Abstract:
BACKGROUND AND OBJECTIVE:This study was aimed to verify whether it is possible to detect at hospital admission, by means of INTERMED, pneumonology patients at risk of "complexity" and of specialized psychosocial intervention. PATIENTS AND METHOD:With the Spanish version of INTERMED (for detection of risk for complexity of care) 144 patients were interviewed at admission by a standardized nurse. At discharge, patients were reassessed blindly with standardized Spanish versions of instruments including the Hospital Anxiety and Depression Scale (HADS). Somatic illness variables were independently documented, and severity was assessed by means of the Cumulative Illness Rating Scale. All variables were operationalized including complex (IM+; INTERMED>20) and non-complex patients (IM-), and probable need of psychosocial treatment/intervention. Statistical analysis included multivariate logistic regression. RESULTS:A complex course was documented in 9.6% of patients, and 28.8% had complex discharge. Significantly higher proportions of severe anxiety and/or depression were documented in IM+ cases (12.1%) when compared to IM- cases (0.9%), and the need of psychosocial treatment/intervention was also significantly more frequent among the former (24.2% versus 6.3% respectively). Furthermore, in the multivariate analysis and controlling for medical and sociodemographic confounders INTERMED was significantly associated with the variable need of psychosocial intervention. CONCLUSIONS:In support of the clinical utility of the INTERMED method (Spanish version), this is the first report in the international literature documenting that standardized nurses are able to detect at admission those medical patients who will eventually need specialized psychosocial intervention.
journal_name
Med Clin (Barc)journal_title
Medicina clinicaauthors
Lobo E,de Jonge P,Huyse FJ,Rabanaque MJ,Suárez J,Lobo Adoi
10.1016/s0025-7753(08)75487-3subject
Has Abstractpub_date
2008-11-29 00:00:00pages
731-6issue
19eissn
0025-7753issn
1578-8989pii
S0025-7753(08)75487-3journal_volume
131pub_type
杂志文章相关文献
MEDICINA CLINICA文献大全abstract::The familial periodic hypokalemic paralysis is an infrequent disease characterized by paralytic attacks of sudden appearance affecting the muscles of the trunk and limbs. There is a marked hypokalemia during the paralytic episodes of the disease, and a family history in 80 percent of the cases. The differential diagno...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1980-03-10 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:A right information about illness is essential if a patient has to take ethically autonomous medical decisions. We assessed whether a group o patients with chronic obstructive pulmonary disease (COPD) had enough information about their illness to take medical decisions. PATIENTS AND METHOD:Structured interv...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/s0025-7753(01)71896-9
更新日期:2001-04-21 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:This study estimates smoking-attributable mortality in Spain in 2006. POPULATION AND METHOD:Source data included 1) smoking prevalence in Spain; 2) deaths occurred in Spain; and 3) relative risks of mortality by tobacco-caused diseases drawn from the Cancer Prevention Study II. All data corres...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2010.03.039
更新日期:2011-02-12 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 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::Obstructive sleep apnea-hypopnea syndrome (OSAHS) is a prevalent disease in the general population, associated with an increase in the cardiovascular morbimortality. A basic and/or standardized otolaryngologic exploration could help us to detect the structural abnormalities that alter the upper airway collapsibility a...
journal_title:Medicina clinica
pub_type: 杂志文章,评审
doi:10.1016/j.medcli.2013.04.035
更新日期:2014-04-07 00:00:00
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
更新日期:2014-07-07 00:00:00
abstract::To evaluate the clinical and microbiological features of infective endocarditis in patients with cirrhosis we compared 18 episodes of endocarditis in these patients with a control group of patients without liver disease. In 61% of patients with cirrhosis the origin of infection was unknown. Four patients developed end...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1989-11-11 00:00:00
abstract::The incidence and clinical course of urinary tract infections in postmenopausal diabetic patients in comparison to non-diabetic women have been evaluated. All cases with former history of urinary instrumentation or underlying conditions favoring urinary infections were rejected. Urinary tract infection was present in ...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1980-10-10 00:00:00
abstract::A group of 39 patients has been divided in three categories according to their plasmatic renine activity and the correlation of the hipotensive answer to the Timolol Maleate (betadrenergic blocking). The control is more favourable in the normorreninemic than in the hiporreninemic patients and, paradoxically, even more...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1980-09-10 00:00:00
abstract:BACKGROUND:Elevated blood urea nitrogen to serum albumin (BUN/ALB) ratio had been identified as an independent risk factor related to mortality in community-acquired and hospital-acquired pneumonia. This study aimed to investigate whether this clinical index can predict the clinical outcomes of E. coli bacteraemia. MA...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2020.06.060
更新日期:2020-10-12 00:00:00
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
更新日期:2006-07-08 00:00:00
