Medicina intensiva
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Accessibility to health care of diabetic patients with acute coronary syndrome ST-segment elevation.
To measure accessibility to health care among diabetic patients and analyze whether differences in delay explain differences in hospital mortality. ⋯ Diabetic patients had a longer delay in access to health care, though such delay was not independently related to increased mortality.
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To evaluate the usefulness of procalcitonin (PCT) for diagnosing infection in patients with liver cirrhosis admitted to an Intensive Care Unit. ⋯ In patients with liver cirrhosis, PCT is useful for identifying bacterial infections, including intraabdominal processes.
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Severe head injuries have a great socioeconomic and public health impact. Despite progress in diagnosis and treatment, no sufficiently reliable predictive models have been established for developing clinical trials and promoting effective therapeutic strategies capable of improving the prognosis. ⋯ The properties of the known biomarkers -both those traditionally shown to correlate with severity and prognosis, and those recently announced as promising options- should be analyzed. New studies are needed to define their properties, both isolatedly and in combined use.
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To explore the training, ability and attitudes towards cardiopulmonary resuscitation and the use of automatic defibrillators among the population of the Basque Country (Spain). ⋯ Citizens of the Basque Country consider the early identification and treatment of cardiorespiratory arrest victims to be important, though their knowledge in cardiopulmonary resuscitation and defibrillation is limited.