Giant Isolated Omphalocele: Role of Prenatal Diagnosis in Prognostic Asessment and Perinatal Management.

Omphalocele is a congenital malformation of the abdominal wall consisting of a protrusion of the abdominal contents at the base of the umbilical cord. It has a high association with genetic and structural defects; however, if the latter is ruled out, its prognosis improves significantly. Prenatal diagnosis has a key role in this condition as omphalocele can be diagnosed by ultrasound in the first trimester scan, enabling a coordinated approach strategy to achieve the best perinatal results. We present a case report of a pregnant patient with a fetus having a giant omphalocele in which prenatal diagnosis played a decisive role, allowing the coordination of a multidisciplinary team, which was crucial in the immediate care of the newborn.

Satisfacción del paciente y el médico con la espuma en aerosol de calcipotriol y dipropionato de betametasona para el tratamiento de la psoriasis vulgar en el cuerpo / Patient and Physician Satisfaction with Calcipotriol and Betamethasone Dipropionate Aerosol Foam in the Treatment of Plaque Psoriasis on the Body

Antecedentes y objetivo: La formulación de calcipotriol y dipropionato de betametasona (Cal/BD) en espuma para el tratamiento de la psoriasis vulgar presenta una alternativa galénica y una mayor eficacia respecto a presentaciones anteriores. El objetivo de este estudio fue evaluar la satisfacción de pacientes y médicos con este tratamiento para la psoriasis corporal. Material y métodos: Estudio observacional retrospectivo en el que se incluyeron 446 pacientes con psoriasis en placas con una superficie de afectación máxima del 30% tratados con Cal/BD en espuma durante las 4 semanas previas. Los pacientes valoraron la satisfacción con el tratamiento mediante el cuestionario TSQM-9 (Treatment Satisfaction Questionnaire for Medication) y los médicos mediante una escala Likert de 5 puntos. Resultados: En la evaluación de la eficacia de la medicación, los pacientes mostraron una alta satisfacción con la capacidad de Cal/BD en espuma en el tratamiento de su psoriasis (84%), alivio de síntomas (84,4%) y rapidez de acción (82,8%). Respecto a la comodidad en usar la medicación, el 91,8% de los pacientes valoraron positivamente la facilidad de uso, el 93,9% la facilidad en la planificación y el 89,9% la facilidad en el seguimiento de la posología. Globalmente, el 85% de los pacientes se mostraron satisfechos/sumamente satisfechos con el tratamiento. Respecto a la satisfacción con el tratamiento por parte de los médicos, el 85,7% se mostraron muy/bastante satisfechos. Conclusión: Cal/BD en espuma mostró altas tasas de satisfacción por parte de pacientes y médicos en el tratamiento de la psoriasis vulgar en el cuerpo

Background and objective: Calcipotriol and betamethasone dipropionate (Cal/BD) aerosol foam is more effective in the treatment of plaque psoriasis than earlier formulations incorporating this combination of active ingredients. The aim of this study was to evaluate patient and physician satisfaction with Cal/BD aerosol foam in the treatment of plaque psoriasis on the body. Material and methods: Retrospective observational study of 446 patients with plaque psoriasis affecting no more than 30% of the body surface area who had received treatment with Cal/BD aerosol foam for 4 weeks. The patients rated their satisfaction with the treatment using the TSQM-9 (Treatment Satisfaction Questionnaire for Medication) and the physicians on a 5-point Likert scale. Results: Patients were highly satisfied with Cal/BD aerosol in terms of its ability to treat their condition (84%), relieve their symptoms (84.4%), and act rapidly (82.8%). With respect to convenience, the patients gave high ratings to ease of use (91.8%), ease of planning (93.9%), and ease of following instructions (89.9%). Global satisfaction was also high, with 85% of patients expressing that they were satisfied, very satisfied, or extremely satisfied with the treatment. Of the physicians, 85.7% stated that they were quite or very satisfied with the treatment. Conclusion: Both patients and physicians expressed high satisfaction with the use of Cal/BD aerosol foam for the treatment of plaque psoriasis on the body

Patient and Physician Satisfaction with Calcipotriol and Betamethasone Dipropionate Aerosol Foam in the Treatment of Plaque Psoriasis on the Body. / Satisfacción del paciente y el médico con la espuma en aerosol de calcipotriol y dipropionato de betametasona para el tratamiento de la psoriasis vulgar en el cuerpo.

