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Moltó-Balado P, Reverté-Villarroya S, Monclús-Arasa C, Balado-Albiol MT, Baset-Martínez S, Carot-Domenech J, Clua-Espuny JL. Heart Failure and Major Adverse Cardiovascular Events in Atrial Fibrillation Patients: A Retrospective Primary Care Cohort Study. Biomedicines 2023; 11:1825. [PMID: 37509465 PMCID: PMC10376826 DOI: 10.3390/biomedicines11071825] [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: 05/26/2023] [Revised: 06/19/2023] [Accepted: 06/23/2023] [Indexed: 07/30/2023] Open
Abstract
BACKGROUND Atrial fibrillation (AF) is a common cardiac arrhythmia that is associated with an increased risk of major adverse cardiovascular events (MACE). The main goal was to analyze the links and associations between AF and MACE. METHODS A multicenter, observational, retrospective, community-based study of a cohort (n = 40,297) of the general population aged 65-95 years between 1 January 2015 and 31 December 2021 without a previous diagnosis of AF or MACE in the Primary Care setting. RESULTS 2574 people (6.39%) developed a first AF event, resulting in an overall incidence of 8.9/1000 people-years [CI95% 8.6-9.2]. The incidence of MACE among those with AF was 75.1/1000 people-years [CI95% 70.8-79.5], whereas among those without AF, it was 20.6/1000 people-years [CI 95% 20.2-21.1], resulting in a rate ratio of 3.65 [CI 95% 3.43-3.88, p < 0.001]. Besides, the incidence of HF with AF was 40.1 people-years [CI 95% 37.1-43.2], while in the group without AF, it was 8.3 people-years [CI 95% 7.9-8.6, p < 0.001], with a rate ratio of 4.85 [CI 95% 4.45-55.3, p < 0.001]. Before an AF diagnosis, there is already a higher risk of chronic kidney disease, ischemic cardiopathy, and peripheral artery disease. A higher risk of poor nutritional status was detected among those with MACE (49.7% vs. 26.6%, p < 0.001). CONCLUSIONS AF diagnosis increases the incidence of heart failure fourfold. Additional information is required to establish the connection between AF, major adverse cardiovascular events, and nutritional status.
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Affiliation(s)
- P Moltó-Balado
- Primary Health-Care Centre Tortosa Oest, Institute Català de la Salut, Primary Care Service (SAP) Terres de l'Ebre, 43500 Tortosa, Spain
- Biomedicine Doctoral Programme, Universitat Rovira I Virgili, 43500 Tortosa, Spain
| | - S Reverté-Villarroya
- Biomedicine Doctoral Programme, Advanced Nursing Research Group, Nursing Department, Campus Terres de l'Ebre, Universitat Rovira I Virgili, 43500 Tortosa, Spain
| | - C Monclús-Arasa
- Primary Health-Care Centre Tortosa Oest, Institute Català de la Salut, Primary Care Service (SAP) Terres de l'Ebre, 43500 Tortosa, Spain
| | - M T Balado-Albiol
- Conselleria de Sanitat, Departament de Salut de La Plana, Primary Health-Care Centre CS Burriana I, 12540 Burriana, Spain
| | - S Baset-Martínez
- Nusing Management Primary Health-Care Center Tortosa Est, Institut Català de la Salut, Primary Care Service (SAP) Terres de l'Ebre, 43500 Tortosa, Spain
| | - J Carot-Domenech
- Direction of Information and Communication Systems, Territorial Management of Terres de l'Ebre, Institut Català de la Salut, 43500 Tortosa, Spain
| | - J L Clua-Espuny
- Ebrictus Research Group, Research Support Unit Terres de l'Ebre, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), 43500 Tortosa, Spain
- Primary Health-Care Center Tortosa Est, Institut Català de la Salut, Primary Care Service (SAP) Terres de l'Ebre, 43500 Toosa, Spain
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Tortosa-Alted R, Martínez-Segura E, Berenguer-Poblet M, Reverté-Villarroya S. Handover of Critical Patients in Urgent Care and Emergency Settings: A Systematic Review of Validated Assessment Tools. J Clin Med 2021; 10:5736. [PMID: 34945032 PMCID: PMC8707112 DOI: 10.3390/jcm10245736] [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] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2021] [Revised: 11/30/2021] [Accepted: 12/07/2021] [Indexed: 11/16/2022] Open
Abstract
The emergency handover of critical patients is used to describe the moment when responsibility for the care of a patient is transferred from one critical patient care healthcare team to another, requiring the accurate delivery of information. However, the literature provides few validated assessment tools for the transfer of critical patients in urgent care and emergency settings. To identify the available evaluation tools that assess the handover of critical patients in urgent and emergency care settings in addition to evaluations of their psychometric properties, a systematic review was carried out using PubMed, Scopus, Cinahl, Web of Science (WoS), and PsycINFO, in accordance with PRISMA guidelines. The quality of the studies was assessed using the COSMIN checklist. Finally, eight articles were identified, of which only three included validated tools for evaluating the handover of critical patients in emergency care. Content validity, construct validity, and internal consistency were the most studied psychometric properties. Three studies evaluated error and reliability, criterion validity, hypothesis testing, and sensitivity. None of them considered cross-cultural adaptation or the translation process. This systematic psychometric review shows the existing ambiguities in the handover of critically ill patients and the scarcity of validated evaluation tools. For all of these reasons, we consider it necessary to further investigate urgent care and emergency handover settings through the design and validation of an assessment tool.
