PubMed Health⌕ Search

Biomedical subjects

J F Solsona Durán

Publications and source records attributed to J F Solsona Durán.

7 recordsLinked to original sources
PubMed2001

[Medical decisions in patients with chronic obstructive pulmonary disease].

BACKGROUND: A right information about illness is essential if a patient has to take ethically autonomous medical decisions. We assessed whether a group o patients with chronic obstructive pulmonary disease (COPD) had enough information about their illness to take medical decisions. PATIENTS AND METHOD: Structured interview about disease knowledge, wills to receive medical information and to take part in medical lesions as well as opinion on advance directives. RESULTS: Seventy-eight patients with COPD were interviewed. Ninety-two per cent of them were aware that they had a chronic illness and 63% were aware that it was an evolving disease. Fifty per cent believed they could require ICU admission, yet only 33% had knowledge of what mechanical ventilation was. A previous ICU admission and receiving home oxygen therapy were the only factors related to a better knowledge of disease. Forty-six per cent of patients interviewed felt not to be rightly informed, yet 64% of them did not wish to receive more information. Most patients would wish to have some form of future planning of their medical care in case of incompetence. CONCLUSIONS: Patients with COPD do not have enough information to take autonomous decisions. Knowledge is mainly provided by an earlier experience with illness and its complications.

Aged↗
PubMed1994

[An evaluation of blood cultures obtained via a central venous catheter].

BACKGROUND: The aim of this study was to determine the use of blood samples obtained through central venous catheters (CVC) in the diagnosis of bacteremias in patients admitted to an intensive care unit (ICU). METHODS: A prospective randomized study was carried out in which 125 blood samples obtained by CVC were compared with 125 samples simultaneously obtained by venipuncture. RESULTS: In 105 sample pairs (84%) the results of both samples were in agreement (Kappa index 0.61). The sensitivity of the technique in the diagnosis of bacteremia was 76.5%, specificity 86.8% positive predictive value 68.4% and negative predictive value 90.8%. No differences were found in the efficacy of the technique carried out by venous punction or that of the samples obtained through catheters inserted in subclavian, femoral and antecubital veins (p = 0.99). CONCLUSIONS: Blood cultures obtained through central venous catheters constitute a technical alternative for the diagnosis of bacteremia in cases in which venipuncture is difficult or of doubtful asepsis.

Bacteremia↗