Browsing by Author "Carrasco, M"
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- ItemAutomated multiple view inspection based on uncalibrated image sequences(2005) Mery Quiroz, Domingo Arturo; Carrasco, M; Kalviainen, H; Parkkinen, J; Kaarna, A
- ItemDelirium in Chilean elderly inpatients: an overlooked problem(SOC MEDICA SANTIAGO, 2005) Carrasco, M; Hoyl, T; Marin, PP; Hidalgo, J; Lagos, C; Longton, C; Chavez, P; Valenzuela, E; Arriagada, DBackground: Delirium is a common underdiagnosed and undertreated problem in elderly inpatients, associated to higher morbidity, mortality and health cost. Aim: To evaluate the prevalence of delirium as hospital admission in medically ill elderly patients and the attending physician's diagnosis and treatment of delirium. Patients and methods: In a prospective and descriptive study, consecutive patients aged 65 years or more, admitted to an internal medicine ward were evaluated by independent physicians, during the first 48 h of admission, to asses the presence of delirium. Diagnosis of delirium was based on the Confusion Assessment Method. Medical and nurse records were reviewed. Family was interviewed when necessary. Results: One hundred eight patients (52% women, age range 65-94 years) with an APACHE II score of 11.6+/-5, were evaluated. Fifty seven patients (52% women, age range 65-94 years) with an APACHE II score of 5% mixed). Delirium prevalence was significantly higher in older patients (66% among those aged 75 years or older versus 30% in younger; p <0.05) and among patients with more severe conditions (88% among those with an APACHE score over 16 versus 47% below that value, p <0.05). Medical records of patients with delirium showed that this diagnosis was present only in 32% and cognitive deficit was described in 73%. Ten percent of patients with delirium received sedative medication and 38% were physically restricted. There were no environmental interventions to prevent or control delirium. Conclusions: Delirium in elderly inpatients at this until is an extraordinarily prevalent problem, seriously under diagnosed (68%) and under treated. This study should alerts our medical community to improve the diagnosis and management of delirium in elderly inpatients.
- ItemResults of the INTRA-WHO survey in Chile(SOC MEDICA SANTIAGO, 2005) Marin, PP; Villalobos, A; Carrasco, M; Kalache, ABackground: The aging speed in developing countries has been faster than predicted. Thus, health care systems must adapt to face Ibis new scenario efficiently. The WHO designed the INTRA study to assess health promotion anal protection actions in primary care, for people over 50 years of age. Material and methods: Questionnaries designed by WHO were applied to 1,167 subjects (aged 50-94 years, 68% fernale) and 117 health care professionals attending and working respectively, at 33 health care centers of the Vina-Quillota Health Service. Results: Twenty percent of subjects were illiterate and 25% bad less than 6 years of instruction. Forty three percent could reache the health centre by public transportation and 92% did not need to be accompanied; 39% spended snore than one hour to be attended and 71% considered that the service in the centre was good. Sixty seven percent attended regular appointments, 63% did not perform any physical activity and only half of them were advised to start stick activity. Weight loss was recommended to 55% bat only ore third has achieved such goal. Only one third of patients admitted being interrogated about their drinking habits. Among subjects in whom blood pressure was measured, one fourth bad abnormal values. Conclusions: Primary, health care in Chile, although having health care programs for the elderly, is loosing opportunities to improve health status and quality of life of this age group.