Transfusions in the Emergency department: More than a blood transfusion
Publication date: Available online 25 January 2020Source: Revista Clínica Española (English Edition)Author(s): M. Quintana-Díaz, E.M. Andrés-Esteban, J. Sánchez-Serrano, A. Martínez-Virto, R. Juárez-Vela, J.A. García-ErceAbstractIncreasing haemoglobin and haematocrit levels with blood transfusions has been the gold standard for treating severe anaemia; however, the indication for transfusing concentrated red blood cells is based merely on a few laboratory markers, such as haemoglobin and haematocrit levels, rather than based on the symptoms according to clinical practice guidelines, the implementation of legal regu...
Source: Revista Clinica Espanola - January 26, 2020 Category: Internal Medicine Source Type: research
In response to the article by S. Trias-Llimós: «The importance of alcohol-related mortality estimates in Spain»
Publication date: Available online 25 January 2020Source: Revista Clínica Española (English Edition)Author(s): J. Montes-Santiago (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - January 26, 2020 Category: Internal Medicine Source Type: research
Metformin and sodium-glucose cotransporter inhibitors as therapy for type 1 diabetes mellitus: Handle with care
Publication date: January–February 2020Source: Revista Clínica Española (English Edition), Volume 220, Issue 1Author(s): J. Ena, R. Gómez-Huelgas (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - January 23, 2020 Category: Internal Medicine Source Type: research
Is oral iron always the best option?
Publication date: January–February 2020Source: Revista Clínica Española (English Edition), Volume 220, Issue 1Author(s): J. Grau Amorós (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - January 23, 2020 Category: Internal Medicine Source Type: research
Improving the care of people with chronic conditions in Spain. Common Position Statement of the Spanish Society of Internal Medicine and the Spanish Society of Family and Community Medicine
Publication date: January–February 2020Source: Revista Clínica Española (English Edition), Volume 220, Issue 1Author(s): (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - January 23, 2020 Category: Internal Medicine Source Type: research
Factors that determine the loss of control when reducing therapy by steps in the treatment of moderate-severe asthma in standard clinical practice: A multicentre Spanish study
ConclusionIn standard clinical practice conditions, step-down fails in a high percentage of patients, and the suggestion is to indicate step-down when the patient has had more than 6 months of disease control.ResumenIntroducciónAunque las guías de práctica clínica recomiendan un ajuste continuado del tratamiento del asma, reduciendo la medicación de mantenimiento cuando se alcanza el control (step-down), existen pocos estudios de práctica clínica habitual orientados a recabar información de los factores que condicionan su fracaso.ObjetivoDeterminar los factores que condicionan en la práctica clínica habitual el f...
Source: Revista Clinica Espanola - January 17, 2020 Category: Internal Medicine Source Type: research
Efficacy and safety of metformin and sodium-glucose co-transporter-2 inhibitors in adults with type 1 diabetes: A systematic review and network meta-analysis
ConclusionSGLT2 inhibitors provided greater reductions in HbA1c and body weight than metformin/placebo. Both SGLT2 inhibitors and metformin induced greater reductions in total insulin dosage than placebo, with no significant differences observed between SGLT2 inhibitors and metformin. SGLT2 inhibitors induced a higher risk for DKA than metformin/placebo.ResumenObjetivoComparar la eficacia y la seguridad de los inhibidores del cotransportador-2 de sodio-glucosa (SGLT2) y de la metformina en adultos con diabetes mellitus tipo 1 (DMT1).MétodosSe buscaron en PubMed, EMBASE, la Cochrane Library y la Web of Science, los ensayos...
Source: Revista Clinica Espanola - January 11, 2020 Category: Internal Medicine Source Type: research
Lung ultrasound in heart failure
Publication date: Available online 31 December 2019Source: Revista Clínica Española (English Edition)Author(s): M Méndez Bailón, JM Cerqueiro, J Carriel, E Orviz García, JM Cepeda RodrigoAbstractThe present article reviews the usefulness of lung ultrasound in the diagnosis, prognostic stratification and treatment of patients with heart failure. The article addresses the technical aspects when performing lung ultrasonography, as well as the importance of the presence of B-lines in the diagnosis and the prognostic value of pulmonary congestion. Moreover, the article reviews the most recently published evidence on the us...
Source: Revista Clinica Espanola - January 2, 2020 Category: Internal Medicine Source Type: research
Management of iron deficiency in various clinical conditions and the role of intravenous iron: Recommendations of the Spanish erythropathology group of the Spanish society of hematology and hemotherapy
Publication date: Available online 25 December 2019Source: Revista Clínica Española (English Edition)Author(s): J.A. García Erce, A. Altés, M. López Rubio, Á.F. Remacha, en representación del Grupo Español de Eritropatología de la Sociedad Española de Hematología y HemoterapiaAbstractIron deficiency (ID) due to blood loss, absorption disorders and dietary deficiencies causes iron-deficiency anaemia, whose treatment seeks to eliminate the underlying cause and restore haemoglobin and iron deposits. Typically, the latter 2 of these objectives can be achieved through oral iron therapy. Intravenous iron administratio...
Source: Revista Clinica Espanola - December 25, 2019 Category: Internal Medicine Source Type: research
Reply to “On the quality-of-life questionnaires in atrial fibrillation”
Publication date: Available online 25 December 2019Source: Revista Clínica Española (English Edition)Author(s): V. Barrios, C. Escobar (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - December 25, 2019 Category: Internal Medicine Source Type: research
Inpatient dermatology consultations in a tertiary care hospital in Spain: A retrospective study of 750 patients
ConclusionsConsultation activities have a significant impact on the management of hospitalised patients, resulting in improved quality of care and reduced healthcare costs. These activities are also of training value for resident physicians.ResumenObjetivoLa interconsulta médica es una labor asistencial generalmente poco valorada y estudiada. El principal objetivo ha sido describir y analizar las interconsultas solicitadas a Dermatología y los aspectos que inciden en su resolución.Pacientes y métodosEstudio observacional retrospectivo en el que se recogieron las interconsultas de los pacientes ingresados durante 36 mes...
Source: Revista Clinica Espanola - December 25, 2019 Category: Internal Medicine Source Type: research
Localized tracheal amyloidosis incidentally detected during lung cancer screening with low-dose chest computed tomography
Publication date: Available online 25 December 2019Source: Revista Clínica Española (English Edition)Author(s): L. Gorospe, P. Arrieta, D. Barrios-Barreto (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - December 25, 2019 Category: Internal Medicine Source Type: research
Proposed organizational changes in the right direction
Publication date: Available online 19 December 2019Source: Revista Clínica Española (English Edition)Author(s): A. Zapatero Gaviria, S. Gonzalo Pascua (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - December 20, 2019 Category: Internal Medicine Source Type: research
On the quality-of-life questionnaires in atrial fibrillation
Publication date: Available online 19 December 2019Source: Revista Clínica Española (English Edition)Author(s): J. Velasco Montes, S. González Díez (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - December 20, 2019 Category: Internal Medicine Source Type: research
Shared-care, a different method for organizing collaboration with surgery departments
Publication date: Available online 19 December 2019Source: Revista Clínica Española (English Edition)Author(s): V. Barreto, J. Díez-Manglano (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - December 20, 2019 Category: Internal Medicine Source Type: research