BACKGROUND AND OBJECTIVE: Calcipotriol and betamethasone dipropionate (Cal/BD) aerosol foam is more effective in the treatment of plaque psoriasis than earlier formulations incorporating this combination of active ingredients. The aim of this study was to evaluate patient and physician satisfaction with Cal/BD aerosol foam in the treatment of plaque psoriasis on the body. MATERIAL AND METHODS: Retrospective observational study of 446 patients with plaque psoriasis affecting no more than 30% of the body surface area who had received treatment with Cal/BD aerosol foam for 4 weeks. The patients rated their satisfaction with the treatment using the TSQM-9 (Treatment Satisfaction Questionnaire for Medication) and the physicians on a 5-point Likert scale. RESULTS: Patients were highly satisfied with Cal/BD aerosol in terms of its ability to treat their condition (84%), relieve their symptoms (84.4%), and act rapidly (82.8%). With respect to convenience, the patients gave high ratings to ease of use (91.8%), ease of planning (93.9%), and ease of following instructions (89.9%). Global satisfaction was also high, with 85% of patients expressing that they were satisfied, very satisfied, or extremely satisfied with the treatment. Of the physicians, 85.7% stated that they were quite or very satisfied with the treatment. CONCLUSION: Both patients and physicians expressed high satisfaction with the use of Cal/BD aerosol foam for the treatment of plaque psoriasis on the body.

[Prevalence of cardiovascular risk factors in Maghrebian immigrants in a semiurban area of Barcelona]. / Prevalencia de los factores de riesgo cardiovascular en inmigrantes magrebíes de un área semiurbana de Barcelona.

BACKGROUND: The cardiovascular risk factors present a high prevalence in our country, similar to other countries of the Mediterranean area. We don't know which is the distribution of these risk factors in the Maghrebian immigrant population. METHODS: There was designed a descriptive transverse study realized in 4 semiurban health center of Barcelona (Spain). 167 patients were included by means of consecutive sampling, between january 2005 and december 2006, major of age of a total population of 1127 Maghrebian assigned patients. There were studied the following cardiovascular risk factors: age, sex, smoking, hypercholesterolaemia, hypertriglyceridemia, high blood pressure and diabetes mellitus, and information was gathered as: time of stay in our country, weight, height, body mass index, the accomplishment of physical exercise, as well as precedents of isquemic cardiophaty. RESULTS: The middle ages were 36.79 years (SD 11.42) and 59,88% they were men. The average time of stay in our country was 4 years (P25-75, 2-6). The average IMC was of 26.96 (SD 5.21). 25.75% was smokers, 22.75% obesity, 19.76% hypercholesterolaemia, 15.57% hypertriglyceridemia, 10.78% diabetes mellitus, 10.78% hypertension and 1.2% CI's precedents. The prevalence of cardiovascular risk factors was higher in women, with a significant difference in obesity, 35.82% by 14% (P <0.002), men had a higher prevalence of smoking, 40% from 4.48% in women (P <0.001). CONCLUSIONS: In our study the North African immigrant population has a prevalence of cardiovascular risk factors different from that obtained in population studies in Morocco, with a clear tendency to resemble the Spanish population of the host.

