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5. Características clínico-epidemiológicas de pacientes ancianos con Hipoacusia atendidos en el Hospital Calixto García

Author

Toledo Valdés, Carmen, Pacheco Macías, Ana Rosa, Pérez García, Teresa, Contreras Álvarez, Pedro Javier, Hernández Armstrong, Luis, Toledo Valdés, Carmen, Pacheco Macías, Ana Rosa, Pérez García, Teresa, Contreras Álvarez, Pedro Javier, and Hernández Armstrong, Luis

Abstract

Introduction: Aging constitutes the main demographic problem in Cuba, and hearing loss is one of the most frequent chronic conditions in older adults.Objective: To describe the clinical and epidemiological characteristics of elderly patients with hearing loss, treated in Calixto Gracía University Hospital during the period from September 2015 to September 2016.Material and Method: A descriptive cross-sectional study was conducted in “Calixto Gracía” University Hospital during the period from September 2015 to September 2016. The population (N) was composed of 387 elderly patients, who went to the doctor´s office during the period under study. Results: Hearing loss predominated in patients aged from 65 to 79 years (67,2%), and the male sex was the most affected by this disability (69,5%). Hearing loss in the elderly was frequently associated with other chronic conditions such as cardiovascular diseases. Age-related hearing loss (Presbycusis) or hearing loss associated with age was the most frequent cause of deafness.Conclusions: Hearing loss was a frequent disability in male elderly patients. It was associated with non-communicable chronic diseases. Sensorineural and mixed hearing losses of moderate and severe intensity were the most frequent ones found in the tonal audiometry. Keywords: Hearing loss, older adult, Age-related hearing loss (Presbycusis), hearing disability, elderly, aging., Introducción: El envejecimiento en Cuba constituye el principal problema demográfico y la Hipoacusia es una de las condiciones crónicas más frecuentes en los adultos mayores. Objetivo: Describir las características clínico-epidemiológicas de los pacientes de la tercera edad con Hipoacusia atendidos en el Hospital Universitario “General Calixto García” en el periodo de septiembre de 2015 hasta septiembre de 2016. Material y Método: Se realizó un estudio descriptivo, transversal en el Hospital Universitario ¨General Calixto García¨ durante el período de septiembre de 2015 hasta septiembre de 2016. La población (N) estuvo constituida por 387 pacientes de la tercera edad que asistieron a consulta en el período estudiado. Resultados: Predominó la Hipoacusia en los pacientes con edades entre 65 y 79 años (67,2%) y el sexo masculino fue el más afectado con esta discapacidad (69,5%). La hipoacusia en el anciano se asoció con frecuencia a otras afecciones crónicas como las enfermedades cardiovasculares. La Presbiacusia o hipoacusia asociada a la edad fue la causa más frecuente de sordera. Conclusiones: La Hipoacusia resultó ser una discapacidad frecuente en los pacientes masculinos de la tercera edad. La mismas estuvo asociada a enfermedades crónicas no trasmisibles. Las perdidas auditivas neurosensoriales y mixtas,de moderada y severa intensidad, fueron las más frecuentemente encontradas en la audiometría tonal. Palabras claves: hipoacusia, adulto mayor, presbiacusia, discapacidad auditiva, tercera edad, envejecimiento.

Published
2018

9. Endoscopic hemostasis in nonvariceal upper gastrointestinal bleeding: comparison of physician practice in the East and the West.

Author

Shou-jiang Tang, Sun-Young Lee, Linda Hynan, Jingsheng Yan, Riley, Fransell, Armstrong, Luis, Rodriguez-Frias, Edmundo, Lin Xu, Pruna, Ernesto, Lara, Luis, Sreenarasimhaiah, Jayaprakash, Kyoo Choi, Rockey, Don, Tang, Shou-Jiang, Lee, Sun-Young, Hynan, Linda S, Yan, Jingsheng, Riley, Fransell C, Xu, Lin, and Lara, Luis F

Subjects
ENDOSCOPY, HEMOSTASIS, GASTROINTESTINAL hemorrhage, PHYSICIAN practice patterns, COMPARATIVE studies, DECISION making, RESEARCH methodology, MEDICAL cooperation, RESEARCH, PROFESSIONAL practice, EVALUATION research, ENDOSCOPIC hemostasis
Abstract

Background: Endoscopic hemostasis is commonly practiced during GI endoscopy practice. We hypothesized that, because the choice of endoscopic intervention is influenced by many factors, for example personal experience, prior training, guidelines, etc., there would be differences in practice patterns among different groups of endoscopists.Objective: To explore the potentially different practices for endoscopic hemostasis between the "East" (eight Asian countries) and the "West" (USA and Canada).Design: Cross-sectional descriptive study (internet-based survey).Study Subjects: We administered a questionnaire survey to American Society of Gastrointestinal Endoscopy (ASGE) and Korean Society of Gastroenterology (KSGE) members (see: http://www4.utsouthwestern.edu/inetdemo/endoscopy/hemostasis.html , or supplementary paper for review online).Results: Eastern ASGE members (n = 112) were more likely to complete this survey than ASGE members in the West (n = 180): 15.1 vs. 5.0%, P < 0.001. Choice of hemostatic method, regardless of primary or recurrent bleeding, varied significantly among Eastern and Western endoscopists. For example, for treatment of a gastric ulcer with a visible vessel, a vast majority (70%) of Western endoscopists preferred pre-injection followed by thermocoagulation whereas responses from the East were more diverse, with endoclip application +/- pre-injection being the top choice (29%) (P < 0.001). Personal EGD volume and hospital bed numbers did not seem to be associated with hemostatic choices in either the East or the West.Conclusions: Endoscopic hemostasis practice patterns for upper GI tract bleeding differed among Eastern and Western endoscopists, suggesting fundamental differences in practice habit determinants. [ABSTRACT FROM AUTHOR]

Published
2009
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