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Biomedical subjects

X Mundet Tuduri

Publications and source records attributed to X Mundet Tuduri.

5 recordsLinked to original sources
PubMed2003

[Predictors factors about functional decline in community-dwelling older persons].

OBJECTIVES: The goal of this work was to prove the usefulness of simple standard geriatrics tools as a predictors of basic daily activities or quality of life decline in one year in older patients apparent healthy to apply in primary care. DESIGN: Prospective study of a randomised sample of 100 patients. SETTING: Urban primary care center. PATIENTS: A systematic sample of 100 patients of 75 years old or older, with Barthel index > or =90, Karnofsky scale > or =70 and without any neoformation process evaluated prospectively. MEASUREMENTS: A comprehensive geriatric assessment was done that include: physical performance, neural-psychologist performance, organic assessment, social assessment. After 12 month were assessed again basic activities of daily living (Barthel) and quality of life (Karnofsky). To estimate the odds ratio (OR) of association we used logistic regression models. RESULTS: The alterations in cognition trials (Pfeiffer >2) and in instrumental activities of daily living (Lawton <7) showed predictors about decline in basic activities of daily living (OR=4.66; CI, 1.33-16.22), (OR=4.89; CI, 1.65-14.48). The alterations in instrumental activities of daily living (Lawton <7) and in performance tests (abbreviated Guralnik test <4) showed predictors about decline in quality of life (OR=4.31; CI, 1.62-11.44), (OR=7.41; CI, 1.54-35.62). CONCLUSION: In primary care geriatric assessment tools based in instrumental activities of daily living, cognition and performance tests predict decline in basic activities of daily living and quality of life.

Activities of Daily Living↗
PubMed1999

[When and how do we treat our hypercholesterolemic patients?].

OBJECTIVES: To compare patients with hypercholesterolaemia (HC) for factors relating to the decision to treat a patient with medication or not; and to assess the suitability of a previously established protocol of HC diagnosis and treatment. DESIGN: Retrospective, descriptive study. SETTING: Primary care centre. PATIENTS: 331 patients diagnosed with HC in the register of risk factors at our centre. 175 patients treated with medication (TM) and 156 not treated with medication. RESULTS: Mean age was 61.2 and 191 were women. 68.8% of the population under study had 2 or more factors of cardiovascular risk (FCVR). 56 patients were in secondary prevention (71.4% TM). 275 patients (83.08%) were in primary prevention. 135 of these received TM, which was indicated only in 45 (37.5%). Mean plasma concentrations (PC) of cholesterol (total and LDL) were greater in the patients treated. 99.3% of non-treated patients and 96.9% of treated patients received dietary counselling. This was maintained in 95% of non-treated patients. The reduction of cholesterol in the PC reached 8% in diet-treated patients by the end of the study. Initially 42.8% were treated with fibrates, 38.9% with statins and 18.3% with resins. By the end of the study 53.6% were treated with statins. CONCLUSIONS: The association of HC and other FCVR is common. In primary prevention, a high proportion of patients treated present cardiovascular risk which does not justify medical prescription. In secondary prevention we are closer to the current guidelines.

Chi-Square Distribution↗
PubMed1989

[Prevalence of peripheral somatic neuropathy in type 2 diabetes mellitus].

A cross-sectional study of 297 type 2 diabetic patients was carried out to evaluate their prevalence of peripheral somatic neuropathy. Their mean age was 61 years, with a predominance of females (65.7%) over males (34.3%). The clinical duration of diabetes was longer than 10 year in 45% of the evaluated patients, and metabolic control was poor in almost one half of them (49.5%). The most common symptom were cramps, while abnormal vibratory sense was the predominant physical finding. Neuropathy was significantly associated with mean age (t = 4.32, p less than 0.0001), the years of duration of diabetes (chi(2) = 11.16, p = 0.01) and the metabolic control degree (chi(2) = 24.2, p less than 0.001) in the bivariate analysis, while in multivariate analysis it was only associated with age (e beta = 1,637, p less than 0.0001) and the metabolic control degree (e beta = 4.02, p less than 0.0001).

Aged↗