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Affiliation(s)
- Ruth Tortosa-Alted
- Hospital de Tortosa Verge de la Cinta, Catalan Institute of Health, Pere Virgili Institute, Carretera Esplanetes, 14, 43500 Tortosa, Spain; (R.T.-A.); (S.R.-V.)
- Nursing Department, Campus Terres de l’Ebre, Universitat Rovira i Virgili, Avenue Remolins, 13-15, 43500 Tortosa, Spain
| | - Estrella Martínez-Segura
- Hospital de Tortosa Verge de la Cinta, Catalan Institute of Health, Pere Virgili Institute, Carretera Esplanetes, 14, 43500 Tortosa, Spain; (R.T.-A.); (S.R.-V.)
- Nursing Department, Campus Terres de l’Ebre, Universitat Rovira i Virgili, Avenue Remolins, 13-15, 43500 Tortosa, Spain
| | - Marta Berenguer-Poblet
- Nursing Department, Campus Terres de l’Ebre, Universitat Rovira i Virgili, Avenue Remolins, 13-15, 43500 Tortosa, Spain
| | - Sílvia Reverté-Villarroya
- Hospital de Tortosa Verge de la Cinta, Catalan Institute of Health, Pere Virgili Institute, Carretera Esplanetes, 14, 43500 Tortosa, Spain; (R.T.-A.); (S.R.-V.)
- Nursing Department, Campus Terres de l’Ebre, Universitat Rovira i Virgili, Avenue Remolins, 13-15, 43500 Tortosa, Spain
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Reverté-Villarroya S, Ortega L, Lavedán A, Masot O, Burjalés-Martí MD, Ballester-Ferrando D, Fuentes-Pumarola C, Botigué T. The influence of COVID-19 on the mental health of final-year nursing students: comparing the situation before and during the pandemic. Int J Ment Health Nurs 2021; 30:694-702. [PMID: 33393201 DOI: 10.1111/inm.12827] [Citation(s) in RCA: 33] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/28/2020] [Revised: 11/15/2020] [Accepted: 11/19/2020] [Indexed: 01/04/2023]
Abstract
The COVID-19 pandemic has had an important impact on the academic world. It is known that university studies can influence the mental health of students, and especially those studying health sciences. In this study, we therefore sought to analyse whether the current pandemic has affected the mental well-being of final-year nursing students. This was a multi-centre study, with a descriptive, longitudinal, and prospective design. Mental well-being was evaluated using the General Health Questionnaire. A total of 305 participants were included in the study, of whom 52.1% had experienced the COVID-19 pandemic. Statistically significant differences were found between the two groups analysed in terms of age, access to university, average marks, mental well-being self-esteem, emotional exhaustion, and sense of coherence. In the case of mental well-being, a direct association was found with both the pandemic situation (OR = 2.32, P = 0.010) and emotional exhaustion scores (OR = 1.20, P < 0.001), while an inverse association was found with sense of coherence scores (OR = 0.45, P < 0.001). This study shows that the mental health of students is a significant factor and one that must be taken into consideration when training nursing staff at university. There is a need to promote healthy habits and provide appropriate coping strategies. It is also important to train and prepare students for pandemic situations as these can have an important impact on the mental health of both the members of the public who will be treated by these future nursing professionals and the students themselves.
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Affiliation(s)
- Sílvia Reverté-Villarroya
- Department d'Infermeria, Facultat d'Infermeria Campus Terres de l'Ebre, Universitat Rovira Virgili, Tortosa, Spain
| | - Laura Ortega
- Departament d'Infermeria, Facultat d'Infermeria, Universitat Rovira i Virgili, Tarragona, Spain.,Hospital Universitari Institut Pere Mata, Institut d'Investigació Sanitària Pere Virgili (IISPV), CIBERSAM, Universitat Rovira i Virgili, Reus, Spain
| | - Ana Lavedán
- Nursing and Physiotherapy Department, University of Lleida, St. Lleida, Spain.,Health Care Research Group (GRECS), Biomedical Research Institute of Lleida, St. Lleida, Spain
| | - Olga Masot
- Nursing and Physiotherapy Department, University of Lleida, St. Lleida, Spain.,Health Care Research Group (GRECS), Biomedical Research Institute of Lleida, St. Lleida, Spain
| | | | | | | | - Teresa Botigué
- Nursing and Physiotherapy Department, University of Lleida, St. Lleida, Spain.,Health Care Research Group (GRECS), Biomedical Research Institute of Lleida, St. Lleida, Spain
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Tortosa-Alted R, Reverté-Villarroya S, Martínez-Segura E, López-Pablo C, Berenguer-Poblet M. Emergency handover of critical patients. A systematic review. Int Emerg Nurs 2021; 56:100997. [PMID: 33887611 DOI: 10.1016/j.ienj.2021.100997] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2020] [Revised: 02/12/2021] [Accepted: 03/02/2021] [Indexed: 10/21/2022]
Abstract
BACKGROUND Emergency handover of critical patients is used to describe the moment of union between prehospital and hospital health team. However, the literature shows several definitions leading to great heterogeneity. PURPOSE To study the emergency handover of critical patients between two critical-emergency care wards performed by emergency nurses worldwide and to identify the features of these processes. METHODS We conducted an integrative review in eleven databases published from 2010 to 2019. Quality criteria and PRISMA checklist were applied. The protocol is registered with PROSPERO (CRD42020182335). RESULTS A total of 22 studies included and the following factors were identified: variability vs standardization, identification, professionals' behavior, localization, environmental factors, patient participation, clinical records, education/training, responsability, and communication. CONCLUSIONS The actual emergency handover occurs under conditions quite contrary to those recommended by experts so that it is neither safe nor effective, leading a serious problem for patient safety and quality care.
