[Therapeutic control and quality of life in coronary artery bypass surgery patients].

Abstract:

BACKGROUND:Description of measures of secondary prevention and of health related quality of life one year after the intervention in patients undergoing coronary artery bypass surgery. PATIENTS AND METHOD:One year follow up prospective study in patients undergoing first coronary bypass surgery without associated procedures and aged less than 80 in public and private hospitals in Cataluña, Spain. RESULTS:710 patients were included, 85.4% were men, and mean age was of 63 years. When compared women and men, 74.8 vs 48.7% patients were diagnosed of hypertension, 70.2 vs 55% of hypercholesterolemia, and 42.3 vs 28.7% of diabetes (p < 0.01); on the other hand, 31.2% of men and 2.9% of women were active smokers (p < 0.01). After a year of follow-up, 7% of the total population remained smokers; a significant reduction of anti-anginal treatments and a significant improvement in health related quality of life were observed. Cholesterol lowering treatment in patients previously diagnosed of hypercholesterolemia increased significantly between hospital admission and one year after hospital discharged (from 44% at the beginning to a 58% at the year of follow up; p < 0.01). CONCLUSIONS:Patients undergoing coronary artery bypass surgery clinically improved one year after the intervention, improving also their health related quality of life. However, the percentage of smokers and the level of antihypertensive and lowering cholesterol treatment at the end of follow up suggest a suboptimal control of risk factor

journal_name

Med Clin (Barc)

journal_title

Medicina clinica

authors

Brotons Cuixart C,Moral Peláez I,Permanyer Miralda G,Ribera Solé A,Cascant Castelló P,Estudio CIRCORCA.

doi

10.1016/s0025-7753(01)71785-x

keywords:

subject

Has Abstract

pub_date

2001-02-24 00:00:00

pages

241-5

issue

7

eissn

0025-7753

issn

1578-8989

pii

S0025-7753(01)71785-X

journal_volume

116

pub_type

杂志文章
  • [Glycosylated hemoglobin as a hyperuricemia risk marker in general population].

    abstract:BACKGROUND AND OBJECTIVES:To evaluate the association between high levels of glycemia and low serum uric acid levels in two independent population-based samples. PATIENTS AND METHODS:The first sample was taken from the Pizarra Study, a population-based prospective study of 1.226 persons classified according to their g...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/j.medcli.2010.09.044

    authors: García-Escobar E,Pérez-Valero V,Maseda D,Valdés S,Yahyaoui R,Hernando V,Vicioso MI,Ruiz de Adana MS,Espinosa Rodrı'guez M,Rojo-Martínez G,Soriguer F

    更新日期:2011-04-23 00:00:00

  • [Evaluation of the cost of an intensive medicine unit. Relationship between the cost and the severity of the disease].

    abstract:BACKGROUND:The evaluation of the costs of intensive care is a subject of interest at present, due to the high resources required by this area of health care services and the rhythm at which these costs increase. Such an evaluation has rarely been carried out in Spain. The aim of this study was to quantify the cost of m...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Llodra-Calvo JC,Vázquez-Mata G,Bueno-Cavanillas A,Delgado-Rodríguez M,Gálvez-Vargas R

    更新日期:1994-06-11 00:00:00

  • [Burden of disease in Spanish population under 15 years old in 1999].

    abstract:BACKGROUND AND OBJECTIVE:Burden of disease (DALYs) can help define health priorities. Our objective was to assess DALYs of those illnesses most important in Spanish children and teenagers. MATERIAL AND METHOD:We calculated DALYs components (YLL, YLD) by age groups and sex. Sources used were Spanish mortality data and ...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/s0025-7753(04)74245-1

    authors: Cortés García M,Pereira Candel J,Peña-Rey Lorenzo I,Gènova Maleras R,Amela Heras C

    更新日期:2004-03-20 00:00:00

  • [Rapidly progressive glomerular disease treated with plasmapheresis (author's transl)].

