Factores epidemiológicos y sociodemográficos asociados al síndrome de abstinencia alcohólica complicado / Epidemiological and sociodemographic factors associated with complicated alcohol withdrawal syndrome

Objetivos. Analizar la influencia de los factores epidemiológicos y sociodemográficos en el síndrome de abstinencia alcohólica (SAA) complicado. Material y métodos. Estudio multicéntrico, observacional, prospectivo de enfermos consecutivos con SAA ingresados en servicios de Medicina Interna. Se registraron datos sociodemográficos, epidemiológicos, clínicos y evolutivos. Se definió SAA complicado como aquel que había cursado con convulsiones o delirium tremens. Resultados. Se estudiaron 228 episodios de SAA en 219 pacientes. La edad media fue de 54,5 años (DE 11,5), y el 90,8% fueron hombres. El SAA fue la causa de ingreso en el 39,9%. El 27,1% de los casos presentaron crisis comiciales y el 32,4% delirium tremens. La cantidad ingerida de alcohol diaria fue 17,8 unidades de bebida estándar (DE 21,4), con 16,6 años de dependencia (DE 11,3). El patrón de abuso de alcohol fue regular en el 82,8%. Vivían casados o en pareja el 38,4% y el 45,6% tenía hijos. Un 72,7% estaba en paro o era pensionista. El 68,5% solo habían cursado estudios primarios. El 4,8% consumía cannabis, 5,2% cocaína y 3% opiáceos. Las variables independientes relacionadas con SAA complicado fueron: consumo de alguna droga diferente del alcohol (OR 5,3; IC 95% 1,5-18,7), bajo nivel de estudios (OR 3,4; IC 95% 1,6-7,3) y el ingreso por SAA (OR 2,9; IC 95% 1,5-5,6). El área ROC del modelo fue de 0,718 (IC 95% 0,643-0,793). Conclusiones. El consumo concomitante de otras drogas de abuso y el nivel bajo de estudios pueden ayudar en la identificación de pacientes con riesgo de SAA complicado (AU)

Objectives. To analyse the influence of epidemiological and sociodemographic factors in complicated alcohol withdrawal syndrome (AWS). Material and methods. A multicentre, observational prospective study was conducted on consecutively added patients with AWS hospitalised in internal medicine departments. We recorded sociodemographic, epidemiological, clinical and progression data. Complicated AWS was defined as that which progressed with seizures or delirium tremens. Results. We studied 228 episodes of AWS in 219 patients. The mean age was 54.5 years (SD, 11.5), and 90.8% were men. AWS was the cause for hospitalisation in 39.9% of the patients. Some 27.1% of the cases presented seizures, and 32.4% presented delirium tremens. The daily quantity of alcohol ingested was 17.8 standard drink units (SD, 21.4), with 16.6 years of dependence (SD, 11.3). The pattern of alcohol abuse was regular in 82.8% of the patients. Some 38.4% of the patients were married or had a partner, and 45.6% had children. Some 72.7% of the patients were unemployed or retired. Some 68.5% had only completed primary studies. Some 4.8% consumed cannabis, 5.2% consumed cocaine and 3% consumed opioids. The independent variables related to complicated AWS were consumption of a drug other than alcohol (OR, 5.3; 95% CI 1.5-18.7), low education level (OR, 3.4; 95% CI 1.6-7.3) and hospitalisation for AWS (OR, 2.9; 95% CI 1.5-5.6). The model's receiver operating characteristic area was 0.718 (95% CI 0.643-0.793). Conclusions. Concomitant drug abuse and a low educational level could help identify patients at risk of complicated AWS (AU)

Epidemiological and sociodemographic factors associated with complicated alcohol withdrawal syndrome. / Factores epidemiológicos y sociodemográficos asociados al síndrome de abstinencia alcohólica complicado.

