9 results on '"Furmento, Juan F."'
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2. Asistencia ventricular extracorpórea en el paro cardiaco intrahospitalario: ¿una realidad posible en nuestro medio?
- Author
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Burgos, Lucrecia M, primary, Spaccavento, Ana, additional, Seoane, Leonardo, additional, Furmento, Juan F., additional, Vrancic, Mariano, additional, and Diez, Mirta, additional
- Published
- 2023
- Full Text
- View/download PDF
3. Optimization of Door-to-Balloon Time Implementing a Process Improvement Program. Results after 5 Years
- Author
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Furmento, Juan F, primary, Candiello, Alfonsina, additional, Mascolo, Pablo, additional, Lamelas, Pablo, additional, Chapman, Alan, additional, and Sigal, Ian, additional
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- 2023
- Full Text
- View/download PDF
4. New combined risk score to predict atrial fibrillation after cardiac surgery: COM-AF.
- Author
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Burgos, Lucrecia, Ramírez, Andreína, Seoane, Leonardo, Furmento, Juan, Costabel, Juan, Diez, Mirta, Navia, Daniel, Burgos, Lucrecia M, Ramírez, Andreína Gil, Furmento, Juan F, and Costabel, Juan P
- Subjects
ATRIAL fibrillation ,CARDIAC surgery ,POSTOPERATIVE period ,OPERATIVE surgery ,ARRHYTHMIA ,HEART failure ,ATRIAL fibrillation diagnosis ,RETROSPECTIVE studies ,RISK assessment ,LONGITUDINAL method - Abstract
Background and Aims: Atrial fibrillation frequently occurs in the postoperative period of cardiac surgery, associated with an increase in morbidity and mortality. The scores POAF, CHA2DS2-VASc and HATCH demonstrated a validated ability to predict atrial fibrillation after cardiac surgery (AFCS). The objective is to develop and validate a risk score to predict AFCS from the combination of the variables with highest predictive value of POAF, CHA2DS2-VASc and HATCH models.Methods: We conducted a single-center cohort study, performing a retrospective analysis of prospectively collected data. The study included consecutive patients undergoing cardiac surgery in 2010-2016. The primary outcome was the development of new-onset AFCS. The variables of the POAF, CHA2DS2-VASc and HATCH scores were evaluated in a multivariate regression model to determine the predictive impact. Those variables that were independently associated with AFCS were included in the final model.Results: A total of 3113 patients underwent cardiac surgery, of which 21% presented AFCS. The variables included in the new score COM-AF were: age (≥75: 2 points, 65-74: 1 point), heart failure (2 points), female sex (1 point), hypertension (1 point), diabetes (1 point), previous stroke (2 points). For the prediction of AFCS, COM-AF presented an AUC of 0.78 (95% CI 0.76-0.80), the rest of the scores presented lower discrimination ability (P < 0.001): CHA2DS2-VASc AUC 0.76 (95% CI 0.74-0.78), POAF 0.71 (95% CI 0.69-0.73) and HATCH 0.70 (95% CI: 0, 67-0.72). Multivariable analysis demonstrated that COM-AF score was an independent predictor of AFCS: OR 1,91 (IC 95% 1,63-2,23).Conclusion: From the combination of variables with higher predictive value included in the POAF, CHA2DS2-VASc, and HATCH scores, a new risk model system called COM-AF was created to predict AFCS, presenting a greater predictive ability than the original ones. Being necessary future prospective validations. [ABSTRACT FROM AUTHOR]- Published
- 2021
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- View/download PDF
5. Utilización de oxigenación por membrana extracorpórea venoarterial en el shock cardiogénico y paro cardiorrespiratorio refractarios: experiencia inicial de 7 años en un centro de cardiología de adultos.