Prevalencia de los factores de riesgo cardiovascular en inmigrantes magrebíes de un área semiurbana de Barcelona / Prevalence of cardiovascular risk factors in Maghrebian immigrants in a semiurban area of Barcelona

Introducción. Los factores de riesgo cardiovascular (FRCV) presentan una elevada prevalencia en nuestro país, similar a la de otros países del área mediterránea. Desconocemos cuál es la distribución de estos factores de riesgo en la población magrebí inmigrante. Material y métodos. Se diseñó un estudio descriptivo transversal realizado en 4 centros de salud de una área semiurbana de Barcelona (España). Se incluyeron mediante muestreo consecutivo, desde enero de 2005 a diciembre de 2006, 167 pacientes de un total de 1.127 magrebíes adscritos. Se estudiaron los siguientes FRCV: edad, sexo, tabaquismo, hipercolesterolemia, hipertrigliceridemia, hipertensión arterial y diabetes mellitus, y los siguientes datos: tiempo de estancia en el país, peso, talla, índice de masa corporal (IMC), realización de ejercicio físico, así como antecedentes de cardiopatía isquémica. Resultados. La edad media fue 36,79 años (desviación estándar [DE] 11,42) y el 59,88% eran hombres. El tiempo medio de estancia en nuestro país fue 4 años (P25-75, 2-6). El IMC medio fue 26,96 (DE 5,21). El 25,75% era fumador, el 22,75% padecía obesidad, el 19,76% presentaba hipercolesterolemia, el 15,57% hipertrigliceridemia, el 10,78% diabetes, el 10,78% hipertensión arterial y el 1,2% antecedentes de cardiopatía isquémica. La prevalencia de FRCV fue mayor en mujeres, con una diferencia estadísticamente significativa en obesidad, el 35,82 por 14% (p < 0,002), mientras que los hombres presentaron mayor prevalencia de tabaquismo, 40 frente 4,48% en mujeres (p < 0,001). Conclusiones. La población inmigrante magrebí del estudio presenta una prevalencia de FRCV diferente a la obtenida en estudios poblacionales realizados en Marruecos, con una clara tendencia a parecerse a la de la población española de acogida (AU)

Background. The cardiovascular risk factors present a high prevalence in our country, similar to other countries of the Mediterranean area. We don’t know which is the distribution of these risk factors in the Maghrebian immigrant population. Methods. There was designed a descriptive transverse study realized in 4 semiurban health center of Barcelona (Spain). 167 patients were included by means of consecutive sampling, between january 2005 and december 2006, major of age of a total population of 1127 Maghrebian assigned patients. There were studied the following cardiovascular risk factors: age, sex, smoking, hypercholesterolaemia, hypertriglyceridemia, high blood pressure and diabetes mellitus, and information was gathered as: time of stay in our country, weight, height, body mass index, the accomplishment of physical exercise, as well as precedents of isquemic cardiophaty. Results. The middle ages were 36.79 years (SD 11.42) and 59,88% they were men. The average time of stay in our country was 4 years (P25-75, 2-6). The average IMC was of 26.96 (SD 5.21). 25.75% was smokers, 22.75% obesity, 19.76% hypercholesterolaemia, 15.57% hypertriglyceridemia, 10.78% diabetes mellitus, 10.78% hypertension and 1.2% CI's precedents. The prevalence of cardiovascular risk factors was higher in women, with a significant difference in obesity, 35.82% by 14% (P <0.002), men had a higher prevalence of smoking, 40% from 4.48% in women (P <0.001). Conclusions. In our study the North African immigrant population has a prevalence of cardiovascular risk factors different from that obtained in population studies in Morocco, with a clear tendency to resemble the Spanish population of the host (AU)

Factores de riesgo y enfermedades cardiovasculares en la población anciana ingresada en un centro sociosanitario / Risk factors and cardiovascular disease in the elderly population of a health care center

