galdakao-modified supine Valdivia position before, with the lower limbs in moderate flexion, and with the ipsilateral lower limb in a slightly inferior position with respect to the other. It may lead to skin necrosis, permanent neuromuscular dysfunction, myoglobinuric renal failure, amputation and even death. Therefore, this complication must be suspected and early decompression of the compartment must be performed. Risk factors include obesity, peripheral vascular disease (advanced age, hypertension, hyperlipidemia and diabetes mellitus), height, hypothermia, acidemia, BMI, male sex, combined general-spinal anesthesia, prolonged surgery time, systemic hypotension, ASA (American Society of Anesthesiologists) class, lack of operative experience, vasoconstricting drugs, important bleeding during the surgery and increased muscle bulk. Conclusion Compartment syndrome is a potentially life-threatening complication that may occur in the Galdakao-modified supine Valdivia position. It should be suspected in cases with risk factors and compatible clinical symptoms and signs, and treated rapidly to avoid further complications.
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Affiliation(s)
- Inés María Laso-García
- Urology Department, Ramón y Cajal University Hospital, Alcalá University, IRYCIS, Madrid, Spain
| | - Fernando Arias-Fúnez
- Urology Department, Ramón y Cajal University Hospital, Alcalá University, IRYCIS, Madrid, Spain
| | - Gema Duque-Ruiz
- Urology Department, Ramón y Cajal University Hospital, Alcalá University, IRYCIS, Madrid, Spain
| | - David Díaz-Pérez
- Urology Department, Ramón y Cajal University Hospital, Alcalá University, IRYCIS, Madrid, Spain
| | - Javier Lorca-Álvaro
- Urology Department, Ramón y Cajal University Hospital, Alcalá University, IRYCIS, Madrid, Spain
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16
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Arranz Alonso S, Christensen HM, Díaz-Pérez D, Narsavage G, Padilha JM, Quijano-Campos JC, Sajnic A, Stridsman C, Täubl H, Zakrisson AB, Clari M. Do we need tailored training and development plans for European Union respiratory nurses? Breathe (Sheff) 2020; 16:200010. [PMID: 32684996 PMCID: PMC7341612 DOI: 10.1183/20734735.0010-2020] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Nurses are critical players in healthcare and should be the next profession to standardise levels of education, preparing them for an active partnership with other healthcare professionals prepared to tackle the chronic disease problem in Europe https://bit.ly/3bMR76b.
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Affiliation(s)
- Silvia Arranz Alonso
- Nursing Development Foundation (FUDEN), Madrid, Spain.,All authors contributed equally
| | - Helle Marie Christensen
- Dept of Respiratory Medicine, Odense University Hospital, Odense, Denmark.,All authors contributed equally
| | - David Díaz-Pérez
- Pneumology and Thoracic Surgery Service, University Hospital Nuestra Señora de la Candelaria (HUNSC), Santa Cruz de Tenerife, Spain.,All authors contributed equally
| | - Georgia Narsavage
- School of Nursing, West Virginia University, Morgantown, WV, USA.,All authors contributed equally
| | - José Miguel Padilha
- Nursing School of Porto, CINTESIS-Tech4edusim, Porto, Portugal.,All authors contributed equally
| | - Juan Carlos Quijano-Campos
- Research and Development, Royal Papworth Hospital NHS Foundation Trust, Cambridge, UK.,All authors contributed equally
| | - Andreja Sajnic
- Dept of Respiratory Diseases Jordanovac, University Hospital Center, Zagreb, Croatia.,All authors contributed equally
| | - Caroline Stridsman
- Dept of Public Health and Clinical Medicine, Section of Medicine, Umeå University, Umeå, Sweden.,All authors contributed equally
| | - Helmut Täubl
- Dept for Pulmology, Public Hochzirl-Natters Hospital, Natters, Austria.,All authors contributed equally
| | - Ann-Britt Zakrisson
- University Healthcare Research Center, Örebro University, Örebro, Sweden.,All authors contributed equally
| | - Marco Clari
- Dept of Public Health and Pediatrics, University of Torino, Turin, Italy.,All authors contributed equally
