Clínicas Médicas

The management of severe traumatic brain injury in the initial postinjury hours – current evidence and controversies

El tratamiento de la lesión cerebral traumática grave en las primeras horas posteriores a la lesión: evidencia actual y controversias   Abstracto Propósito de la revisión Proporcionar una descripción general de estudios recientes que analizan estrategias novedosas, controversias y desafíos en el tratamiento de la lesión cerebral traumática grave (LCT) en las horas iniciales posteriores […]

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KDIGO 2024 Clinical Practice Guideline for the Evaluation andManagement of Chronic Kidney Disease

KDIGO 2024 CLINICAL PRACTICE GUIDELINE FOR THE EVALUATION AND MANAGEMENT OF CHRONIC KIDNEY DISEASE Resumen de declaraciones de recomendaciones y puntos de práctica. Capítulo 1: Evaluación de la ERC1.1  Detección y evaluación de la ERC1.1.1  Detección de ERC Punto de práctica 1.1.1.1: Realizar pruebas a personas con riesgo de padecer enfermedad renal crónica (ERC) mediante la medición […]

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Standards of Care in Diabetes—2024

Standards of Care in Diabetes—2024 Cambios generales El campo de la atención de la diabetes está cambiando rápidamente a medida que siguen surgiendo nuevas investigaciones, tecnologías y tratamientos que pueden mejorar la salud y el bienestar de las personas con diabetes. Con actualizaciones anuales desde 1989, la Asociación Estadounidense de Diabetes (ADA) ha sido durante mucho […]

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The European guideline on management of major bleeding and coagulopathy following trauma: sixth edition

The European guideline on management of major bleeding and coagulopathy following trauma: sixth edition Abstract Background Severe trauma represents a major global public health burden and the management of post-traumatic bleeding continues to challenge healthcare systems around the world. Post-traumatic bleeding and associated traumatic coagulopathy remain leading causes of potentially preventable multiorgan failure and death […]

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2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure

2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines Resumen Apuntar La “Guía de la AHA/ACC/HFSA de 2022 para el tratamiento de la insuficiencia cardíaca” reemplaza la “Guía de la ACCF/AHA de 2013 para el tratamiento de la insuficiencia […]

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2022 Guideline for the Management of Patients With Spontaneous Intracerebral Hemorrhage: A Guideline From the American Heart Association/American Stroke Association

2022 Guideline for the Management of Patients With Spontaneous Intracerebral Hemorrhage: A Guideline From the American Heart Association/American Stroke Association   Antecedentes y objetivo La hemorragia intracerebral (ICH) continúa siendo una forma mortal de accidente cerebrovascular; La mortalidad a los 90 días oscila entre el 15 % y el 40 %. Debido al aumento de la edad […]

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The management of acute and chronic hyponatraemia

The management of acute and chronic hyponatraemia Abstract Hyponatraemia is the most common electrolyte abnormality encountered in clinical practice; despite this, the work-up and management of hyponatraemia remain suboptimal and varies among different specialist groups. The majority of data comparing hyponatraemia treatments have been observational, up until recently. The past two years have seen the […]

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Current applications and limitations of European guidelines on blood pressure measurement: implications for clinical practice

Current applications and limitations of European guidelines on blood pressure measurement: implications for clinical practice  Abstract Hypertension is the most common cardiovascular (CV) risk factor, strongly and independently associated with an increased risk of major CV outcomes, including myocardial infarction, stroke, congestive heart failure, renal disease and death due to CV causes. Effective control of […]

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EASL Clinical Practice Guidelines on prevention and management of bleeding and thrombosis in patients with cirrhosis

EASL Clinical Practice Guidelines on prevention and management of bleeding and thrombosis in patients with cirrhosis Introduction Patients with cirrhosis frequently acquire substantial alterations in their haemostatic system that are apparent during screening with basic tests of haemostasis (mainly international normalised ratio [INR], activated partial thromboplastin time [APTT] and platelet count). Historically, these changes were […]

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Pharmacotherapy to delay the progression of diabetic kidney disease in people with type 2 diabetes: past, present and future

Pharmacotherapy to delay the progression of diabetic kidney disease in people with type 2 diabetes: past, present and future Abstract Diabetic kidney disease (DKD) is a leading cause of morbidity and mortality among people living with diabetes, and is one of the most important causes of end stage renal disease worldwide. In order to reduce […]

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