Introducción y objetivos: Estudiar la prevalencia de los factores de riesgo cardiovascular (FRCV)y de enfermedad cardiovascular (ECV) de la población anciana ingresada en un centro sociosanitario y valorar su distribución por grupos de edad y por sexo. Material y métodos: Estudio descriptivo retrospectivo de los pacientes ≥ 65 años ingresados en un centro sociosanitario desde el 1de enero de 2009 al 31de diciembre de 2010. Los datos de prevalencia se obtuvieron de los antecedentes personales y/o toma de medicación crónica que constaban en la historia clínica. Resultados: Ingresaron 401 pacientes ≥ 65 años. Edad media 82,91 ± 7,69 años. El 68,33% fueron mujeres. Los pacientes presentaron 7,14 ± 2,83 antecedentes patológicos de media, siendo los más frecuentes los del aparato cardiovascular. El 79,9% de los pacientes presentaron FRCV; 35,41% un FRCV; 27,27% 2 FRCV; 13,4% 3 FRCV y3,83% 4 FRCV. Se presentaron de la siguiente manera: hipertensión arterial 63,59%; tabaquismo15,96%; dislipidemia 28,18%; diabetes 25,18% y obesidad 12,97%. Por sexos (mujer/hombre, en%): HTA 68,98/51,97; tabaquismo 2,92/44,1; dislipidemia 29,93/24,41; diabetes 25,55/24,41;obesidad 17,52/3,15.El 44,02% de los (..) (AU)

Objective: To determine prevalence of cardiovascular risk factors (CVRF) and cardiovascular disease (CVD) of the elderly population admitted to a geriatric center and to evaluate its distribution by age and sex groups. Material and methods: A retrospective descriptive study of patients over 65 years admitted to a geriatric center from January 1, 2009, to December 31, 2010 was performed. Prevalence data were obtained from the patient’s medical record regarding personal data and/or taking of chronic medication. Results: A total of 401 patients (68.3% women) over 65 years, mean age 82.91 ± 7.69 years, were admitted. Mean disease background found was 7.14 ± 2.83, those of the cardiovascular system being more frequent. CVRF was found in 79.9%: 35.41% patients 1 CVRF, 27.27% 2 CVRF, 13.4% 3 CVRF and 3.83% 4CVRF. These presented as: hypertension 63.59%, smoking 15.96%, dyslipidemia 28.18%, diabetes25.18% and obesity 12.97%. By gender (female/male, in %): hypertension 69.98/51.97, smoking2.92/44.1, dyslipidemia 29.93/24.41, diabetes 25.55/24.41, obesity 17.52/3.15.CVD was found in 44.02% of patients: 34.91% 1 CVD, 7.18% 2 CVD and 1.43% 3 CVD. These (..) (AU)

Ziprasidone in the treatment of delusional parasitosis.

Delusional parasitosis is characterized by a patient's fixed false belief of being infested with parasites or small creatures. The first-line treatment options are typical antipsychotics such as pimozide. However, the accompanying extrapyramidal side effects might limit their use. We report on a patient with a good response to pimozide combined with ziprasidone. Ziprasidone is an atypical antipsychotic drug with a lower risk of extrapyramidal symptoms; thus, it might be considered a good first or second treatment option for delusional parasitosis.

Sentinel node disection in the treatment of early stages of vulvar cancer.

OBJECTIVES: To assess the results of sentinel lymph node (SLN) detection in the initial stages of vulvar cancer and the recurrences that may appear. STUDY DESIGN: 76 patients with vulvar carcinoma, Stage I and II. Between 2000 and 2010, identification of the SLN was performed with a perilesional injection of Tc99m and vital dye. Ninety sentinel lymph nodes were found. They were removed separately, and lymphadenectomy was performed depending on the involved areas. Vulvar tumour was also removed. RESULTS: 76 patients were included in the study; 20 (22.22%) out of 90 SLNs presented metastases and 70 (77.77%) did not. There were no false negatives, and the sensitivity and negative predictive value reached 100%. Thirty-six months after treatment, one patient presented recurrence with a negative SLN, and two with positive SLNs. CONCLUSION: Biopsy of the SLN is a reasonable alternative to lymphadenectomy in patients with vulvar cancer Stage I and II.