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17
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Laso-García IM, Lorca-Álvaro J, Arias-Fúnez F, Díaz-Pérez D, Santiago-González M, Duque-Ruiz G, Burgos-Revilla FJ. Long-term results of the treatment of complex ureteral stenosis with extra-anatomic ureteral bypasses. Cent European J Urol 2020; 73:213-219. [PMID: 32782842 PMCID: PMC7407785 DOI: 10.5173/ceju.2020.0008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2020] [Revised: 05/06/2020] [Accepted: 05/12/2020] [Indexed: 11/26/2022] Open
Abstract
Introduction Complex ureteral obstruction is a pathology that has always been a challenge for the urologist, especially in patients with high surgical risk or with a short life expectancy. Material and methods Between 2002 and 2017, 13 extra-anatomical bypasses were placed. A descriptive retrospective study was carried out. An analysis of the permeability time of the prosthesis was performed using Kaplan-Meyer curves. Demographic and etiological characteristics as well as early and late complications were analysed. Results Etiologies were benign in 39% (including 3 transplant recipients) and malignant in 69%. Permeability rates were 90.9% at each of 12, 24 and 48 months, respectively, and 75.8% at 60 months. There were no deaths in the early postoperative period, nor intraoperative complications. The most frequent complications were infections. Three of them were associated with bypass extrusion, which needed to be removed. A total of 5 prosthesis had to be removed. 40% of the patients did not present complications. Conclusions The extra-anatomical ureteral bypass is an alternative to permanent nephrostomy in the treatment of complex ureteral strictures. Their patency rates after long-term follow-up vary from 90% to 75% at 48 and 60 months, respectively. Their complication rates can be considered acceptable in the patients’ clinical contexts.
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Affiliation(s)
- Inés M Laso-García
- Ramón y Cajal University Hospital, Department of Urology, Alcalá University, IRYCIS, Madrid, Spain
| | - Javier Lorca-Álvaro
- Ramón y Cajal University Hospital, Department of Urology, Alcalá University, IRYCIS, Madrid, Spain
| | - Fernando Arias-Fúnez
- Ramón y Cajal University Hospital, Department of Urology, Alcalá University, IRYCIS, Madrid, Spain
| | - David Díaz-Pérez
- Ramón y Cajal University Hospital, Department of Urology, Alcalá University, IRYCIS, Madrid, Spain
| | - Marta Santiago-González
- Ramón y Cajal University Hospital, Department of Urology, Alcalá University, IRYCIS, Madrid, Spain
| | - Gemma Duque-Ruiz
- Ramón y Cajal University Hospital, Department of Urology, Alcalá University, IRYCIS, Madrid, Spain
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18
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Cordovilla R, Álvarez S, Llanos L, Nuñez Ares A, Cases Viedma E, Díaz-Pérez D, Flandes J. SEPAR and AEER consensus recommendations on the Use of Bronchoscopy and Airway Sampling in Patients with Suspected or Confirmed COVID-19 Infection. Arch Bronconeumol 2020. [PMID: 32362384 PMCID: PMC7193137 DOI: 10.1016/j.arbres.2020.03.017] [Citation(s) in RCA: 29] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Este documento de consenso está elaborado por el área de Técnicas y Trasplante y el área de Enfermería de la Sociedad Española de Neumología y Cirugía Torácica, así como por la Asociación Española de Endoscopia Respiratoria, con el objetivo de proporcionar conocimientos para el uso efectivo y seguro de la broncoscopia en pacientes con sospecha o con confirmación de la infección por COVID-19. Es prioritario proporcionar la mayor seguridad a nuestros pacientes, a los sanitarios que los atienden y a la comunidad en general. En este momento de pandemia, la información de la que disponemos acerca del uso de la broncoscopia en este tipo de pacientes se basa en la experiencia de otros centros y países, y las publicaciones científicas son escasas. El objetivo de este documento es recoger esas experiencias y, en base a las recomendaciones de los organismos oficiales, ofrecer un documento de ayuda para la práctica clínica diaria.
