Maximal Aerobic Power, Quality of Life, and Ejection Fraction in Survivors of Childhood Cancer Treated with Anthracyclines.

BACKGROUND: Anthracycline-induced cardiotoxicity is a frequent complication that can occur at any stage of treatment, even in survivors. OBJECTIVE: To determine maximum aerobic power, quality of life, and left ventricular ejection fraction in childhood cancer survivors treated with anthracyclines. DESIGN: Cross-sectional, observational study. METHODS: The left ventricular ejection fraction was obtained from the transthoracic echocardiogram report in the medical records. Each patient underwent a 6-minute walk test, assessment of maximum aerobic power on a cycle ergometer, and evaluation of perceived exertion using the EPInfant scale, and finally, their quality of life was evaluated using the pediatric quality of life inventory model. RESULTS: A total of 12 patients were studied, with an average of 16.2 years of age. All patients exhibited a left ventricular ejection fraction >60%, the mean distance covered in the 6-minute walk test was 516.7 m, and the mean of the maximum aerobic power was 70 W. Low quality of life scores were obtained in the physical and psychosocial aspects. In the Pearson test, a weak correlation without statistical significance was found between all the variables studied. CONCLUSIONS: Simultaneously with the detection of cardiotoxicity in childhood cancer survivors, it is pertinent to perform physical evaluations as physical condition and cardiotoxicity seem to be issues that are not necessarily dependent.

Guía para una adecuada telerrehabilitación en personas convalecientes de Covid-19 / Guide for an adequate telerehabilitation in convalescent people of Covid-19

La pandemia de COVID-19 aún persiste y debemos mantener las medidas restrictivas. Sabemos que alrededor de 14% de los casos presentan una infección respiratoria aguda grave y que en 5% de los casos se requiere ingreso en una unidad de cuidados intensivos (UCI) con ventilación mecánica prolongada, sedación y uso de agentes bloqueantes neuromusculares; por tanto, existe un alto riesgo de desarrollar debilidad adquirida en la UCI. Por tales razones los profesionales de la rehabilitación deben considerarse trabajadores de primera línea que deben participar en la atención de los pacientes con COVID-19 grave en cuidados intensivos, hospitalización o cuando el paciente regresa al hogar y todavía está en recuperación.

The COVID-19 pandemic still persists and we must maintain restrictive measures. We know that about 14% of cases present with severe acute respiratory infection and that 5% of cases require admission to an intensive care unit (ICU) with prolonged mechanical ventilation, sedation and use of neuromuscular blocking agents; therefore, there is a high risk of developing ICU-acquired weakness. For such reasons rehabilitation professionals should be considered front-line workers who should be involved in the care of patients with severe COVID-19 in intensive care, hospitalization or when the patient returns home and is still recovering.

Cuestionario de estado actual de salud (autoadministrable) para una detección de riesgo de transmisión de Covid-19 en pacientes ambulatorios / Questionnaire of current health status ( self administered ) for a detection of risk of transmission of Covid - 19 in ambulatory patients

En el marco de la pandemia por Covid -19 es claro que debemos extremar precauciones en la atención de todos los pacientes ,debido al largo periodo de incubación así como ala gran cantidad de portadores asintomáticos ; el con el fin de evitar preservar la transmisión comunitaria y posibles riesgos para los profesionales de la salud involucrados en ello

In the context of the Covid-19 pandemic, it is clear that we must take extreme precautions in the care of all patients, due to the long incubation period as well as the large number of asymptomatic carriers, in order to avoid preserving community transmission and possible risks for the health professionals involved.