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SEOANE, LEONARDO A., BURGOS, LUCRECIA M., FURMENTO, JUAN F., GARCIA, WALTER, SPALETRA, PABLO, VRANCIC, MARIANO, COSTABEL, JUAN P., BENZADON, MARIANO N., NAVIA, DANIEL O., and DIEZ, MIRTA
- Abstract
Copyright of Revista Argentina de Cardiología is the property of Sociedad Argentina de Cardiologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
- Full Text
- View/download PDF
6. UNA APLICACIÓN DIGITAL AUMENTA LA ADHERENCIA AL TRATAMIENTO FARMACOLÓGICO EN SÍNDROMES CORONARIOS.
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GARMENDIA, CRISTIAN M., MIRANDA, RITA M. P., VERELLO, ELISA, GOYENECHE, AILÍN, FURMENTO, JUAN F., and COSTABEL, JUAN P.
- Abstract
Copyright of Medicina (Buenos Aires) is the property of Medicina (Buenos Aires) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
7. Quality Improvement Project to Reduce Prescription Errors in Patients Hospitalized due to Cardiovascular Diseases
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Seoane, Leonardo Adrián, Benzadón, Mariano, Daquarti, Gustavo, Mitrione, Soledad, March Vecchio, Nicolás, Ametrano, Clara, Furmento, Juan F., Alves de Lima, Alberto, Conde, Diego, Seoane, Leonardo Adrián, Benzadón, Mariano, Daquarti, Gustavo, Mitrione, Soledad, March Vecchio, Nicolás, Ametrano, Clara, Furmento, Juan F., Alves de Lima, Alberto, and Conde, Diego
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Background: Prescription errors are a common problem which threatens hospitalized patients’ safety, particularly in critical care areas. Objective: The aim of the study was to evaluate the effectiveness of a quality improvement project to reduce prescription errors in patients hospitalized due to cardiovascular diseases. Methods: A quality improvement project was implemented to reduce in-hospital prescription errors. The three main components of the project were: mandatory supervision of indications, use of a software program that organizes physicians’ indications by biological systems, and implementation of a rule with universal format for the prescription of medications, including a dictionary of abbreviations and normalized dilutions. Before the implementation of these changes, the number of weakly prescription errors was assessed, stratified by hospitalization area. The impact of the project was analyzed by dividing the samples into four consecutive 9-week periods (one period before the intervention and three periods after the intervention), comparing the number of errors detected in each period. The indications of 180 patients were randomly evaluated in each period. Results: A total of 720 prescriptions were analyzed. The implementation of an improvement project reduced the number of errors rapidly and consistently over time (median of 85 before the intervention, IQR 70-95, and 26 after the intervention, IQR 21-37; p=0.0004). Conclusion: The quality improvement project produced a significant reduction in the number of prescription errors in patients hospitalized due to cardiovascular disease, Introducción: Los errores de prescripción son un problema frecuente que amenaza la seguridad de los pacientes internados, especialmente en áreas de cuidados críticos. Objetivo: Evaluar la efectividad de un proyecto de mejora de la calidad para reducir errores de prescripción en pacientes internados por patologías de origen cardiovascular. Material y métodos: Se implementó un proyecto de mejora de la calidad destinado a reducir errores de prescripción intrahospitalaria. Los tres componentes principales del proyecto fueron: supervisión obligatoria de las indicaciones, utilización de un software que ordena las indicaciones por sistemas biológicos e implementación de una norma de formato universal de prescripción de medicamentos, que incluyó un diccionario de abreviaturas y de diluciones normalizadas. Con anterioridad a la implementación de estos cambios se midió la cantidad de errores de prescripción semanales, estratificados por área de internación. Se analizó el impacto del proyecto dividiendo las muestras en cuatro períodos consecutivos de 9 semanas cada uno (un período preintervención y tres posintervención) y se comparó luego la cantidad de errores detectados en cada uno de ellos. En cada período se evaluaron de manera aleatoria las indicaciones de 180 pacientes. Resultados: Se analizaron en total 720 prescripciones. La implementación del proyecto de mejora logró reducir la cantidad de errores de manera rápida y sostenida en el tiempo (mediana preintervención de 85, RIC 70-95 y mediana final de 26, RIC 21-37; p = 0,0004). Conclusión: El proyecto de mejora de la calidad implementado permitió reducir significativamente la cantidad de errores de prescripción en pacientes internados por patologías cardiovasculares.
