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Author: Xavier Nuvials Casals Publisher: ISBN: 9788449059988 Category : Languages : es Pages : 199
Book Description
Antecedentes.- Las infecciones respiratorias relacionadas con la ventilación mecánica (IRVM) constituyen la causa más frecuente de infección adquirida en las unidades de cuidados intensivos (UCI). La mayoría de indicaciones de tratamiento antimicrobiano (ATM) empírico en UCI se realizan para tratar infecciones respiratorias. Existe poca información sobre los patrones de uso de ATM de los pacientes con infecciones respiratorias relacionadas con la ventilación mecánica. Objetivo.- Analizar los patrones de tratamiento ATM empírico así como los factores que determinan la selección del mismo en pacientes con neumonía asociada a ventilación mecánica (NAVM) y Traqueobronquitis asociada a ventilación mecánica (TAVM). Material y método.- Análisis post-hoc de un estudio prospectivo, observacional, multicéntrico de participación voluntaria (Registro ENVIN). Se incluyeron los episodios de NAVM y TAVM en pacientes ingresados > 24 horas en UCI y que requirieron ventilación mecánica durante el periodo de estudio (abril-junio 2012). Se analizaron los patrones de uso ATM empírico para cada una de las infecciones (indicaciones de ATM, número de infecciones tratadas con cada tipo de ATM, duración, combinación, adecuación y adaptación) así como los factores determinantes de la selección del mismo. Se compararon los patrones de uso entre ambas infecciones. Se analizaron las características demográficas y desenlace clínico de los pacientes y la respuesta inflamatoria sistémica (RIS) de las infecciones. Se realizó un análisis descriptivo de la muestra. Las variables categóricas se compararon mediante el test de Chi cuadrado o el test exacto de Fisher según condiciones de aplicación. En las variables cuantitativas se utilizó el test T de Student o el test de Mann-Whitney según tipo de distribución de la variable. Se realizaron modelos multivariados de regresión logística binaria para establecer que factores fueron determinantes en la selección del tratamiento y la decisión de realizar tratamiento combinado (TC). Se consideraron significativos valores de p
Author: Xavier Nuvials Casals Publisher: ISBN: 9788449059988 Category : Languages : es Pages : 199
Book Description
Antecedentes.- Las infecciones respiratorias relacionadas con la ventilación mecánica (IRVM) constituyen la causa más frecuente de infección adquirida en las unidades de cuidados intensivos (UCI). La mayoría de indicaciones de tratamiento antimicrobiano (ATM) empírico en UCI se realizan para tratar infecciones respiratorias. Existe poca información sobre los patrones de uso de ATM de los pacientes con infecciones respiratorias relacionadas con la ventilación mecánica. Objetivo.- Analizar los patrones de tratamiento ATM empírico así como los factores que determinan la selección del mismo en pacientes con neumonía asociada a ventilación mecánica (NAVM) y Traqueobronquitis asociada a ventilación mecánica (TAVM). Material y método.- Análisis post-hoc de un estudio prospectivo, observacional, multicéntrico de participación voluntaria (Registro ENVIN). Se incluyeron los episodios de NAVM y TAVM en pacientes ingresados > 24 horas en UCI y que requirieron ventilación mecánica durante el periodo de estudio (abril-junio 2012). Se analizaron los patrones de uso ATM empírico para cada una de las infecciones (indicaciones de ATM, número de infecciones tratadas con cada tipo de ATM, duración, combinación, adecuación y adaptación) así como los factores determinantes de la selección del mismo. Se compararon los patrones de uso entre ambas infecciones. Se analizaron las características demográficas y desenlace clínico de los pacientes y la respuesta inflamatoria sistémica (RIS) de las infecciones. Se realizó un análisis descriptivo de la muestra. Las variables categóricas se compararon mediante el test de Chi cuadrado o el test exacto de Fisher según condiciones de aplicación. En las variables cuantitativas se utilizó el test T de Student o el test de Mann-Whitney según tipo de distribución de la variable. Se realizaron modelos multivariados de regresión logística binaria para establecer que factores fueron determinantes en la selección del tratamiento y la decisión de realizar tratamiento combinado (TC). Se consideraron significativos valores de p
Author: Agency for Healthcare Research and Quality/AHRQ Publisher: Government Printing Office ISBN: 1587634333 Category : Medical Languages : en Pages : 385
Book Description
This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.
