Miguel Cadena-Sanabria

• Professor (Associate) at Autonomous University of Bucaramanga

La carcinomatosis peritoneal es una entidad poco común y de mal pronóstico, evidenciada en metástasis principalmente de origen gastrointestinal y ovárico. Sin embargo, es infrecuente que se desarrolle por adenocarcinoma prostático. Se presenta el caso de un adulto mayor con síndrome constitucional asociado a ascitis maligna, de dos meses de evoluci...

Introduction. As a demographic aging result, societies have experienced effects such as the increase of functional limitations in older adults and high demand for social and health care. The objective is to analyze factors associated with the functional level of daily life activities and socio-family risk factors of older adults in an urban populat...

Case series Patients: Female, 56-year-old • Female, 25-year-old Final Diagnosis: Immune checkpoint inhibitor induced pure red cell aplasia Symptoms: Anemia Clinical Procedure: — Specialty: Hematology • General and Internal Medicine • Oncolog Objective Rare disease Background Immunotherapy is a novel treatment offering an alternative to traditiona...

Context: In patients with acute myeloid leukemia (AML), comprehensive geriatric assessment (CGA) has been shown to provide valuable information for selecting the most appropriate chemotherapy regimen. In Latin America and Colombia, there are no studies evaluating the possible associations of CGA with outcomes in patients with AML. Objective: To e...

Context: In patients with acute myeloid leukemia (AML), comprehensive geriatric assessment (CGA) has been shown to provide valuable information for selecting the most appropriate chemotherapy regimen. In Latin America and Colombia, there are no studies evaluating the possible associations of CGA with outcomes in patients with AML. Objective: To e...

Introducción: La fractura de cadera en adultos mayores constituye un problema de salud importante por su asociación con mayor morbilidad y mortalidad, lo que ha conllevado al abordaje de esta patología a través de protocolos de orto-geriatría con resultados favorables. Objetivo: Evaluar los desenlaces adversos perioperatorios en ancianos con fractu...

Objetivo: Evaluar la DM2 y la hipertensión como predictores de NAC en adultos mayores con cáncer. Materiales y métodos: Se realizó un análisis de base secundaria de una cohorte prospectiva en adultos mayores con diagnóstico de cáncer del Servicio de Geriatría del Centro Médico Naval (CEMENA) del Perú durante 2013-2015. Los diagnósticos de DM2 e hip...

Background Due to the poor outcomes reported in older patients with hematological malignancies (HM) and pulmonary infections, there is a need to identify patients at high risk of mortality. Objective: This study aims to find the association between frailty and mortality in patients above 65 years of age with HM hospitalized with pulmonary infection...

Introducción: la fibrilación auricular no valvular es la arritmia cardiaca más frecuente en las personas mayores que se ha relacionado con diferentes desenlaces adversos, como el ataque cerebrovascular, el cual en el 80% de los casos se puede prevenir con anticoagulantes orales, beneficio que está condicionado por una adecuada adherencia terapéutic...

Introducción: El delírium es un síndrome neuropsiquiátrico de etiología multifactorial que se presenta de forma frecuente en el adulto mayor hospitalizado. En Santander no hay estudios que describan su incidencia y factores epidemiológicos asociados. Objetivo: Evaluar la incidencia de delírium, características clínicas según el tipo, mortalidad a...

Background & aims. Frailty syndrome, characterized by loss of functional reserves and vulnerability to acute stressors, conditionate a higher risk of adverse outcomes and mortality. Its prevalence is mainly high (65%) in patients with End Stage Kidney Disease, receiving renal replacement therapy. Methods. Cross-sectional study with a non-probabilis...

Introducción: La polifarmacia y la prescripción inapropiada (PI) se han visto relacionadas con múltiples variables, incluidas las de aspecto socioeconómico, sin embargo, la evidencia en esta asociación es escasa y heterogénea. Objetivo: Evaluar la asociación entre la polifarmacia y la prescripción inapropiada de medicamentos en adultos mayores de...

Introducción La formación de Geriatría en pregrado en Colombia aún es limitada. El corto tiempo de rotaciones obliga a adoptar estrategias didácticas eficientes. Se diseñó un estudio para evaluar el desarrollo de competencias mediante una estrategia de aprendizaje basado en problemas (ABP) comparado con la metodología tradicional. Metodología Es...

Aim: The aim of the study was to determine the association between low muscle mass evaluated by Dual-energy X-ray absorptiometry (DXA) and the SARC-F questionnaire. Methods: This was a cross-sectional study of patients over 60 years sent to bone densitometry between April and November 2018. The SARC-F questionnaire and body assessment measures were...

INTRODUCTION: Frailty predicts functional decline and could be associated with adverse outcomes such as disability, multiple hospitalizations, falls, loss of mobility, and cardiovascular disease. In Colombia 12.5% of prevalence has been reported. In the present study, the different clinical variables associated with frailty were evaluated in a popu...

Resumen Antecedentes y objetivo La demencia es un problema de salud pública creciente. Involucra el declive de funciones cognitivas, generando discapacidad mental y física, y con ello mayor dependencia funcional. Se dispone de limitada información epidemiológica que revele un valor aproximado real de su prevalencia en la población adulta mayor lat...

Objective: To determine the association between the exposure to scuba diving during military service and the development of neurocognitive disorders in elderly people. Materials and methods: A retrospective analytical study, derived from the database analysis of the study "Fragility and functional dependence in older adults" conducted between 2010...

Methods: We performed a cross-sectional analysis of the study population, which comprised 120 adults with chronic stable cardiac failure and an EF ≤50%. Participants were from urban and rural households attending the Geriatric outpatient unit of the FOSCAL Clínic, in Santander (Colombia), who were enrolled in the FORCE study. Anthropometric and phy...

Introduction: The Edmonton Frailty Scale was developed in Alberta (Canada). It has been applied in different scenarios, such as acute units, day hospitals, and outpatient care. There are no studies published describing the usefulness of this scale in Colombia. Materials and methods: A cross-sectional study and secondary diagnostic test analysis...

Introducción: El envejecimiento incrementa el riesgo de trombosis y fenómenos embólicos, trae cambios fisiológicos y comorbilidades como la fibrilación auricular que hacen complejo el inicio y la seguridad de la anticoagulación. A pesar de la mayor disponibilidad de clínicas de anticoagulación y nuevos anticoagulantes orales, es bajo el porcentaje...

Conclusion: The present study is the first to evaluate the interaction between sarcopenia and ejection fraction in Latin American CHF patients. In this sample of 51 older HF patients, 22% were sarcopenic, similar to the prevalence reported previously in a study of CHF patients with a median age of 66.9 [5]. We found that after adjusting for age and...

Elderly patients represent a significant percentage of the population suffering from oncological diseases, leading to a challenge in making decisions. That since functional assessment scales traditionally used in oncology as the Karnofsky performance status and Eastern Cooperative Oncology Group fail side conditions such as frailty, cognitive impai...