Browsing by Subject "Comorbidity"

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    Increased cardiopulmonary fitness Is associated with a greater reduction in depression among people who underwent bariatric surgery
    (MDPI, 2021-03-03) Vetrovsky, Tomas; Fortova, Tereza; Conesa Ros, Elena; Steffl, Michal; Heczkova, Jana; Belohlavek, Jan; Courel Ibáñez, Javier; Actividad Física y Deporte
    The aim of this study was to determine the effect of changes in cardiopulmonary fitness on the mental health of patients with severe obesity who underwent gastric bypass surgery (prior to and 1, 3, and 6 months after surgery). Study participants were recruited from among patients of a regional hospital in Czechia who underwent gastric bypass surgery between April 2018 and October 2019. They were eligible if they (a) were between 18 and 65 years old, (b) provided written informed consent, and (c) were able to walk independently. Twenty-six patients (age 45.4 ± 9.0 years, body mass index 45.1 ± 7.4 kg·m−2, body fat 43.8 ± 4.8%) were included in the analysis. The key finding revealed that the greater the increase in cardiopulmonary fitness (i.e., longer distance walked in the six-minute walk test, 6MWT), the better the improvement in depression score among patients who underwent bariatric surgery. In particular, increments of 10 m in the 6MWT lead to the improvement of 0.5 points on the depression subscale of the Hospital Anxiety and Depression Scale (HADS) questionnaire. As the main implication, these results suggest that patients should participate in exercise training programs to increase their fitness status for optimal physical and mental outcomes of bariatric surgery.v
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    Role of age and comorbidities in mortality of patients with infective endocarditis
    (Elsevier, 2019-03-21) Armiñanzas, Carlos; Fariñas-Álvarez, Concepción; Zarauza, Jesús; Muñoz, Patricia; González Ramallo, Víctor; Martínez Sellés, Manuel; Miró Meda, José Mª.; Pericás, Juan Manuel; Goenaga, Miguel Ángel; Ojeda Burgos, Guillermo; Rodríguez Álvarez, Regino; Fuster, David; García de la Mària, Cristina; Hernández-Meneses, Marta; Llopis Pérez, Jaume; Marco, Francesc; Miró, José M.; Moreno, Asunción; Nicolás, David; Ninot, Salvador; Quintana, Eduardo; Castelo Corral, Laura; Paré, Carlos; Pereda, Daniel; Pericás, Juan M.; Pomar, José L.; Ramírez, José; Rovira, Irene; Sandoval, Elena; Sitges, Marta; Soy, Dolors; Téllez, Adrián; Gálvez-Aceba, Juan; Tolosana, José M.; Vidal, Bárbara; Vila, Jordi; Adán, Iván; Bermejo, Javier; Bouza, Emilio; Celemín, Daniel; Cuerpo Caballero, Gregorio; Delgado Montero, Antonia; Fernández Cruz, Ana; Martínez Marcos, Francisco Javier; García Mansilla, Ana; García Leoni, Mª. Eugenia; González Ramallo, Víctor; Kestler Hernández, Martha; Mari Hualde, Amaia; Marín, Mercedes; Martínez-Sellés, Manuel; Menárguez, Mª. Cruz; Muñoz, Patricia; Rincón, Cristina; Fariñas, Maria Carmen; Rodríguez-Abella, Hugo; Rodríguez-Créixems, Marta; Pinilla, Blanca; Pinto, Ángel; Valerio, Maricela; Vázquez, Pilar; Verde Moreno, Eduardo; Antorrena, Isabel; Loeches, Belén; Martín Quirós, Alejandro; Fernández Sánchez, Fernando; Moreno, Mar; Ramírez, Ulises; Rial