A5103027877- Dialysis and Renal Disease Management
- COVID-19 Clinical Research Studies
- Central Venous Catheters and Hemodialysis
- Vascular Procedures and Complications
- Long-Term Effects of COVID-19
- Blood Pressure and Hypertension Studies
- Cardiovascular Health and Disease Prevention
- Nutrition and Health in Aging
- Muscle and Compartmental Disorders
- Acute Kidney Injury Research
- COVID-19 and healthcare impacts
- Renal Transplantation Outcomes and Treatments
- COVID-19 and Mental Health
- SARS-CoV-2 and COVID-19 Research
- Poisoning and overdose treatments
- Organ Donation and Transplantation
- Iron Metabolism and Disorders
- Eicosanoids and Hypertension Pharmacology
- Lipoproteins and Cardiovascular Health
- Blood Coagulation and Thrombosis Mechanisms
- Frailty in Older Adults
- Educational methodologies and cognitive development
- Peripheral Artery Disease Management
- Migration, Health and Trauma
- Healthcare Systems and Reforms
Hospital Del Mar
2014-2025
Municipal Institute for Medical Research
2015-2024
Parc de Salut
2011-2024
Hospital del Mar Research Institute
2017-2024
HemoShear (United States)
2015
Universitat Autònoma de Barcelona
2013
Universitat de Barcelona
2006-2007
Hospital Clínic de Barcelona
2005
The SARS-Cov-2 infection disease (COVID-19) pandemic has posed at risk the kidney transplant (KT) population, particularly elderly recipients. From March 12 until April 4, 2020, we diagnosed COVID-19 in 16 of our 324 KT patients aged ≥65 years old (4.9%). Many them had contact with healthcare facilities month prior to infection. Median time symptom onset admission was 7 days. All presented fever and all but one pneumonia. Up 33% showed renal graft dysfunction. At diagnosis, mTOR inhibitors...
Data are needed to assess safety and efficacy of the 2009 pandemic influenza A H1N1 vaccine in renal patients.We prospectively evaluated seroconversion, predictors response, patients. Hemagglutination inhibition tests detect serum antibodies against a new A-H1N1 virus were performed 79 transplant patients, 48 hemodialysis 15 healthy workers before 1 month after vaccination. Healthy controls 88 127 patients vaccinated. Seroconversion was defined as at least 2 dilutions increase titer.We...
Few studies have analyzed the freedom to choose their renal replacement treatment (RRT) modality in Spain. In a total of 673 patients with ACKD (stage 4 and 5) seen at outpatient clinic Hospital del Mar, Barcelona, Catalonia (Spain) from 2009 2020, we retrospectively compared immigrant Spanish order analyze impact migration on RRT decision-making its subsequent evolution advanced CKD (ACKD) consultation identifies social economic needs this population. One hundred thirteen (16.8%) were...
The current outbreak of SARS-CoV-2 represents a special risk for renal patients due to their comorbidities and advanced age. usual performance hemodialysis treatment s in collective rooms increases the risk. specific information at this time regard is very limited. This manuscript includes proposal action prevent infection Nephrology Services, particular units, with objective early identification who meet definition suspected case by propose circuits mechanisms carry out treatments. They are...
La epidemia de SARS-CoV-2 representa un riesgo especial para los pacientes renales por su condición personas con comorbilidades y edad avanzada, la realización del tratamiento hemodiálisis en salas colectivas. información específica el momento actual al respecto es muy limitada. El presente manuscrito recoge una propuesta actuación prevenir infección Servicios Nefrología, particular las unidades hemodiálisis, objetivo identificar precozmente a que cumplan definición caso sospechoso proponer...
<b><i>Introduction:</i></b> Chronic kidney disease (CKD) increases the risk of mortality during coronavirus 2019 (COVID-19) episodes, and some reports have underlined high incidence severity this infection in dialysis patients. Information on COVID-19 nondialysis CKD patients is not available yet. <b><i>Case Reports:</i></b> Here we present 7 with grade 4–5 who developed symptomatic COVID-19; they comprise 2.6% our 267 advanced The estimated...
The COVID-19 pandemic has led to frequent referrals the emergency department on suspicion of this infection in maintenance hemodialysis (MHD) and kidney transplant (KT) patients. We aimed describe their clinical features comparing confirmed suspected non-confirmed cases during Spanish epidemic peak. Confirmed ((+)COVID-19) corresponds patient with positive RT-PCR SARS-CoV-2 assay. Non-confirmed ((−)COVID-19) patients negative RT-PCR. was 61 (40/803 KT (4.9%), 21/220 MHD (9.5%)). Prevalence...
ABSTRACT Background Physical Frailty Phenotype (PFP) is the most used frailty instrument among kidney transplant recipients, classifying patients as pre-frail if they have 1–2 criteria and frail ≥3. However, different definitions of robustness been renal patients, including only those who 0 criteria, or with 0–1 criteria. Our aim was to determine impact one PFP criterion on outcomes. Methods We undertook a retrospective study 296 recipients had evaluated for by at time evaluating...
