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Biomedical subjects

F Díez García

Publications and source records attributed to F Díez García.

At least 19 recordsLinked to original sources
PubMed2005

[Characteristics of patients with multiple disease hospitalized in Internal Medicine services].

INTRODUCTION: Know what proportion of patients hospitalized in the Internal Medicine services have multiple diseases. MATERIAL AND METHODS: We analyzed 400 clinical histories of a random sample of patients admitted to 24 Internal Medicine services of Andalusia. We assessed the diagnostic categories present that make it possible to classify patients as having multiple diseases. RESULTS: One hundred sixty eight patients (42%) were considered as having multiple diseases. The most prevalent diseases in these patients are cardiological and diabetes mellitus. The two main variables that determine that one is a multiple disease patient are age and disease causing the admission. DISCUSSION: A significant percentage of the patients admitted to the Medicine services of the Andalusia public hospitals have multiple diseases.

Aged↗
PubMed2003

[The practice of Internal Medicine in Andalusia follows the evidence-based medicine basic principles].

BASIS: To know the proportion of medical interventions carried out in the Services of Internal Medicine of the public hospitals of Andalusia based on randomized clinical trials. PATIENTS AND METHODS: We have analyzed the primary treatments prescribed in a random sample of 326 patients admitted to these Internal Medicine services during 1998. RESULTS: One hundred and forty-three of the 326 treatments analyzed (43.9%) were based in clinical trials and 135 (41.4%) were interventions unanimously accepted by the medical community without being based in clinical trials. CONCLUSIONS: Most of the primary Andalusian treatments prescribed in the Internal Medicine services are evidence-based.

Evidence-Based Medicine↗
PubMed2003

[Community-acquired Acinetobacter baumannii pneumonia].

OBJECTIVES: Description of two cases of community-acquired Acinetobacter baumannii pneumonia. PATIENTS AND METHODS: Two patients, one with a history of diabetes mellitus type 2 and pulmonary thromboembolism 2 years earlier and the second without known risk factors except for the age, were admitted to hospital because of community-acquired A. baumannii pneumonia with cavitation and with favorable final evolution. CONCLUSION: A. baumannii is an infrequent cause of community-acquired pneumonia, although it should be suspected in patients with debilitating illness and in patients who do not evolve favorably on the first days of the admission with conventional treatment.

Acinetobacter Infections↗
PubMed2002

[Nosocomial infection/colonization of the respiratory tract caused by Acinetobacter baumannii in an Internal Medicine ward].

BACKGROUND: To present the epidemiology of the outbreak and the description of patients with infection or colonization of the respiratory tract caused by A. baumannii in an Internal Medicine ward. METHODS: 20 consecutively patients hospitalized in the Internal Medicine ward were studied during 18 months with isolation of multiresistant A. baumanni in respiratory tract specimens with or without clinical signs of infection. RESULTS: Starting on an index case, that was a patient coming from other hospital with diagnosis of nosocomial Acinetobacter pneumonia, we detected 20 patients. The age of the patients ranged from 48 to 95 years, with a mean of 71.4 years. Eighty percent were males. The clinical features were similar: advanced age, with chronic diseases (35 percent diabetics, 45 percent with chronic lung diseases), and use of broad-spectrum antibiotics agents, fundamentally third generation cephalosporin (70 percent), clarithromycin (55 percent) and quinolones (30 percent). 75 percent of patients were in the same ward. Eight (40 percent) of the patients with chronic lung diseases were subjects with COPD, two with asthma and chronic glucocorticoids treatment, and one with a sleep apnea. In four cases the isolation was considered a colonization. The mean stay was 26.15 days, and the mortality 40 percent. CONCLUSIONS: The nosocomial infection caused by Acinetobacter baumannii is responsible of a high morbi-mortality between the patients hospitalized in an Internal Medicine ward, and produce an increase in length of stay. It is necessary a combination of control measures to prevent the transmission in the hospital and the outbreak of new multiresistant strains.

Acinetobacter Infections↗
PubMed2001

[Predictive factors for inappropriate hospital stays in an internal medicine department].

BACKGROUND: We aimed to know which factors are associated with inappropriate stays in an internal medicine department. SUBJECTS AND METHOD: We included 1,046 hospitalisations and evaluated the justification of the admission using the Appropriateness Evaluation Protocol. RESULTS: 176 (16.8%) stays were considered inappropriate. In a multiple regression model, variables defining an inappropriate stay were the number of days in hospital, diagnosis on admission and the weekly day. CONCLUSION: There are determining factors for inappropriate stays in an internal medicine department.

Age Factors↗
PubMed2001

[Factors associated with inappropriate hospitalization at an internal medicine department].

BACKGROUND: To determine the factors associated with inappropriate admissions in an Internal medicine department. SUBJECTS AND METHOD: We included 1,993 admissions. The justification for the admissions was evaluated using the Appropriateness Evalutation Protocol. RESULTS: 187 (9.4%) admissions were considered inappropriate. The likelihood of an inappropriate admission was higher as long as the patient was younger than 65 years of age (OR, 1.94; (95%) IC, 1.32-2.85) and the admission had been programmed from the outpatients clinic (OR, 10.58; (95%) IC, 2.79-40.1). Clinical diagnosis also influenced the inappropriateness of admissions. CONCLUSION: Age, diagnosis and source of patients determine inappropriate admissions in an internal medicine department.

Aged↗
PubMed2001

[Factors that influence the non prescription of beta-blockers in patients with acute myocardial infarction].

OBJECTIVE: To study the factors that influence the non prescription of beta-blockers in patients discharged with a diagnosis of acute myocardial infarction (AMI). METHOD: A retrospective study was done of all patients discharged from our Service in the year 1998, with a diagnosis of AMI. The variables considered were age, sex, diabetes mellitus, peripheral vascular disease, left ventricle dysfunction and COPD. RESULTS: 60 patients with AMI were included in the study, 18 of whom (30%) were discharged without beta-blockers. The average age of these patients was 77 years, while the average age of those discharged with these pharmaceutical agents was 60 years (p < 0.0001). Likewise, left ventricle dysfunction (p < 0.031) and female gender (p < 0.016), also negatively influenced the use of these drugs. It was observed with multivariable regression analysis that age was the main predictor for the use of beta-blockers (p < 0.0001). CONCLUSION: Age is the main factor that influences the non prescription of beta-blockers in patients with AMI in our Service. In spite of the potential adverse effects of the drugs in the advanced age population, the data so far obtained demonstrates a clear benefit in the subgroups at risk (advanced age, heart failure,...). Therefore it's use should be extended to this group of population as long as there are no absolute contraindications.

Adrenergic beta-Antagonists↗