    abstract::A case of rapidly progressive glomerular disease with 100% of epithelial crescents completely enveloping each glomerulus, prolonged anuria and renal failure requiring dialysis. There were no indications of either streptococcal etiology or systemic disease. Improvement in renal function in response to plasmapheresis an...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Praga M,Mijares R,Elósegui A,de los Mozos J,Ochoa de Olza M,Cortabitarte N,López de Novales E

    更新日期:1981-06-10 00:00:00

  • [GHBP, IGF-1 and IGFBP-3 serum levels in familial short-statured and normal-statured children].

    abstract:BACKGROUND AND OBJECTIVE:Growth hormone binding protein (GHBP), insuline-like growth factor 1 (IGF-1) and insuline-like growth factor binding protein 3 (IGFBP-3) serum concentrations were studied in familial short-statured patients (FSS) and age-matched normal-statured subjects. The aim of the study was to ascertain wh...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1157/13067086

    authors: del Valle Núñez CJ,López-Siguero JP,López-Canti LF,Lechuga Campoy JL,Espigares Martín R,Martínez-Aedo Ollero MJ,Grupo Andaluz de Endocrinología Pediátrica.

    更新日期:2004-10-09 00:00:00

  • [Prenatal diagnosis of hemoglobinopathies and thalassemias].

    abstract:BACKGROUND AND OBJECTIVE:Thalassemias are the most common single-gene disorders in the world population and the most important health problem in several countries. The best program of prevention of new births is prenatal diagnosis. Here we gather the experience from 1996 of the Spanish Group of Erythropathology related...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/j.medcli.2008.09.012

    authors: Ropero P,González FA,Hernández A,Sánchez H,Cela E,Villegas A

    更新日期:2009-01-24 00:00:00

  • [What is a "poison"? Proposal of definition].

    abstract::We discuss different interpretations of the term poison as well as the need of bringing up to date the changes in this matter according to the science progress. A clear and exact definition is proposed after analysing the factors that affect the relativity of the concept and its boundaries. The proposal for a definiti...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/j.medcli.2011.02.002

    authors: Guitart R,Giménez N

    更新日期:2012-02-18 00:00:00

  • [Mortality-associated factors in patients with Alzheimer's disease treated with galantamine].

    abstract:BACKGROUND AND OBJECTIVE:To study the effect of clinical and demographic variables on mortality in patients with probable Alzheimer's disease treated with the cholinesterase inhibitor galantamine. PATIENTS AND METHOD:This retrospective cohort study reviewed 172 medical records, gathering information such as demographi...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1157/13091012

    authors: López-Pousa S,Garre Olmo J,Vilalta Franch J,Turon Estrada A,Soler Cors O,Pericot Nierga I

    更新日期:2006-07-08 00:00:00

  • [Early detection of tuberculosis by the evaluation of contacts].

    abstract::We have evaluated the close contacts of 191 patients diagnosed of tuberculosis in our center between 1984 and 1987. The overall number of evaluated contacts was 666, and the mean number of contacts for each index case was 3.7. In 55% of the evaluated population PPD reaction was positive, and their mean age was 33.3 ye...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Ruiz Manzano J,Parra O,Roig J,Manterola J,Abad J,Morera J

    更新日期:1989-04-22 00:00:00

  • [Guidelines for the rational use of endoscopy to improve the detection of relevant lesions in an open-access endoscopy unit: a prospective study].

    abstract:BACKGROUND AND OBJECTIVE:Almost 50% of gastrointestinal endoscopies performed in our Unit correspond to patients coming from primary care. Since resources are finite, adherence to appropriate indications for these procedures is essential. We prospectively assessed the appropriateness of gastrointestinal endoscopies ref...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1157/13107917

    authors: Fernández-Esparrach G,Gimeno-García AZ,Llach J,Pellisé M,Ginès A,Balaguer F,Mata A,Castells A,Bordas JM

    更新日期:2007-07-07 00:00:00

  • [Antenatal exposure to corticosteroids for fetal lung maturation and its repercussion on weight, length and head circumference in the newborn infant].

    abstract:BACKGROUND AND OBJECTIVE:To study the effects of antenatal corticosteroids treatment to promote fetal lung maturation, on fetal growth, depending on the number of the courses administered. PATIENTS AND METHOD:The study was based on data from the Spanish Collaborative Study of Congenital Malformations (ECEMC), analysin...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1157/13092436

    authors: Rodríguez-Pinilla E,Prieto-Merino D,Dequino G,Mejías C,Fernández P,Martínez-Frías ML,Grupo del ECEMC.

