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  1. Article: C-reactive protein used as an early indicator of infection in patients with systemic inflammatory response syndrome.

    Sierra, Rafael / Rello, Jordi / Bailén, María Angeles / Benítez, Encarnación / Gordillo, Antonio / León, Cristobal / Pedraza, Sebastián

    Intensive care medicine

    2004  Volume 30, Issue 11, Page(s) 2038–2045

    Abstract: Objective: To assess the diagnostic value of a single determination of serum C-reactive protein as a marker of sepsis in critically ill patients.: Design: Prospective, observational study.: Setting: Intensive care unit of a university hospital.: ...

    Abstract Objective: To assess the diagnostic value of a single determination of serum C-reactive protein as a marker of sepsis in critically ill patients.
    Design: Prospective, observational study.
    Setting: Intensive care unit of a university hospital.
    Patients and participants: One hundred twenty-five adult patients with systemic inflammatory response syndrome (SIRS) (55 patients without evidence of infection and 70 patients with the diagnosis of sepsis confirmed by documented infection). Twenty-five patients with non-complicated acute myocardial infarctions (AMI) and 50 healthy volunteers were used as controls.
    Interventions: None.
    Measurements and results: Serum C-reactive protein concentration was measured within the first 24 h of SIRS onset. Healthy subjects, AMI and non-infectious SIRS patients showed lower C-reactive protein median values ([(0.21 [95% confidence intervals (95% CI), 0.21-0.4] mg/dl, 2.2 [95% CI, 2.1-4.9] mg/dl and 1.7 [95% CI, 2.4-5.5] mg/dl, respectively) than patients with sepsis (18.9 [95% CI, 17.1-21.8]), p<0.001. The presence of severe sepsis ( r(s)=0.27; p=0.03), SOFA score ( r(s)=0.25; p=0.03) and arterial lactate ( r(s)=0.24; p=0.04) correlated significantly with C-reactive protein concentrations in sepsis cases. The best threshold value for C-reactive protein for predicting sepsis was 8 mg/dl (sensitivity 94.3%, specificity 87.3%). The area under the receiver-operating characteristic curve for C-reactive protein was 0.94 (95% CI, 0.89-0.98).
    Conclusions: Determination of serum C-reactive protein can be used as an early indicator of infection in patients with SIRS.
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Bacterial Infections/complications ; Bacterial Infections/diagnosis ; Biomarkers ; C-Reactive Protein/metabolism ; Case-Control Studies ; Female ; Humans ; Likelihood Functions ; Male ; Middle Aged ; Predictive Value of Tests ; Prospective Studies ; ROC Curve ; Systemic Inflammatory Response Syndrome/diagnosis ; Systemic Inflammatory Response Syndrome/microbiology
    Chemical Substances Biomarkers ; C-Reactive Protein (9007-41-4)
    Language English
    Publishing date 2004-11
    Publishing country United States
    Document type Evaluation Studies ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 80387-x
    ISSN 1432-1238 ; 0342-4642 ; 0340-0964 ; 0935-1701
    ISSN (online) 1432-1238
    ISSN 0342-4642 ; 0340-0964 ; 0935-1701
    DOI 10.1007/s00134-004-2434-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Excerpts from the documents of Mexican positions and recommendations in cardiovascular diseases and COVID-19.