Satisfacción del usuario en el Hospital Geriátrico Virgen del Valle de Toledo / User satisfaction in the Virgen del Valle Geriatric Hospital, Toledo

Objetivo. Conocer el grado de satisfacción de los usuarios hospitalizados en un hospital geriátrico. Material y métodos. Estudio observacional y descriptivo. Periodo de estudio 23-12-2008 a 24-02-2009. El ámbito elegido fue un Hospital Geriátrico y la población estudiada todos los pacientes dados de alta. Se utilizó una adaptación del cuestionario SERVQUAL. Las variables principales (atención recibida, entorno, actitud y cuidados de los profesionales, satisfacción global) fueron analizadas mediante frecuencias y porcentajes, y la comparación entre variables con chi cuadrado. El apartado de sugerencias fue agrupado por categorías y expresado en frecuencias. Resultados. Respondieron 159 encuestados, en el 50,90% lo hizo el familiar. La atención recibida se valoró como buena y muy buena en el 92% de los casos. La valoración del entorno se calificó como buena y muy buena en el 75,6% de las ocasiones. Recomendarían el hospital el 89,30% de los pacientes y el nivel de satisfacción global se consideró muy satisfecho en el 52,20%. El apartado de sugerencias fue cumplimentado en 63 cuestionarios en los que encontramos 20 agradecimientos. Los encuestados que declararon satisfacción global bastante satisfecho y muy satisfecho apuntaban tener confianza y seguridad, casi siempre y siempre (p=0,0009). Conclusiones. Los niveles de satisfacción global han sido altos. La mayoría valoran bien o muy bien a todos los profesionales. Respecto a la actitud y a los cuidados de los profesionales la mayoría se siente satisfecho o muy satisfecho. Debemos mejorar en infraestructuras(AU)

Objective. Knowing the degree of satisfaction of inpatients at a geriatric hospital. Methods. Observational and descriptive study. Period 23/12/2008 to 02/24/2009. Scope Geriatric Hospital (acute unit and middle stay unit). Discharged patient population. SERVQUAL adapted questionnaire. Main outcomes (received attention, environment, attitude and care professionals, overall satisfaction) analyzed using frequencies and percentages. Comparison of variables with chi square. Suggestions section grouped by category, expressed as frequencies. Results. 159 respondents surveyed. in 50.90% times the family answered. Care received was valued as good and very good in 92%. Environment rating good or very good 75.6%. Professional attitude always nearly always 82.9%. 89.30% would recommend the hospital and overall satisfaction level of 52.20% very satisfied. Suggestions section was completed in 63 questionnaires, we found 20 gratitudes. Respondents that expressed overall satisfaction quite satisfied and very pleased noted to feel trust and security nearly always and always (p =0.0009). Conclusions. Overall satisfaction levels have been high. Most value good or very good to all professionals. Regarding attitude and care professionals most satisfied or very satisfied. We must improve infrastructure(AU)

[User satisfaction in the Virgen del Valle Geriatric Hospital, Toledo]. / Satisfacción del usuario en el Hospital Geriátrico Virgen del Valle de Toledo.

OBJECTIVE: Knowing the degree of satisfaction of inpatients at a geriatric hospital METHODS: Observational and descriptive study. Period 23/12/2008 to 02/24/2009. Scope Geriatric Hospital (acute unit and middle stay unit). Discharged patient population. SERVQUAL adapted questionnaire. Main outcomes (received attention, environment, attitude and care professionals, overall satisfaction) analyzed using frequencies and percentages. Comparison of variables with chi square. Suggestions section grouped by category, expressed as frequencies. RESULTS: 159 respondents surveyed. in 50.90% times the family answered. Care received was valued as good and very good in 92%. Environment rating good or very good 75.6%. Professional attitude always nearly always 82.9%. 89.30% would recommend the hospital and overall satisfaction level of 52.20% very satisfied. Suggestions section was completed in 63 questionnaires, we found 20 gratitudes. Respondents that expressed overall satisfaction quite satisfied and very pleased noted to feel trust and security nearly always and always (p =0.0009). CONCLUSIONS: Overall satisfaction levels have been high. Most value good or very good to all professionals. Regarding attitude and care professionals most satisfied or very satisfied. We must improve infrastructure.

