Browsing by Author "Lopetegui, Marcelo"

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    Competences on hypoglycemia management among healthcare professionals in a clinical hospital
    (SOC MEDICA SANTIAGO, 2011) Rojas, Luis; Achurra, Pablo; Pino, Felipe; Ramirez, Pedro; Lopetegui, Marcelo; Sanhueza A, Luis Manuel; Villarroel, Luis; Aizman, Andres
    Background: A tight glycemic control of hospitalized patients increases the risk of hypoglycemia, whose management is not always optimal. Aim: To assess the hypoglycemia management competences of a multidisciplinary team in a clinical hospital. Material and Methods: An anonymous questionnaire about hypoglycemia management was answered by 11 staff physicians, 42 residents and 28 nurses of the department of medicine and critical care unit of a university hospital. Results: Respondents had a mean of 60% of correct answers, without significant differences between groups. The capillary blood glucose level that defines hypoglycemia was known by most of the respondents, but the value that defines severe episodes was known only by 60%. The initial management and follow up was well known only for severe episodes. Less than 50% knew the blood glucose value that required continuing with treatment. Conclusions: Although most professionals are able to recognize hypoglycemia, the knowledge about is management if insufficient. (Rev Med Chile 2011; 139: 848-855).
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    Informática biomédica
    (SOC MEDICA SANTIAGO, 2011) Capurro, Daniel; Soto, Mauricio; Vivent, Macarena; Lopetegui, Marcelo; Herskovic, Jorge R.
    Biomedical Informatics is a new discipline that arose from the need to incorporate information technologies to the generation, storage, distribution and analysis of information in the domain of biomedical sciences. This discipline comprises basic biomedical informatics, and public health informatics. The development of the discipline in Chile has been modest and most projects have originated from the interest of individual people or institutions, without a systematic and coordinated national development. Considering the unique features of health care system of our country, research in the area of biomedical informatics is becoming an imperative. (Rev Med Chile 2011; 139: 1611-1616).
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    Out of hospital cardiac arrest events at an urban Hospital in Chile
    (SOC MEDICA SANTIAGO, 2017) Lara, Barbara; Jose Valdes, Maria; Saavedra, Raimundo; Vargas, Jose; Chuecas, Joaquin; Opazo, Cristhofer; Neil, Emily; Lopetegui, Marcelo; Acuna, David; Aguilera, Pablo
    Background: The incidence of out of hospital cardiac arrest (OHCA) is approximately 20 to 140 per 100.000 inhabitants. International registries, based on Utstein criteria have allowed standardized reporting of OHCA profiles and outcomes in different countries. We proposed to create a local OHCA registry. Aim: To assess the quality of the information about OHCA currently recorded in medical records according to Utstein guidelines. Material and Methods: A retrospective analysis of medical records of patients arriving in the emergency room of a public hospital with OHCA during a 3-year period. Data regarding the patient characteristics, event and outcomes were analyzed. Results: During the revision period, 317 patients arrived with an OHCA. None of the medical records had complete data on items that are considered a minimum requirement by Utstein guidelines. Mean age of patients was 63 years old, 60% were men, the most common arrest rhythm was asystole (43%) and 8% of patients were discharged alive. Conclusions: Data recorded in medical records is insufficient to inform the profile of OHCA. A prospective registry is currently being implemented based on the information provided by this study. This registry should optimize reporting and data analysis.