80 results on '"Salgado Barreira, Ángel"'
Search Results
52. Association of Salivary Human Papillomavirus Infection and Oral and Oropharyngeal Cancer: A Meta-Analysis
- Author
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Rapado-González, Óscar, primary, Martínez-Reglero, Cristina, additional, Salgado-Barreira, Ángel, additional, Rodríguez-Fernández, Almudena, additional, Aguín-Losada, Santiago, additional, León-Mateos, Luis, additional, Muinelo-Romay, Laura, additional, López-López, Rafael, additional, and Suarez-Cunqueiro, María Mercedes, additional
- Published
- 2020
- Full Text
- View/download PDF
53. Salivary biomarkers for cancer diagnosis: a meta-analysis
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Rapado-González, Óscar, primary, Martínez-Reglero, Cristina, additional, Salgado-Barreira, Ángel, additional, Takkouche, Bahi, additional, López-López, Rafael, additional, Suárez-Cunqueiro, María Mercedes, additional, and Muinelo-Romay, Laura, additional
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- 2020
- Full Text
- View/download PDF
54. Response to commentary by Lu and Wang on “Salivary biomarkers for cancer diagnosis: a meta-analysis”
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Rapado-González, Óscar, primary, Martínez-Reglero, Cristina, additional, Salgado-Barreira, Ángel, additional, Takkouche, Bahi, additional, López-López, Rafael, additional, Suárez-Cunqueiro, María Mercedes, additional, and Muinelo-Romay, Laura, additional
- Published
- 2020
- Full Text
- View/download PDF
55. Appendicitis or non-specific abdominal pain in pre-school children: When to request abdominal ultrasound?
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Prada‐Arias, Marcos, Gómez‐Veiras, Javier, Vázquez, José L, Salgado‐Barreira, Ángel, Montero‐Sánchez, Margarita, Fernández‐Lorenzo, José R, Prada-Arias, Marcos, Gómez-Veiras, Javier, Salgado-Barreira, Ángel, Montero-Sánchez, Margarita, and Fernández-Lorenzo, José R
- Subjects
APPENDICITIS ,ABDOMINAL pain ,SYMPTOMS ,C-reactive protein ,ODDS ratio ,CHILDREN'S rights ,ULTRASONIC imaging ,LONGITUDINAL method - Abstract
Aim: The aim of this study is to determine the most useful diagnostic tools to differentiate appendicitis from non-specific abdominal pain (NSAP) in pre-school children.Methods: We prospectively evaluated all children aged 5 years or younger admitted for suspected appendicitis at a paediatric emergency department during 5 years. Cases of NSAP and appendicitis were enrolled according to inclusion and exclusion criteria. The different variables collected were assessed by statistic and diagnostic accuracy studies.Results: A total of 82 patients were studied: 27 cases of NSAP and 55 cases of appendicitis. We found no symptoms or signs with a high power of discrimination between both processes. Complicated cases of appendicitis begin to appear when the duration of symptoms exceeds 12 h. Among laboratory tests, C-reactive protein (CRP) value >34 mg/L was the variable with a greater association to appendicitis (odds ratio 9.8). Abdominal ultrasound (US) had high sensitivity and specificity to differentiate appendicitis, significantly improving its diagnostic accuracy when the duration of symptoms exceeds 12 h.Conclusions: A good history and physical examination are important in the diagnostic process, but reliable physical signs can be difficult to elicit in pre-school children. CRP and abdominal US are useful investigations that can improve diagnostic accuracy. According to our results, abdominal pain duration longer than 12 h or CRP value >34 mg/L should be an indication to perform an abdominal US in pre-school children with right lower quadrant tenderness. [ABSTRACT FROM AUTHOR]- Published
- 2020
- Full Text
- View/download PDF
56. Appendicitis or non‐specific abdominal pain in pre‐school children: When to request abdominal ultrasound?
- Author
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Prada‐Arias, Marcos, primary, Gómez‐Veiras, Javier, additional, Vázquez, José L, additional, Salgado‐Barreira, Ángel, additional, Montero‐Sánchez, Margarita, additional, and Fernández‐Lorenzo, José R, additional
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- 2019
- Full Text
- View/download PDF
57. Value of Fibrinogen to Discriminate Appendicitis from Nonspecific Abdominal Pain in Preschool Children
- Author
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Gómez-Veiras, Javier, primary, Salgado-Barreira, Ángel, primary, Vázquez, José Luis, primary, Montero-Sánchez, Margarita, primary, Fernández-Lorenzo, José Ramón, primary, and Prada-Arias, Marcos, additional
- Published
- 2019
- Full Text
- View/download PDF
58. Neurodevelopmental Disorders and Array-Based Comparative Genomic Hybridization: Sensitivity and Specificity using a Criteria Checklist for Genetic Test Performance
- Author
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Amado-Puentes, Alfonso, additional, Reparaz-Andrade, Alfredo, additional, Del Campo-García, Aida, additional, Blanco-Barca, Manuel, additional, Salgado-Barreira, Ángel, additional, Del Campo-Pérez, Víctor, additional, and Fernández-Lorenzo, José, additional
- Published
- 2019
- Full Text
- View/download PDF
59. Estimulación magnética transcraneal theta-burst intermitente para el tratamiento de la espasticidad en pacientes con esclerosis múltiple recurrente: resultados de un ensayo clínico aleatorizado doble ciego
- Author
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Diéguez Varela, Carina, primary, Lión Vázquez, Susana, additional, Fraga Bau, Arturo, additional, Rodríguez Acevedo, Breogán, additional, Rodríguez Sánchez, Lucía, additional, Collazo Diéguez, Mónica, additional, Pereira Martínez, Moisés Nicolás, additional, Salgado Barreira, Ángel, additional, Álvarez Rodríguez, Elena, additional, Vicente Alba, Pablo, additional, Muñoz García, Delicias, additional, Fernández Rodríguez, José María, additional, Ribeiro, Sandro J, additional, and Midaglia Fernández, Luciana, additional
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- 2019
- Full Text
- View/download PDF
60. IMPACTO DE LA CALIDAD DE LA LIMPIEZA DEL COLON EN COLONOSCOPIAS DE CRIBADO POBLACIONAL
- Author
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Fernández Fernández, Nereida, primary, Rodríguez D�Jesús, Antonio, additional, Cid Gómez, Lucía, additional, de Castro Parga, Luisa, additional, Romero Mosquera, Beatriz, additional, Germade Alonso, Arantxa, additional, Martínez Turnes, Alfonso, additional, Hernández Ramírez, Vicent, additional, Salgado Barreira, Ángel, additional, and Rodríguez Prada, José Ignacio, additional
