28 documents found, page 1 of 3
Próteses totais primárias da anca com um recuo superior a 15 anos a propósito d...
Corte-Real, C; Ferreira, I; Mendes, J; Dias, P; Mendonça, A; Cura-Mariano, J; Lucas, F; Judas, FO Ortopedista dispõe, atualmente, de um leque alargado de endopróteses articulares primárias da anca para o tratamento da artropatia degenerativa ou inflamatória e, bem assim para a cirurgia reconstrutiva da anca traumática, que incluem implantes cimentados, não cimentados, híbridos, revestidos ou não com biocerâmicos, com diversas cúpulas de fricção articular. A implantação de uma prótese total da anca represe...
Predicting Post-Discharge Complications in Cardiothoracic Surgery: a Clinical D...
Santos, R; Ribeiro, B; Sousa, I; Santos, J; Guede-Fernández, F; Dias, P; Carreiro, A; Gamboa, H; Coelho, P; Fragata, J; Londral, ACardiac surgery patients are highly prone to severe complications post-discharge. Close follow-up through remote patient monitoring can help detect adverse outcomes earlier or prevent them, closing the gap between hospital and home care. However, equipment is limited due to economic and human resource constraints. This issue raises the need for efficient risk estimation to provide clinicians with insights into ...
Scaling-Up Digital Follow-Up Care Services: Collaborative Development and Imple...
Azevedo, S; Guede-Fernández, F; Hafe, F; Dias, P; Lopes, I; Cardoso, N; Coelho, P; Santos, J; Fragata, J; Vital, C; Semedo, H; Gualdino, A; Londral, ABackground: COVID-19 increased the demand for Remote Patient Monitoring (RPM) services as a rapid solution for safe patient follow-up in a lockdown context. Time and resource constraints resulted in unplanned scaled-up RPM pilot initiatives posing risks to the access and quality of care. Scalability and rapid implementation of RPM services require social change and active collaboration between stakeholders. The...
Developing and Validating High-Value Patient Digital Follow-Up Services: a Pilo...
Londral, A; Azevedo, S; Dias, P; Ramos, C; Santos, J; Martins, F; Silva, R; Semedo, H; Vital, C; Gualdino, A; Falcão, J; Lapão, LV; Coelho, PBackground: The existing digital healthcare solutions demand a service development approach that assesses needs, experience, and outcomes, to develop high-value digital healthcare services. The objective of this study was to develop a digital transformation of the patients' follow-up service after cardiac surgery, based on a remote patient monitoring service that would respond to the real context challenges. Me...
Patient and system delays in the treatment of acute coronary syndrome
Viana, M; Laszczyńska, O; Araújo, C; Borges, A; Barros, V; Ribeiro, AI; Dias, P; Maciel, MJ; Moreira, I; Lunet, N; Azevedo, AIntroduction Early reperfusion for patients with ST-segment elevation myocardial infarction (STEMI) is indicated by the European Society of Cardiology, while a timely invasive strategy is recommended for patients with high-risk and intermediate-risk non-ST-elevation acute coronary syndromes (NSTE-ACS). This study aims to assess patient and system delays according to diagnosis and risk profile, and to identify p...
Quality of Care and 30-day Mortality of Women and Men With Acute Myocardial Inf...
Araújo, C; Laszczyńska, O; Viana, M; Dias, P; Maciel, MJ; Moreira, I; Azevedo, AIntroduction and objectives Despite increased awareness of sex disparities in care and outcomes of acute myocardial infarction (AMI), there appears to have been no consistent attenuation of these differences over the last decade. We investigated differences by sex in management and 30-day mortality using the European Society of Cardiology Acute Cardiovascular Care Association quality indicators (QIs) for AMI. M...
Inequalities in access to cardiac rehabilitation after an acute coronary syndro...
Viana, MP; Borges, A; Araújo, C; Rocha, A; Ribeiro, AI; Rocha, OL; Dias, P; Maciel, MJ; Moreira, I; Lunet, N; Azevedo, AObjectives To estimate cardiac rehabilitation (CR) referral and participation rates among patients with acute coronary syndrome (ACS) and to identify their determinants, in two Portuguese regions. Design Prospective cohort study. Setting Patients consecutively admitted to the cardiology department of two hospitals, one in the district of Porto and one in the north-east region (NER) of Portugal, were enrolled in...
Sex-related inequalities in management of patients with acute coronary syndrome...
Araújo, C; Pereira, M; Laszczyńska, O; Dias, P; Azevedo, ABackground: Real‐world data from different levels of hospital specialisation would help to understand if differences in management between women and men with acute coronary syndrome (ACS) are still a priority target. We aimed to identify sex inequalities in management of patients with different types of ACS. Methods: We analysed 1757 patients with a non‐ST‐elevation ACS (NSTEACS) and 1184 with ST elevation myoc...
Missed Opportunities in Symptomatic Patients before a First Acute Coronary Synd...
Araújo, C; Laszczyńska, O; Viana, M; Dias, P; Maciel, MJ; Azevedo, AOBJECTIVES: The aim of this study was to assess the proportion of patients with a first episode of acute coronary syndrome (ACS) reporting preceding chest pain, having previously sought medical care and undergone the performance of exams, and to identify the determinants of seeking medical advice and undergoing electrocardiogram (ECG). METHODS: Within a cohort study, 690 patients with a first episode of ACS wer...
Trends in pharmacological therapy following an acute coronary syndrome in Portu...
Pereira, M; Lopes-Conceicao, L; Bennett, K; Dias, P; Laszczynska, O; Lunet, N; Azevedo, AAIMS: To assess time trends in the use of main drug classes for secondary prevention, during hospitalization and at hospital discharge, following an acute coronary syndrome, in Portugal, using a systematic review. METHODS: We searched PubMed, from inception until 2012, to identify studies reporting the proportion of acute coronary syndrome patients treated with main pharmacological therapy. We used linear regre...