A5060925913- Clinical Nutrition and Gastroenterology
- Cardiac, Anesthesia and Surgical Outcomes
- Nutrition and Health in Aging
- Hemodynamic Monitoring and Therapy
- Intensive Care Unit Cognitive Disorders
- Electrolyte and hormonal disorders
- Abdominal Surgery and Complications
- Cardiac Arrest and Resuscitation
- Sepsis Diagnosis and Treatment
- Respiratory Support and Mechanisms
- Liver Disease and Transplantation
- Liver Disease Diagnosis and Treatment
- Cardiac Valve Diseases and Treatments
- Acute Kidney Injury Research
- Antibiotic Use and Resistance
- Cardiac and Coronary Surgery Techniques
- Pneumonia and Respiratory Infections
- Magnesium in Health and Disease
- Infant Nutrition and Health
- Acute Myocardial Infarction Research
- Nosocomial Infections in ICU
- Esophageal and GI Pathology
- Non-Invasive Vital Sign Monitoring
- Anesthesia and Neurotoxicity Research
- Cardiovascular Health and Disease Prevention
Hospital Clínic de Barcelona
2022-2025
Universitat de Barcelona
2014-2025
Bellvitge University Hospital
2015-2024
Institut d'Investigació Biomédica de Bellvitge
2013-2023
Departament de Salut
2023
Hospital Universitario 12 De Octubre
2020
Arthur B. McDonald-Canadian Astroparticle Physics Research Institute
2019
University Hospital of Geneva
2019
Vita-Salute San Raffaele University
2019
Istituti di Ricovero e Cura a Carattere Scientifico
2019
The development of acute kidney injury (AKI) is associated with poor outcome. modified RIFLE (risk, injury, failure, loss function, and end-stage renal failure) classification for AKI, which classifies patients replacement therapy needs according to failure class, improves the predictive value AKI in undergoing cardiac surgery. Our aim was assess risk factors post-operative impact function on short- long-term survival among all subgroups using classification.We prospectively studied 2,940...
Importance Cardiac surgery – associated acute kidney injury (CSA-AKI) remains a significant problem following cardiopulmonary bypass (CPB). Various strategies are proposed to attenuate CSA-AKI, including extracorporeal blood purification (EBP), but little is known about the effect of EBP through an acrylonitrile-sodium methallylsulfonate/polyethyleneimine membrane during CPB. Objective To determine whether use device in nonemergent cardiac population reduces CSA-AKI after Design, Setting,...
Abstract Background The prognostic role of low postoperative serum albumin levels (SAL) after cardiac surgery (CS) remains unclear in patients with normal preoperative SAL. Our aim was to evaluate the influence SAL on outcome CS. Methods Prospective observational study. Patients undergoing CS and nutritional status were included classified into different subgroups based at 24 h We assessed outcomes (i.e., in-hospital mortality, complications long-term survival) results analyzed among Results...
Enteral nutrition (EN) in critically ill patients requiring vasoactive drug (VAD) support is controversial. This study assesses the tolerability and safety of EN such patients.This prospective observational was conducted 23 intensive care units (ICUs) over 30 months. Inclusion criteria were a need for VADs and/or mechanic circulatory (MCS) minimum 48 h, ≥48 h mechanical ventilation, an estimated life expectancy >72 ≥72 ICU stay. Patients with refractory shock excluded. performed according to...
Critically ill patients with obesity (PwO) have anthropometric characteristics that can be associated different nutritional-metabolic requirements than other critically patients. However, recommendations regarding nutrition delivery in PwO are not clearly established among the published clinical practice guidelines (CPGs). Our main aim was to evaluate impact of energy and protein intake PwO. A multicenter (n = 37) prospective observational study performed. Adult requiring medical therapy...
Abstract Background Patients with critical illness may present disease‐related malnutrition upon intensive care unit (ICU) admission. They are at risk of development and progression over the disease trajectory because inflammation, dysregulated metabolism, challenges feeding. Methods The Global Leadership Initiative on Malnutrition (GLIM) convened a panel 36 clinical nutrition experts to develop consensus‐based guidance statements addressing diagnosis during using modified Delphi approach...