- Published
- 2019
- Full Text
- View/download PDF
61. Value of Fibrinogen to Discriminate Appendicitis from Nonspecific Abdominal Pain in Preschool Children.
- Author
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Prada-Arias, Marcos, Gómez-Veiras, Javier, Salgado-Barreira, Ángel, Vázquez, José Luis, Montero-Sánchez, Margarita, and Fernández-Lorenzo, José Ramón
- Subjects
APPENDICITIS ,PRESCHOOL children ,ABDOMINAL pain ,FIBRINOGEN ,LEUCOCYTES ,PEDIATRIC emergency services ,APPENDICITIS diagnosis ,DIAGNOSIS of abdominal pain ,C-reactive protein ,HOSPITAL emergency services ,DIFFERENTIAL diagnosis ,LEUKOCYTE count ,LONGITUDINAL method ,DISEASE complications - Abstract
Introduction: The aim of this study was to assess the diagnostic value of the biomarker fibrinogen (FB), along with the markers white blood cell (WBC) count, absolute neutrophil count (ANC), and C-reactive protein (CRP), to discriminate appendicitis from nonspecific abdominal pain (NSAP) in preschool children.Materials and Methods: We prospectively evaluated all children aged <5 years admitted for suspected appendicitis at an academic pediatric emergency department during 5 years. Diagnostic accuracy of FB (prothrombin time-derived method), WBC, ANC, and CRP were assessed by the area under the curve (AUC) of the receiver-operating characteristic curve.Results: A total of 82 patients were enrolled in the study (27 NSAP, 17 uncomplicated, and 38 complicated appendicitides). WBC and ANC had moderate diagnostic accuracy for appendicitis versus NSAP (WBC: AUC 0.66, ANC: AUC 0.67). CRP and FB had good diagnostic accuracy for appendicitis versus NSAP (CRP: AUC 0.78, FB: AUC 0.77). WBC and ANC are not useful to discriminate complicated versus uncomplicated appendicitis (WBC: AUC 0.43, ANC: AUC 0.45). CPR and FB had good diagnostic accuracy for complicated versus uncomplicated appendicitis (CRP: AUC 0.80, FB: AUC 0.73).Conclusion: CRP and FB are more useful than WBC and ANC to discriminate appendicitis from NSAP in preschool children. CRP and FB are especially useful to discriminate complicated from uncomplicated appendicitis and NSAP. In a child with suspected appendicitis, a plasma FB level (prothrombin time-derived method) >540 mg/dL is associated with an increased likelihood of complicated appendicitis. [ABSTRACT FROM AUTHOR]- Published
- 2020
- Full Text
- View/download PDF
62. EVALUACIÓN DE LA ADHERENCIA A LAS GUÍAS EUROPEAS EN EL MANEJO DE CUERPOS EXTRAÑOS EN UN HOSPITAL TERCIARIO
- Author
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Cid Gómez, Lucía, primary, García de la Rosa, Yéssica, additional, Fernández Fernández, Nereida, additional, Vázquez Rodríguez, Sergio, additional, Romero Mosquera, Beatriz, additional, Germade Martínez, Arantza, additional, Quintans Pinazas, Nerea Catarina, additional, Rodríguez de Jesús, Antonio, additional, Salgado Barreira, Ángel, additional, and Rodríguez Prada, Jóse Ignacio, additional
- Published
- 2018
- Full Text
- View/download PDF
63. Factores de riesgo de la Hemorragia Gastrointestinal Alta. Un estudio multicéntrico de casos y controles
- Author
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Salgado Barreira, Ángel, Figueiras Guzmán, Adolfo (dir.), Estany Gestal, Ana (dir.), Universidade de Santiago de Compostela. Facultade de Farmacia. Facultade de Medicina e Odontoloxía. Departamento de Psiquiatría, Radioloxía e Saúde Pública, Figueiras Guzmán, Adolfo, and Estany Gestal, Ana
- Subjects
Investigación::32 Ciencias médicas::3202 Epidemologia [Materias] ,hemorragia gastrointestinal alta (HGIA) ,Investigación::32 Ciencias médicas::3212 Salud pública [Materias] ,AINE ,Anisakis ,hospitalización con alta morbilidad, mortalidad y costes - Abstract