    更新日期:2006-09-16 00:00:00

  • [The Kveim-Siltzbach test in sarcoidosis].

    abstract:BACKGROUND:The Kveim-Siltzbach test has been widely used in the diagnosis of sarcoidosis. This reactive is currently available in the authors' hospitals. Previous experience with this test in the same centers was reviewed to know its diagnostic usefulness. The present is the first series described in Spain. METHODS:Fr...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Mañá J,Pujol R,Salazar A,Morera J,Fité E,Badrinas F

    更新日期:1995-05-06 00:00:00

  • [Effect of tobacco smoking on leptin serum levels and its relationship with steroid hormones and bone mineral density].

    abstract:BACKGROUND AND OBJECTIVE:Leptin is an hormone resulting from the obesity gene. Their actions could be important in the pathogenesis of the osteoporosis. The aim of this study is to analyse the influence of tobacco on serum leptin levels, and its relationship with bone mineral density (BMD) and steroid hormones. SUBJEC...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1157/13094819

    authors: Supervía A,Enjuanes A,Vila J,Mellibovsky L,Nogués X,Díez-Pérez A

    更新日期:2006-11-04 00:00:00

  • [Complete immune and clinical recovery after highly active antiretroviral therapy in advanced vertically HIV-1 infected children].

    abstract:BACKGROUND AND OBJECTIVE:The aim of this study was to evaluate the ability of long-term highly active antiretroviral therapy (HAART) to fully reconstitute the immune system in children with severe AIDS. PATIENT AND METHOD:Lymphoproliferative responses (LPR) were evaluated by incorporation of [3H]-thymidine. Cytokine p...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/s0025-7753(03)73723-3

    authors: Resino S,Sánchez-Ramón S,Correa R,Navarro ML,Bellón JM,Muñoz-Fernández MA

    更新日期:2003-03-29 00:00:00

  • [Evaluation of 2 tuberculosis chemoprophylaxis regimens in patients infected with human immunodeficiency virus. The GECMEI Group].

    abstract:OBJECTIVE:To assess the compliance, tolerance and efficacy of a short chemoprophylaxis regimen (IR) for tuberculosis using isoniazid (INH) plus rifampin (RIF) during 3 months versus a standard regimen (I) of isoniazid during 12 months in HIV positive patients. MATERIAL AND METHODS:Prospective, comparative, randomized ...

    journal_title:Medicina clinica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0025-7753(00)71496-5

    authors: Martínez Alfaro EM,Cuadra F,Solera J,Maciá MA,Geijo P,Sánchez Martínez PA,Rodríguez Zapata M,Largo J,Sepúlveda MA,Rosa C,Sánchez L,Espinosa A,Mateos F,Blanch JJ

    更新日期:2000-07-01 00:00:00

  • [Postacute care].

    abstract::The aging of the population and changes in family and social structures have led to increasing care needs for elderly persons following an acute disease or accident, with consequent concerns regarding costs and sustainability within the public health system. The main objective of postacute care (PAC) is to restore the...

    journal_title:Medicina clinica

    pub_type: 杂志文章,评审

    doi:10.1016/j.medcli.2013.05.032

    authors: Admetlla Falgueras M,Fusté Sugrañes J

    更新日期:2014-07-07 00:00:00

  • [Pilot study on knowledge about asthma and its treatment among Spanish teachers].

    abstract:UNLABELLED:This was a study aimed to know the knowledge about asthma. SUBJECTS AND METHOD:933 teachers of 27 schools from 7 cities (children aged between 4 and 15 years) using a self-administered questionnaire Half of them knew asthma prevalence and its hereditary nature. Nearly all related asthma with allergy, 38% wi...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/s0025-7753(01)72142-2

    authors: Cobos N,Picado C,Grupo CESEA.