Strict Anatomical Colocalization of Vitiligo and Elastolytic Granulomas.

Vitiligo is the most common depigmenting disorder, with a worldwide occurrence of 0.1-2% in the general population. Multiple conditions have been described colocalized in vitiligo patches, like psoriasis or lichen planus. However, actinic granuloma has not been described in association with vitiligo lesions so far.

Conjunctival Melanoma: A New Clinical and Therapeutical Approach.

Melanoma involving the conjunctiva is extremely rare. Graver prognosis has been reported with primary conjunctival melanoma than with their cutaneous counterparts [Collin et al.: Aust N Z J Ophthalmol 1986;14:29-34]. Among conjunctival melanomas, two significant risk factors for tumour-related death have been identified: (i) age older than 55 years and (ii) unfavourable tumour location (caruncle, cornea, fornix, palpebral conjunctiva) [Werschnik and Lommatzsch: Am J Clin Oncol 2002;25:248-255]. Here we present a rare case of lentigo maligna involving the palpebral, bulbar conjunctiva and the caruncle. We describe dermoscopic patterns observed and the use of a novel ocular melanoma therapy with topical imiquimod.

Estudio descriptivo de un servicio de atención domiciliaria continuada realizada desde urgencias / 24-hour home emergency call service organized by a hospital emergency department: a descriptive study

Objective: Hospital General de Granollers attends emergencies in patients’ homes on a continuous basis. We studied the types of emergencies attended and, secondarily, the response time, percentage of patients referred to the hospital emergency service, and the number of problems or conflicts that arose. Methods: Prospective study from January through December 2008 to determine the number of calls and their characteristics. Results: In 2008 the hospital’s home emergency service attended 1131 calls (mean 3.09/d). On 121 days analyzed in detail, 359 home emergencies were attended (31.7% of the annual total; mean, 2.97/d). The patients were female in65.7% of the cases. The mean age of the patients was 67.73 years, with ages distributed as follows: < 20 years, 1.1%;20-39 years, 15.3%; 40-59 years, 13.6%; 60-79 years, 29%; and >80 years, 40.9%. Infections were the reason for 37,9%of the calls, followed by trauma (10.31%) and gastrointestinal complaints (9.5%). The most frequent diagnosis was upper airway infection (12%). Ambulances took the patient to the hospital emergency service in 5% of the cases. Few problems arose: 6 were related to finding the address and 1 involved verbal attacks. Conclusions: Most of the emergency patients attended at home were women. Patients over 80 years old made up the largest age group. Infections were the most frequent reason for home emergency service attendance and the medical problems were not serious. Problems and conflicts were rare (AU)

Objetivo: El Hospital General de Granollers (HGG) realiza la atención domiciliaria urgente(ADU) en horario de atención continuada. Se ideó un estudio para conocer la patología atendida. Se valoró como objetivo secundario el tiempo de respuesta de la asistencia, el porcentaje de derivaciones a urgencias y la existencia de situaciones conflictivas. Método: Estudio prospectivo de enero a diciembre de 2008 para determinar el número de visitas y sus características. Resultados: En 2008 el servicio de ADU del HGG realizó 1.131 visitas (media 3,09 visitas/día). Se analizaron 121 días de guardia durante los cuales se realizaron 359 visitas(31,7% del total), media 2,97 visitas/día. El 65,7% fueron mujeres. La edad media fue67,7 años. La distribución por edades: < 20 años 1,1%, 20-39 años 15,3%, 40-59 años13,6%, 60-79 años 29%, > 80 años 40,95%. El 37,9% de la patología fue de causa infecciosa, seguida de traumatología 10,31% y gastroenterología 9,5%. El diagnóstico más frecuente fue el catarro de vías altas (12%). Se derivaron a urgencias en ambulancia el 5% de las visitas. Se recogieron pocas incidencias, 6 casos relacionados con la localización del domicilio y 1 agresión verbal. Conclusiones: La mayoría de los pacientes atendidos fueron mujeres y por edad el grupo más frecuente lo representaron los mayores de 80 años. La patología más atendida fue la de causa infecciosa y por problemas de escasa gravedad. La existencia de situaciones conflictivas fue excepcional (AU)

