ABSTRACT The Poststroke checklist (PSC) is a short, easy-to-use questionnaire, intended to facili... more ABSTRACT The Poststroke checklist (PSC) is a short, easy-to-use questionnaire, intended to facilitate a standardized approach to identifying long-term problems in stroke survivors and ensure access to evidence-based rehabilitation interventions. The aim of this study was to describe the methodology used to develop the questionnaire and its preliminary validation.
Resumen Los autores, tras una breve referencia historica sobre la relacion entre los traumatismos... more Resumen Los autores, tras una breve referencia historica sobre la relacion entre los traumatismos craneoencefalicos y las alteraciones de la comunicacion, exponen algunas consideraciones etiopatogenicas, fisiopatologicas, clinicas, diagnosticas y terapeuticas sobre el tema.
Resumen El sindrome de embolismo graso (SEG) es una entidad poco frecuente que ocurre habitualmen... more Resumen El sindrome de embolismo graso (SEG) es una entidad poco frecuente que ocurre habitualmente entre las 12-72 horas tras fracturas traumaticas de huesos largos de las extremidades inferiores. Se caracteriza por manifestaciones pulmonares, cerebrales y cutaneas. Las anomalias neurologicas son frecuentes (hasta un 86 %) y variables, aunque los pacientes suelen recuperarse sin secuelas. No existen criterios universales para el diagnostico del SEG, aunque en el caso de sospecha de afectacion neurologica se recomienda realizar una resonancia magnetica cerebral. Se presenta un caso de SEG con afectacion neurologica con demencia como secuela. Esta secuela, relacionada con este sindrome, no se ha encontrado descrita en otras publicaciones.
Rationale: Commercial Thickener (CT) for OD treatment is often accompanied of dislike and poor co... more Rationale: Commercial Thickener (CT) for OD treatment is often accompanied of dislike and poor compliance. Aim Describe adherence of CT in our population. Methods Cohort prospective observational study. Randomized patients from NDU-database(4 calls-interviews/year). Variables: age, diagnostic, gender, dwelling: Home (H)/Nursing Home (NH), viscosity (nectar: N, honey: HY, pudding: P), days with CT, questionnaire answers (good, moderate, poor): use (U), consumption patterns (CP) and implementation (I) and Hidratation (H). Change in patterns (improvement, maintenance worsening) and non-adherence reasons. Results 204pts, 82.75 ± 11.49 years; 57.8% women. Dwelling: 43.6% H/56.4% NH. Days with CT 509 ± 475.28 [0-2762]d. Viscosity in 168 pts (82.5%): N 45.2%, HY 25% and P 29.8%. A global good adherence of 50%, moderate of 20.2% and poor 29.8%. Many changes occurred in distribution throughout the study period, stressing most of changes in the moderate group (worsening changes) and less in t...
Background and aim Studies in the literature suggest the severity of COVID-19 may impact on post-... more Background and aim Studies in the literature suggest the severity of COVID-19 may impact on post-COVID sequelae. We retrospectively compared the different patterns of symptoms in relation to the severity of acute COVID-19 in patients visited at our post-COVID rehabilitation unit. Methods We compared respiratory, muscular, cognitive, emotional, and health-related-quality-of-life (HRQoL) measures in three groups of post-COVID patients: those who had not required hospitalization for the acute disease, those who had been admitted to a general hospital ward, and those who had been admitted to the ICU. The main inclusion criteria were persistent dyspnoea (mMRC ≥2) and/or clinical frailty (scale value ≥3). Results We analyzed data from 178 post-COVID patients (91 admitted to the ICU, 60 to the ward, and 27 who had not required admission) at first visit to our post-COVID rehabilitation unit. Most patients (85.4%) had at least one comorbidity. There were more males in all groups (58.1%). ICU...
ABSTRACT The Poststroke checklist (PSC) is a short, easy-to-use questionnaire, intended to facili... more ABSTRACT The Poststroke checklist (PSC) is a short, easy-to-use questionnaire, intended to facilitate a standardized approach to identifying long-term problems in stroke survivors and ensure access to evidence-based rehabilitation interventions. The aim of this study was to describe the methodology used to develop the questionnaire and its preliminary validation.
Resumen Los autores, tras una breve referencia historica sobre la relacion entre los traumatismos... more Resumen Los autores, tras una breve referencia historica sobre la relacion entre los traumatismos craneoencefalicos y las alteraciones de la comunicacion, exponen algunas consideraciones etiopatogenicas, fisiopatologicas, clinicas, diagnosticas y terapeuticas sobre el tema.
Resumen El sindrome de embolismo graso (SEG) es una entidad poco frecuente que ocurre habitualmen... more Resumen El sindrome de embolismo graso (SEG) es una entidad poco frecuente que ocurre habitualmente entre las 12-72 horas tras fracturas traumaticas de huesos largos de las extremidades inferiores. Se caracteriza por manifestaciones pulmonares, cerebrales y cutaneas. Las anomalias neurologicas son frecuentes (hasta un 86 %) y variables, aunque los pacientes suelen recuperarse sin secuelas. No existen criterios universales para el diagnostico del SEG, aunque en el caso de sospecha de afectacion neurologica se recomienda realizar una resonancia magnetica cerebral. Se presenta un caso de SEG con afectacion neurologica con demencia como secuela. Esta secuela, relacionada con este sindrome, no se ha encontrado descrita en otras publicaciones.
Rationale: Commercial Thickener (CT) for OD treatment is often accompanied of dislike and poor co... more Rationale: Commercial Thickener (CT) for OD treatment is often accompanied of dislike and poor compliance. Aim Describe adherence of CT in our population. Methods Cohort prospective observational study. Randomized patients from NDU-database(4 calls-interviews/year). Variables: age, diagnostic, gender, dwelling: Home (H)/Nursing Home (NH), viscosity (nectar: N, honey: HY, pudding: P), days with CT, questionnaire answers (good, moderate, poor): use (U), consumption patterns (CP) and implementation (I) and Hidratation (H). Change in patterns (improvement, maintenance worsening) and non-adherence reasons. Results 204pts, 82.75 ± 11.49 years; 57.8% women. Dwelling: 43.6% H/56.4% NH. Days with CT 509 ± 475.28 [0-2762]d. Viscosity in 168 pts (82.5%): N 45.2%, HY 25% and P 29.8%. A global good adherence of 50%, moderate of 20.2% and poor 29.8%. Many changes occurred in distribution throughout the study period, stressing most of changes in the moderate group (worsening changes) and less in t...
Background and aim Studies in the literature suggest the severity of COVID-19 may impact on post-... more Background and aim Studies in the literature suggest the severity of COVID-19 may impact on post-COVID sequelae. We retrospectively compared the different patterns of symptoms in relation to the severity of acute COVID-19 in patients visited at our post-COVID rehabilitation unit. Methods We compared respiratory, muscular, cognitive, emotional, and health-related-quality-of-life (HRQoL) measures in three groups of post-COVID patients: those who had not required hospitalization for the acute disease, those who had been admitted to a general hospital ward, and those who had been admitted to the ICU. The main inclusion criteria were persistent dyspnoea (mMRC ≥2) and/or clinical frailty (scale value ≥3). Results We analyzed data from 178 post-COVID patients (91 admitted to the ICU, 60 to the ward, and 27 who had not required admission) at first visit to our post-COVID rehabilitation unit. Most patients (85.4%) had at least one comorbidity. There were more males in all groups (58.1%). ICU...
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Papers by Helena Bascuñana