A5089488846- Respiratory Support and Mechanisms
- Long-Term Effects of COVID-19
- COVID-19 Clinical Research Studies
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Intensive Care Unit Cognitive Disorders
- Obstructive Sleep Apnea Research
- Diversity and Career in Medicine
- SARS-CoV-2 and COVID-19 Research
- Cardiac Arrest and Resuscitation
- Healthcare cost, quality, practices
- Airway Management and Intubation Techniques
- Neuroscience of respiration and sleep
- Healthcare Systems and Technology
- Sleep and related disorders
- Pneumothorax, Barotrauma, Emphysema
- Pleural and Pulmonary Diseases
- Healthcare professionals’ stress and burnout
- Tuberous Sclerosis Complex Research
- Sepsis Diagnosis and Treatment
- Healthcare Policy and Management
- Vaccine Coverage and Hesitancy
- Sex and Gender in Healthcare
- Cardiac Health and Mental Health
- Neonatal Respiratory Health Research
- Thermal Regulation in Medicine
Universidad Complutense de Madrid
2021-2024
Hospital Nacional de Parapléjicos
2022-2023
Hospital General Universitario Gregorio Marañón
2018-2022
Centro de Emergencias Sanitarias 061
2022
The main objective of the present study was to analyze both clinical characteristics and evolution during hospitalization a cohort patients admitted for COVID-19 pneumonia who were not vaccinated, or with complete incomplete vaccination schedule.This specialized single-center 1888 hospitalized at "Enfermera Isabel Zendal" Emergencies Hospital (HEEIZ), Madrid (Spain) performed between July 1 September 30, 2021. It compared results 1327 unvaccinated 209 fully vaccinated 352 partially patients....
Introduction The occurrence of pneumomediastinum (PM) and/or pneumothorax (PTX) in patients with severe pneumonia due to acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was evaluated. Methods This a prospective observational study conducted admitted the intermediate care unit (IRCU) COVID-19 monographic hospital Madrid (Spain) between December 14, 2020 and September 28, 2021. All had diagnosis SARS-CoV-2 required noninvasive support (NIRS): high-flow nasal cannula (HFNC), continuous...
Many patients with COVID-19 require respiratory support and close monitoring. Intermediate care units (IRCU) may be valuable to optimally adequately implement noninvasive (NRS) decrease clinical failure. We aimed at describing intubation mortality in a novel facility entirely dedicated establish their outcomes.
Obstructive sleep apnea (OSA) has been associated with cardiovascular events (CVEs), although recent randomized controlled trials have not demonstrated that long-term continuous positive airway pressure (CPAP) prevents CVEs. Our objective was to determine the effect of CPAP on older adults moderate OSA regarding CVE reduction.
Las terapias respiratorias no invasivas (TRNI) fueron ampliamente utilizadas en la primera ola de pandemia COVID-19, escenarios distintos según los medios disponibles. El objetivo fue presentar supervivencia a 90 días y factores asociados esta pacientes tratados con TRNI un centro tercer nivel sin Unidad Cuidados Respiratorios Intermedios. Como secundario comparar resultados obtenidos las distintas terapias. Estudio observacional fuera ambiente Intensivos o Intermedios, diagnosticados...
The use of benzodiazepines (BZD) is frequent in patients with COPD due to their anxiolytic and hypnotic effects. aim this study was determine whether the BZD influence rate hospital readmissions time event. <b>Material methods:</b> Observational carried out Respiratory Cardiology wards a tertiary university from May September 2016, where admitted for exacerbation were included. Patients divided according consumption depending on severity mild/moderate (FEV1 >50%) severe/very severe...
<b>Introduction:</b> Chronic obstructive pulmonary disease (COPD) exacerbations have a negative impact on the health and quality of life patients. A significant percentage patients discharged due to an exacerbation require early admission. The aim our study was assess usefulness telephone assistance program in prevention hospitalizations from service COPD exacerbation. <b>Methods:</b> We 2 randomized groups (9 males intervention group; 11 nonintervention group). 77.0±7.51 years, CAT score...
