abstract：BACKGROUND AND OBJECTIVES:Since June 2016, there have been outbreaks of hepatitis A in various European countries, mainly affecting men who have sex with men (MSM). The aim of this study was to assess their clinical and epidemiological impact in Cantabria, Spain. MATERIAL AND METHODS:We retrospectively collected all c...

journal_title：Revista clinica espanola

authors： Fortea JI,Fernandez González M,Samaniego Vega L,Puente Á,Cuadrado A,Cabezas J,Llerena S,Sáez López A,Crespo J,Fábrega E

更新日期：2020-10-01 00:00:00

abstract：INTRODUCTION:Obesity is a chronic, complex and multifactorial metabolic disease involved in the development of chronic noncommunicable diseases such as type 2 diabetes mellitus, cardiovascular disease and cancer. The care of individuals with obesity is an essential part of the holistic approach provided by internal med...

journal_title：Revista clinica espanola

authors： Carretero Gómez J,Ena J,Arévalo Lorido JC,Seguí Ripoll JM,Carrasco-Sánchez FJ,Gómez-Huelgas R,Pérez Soto MI,Delgado Lista J,Pérez Martínez P,en representación del grupo de trabajo de Diabetes, Obesidad y Nutrición de la Sociedad Españo

更新日期：2020-07-25 00:00:00

abstract：:Type 2 diabetes mellitus is a major health problem with high prevalence, morbidity and mortality, and its medical treatment is growing in complexity due to patients' diverse clinical conditions. This article presents a consensus document by the Diabetes, Obesity and Nutrition Group of the Spanish Society of Internal M...

journal_title：Revista clinica espanola

authors： Carrasco-Sánchez FJ,Fernández-Rodríguez JM,Ena J,Gómez-Huelgas R,Carretero-Gómez J,en representación del Grupo de trabajo de Diabetes, Obesidad y Nutrición de la Sociedad Española de Medicina Interna.

更新日期：2020-07-13 00:00:00

abstract：BACKGROUND:The increase in intraabdominal pressure (IAP) has been correlated with increased creatinine levels in patients with heart failure with severely reduced left ventricular ejection fraction (HFrEF). However, IAP has not been examined in more stable patients or those with heart failure with preserved ejection fr...

journal_title：Revista clinica espanola

authors： Rubio Gracia J,Giménez López I,Josa Laorden C,Sánchez Marteles M,Garcés Horna V,de la Rica Escuín ML,Pérez Calvo JI

更新日期：2020-07-09 00:00:00

abstract：:Deep vein thrombosis (DVT) is part of the clinical spectrum of venous thromboembolism disease (VTE), whose estimated annual incidence rate is 1-2 episodes per 1000 individuals and represents the third leading cause of cardiovascular mortality in developed countries. Establishing an accurate diagnosis of DVT is essenti...

journal_title：Revista clinica espanola

authors： Muñoz Rodríguez FJ

更新日期：2020-06-27 00:00:00

abstract：OBJECTIVES:To assess the cost-effectiveness of a nucleic acid amplification test (FluoroType MTB®) in pleural fluid (PF) and sputum to diagnose tuberculous pleural effusion (TPE). We also analysed the increase in diagnostic yield of a second FluoroType MTB® test, obtained through a new thoracentesis, when the first had...

journal_title：Revista clinica espanola

authors： Bielsa S,Bernet A,Civit C,Acosta C,Manonelles A,Porcel JM

更新日期：2020-06-01 00:00:00

abstract：:For patients to be able to make decisions autonomously (and to grant informed consent), they must have information, understanding, freedom and willingness, with competence a prerequisite for autonomy. Clinicians are often faced with patients lacking competence to make decisions but detect less than half of such cases ...

journal_title：Revista clinica espanola

authors： Palacios GJ,Pinto P,Marquez O,Herreros B

更新日期：2020-05-01 00:00:00

abstract：:More than 100 million people ascend to high mountainous areas worldwide every year. At nonextreme altitudes (<5500 m), 10-85% of these individuals are affected by acute mountain sickness, the most common disease induced by mild-moderate hypobaric hypoxia. Approximately 140 million individuals live permanently at heigh...

journal_title：Revista clinica espanola

authors： Garrido E,Botella de Maglia J,Castillo O

更新日期：2020-03-17 00:00:00

abstract：:Vascular disease is currently a major health problem, not only for its high prevalence but also for the considerable morbidity, mortality and disability that it entails. Medical internists play a central role in diagnosing and treating vascular disease and controlling the cardiovascular risk factors (CRFs) that cause ...

journal_title：Revista clinica espanola

authors： Castilla Guerra L,Suárez Fernández C,Mostaza JM,Valdivielso Felices P,Torres do Rego A,Gómez Cerezo JF,en representación del Grupo de Trabajo de Riesgo Vascular de la SEMI.

