Medicina intensiva
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Observational Study
Application of Medical Information Systems for the detection of high risk patients: rapid care alerts. Pilot study of the ARA-Son Llàtzer Project.
To describe the implementation of a Medical Information System (MIS) in the Critical Care Departament (CCD). ⋯ The MIS could be a complimentary tool in the activity of the CCD to improve the prognosis of hospitalized patients.
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Immunosuppression in transplantation has experienced changes in recent years as a result of the introduction of new drugs that act upon the different pathways of the host immune response with the purpose of securing more individualized immune suppression, with fewer side effects. Although following in the steps of other solid organ transplant modalities, lung transplantation, because of its special characteristics, has not yielded similar middle- and long-term results. Improved understanding of the underlying rejection mechanisms, the pharmacodynamic control of drugs, new administration routes designed to reduce the side effects, and new drug substances or immune modulating processes will all contribute to improve the expectations associated to lung transplantation in the near future.
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Letter Case Reports
[Pasteurella multocida septic shock in a previously healthy man].
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Observational Study
Alcohol and/or drug abuse favors trauma recurrence and reduces the trauma-free period.
A study is made of the influence of alcohol and/or drug abuse upon traumatismo recurrence, with an analysis of the influence of such abuse upon the time to appearance of first injury in patients without antecedents of trauma. ⋯ Alcohol and/or drug abuse increases the likelihood of recurrent trauma and may shorten the mean trauma-free period among patients without a history of trauma by almost 15 years.
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Comparative Study
Impact of a new model of intensive care medicine upon healthcare in a department of intensive care medicine.
To evaluate a new organizational model in an intensive care unit, with the implementation of early warning systems and a support unit. ⋯ There has been an increase in the number of patients seen in our DICM, with a decrease in the patients admitted to the conventional ICU. Patients now admitted to the ICU are more seriously ill, require a greater level of intervention, and give rise to an increase in the mean duration of stay in the ICU.