<b>Introduction:</b> Arterial carbon dioxide partial pressure and bicarbonate are the main biomarkers for non invasive ventilation (NIV) follow-up, though there is no sufficient evidence of other indicators. <b>Aim Objectives:</b> To determine prognostic value fibrinogen (FG), red blood cell distribution width (RDW), proteins (PR) albumin (ALB), their response to chronic NIV. <b>Methods:</b> Observational study cohort patients treated with home NIV from june 2007 2017. Biomarkers values were...
<b>Introduction:</b> Flexible bronchoscopy is a technique that usually performed with certain degree of sedation, wich induced either by pneumologist specific training in sedation or an anesthetist. <b>Material and Methods:</b> Observational study carried out patients who underwent flexible terciary university hospital. Patients were divided according to the physician group (PG) anesthetist (AG). The characteristics anesthetic risk, procedure performed, dose propofol, level complications...
<b>Background:</b> It has been proposed that intrathoracic pressure due to non invasive mechanical ventilation (NIV) interacts with cardiovascular haemodynamics, though there is insufficient evidence of its long-term outcomes regarding left ventricle ejection fraction (LVEF). <b>Aims and objective:</b> To determine the effect home NIV in patients low normal LVEF. <b>Methods:</b> Observational study cohort treated from may 2011 june 2017. Patients were divided into two gruops accordingto...
<b>Introduction:</b> Asthma and bronchiectasis are two well-defined entities with high prevalence morbidity. The presence of both diseases can influence the prognosis treatment these patients. objective present study was to evaluate gender differences in clinical characteristics patients hospitalized for exacerbation asthma Spain. <b>Material methods:</b> Retrospective observational using CMBD (Basic Minimum Data Set) carried out by Ministry Health All admitted a primary diagnosis secondary...
<b>Background:</b> Previous acute hypercapnic respiratory failures (AHRF) in need of non invasive ventilation (NIV) represent an indication for home NIV COPD patients, though new evidence has considered the use this treatment if relevant hypercapnia establishes after a first AHRF episode. <b>Aims and Objectives:</b> To determine long-term survival patients treated with different clinical scenarios. <b>Methods:</b> Observational study cohort from January 2009 to June 2017. Patients were...
<b>Background:</b> The Charlson comorbidity index (CCI) is the usual score considered for short and long-term outcomes in home Non invasive ventilation (NIV), other scores have not been used. <b>Aims objective:</b> To determine predictive value of different comorbidities patients treated with NIV. <b>Methods:</b> Observational study cohort NIV from January 2006 to October 2017. ALS were exclude. tested CCI, Elixhauser (ECI), Chronic disease (CDS) Functional (FCI). Cox logistic regression...
<b>Background:</b> Active smoking is a relative contraindication of home non invasive ventilation (NIV), although there scarce evidence its consequences in real world scenario. <b>Aim:</b> To determine the clinical impact active patients treated with NIV. <b>Methods:</b> Observational and retrospective study cohort NIV from June 2009 to October 2018. ALS mechanical were excluded. Outcomes mortality, hospitalizations any cause, ER visits acute-on-chronic hypercapnic respiratory failure....
<b>Introduction:</b> Lymphangioleiomyomatosis (LAM) is a rare systemic disease, characterized by abnormal proliferation of smooth muscle cells with cystic destruction the lung parenchyma and extrapulmonary manifestations. LAM almost exclusively affects females, prevalence sporadic 1 case per 400000 women, much higher incidence (30-40%) in tuberous sclerosis. <b>Material methods:</b> retrospective, descriptive epidemiological study, using national database hospital discharges (CMBD) developed...
<b>Background:</b> There is lacking evidence of the long-term effect interfaces in home non invasive ventilation (NIV). <b>Aims and objective:</b> The study hypothesis was that oronasal (ON) masks perform more effectively than nasal due to lower uncontrolled leaks. objective determine outcome NIV. <b>Methods:</b> Observational cohort patients treated with NIV from January 2005 June 2017. Patients were divided into two groups according prescribed interface, ON or mask. Outcomes mortality,...
<b>Introduction and Objectives:</b> Pneumocystis jirovecii pneumonia is a life-threatening opportunistic infection that affects immunodeficient patients, including HIV, malignant tumors, immunosuppressive treatment, prolonged corticosteroid therapy organ transplantation. The aim of the study contrasting different clinical patterns, complications death between HIV non-HIV patients. <b>Material Methods:</b> Observational supported cases in patients with immunocompromised etiology from January...