    Alcocer-Gamba, Marco A / Gutiérrez-Fajardo, Pedro / Cabrera-Rayo, Alfredo / Sosa-Caballero, Alejandro / Piña-Reyna, Yigal / Merino-Rajme, José A / Heredia-Delgado, José A / Cruz-Alvarado, Jaime E / Galindo-Uribe, Jaime / Rogel-Martínez, Ulises / González-Hermosillo, Jesús A / Ávila-Vanzzini, Nydia / Sánchez-Carranza, Jesús A / Jímenez-Orozco, Jorge H / Sahagún-Sánchez, Guillermo / Fanghänel-Salmón, Guillermo / Albores-Figueroa, Rosenberg / Carrillo-Esper, Raúl / Reyes-Terán, Gustavo /
    Cossio-Aranda, Jorge E / Borrayo-Sánchez, Gabriela / de Los Ríos, Manuel Odín / Berni-Betancourt, Ana C / Cortés-Lawrenz, Jorge / Leiva-Pons, José L / Ortiz-Fernández, Patricio H / López-Cuellar, Julio / Araiza-Garaygordobil, Diego / Madrid-Miller, Alejandra / Saturno-Chiu, Guillermo / Beltrán-Nevárez, Octavio / Enciso-Muñoz, José M / García-Rincón, Andrés / Pérez-Soriano, Patricia / Herrera-Gomar, Magali / Rosal, José J Lozoya Del / Fajardo-Juárez, Armando I / Olmos-Temois, Sergio G / Rodríguez-Reyes, Humberto / Ortiz-Galván, Fernando / Márquez-Murillo, Manlio F / Celaya-Cota, Manuel de J / Cigarroa-López, José A / Magaña-Serrano, José A / Álvarez-Sangabriel, Amada / Ruíz-Ruíz, Vicente / Chávez-Mendoza, Adolfo / Méndez-Ortíz, Arturo / León-González, Salvador / Guízar-Sánchez, Carlos / Izaguirre-Ávila, Raúl / Grimaldo-Gómez, Flavio A / Preciado-Anaya, Andrés / Ruiz-Gastélum, Edith / Fernández-Barros, Carlos L / Gordillo, Antonio / Alonso-Sánchez, Jesús / Cerón-Enríquez, Norma / Núñez-Urquiza, Juan P / Silva-Torres, Jesús / Pacheco-Beltrán, Nancy / García-Saldivia, Marianna A / Pérez-Gámez, Juan C / Lezama-Urtecho, Carlos / López-Uribe, Carlos / López-Mora, Gerardo E / Rivera-Reyes, Romina

    Archivos de cardiologia de Mexico

    2020  Volume 90, Issue Supl, Page(s) 100–110

    Abstract: The recommendations in which the Mexican Society of Cardiology (SMC) in conjunction with the National Association of Cardiologists of Mexico (ANCAM) as well as different Mexican medical associations linked to cardiology are presented, after a ... ...

    Title translation Extractos de los documentos de posicionamientos y recomendaciones mexicanas en enfermedades cardiovasculares y COVID-19.
    Abstract The recommendations in which the Mexican Society of Cardiology (SMC) in conjunction with the National Association of Cardiologists of Mexico (ANCAM) as well as different Mexican medical associations linked to cardiology are presented, after a comprehensive and consensual review and analysis of the topics related to cardiovascular diseases in the COVID-19 pandemic. Scientific positions are analyzed and responsible recommendations on general measures are given to patients, with personal care, healthy eating, regular physical activity, actions in case of cardio-respiratory arrest, protection of the patient and health personnel as well as precise indications in the use of non-invasive cardiovascular imaging, prescription of medications, care in specific topics such as systemic arterial hypertension, heart failure, arrhythmias and acute coronary syndromes, in addition to emphasizing electrophysiology, interventionism, cardiac surgery and in cardiac rehabilitation. The main interest is to provide the medical community with a general orientation on what to do in daily practice and patients with cardiovascular diseases in the setting of this unprecedented epidemiological crisis of COVID-19.
    MeSH term(s) COVID-19 ; Cardiac Rehabilitation/methods ; Cardiac Surgical Procedures/methods ; Cardiology ; Cardiovascular Diseases/physiopathology ; Cardiovascular Diseases/therapy ; Cardiovascular Diseases/virology ; Coronavirus Infections/epidemiology ; Humans ; Mexico ; Pandemics ; Pneumonia, Viral/epidemiology ; Societies, Medical
    Keywords covid19
    Language English
    Publishing date 2020-06-10
    Publishing country Mexico
    Document type Journal Article
    ISSN 1665-1731
    ISSN (online) 1665-1731
    DOI 10.24875/ACM.M20000057
    Database MEDical Literature Analysis and Retrieval System OnLINE

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