更新日期：2020-02-25 00:00:00

abstract：:Clinical ultrasonography should be considered a complementary examination that can change clinical practice, as well as a tool to add to the medical history. Systemic autoimmune diseases (SAD) can involve numerous structures and organs. Ultrasonography has broad applied utility in detecting complications such as the p...

journal_title：Revista clinica espanola

authors： Serralta San Martín G,Canora Lebrato J,en representación del Grupo de Trabajo de Ecografía Clínica y del Grupo de Trabajo de Enfermedades Autoinmunes Sistémicas de la Sociedad Española de Medicina Interna.

更新日期：2020-01-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Burnout is a psychosocial syndrome caused by stressful working conditions and affects 30-60% of medical personnel. The aim of this study was to assess the burnout rate of Spanish internists and the factors related to its onset. MATERIAL AND METHODS:We conducted a survey of work conditions fol...

journal_title：Revista clinica espanola

authors： Macía-Rodríguez C,Martín Iglesias D,Moreno Diaz J,Aranda Sánchez M,Ortiz Llauradó G,Montaño Martínez A,Muñoz Muñoz C,López Reboiro ML,González-Munera A

更新日期：2020-01-01 00:00:00

abstract：OBJECTIVE:To determine the management of dyslipidaemia in primary care after the publication of the American College of Cardiology/American Heart Association (ACC/AHA) 2013 guidelines and Valencian government's algorithm. METHOD:We conducted a cross-sectional descriptive study that employed a survey of primary care ph...

journal_title：Revista clinica espanola

authors： Giner Galvañ V,Bonig Trigueros I,Fácila Rubio L,Morillas Blasco P,Martínez Hervás S,Pascual Fuster V,Valls Roca F,Soler Portmann C,Tamarit García JJ,Pallarés Carratalá V,en representación del Grupo de Trabajo MEJORA-LO CV.,Componen

更新日期：2020-01-01 00:00:00

abstract：BACKGROUND:Diagnosis of acute kidney injury (AKI) during acute decompensations of heart failure (ADHF) remain challenging. We analysed the incidence and prognosis of AKI, and the significance of small increases of creatinine, during ADHF and after stabilization. PATIENTS AND METHODS:Patients admitted for ADHF were pro...

journal_title：Revista clinica espanola

authors： Josa-Laorden C,Giménez-López I,Rubio-Gracia J,Garcés Horna V,Sánchez-Marteles M,Pérez-Calvo JI

更新日期：2019-12-24 00:00:00

abstract：BACKGROUND AND OBJECTIVE:The aging population is resulting in an increasing number of patients with multiple diseases that require treatment by various specialties. We examined the evolution of consultations and of the percentage of patients treated by several medical specialties. METHODS:We analysed internal medicine...

journal_title：Revista clinica espanola

authors： Jiménez-Puente A,Martín-Escalante MD,Martos-Pérez F,García-Alegría J

更新日期：2019-12-01 00:00:00

abstract：OBJECTIVE:Several studies have reported that a higher degree of hemoconcentration in patients admitted for the treatment of acute heart failure (HF) constitutes a favorable prognostic factor in the year following the index episode. The objective of this study was to evaluate whether the highest degree of hemoconcentrat...

journal_title：Revista clinica espanola

authors： Grau Amorós J,Formiga F,Aramburu Bodas O,Armengou Arxe A,Conde Martel A,Quesada Simón MA,Oropesa Juanes R,Satué Bartolomé JA,Dávila Ramos MF,Montero Pérez-Barquero M,Miembros del Registro RICA:.

