Abstract：
BACKGROUND AND OBJECTIVE:Forced respiratory volume in first second spirometry is currently used to diagnose chronic obstructive pulmonary disease. However, this technique does not always provide a reliable short-term prognosis, especially in patients with associated morbidity. We propose that specific health-related quality of life questionnaires are a better tool to estimate the prognosis of chronic obstructive pulmonary disease. PATIENTS AND METHOD:A total of 93 patients who had been admitted to Unit 1 of the Department of Internal Medicine at the Reina Sofia Hospital for chronic obstructive pulmonary disease exacerbation were followed up for one year after discharge. The number of hospital readmissions were recorded. A prospective cohort design and logistic regression analysis were used. RESULTS:Mean age was 70.8, 83% were males, 89.2% presented with an associated illness, and 59.1% had been hospitalized previously. The mean forced respiratory volume in first second was 34% and the overall score for the St George's Respiratory Questionnaire was 58.2. After one year, 40.4% of patients were readmitted to hospital. The regression model included scores for the St George's Respiratory Questionnaire activity scale (OR 1.05) and long-term home oxygen therapy (OR 5.18). CONCLUSIONS:The St George's Respiratory Questionnaire score better predicts hospital readmission after one year than the forced respiratory volume in first second. The activity scale is the best predictor of readmission. Long-term home oxygen therapy is associated with an increase in the number of hospitalizations.
journal_name
Med Clin (Barc)journal_title
Medicina clinicaauthors
Vega Reyes JA,Montero Pérez-Barquero M,Sánchez Guijo Pdoi
10.1157/13058683keywords:
subject
Has Abstractpub_date
2004-03-06 00:00:00pages
293-7issue
8eissn
0025-7753issn
1578-8989pii
S0025-7753(04)74213-Xjournal_volume
122pub_type
杂志文章相关文献
MEDICINA CLINICA文献大全abstract：BACKGROUND AND OBJECTIVE:Arterial stiffness (AS) is a well-recognized target organ lesion. This study aims to determine: 1) the frequency of AS in community pharmacies; 2) if stiffened subjects identified by brachial oscillometry have more CV risk factors than normal subjects, and 3) the dependence of stiffness on usin...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/j.medcli.2017.04.037
更新日期：2017-12-07 00:00:00
abstract：BACKGROUND:Pleural mesothelioma is a tumor of low incidence whose relation with the exposure to asbestos has been widely demonstrated. This exposure is generally occupational, but may also be domestic and there is the possibility of environmental exposure. METHODS:By death certifications all the cases of death by pleu...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1993-11-06 00:00:00
abstract：OBJECTIVE:To describe the secular trend of cancer incidence in Catalonia and to compare it with that observed in European regions. MATERIAL AND METHOD:Using data from the Tarragona and Gerona cancer registries, the number of cases, adjusted rates, and the annual percentages of change in cancer incidence in Catalonia f...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/s0025-7753(08)76428-5
更新日期：2008-10-01 00:00:00
abstract：BACKGROUND AND OBJECTIVE:The use of complementary and alternative medicine (CAM) is increasing in last years. Studies performed out of Spain have reported rates of CAM use of 40-50% among IBD patients. There are no available data on drug abuse among IBD patients. The aims of our study were to evaluate the rate and asso...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1157/13097468
更新日期：2007-01-20 00:00:00
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：
更新日期：1994-06-11 00:00:00
abstract：:The dual antiplatelet therapy with acetylsalicylic acid and clopidogrel has been the mainstay of both acute and chronic phase coronary artery disease, reducing importantly the risk of adverse events. Despite a correct compliance, a non-negligible rate of adverse events still happens. New compounds, with improved prope...
journal_title：Medicina clinica
pub_type： 杂志文章,评审
doi：10.1016/j.medcli.2013.12.006
更新日期：2014-12-09 00:00:00
abstract：BACKGROUND AND OBJECTIVE:Parkinsonism is a group of neurological disorders characterized by extrapiramidal signs. Often, the differential diagnosis between parkinsonism, essential tremor and drug-induced parkinsonism is difficult. The aim of the study was to evaluate the utility of (123I)-FP-CIT SPECT in patients with ...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/s0025-7753(04)74224-4
更新日期：2004-03-13 00:00:00
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
更新日期：2001-10-20 00:00:00
abstract：:Several heritable disorders of glucose transport across cellular membranes have been recently characterized both genetically and pathophysiologically. Diseases such as glucose-galactose malabsorption, Fanconi-Bickel syndrome and GLUT1 deficiency syndrome are caused by mutation of transporters located in bowel, liver a...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1157/13095099
更新日期：2006-11-11 00:00:00
abstract：:Pituitary apoplexy (PA) is currently considered as one of the causes of empty sella (ES). However, in most reported cases the diagnosis of PA was based on anamnesis. A prospective study of three patients diagnosed during the PA episode was carried out. Periodical evaluations of hormone concentrations and cerebral comp...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1991-06-15 00:00:00
abstract：BACKGROUND:Reimplantation disease (RD) is a postoperative complication in lung transplantation. It is defined as hypoxemia (PaO2/FiO2 ratio < 150 mmHg), radiologic infiltrates and decrease of lung compliance. The aim of the study was to analyze the incidence, predictive factors, prognosis and outcome of the patients wi...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1999-06-26 00:00:00
abstract：BACKGROUND AND OBJECTIVE:Patients identified as risk drinkers usually fill a questionnaire in order to assess their alcohol dependence. In our setting, the Münchner Alkoholismus Test (MALT) has been recommended, but there are not enough data about its validity and accuracy, particularly in women. The aim of this study ...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1157/13079611
更新日期：2005-10-08 00:00:00
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
更新日期：2006-11-04 00:00:00
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
更新日期：2011-04-09 00:00:00
abstract：BACKGROUND:A different epidemiologic pattern of the neoplasms associated to the human immunodeficiency virus (HIV) has been described in the Mediterranean area. The aim of the present study was to analyze the epidemiologic, clinical and evolutive characteristics of these patients. METHODS:A retrospective study of 74 n...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1993-05-15 00:00:00
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
更新日期：2011-12-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:To establish the factors associated with the presence of non-alcoholic fatty liver disease (NAFLD) and evaluate the influence of each component constituting the metabolic syndrome (MS) and the risk of developing NAFLD. PATIENTS AND METHODS:We performed a multicenter, population-based, observa...