Prenatal diagnosis of right aortic arch: associated findings, pregnancy outcome, and clinical significance of vascular rings.

OBJECTIVES: To analyze the characteristics and clinical implications of right aortic arch (RAA) detected in fetal life. METHODS: Retrospective study of all cases of RAA diagnosed prenatally in high-risk patients who underwent fetal echocardiography between 2000 and 2007. RESULTS: There were 48 RAA; 18 had vascular ring (Group 1), including 15 RAA with aberrant left subclavian artery and 3 double aortic arch, and 30 had not vascular ring (Group 2), all RAA with mirror-image branching. The prenatal diagnosis was confirmed in 94%. In Group 1 most fetuses had normal heart (89%), and none had 22q11 deletion. There were 16 live births and all infants but one are asymptomatic (mean follow-up of 31 months). In Group 2 almost all fetuses had congenital heart defects (CHDs) (97%), and five were chromosomally abnormal (17%), including four 22q11 deleted. The 1-year survival rate was 69%, which was significantly higher in Group 1 (89% vs 57%, p < 0.05). CONCLUSIONS: RAA can be accurately diagnosed by fetal echocardiography. The outlook for these patients largely depends on the presence of associated defects, mainly CHDs, and their severity. If isolated, aortic arch anomalies are asymptomatic vascular variants in most cases. This information is important to assist parental counseling in pregnancy.

Shock séptico por Pasteurella multocida / No disponible

No disponible

Calidad de vida y trasplante renal en mayores de 65 años / Quality of life and kidney transplants in over-65s

La calidad de vida se define como “la percepción personal de un individuo de su situación de vida, dentro del contexto cultural y de valores en el que vive, y en relación con sus objetivos, expectativas, valores e intereses”. El objetivo de este trabajo es conocer la calidad de vida de los pacientes trasplantados renales mayores de 65 años. Estudio cualitativo, descriptivo y retrospectivo. La muestra abarcó un total de 31 pacientes mayores de 65 años que fueron trasplantados en nuestro centro desde julio de 2003 hasta julio de 2006. El instrumento de recogida de información fue doble: una encuesta de 11 ítems y el cuestionario SF-36.El aspecto peor valorado por los encuestados (51,6 puntos) se refería a la capacidad de realizar un esfuerzo físico intenso. Sin embargo, actividades de menor intensidad recibieron una puntuación más elevada (88,7 puntos). Los pacientes mayores de 65 años que han recibido un trasplante renal, perciben una mejoría importante en su calidad de vida respecto al período anterior. Esto se refleja en una ampliación del abanico de actividades a realizer (AU)

Quality of life is defined as “the personal perception of an individual of his or her life situation, within the cultural context and the context of the values in which he or she lives, and in relation to his orher goals, expectations, values and interests”. The aim of this study is to determine the quality of life of patients over 65 years of age who have undergone kidney transplants. A qualitative, descriptive and retrospective study. The sample encompassed a total of 31 patients aged over 65 who received kidney transplants at our centre between July 2003 and July 2006. The instrument used to compile the information was in two parts: a survey of 11 items and questionnaire SF-36.The aspect that received the lowest rating from the patients surveyed (51.6 points) related to the capacity for intense physical efforts. However, activities of lower intensity received a higher score (88.7 points). Patients aged over 65 who have received a kidney transplant perceive an important improvement in their quality of life compared to the period prior to the transplant. This is reflected in an extension of the range of activities they can carry out (AU)