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Resultados de RecomendacionesRegistros :  6728

It is not recommended to routinely schedule elective cesarean sections before week 39+0 of gestation.


Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]

Sociedad Catalana de Obstetricia y Ginecología


Cesarean section is the most common surgery in the world. It is an operation that serves to prevent and reduce the complications of childbirth and can save the life of the mother and / or the newborn. Even so, it carries risks for both of you, both in the short and long term. Being born before week 39 is associated with an increase in neonatal morbidity and scientific evidence supports that this risk decreases significantly after week 39. This is why, by broad consensus among the clinical ...

ver más ... 2020

Helicobacter pylori testing is not recommended in children and adolescents 5 to 18 years of age with functional abdominal pain without warning signs or symptoms.


Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]

Sociedad Catalana de Medicina Familiar y Comunitaria


The joint guide between the European and North American Society of Pediatric Gastroenterology, Hepatology and Nutrition updated in 2016 recommends not performing the test for the detection of Helicobacter pylori in children and adolescents with functional abdominal pain without warning signs or symptoms. They argue that Helicobacter pylori is unlikely to cause functional abdominal pain, since most children and adolescents with Helicobacter pylori are asymptomatic. Unjustifiably conducting the ...

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It is recommended to assess whether the patient has anemia before scheduling elective surgery with a moderate or high risk of bleeding


Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]

Sociedad Catalana de Hematología y Hemoterapia


Its prevalence will depend on the group of patients included or the type of surgery (oncological, cardiac, etc.). However, in large retrospective European and American studies it has been estimated that one third of the patients who undergo surgery arrive for surgery with anemia. For observational studies, patients with moderate or severe preoperative anemia are associated with higher hospital mortality and, after thirty days, a longer hospital stay and a greater need for postoperative ...

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It is not recommended routine switching to lactose-free milk or formula in children under 5 years of age with acute gastroenteritis in outpatient management.


Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]

Sociedad Catalana de Pediatría


According to clinical practice guidelines (CPG), the use of lactose-free formulas is not routinely indicated in children with out-of-hospital acute gastroenteritis and the few studies conducted with children with outpatient acute gastroenteritis have not found evidence that the change to a lactose-free formula is associated with a significant change in the number of days of diarrhea. Lactose intolerance caused by acute gastroenteritis is usually mild and self-limited and, on the other hand, one ...

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It is recommended an advice that promotes a healthy diet and physical activity, to prevent cardiovascular disease, in patients with risk factors.


U.S. Preventive Services Task Force A and B recommendations

U.S. Preventive Services Task Force


The target group is adults over 18 years of age with an increased risk of cardiovascular disease (hypertension, dyslipidemia, mixed or multiple risk factors, such as metabolic syndrome, or an estimated 10-year CVD risk of ≥7.5%). It does not apply to adults with other known modifiable cardiovascular risk factors, such as abnormal blood, glucose levels, obesity and smoking. Few adverse events were reported, and most of these were mild, such as minor musculoskeletal injuries.

ver más ... 2020