RESUMO
BACKGROUND: To compare the severity of pulmonary embolism (PE) and the long-term complications between patients with and without COVID-19, and to investigate whether the tools for risk stratification of death are valid in this population. METHODS: We retrospectively included hospitalized patients with PE from 1 January 2016 to 31 December 2022. Comparisons for acute episode characteristics, risk stratification of the PE, outcomes, and long-term complications were made between COVID and non-COVID patients. RESULTS: We analyzed 116 (27.5%) COVID patients and 305 (72.4%) non-COVID patients. In patients with COVID-19, the traditional risk factors for PE were absent, and the incidence of deep vein thrombosis was lower. COVID patients showed significantly higher lymphocyte count, lactate dehydrogenase, lactic acid, and D-dimer levels. COVID patients had PE of smaller size (12.3% vs. 25.5% main pulmonary artery, 29.8% vs. 37.1% lobar, 44.7% vs. 29.5% segmental and 13.2% vs. 7.9% subsegmental, respectively; p < 0.001), less right ventricular dysfunction (7.7% vs. 17.7%; p = 0.007) and higher sPESI score (1.66 vs. 1.11; p < 0.001). The need for mechanical ventilation was significantly higher in COVID patients (8.6% vs. 1.3%; p < 0.001); However, the in-hospital death was less (5.2% vs. 10.8%; p = 0.074). The incidence of long-term complications was lower in COVID cohort (p < 0.001). PE severity assessed by high sPESI and intermediate and high-risk categories were independently associated with in-hospital mortality in COVID patients. CONCLUSION: The risk of in-hospital mortality and the incidence of long-term complications were lower in COVID-19. The usual tools for risk stratification of PE are valid in COVID patients.
Assuntos
COVID-19 , Embolia Pulmonar , Humanos , Mortalidade Hospitalar , COVID-19/complicações , Estudos Retrospectivos , Embolia Pulmonar/complicações , Artéria Pulmonar , Medição de RiscoRESUMO
Durante la temporada 2017-2018 y siguiendo el protocolo de la Sociedad Internacional para el Avance de la Cineantropometría, se evaluó la composición corporal el somatotipo y proporcionalidad de 25 jugadoras españolas de elite de 15-18 años (15,48 ± 1,05). El porcentaje de grasa corporal (%GC) analizado por antropometría estuvo en un rango de 14,21% - 17,30 % y mediante BIA entre 24,20%-29,63%. La menor adiposidad correspondió a jugadoras de banda y la mayor a porteras y delanteras. El somatotipo medio fue 3,67-4,10-1,90 para el conjunto de la muestra; En la categoría sub-18 (3,10-4,33-1,82) la dispersión somatotípica fue menor y la mesomorfia mayor que en la categoría Sub 16 (3,20-3,97-1,95). En análisis de proporcionalidad, mostro que las jugadoras, sobre todo las Sub18, presentan menores pliegues subcutáneos y mayores perímetros en la extremidad inferior que el modelo Phantom. (AU)
During the 2017-2018 season and following the protocol of the International Society for the Advancement of Kineanthropometry, the body composition, somatotype and proportionality of 25 female elite Spanish soccers players aged 15-18 were evaluated (15.48 ± 1.05). The percentage of body fat (%BF) analyzed by anthropometry was in the range of 14.21% - 17.30% and by BIA between 24.20%- 29.63%. The lowest adiposity corresponded to female wing players and the highest to female goalkeepers and strikers. The average somatotype was 3.67-4.10-1.90 for the whole sample; in the under 18 years category (3.10-4.33-1.82) the somatotypic dispersion was lower and the mesomorphia higher than in the under 16 years category (3.20-3.97-1.95). In proportionality analysis, it showed that the players, especially the under 18 players, had lower subcutaneous skinfolds and higher perimeters in the lower limb than the Phanton model. (AU)
Assuntos
Humanos , Feminino , Adolescente , Futebol , Cineantropometria , Composição Corporal , Distribuição da Gordura CorporalRESUMO
INTRODUCCIÓN: La desnutrición crónica es un problema de salud pública que afecta a 155 millones de menores de 5 años en el mundo. Un niño desnutrido es más susceptible a infecciones como las parasitarias intestinales causadas por helmintos y protozoos. Estas enfermedades dañan el estado de salud, contribuyendo al círculo vicioso entre desnutrición e infección. OBJETIVOS: El propósito de este estudio fue analizar la relación de la distensión abdominal y el retraso en el crecimiento. MÉTODOS: La muestra fue de 161 niños y niñas entre 3 y 6 años asistentes a un centro escolar en Mizantéferi, Etiopia. Se clasificaron en función de la talla para la edad de acuerdo a las referencias de crecimiento de la OMS, así como según su grado de distensión abdominal. RESULTADOS: Existe una asociación (p < 0.005). entre crecimiento retardado y distensión abdominal. El paso de desnutrición leve a moderada o de moderada a grave incrementa el riesgo de distensión abdominal 1,67 veces (IC95% 1,19 - 2,38). CONCLUSIONES: La distensión abdominal es un indicador fácil de reconocer que alerta sobre una potencial parasitosis intestinal
INTRODUCTION: Stunting is a public health problem that affects 155 million children under the age of five worldwide. A malnourished child is more susceptible to infections such as intestinal parasites caused by helminths and protozoa. These diseases damage health status, contributing to the vicious circle between malnutrition and infection. OBJECTIVES: The purpose of this study was to analyse the relationship between abdominal distension and growth retardation. METHODS: The sample was 161 children aged 3-6 years attending a school in Mizantéferi, Ethiopia. They were classified according to height-for-age according to WHO growth references, as well as according to their degree of abdominal distension. RESULTS: There is an association (p < 0.005) between growth retardation and abdominal distension. The change from mild to moderate or moderate to severe malnutrition increases the risk of abdominal distension 1.67 times (CI95% 1.19 - 2.38). CONCLUSIONS: Abdominal distension is an easily recognized indicator that warns of potential intestinal parasitosis