Bastón, Verónica; Romero, María; Saldaña, Araceli; Agüero Balbín, Jesús; Amado, Cristina; Armiñanzas Castillo, Carlos; Arnaiz García, Ana; Cobo Belaustegui, Manuel; Noureddine, Mariam; Fariñas, María Carmen; Fariñas-Álvarez, Concepción; Gómez Izquierdo, Rubén; García, Iván; González-Rico, Claudia; Gutiérrez-Cuadra, Manuel; Gutiérrez Díez, José; Pajarón, Marcos; Parra, José Antonio; Sarralde, Aurelio; Rosas, Gabriel; Teira, Ramón; Zarauza, Jesús; Domínguez, Fernando; García Pavía, Pablo; González, Jesús; Orden, Beatriz; Ramos, Antonio; Centella, Tomasa; Hermida, José Manuel; Moya, José Luis; Torre Lima, Javier de la; Martín-Dávila, Pilar; Navas, Enrique; Oliva, Enrique; Río, Alejandro del; Ruiz, Soledad; Hidalgo Tenorio, Carmen; Almendro Delia, Manuel; Araji, Omar; Barquero, José Miguel; Calvo Jambrina, Román; Aramendi, José; Cueto, Marina de; Gálvez Acebal, Juan; Méndez, Irene; Morales, Isabel; López-Cortés, Luis Eduardo; Alarcón, Arístides de; García, Emilio; Haro, Juan Luis; Lepe, José Antonio; López, Francisco; Bereciartua, Elena; Luque, Rafael; Alonso, Luis Javier; Azcárate, Pedro; Azcona Gutiérrez, José Manuel; Blanco, José; García-Álvarez, Lara; Oteo, José Antonio; Sanz, Mercedes; Benito, Natividad de; Gurguí, Mercé; Blanco, María José; Pacho, Cristina; Pericas, Roser; Pons, Guillem; Álvarez, M.; Fernández, A.L.; Martínez, Amparo; Prieto, A.; Regueiro, Benito; Tijeira, E.; Vega, Marino; Blanco, Roberto; Canut Blasco, Andrés; Cordo Mollar, José; Gainzarain Arana, Juan Carlos; García Uriarte, Oscar; Martín López, Alejandro; Ortiz de Zárate, Zuriñe; Urturi Matos, José Antonio; García Domínguez, Gloria; Sánchez-Porto, Antonio; Arribas Leal, José Mª.; Boado, María Victoria; García-Vázquez, Elisa; Hernández Torres, Alicia; Blázquez, Ana; Morena Valenzuela, Gonzalo de la; Alonso, Ángel; Aramburu, Javier; Calvo, Felicitas Elena; Moreno Rodríguez, Anai; Tarabini-Castellani, Paola; Heredero Gálvez, Eva; Campaña Lázaro, Marta; Maicas Bellido, Carolina; Largo Pau, José; Sepúlveda, Mª. Antonia; Toledano Sierra, Pilar; Iqbal-Mirza, Sadaf Zafar; Cascales Alcolea, Eva; Egea Serrano, Pilar; Hernández Roca, José Joaquín; Keituqwa Yañez, Ivan; Peláez Ballesta, Ana; Crespo, Alejandro; Soriano, Víctor; Moreno Escobar, Eduardo; Peña Monje, Alejandro; Sánchez Cabrera, Valme; Vinuesa García, David; Arrizabalaga Asenjo, María; Cifuentes Luna, Carmen; Núñez Morcillo, Juana; Pérez Seco, Mª. Cruz; Villoslada Gelabert, Aroa; Goikoetxea, Josune; Aured Guallar, Carmen; Fernández Abad, Nuria; García Mangas, Pilar; Matamala Adell, Marta; Palacián Ruiz, Mª. Pilar; Carlos Porres, Juan; Alcaraz Vidal, Begoña; Cobos Trigueros, Nazaret; Del Amor Espín, María Jesús; Giner Caro, José Antonio; Iruretagoyena, José Ramón; Jiménez Sánchez, Roberto; Jimeno Almazán, Amaya; Ortín Freire, Alejandro; Viqueira González, Monserrat; Pericás Ramis, Pere; Ribas Blanco, Mª. Ángels; Ruiz de Gopegui Bordes, Enrique; Vidal Bonet, Laura; Bellón Munera, Mª. Carmen; Escribano Garaizabal, Elena; Irurzun Zuazaba, Josu; Tercero Martínez, Antonia; Segura Luque, Juan Carlos; López-Soria, Leire; Montejo, Miguel; Nieto, Javier; Rodrigo, David; Rodríguez, David; Rodríguez, Regino; Vitoria, Yolanda; Voces, Roberto; García López, Mª. Victoria; Ivanova