- Published
- 2017
8. [Impact of a multidisciplinary team "ECMO Team" on the prognosis of patients undergoing veno-arterial extracorporeal membrane oxygenation for refractory cardiogenic shock and cardiac arrest].
- Author
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Seoane LA, Burgos L, Vila RB, Furmento JF, Costabel JP, Vrancic M, Villagra M, Ramírez-Hoyos OD, Navia D, and Diez M
- Abstract
Objectives: Veno-arterial Extracorporeal membrane oxygenation (VA ECMO) is a salvage intervention in patients with cardiogenic shock (CS), and cardiac arrest (CA) refractory to standard therapies. The design of ECMO Teams has achieved the standardization of processes, although its impact on survival and prognosis is unknown., Objective: We aimed to analyze whether the creation of an ECMO Team has modified the prognosis of patients undergoing VA ECMO for refractory CS or CA., Materials and Methods: . We conducted a single-center retrospective cohort study. Patients with refractory CS or CA who underwent VA ECMO were divided in two consecutive periods: from 2014 to April 2019 (pre-ECMO T) and from May 2019 to December 2022 (Post ECMO T). The main outcomes were survival on ECMO, in-hospital survival, complications, and annual ECMO volume., Results: Eighty-three patients were included (36 pre-ECMO T and 47 post-ECMO T). The mean age was 53 +/-13 years. The most common reason for device indication was different: postcardiotomy shock (47.2%) pre-ECMO T and refractory cardiogenic shock (29.7%) post-ECMO T. The rate of extracorporeal cardiopulmonary resuscitation was 14.5%. The median duration of VA ECMO was longer after ECMO team implementation: 8 days (IQR 5-12.5) vs. five days (IQR 2-9, p=0.04). Global in-hospital survival was 45.8% (38.9% pre-ECMO T vs. 51.1% post-ECMO T; p=0.37), and the survival rate from VA ECMO was 60.2% (55.6% pre-ECMO T vs 63.8% post-ECMO T; p= 0.50). The volume of VA ECMO implantation was significantly higher in the post-ECMO team period (13.2 +/3.5 per year vs. 6.5 +/-3.5 per year, p: 0.02). The rate of complications was similar in both groups., Conclusions: After the implementation of an ECMO team, there was no statistical difference in the survival rate of patients treated with VA ECMO. However, a significant increase in the number of patients supported per year was observed after the implementation of this multidisciplinary team. Post-ECMO T, the most common reason for device indication was cardiogenic shock, with longer run times and a higher rate of extracorporeal cardiopulmonary resuscitation., Competing Interests: Conflictos de interés Ninguno
- Published
- 2023
- Full Text
- View/download PDF
9. [Use of a smartphone application to increase adherence to medical treatment].
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Garmendia CM, Miranda RMP, Verello E, Goyeneche A, Furmento JF, and Costabel JP
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- Female, Humans, Male, Medication Adherence, Secondary Prevention, Software, Acute Coronary Syndrome drug therapy, Smartphone
- Abstract
Adherence to cardiovascular medications following acute coronary syndrome hospitalization is generally poor. The primary outcome was to demonstrate that the use of a digital application for smartphones increases the adherence to pharmacological treatment by 30 % in relation to the group without intervention, in patients with an acute coronary syndrome with or without ST segment elevation. In this unicentric, single blinded, randomized controlled trial with 1:1 allocation we compared the use of a digital application for smartphones and written information as standard of care, for the adherence to pharmacological treatment in 90 patients admitted to the hospital with an acute coronary syndrome. Adherence to medical treatment was measured by Morisky Medication Adherence Scale. A patient is considered to have good adherence when score is perfect (8 points). The follow up period was 90 days after hospital discharge. The mean age of the population was 63 ± 9 and 76% were male. At 90 days, 67.4% (31/46) of patients using the smartphone application were adherent compared with 20.5% (9/44) of patients in the control group (p < 0.001). In patients with acute coronary syndrome, the use of a smartphone application increased the medication adherence compared with the standard of care.
- Published
- 2021
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