Correlation between three assessment pain tools in subacromial pain syndrome.

OBJECTIVE: To compare the correlation of Visual Analog Scale with pain subsections of Shoulder Pain and Disability Index and Constant-Murley Score in subacromial pain syndrome patients. DESIGN: Single cross-sectional analysis. SETTING: Hospital Rehabilitation Department. METHODS: The assessment tools were applied at baseline. Correlations between Visual Analog Scale, Shoulder Pain and Disability Index and Constant-Murley Score pain subsections were assessed by Pearson correlation coefficient. Linear regression models were calculated between scales. Statistical significance was set at two-sided p < 0.05. RESULTS: Forty-three patients were included. Pearson's correlation between assessments was for Visual Analog Scale-Shoulder Pain Disability Index-pain (r = 0.61, p < 0.001) and for Visual Analog Scale-Constant Murley Score-pain were (r = -0.74, p < 0.001). Visual Analog Scale-Shoulder Pain and Disability Index-pain determination coefficient was r2 = 0.37 and r2 = 0.54 for Visual Analog Scale-Constant-Murley Score-pain. CONCLUSIONS: Visual Analog Scale showed better correlation with Constant Murley Score-pain than with Shoulder Pain and Disability Index-pain in subacromial pain syndrome patients.

[Relationship between low back pain and screen time among schoolchildren.] / Relación entre el dolor lumbar y el tiempo de pantallas entre los escolares.

OBJECTIVE: Low back pain in childhood and adolescence is considered a predictor of low back pain in adulthood. Sedentary lifestyle is associated with low back pain. This study evaluated the relationship between low back pain and screen time in adolescents 10 to 15 years. METHODS: Cross-sectional study involving schoolchildren 10 and 15 years from school centers of the urban area in Talavera de la Reina. Chi-square test was used to analyze the relationship between low back pain and time spent watching. A logistic regression adjusted for confounding variables was performed and represented by the Odds Ratio. Statistical significance was considered for p<0.05. RESULTS: A total of 1,278 surveys were completed. 31% of schoolchildren reported low back pain in the last 3 months. Statistically significant differences were observed between low back pain with respect to sex and sleep time. Moreover, differences were noticed in the proportion of school-children who report low back pain during the week and use screens more than 2 hours compared to those who report using screens less than 2 hours. These differences were not observed on weekends. CONCLUSIONS: Although adolescents spend more time in front of screens on weekends, the proportion of adolescents who report low back pain is higher during the week.

OBJETIVO: La presencia de dolor lumbar en la niñez y en la adolescencia se considera un predictor de padecer lumbalgia en la edad adulta. Existe evidencia que relaciona el sedentarismo de manera independiente con el dolor lumbar. El objetivo de este estudio fue evaluar la relación existente entre el dolor lumbar y el tiempo de uso de pantallas en adolescentes de 10 a 15 años. METODOS: Estudio transversal donde participaron escolares de entre 10 y 15 años de los centros educativos de la zona urbana de Talavera de la Reina. Para analizar la relación entre el dolor lumbar y el tiempo dedicado a la pantalla se utilizó la prueba de Chi-cuadrado. Se realizó una regresión logística ajustada por las posibles variables de confusión y representada por la Odds Ratio. Se consideró significación estadística si p<0,05. RESULTADOS: Un total de 1.278 encuestas fueron completadas. El 31% de los escolares referían dolor lumbar en los últimos 3 meses. Existen diferencias estadísticamente significativas entre el dolor lumbar con respecto al sexo y al número de horas de sueño. Existen diferencias en la proporción de escolares que refieren dolor lumbar entre semana y utilizan pantallas más de 2 horas en comparación a los que refieren el uso de pantallas menos de 2 horas. Estas diferencias no se observaron los fines de semana. CONCLUSIONES: Aunque los adolescentes pasan más tiempo delante de las pantallas los fines de semana, la proporción de adolescentes que refieren dolor lumbar es superior entre semana.

[Malnutrition prevalence at admission to Hospital General Nuestra Señora del Prado, Talavera de la Reina]. / Prevalencia de la desnutrición al ingreso en los pacientes del Hospital General Nuestra Señora del Prado, Talavera de la Reina.