abstract:BACKGROUND:The presence of cagA antibodies constitutes a serum marker of infection caused by virulent strains of Helicobacter pylori. The objective of this study was to determine the risk of peptic ulcer in patients with H. pylori infection, in relation to the detection of CagA and VacA antibodies. PATIENTS AND METHOD...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:2001-05-12 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Our objective was to analyze those factors predisposing to delirium in patients older than 84 years who were admitted because of hip fracture. We also compared the prevalence of delirium in this population with a younger group. PATIENTS AND METHOD:One hundred and thirty patients (mean age 91.8...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1157/13073940
更新日期:2005-04-16 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Liver re-transplantation (re-LT) is an accepted indication for some (technical problems, primary non-function [PNF]) but not all indications, particularly recurrence of the original disease, such as hepatitis C. We aimed to determine in our center: a) the rate of survival following re-transplan...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1157/13075442
更新日期:2005-05-21 00:00:00
abstract:BACKGROUND:It is not settled whether aspirin (ASA) failure may be predicted in stroke and transient ischemic attack (TIA) patients. The risk of ASA failure may be predicted by analyzing the epidemiological traits of patients with stroke or TIA. PATIENTS AND METHODS:We evaluated retrospectively 695 stroke or TIA patien...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1997-11-01 00:00:00
abstract:BACKGROUND:The use of statistical techniques has become strongly consolidated in biomedical investigation. The present study analyzes the statistical repertoire of the original articles published in 1993 in four general medicine journals: Med Clin (Barc), Rev Clin Esp, Lancet and N Engl J Med. METHODS:A single reviewe...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1996-03-30 00:00:00
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
更新日期:2004-03-20 00:00:00
abstract::The presence of antibodies (Abs) against hepatitis C virus (HCV) was analyzed in 26 haemophiliac patients; a prevalence of 38% was found in the total series and 56% in the treated patients. There were no cases with a positive serology among the three patients who had only received pasteurized factor. The frequency of ...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1991-01-26 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Twin and family studies support large genetic influences on variability in body mass index (BMI), with heritability estimates ranging from 47% to over 90%. Our objective was to study the relative contributions of genetics and environment to BMI, evaluating sex differences, in an adolescent twin...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2014.05.039
更新日期:2015-08-21 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Many countries have developed screening programs for CH that bring about a normal somatic and psychological development. The aim of this study is to evaluate the evolution of cases detected by the screening program of congenital hypothyroidism in Catalonia. PATIENTS AND METHODS:The was a descr...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2009.07.048
更新日期:2010-03-13 00:00:00
abstract:BACKGROUND:For biomedical research findings to contribute toward health gains they must reach clinicians. Academic journals have historically been considered important information sources. Birken and Parkin found seven journals to most consistently contain the best pediatric evidence and, of these seven, four were gene...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/S0025-7753(08)76404-2
更新日期:2008-12-01 00:00:00
abstract:INTRODUCTION AND OBJECTIVE:Epicardial fat has been associated with increased cardiovascular risk and the development of atherosclerosis. Transthoracic echocardiography provides a reliable measurement of epicardial fat thickness (EFT). The aim of this study is to evaluate the relationship between EFT and biochemical par...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2018.01.019
更新日期:2018-09-21 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Sporadic inclusion body myositis (sIBM) diagnosis is frequently delayed or confused with another class of disorders, and misdiagnosis is common. Sometimes, we have problems diagnosing an sIBM in the early stages or predicting when a PM is going to become an sIBM. In this sense, we believe that...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2019.04.022
更新日期:2019-12-13 00:00:00
abstract:BACKGROUND:Cytogenetic studies of meningiomas suggest that loss of (or parts of) chromosome 22 is a primary event in the development of these tumors; later on, other chromosomal changes would occur in the caryotypes. All these secondary changes are observed mainly in cases with high clinical aggressivity. However, in a...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1998-11-21 00:00:00
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
更新日期:2015-09-07 00:00:00
abstract:OBJECTIVES:To analyze the results, efficacy and safety of unilateral microelectrode guided pallidotomy for the treatment of advanced Parkinson's disease, three months and one year after surgery. PATIENTS AND METHODS:23 patients with advanced Parkinson's disease (mean age 58.9 years and mean disease duration 14.4 years...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:2000-02-19 00:00:00
abstract::Bacterial vaginosis is a widely spread health problem with multiple connotations. It has been the subject of many studies and work during decades and it still remains a polemic entity, with contradictory finding. The polymicrobian etiology, unsolved epidemiology, obstetrico-gynecological complications and high recurre...
journal_title:Medicina clinica
pub_type: 杂志文章,评审
doi:10.1016/j.medcli.2008.11.043
更新日期:2009-11-28 00:00:00