更新日期：2019-01-01 00:00:00

abstract：INTRODUCTION:In decompensated heart failure (HF), both acute kidney injury (AKI) and high Galectina-3 (Gal-3) levels have been associated with poorer outcomes. Plasma Gal-3 levels are affected by renal function; however, the potential role of Gal-3 as a predictor of AKI has not been established. METHODS:We measured Ga...

journal_title：Revista clinica espanola

authors： Sanchez-Serna J,Martinez-Villanueva M,Hernández-Vicente Á,Asensio-Lopez MC,Noguera JA,Pascual-Figal DA

更新日期：2019-01-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Clinical management for terminal patients should consider various aspects, particularly the patient's functional assessment, which correlates well with the short-term prognosis. The prognosis could improve if the presence of symptoms strongly associated with a poorer progression were included....

journal_title：Revista clinica espanola

authors： Sancho Zamora MA,Plaza Canteli S,Pita Carranza AJ,González García N

更新日期：2019-01-01 00:00:00

abstract：INTRODUCTION:Geographic tongue (GT) is a lesion of unknown origin associated with systemic diseases and therefore involves multidisciplinary care. METHODS:We performed a literature search of the PubMed, EMBASE, Web of Science and Cochrane databases. The selection criteria were consistent with the Preferred Reporting I...

journal_title：Revista clinica espanola

authors： González-Álvarez L,García-Pola MJ,Garcia-Martin JM

更新日期：2018-12-01 00:00:00

abstract：OBJECTIVE:To identify factors associated with poor anticoagulation control with vitaminK antagonists (VKA) among outpatients with nonvalvular atrial fibrillation (NVAF) attended in Neurology and Internal Medicine in Spain. METHODS:Cross-sectional and multicenter study, from the ALADIN database, of outpatients with NVA...

journal_title：Revista clinica espanola

authors： Contreras Muruaga MM,Reig G,Vivancos J,González A,Cardona P,Ramírez-Moreno JM,Martí-Fábregas J,Suárez Fernández C,en nombre de los investigadores del estudio ALADIN.,Listado de investigadores del estudio ALADIN.

更新日期：2018-10-01 00:00:00

abstract：OBJECTIVE:To determine the association between the Norton scale score (which assesses the risk of pressure ulcers) and mortality in the short, medium and long term in patients hospitalised in Internal Medicine departments. PATIENTS AND METHODS:A prospective, single-centre cohort study was conducted on patients hospita...

journal_title：Revista clinica espanola

authors： Díez-Manglano J,Arnal-Longares MJ,Al-Cheikh-Felices P,Garcés-Horna V,Pueyo-Tejedor P,Martínez-Rodés P,Díez-Massó F,Rubio-Félix S,Del Corral-Beamonte E,Palazón-Fraile C,en representación de los investigadores del estudio IMPIMI.

更新日期：2018-05-01 00:00:00

abstract：INTRODUCTION:There is little information on the limitation of therapeutic effort (LTE) in patients admitted to hospital internal medicine units. OBJECTIVES:To describe the indicated LTE regimens in the departments of internal medicine and the characteristics of the patients who undergo them. PATIENTS AND METHODS:An o...

journal_title：Revista clinica espanola

authors： García Caballero R,Herreros B,Real de Asúa D,Gámez S,Vega G,García Olmos L

更新日期：2018-01-01 00:00:00

abstract：:HepatitisC virus infection is a significant public health problem. The introduction of direct-acting antiviral agents, whose efficacy is greater than 90% in all patient groups (including those with cirrhosis), has represented a highly relevant change compared with classical interferon-based therapies. Tolerance for th...

journal_title：Revista clinica espanola

authors： Vivancos MJ,Moreno A,Quereda C

更新日期：2018-01-01 00:00:00

abstract：OBJECTIVES:To ascertain the correlation between the partial pressure of oxygen (PaO2) and oxyhaemoglobin saturation by pulse oximetry (SpO2) in patients who were admitted to the emergency department with suspected acute respiratory failure. MATERIAL AND METHODS:A prospective, observational multicentre study was conduc...

journal_title：Revista clinica espanola

authors： Cinesi-Gómez C,García-García P,López-Pelayo I,Giménez JI,González-Torres LM,Bernal-Morell E

更新日期：2017-12-01 00:00:00

abstract：:Aortic stenosis (AS) is the most common valvular heart disease in developed countries. Its prevalence increases progressively due the aging of the population. Transcatheter aortic valve implantation (TAVI), however, has revolutionised the treatment of AS. With the current data, we can confirm that TAVI is the treatmen...