Introducción: La hemorragia gastrointestinal alta (HGIA) es una causa común de hospitalización con alta morbilidad, mortalidad y costes. Se considera una patología multicausal en la que pueden intervenir diferentes factores en su aparición. En este trabajo se ha evaluado el riesgo de HGIA asociado a diferentes factores de riesgo y sus interacciones. Métodos: Se realizó un estudio de casos y controles en cuatro hospitales españoles. Incluyendo como casos los sujetos con HGIA diagnosticada por endoscopia, y como controles sujetos sanos candidatos a cirugías de procesos no dolorosos. A todos se les realizó una anamnesis farmacológica, determinación de presencia de infección por H. pylori y Anisakis y un cuestionario de antecedentes previos de problemas gástricos y de otras variables relacionadas con las HGIA. Resultados: Se reclutaron 474 casos y 1160 controles. La automedicación con antiinflamatorios no esteroideos (AINE) aumentó el riesgo de HGIA en 5,4 (IC95% 3,2-9,0). Los AINE en combinación con antiagregantes incrementó el riesgo de HGIA en 8,8 veces (IC95% 3,9-19,6), en combinación con H. pylori en 10,7 (IC95% 5,4-21,0) y en combinación con Anisakis en 14,4 (IC95% 6,5-32,3). Por el contrario, en combinación con inhibidores de la bomba de protones el riesgo de HGIA dejaba de ser estadísticamente significativo (OR 1,45 IC95% 0,7-3,1). Conclusión: La interacción del consumo de AINE con otros factores como antiagregantes, H. pylori o Anisakis incrementan en varias veces el riesgo de HGIA. Dada la prevalencia de estas exposiciones, se podrían disminuir el número de HGIA evitando las exposiciones conjuntas con el consumo de AINE.
- Published
- 2016
64. Factores de riesgo de la Hemorragia Gastrointestinal Alta. Un estudio multicéntrico de casos y controles
- Author
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Figueiras Guzmán, Adolfo, Estany Gestal, Ana, Universidade de Santiago de Compostela. Facultade de Farmacia. Facultade de Medicina e Odontoloxía. Departamento de Psiquiatría, Radioloxía e Saúde Pública, Salgado Barreira, Ángel, Figueiras Guzmán, Adolfo, Estany Gestal, Ana, Universidade de Santiago de Compostela. Facultade de Farmacia. Facultade de Medicina e Odontoloxía. Departamento de Psiquiatría, Radioloxía e Saúde Pública, and Salgado Barreira, Ángel
- Abstract
Introducción: La hemorragia gastrointestinal alta (HGIA) es una causa común de hospitalización con alta morbilidad, mortalidad y costes. Se considera una patología multicausal en la que pueden intervenir diferentes factores en su aparición. En este trabajo se ha evaluado el riesgo de HGIA asociado a diferentes factores de riesgo y sus interacciones. Métodos: Se realizó un estudio de casos y controles en cuatro hospitales españoles. Incluyendo como casos los sujetos con HGIA diagnosticada por endoscopia, y como controles sujetos sanos candidatos a cirugías de procesos no dolorosos. A todos se les realizó una anamnesis farmacológica, determinación de presencia de infección por H. pylori y Anisakis y un cuestionario de antecedentes previos de problemas gástricos y de otras variables relacionadas con las HGIA. Resultados: Se reclutaron 474 casos y 1160 controles. La automedicación con antiinflamatorios no esteroideos (AINE) aumentó el riesgo de HGIA en 5,4 (IC95% 3,2-9,0). Los AINE en combinación con antiagregantes incrementó el riesgo de HGIA en 8,8 veces (IC95% 3,9-19,6), en combinación con H. pylori en 10,7 (IC95% 5,4-21,0) y en combinación con Anisakis en 14,4 (IC95% 6,5-32,3). Por el contrario, en combinación con inhibidores de la bomba de protones el riesgo de HGIA dejaba de ser estadísticamente significativo (OR 1,45 IC95% 0,7-3,1). Conclusión: La interacción del consumo de AINE con otros factores como antiagregantes, H. pylori o Anisakis incrementan en varias veces el riesgo de HGIA. Dada la prevalencia de estas exposiciones, se podrían disminuir el número de HGIA evitando las exposiciones conjuntas con el consumo de AINE.
