Archivos de bronconeumología
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Arch. Bronconeumol. · Sep 2005
[Spontaneous pneumomediastinum: descriptive study of our experience with 36 cases].
Spontaneous pneumomediastinum is defined as a primary process characterized by the presence of air or gas in the mediastinum. We report all the cases of spontaneous pneumomediastinum diagnosed in our hospital between January 1996 and December 2004. We developed a protocol for data collection that included the following: medical history, triggers, signs, radiology, treatment, hospital stay, and complications. ⋯ There was no associated morbidity or mortality. In view of our findings, we concluded that spontaneous pneumomediastinum is an uncommon entity with considerable clinical variability and that correct diagnosis requires a high level of suspicion. Radiography provides the best evidence for diagnosis.
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Arch. Bronconeumol. · Sep 2005
[Usefulness of fast ELISA determination of D-dimer levels for diagnosing pulmonary embolism in an emergency room].
To determine the sensitivity and negative predictive value of D-dimer levels measured by fast enzyme-linked immunoabsorbent assay (ELISA) in pulmonary embolism. ⋯ In an emergency room, thromboembolism can be excluded if plasma levels of D-dimer measured by fast ELISA are below 0.5 microg/mL because of the high negative predictive value at this cut off.
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Arch. Bronconeumol. · Jul 2005
[Prognostic value of syncope in the presentation of pulmonary embolism].
Although the prognostic value of syncope has not been specifically addressed, it has generally been considered an indicator of poor prognosis in pulmonary embolism. The objective of this study was to carry out a prospective evaluation of the risk of recurrence and/or death in patients with pulmonary embolism that presents with syncope. ⋯ Patients with pulmonary embolism that presents with syncope do not have an increased risk of recurrence and/or death.
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Arch. Bronconeumol. · Jun 2005
Case Reports[Recurrent hemoptysis secondary to an aortobronchial fistula].
Aortobronchial fistula is a rare but serious cause of hemoptysis. It can develop from an aneurysm of the descending thoracic aorta in the context of infections or it may appear as a sequel of surgical repair of congenital heart defects. ⋯ Surgical placement of an endovascular stent graft is the treatment of choice. Post-surgical prognosis is good although there is a risk of recurrence in the case of superinfection.
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Arch. Bronconeumol. · Jun 2005
Review Multicenter Study Comparative Study[Patients hospitalized with community-acquired pneumonia: a comparative study of outcomes by medical specialty area].
Variability in the management of patients hospitalized with community-acquired pneumonia (CAP) is attributable to many factors. The objective of this study was to determine whether such variability is influenced by the medical specialty area where the patient is treated. ⋯ Interdepartmental differences were observed in how patients hospitalized with CAP were treated and in the outcomes achieved. This variation is probably influenced by the differences that were found in the use of antibiotics.