Analysis of adherence to HIV-positive quality of care indicators and their impact on service quality perceptions in patients: a Spanish cross-sectional study.

BACKGROUND: Since the identification of human immunodeficiency virus (HIV) infection, there have been significant advances in its diagnosis and treatment, but there have been few contributions to the area of care quality. In 2010, the Spanish AIDS Study Group (GeSIDA) published the document "Health quality indicators of GeSIDA for the care of people infected with HIV/AIDS" in which standards are proposed for the purpose of improving and standardizing the assistance provided to people infected with HIV. The purpose of this study was to evaluate the degree of compliance with these indicators and to analyse whether adherence to the standards improves patient perception of care quality in terms of their satisfaction with the health care they have received. METHODS: Compliance with GeSIDA indicators was analysed within a cohort of people living with HIV (PLHIV) in a hospital in the Madrid region. To evaluate patient perception, the External Consultation User Satisfaction Questionnaire (SUCE) was used, which is a tool that was previously validated in the Spanish population. RESULTS: A total of 334 patients were included. The level of adherence to the indicators was 74.46%. The score on the SUCE questionnaire was 9.04 out of 10 (CI 95%: 8.90-9.19). Of the 47 indicators assessed, only 4 were related to satisfaction with health care. CONCLUSIONS: The levels of compliance with the indicators and patient satisfaction with health care were high. Adherence to quality indicators showed little relation to patient-reported satisfaction.

[Reversible posterior leukoencephalopathy: should the area involved be in the name of the syndrome?]. / Leucoencefalopatía posterior reversible: debe ser la localización un factor definitorio?

INTRODUCTION: Reversible posterior leukoencephalopathy (RPL) is a syndrome of headache, vomiting and focal neurologic deficits with reversible lesions in posterior areas of the brain at the same time. CASE REPORT: We describe the case of a patient with a background of multiple diseases presenting a syndrome compatible with reversible posterior leukoencephalopathy. He presented seizures during a hospital stay. Among his background, he had several factors that are presently considered to be involved in its etiopathogeny. The most important ones are renal failure, hypertension and immunosuppressive agents. Magnetic resonance (MR) showed radiological typical changes of RPL syndrome but not only affecting the posterior regions of the brain. We confirmed the diagnostic suspicion after complete clinical and radiological recovery of the condition, and the patient did not have new episodes after the normalization of the neuroimage. CONCLUSIONS: We made a review of the etiopathogeny. We question the adequacy of the name of the syndrome, given the extension of the lesions in the neuroimage.

Infarto muscular en paciente con diabetes mellitus / Muscle infarction in patients with diabetes mellitus

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Leucoencefalopatía posterior reversible: la lista de culpables aumenta. Respuesta / Reversible posterior leukoencephalopathy: the guilty list is increasing. Response

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Leucoencefalopatía posterior reversible: ¿debe ser la localización un factor definitorio? / Reversible posterior leukoencephalopathy: should the area involved be in the name of the syndrome?

Introducción. La leucoencefalopatía posterior reversible constituye un síndrome clinicorradiológico caracterizado por cefalea, vómitos y signos de focalidad neurológica coincidentes con lesiones en sustancia blanca de predominio posterior y generalmente reversible. Caso clínico. Presentamos un paciente pluripatológico que presentó un cuadro compatible con dicho síndrome. Se inició con crisis comiciales generalizadas durante un ingreso hospitalario. Entre sus antecedentes figuraban varios de los factores que hoy día se consideran involucrados en la etiopatogenia del mismo. Destacan la insuficiencia renal, la hipertensión arterial y los inmunosupresores. En la resonancia magnética aparecían lesiones compatibles pero que afectaban a varios territorios vasculares. Se confirmó la sospecha diagnóstica tras la resolución clínica y radiológica del proceso, sin que el paciente volviera a presentar nuevas crisis tras la normalización de la neuroimagen. Conclusiones. Planteamos una revisión de la etiopatogenia. Cuestionamos la idoneidad de la denominación del síndrome dada la extensión de las lesiones en la neuroimagen

Introduction. Reversible posterior leukoencephalopathy (RPL) is a syndrome of headache, vomiting and focal neurologic deficits with reversible lesions in posterior areas of the brain at the same time. Case report. We describe the case of a patient with a background of multiple diseases presenting a syndrome compatible with reversible posterior leukoencephalopathy. He presented seizures during a hospital stay. Among his background, he had several factors that are presently considered to be involved in its etiopathogeny. The most important ones are renal failure, hypertension and immunosuppressive agents. Magnetic resonance (MR) showed radiological typical changes of RPL syndrome but not only affecting the posterior regions of the brain. We confirmed the diagnostic suspicion after complete clinical and radiological recovery of the condition, and the patient did not have new episodes after the normalization of the neuroimage. Conclusions. We made a review of the etiopathogeny. We question the adequacy of the name of the syndrome, given the extension of the lesions in the neuroimage