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Affiliation(s)
- Rosa Cordovilla
- Servicio de Neumología, Unidad de Broncoscopias, Complejo Asistencial Universitario de Salamanca, Salamanca, España; Área de Técnicas y Trasplante de SEPAR; Asociación Española de Endoscopia Respiratoria y Neumología Intervencionista (AEER).
| | - Susana Álvarez
- Servicio de Neumología, Unidad de Broncoscopias, Hospital Universitario Fundación Jiménez Díaz IIS-FJD CIBERES, Madrid, España; Área de Enfermería Respiratoria de SEPAR; Asociación Española de Endoscopia Respiratoria y Neumología Intervencionista (AEER)
| | - Liliana Llanos
- Servicio de Neumología, Unidad de Broncoscopias, Hospital Universitario Nuestra Señora de la Candelaria, Santa Cruz de Tenerife, España; Área de Enfermería Respiratoria de SEPAR; Asociación Española de Endoscopia Respiratoria y Neumología Intervencionista (AEER)
| | - Ana Nuñez Ares
- Servicio de Neumología, Unidad de Broncoscopias, Complejo Hospitalario Universitario de Albacete, Albacete , España; Área de Técnicas y Trasplante de SEPAR; Asociación Española de Endoscopia Respiratoria y Neumología Intervencionista (AEER)
| | - Enrique Cases Viedma
- Servicio de Neumología, Unidad de Endoscopias, Hospital Universitario y Politécnico La Fe, Valencia, España; Área de Técnicas y Trasplante de SEPAR; Asociación Española de Endoscopia Respiratoria y Neumología Intervencionista (AEER)
| | - David Díaz-Pérez
- Servicio de Neumología, Unidad de Broncoscopias, Hospital Universitario Nuestra Señora de la Candelaria, Santa Cruz de Tenerife, España; Área de Enfermería Respiratoria de SEPAR
| | - Javier Flandes
- Servicio de Neumología, Unidad de Broncoscopias, Hospital Universitario Fundación Jiménez Díaz IIS-FJD CIBERES, Madrid, España; Área de Técnicas y Trasplante de SEPAR; Asociación Española de Endoscopia Respiratoria y Neumología Intervencionista (AEER)
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19
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Peña-Otero D, Díaz-Pérez D, de-la-Rosa-Carrillo D, Bello-Dronda S. Are We Ready for the New Coronavirus? Arch Bronconeumol 2020; 56:195-196. [PMID: 32171583 PMCID: PMC7138172 DOI: 10.1016/j.arbres.2020.02.009] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2020] [Revised: 02/23/2020] [Accepted: 02/25/2020] [Indexed: 01/01/2023]
Affiliation(s)
- David Peña-Otero
- Hospital Sierrallana, Servicio Cántabro de Salud, Torrelavega, Cantabria, España; Área de Enfermería Respiratoria de la SEPAR
| | - David Díaz-Pérez
- Hospital Universitario Nuestra Señora de Candelaria, Servicio Canario de Salud, Santa Cruz de Tenerife, Tenerife, España; Área de Enfermería Respiratoria de la SEPAR
| | - David de-la-Rosa-Carrillo
- Hospital de la Santa Creu i Sant Pau, Barcelona, España; Área de Tuberculosis e Infecciones Respiratorias (TIR) de la SEPAR
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20
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Ruiz-Hernández M, Gómez-Dos Santos V, Díaz-Pérez D, Fernández-Alcalde Á, Hevia-Palacios V, Álvarez-Rodríguez S, Díez-Nicolás V, Elías-Triviño S, Burgos-Revilla F. Experience With Hypothermic Machine Perfusion in Expanded Criteria Donors: Functional Outcomes. Transplant Proc 2019; 51:303-306. [DOI: 10.1016/j.transproceed.2018.09.020] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2018] [Accepted: 09/11/2018] [Indexed: 10/28/2022]
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21
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Ruiz-Hernández M, López-Fando L, Gómez de Vicente JM, Jiménez-Cidre MA, Sánchez-Gallego MD, Lorca-Álvaro J, Díaz-Pérez D, Burgos-Revilla FJ. A new approach to laparoscopic implantation of the artificial urinary sphincter: Vesicovaginal approach to the bladder neck. Actas Urol Esp 2019; 43:44-50. [PMID: 30064705 DOI: 10.1016/j.acuro.2018.04.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2018] [Revised: 03/23/2018] [Accepted: 04/02/2018] [Indexed: 11/16/2022]
Abstract
