Revista médica de Chile
-
Sonothrombolysis (ST) is an emerging modality for the treatment of stroke. ⋯ ST can be carried out in a complex medical center and is safe.
-
Revista médica de Chile · Sep 2014
Review[Magnitude, impact and recommended management strategies for depression, with reference to Chile].
Depression is a global public health priority. Intervention strategies at different levels of care must be implemented. Research is needed in the areas of depression prevention, treatment and rehabilitation. This paper reports a literature review, focused in Chile, on the magnitude, impact, recommended management strategies and new research on depression.
-
Revista médica de Chile · Sep 2014
Case Reports[Electrocardiographic manifestations of severe accidental hypothermia: report of one case].
We report a 77-year-old female patient who was admitted to the Emergency Department with impairment of consciousness, hypotension, bradycardia and hypothermia. She required endotracheal intubation and transfer to Intensive Care Unit (ICU). Computed tomography of the brain showed no lesions. ⋯ Myxedema coma, infections and neurological diseases were discarded. The cause of severe hypothermia was unclear, and the probable source was suspected to be accidental. After intensive treatment the patient improved, achieving normalization of electrocardiographic changes, recovery of organic functions and she was discharged home after 22 days.
-
Revista médica de Chile · Jul 2014
[Levels of glycosylated hemoglobin and the difference in the cost of health care for diabetic patients: an econometric study].
Complications increase treatment costs of diabetes mellitus (DM). An adequate metabolic control of the disease could reduce these costs. ⋯ Healthcare expenditure varied according to metabolic control, which is consistent with international findings. This study was limited by its selected population, incomplete information on health expenditures, and the inclusion of only direct costs to the health system. If all patients would achieve metabolic compensation, the yearly savings would be CLP $308,000,000 (or USD $657,000).
-
Revista médica de Chile · Jul 2014
[Development and validation of a clinical predictive model for delirium in hospitalized older people].
Delirium is a prevalent problem among older patients and it is frequently underdiagnosed. ⋯ This simple predictive model based on age and functional status may be a useful tool for identifying older patients risking delirium.