    更新日期:2001-10-20 00:00:00

  • [The health of men and women in Catalonia, Spain. Are changes occurring?].

    abstract::The aim of this work is to show the changes observed in the health profile according to gender in 2006 with respect to 1994 of the population of Catalonia, through the comparison of data obtained in 1994 and 2006 from the Encuesta de Salud de Cataluña. The increase of the level of studies of the population has tended ...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/S0025-7753(11)70025-2

    authors: Medina-Bustos A,Mompart-Penina A,Brugulat-Guiteras P,Baranda-Areta L,Costa-Sampere D,Séculi-Sánchez E

    更新日期:2011-12-01 00:00:00

  • [Microsatellite instability predicts better outcome in colorectal cancer patients].

    abstract:BACKGROUND AND OBJECTIVE:Two different pathways for the development of tumor have been described in colorectal carcinoma: the chromosomic instability, raised by suppressor genes and proto-oncogene alterations, and the microsatellite instability (MSI), caused by alterations in DNA repairing genes. PATIENTS AND METHOD:T...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1157/13071004

    authors: Vidaurreta M,Sanz-Casla MT,Maestro ML,Rafael S,Jiménez F,Arroyo M,Fernández C,Cerdán J

    更新日期:2005-02-05 00:00:00

  • [The introduction of liquid oxygen as a portable source in continuous home oxygen therapy].

    abstract::The most widespread types of oxygen delivery at home in our area are bottles where the gas is stored under pressure and concentrators. Both devices can only be used at rest. We have assessed a new system for the delivery of liquid oxygen to be used at home, provided with a portable unit which permits that the patients...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Estopà R,Escarrabill J,Barbé F,Monasterio C,Manresa F

    更新日期:1990-11-10 00:00:00

  • [Paraoxonase, something more than an enzyme?].

    abstract::Coronary heart disease is one of the major causes of death in developed countries. The hypothesis that peroxidation of low density lipoproteins (LDL) may be the initial step of the atherosclerotic process has promoted numerous studies aimed at investigating the mechanisms by which the body protects itself from such ox...

    journal_title:Medicina clinica

    pub_type: 杂志文章,评审

    doi:10.1016/s0025-7753(03)74011-1

    authors: Canales A,Sánchez-Muniz FJ

    更新日期:2003-10-25 00:00:00

  • [Practical considerations in dealing with cerebral ischemia (author's transl)].

    abstract::The handling of patients with cerebral ischemia is reviewed, taking into consideration recent concepts regarding etiopathogenesis along with new diagnostic and therapeutic methods. A particularly important new diagnostic method is computerized axial tomography. The subject is divided into four sections in order to pre...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Rosich Plá A

    更新日期:1979-05-25 00:00:00

  • [Changes in bone marrow among HIV-positive and HIV-negative parenteral drug addicts].

    abstract:BACKGROUND:The aim of the present was to study the cytohistology of the bone marrow in intravenous drug addicts (IVDA) and to analyze the possible differences according to the period of drug addiction. METHODS:A prospective study was performed in 60 IVDA patients previously untreated and distributed into three groups:...

    journal_title:Medicina clinica

    pub_type: 临床试验,杂志文章

    doi:

    authors: González Aza C,Grilo Reina A,López Martín JC,Torre Sabariego A,Martínez Estéfano E,López Lacomba D,Herrera Díaz A,Moreno Garrido D

    更新日期:1995-01-28 00:00:00

  • [Evaluation of ceftazidime monotherapy in Pseudomonas aeruginosa bacteremias. Prospective study].