Georgieva, Radka; Ojeda, Guillermo; Rodríguez Bailón, Isabel; Ruiz Morales, Josefa; Cuende, Ana María; Echeverría, Tomás; Fuerte, Ana; Gaminde, Eduardo; Goenaga, Miguel Ángel; Idígoras, Pedro I; Iribarren, José Antonio; Izaguirre Yarza, Alberto; Kortajarena Urkola, Xabier; Reviejo, Carlos; Carrasco, Rafael; Climent, Vicente; Llamas, Patricio; Merino, Esperanza; Plazas, Joaquín; Reus, Sergio; Álvarez, Nemesio; Bravo-Ferrer, José María; Castelo, Laura; Cuenca, José; Llinares, Pedro; Miguez Rey, Enrique; Rodríguez Mayo, María; Sánchez, Efrén; Sousa Regueiro, Dolores; Martínez, Francisco Javier; Alonso, Mª. del Mar; Castro, Beatriz; García Rosado, Dácil; Durán, Mª. del Carmen; Miguel Gómez, Mª. Antonia; Lacalzada, Juan; Nassar, Ibrahim; Plata Cieza, Antonio; Reguera Iglesias, José Mª.; Asensi Álvarez, Víctor; Costas, Carlos; Hera, Jesús de la; Fernández Suárez, Jonnathan; Iglesias Fraile, Lisardo; León Arguero, Víctor; López Menéndez, José; Mencia Bajo, Pilar; Morales, Carlos; Moreno Torrico, Alfonso; Palomo, Carmen; Paya Martínez, Begoña; Rodríguez Esteban, Ángeles; Rodríguez García, Raquel; Telenti Asensio, Mauricio; Almela, Manuel; Ambrosioni, Juan; Azqueta, Manuel; Brunet, Mercè; Bodro, Marta; Cartañá, Ramón; Falces, Carlos; Fita, Guillermina; Medicina
    Purpose: The aim of this study was to analyse the characteristics of patients with IE in three groups of age and to assess the ability of age and the Charlson Comorbidity Index (CCI) to predict mortality. Methods: Prospective cohort study of all patients with IE included in the GAMES Spanish database between 2008 and 2015.Patients were stratified into three age groups: < 65 years,65 to 80 years,and ≥ 80 years.The area under the receiver-operating characteristic (AUROC) curve was calculated to quantify the diagnostic accuracy of the CCI to predict mortality risk. Results: A total of 3120 patients with IE (1327 < 65 years;1291 65-80 years;502 ≥ 80 years) were enrolled.Fever and heart failure were the most common presentations of IE, with no differences among age groups.Patients ≥80 years who underwent surgery were significantly lower compared with other age groups (14.3%,65 years; 20.5%,65-79 years; 31.3%,≥80 years). In-hospital mortality was lower in the < 65-year group (20.3%, < 65 years;30.1%,65-79 years;34.7%,≥80 years;p < 0.001) as well as 1-year mortality (3.2%, < 65 years; 5.5%, 65-80 years;7.6%,≥80 years; p = 0.003).Independent predictors of mortality were age ≥ 80 years (hazard ratio [HR]:2.78;95% confidence interval [CI]:2.32–3.34), CCI ≥ 3 (HR:1.62; 95% CI:1.39–1.88),and non-performed surgery (HR:1.64;95% CI:11.16–1.58).When the three age groups were compared,the AUROC curve for CCI was significantly larger for patients aged < 65 years(p < 0.001) for both in-hospital and 1-year mortality. Conclusion: There were no differences in the clinical presentation of IE between the groups. Age ≥ 80 years, high comorbidity (measured by CCI),and non-performance of surgery were independent predictors of mortality in patients with IE.CCI could help to identify those patients with IE and surgical indication who present a lower risk of in-hospital and 1-year mortality after surgery, especially in the < 65-year group.