INTRODUCTION The artificial urinary sphincter (AUS) is not used extensively in the treatment of female urinary stress incontinence (USI) due to the poor reproducibility of the techniques used. We describe a new approach to laparascopic implantation, of which dissection of the vesicovaginal space is an essential step. This enables an approach under direct vision to the posterior surface of the bladder neck. MATERIAL AND METHODS We present two cases where this approach was used. A transperitoneal approach was made in the Trendelenburg position. The main steps were: creating the vesicovaginal space until identifying the bladder neck, creating two laterovesical spaces, communicating these with the vesicovaginal space, and dissecting the anterior surface of the bladder neck, attempting to preserve the pubovesical ligament. The cuff and reservoir were inserted through the 12mm infraumbilical trocar. The connections were externalised through a left suprapubic incision and a subcutaneous tunnel created up to the labia majora where the activation pump was placed. The procedure was completed with closure of the peritoneum. It is essential to use a vaginal valve to facilitate dissection. RESULTS Surgery time: 140 and 135minutes, with no intraoperative complications. After removing the urinary catheter, one patient had elevated postvoid residual urine volume, which was managed conservatively. Hospital stay: 72h. At 3 and 9 months the patients were fully continent. CONCLUSIONS We present the preliminary results of laparoscopic implantation of an AUS through a vesicovaginal approach to the posterior surface of the bladder neck, which might reduce potential complications that have been observed after the routine techniques.
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Affiliation(s)
- M Ruiz-Hernández
- Hospital Universitario Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, España.
| | - L López-Fando
- Hospital Universitario Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, España
| | - J M Gómez de Vicente
- Hospital Universitario Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, España
| | - M A Jiménez-Cidre
- Hospital Universitario Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, España
| | - M D Sánchez-Gallego
- Hospital Universitario Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, España
| | - J Lorca-Álvaro
- Hospital Universitario Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, España
| | - D Díaz-Pérez
- Hospital Universitario Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, España
| | - F J Burgos-Revilla
- Hospital Universitario Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, España
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22
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Figueira-Gonçalves JM, Bethencourt-Martín N, Pérez-Méndez LI, Díaz-Pérez D, Guzmán-Sáenz C, Viña-Manrique P, Pedrero-García AJ. Impact of 13-valent pneumococal conjugate polysaccharide vaccination in exacerbations rate of COPD patients with moderate to severe obstruction. Rev Esp Quimioter 2017; 30:269-275. [PMID: 28585796] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
OBJECTIVE One of the major microorganisms described as the cause of exacerbations of chronic obstructive pulmonary disease (COPD) is Streptococcus pneumoniae. The aim of this study is to evaluate the impact of 13-valent pneumococcal conjugate polysaccharide vaccine (PCV13) on COPD patients with regard to the development of exacerbations and the possible differential effect according to the patient's phenotype. METHODS Prospective observational study of patients with COPD and FEV1 ≤ 65% and 18-month follow-up. Main variables: vaccination status with PCV13, phenotype "exacerbator" or "non-exacerbator", number of exacerbations, hospitalization and deaths. A descriptive statistical analysis was performed according to the nature of the variable and an inferential analysis with CI95%, bivariate contrasts, and multivariate analysis. Significance level 5%. The statistical packages EPIDAT 3.0 and SPSS version 21.0 were used. RESULTS 121 patients were included. Twenty-four percent were labeled as phenotype exacerbator. 36% were vaccinated with PCV13. During follow-up, 68% of patients had at least one exacerbation and 27% required hospitalization. We observed similarity (p> 0.05) in the number of exacerbations and deaths; however, the percentage of hospitalization in the vaccinated was 18%, compared to 32% in the non-vaccinated group. In the multivariate adjustment (controlling for the phenotype), an adjusted OR of 2.77 risk of hospitalization was observed in the non-vaccinated group (p = 0.044). CONCLUSIONS Non-vaccination with PCV13 almost triples the risk of hospitalization in patients with COPD.
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Affiliation(s)
- J M Figueira-Gonçalves
- Juan Marco Figueira Gonçalves, Servicio de Neumología y Cirugía Torácica. Hospital Universitario Nuestra Señora de la Candelaria, (HUNSC), Ctra. Gral. del Rosario nº 145 CP: 38010; Santa Cruz de Tenerife, Spain.
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