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Affiliation(s)
- Ruth Tortosa-Alted
- Hospital de Tortosa Verge de la Cinta, Catalan Institute of Health, Pere Virgili Institute, Carretera Esplanetes, 14, 43500 Tortosa, Tarragona, Spain; Nursing Department, Universitat Rovira Virgili, Campus Terres de l'Ebre, Avenue Remolins, 13-15, 43500 Tortosa, Tarragona, Spain.
| | - Sílvia Reverté-Villarroya
- Hospital de Tortosa Verge de la Cinta, Catalan Institute of Health, Pere Virgili Institute, Carretera Esplanetes, 14, 43500 Tortosa, Tarragona, Spain; Nursing Department, Universitat Rovira Virgili, Campus Terres de l'Ebre, Avenue Remolins, 13-15, 43500 Tortosa, Tarragona, Spain.
| | - Estrella Martínez-Segura
- Hospital de Tortosa Verge de la Cinta, Catalan Institute of Health, Pere Virgili Institute, Carretera Esplanetes, 14, 43500 Tortosa, Tarragona, Spain; Nursing Department, Universitat Rovira Virgili, Campus Terres de l'Ebre, Avenue Remolins, 13-15, 43500 Tortosa, Tarragona, Spain.
| | - Carlos López-Pablo
- Nursing Department, Universitat Rovira Virgili, Campus Terres de l'Ebre, Avenue Remolins, 13-15, 43500 Tortosa, Tarragona, Spain; Department of Pathology, Hospital de Tortosa Verge de la Cinta, Catalan Institute of Health, Pere Virgili Institute, Carretera Esplanetes, 14, 43500, Tortosa, Tarragona, Spain.
| | - Marta Berenguer-Poblet
- Nursing Department, Universitat Rovira Virgili, Campus Terres de l'Ebre, Avenue Remolins, 13-15, 43500 Tortosa, Tarragona, Spain.
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Reverté-Villarroya S, Font-Mayolas S, Dávalos-Errando A, Sauras-Colón E, Tortosa-Alted R, Suñer-Soler R. [Neuropsychiatric disorders and emotional coping strategies in post-stroke patients. A longitudinal study]. Rev Neurol 2021; 73:130-134. [PMID: 34308546 DOI: 10.33588/rn.7304.2020332] [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: 11/24/2022]
Abstract
INTRODUCTION Between one third and one half of the population that has suffered a stroke present with a neuropsychiatric disorder (NPD), which often goes underdiagnosed. AIM To study the association between the presence of NPDs and coping strategies in stroke patients. SUBJECTS AND METHODS Prospective, longitudinal and comparative study in a sample of patients with ischaemic stroke with and without the presence of NPDs. Both sociodemographic and clinical variables were collected. Neurological impairment (National Institute of Health Stroke Scale) and coping (Brief Coping Orientation to Problems Experienced) were assessed at three and 12 months. The period studied was from 2013 to 2017. RESULTS A total of 82 patients were analysed, with a mean age of 67.6 ± 10.4 years, 52.4% of whom were male. Of them, 14 with NPD and 36 without NPD answered the Brief Coping Orientation to Problems Experienced coping scale, and the remaining 32 were excluded because of aphasia/dysphasia. At three months, dimensions of active coping, social support, denial and behavioural disengagement were observed in the NPD group, and at 12 months, denial and behavioural disengagement persisted, and planning, self-distraction and self-incrimination dimensions appeared. CONCLUSIONS Results show the need to motivate patients to seek more effective strategies, to identify problems when they arise, to consider them as surmountable and to inhibit impulsive or inappropriate responses, replacing them with emotional responses and appropriate behaviours.
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Affiliation(s)
- S Reverté-Villarroya
- Hospital de Tortosa Verge de la Cinta, 43500 Tortosa, España.,Universitat Rovira i Virgili, Tarragona, España
| | | | | | - E Sauras-Colón
- Hospital de Tortosa Verge de la Cinta, 43500 Tortosa, España
| | - R Tortosa-Alted
- Hospital de Tortosa Verge de la Cinta, 43500 Tortosa, España.,Universitat Rovira i Virgili, Tarragona, España
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