- Cardiac Arrest and Resuscitation
- Trauma and Emergency Care Studies
- Acute Myocardial Infarction Research
- Emergency and Acute Care Studies
- Mechanical Circulatory Support Devices
- Cardiac Imaging and Diagnostics
- Trauma Management and Diagnosis
- Injury Epidemiology and Prevention
- Sepsis Diagnosis and Treatment
- Disaster Response and Management
- Heart Failure Treatment and Management
- Coronary Interventions and Diagnostics
- Respiratory Support and Mechanisms
- Cardiac electrophysiology and arrhythmias
- Cardiac Structural Anomalies and Repair
- Atrial Fibrillation Management and Outcomes
- Wnt/β-catenin signaling in development and cancer
- Traumatic Brain Injury and Neurovascular Disturbances
- Venous Thromboembolism Diagnosis and Management
- Acute Ischemic Stroke Management
- Thermal Regulation in Medicine
- Cardiovascular Function and Risk Factors
- Intensive Care Unit Cognitive Disorders
- Clinical Reasoning and Diagnostic Skills
- Cardiac Health and Mental Health
Center for Biomedical Research of La Rioja
2023-2025
Gobierno de La Rioja
2020-2024
Hospital San Pedro
2020-2024
Centro de Investigación en Red en Enfermedades Cardiovasculares
2022
Centro de Investigación Biomédica en Red
2022
Marqués de Valdecilla University Hospital
2007-2021
Universidad de Cantabria
2006-2021
University of Bern
2021
Sigmund Freud University Vienna
2021
University Hospital of Bern
2021
The aim of the EuReCa ONE study was to determine incidence, process, and outcome for out hospital cardiac arrest (OHCA) throughout Europe.This an international, prospective, multi-centre one-month study. Patients who suffered OHCA during October 2014 were attended and/or treated by Emergency Medical Service (EMS) eligible inclusion in Data extracted from national, regional or local registries.Data on 10,682 confirmed OHCAs 248 regions 27 countries, covering estimated population 174 million....
It is not known whether prehospital fibrinolysis, coupled with timely coronary angiography, provides a clinical outcome similar to that primary percutaneous intervention (PCI) early after acute ST-segment elevation myocardial infarction (STEMI).Among 1892 patients STEMI who presented within 3 hours symptom onset and were unable undergo PCI 1 hour, randomly assigned either or fibrinolytic therapy bolus tenecteplase (amended half dose in ≥75 years of age), clopidogrel, enoxaparin before...
Objectives: To describe the effectiveness of Surviving Sepsis Campaign bundles with regard to both implementation and outcome in patients septic shock determine contribution various elements outcome. Design: Quasi-experimental study a historical comparison group. Setting: The three medical–surgical intensive care units an academic tertiary center. Patients: A total 384 adult were enrolled after educational intervention (September 2005–August 2008) 96 group (June 2004–May 2005). Intervention:...
<h3>Importance</h3> Therapeutic hypothermia may increase survival with good neurologic outcome after cardiac arrest. Trans-nasal evaporative cooling is a method used to induce cooling, primarily of the brain, during cardiopulmonary resuscitation (ie, intra-arrest). <h3>Objective</h3> To determine whether prehospital trans-nasal intra-arrest improves compared initiated hospital arrival. <h3>Design, Setting, and Participants</h3> The PRINCESS trial was an investigator-initiated, randomized,...
AimsThe influence of the COVID-19 pandemic on attendance to out-of-hospital cardiac arrest (OHCA) has only been described in city or regional settings. The impact across an entire country with a high infection rate is yet be explored.MethodsThe study uses data from 8629 cases recorded two time-series (2017/2018 and 2020) Spanish national registry. Data non-COVID-19 period (February 1st–April 30th were compared. During period, further analysis comparing non-pandemic weeks (defined according...
ST-segment-elevation myocardial infarction (STEMI) guidelines recommend pharmaco-invasive treatment if timely primary percutaneous coronary intervention (PCI) is unavailable. Full-dose tenecteplase associated with an increased risk of intracranial hemorrhage in older patients. Whether half-dose effective and safe patients STEMI unknown.
In the Strategic Reperfusion Early After Myocardial Infarction (STREAM) trial, a pharmaco-invasive (PI) strategy was compared with primary percutaneous coronary intervention (pPCI) in ST-segment-elevation myocardial infarction patients presenting within 3 hours after symptom onset but unable to undergo pPCI 1 hour. At 30 days, PI approach associated nominally nonstatistically significant lower incidence of composite end point death, shock, congestive heart failure, and reinfarction when...
Chest pain and acute dyspnoea are frequent causes of emergency medical services activation. The pre-hospital management these conditions is heterogeneous across different regions the world Europe, as a consequence variety absence specific practical guidelines. This position paper focuses on aspects treatment board transfer patients taken in charge by for chest suspected cardiac aetiology after initial assessment diagnostic work-up. objective to provide guidance, based evidence, where...
Importance Out-of-hospital cardiac arrest (OHCA) health care provision may be a good indicator of the recovery system involved in OHCA following COVID-19 pandemic. There is lack data regarding outcomes capable verifying this recovery. Objective To determine whether return to spontaneous circulation, overall survival, and survival with neurological outcome increased patients since pandemic was brought under control 2022 compared prepandemic levels. Design, Setting, Participants This...
There is substantial variation in the incidence, likelihood of attempted resuscitation and outcomes from out-of-hospital cardiac arrest (OHCA) across Europe. A European, multi-centre study provides opportunity to uncover differences throughout Europe may help find explanations for these differences. Results also have potential support development quality benchmarking between European Emergency Medical Services (EMS). This prospective involves 27 different countries. It a common Utstein-based...
Out-of-hospital cardiac arrest (OHCA) is a major health issue throughout Europe. Due to limited knowledge about the epidemiology of OHCA in Europe, 2011, European Registry Cardiac Arrest (EuReCa) project was established. Initially based on existing resuscitation registries few countries, network expanded and October 2014 EuReCa ONE study launched, bringing together 27 countries showing that appropriate data acquisition (10,682 cases submitted) feasible within TWO conducted from December 2017...
Coronary artery disease (CAD) is the single leading cause of death in Europe and most common form cardiovascular disease. Little known about awareness European population. A cross-sectional telephone survey 2609 individuals from six countries was conducted to gather information on perceptions CAD, risk factors, preventive measures, knowledge heart attack symptoms ability seek emergency medical care. Level compared according gender, age, socioeconomic status (SES) educational level. Women...
Midregional proadrenomedullin (proADM) is a novel biomarker with potential prognostic utility in patients community-acquired pneumonia. The aim of this study was to investigate the value proADM levels for severity assessment and outcome prediction severe sepsis septic shock due CAP.Prospective observational including 49 admitted ICU both clinical radiologic diagnosis pneumonia fulfilling criteria or shock. accuracy compared those index procalcitonin (PCT) C-reactive protein (CRP).49 CAP were...
Objetivos. Examinar las diferencias de género en características la parada cardiaca extrahospitalaria (PCRE), los tratamientos, supervivencia, y cambios evolutivos España. Método. Datos dos series temporales (2013/2014 2017/2018) del registro prospectivo PCRE (OHSCAR). Se incluyeron todos casos consecutivos que intervino un equipo emergencias. Las variables dependientes fueron atención PCRE, llegada al hospital con pulso espontáneo, supervivencia global alta, buenos resultados neurológicos....