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The Prevalence of COVID-19 Fog and the Impact on Quality of Life After SARS-CoV...

Rego de Figueiredo, Inês; Branco Ferrão, Joana; Dias, Sara; Drummond Borges, Diogo; Fernandes, Jorge; Bernardino, Vera; Gruner, Heidi; Panarra, António

Introduction: Coronavirus has an impact on both the physical and mental health of individuals. The literature regarding the patient’s health status post-SARS-CoV-2 is still scarce with limited data on the prevalence of residual symptoms and quality of life (QoL) after the infection. The aim of this study was to understand the impact of SARS-CoV-2 on patient QoL, and remaining symptoms.Methods: Single center cro...

Data: 2023   |   Origem: Acta Médica Portuguesa

Púrpura Trombocitopénica Imune Iatrogénica em Doente com Neoplasia da Próstata

Drummond Borges, Diogo; Alves Vieira, Rita; Lourenço, Filipa; Antunes, Ana Margarida; Gruner, Heidi; Panarra, António

A neoplasia da próstata é a segunda mais frequente nos homens e a sexta causa de morte mais frequente por cancro a nível mundial. A bicalutamida é um antagonista competitivo do receptor de androgénios usado em associação na doença metastática. Os efeitos iatrogénicos hematológicos mais conhecidos são a anemia, havendo também manifestações imunes. Apresenta-se um doente que surge com petéquias orais e nos membro...

Data: 2023   |   Origem: SPMI Case Reports

Absolute hyperglycemia versus stress hyperglycemia ratio for the prognosis of h...

Matias, Alexandra A.; Manique, Inês; Sabino, Teresa; Rego, Teresa; Mihon, Claudia; Panarra, António; Rizzo, Manfredi; Silva-Nunes, José

Diabetes is a risk factor for the greater severity of coronavirus disease 2019 (COVID-19). The stress hyperglycemia ratio (SHR) is an independent predictor of critical illness, and it is reported to have a stronger association than absolute hyperglycemia. The aim of this study was to assess the relationship between absolute hyperglycemia and SHR with the severity of COVID-19 since there are no studies investiga...


Does the hyperglycemia impact on COVID-19 outcomes depend upon the presence of ...

Manique, Inês; Matias, Alexandra Abegão; Bouça, Bruno; Rego, Teresa; Cortez, Luísa; Sabino, Teresa; Panarra, António; Rizzo, Manfredi; Silva-Nunes, José

Diabetes mellitus (DM) has emerged as a major risk factor for COVID-19 severity and SARS-CoV-2 infection can worsen glycemic control and may precipitate new-onset diabetes. At-admission hyperglycemia (AH) is a known predictor for worse outcomes in many diseases and seems to have a similar effect in COVID-19 patients. In this study, we aimed to assess the impact of AH regardless of pre-existing diabetes mellitus...


Patients’ perspectives on determinants avoidable hospitalizations: development ...

Sarmento, João; Siopa, Margarida; Feteira-Santos, Rodrigo; Lopes, Sílvia; Dias, Sónia; Guerreiro, António Sousa; Panarra, António; Nascimento, Paula

Ambulatory care sensitive conditions (ACSC) can be avoided through effective care in the ambulatory setting. Patients are the most qualified individuals to express the social and individual contexts of their own experience. Thus, understanding why potentially preventable hospitalizations occur is important to develop patient-centred policies or interventions that may reduce them. This study aims to develop and ...


Implementing an Influenza Vaccine Effectiveness Study in a Hospital Context in ...

Machado, Ausenda; Gomez, Verónica; Panarra, António; Poças, Jose; Corte-Real, Rita; Peres, Maria João; Nunes, Baltazar

Introduction: The project ‘Integrated Monitoring of Vaccines in Europe’ aimed to measure seasonal influenza vaccine effectiveness against hospitalised adults, aged 65 years and over, with influenza. We describe the protocol implementation in Portugal.Material and Methods: We implemented a test-negative design, targeting community-dwelling patients aged 65 years old and over hospitalised with severe acute respir...

Data: 2021   |   Origem: Acta Médica Portuguesa

Gastrointestinal Symptoms and Liver Injury on Admission in a Hospitalised Popul...

Ornelas Saraiva, Rita; Canha, Maria Inês; Almeida, Vasco; Fernandes, Jorge; Dias, André; Rodrigues, Ana Catarina; Carvalho, Diana; Maltez, Fernando

N/a.; N/a.

Data: 2021   |   Origem: Acta Médica Portuguesa

Biological Therapy in Patients with Rheumatoid Arthritis in a Tertiary Center i...

Fernandes, Melissa; Figueiredo, Adelaide; Oliveira, Ana Luísa; Ferreira, Ana Carolina; Mendonça, Pedro; Taulaigo, Anna V.; Vicente, Madalena

Introduction: Clinical outcomes in rheumatoid arthritis have greatly improved with therapeutic advances. Despite the availability of substantial clinical trial evidence, there is a lack of real-life data. The aim of this study was to assess disease status and quality of life in an outpatient population treated with biological disease-modifying anti-rheumatic drugs.Material and Methods: Cross-sectional study rec...

Data: 2021   |   Origem: Acta Médica Portuguesa

Implementing an Influenza Vaccine Effectiveness Study in a Hospital Context in ...

Machado, Ausenda; Gomez, Verónica; Panarra, António; Poças, Jose; Corte-Real, Rita; Peres, Maria João; Nunes, Baltazar; EVA Hospital Group

Introduction: The project ‘Integrated Monitoring of Vaccines in Europe’ aimed to measure seasonal influenza vaccine effectiveness against hospitalised adults, aged 65 years and over, with influenza. We describe the protocol implementation in Portugal. Material and Methods: We implemented a test-negative design, targeting community-dwelling patients aged 65 years old and over hospitalised with severe acute respi...


The patients’ perspective : what causes hospitalizations for ambulatory care se...

Siopa, Margarida; Sarmento, João; Santos, Rodrigo; Lopes, Sílvia; Dias, Sónia; Guerreiro, António Sousa; Panarra, António; Nascimento, Paula

Introduction: In Portugal, the hospitalizations for ambulatory care sensitive conditions (ACSH) account for 12% of all hospitalizations with an estimated financial impact of up to 450 million€. Therefore, understanding the determinants of avoidable hospitalizations is important to develop policies and interventions that reduce the ACSH. Analyzing the patient’s perspective brings an angle relevant to explain the...


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