- Published
- 2016
65. Efecto del nivel socioeconómico sobre la mortalidad en áreas urbanas: revisión crítica y sistemática
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Salgado-Barreira, Ángel, Estany-Gestal, Ana, Figueiras, Adolfo, and Universidade de Santiago de Compostela. Departamento de Psiquiatría, Radioloxía, Saúde Pública, Enfermaría e Medicina
- Subjects
Desigualdades en la Salud ,Socioeconomic Factors ,Mortalidad ,Fatores Socioeconômicos ,Urban Health ,Mortalidade ,Desigualdades em Saúde ,Salud Urbana ,Factores Socioeconómicos ,Health Inequalities ,Mortality ,Saúde Urbana - Abstract
Las desigualdades socioeconómicas son una causa de mortalidad y morbilidad superior a la mayoría de factores de riesgo, especialmente en el entorno urbano. Se llevó a cabo una revisión sistemática de la evidencia científica, en la que se incluyó artículos en inglés, castellano, portugués e italiano y se excluyeron estudios de baja evidencia, y en los que no se analizaba la relación entre mortalidad y nivel socioeconómico en un entorno urbano. La selección de artículos se llevó a cabo por dos revisores independientes y la extracción de datos se realizó con tablas de evidencia. Se obtuvieron 1.509 registros y se incluyeron 24. En todos los trabajos se observó mayor mortalidad en las áreas con peores indicadores de privación. Se observó asociación con patologías cardiovasculares en seis estudios, en cuatro con patologías pulmonares y en tres con SIDA, infecciones y parasitosis y cirrosis. Los estudios incluidos presentan resultados poco consistentes y limitaciones metodológicas importantes que impiden la comparación entre estudios y la extracción de conclusiones relevantes. Socioeconomic inequalities cause more disease and death than most risk factors, especially in cities. This systematic review of the scientific evidence included articles in English, Spanish, Portuguese, and Italian and excluded studies with low levels of evidence and those that did not analyze associations between mortality and socioeconomic status in urban settings. Articles were selected by two independent reviewers, and data extraction used evidence tables. A total of 1,509 records were obtained, and 24 were included. All the studies showed higher mortality rates in poorer areas. Six studies showed an association with cardiovascular diseases, four with lung diseases, and three with AIDS, infectious and parasitic diseases, and cirrhosis. The selected studies showed low consistency in the results and important methodological limitations that prevented comparisons between studies or the extraction of relevant conclusions. As desigualdades socioeconômicas são uma causa de mortalidade e morbidade superior à maioria dos fatores de risco, especialmente no ambiente urbano. Foi realizada uma revisão sistemática da evidência científica, na qual foram incluídos artigos em inglês, espanhol, português e italiano, e da qual foram excluídos estudos de baixa evidência, onde não constava análise da relação entre mortalidade e nível socioeconômico no ambiente urbano. A seleção de artigos foi efetuada por dois revisores independentes e a extração de dados foi feita através de tabelas de evidência. Foram obtidos 1.509 registros e incluídos 24. Em todos os trabalhos, foi observada maior mortalidade nas áreas com os piores indicadores de privação. Observou-se uma associação com patologias cardiovasculares em seis estudos, com patologias pulmonares, em quatro deles, e com a AIDS, infecções, parasitoses e cirrose em três. Os estudos incluídos apresentam resultados pouco consistentes e importantes limitações metodológicas, impedindo a comparação entre estudos e a inferência de conclusões relevantes. SI
- Published
- 2014
66. Efectividad de una intervención formativa en prevención de úlceras por presión en una unidad de cuidados intensivos quirúrgica: un estudio cuasi experimental
- Author
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Wandosell Picatoste, M.ª Jesús, Salgado Barreira, Ángel, Moreno Pestonit, M.ª Teresa, Rodríguez Villar, Sonia, Paz Baña, M.ª Áurea, Mañá Álvarez, Ana M.ª, and Estany Gestal, Ana
- Subjects
Úlceras por presión ,Prevención ,Intensive care units ,Prevention ,Incidence ,Formación continuada ,Educational intervention ,Cuidados intensivos ,Incidencia ,Pressure ulcers - Abstract
Uno de los indicadores más relevantes para evaluar la seguridad del paciente es la incidencia de eventos adversos (EA). Las úlceras por presión (UPP) son un EA con una incidencia muy elevada en las unidades de cuidados intensivos. El objetivo de este estudio es valorar la efectividad de una intervención formativa en prevención de UPP a través de la valoración de la incidencia y la gravedad de las lesiones en una unidad de cuidados intensivos quirúrgicos. Se llevó a cabo un estudio cuasi experimental de controles antes-después. Los resultados muestran que la incidencia de UPP disminuye tras la intervención formativa. One of the most relevant indicators to assess patient safety is the incidence of adverse events (AE). Pressure Ulcers (PU) are an AE with a high incidence in intensive care units. The aim of this study is to evaluate the effectiveness of a formative intervention on prevention of PU through the assessment of the incidence and the severity of PU in the pre and the post intervention periods, in an intensive care surgical unit. We have carried out a quasi experimental study of pre and post controls. The results show that the incidence of PU is lower after the formative intervention.
- Published
- 2012
67. Efectividad de una intervención formativa en prevención de úlceras por presión en una unidad de cuidados intensivos quirúrgica: un estudio cuasi experimental
- Author
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Wandosell Picatoste,M.ª Jesús, Salgado Barreira,Ángel, Moreno Pestonit,M.ª Teresa, Rodríguez Villar,Sonia, Paz Baña,M.ª Áurea, Mañá Álvarez,Ana M.ª, and Estany Gestal,Ana
- Subjects
Úlceras por presión ,Prevención ,Formación continuada ,Cuidados intensivos ,Incidencia - Abstract
Uno de los indicadores más relevantes para evaluar la seguridad del paciente es la incidencia de eventos adversos (EA). Las úlceras por presión (UPP) son un EA con una incidencia muy elevada en las unidades de cuidados intensivos. El objetivo de este estudio es valorar la efectividad de una intervención formativa en prevención de UPP a través de la valoración de la incidencia y la gravedad de las lesiones en una unidad de cuidados intensivos quirúrgicos. Se llevó a cabo un estudio cuasi experimental de controles antes-después. Los resultados muestran que la incidencia de UPP disminuye tras la intervención formativa.