In COVID-19 patients, low serum vitamin D (VD) levels have been associated with severe acute respiratory failure and poor prognosis. regular hemodialysis (HD) there is VD deficiency markedly reduced calcitriol levels, which may predispose them to worse outcomes of infection. Some patients receive treatment drugs for secondary hyperparathyroidism, well known pleiotropic effects beyond mineral metabolism. The aim this study was evaluate the impact status administration active medications, used...
This cross-sectional study aims to explore the prevalence of protein-energy wasting (PEW) in dialysis patients Catalonia, Spain, using a new and practical online tool which enables rapid calculation comparison with other nutritional scores. A web (Nutrendial) was created introduce different variables automatically calculate PEW, Malnutrition inflammation Score (MIS) Subjective Global Assessment (SGA) 1389 (88% haemodialysis (HD)), 12% peritoneal (PD) from regions Catalonia. 23.3% (26% HD,...
Background To evaluate the predictive value of carotid atherosclerotic disease (CAD) and intima-media thickness (IMT) on incident cardiovascular mortality in hemodialysis patients. Methods Multicenter, observational, prospective study including 110 patients, followed-up to 6 years. Carotid doppler ultrasonographic findings were classified 4 degrees severity: 1) IMT <0.9 mm, 2) >0.9 3) plaque with stenosis <50% 4) >50%. The associations between CAD events, total assessed. Results 83% patients...
To assess whether serum osteoprotegerin (OPG) and/or fetuin-A predict mortality and cardiovascular (CV) morbidity in hemodialysis patients. Multicenter, observational, prospective study that included 220 patients followed up for to 6 years. Serum OPG levels were measured at baseline their possible association with clinical characteristics, CV risk biomarkers, carotid ultrasonographic findings, as well overall events assessed. During a mean follow-up of 3.22 ± 1.91 years, there 74 deaths...
The COVID-19 epidemic represents a special risk for kidney patients due to their comorbidities and advanced age, the need hemodialysis treatment in group rooms. It also professionals responsible attention. This manuscript contains proposal action prevent infection of Nephrology Services, one most valuable assets at present time. La epidemia de representa un riesgo especial para los pacientes renales por sus comorbilidades y edad avanzada, la realización del tratamiento hemodiálisis en salas...
The influence of socioeconomic and cultural barriers in the choice renal replacement therapy (RRT) techniques advanced chronic kidney disease (ACKD) has been scarcely explored, which can generate problems inequity, frequently unnoticed health care. aim this study is to identify "non-medical" that RRT an consultation Spain. Retrospective analysis including total number patients seen ACKD a tertiary hospital from 2009 2020. Inclusion began with eligibility test decision-making process,...
Colistin use has reemerged for the treatment of infections caused by multidrug-resistant Gram-negative bacteria. However, information on its pharmacokinetics is limited, especially in patients with end-stage renal disease, which dosage adjustments are contradictory, and evidences need to investigate removal colistin through replacement therapies like haemodialysis. This case study showed efficient methanesulphonate formed during intermittent haemodialysis a patient infected...
La epidemia de COVID-19 representa un riesgo especial para los pacientes renales por sus comorbilidades y edad avanzada, la realización del tratamiento hemodiálisis en salas colectivas, pero también supone profesionales responsables su atención. El presente manuscrito recoge una propuesta actuación prevenir infección entre Servicios Nefrología. The epidemic represents a special risk for kidney patients due to their comorbidities and advanced age, the need hemodialysis treatment in group...
The aim of this study was to evaluate the hemodynamic pattern, vascular compliance, as well levels vasoregulatory hormones and markers inflammation oxidative stress in a group chronic hypotensive (CH) patients undergoing hemodialysis (HD) compare them with normotensive HD patients.14 10 CH were included study. Hemodynamic characteristics evaluated by means pulse waveform analysis. Plasma nitrites, interleukin-6 (IL-6), malondialdehyde (MDA), PTH-related peptide (PTHrp), catecholamines,...
Methods: We studied all patients starting dialysis therapy between 1 January 1995 and 31 December 2009 in our center. The following variables at initiation end-stage renal disease (ESRD) were analysed: estimated glomerular filtration rate (eGFR), age, gender, diabetes mellitus, serum albumin, hemoglobin, period of initiation, history ischemic heart stroke. Multivariate Cox model was used to calculate adjusted patient survival.
Traditionally, the indication of type vascular access (VA) has been based on surgeon's physical examination, but it is now suggested that imaging methods could provide a clinical benefit. Our aim was to determine whether or not preoperative Doppler ultrasound modifies outcomes first VA for hemodialysis. Prospective cohort patients undergoing from June 2014 July 2017 who had (ECO group). They were compared historical (January 2012–May 2014) indicated exclusively by assessment (CLN A total 86...