5 results
Search Results
2. Detection of critical congenital heart disease among newborns in Argentina through the national surveillance system of congenital heart disease (RENAC).
- Author
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Groisman B, Barbero P, Liascovich R, Brun P, and Bidondo MP
- Subjects
- Argentina epidemiology, Female, Humans, Infant, Newborn, Oximetry, Pregnancy, Prevalence, Registries, United States, Heart Defects, Congenital diagnosis, Heart Defects, Congenital epidemiology
- Abstract
Introduction: Critical congenital heart disease (CCHD) is a term that refers to ductus-dependent structural anomalies of the heart that may be fatal or require invasive management in the first month of life., Objective: To know the prevalence and distribution of CCHD among newborns in Argentina, compared to other countries, and the proportion of prenatal detection and perinatal mortality., Material and Methods: Data provided by the National Network of Congenital Anomalies (Red Nacional de Anomalías Congénitas de Argentina, RENAC) for the 2009-2018 period and by other surveillance systems in the United States, Europe, and Colombia were used. For Argentina, the proportion of prenatal detection, perinatal mortality, and CCHD prevalence in newborns by jurisdiction and health system subsector were analyzed., Results: The prevalence of CCHD was 11.46 (95% confidence interval: 11.02-11.92) every 10 000 births. Prenatal detection was possible in 43.93% of cases, and perinatal mortality was 25%. Tetralogy of Fallot was the most frequent specific defect. The prevalence of CCHD and percentage of prenatal detection was significantly lower in the public subsector, whereas perinatal mortality was higher in this subsector. The prevalence of CCHD was lower than in the United States (NBDPN) and European (EUROCAT) registries. The Bogotá Registry showed different specific prevalence values., Conclusion: The prevalence of CCHD is lower than what has been observed in other countries, and even lower in the public sector of Argentina. The need to improve prenatal detection and implement pulse oximetry among newborns as a mandatory and universal screening is emphasized.
- Published
- 2022
- Full Text
- View/download PDF
3. Incidence, treatment, and factors associated with survival of out-of-hospital cardiac arrest attended by Spanish emergency services: report from the Out-of-Hospital Spanish Cardiac Arrest Registry for 2022.
- Author
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Ruiz Azpiazu JI, Fernández Del Valle P, Carmen Escriche M, Royo Embid S, Fernández Barreras C, Azeli Y, Juanes García M, Batres Gómez S, Valenciano Rodríguez J, Luque Hernández MJ, Navalpotro Pascual JMª, Iglesias Vázquez JA, Echarri Sucunza A, García-Ochoa Blanco MªJ, Del Pozo Pérez C, Cortés Ramas JA, Ceniceros Rozalén MªI, López Pérez C, Guerra García CM, Sola Muñoz S, Redondo Revilla F, Mateo-Rodríguez I, Rosell Ortiz F, and Daponte Codina A
- Subjects
- Humans, United States, Incidence, Pandemics, Registries, Hospitals, Cardiopulmonary Resuscitation, Out-of-Hospital Cardiac Arrest epidemiology, Out-of-Hospital Cardiac Arrest therapy
- Abstract
Summary: Out-of-hospital cardiac arrest is a serious public health problem worldwide. The annual incidence is estimated at around 400 000 cases in Europe and the United States, and survival rates scarcely reach 10%. However, there is considerable variation between countries and even between regions that share a similar health care system within a single country. Information recorded by the Out-of-Hospital Spanish Cardiac Arrest Registry (OHSCAR) provides information on care provided by emergency ambulance services, final health outcomes after cardiac arrest cases (including variations), the possibility of organ donation, and the impact of the COVID-19 pandemic. This paper presents the OHSCAR report for Spanish emergency services for the year 2022.
- Published
- 2024
- Full Text
- View/download PDF
4. [Improving the systematization of benchmarking in public health services].
- Author
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Díaz JL, García-Rodríguez A, and Villalbí JR
- Subjects
- Humans, United States, Benchmarking methods, Health Services
- Abstract
Continuous management improvement should be an aspiration for all public sector organizations. External comparison or benchmarking identifies good practices in similar organizations. For public health services, it is not easy to obtain such indicators. The objectives of this paper are to describe the process of conducting a benchmarking exercise for a public health agency, and to share its results. For this purpose, agencies that may be compared were identified, and their websites were searched for annual reports or other documents with indicators of the activities or results of public health services. Limitations and contextual aspects of the indicators of the different organizations were identified, as well as ways to improve their comparability. Finally, a set of 19 indicators is proposed, as an initial core for quality management comparisons., (Copyright © 2021 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.)
- Published
- 2022
- Full Text
- View/download PDF
5. [Neuropsychiatric symptoms in people living with dementia related to COVID-19 pandemic lockdown. Exploratory systematic review].
- Author
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Sánchez-García M, Rodríguez-Del Rey T, Pérez-Sáez E, and Gay-Puente FJ
- Subjects
- Activities of Daily Living, Aggression, Anxiety etiology, Apathy, Argentina, COVID-19 prevention & control, Depression etiology, Europe, Humans, Mental Disorders etiology, Mood Disorders etiology, Neuropsychological Tests, Psychomotor Agitation etiology, Retrospective Studies, Sleep Initiation and Maintenance Disorders etiology, Social Isolation psychology, United States, COVID-19 psychology, Cognitive Dysfunction psychology, Dementia psychology, Pandemics, Quarantine psychology, SARS-CoV-2
- Abstract
Introduction: Neuropsychiatric symptoms are common in patients with mild cognitive impairment and dementia. This symptomatology can appear or be exacerbated with changes in routine and in the patient's usual environment. The lockdown situation during the COVID-19 pandemic has meant a drastic and unexpected change in the daily life of the general population, with a particular impact on the most physically and mentally vulnerable groups, including patients with cognitive impairment., Aim: To know the impact of lockdown measures imposed due to the COVID-19 pandemic on neuropsychiatric symptomatology in people with mild cognitive impairment and dementia., Materials and Methods: Exploratory systematic review, in accordance with the PRISMA guidelines, of Pubmed and Psycinfo databases papers published from January 2020 to April 2021 which related confinement due to COVID-19 with the presentation or worsening of neuropsychiatric symptoms in patients with mild cognitive impairment mild or dementia., Results: Worsening of neuropsychiatric symptoms was observed in patients with dementia and mild cognitive impairment, especially agitation/aggression, anxiety, depression and apathy. Neuropsychiatric symptoms were more common in patients with dementia than in those with mild cognitive impairment, although their typology varied depending on the severity of dementia., Conclusions: During lockdown a worsening in the psychobehavioral area has been observed in people with mild cognitive impairment or dementia. Therefore, considerations arise on the need of promoting social contact in people with mild cognitive impairment and dementia, avoiding situations of isolation and low stimulation.
- Published
- 2022
- Full Text
- View/download PDF
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