- Published
- 2012
68. Efecto de las desigualdades socioeconómicas en la mortalidad de la ciudad de Fortaleza, Ceará, Brasil durante el año 2007
- Author
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Carneiro de Oliveira, Danila, Salgado Barreira, Ángel, Taracido Trunk, Margarita, and Figueiras Guzmán, Adolfo
- Subjects
Desigualdades en la Salud ,Privación ,Deprivation ,Socioeconomic Factors ,Mortalidad ,Factores Socioeconómicos ,Health Inequalities ,Mortality - Abstract
Fundamentos: Brasil es un ejemplo para estudiar la situación de la pobreza y sus determinantes, ya que posee una gran parte de la población pobre de América Latina y presenta gran potencial para erradicar esta pobreza. El presente trabajo pretende mostrar la asociación entre la mortalidad y el índice de pobreza en la ciudad de Fortaleza, capital del estado Ceará. Métodos: Estudio ecológico transversal, la unidad de análisis fueron los barrios de la ciudad de Fortaleza. Los datos de mortalidad se obtuvieron a través del Sistema Único de Salud, incluyendo todas las defunciones del año 2007 y sus causas. Los indicadores socioeconómicos y número de habitantes se extrajeron del Censo de Habitantes y Viviendas del Instituto Brasileño de Estadísticas del año 2000. Se calculó un índice compuesto de privación a partir de los principales indicadores simples de privación utilizando una técnica de agrupamiento tipo Cluster y se realizó un análisis de correlación para valorar la asociación entre nivel socioeconómico y mortalidad. El índice compuesto de privación se dividió en cinco grupos, el grupo 1 presentaba las mejores condicionessocioeconómicas y el 5 las peores. Resultados: Se observó asociación significativa del nivel socioeconómico con la mortalidad total (p
- Published
- 2010
69. Efecto del nivel socioeconómico sobre la mortalidad en áreas urbanas: revisión crítica y sistemática
- Author
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Universidade de Santiago de Compostela. Departamento de Psiquiatría, Radioloxía, Saúde Pública, Enfermaría e Medicina, Salgado Barreira, Ángel, Estany Gestal, Ana, Figueiras Guzmán, Adolfo, Universidade de Santiago de Compostela. Departamento de Psiquiatría, Radioloxía, Saúde Pública, Enfermaría e Medicina, Salgado Barreira, Ángel, Estany Gestal, Ana, and Figueiras Guzmán, Adolfo
- Abstract
Las desigualdades socioeconómicas son una causa de mortalidad y morbilidad superior a la mayoría de factores de riesgo, especialmente en el entorno urbano. Se llevó a cabo una revisión sistemática de la evidencia científica, en la que se incluyó artículos en inglés, castellano, portugués e italiano y se excluyeron estudios de baja evidencia, y en los que no se analizaba la relación entre mortalidad y nivel socioeconómico en un entorno urbano. La selección de artículos se llevó a cabo por dos revisores independientes y la extracción de datos se realizó con tablas de evidencia. Se obtuvieron 1.509 registros y se incluyeron 24. En todos los trabajos se observó mayor mortalidad en las áreas con peores indicadores de privación. Se observó asociación con patologías cardiovasculares en seis estudios, en cuatro con patologías pulmonares y en tres con SIDA, infecciones y parasitosis y cirrosis. Los estudios incluidos presentan resultados poco consistentes y limitaciones metodológicas importantes que impiden la comparación entre estudios y la extracción de conclusiones relevantes., Socioeconomic inequalities cause more disease and death than most risk factors, especially in cities. This systematic review of the scientific evidence included articles in English, Spanish, Portuguese, and Italian and excluded studies with low levels of evidence and those that did not analyze associations between mortality and socioeconomic status in urban settings. Articles were selected by two independent reviewers, and data extraction used evidence tables. A total of 1,509 records were obtained, and 24 were included. All the studies showed higher mortality rates in poorer areas. Six studies showed an association with cardiovascular diseases, four with lung diseases, and three with AIDS, infectious and parasitic diseases, and cirrhosis. The selected studies showed low consistency in the results and important methodological limitations that prevented comparisons between studies or the extraction of relevant conclusions., As desigualdades socioeconômicas são uma causa de mortalidade e morbidade superior à maioria dos fatores de risco, especialmente no ambiente urbano. Foi realizada uma revisão sistemática da evidência científica, na qual foram incluídos artigos em inglês, espanhol, português e italiano, e da qual foram excluídos estudos de baixa evidência, onde não constava análise da relação entre mortalidade e nível socioeconômico no ambiente urbano. A seleção de artigos foi efetuada por dois revisores independentes e a extração de dados foi feita através de tabelas de evidência. Foram obtidos 1.509 registros e incluídos 24. Em todos os trabalhos, foi observada maior mortalidade nas áreas com os piores indicadores de privação. Observou-se uma associação com patologias cardiovasculares em seis estudos, com patologias pulmonares, em quatro deles, e com a AIDS, infecções, parasitoses e cirrose em três. Os estudos incluídos apresentam resultados pouco consistentes e importantes limitações metodológicas, impedindo a comparação entre estudos e a inferência de conclusões relevantes.
