Revista clínica española
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Revista clínica española · Dec 2020
Prognostic significance of acute kidney injury and small increases in creatinine concentration during acute decompensation of heart failure.
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. ⋯ AKI is a strong predictor of mortality after ADHF. Minor increments in creatinine concentrations, below the accepted threshold for AKI definition, are prognostically meaningful.
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Revista clínica española · Dec 2020
Neutrophils as instigators of thrombosis: Beyond antimicrobial protection.
When activated, neutrophils release structures (NETs) composed of DNA, histones and granular proteins that provide an ideal matrix for platelet activation and coagulation mechanisms, thereby contributing to the pathogenesis of thrombosis in venous and arterial territories, as well as cancer-associated thrombosis. NETs play a key role in immunothrombosis, a term that describes the relationship between the immune response and coagulation.
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Revista clínica española · Nov 2020
[Clinical characteristics of patients hospitalized with COVID-19 in Spain: Results from the SEMI-COVID-19 Registry].
Spain has been one of the countries most affected by the COVID-19 pandemic. ⋯ The SEMI-COVID-19 Network provides data on the clinical characteristics of patients with COVID-19 hospitalized in Spain. Patients with COVID-19 hospitalized in Spain are mostly severe cases, as one in three patients developed respiratory distress and one in five patients died. These findings confirm a close relationship between advanced age and mortality.
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Revista clínica española · Nov 2020
[Monitoring of COVID-19 patients by telemedicine with telemonitoring].
To asses if telemedicine with telemonitoring is a clinically useful and secure tool in the tracking of patients with COVID-19. ⋯ Our study suggests that telemedicine with home telemonitoring, used proactively, allows for monitoring high-risk patients with COVID-19 in a clinically useful and secure way.