    abstract::Twenty-six episodes of Pseudomonas aeruginosa bacteremia treated with intravenous ceftazidime, 4-6 g/day were evaluated. Treatment was begun within the first 24 hours after the isolation of the microorganism and was maintained for 10-12 days. In two patients with neutropenia amikacin was added during the initial 48-72...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Gómez J,Moldenhauer F,Ruiz J,Redondo C,Alonso JM,Canteras M,Sánchez-Gascón F

    更新日期:1989-09-16 00:00:00

  • [Usefulness of temporal artery biopsy: analysis of 100 cases].

    abstract::We have evaluated 100 biopsies of temporal artery carried out in the Hospital La Paz from 1972 to 1986. On the basis of the histological result and the final diagnosis we divided the patients in five groups: I, temporal arteritis/polymyalgia rheumatica with positive biopsy, 11 cases; II, temporal arteritis without pol...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Domínguez-Castellano A,Peña JM,Barbado FJ,González JJ,Madero R,León L,Arnalich F,Vázquez JJ

    更新日期:1989-01-28 00:00:00

  • [Amyotrophic neuralgia associated with bilateral phrenic paralysis treated with non-invasive mechanical ventilation].

    abstract::Amyotrophic neuralgia is an uncommon neuropathy characterized by severe unilateral shoulder pain. Isolated or concomitant involvement of other peripheral motor nerves depending on the brachial plexus such as phrenic or laryngeal nerves is unusual(1). Its etiology is unknown, yet several explanatory factors have been p...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/j.medcli.2015.03.016

    authors: García García Mdel C,Hernández Borge J,Antona Rodríguez MJ,Pires Gonçalves P,García García G

    更新日期:2015-09-07 00:00:00

  • [Risk factors of vascular complications in lower limbs in diabetic patients].

    abstract:BACKGROUND AND OBJECTIVE:To evaluate the risk factors of complications in lower limbs in diabetic patients. PATIENTS AND METHODS:We evaluated 270 patients with diabetes followed in Hospital la Paz from 2000 to 2008.We measured the ankle-brachial index (ABI), toe-brachial index (TBII), and toe blood pressure (BP). We d...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/j.medcli.2010.05.032

    authors: Fuentes MM,Herranz de la Morena L,Borge VM,Saez de Ibarra L,Duque MA,Sánchez LF

    更新日期:2011-04-09 00:00:00

  • [Design, implementation and evaluation of a management model of patient safety in hospitals in Catalonia, Spain].

    abstract::Since its inception in 2006, the Alliance for Patient Safety in Catalonia has played a major role in promoting and shaping a series of projects related to the strategy of the Ministry of Health, Social Services and Equality, for improving patient safety. One such project was the creation of functional units or committ...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/j.medcli.2014.07.011

    authors: Saura RM,Moreno P,Vallejo P,Oliva G,Alava F,Esquerra M,Davins J,Vallès R,Bañeres J

    更新日期:2014-07-01 00:00:00

  • [The perception of improvement in asthma].

    abstract:BACKGROUND:The capacity of stable asthma patients to recognize the presence of air flow obstruction, treatment improvement and daily variations was studied. METHODS:Placebo and 500 micrograms of inhaled terbutaline for two consecutive days were administered to 39 patients. The subjective impressions were compared with...

    journal_title:Medicina clinica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Heredia JL,Rodríguez M,Quintana S,Mir I,Viñas C,Gómez L

    更新日期:1995-11-11 00:00:00

  • [Clinical practice guideline on bipolar disorder: drug and psychosocial therapy. Asociación Española de Neuropsiquiatría].

    abstract::Bipolar disorder is a chronic and recurrent mood disorder, which may severely impact on the patient's global functioning. It has been estimated that approximately 1.6% of the population is affected. A long delay in diagnosis and an excessive disparity in the treatment of these patients have been detected. Within the Q...

    journal_title:Medicina clinica

    pub_type: 杂志文章,实务指引

    doi:10.1016/j.medcli.2013.05.023

    authors: Bravo MF,Lahera G,Lalucat L,Fernández-Liria A,en representación del Grupo Elaborador de la Guía.,Asociación Española de Neuropsiquiatría.

    更新日期:2013-10-05 00:00:00