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Persistent hypotension, acidosis (pH <7.2), hypothermia (temperature < 34°C) and coagulopathy are strong predictors of the need for abbreviated laparotomy and open abdomen in trauma patients.
Otros artículos/Other articles on this topic
The World Society for Emergency Surgery (WSES)
(Grade 2A)-Weak recommendation, high-quality evidence
ver más ... 2018Do not routinely recommend in type 2 diabetic patients (not treated with insulin or sulfonylureas), capillary glycemic self-analysis, as there is insufficient evidence of its benefit.
Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]
Sociedad Catalana de Medicina Familiar y Comunitaria
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ver más ... 2018Phosphomycin tromethamine in a single dose of 3 g is recommended for the treatment of uncomplicated acute cystitis.
Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]
Sociedad Catalana de Medicina Familiar y Comunitaria
It would not be indicated in this case the treatment with fosfomycin trometamol 3 g in two doses as it increases the risk of side effects, there is no evidence of its benefit and increases the cost of treatment.
ver más ... 2018Do not request studies to determine the serum concentration of vitamin D in healthy people without risk of hypovitaminosis D
Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]
Sociedad Catalana de Medicina Familiar y Comunitaria
There is no evidence of the benefits of measuring serum levels of 25 (OH) D in asymptomatic population. It can be useful in population at risk. Likewise, the health benefits of vitamin D supplementation in the general population have not been proven.
ver más ... 2018It is not recommended the realization of food allergens panels (in which a common long group of allergens is tested) in a clinical suspicion of food allergy.
Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]
Sociedad Catalana de Pediatría
The results, regardless of the medical history of the type of food that triggers the food allergy, mislead the overdiagnosis of food allergy, the unnecessary elimination of food from the diet, potential nutritional deficiencies and the decrease in the child's quality of life and the family; also, to an increase in the costs of the use and in an erroneous interpretation of the panels.
ver más ... 2018