Revista médica de Chile
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Revista médica de Chile · Mar 2024
[Epidemiological profile of patients with cardiovascular morbidity in an insular population in Chile: Report from the Juan Fernández Archipelago].
Cardiovascular disease is the leading risk factor for morbidity and mortality rates in Chile and the world. The Chilean National Health Survey, which describes cardiovascular disease nationally, excludes 27 locations deemed hard to access or insular, like the Juan Fernández Archipelago. Characterization of this territory could support future public health policies. ⋯ We observed a better cardiovascular profile in the Juan Fernández Archipelago than nationwide. These findings not only provide a basis for future public health actions but also inspire and motivate new lines of research that can bring context to these results and further our understanding of cardiovascular health.
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Revista médica de Chile · Mar 2024
[Analysis of Medical Referrals from Primary Health Centers to the Otorhinolaryngology Department at Sótero del Río Hospital].
Medical consultations play a crucial role in the collaboration between health centers, particularly in primary care settings, when managing complex pathologies beyond their scope. Analyzing the characteristics of consultations and their prioritization is essential for enhancing referrals to higher complexity centers. This study aims to profile the consultations referred from the primary health care of the South East Metropolitan Health Service to the Otorhinolaryngology Service of the Sótero del Río Hospital, while also evaluating the concordance in their prioritization. ⋯ Evaluating the concordance in the prioritization of consultations is essential for gaining insights into the reality of referrals from primary care to higher complexity centers. Identifying the quality of these referrals can lead to the implementation of strategies to improve the process. Our study suggests that there is a need of improving the communication and education between higher complexity centers and primary health care centers.
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Revista médica de Chile · Mar 2024
Convalescent Plasma Therapy in Severe COVID-19: A Pilot Study at the Beginning of the Pandemic Outbreak in Southern Chile.
Convalescent Plasma (CP) from patients who recovered from COVID-19 may present neutralizing antibodies against viral protein S of SARS-CoV-2 and emerged as a potential therapeutic alternative for patients with severe infection at the beginning of the COVID-19 pandemic breakout. Thus, this study aimed to evaluate the effect and safety of CP treatment in patients with severe COVID-19. ⋯ We observed no association between CP administration and survival at 14 days. Treatment with CP was safe and not associated with adverse events. In addition, using CP was associated with a reduction in both stay at the CPU and connection to mechanical ventilation.
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Revista médica de Chile · Mar 2024
[Assessment of the Diagnostic Utility of Cerebrospinal Fluid Flow Cytometry Immunophenotyping and Cytology in Acute Leukemias at a Public Chilean Hospital].
The diagnosis of blast cell presence in cerebrospinal fluid (CSF) in acute leukemias (AL) is made using techniques such as flow cytometry (FCM) and conventional cytology (CC). This study aims to evaluate CSF blast cell presence frequency in LA using both techniques (CC and FCM) in our center. ⋯ CMF detects more than twice as many CSF blast-positive cases in LA as CC and is, therefore, suitable for routine use along with CC.