journal_title：Medicina clinica
pub_type： 杂志文章,多中心研究
doi：10.1016/j.medcli.2012.11.034
更新日期：2013-09-21 00:00:00
abstract：:Cephotaxime (HR 756) is a new cephalosporin antibiotic of wide spectrum and extraordinary activity, suitable for parenteral administration. It is highly resistant to the beta-lactamases of Gram negative bacilli, being thus especially active against microorganisms such as indole-positive Proteus, Serratia marcencens, a...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1980-11-25 00:00:00
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：
更新日期：1989-04-22 00:00:00
abstract：:Renal complications in Waldenström's macroglobulinemia (WM) are infrequent and are characterized by the presence of PAS positive amorphous hyaline deposits in the capillary lumen, infiltrated with lymphoplasmatic cells with PAS positive inclusions in the interstices and intratubular hyaline cylinders. Membranous glome...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1991-10-26 00:00:00
abstract：:There are a great number of polymorphic genes in the human genome. Many of them codify enzymes that metabolizes drugs and xenobiotic agents, including carcinogens. Among the better known of them, there are a number of isozymes of the microsomal oxidative system (CYP3A4, CYP2C9, CYP2C19 y CYP2D6). This article reviews ...
journal_title：Medicina clinica
pub_type： 杂志文章,评审
doi：10.1157/13088772
更新日期：2006-05-13 00:00:00
abstract：BACKGROUND:In this study we introduce a new view of hospital infection, to apply time series techniques to it. Our objective is to complement hospital infection's epidemiological surveillance by means of obtaining alert and alarm thresholds that make easy to the epidemiologist the decision of intervention, in case they...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1992-06-06 00:00:00
abstract：BACKGROUND:To evaluate the evolution of the HIV infection in the drug addicts of Madrid. PATIENTS AND METHODS:Data of 2,234 patients that entered for the first time in a Psychiatric Hospital Detoxication Unit of Madrid from October 1985 to december 1996 were recorded. RESULTS:There was a reduction of the percentage o...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1998-09-12 00:00:00
abstract：:The case of a 74-year-old woman with a carotid-cavernous fistula is reported. She was admitted to hospital with oliguria and generalized edema. After improvement of the edematous condition she suddenly presented intense, pulsatile, frontal cephalea. It was more intense on the right side and was accompanied by nausea a...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1979-03-25 00:00:00
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
更新日期：2006-09-16 00:00:00
abstract：BACKGROUND AND OBJECTIVE:The effectiveness of the treatment of latent tuberculosis infection depends on its efficacy, the adherence to treatment and patient's risk of tuberculosis. The objective of this study was to evaluate the adherence to treatment with daily isoniazid for 9 months, its effectiviness and equivalent ...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1157/13116320
更新日期：2008-02-16 00:00:00
abstract：BACKGROUND:Information, beliefs, attitudes and the motivations of the Spanish population regarding organ donation and transplantation were studied to facilitate possible programs directed at the promotion of organ donation. METHODS:The Psychosocial Aspects of Donation Questionnaire (PADQ) was applied by personal inter...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1995-10-07 00:00:00
abstract：:The association of nephrotic syndrome and renal vein thrombosis has been increasingly reported in the literature due to the use of modern complementary explorative techniques. The incidence of renal vein thrombosis in the nephrotic syndrome varies according to the different authors. The pathogenesis of this associatio...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1979-10-10 00:00:00
abstract：BACKGROUND:To determine the frequency and the type of adrenal steroidogenic abnormalities in hirsute women. SUBJECTS AND METHODS:ACTH test was performed during follicular phase in 127 hirsute and 40 normal (control) women. Before ACTH injection we measured in serum by RIA: 17-OH-pregnenolone (17-OH-P5), 17-OH-progeste...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1998-02-14 00:00:00
abstract：BACKGROUND:To analyze the relationship between length of hospitalary stay and early readmission rate. To assess the hypothesis that those admissions with the lowest length of stay are associated with higher early readmission rate. PATIENTS AND METHODS:Retrospective study of 35,902 hospital admissions. A single admissi...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1996-11-02 00:00:00