journal_title：Revista clinica espanola

authors： Salido Tahoces L,Hernández Antolín RA,Zamorano Gómez JL

更新日期：2017-11-01 00:00:00

abstract：:Non insulin antidiabetic drugs are widely used in patients with type 2 diabetes. However, the drugs' effect in terms of reducing cardiovascular risk has been the subject of controversy. In 2008, based on the evidence of cardiovascular risk resulting from the use of a number of non insulin antidiabetic drugs, the US Fo...

journal_title：Revista clinica espanola

authors： García-Lledó A,de Santiago-Nocito AM,de Abajo FJ

更新日期：2017-11-01 00:00:00

abstract：OBJECTIVES:Celiac disease is a chronic immune-mediated disease of the small intestine. It has been known that dilated cardiomyopathy and ischemic coronary artery disease have become more frequent in patients with celiac disease. The aim of the study was to assess Tp-e interval and Tp-e/QT ratio in patients with celiac ...

journal_title：Revista clinica espanola

authors： Demirtaş K,Yayla Ç,Yüksel M,Açar B,Ünal S,Ertem AG,Kaplan M,Akpinar MY,Kiliç ZMY,Kayaçetin E

更新日期：2017-11-01 00:00:00

abstract：:In most cases, the etiological diagnosis of pleural exudates does not require a pleural biopsy. However, when it is considered necessary, the biopsy should seldom be conducted using invasive methods such as thoracoscopy. Two paradigmatic examples are pleural tuberculosis and malignant effusions. In many centres, pleur...

journal_title：Revista clinica espanola

authors： Porcel JM

更新日期：2017-10-01 00:00:00

abstract：OBJECTIVE:To identify overuse (diagnostic, therapeutic and self-care practices that represent risks that outweigh the potential benefits) in patients with atrial fibrillation. METHOD:The study was based on qualitative research techniques. Using the "Metaplan" technique, we identified and ordered potentially inappropri...

journal_title：Revista clinica espanola

authors： Ortiz MM,Llamas P,Sanmartín M,Egido JA,Del Toro J,Egocheaga MI,Estévez MS,Navarro IM,Mira JJ

更新日期：2017-05-01 00:00:00

abstract：OBJECTIVES:To evaluate the independent usefulness of pleural fluid smear and cell block (CB) preparations for the diagnosis of malignant effusions. PATIENTS AND METHODS:A total of 632 cytological smears and 554 CBs from 414 consecutive patients with malignant effusions were retrospectively evaluated. RESULTS:The diag...

journal_title：Revista clinica espanola

authors： Porcel JM,Quirós M,Gatius S,Bielsa S

更新日期：2017-04-01 00:00:00

abstract：:Basing heart failure (HF) classification on the echocardiographic values of left ventricular ejection fraction (LVEF) has been useful in defining two sub-types of HF: HF with reduced LVEF and HF with preserved LVEF. A new category has recently been defined: HF with midrange LVEF (40-49%). When current information is t...

journal_title：Revista clinica espanola

authors： Camafort Babkowski M

更新日期：2017-01-01 00:00:00

abstract：:This review proposes a more optimistic view of Alzheimer's disease (AD), in contrast to that contributed by the ageing of the population and the failure of potentially curative therapies (vaccines and others). Treatment failure is likely due to the fact that AD gestates in the brain for decades but manifests in old ag...

journal_title：Revista clinica espanola

authors： Bermejo-Pareja F,Llamas-Velasco S,Villarejo-Galende A

更新日期：2016-12-01 00:00:00

abstract：OBJECTIVES:We evaluated the effect of an intervention on certain quality indicators employed for improving the treatment of hospital hyperglycemia. MATERIAL AND METHODS:A multicenter cross-sectional study was conducted on patients with hyperglycemia hospitalized in the internal medicine departments of 44 hospitals eva...

journal_title：Revista clinica espanola

authors： Ena J,Gómez-Huelgas R,Zapatero-Gaviria A,Vázquez-Rodriguez P,González-Becerra C,Romero-Sánchez M,Igúzquiza-Pellejero MJ,Artero-Mora A,Varela-Aguilar JM,en representación del Grupo de Estudio de Diabetes y Obesidad de la Sociedad Españo