OBJECTIVES: To analyse the influence of epidemiological and sociodemographic factors in complicated alcohol withdrawal syndrome (AWS). MATERIAL AND METHODS: A multicentre, observational prospective study was conducted on consecutively added patients with AWS hospitalised in internal medicine departments. We recorded sociodemographic, epidemiological, clinical and progression data. Complicated AWS was defined as that which progressed with seizures or delirium tremens. RESULTS: We studied 228 episodes of AWS in 219 patients. The mean age was 54.5 years (SD, 11.5), and 90.8% were men. AWS was the cause for hospitalisation in 39.9% of the patients. Some 27.1% of the cases presented seizures, and 32.4% presented delirium tremens. The daily quantity of alcohol ingested was 17.8 standard drink units (SD, 21.4), with 16.6 years of dependence (SD, 11.3). The pattern of alcohol abuse was regular in 82.8% of the patients. Some 38.4% of the patients were married or had a partner, and 45.6% had children. Some 72.7% of the patients were unemployed or retired. Some 68.5% had only completed primary studies. Some 4.8% consumed cannabis, 5.2% consumed cocaine and 3% consumed opioids. The independent variables related to complicated AWS were consumption of a drug other than alcohol (OR, 5.3; 95% CI 1.5-18.7), low education level (OR, 3.4; 95% CI 1.6-7.3) and hospitalisation for AWS (OR, 2.9; 95% CI 1.5-5.6). The model's receiver operating characteristic area was 0.718 (95% CI 0.643-0.793). CONCLUSIONS: Concomitant drug abuse and a low educational level could help identify patients at risk of complicated AWS.

Prevalencia de factores de riesgo modificables en el diagnóstico de enfermería: riesgo del síndrome de la muerte súbita del lactante / Prevalence of modifiable risk factors in the nursing diagnosis of risk for sudden infant death syndrome

Objetivo. Medir la prevalencia de los factores de riesgo modificables del diagnóstico de enfermería riesgo del síndrome de la muerte súbita del lactante (RSMSL), y relacionarla con las características sociodemográficas de la muestra. Material y métodos. Muestra compuesta por 384 madres (españolas, marroquíes y ecuatorianas). Los datos se recogieron en la planta de maternidad del Hospital Sta. María del Rosell de Cartagena (Murcia) entre junio y noviembre de 2007, a través de un cuestionario que incluía preguntas sobre los hábitos y prácticas de crianza, definidos como factores de riesgo modificables por la taxonomía NANDA-I. Para el análisis estadístico se utilizó el test de la χ2 para variables cualitativas, y la t de Student y análisis de la varianza para variables cuantitativas. Resultados. Un 77,1% (297) de los neonatos fue diagnosticado de RSMSL relacionado con factores modificables. Destaca la elevada prevalencia de algunos factores de riesgo modificables como la elección de la posición de decúbito lateral para acostar al recién nacido 39,8% (153), o el haber fumado durante el embarazo 25,7% (99). Se encontraron relaciones estadísticamente significativas (p<0,001) entre la presencia del diagnóstico y la nacionalidad de las madres, su nivel de instrucción y el nivel de ingresos en el hogar. Conclusión. La elevada prevalencia entre los neonatos de algunos factores de riesgo modificables, hace necesario reforzar la información acerca de determinados hábitos y prácticas de crianza relacionados con la prevención del SMSL, no sólo en las consultas de enfermería Infantil sino también durante el embarazo y primeros días de vida del recién nacido(AU)

Objective. To measure the prevalence of modifiable risk factors for the nursing diagnosis of risk of sudden infant death syndrome (RSIDS), and to establish the association between the prevalence found and the sociodemographic characteristics of the sample. Material and methods. The sample was composed of 384 mothers (Spaniards, Moroccans and Ecuadorians). Data were collected in the maternity ward of Sta. Ma del Rosell Hospital in Cartagena (Murcia) from June to November 2007 through a questionnaire containing items on sociodemographic variables and questions about up bringing habits and practices, which are defined as modifiable risk factors by the NANDA-I taxonomy. In the statistical analysis, the Chi-square test was used for qualitative variables and Student's t-test and analysis of variance were used for quantitative variables. Results. A total of 77.1% of newborns were diagnosed with RSIDS related to modifiable risk factors. Notable was the high prevalence of risk factors such as the choice of side-lying position to put the newborn to bed in 39.8% (153) and smoking during pregnancy in 25.7% (99). Statistically significant associations were found (p<0.001) between the diagnosis of RSIDS and the mother's nationality, educational level and household income. Conclusion. The high prevalence of some modifiable risk factors among newborns raises the need to provide more information about up bringing habits and practices for SIDS prevention, not only in Infant Nursing Consulting Rooms but also throughout pregnancy and in the first days of life of the newborn(AU)

[Prevalence of modifiable risk factors in the nursing diagnosis of risk for sudden infant death syndrome]. / Prevalencia de factores de riesgo modificables en el diagnóstico de enfermería: riesgo del síndrome de la muerte súbita del lactante.