- Published
- 2014
70. Efecto del nivel socioeconómico sobre la mortalidad en áreas urbanas: revisión crítica y sistemática
- Author
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Salgado-Barreira, Ángel, primary, Estany-Gestal, Ana, additional, and Figueiras, Adolfo, additional
- Published
- 2014
- Full Text
- View/download PDF
71. Synergism between prior anisakis simplex infections and intake of NSAIDs, on the risk of upper digestive bleeding: A case-control study
- Author
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Universidade de Santiago de Compostela. Departamento de Microbioloxía e Parasitoloxía, Martínez Ubeira, Florencio César, Anadón Ruiz, Ana María, Salgado Barreira, Ángel, Ortega, Sara, Aguirre, Carmelo, López Goikoetxea, María José, Ibáñez, Luisa, Fernández Figueiras, Adolfo, Universidade de Santiago de Compostela. Departamento de Microbioloxía e Parasitoloxía, Martínez Ubeira, Florencio César, Anadón Ruiz, Ana María, Salgado Barreira, Ángel, Ortega, Sara, Aguirre, Carmelo, López Goikoetxea, María José, Ibáñez, Luisa, and Fernández Figueiras, Adolfo
- Abstract
Background: The aim of this study was to investigate the relationship between prior Anisakis infections and upper gastrointestinal bleeding (UGIB), and its interaction with non-steroidal anti-inflammatory drug (NSAID) intake. Methods/Principal Findings: We conducted a hospital-based case-control study covering 215 UGIB cases and 650 controls. Odds ratios (ORs) with their confidence intervals (95% CIs) were calculated, as well as the ratio of the combined effects to the sum of the separate effects of Anisakis allergic sensitization and NSAIDs intake. Prior Anisakis infections were revealed by the presence of anti-Anisakis IgE antibodies specific to the recombinant Ani s 1 and Ani s 7 allergens used as the targets in indirect ELISA. Prior Anisakis infections (OR 1.74 [95% CI: 1.10 to 2.75]) and the intake of NSAIDs (OR 6.63 [95% CI: 4.21 to 10.43]) increased the risk of bleeding. Simultaneous NSAIDs intake and Anisakis allergic sensitization increased the risk of UGIB 14-fold (OR = 14.46 [95% CI: 6.08 to 34.40]). This interaction was additive, with a synergistic index of 3.01 (95% CI: 1.18–7.71). Conclusions: Prior Anisakis infection is an independent risk factor for UGIB, and the joint effect with NSAIDs is 3 times higher than the sum of their individual effects, Author Summary: Anisakiasis is a worldwide re-emerging disease produced by the consumption of raw, lightly cooked, smoked or marinated fish containing live Anisakis larvae. In acute anisakiasis, mucosal lesions generated by the larvae may provoke upper gastrointestinal bleeding (UGIB). However, the effect of past unnoticed Anisakis infections as a risk factor for UGIB, and a possible synergism with other risk factors such as NSAIDs intake, have never been investigated. In this case-control study we observed that: i) prior Anisakis infections and NSAIDs intake are two independent risk factors for UGIB, and ii) that both risk factors act synergistically to the extent that their joint effect is 3 times higher than the sum of their individual effects. We concluded that, in countries where Anisakis infections are frequent, it would be wise to determine parasite-specific IgE antibodies and to conduct a closer follow-up of patients who consume raw or lightly cooked fish and who are prescribed NSAIDs for long periodsAuthor Summary Anisakiasis is a worldwide re-emerging disease produced by the consumption of raw, lightly cooked, smoked or marinated fish containing live Anisakis larvae. In acute anisakiasis, mucosal lesions generated by the larvae may provoke upper gastrointestinal bleeding (UGIB). However, the effect of past unnoticed Anisakis infections as a risk factor for UGIB, and a possible synergism with other risk factors such as NSAIDs intake, have never been investigated. In this case-control study we observed that: i) prior Anisakis infections and NSAIDs intake are two independent risk factors for UGIB, and ii) that both risk factors act synergistically to the extent that their joint effect is 3 times higher than the sum of their individual effects. We concluded that, in countries where Anisakis infections are frequent, it would be wise to determine parasite-specific IgE antibodies and to conduct a closer follow-up of patients who consume raw or lightly cooked fish
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- 2011
72. Efecto de las desigualdades socioeconómicas en la mortalidad de la ciudad de Fortaleza, Ceará, Brasil durante el año 2007
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Universidade de Santiago de Compostela. Departamento de Psiquiatría, Radioloxía, Saúde Pública, Enfermaría e Medicina, Oliveira, Danila Carneiro de, Salgado Barreira, Ángel, Taracido Trunk, Margarita, Figueiras Guzmán, Adolfo, Universidade de Santiago de Compostela. Departamento de Psiquiatría, Radioloxía, Saúde Pública, Enfermaría e Medicina, Oliveira, Danila Carneiro de, Salgado Barreira, Ángel, Taracido Trunk, Margarita, and Figueiras Guzmán, Adolfo
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Fundamentos: Brasil es un ejemplo para estudiar la situación de la pobreza y sus determinantes, ya que posee una gran parte de la población pobre de América Latina y presenta gran potencial para erradicar esta pobreza. El presente trabajo pretende mostrar la asociación entre la mortalidad y el índice de pobreza en la ciudad de Fortaleza, capital del estado Ceará. Métodos: Estudio ecológico transversal, la unidad de análisis fueron los barrios de la ciudad de Fortaleza. Los datos de mortalidad se obtuvieron a través del Sistema Único de Salud, incluyendo todas las defunciones del año 2007 y sus causas. Los indicadores socioeconómicos y número de habitantes se extrajeron del Censo de Habitantes y Viviendas del Instituto Brasileño de Estadísticas del año 2000. Se calculó un índice compuesto de privación a partir de los principales indicadores simples de privación utilizando una técnica de agrupamiento tipo Cluster y se realizó un análisis de correlación para valorar la asociación entre nivel socioeconómico y mortalidad. El índice compuesto de privación se dividió en cinco grupos, el grupo 1 presentaba las mejores condicionessocioeconómicas y el 5 las peores. Resultados: Se observó asociación significativa del nivel socioeconómico con la mortalidad total (p<0,001), por enfermedades circulatorias (p<0,001) y