Author: John P. Cloherty Publisher: Lippincott Williams & Wilkins ISBN: 1451154003 Category : Medical Languages : en Pages : 1098
Book Description
This edition of the Manual of Neonatal Care has been completely updated and extensively revised to reflect the changes in fetal, perinatal, and neonatal care that have occurred since the sixth edition. This portable text covers current and practical approaches to evaluation and management of conditions encountered in the fetus and the newborn, as practiced in high volume clinical services that include contemporary prenatal and postnatal care of infants with routine, as well as complex medical and surgical problems. Written by expert authors from the Harvard Program in Neonatology and other major neonatology programs across the United States, the manual’s outline format gives readers rapid access to large amounts of valuable information quickly. The Children’s Hospital Boston Neonatology Program at Harvard has grown to include 57 attending neonatologists and 18 fellows who care for more than 28,000 newborns delivered annually. The book also includes the popular appendices on topics such as common NICU medication guidelines, the effects of maternal drugs on the fetus, and the use of maternal medications during lactation. Plus, there are intubation/sedation guidelines and a guide to neonatal resuscitation on the inside covers that provide crucial information in a quick and easy format.
Author: Christos Zouboulis Publisher: Springer Science & Business Media ISBN: 0306483823 Category : Medical Languages : en Pages : 612
Book Description
It is with great pleasure that I write this Foreword to the Proceedings of the International Conference on Behçet’s Disease which was held in Berlin in June 2002. This was the first International Conference held under the auspices of the International Society for Behçet’s Disease which was founded in 2000 in Seoul. First, I congratulate our colleagues in Berlin, led by Professor Christos Zouboulis of the Department of Dermatology at the Free University of Berlin, for having organised a most successful conference and for having compiled these proceedings so rapidly. It will be realised immediately on scanning the contents of this book that the conference was truly international with 210 participants from 26 countries, as Professor Zouboulis has noted in his preface. These included basic scientists, epidemiologists, pathologists, clinicians and, importantly, representatives from patient organisations. The latter held their own conference alongside the scientific-medical conference to mutual benefit. The combined session of patients and doctors (abstracts on pp 601 – 626) gave the opportunity for an exchange of information and fruitful discussion. The wide ranging scope of the communications is evident from the index and it was most encouraging to see their origin – from all parts of the world, from senior and junior colleagues and, from many different disciplines. Many communications may be regarded as preliminary reports of research in progress and we look forward to seeing the definitive publications in appropriate journals in due course.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309285526 Category : Medical Languages : en Pages : 217
Book Description
Disasters and public health emergencies can stress health care systems to the breaking point and disrupt delivery of vital medical services. During such crises, hospitals and long-term care facilities may be without power; trained staff, ambulances, medical supplies and beds could be in short supply; and alternate care facilities may need to be used. Planning for these situations is necessary to provide the best possible health care during a crisis and, if needed, equitably allocate scarce resources. Crisis Standards of Care: A Toolkit for Indicators and Triggers examines indicators and triggers that guide the implementation of crisis standards of care and provides a discussion toolkit to help stakeholders establish indicators and triggers for their own communities. Together, indicators and triggers help guide operational decision making about providing care during public health and medical emergencies and disasters. Indicators and triggers represent the information and actions taken at specific thresholds that guide incident recognition, response, and recovery. This report discusses indicators and triggers for both a slow onset scenario, such as pandemic influenza, and a no-notice scenario, such as an earthquake. Crisis Standards of Care features discussion toolkits customized to help various stakeholders develop indicators and triggers for their own organizations, agencies, and jurisdictions. The toolkit contains scenarios, key questions, and examples of indicators, triggers, and tactics to help promote discussion. In addition to common elements designed to facilitate integrated planning, the toolkit contains chapters specifically customized for emergency management, public health, emergency medical services, hospital and acute care, and out-of-hospital care.
Author: Jessica Pierce Publisher: Oxford University Press, USA ISBN: 9780195313826 Category : Philosophy Languages : en Pages : 722
Book Description
Incorporating introductions, readings, and cases that span the breadth of the discipline, Contemporary Bioethics: A Reader with Cases captures the spirit of bioethics as a rich, exciting, and continually evolving field. It covers all the essential topics - including abortion, reproductive ethics, end-of-life care, research ethics, and allocation of resources - and also extends into cutting-edge areas like environmental sustainability, terrorism, neuroethics, immigration, genetic manipulations, and links between first- and third-world health. The book opens with a substantial introduction that explores key differences between secular and religious modes of argumentation. Each of the following chapters contains an in-depth introduction, a selection of concise readings, discussion questions, and a collection of 7-10 case studies.
Author: Xavier Nuvials Casals
Author: Xavier Nuvials Casals
Author: Agency for Healthcare Research and Quality/AHRQ
Author: Paris Constantinides
Author: 
Author: John P. Cloherty
Author: Christos Zouboulis
Author: World Health Organization
Author: Institute of Medicine
Author: Saul Krugman
Author: Jessica Pierce