更新日期：2016-10-01 00:00:00

abstract：:Natriuretic peptides are a useful laboratory tool for the diagnosis, prognosis and treatment of patients with heart failure. Natriuretic peptides are used in various healthcare settings (consultations, emergency department, hospitalization, laboratory) and by various primary care and specialised professionals. However...

journal_title：Revista clinica espanola

authors： Pascual-Figal DA,Casademont J,Lobos JM,Piñera P,Bayés-Genis A,Ordóñez-Llanos J,González-Juanatey JR

更新日期：2016-08-01 00:00:00

abstract：OBJECTIVES:To perform a situation analysis of the care provided by internal medicine units (IMUs) in Spain and to develop, based on this analysis, proposals for improving the quality of care in these units. MATERIAL AND METHODS:A descriptive, cross-sectional study of the IMUs of general acute care hospitals of the Spa...

journal_title：Revista clinica espanola

authors： Zapatero Gaviria A,Barba Martín R,Román Sánchez P,Casariego Vales E,Diez Manglano J,García Cors M,Jusdado Ruiz-Capillas JJ,Suárez Fernández C,Bernal JL,Elola Somoza FJ

更新日期：2016-05-01 00:00:00

abstract：OBJECTIVE:To summarise the evidence on interventions aimed at optimising the drug treatment of hospitalised elderly patients. MATERIAL AND METHODS:We conducted a search in the main medical literature databases, selecting prospective studies of hospitalised patients older than 65 years who underwent interventions aimed...

journal_title：Revista clinica espanola

authors： Gutiérrez Valencia M,Martínez Velilla N,Lacalle Fabo E,Beobide Telleria I,Larrayoz Sola B,Tosato M

更新日期：2016-05-01 00:00:00

abstract：:The proportion of diabetic patients who are hospitalised for stroke has been increasing in recent years, currently reaching almost a third of all cases of stroke. In addition, about half of patients with acute stroke present hyperglycaemia in the first hours of the stroke. Although hyperglycaemia in the acute phase of...

journal_title：Revista clinica espanola

authors： Castilla-Guerra L,Fernández-Moreno MC,Hewitt J

更新日期：2016-03-01 00:00:00

abstract：UNLABELLED:Cystatin C (CysC) is a protease encoded by housekeeping genes. Although its prognostic value in heart failure (HF) is well known, it is debatable whether this value is due to the greater accuracy of CysC in calculating the glomerular filtration rate or to its involvement in pathological ventricular remodelli...

journal_title：Revista clinica espanola

authors： Pérez-Calvo JI,Castiella Muruzábal T,Búcar Barjud M,Josa Laorden C,Sánchez Marteles M,Lacambra Blasco I,Asensio López MC,Pascual Figal DA

更新日期：2016-03-01 00:00:00

abstract：OBJECTIVES:The aim of this study was to assess the available evidence on the validity, diagnostic accuracy and clinical utility of the multitarget DNA test in faeces (Cologuard™) for screening for colorectal cancer (CRC). MATERIAL AND METHODS:A systematic review was performed by consulting MedLine, EMBASE and Web of S...

journal_title：Revista clinica espanola

authors： Onieva-García MÁ,Llanos-Méndez A,Baños-Álvarez E,Isabel-Gómez R

更新日期：2015-12-01 00:00:00

abstract：OBJECTIVES:Elderly patients with acute myocardial infarction constitute a population that is not adequately represented in clinical trials or medical registries. Our objective was to compare the clinical characteristics, treatments administered and mortality among patients younger and older than 75 years. MATERIAL AND...

journal_title：Revista clinica espanola

authors： Fernández-Bergés D,Félix-Redondo FJ,Consuegra-Sánchez L,Lozano-Mera L,Miranda Díaz I,Durán Guerrero M,Benítez de Castro F,Polanco García JB,López-Mínguez JR

更新日期：2015-05-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Oral anticoagulant therapy is complex due to the need for control and the hemorrhagic risk the therapy entails. This study aims to determine the standard clinical practice in the treatment for preventing stroke in patients with nonvalvular atrial fibrillation (NVAF) in Spain. PATIENTS AND MET...

journal_title：Revista clinica espanola

authors： de Andrés-Nogales F,Oyagüez I,Betegón-Nicolás L,Canal-Fontcuberta C,Soto-Álvarez J

更新日期：2015-03-01 00:00:00