Revista médica de Chile
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Revista médica de Chile · Feb 2023
An elevated HScore is associated with poor clinical outcomes in COVID-19.
Patients with Coronavirus Disease 2019 (COVID-19) frequently experience a hyperinflammatory syndrome leading to unfavorable outcomes. This condition resembles Secondary Hemophagocytic Lymphohistiocytosis (sHLH) described in neoplastic, rheumatic and other infectious diseases. A scoring system (HScore) that evaluates underlying immunosuppression, temperature, organomegaly, cytopenias, ferritin, triglycerides, fibrinogen and AST was validated for sHLH, and recently proposed to evaluate hyperinflammation in COVID-19. ⋯ sHLH is not frequent among COVID-19 patients. HScore can be useful to predict the risk for poor outcomes.
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Revista médica de Chile · Feb 2023
Observational StudyPrevention and control of COVID-19 outbreak in a hemodialysis center.
The prevention and control of SARS-CoV-2 infection in hemodialysis (HD) units is challenging. ⋯ The incidence of SARS-CoV-2 infection in this HD unit was high. Strict biosafety protocols are required to prevent outbreaks.
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Revista médica de Chile · Feb 2023
Mortality in patients with severe COVID-19 who underwent tracheostomy due to prolonged mechanical ventilation.
The usefulness of tracheostomy has been questioned in patients with COVID-19 and prolonged invasive mechanical ventilation (IMV). ⋯ In patients with COVID-19 undergoing prolonged IMV, performing a tracheostomy is not associated with excess mortality, and it is a safe procedure for healthcare personnel.
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Revista médica de Chile · Feb 2023
[Culture and metagenomics as bacterial identification methods in patients with diabetic foot ulcers: a systematic review].
Diabetic foot osteomyelitis (DFO) is a serious complication of infected ulcers in a diabetic patient. The identification of the infecting microorganisms is generally by culture, which causes a bias. Recently, metagenomics has been used for microbial identification. ⋯ Comparing results, there is a certain complementarity between microbiological culture and sequencing to identify bacteria present in DFO.
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Revista médica de Chile · Feb 2023
Priorities and root cause analysis of quality and safety problems in chilean hospitals.
Quality improvement is an important component of hospital operations. ⋯ Hospitals can systematically use the proposed approach to categorize their main clinical quality and safety problems, analyze their causes, and then design solutions.