INTRODUCTION: Introduction: malnutrition is a global problem. In developed countries, malnutrition due to alterations in the population's eating habits or the presence of disease cannot be ignored, and affects hospitalized patients in particular. Objective: to determine the prevalence of malnutrition risk upon admission to Hospital General Nuestra Señora del Prado in Talavera de la Reina (Toledo, Spain). Methods: this was an observational, cross-sectional, descriptive study. From September 2017 to October 2018 all patients admitted to hospital who met the selection criteria were assessed for nutritional status using the NRS-2002® test. Anthropometric and clinical data were collected from patients at nutritional risk (NRS-2002® score ≥ 3). The malnutrition observed was diagnosed according to type and severity, and nutritional indications were given, which were recorded in the report to the clinician and in the discharge report. Results: a total of 476 patients took the NRS-2002® test, which detected risk of malnutrition upon admission in 137 (28.8 %; 95 % CI: 24.8 % to 33.0 %). Average BMI (SD) was 24.6 (5.4) kg/m2. The dietitian-nutritionist recommended nutritional supplementation for 78.4 % of patients, and coding of nutritional status (ICD-10) for 82.1 %. In the discharge report, more than 70 % of these recommendations were omitted. Conclusions: in all, 28.8 % of the patients analyzed were at risk of malnutrition or undernourished on admission. Hospital malnutrition continues to be a problem, so it is vitally important that screening methods be included at admission to allow early nutritional intervention in hospitalized patients, and that trained healthcare personnel be incorporated to this end.

INTRODUCCIÓN: Introducción: la malnutrición es un problema global. En los países desarrollados no puede ignorarse la desnutrición debida a las alteraciones en los hábitos alimentarios de la población o a la presencia de enfermedades, lo que afecta de forma destacable a los pacientes hospitalizados. Objetivo: determinar la prevalencia del riesgo de desnutrición al ingreso en el Hospital General Nuestra Señora del Prado de Talavera de la Reina (Toledo, España). Métodos: estudio observacional, transversal y descriptivo. Desde septiembre de 2017 a octubre de 2018, a todos los pacientes que ingresaban en el hospital y cumplían los criterios de selección se les realizó un cribado nutricional mediante el test NRS-2002®. Se recogieron datos antropométricos y clínicos de los pacientes en riesgo nutricional (puntuación NRS-2002® ≥ 3). Se diagnosticó la desnutrición observada según su tipología y gravedad, emitiendo indicaciones nutricionales recogidas en el informe al clínico y en el informe al alta. Resultados: en total, 476 pacientes realizaron el test NRS-2002®, detectándose riesgo de desnutrición al ingreso en 137 (28,8 %; IC 95 %: 24,8 % a 33,0 %). El IMC promedio (DE) de estos fue de 24,6 (5,4) kg/m2. La dietista-nutricionista recomendó al 78,4 % de los pacientes una suplementación nutricional, y en el 82,1 % de los casos la codificación del estado nutricional (CIE-10). En el informe de alta se omitieron más del 70 % de estas recomendaciones. Conclusiones: el 28,8 % de los pacientes analizados estaban en riesgo de desnutrición o desnutridos al ingreso. La desnutrición hospitalaria continúa siendo un problema en la actualidad, por lo que resulta de vital importancia incluir métodos de cribado al ingreso que permitan una intervención nutricional precoz en el paciente hospitalizado, así como la incorporación de personal sanitario formado para su realización.

[Prevalence of obesity in immigrants in Madrid, Spain]. / Prevalencia de obesidad en inmigrantes en Madrid.

BACKGROUND AND OBJECTIVE: There are no studies in Spain on the extent of obesity in adult immigrants. The aim of this paper is to present the frequency and distribution of obesity among immigrants living in Madrid. PATIENTS AND METHOD: We selected subjects between 18 and 64 years of age. Body Mass Index was used as an estimator of obesity. Immigrant status was defined according to country of birth. The results show the unadjusted and adjusted prevalence of obesity for different immigrant groups. RESULTS: The percentage of obesity was higher in the immigrant population than in the Spanish population, except for the group of immigrants from western countries. According to gender, male immigrants from Eastern Europe and Latin America and women from Asia, Africa and Eastern Europe were the most obese. CONCLUSION: The highest prevalence of obesity among immigrants has also been observed in studies conducted in other countries. The prevalence of obesity among immigrants may be due to a more intense exposure to obesogenic factors both before arrival and during their residence in Spain.