Resumen Las infecciones nosocomiales constituyen el efecto adverso sobre la seguridad del pacient... more Resumen Las infecciones nosocomiales constituyen el efecto adverso sobre la seguridad del paciente mas frecuente a nivel mundial. De todas las infecciones nosocomiales, la infeccion de herida quirurgica (IHQ) es la mas habitual en paises en vias de desarrollo, y la segunda en frecuencia en los paises desarrollados. En noviembre de 2016, la Organizacion Mundial de la Salud (OMS) publico un documento con una serie de recomendaciones, basadas en la evidencia, para la prevencion de la IHQ: «Global guidelines for the prevention of surgical site infection» . De forma paralela, un grupo de expertos espanoles de diferentes sociedades cientificas, conscientes de la importancia de este problema, han elaborado un documento en materia de antisepsia de la piel, el cual recoge en buena medida parte de las recomendaciones sugeridas por el manuscrito de la OMS, adaptadas a la realidad de nuestro entorno. En el presente documento, se exponen las recomendaciones extraidas de ambos documentos, aplicables al ambito de la cirugia cardiovascular de nuestro pais.
OBJECTIVESTo describe the use of ventricular assist devices (VAD) in children in Spain and to ide... more OBJECTIVESTo describe the use of ventricular assist devices (VAD) in children in Spain and to identify variables related to survival.METHODSThis is an observational cohort study of all children younger than 18 years of age who underwent an initial implantation of a VAD at any of the 6 paediatric heart transplant centres from May 2006 to December 2020. Subjects were identified retrospectively from each hospital’s database.RESULTSParacorporeal VADs were implanted in 118 children [pulsatile (63%), continuous (30.5%) or both types (5.9%)]. Small children (<0.7 m2 of body surface area) comprised the majority of this cohort (63.3%). Overall, 67% survived to VAD explantation, and 64.9% survived to hospital discharge. Non-central nervous system haemorrhage (39%) and stroke (38.1%) were the most common complications. Body weight <5 kg, congenital heart disease, pre-implantation bilirubin >34 μmol/l and bridge to decision strategy were associated with a higher mortality at hospital d...
Background: Long-term mortality (M) of congenital heart patients (CHD) has previously been assess... more Background: Long-term mortality (M) of congenital heart patients (CHD) has previously been assessed in population based-studies and multicenter registries which did not discern either infant from a...
Resumen Las infecciones nosocomiales constituyen el efecto adverso sobre la seguridad del pacient... more Resumen Las infecciones nosocomiales constituyen el efecto adverso sobre la seguridad del paciente mas frecuente a nivel mundial. De todas las infecciones nosocomiales, la infeccion de herida quirurgica (IHQ) es la mas habitual en paises en vias de desarrollo, y la segunda en frecuencia en los paises desarrollados. En noviembre de 2016, la Organizacion Mundial de la Salud (OMS) publico un documento con una serie de recomendaciones, basadas en la evidencia, para la prevencion de la IHQ: «Global guidelines for the prevention of surgical site infection» . De forma paralela, un grupo de expertos espanoles de diferentes sociedades cientificas, conscientes de la importancia de este problema, han elaborado un documento en materia de antisepsia de la piel, el cual recoge en buena medida parte de las recomendaciones sugeridas por el manuscrito de la OMS, adaptadas a la realidad de nuestro entorno. En el presente documento, se exponen las recomendaciones extraidas de ambos documentos, aplicables al ambito de la cirugia cardiovascular de nuestro pais.
OBJECTIVESTo describe the use of ventricular assist devices (VAD) in children in Spain and to ide... more OBJECTIVESTo describe the use of ventricular assist devices (VAD) in children in Spain and to identify variables related to survival.METHODSThis is an observational cohort study of all children younger than 18 years of age who underwent an initial implantation of a VAD at any of the 6 paediatric heart transplant centres from May 2006 to December 2020. Subjects were identified retrospectively from each hospital’s database.RESULTSParacorporeal VADs were implanted in 118 children [pulsatile (63%), continuous (30.5%) or both types (5.9%)]. Small children (<0.7 m2 of body surface area) comprised the majority of this cohort (63.3%). Overall, 67% survived to VAD explantation, and 64.9% survived to hospital discharge. Non-central nervous system haemorrhage (39%) and stroke (38.1%) were the most common complications. Body weight <5 kg, congenital heart disease, pre-implantation bilirubin >34 μmol/l and bridge to decision strategy were associated with a higher mortality at hospital d...
Background: Long-term mortality (M) of congenital heart patients (CHD) has previously been assess... more Background: Long-term mortality (M) of congenital heart patients (CHD) has previously been assessed in population based-studies and multicenter registries which did not discern either infant from a...
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