An Sist Sanit Navar
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To describe the clinical characteristics of patients diagnosed with spontaneous abdominal rectus muscle hematoma (RSH), predisposing and precipitating factors, and therapeutic management. ⋯ RSH is more frequent in elderly patients, treated with acenocumarol and in the supratherapeutic range, and frequently entails permanent suspension of anticoagulant therapy. Renal insufficiency is related to the overdosage of the anticoagulant treatment and to the production of the hematoma. The size of RSH and transfusion requirements are factors that seem to be related to a greater need for invasive treatment through arterial embolization or surgery. Key words. Spontaneous rectus sheath hematoma. Abdominal wall disease. Anticoagulant therapy. Transcatheter embolization. Abdominal pain.
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An Sist Sanit Navar · Dec 2017
Multicenter Study Observational Study[Good care for patients who die in intensive care units in Spain. A study based on international care quality indicators].
Good care for patients who die in intensive care should be pursued in the same way that excellence is sought in other clinical aspects. ⋯ The quality of end-of-life care in the participating ICU needs to be improved. The study identifies shortcomings and indicates existing resources in clinical practice from which a gradual improvement plan, adapted to the situation in each hospital, can be designed. The analysis, inexpensive in its implementation, offers an opportunity for improvement, a goal recommended by most professional societies of intensive care medicine. Key words. End-of-life care. Intensive care. Critical care. Palliative care. Quality improvement.
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An Sist Sanit Navar · Dec 2017
Observational Study[Influence of sociodemographic, occupational and life style factors on the levels of burnout in palliative care health professionals].
Palliative care health professionals have reported high levels of burnout. An understanding of factors associated with this syndrome in this population could foster new prevention and intervention strategies. The objectives were to evaluate the levels of burnout in each of its dimensions in a sample of palliative care health professionals and to analyze the relationship between levels of burnout and sociodemographic, occupational and lifestyle characteristics in this sample. ⋯ The younger professionals, with more job seniority in the units of palliative care, and less hours of sleep and physical activity showed higher levels of burnout. Therefore, these factors should be considered for enhancing prevention and intervention strategies for these health professionals.