OBJECTIVE: To measure the prevalence of modifiable risk factors for the nursing diagnosis of risk of sudden infant death syndrome (RSIDS), and to establish the association between the prevalence found and the sociodemographic characteristics of the sample. MATERIAL AND METHODS: The sample was composed of 384 mothers (Spaniards, Moroccans and Ecuadorians). Data were collected in the maternity ward of Sta. M del Rosell Hospital in Cartagena (Murcia) from June to November 2007 through a questionnaire containing items on sociodemographic variables and questions about upbringing habits and practices, which are defined as modifiable risk factors by the NANDA-I taxonomy. In the statistical analysis, the Chi-square test was used for qualitative variables and Student's t-test and analysis of variance were used for quantitative variables. RESULTS: A total of 77.1% of newborns were diagnosed with RSIDS related to modifiable risk factors. Notable was the high prevalence of risk factors such as the choice of side-lying position to put the newborn to bed in 39.8% (153) and smoking during pregnancy in 25.7% (99). Statistically significant associations were found (p<0.001) between the diagnosis of RSIDS and the mother's nationality, educational level and household income. CONCLUSION: The high prevalence of some modifiable risk factors among newborns raises the need to provide more information about upbringing habits and practices for SIDS prevention, not only in Infant Nursing Consulting Rooms but also throughout pregnancy and in the first days of life of the newborn.

Intención de colecho en el puerperio según características sociodemográficas de las madres. ¿Qué podemos recomendar los profesionales de enfermería? / Intention of bed sharing during the postpartum period according to sociodemographic characteristics of the mother. What should professional nurses recommend?

ustificación: El colecho es una práctica muy extendida en algunos entornos culturales, sin embargo diferentes investigaciones presentan resultados muy contradictorios respecto a los beneficios y riesgos de compartir el lecho con el lactante.Objetivo: determinar la prevalencia en la intención de practicar colecho entre madres que están en la planta de maternidad (puerperio inmediato e intermedio), y relacionarla con sus características sociodemográficas.Diseño-metodología: Estudio transversal de prevalencia realizado en una muestra de 384 madres: españolas, marroquíes y ecuatorianas. Para determinar el grado de asociación entre variables categóricas se utilizó el test de la Chi-cuadrado. El tratamiento de los datos se realizó con el programa SPSS v.13.Resultados y conclusiones: Un 12% de las madres encuestadas tienen intención de practicar colecho esporádico o permanente. Las madres inmigrantes y las que tienen más hijos fueron las que más optaron por compartir el lecho con el lactante en el ámbito doméstico. Comparando nuestros resultados con los de otras investigaciones, podemos afirmar que algunas madres, aunque no tengan intención de practicar colecho, finalmente lo llevan a la práctica sin haber recibido por parte del profesional sanitario ningún consejo para que se lleve a cabo con unas condiciones de seguridad aceptables (AU)

Justification: Bed sharing is widely practised within different cultural environments, however different researches show contradicting results on the benefits and risks of parent-infant bed sharing.Objective: To determine the prevalence of the intention of bed sharing practice among mothers admitted to the maternity ward (immediate and intermediate postpartum period), and to relate this prevalence to their sociodemographic characteristics.Design-Methodology: Cross-sectional prevalence study conducted with a sample of 384 mothers: Spaniards, Moroccans and Ecuadorians. Chi-square test was used to examine the association among categorical variables. The statistical package employed to conduct the analysis was the SPSS v.13.Results and conclusions: 12% of questionnaired mothers, either sporadically or permanently, intended to bed share. Immigrant mothers and those having more children were whom mostly referred their intention of practising bed sharing within the domestic ambit. Comparing the results found with other studies it was pointed out the fact that some mothers eventually practise bed sharing even though they did not intend to, and without having received any advice from health professionals to implement it under acceptable safety conditions (AU)