por causas externas (p<0,001). Además, el 86% de los casos de agresión sucedieron en los grupos 4 y 5. Conclusiones: Existe relación directa entre la condición socioeconómica y la mortalidad total por causas circulatorias y por causas externas, Background: Brazil is an important example to study the situation of poverty and its determinants. Brazil owns a great part of the poor population of Latin America and presents great potential to eradicate this situation. The present study tries to show the association between the mortality risk and poverty in the city of Fortaleza. Methods: Cross-sectional ecological study, the unit of analysis was the districts of the city of Fortaleza. We included any death happened during year 2007. Mortality data were obtained through Unique System of Health, socioeconomic indicators and number of inhabitants was extracted from the Census of Inhabitants and Houses of the Brazilian Institute of Statistics of the year 2000. An index composed from the main simple indicators of deprivation was calculated using a Cluster technique. The deprivation index was divided in five groups, group 1 presented the best socio-economic conditions and group 5 the worst ones. Correlation analysis was done to evaluate the association between socioeconomic level and mortality. Results: We observed a significant association of the socioeconomic level with total mortality (p<0,001), circulatory disease (p<0,001) and external causes (p<0,001). In addition, 86% of the cases of aggression happened in groups 4 and 5. Conclusions: The results show a relation between socioeconomic conditions and mortality by any cause, by circulatory causes and by external causes
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- 2010
73. Efectividad de una intervención formativa en prevención de úlceras por presión en una unidad de cuidados intensivos quirúrgica: un estudio cuasi experimental
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Wandosell Picatoste, M.ª Jesús, primary, Salgado Barreira, Ángel, additional, Moreno Pestonit, M.ª Teresa, additional, Rodríguez Villar, Sonia, additional, Paz Baña, M.ª Áurea, additional, Mañá Álvarez, Ana M.ª, additional, and Estany Gestal, Ana, additional
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- 2012
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74. Efecto de las desigualdades socioeconómicas en la mortalidad de la ciudad de Fortaleza, Ceará, Brasil durante el año 2007
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Carneiro de Oliveira, Danila, primary, Salgado Barreira, Ángel, additional, Taracido Trunk, Margarita, additional, and Figueiras Guzmán, Adolfo, additional
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- 2010
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75. Variabilidad del parto en España. Análisis del conjunto mínimo básico de datos al alta hospitalaria
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Salgado Barreira, Ángel, primary, Maceira Rozas, María, additional, López Ratón, Mónica, additional, and Atienza Merino, Gerardo, additional
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- 2010
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76. [Decline of Tuberculosis Rates and COVID-19 Pandemic. Fact or Fiction?]
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Vázquez-Temprano N, Ursúa-Díaz MI, Salgado-Barreira Á, Vázquez-Gallardo R, Túñez Bastida V, and Anibarro L
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- 2022
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77. Incidence, diagnosis, and outcome of immune-mediated thrombotic thrombocytopenic purpura: A nationwide survey by the Spanish registry of thrombotic thrombocytopenic purpura.
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Pascual-Izquierdo C, Del Rio-Garma J, de la Rubia J, Viejo A, Mingot E, Cid J, Solanich X, Fernández-Sojo J, Martín-Sánchez J, Hernández L, García-Gala JM, Alonso N, González V, Oliva A, Gómez-Seguí I, Goterris R, Guerra L, García-Candel F, Fernández-Docampo M, Antelo ML, Salgado-Barreira Á, and Salinas R
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- ADAMTS13 Protein chemistry, Adult, Autoantibodies chemistry, Cross-Sectional Studies, Hospitalization, Hospitals, Humans, Incidence, Outcome Assessment, Health Care, Plasma Exchange, Prevalence, Registries, Retrospective Studies, Spain epidemiology, Surveys and Questionnaires, Treatment Outcome, Hematology organization & administration, Purpura, Thrombotic Thrombocytopenic diagnosis, Purpura, Thrombotic Thrombocytopenic epidemiology, Purpura, Thrombotic Thrombocytopenic therapy
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Background: Immune-mediated thrombotic thrombocytopenic purpura (iTTP) is a rare disease characterized by the presence of anti-ADAMTS13 autoantibodies. Achieving accurate information on incidence and customary disease management is important to provide appropriate diagnostic and therapeutic resources. The aim of this study was to determine the incidence and outcomes of iTTP in Spain., Study Design and Methods: A cross-sectional survey was carried out among Spanish hospitals, focused on iTTP patients ≥16 years old attended between 2015 and 2017, and those at follow-up before that interval. Incidence, prevalence, mortality, refractoriness, exacerbations, treatment complications, relapses, and sequelae were estimated., Results: Forty-two hospitals covering roughly 20 million inhabitants answered the survey and reported 203 episodes (138 newly-diagnosed and 65 relapses), of which 193 (95.1%) were treated. Incidence was 2.67 (95% CI 1.90-3.45) patients per million inhabitants per year and prevalence 21.44 (95% CI% 19.10-23.73) patients per million inhabitants. At diagnosis, ADAMTS13 activity and anti-ADAMTS13 autoantibody were measured in 97% and 84.3% of reported episodes, respectively. Fifteen patients (7.4%) died as a direct consequence of iTTP, 6 of them before receiving any iTTP-specific treatment. Thirty-one (16.1%) of the 193 treated episodes were refractory to plasma exchange and corticosteroids, and 51 (26.4%) suffered at least one exacerbation., Conclusion: iTTP incidence and prevalence were somewhat higher than those documented in neighboring countries. Together with data on treatments and outcomes, this information will allow us to better estimate what is needed to improve diagnosis and prognosis of iTTP patients in Spain., (© 2021 Wiley Periodicals LLC.)
