A5066388813- Acute Ischemic Stroke Management
- Cardiac Ischemia and Reperfusion
- Stroke Rehabilitation and Recovery
- Cardiac Arrest and Resuscitation
- Cerebrovascular and Carotid Artery Diseases
- Anesthesia and Neurotoxicity Research
- Traumatic Brain Injury and Neurovascular Disturbances
- Antibiotic Use and Resistance
- Venous Thromboembolism Diagnosis and Management
- Neurological Disease Mechanisms and Treatments
- Aging, Elder Care, and Social Issues
- S100 Proteins and Annexins
- Cardiovascular Health and Disease Prevention
- Lipoproteins and Cardiovascular Health
- Trauma and Emergency Care Studies
- Cardiovascular and Diving-Related Complications
- Genital Health and Disease
- Antimicrobial Resistance in Staphylococcus
- Patient Satisfaction in Healthcare
- Reproductive tract infections research
- Urological Disorders and Treatments
- Emergency and Acute Care Studies
- Bacterial Identification and Susceptibility Testing
- Atrial Fibrillation Management and Outcomes
- Elder Abuse and Neglect
Hospital Universitari de Santa Maria
2013-2024
Biomedical Research Institute of Lleida
2016-2023
Universitat de Lleida
2016-2023
Institut Català de la Salut
2021
Hospital Universitari Arnau de Vilanova
2016-2020
University of Saint Mary
2018
Diagnostics Research Group
2018
<b><i>Background:</i></b> In-hospital stroke death rate is an important sanitary issue. Despite advances in the acute phase management of patients, mortality and disability rates remain high. In aging populations with different between sexes general, study sex- age-related differences becomes increasingly relevant for optimization post-acute clinical care patients. <b><i>Methods:</i></b> We designed a cohort follow-up 13,932 consecutive...
Abstract Background Prediabetes has recently been associated with subclinical atheromatous disease in the middle-aged population. Our aim was to characterize plaque burden by number of affected territories and total area prediabetes stage. Methods Atheromatous (quantity plaques area) assessed 12 from carotid femoral regions using ultrasonography 6688 non-diabetic subjects without cardiovascular disease. defined glycosylated hemoglobin (HbA1c) between 5.7 6.4% according American Diabetes...
Primary care antimicrobial stewardship program (ASP) interventions can reduce the over-prescription of unnecessary antibiotics, but impact on reduction in bacterial resistance is less known, and there a lack available data. We implemented prolonged educational counseling ASP large regional outpatient setting to assess its feasibility effectiveness. Over 5-year post-implementation period, which was compared pre-intervention significant antibiotic prescriptions occurred, particularly those...
Abstract Background Rehabilitation pathways are crucial to reduce stroke-related disability. Motivational Interviewing (MI), as a person-centered complex intervention, aimed empower and motivate, could be resource improve rehabilitation outcomes for older stroke survivors. The IMAGINE project aims assess the impact of MI, complement standard geriatric rehabilitation, on functional improvement at 30 days after admission, compared alone, in persons admitted stroke. Secondary objectives include...
Antimicrobial stewardship programs (ASPs) are a central component in reducing the overprescription of unnecessary antibiotics, with multiple studies showing benefits reduction bacterial resistance. Less commonly, ASPs have been performed outpatient settings, but there is lack available data these settings. We implemented an ASP large regional setting to assess its feasibility and effectiveness. Over 5-year post-implementation period, compared pre-intervention significant antibiotic...
We aimed to find out which are the most frequent complications for patients who suffer a traumatic brain injury (TBI) and its relation with biomarker levels. conducted hospital cohort study attended Hospital Emergency Department between 1 June 2018 31 December 2020. Different variables were collected such as biomarkers levels after 6 h 12 of TBI (S100, NSE, UCHL1 GFAP), clinical sociodemographic variables, complementary tests, 48 7 days TBI. Qualitative analysed Pearson's chi-square test,...
Rationale Remote ischemic perconditioning during cerebral ischemia (RIPerC) refers to the application of brief episodes transient limb commonly a limb, it represents new safe, simple and low-cost paradigm in neuroprotection. Aim and/or hypothesis To evaluate effects RIPerC on acute stroke (AIS) patients, applied ambulance, improve functional outcomes compared with standard care. Sample size estimates A sample 286 patients each arm achieves 80% power detect treatment differences 14% outcome,...
Introduction Traumatic brain injury (TBI) is a very important reason for consultation in emergency departments. Methods A hospital cohort study with patients who attended department between June 1, 2018 and December 31, 2020 due to TBI was studied. Clinical sociodemographic variables were recorded. The levels of biomarkers management used. Qualitative analyzed using Pearson's chi-square test, quantitative the Mann–Whitney U -test. Survival analyses performed by fitting multivariable Cox...
Objectives The aim of the study was to confirm safety and effectiveness using intravenous thrombolysis ( IVT ) with individuals aged 80 older in routine practice different hospital settings. Design Observasional registry. Setting Prospective multicenter population‐based registry acute stroke patients treated reperfusion therapies Catalonia, Spain (Sistema Online d'Informació de l'Ictus Agut). Participants Individuals only (N = 3,231; 1,189 (36.8%) ≥80). Measurements Symptomatic intracranial...
Background The incidence of sexually transmitted diseases (STD) has increased in recent years, especially the young population. Urethritis is one most common clinical presentations STD emergency departments. During SARS-COV-2 pandemic, Spain lockdown lasted almost three months, and mobility was greatly restricted. This first study these characteristics conducted Spain. Methods A cross-sectional all patients treated for symptoms urethritis between March June 2019 2020 conducted. We evaluated...
The concept of embolic stroke undetermined source (ESUS) has recently appeared to better characterise patients with cryptogenic stroke.A systematic review studies published since 2014 was performed evaluate the epidemiology, clinical features and prognosis ESUS their proportion among stroke.Ten were identified a total 14,810 patients. frequency varied between 6% 42%. We observed high percentage who met criteria (37-82%). mean age these 65-68 years. severity stroke, as measured using National...
There are lack of indicators quality care in resuscitation units emergency departments. With the aim proposing a series to evaluate delivered hospital areas, we conducted descriptive study 7579 admissions unit an department at Spanish between 2012 and 2016. The proposed were percentage patients attending admitted area by level triage, length stay, moved intensive surgery disposition, mortality or within 24 hours data completeness. A majority (62.6%) men median age was 68 years. Over 99%...
This study aimed to determine the incidence and trends of cerebrovascular disease (CVD) in healthcare district Lleida.We performed a population-based prospective cohort including entire population Lleida (440 000 people). Information was gathered from minimum basic data set emergency department hospital discharges for period January 2010 December 2014. All types stroke were included. We evaluated crude age-standardised rates using world as reference. Patients without neuroimaging...
This study aimed to determine the incidence and trends of cerebrovascular disease (CVD) in healthcare district Lleida.We performed a population-based prospective cohort including entire population Lleida (440 000 people). Information was gathered from minimum basic data set emergency department hospital discharges for period January 2010 December 2014. All types stroke were included. We evaluated crude age-standardised rates using world as reference. Patients without neuroimaging...
Abstract Remote ischemic conditioning during cerebral ischemia (remote perconditioning, RIPerC) refers to the application of several cycles brief and reperfusion (I/R) commonly a limb, it represents new paradigm in neuroprotection with multiple mechanisms action stroke (IS) patients acute phase. A systematic review published research papers and/or registered clinical trials since 2000 was performed. Eighteen studies were identified only four completed. All them have demonstrated that RIPerC...