Patients with critical illness may present disease-related malnutrition upon intensive care unit (ICU) admission. They are at risk of development and progression over the disease trajectory because inflammation, dysregulated metabolism, challenges feeding. The Global Leadership Initiative on Malnutrition (GLIM) convened a panel 36 clinical nutrition experts to develop consensus-based guidance statements addressing diagnosis during illness, using modified Delphi approach requirement ≥75%...
Abstract Background Better understanding the impact of dietetic services on nutrition practices seems required as it may represent an opportunity for optimization in post–cardiac surgery patients. The present study aims to evaluate and compare clinical outcomes intensive care unit (ICU) patients with without services. Methods This is a secondary analysis multinational prospective observational ( n = 237) >72 h surgical ICU stay describing up 12 days after admission. Results Dietetic were...
The arterial partial pressure of O2 and the fraction inspired oxygen (PaO2/FiO2) ratio is widely used in ICUs as an indicator oxygenation status. Although cardiac surgery ICU scores can predict mortality, during first hours after few instruments are available to assess outcome. aim this study was evaluate usefulness PaO2/FIO2 mortality patients immediately surgery. We prospectively studied 2725 consecutive between 2004 2009. PaO2/FiO2 measured on admission at 3 h, 6 12 h 24 admission,...
Surgical site infection (SSI) remains a significant problem in the postoperative period that can negatively affect clinical outcomes. Microbiology findings are typically similar to other nosocomial infections, with differences dependent on microbiology selection due antibiotic pressure or resident flora. However, this is poorly understood critical care setting. We therefore aimed assess incidence, epidemiology and of SSI its association outcomes patients severe peritonitis intensive unit...
Abstract A multidisciplinary group of international physicians involved in the medical nutrition therapy (MNT) adult critically ill patients met to discuss value, role, and open questions regarding supplemental parenteral (SPN) along with oral or enteral (EN), particularly intensive care unit (ICU) setting. This manuscript summarizes discussions results highlight importance SPN as part a comprehensive approach MNT adults for researchers generate new evidence based on well-powered randomized...
Purpose of review The purpose this is to identify contemporary evidence evaluating enteral nutrition in patients with septic shock, outline risk factors for feeding intolerance (EFI), describe the conundrum initiating appraise current EFI definitions, and bedside monitors guiding therapy. Recent findings NUTRIREA-2 NUTRIREA-3 trial results have better informed dose critically ill circulatory shock. In both trials, predominant shock randomized receive early standard-dose had more...
Obesity influences risk stratification in cardiac surgery everyday practice. However, some studies have reported better outcomes patients with a high body mass index (BMI): this is known as the obesity paradox. The aim of study was to quantify effect diverse degrees BMI on clinical after surgery, and assess existence an paradox our patients.A total 2,499 consecutive requiring all types cardiopulmonary bypass between January 2004 February 2009 were prospectively studied at institution....
Cirrhosis represents a serious risk in patients undergoing cardiac surgery. Several preoperative factors identify cirrhotic as high for surgery; however, patient's status may be modified by surgical intervention and, yet, no independent postoperative mortality have been identified this setting. The objective of study was to and the scores that are best predictors short-term risk.Fifty-eight consecutive requiring surgery between January 2004 2009 were prospectively studied at our institution....
Background & aimsThe importance of artificial nutritional therapy is underrecognized, typically being considered an adjunctive rather than a primary therapy. We aimed to evaluate the influence on mortality in critically ill patients.MethodsThis multicenter prospective observational study included adult patients needing for >48 h if they stayed one 38 participating intensive care units ≥72 between April and July 2018. Demographic data, comorbidities, diagnoses, status (type details ≤14 days),...
Adequate medical nutrition therapy for critically ill patients has an impact on their prognoses. However, it requires individualized approach that takes into account the activity (phases of metabolic stress) and particularity these patients. We propose a comprehensive strategy considering patients' nutritional status set modifiable circumstances in patients, order to optimize/support efficiency: (1) A detailed anamnesis adequate initial assessment must be performed implement is line with...
Gastrointestinal (GI) dysfunction is common in critically ill patients and associated with poor outcomes. There a lack of standardised methods for daily monitoring GI function. COSMOGI aimed to develop Core Outcome Set (COS) function improve consistency comparability future studies patients. A modified Delphi consensus process engaging healthcare providers, clinical researchers, patient representatives was performed. systematic review identified existing parameters monitor function,...