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- 2021
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78. [Effectiveness of the contingency plan of the internal inflammatory disease unit before Covid-19 infection.]
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Carpio López D, Martínez Pillado M, Salgado Barreira Á, Daponte Angueira S, Díez Lage R, Castro Ortiz E, Fernández Salgado E, Pérez Galindo P, and Turnes Vázquez J
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- Betacoronavirus, COVID-19, Checklist, Coronavirus Infections complications, Decision Making, Delivery of Health Care, Disaster Planning, Guideline Adherence, Humans, Inflammatory Bowel Diseases complications, Intestinal Diseases complications, Pneumonia, Viral complications, Program Evaluation, Public Health, Risk Management, SARS-CoV-2, Spain epidemiology, Coronavirus Infections prevention & control, Hospital Administration, Hospital Departments organization & administration, Inflammatory Bowel Diseases therapy, Intestinal Diseases therapy, Pandemics prevention & control, Pneumonia, Viral prevention & control
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Objective: Decision making in hospitals, and especially in their own healthcare services, is hardly referenced in the literature. During the pandemic period, healthcare services have put in place contingency plans to minimize the consequences of the coronavirus on professionals and patients. However, the deployment of contingency plans and results are hardly shared, depriving other services of references to refute, compare or emulate the aforementioned plans. The objective of this work was the description of the implementation and evaluation of Contingency Plans in the Covid-19 pandemic in a unit of inflammatory bowel disease of a Digestive Service in the Sanitary Area of Pontevedra and O Salnés., Methods: A team of managers and professionals adapted the 10 measures recommended by Deloitte to face a pandemic to the healthcare environment. The measures were then formulated as a checklist. From the Plan-Do-Check-Act improvement cycle, they were grouped into categories: risk management, organizational management and decision-making. Finally, an external team carried out a qualitative evaluation of the implementation of the contingency plan carried out., Results: The Intestinal Inflammatory Disease Unit of the Digestive Service has obtained an assessment of compliance with the 10 recommended measures to confidently face a pandemic., Conclusions: Sharing the deployment of the contingency plan and its results is useful to identify good practices. This article shows a method to evaluate decision-making in pandemic situations. The outcomes faces the The Intestinal Inflammatory Disease Unit in an excelent position.
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- 2020
79. Prevalence and Clinical Impact of Systemic Autoimmune Rheumatic Disease in Patients with Silicosis.
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Blanco Pérez JJ, Arnalich Montiel V, Salgado-Barreira Á, Alvarez Moure MA, Caldera Díaz AC, Melero Gonzalez R, Pallarés Sanmartín A, Fernandez Villar A, and González Barcala FJ
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Background: Silicosis is associated with an increased risk of developing systemic autoimmune rheumatic disease (SARD). The prognostic implications of this association are poorly characterized. The aim of this study was to determine the prevalence of SARD and autoimmune markers in a cohort of patients with exposure to silica and assess their impact on prognosis., Method: We performed a prospective observational study of all patients attending the dedicated silicosis clinic of our pulmonology unit between 2009 and December 2017. Diagnosis was confirmed by a rheumatologist according to Spanish Rheumatology Society criteria. Autoimmune markers, pulmonary function tests, radiological progression, visits to the emergency department and primary care center, and hospital admissions for respiratory causes, and mortality were analyzed., Results: Overall, 489 cases of silicosis and 95 cases of exposure were studied. In total, 54 (11.0%) patients with silicosis had SARD: 12 (2.4%) rheumatoid arthritis, 10 (2.0%) systemic lupus erythematosus, 10 (2.0%) systemic sclerosis, 3 (0.6%) Sjögren syndrome, 2 (0.4%) vasculitis associated with anti-neutrophil cytoplasmic antibodies (ANCA +), 6 (1.2%) psoriatic arthritis, 3 (0.6%) ankylosing spondylitis, and 8 (1.6%) other autoimmune diseases with no special features. The patients with SARD visited the emergency room more often (63.0 vs. 42.5%; p = 0.004), and progressed more rapidly (22.2 vs. 11.7%; p = 0.030)., Conclusions: The presence of systemic rheumatic autoimmune diseases involves radiological progression and a higher clinical impact., (Copyright © 2020 SEPAR. Publicado por Elsevier España, S.L.U. All rights reserved.)
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- 2020
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80. [Effect of socioeconomic status on mortality in urban areas: a systematic critical review].
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Salgado-Barreira Á, Estany-Gestal A, and Figueiras A
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- Brazil, Cause of Death, Humans, Risk Factors, Urban Population, Mortality, Socioeconomic Factors
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Socioeconomic inequalities cause more disease and death than most risk factors, especially in cities. This systematic review of the scientific evidence included articles in English, Spanish, Portuguese, and Italian and excluded studies with low levels of evidence and those that did not analyze associations between mortality and socioeconomic status in urban settings. Articles were selected by two independent reviewers, and data extraction used evidence tables. A total of 1,509 records were obtained, and 24 were included. All the studies showed higher mortality rates in poorer areas. Six studies showed an association with cardiovascular diseases, four with lung diseases, and three with AIDS, infectious and parasitic diseases, and cirrhosis. The selected studies showed low consistency in the results and important methodological limitations that prevented comparisons between studies or the extraction of relevant conclusions.
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- 2014
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