Estimaci”N de Costos Directos Asociados al Cambio de Terapia iv A oral en Infecci”N Complicada de Piel y Tejidos Blandos en Chile

Abstract

A869 0,9% saline on the costs of IV fluids and costs associated with fluid-related complications. The target population was adult patients (age ≥ 18 years) meeting SIRS criteria and receiving solely crystalloid IV fluids. The interventions compared were: patients mainly receiving BAL fluid mix versus patients receiving IV fluid therapy without BAL fluid mix considering an increasing adoption rate over 5-year period. Results: The base case was defined as a 300-bed hospital with 90% occupancy, a 2.7% SIRS frequency among inpatients, current BAL adoption level of 2%, projected year 5 BAL adoption levels of 20%. The patient number per month requiring fluid resuscitation calculated was 47 (564 per year). The overall savings were calculated by subtracting the costs of complications and treatments associated with BAL adoption level for a given year from costs associated with current BAL adoption level and adding the incremental costs.

Mathematics Competence Level: The Contribution of Non-symbolic and Spatial Magnitude Comparison Skills

“…The original revision of the Early Numeracy Test – Revised (ENT-R; Navarro et al, 2009; Mendizábal et al, 2017) was completed by Van Luit and Van de Rijt (2009) and subsequently standardized for the Spanish population (Van Luit et al, 2015). The ENT-R evaluates early numerical knowledge and aims to detect students with mathematical learning disabilities.…”

Demographically Calibrated Norms for Two Premorbid Intelligence Measures: The Word Accentuation Test and Pseudo-Words Reading Subtest

“…Estimation of premorbid function is becoming increasingly recognized as a crucial component of neuropsychological assessment in both research and clinical practice due to its relevance in the diagnosis and rehabilitation process ( Law and O’Carroll, 1998 ; Lowe and Rogers, 2011 ; Vakil, 2012 ). It helps clinicians and researchers to accurately diagnose the level of cognitive decline in different pathologies such as schizophrenia ( Gomar et al, 2011 ; Khandaker et al, 2011 ), traumatic brain injury ( Freeman et al, 2001 ; Kesler et al, 2003 ), dementia ( Law and O’Carroll, 1998 ; McFarlane et al, 2006 ; Hessler et al, 2013 ), or normal aging ( Sierra et al, 2010 ; Lowe and Rogers, 2011 ). However, there is a lack of normative data on premorbid IQ measures, specifically for Spanish population.…”

“…Another effective procedure for estimating premorbid ability relies upon cognitive instruments which measure an over learned skill such as reading or assess patterns of performance ( Nelson and McKenna, 1975 ; Del Ser et al, 1997 ; Russell et al, 2000 ; Contador et al, 2015 ). Several authors have criticized the use of performance tests, such as the vocabulary subtest from the WAIS-R, to estimate the premorbid IQ; because vocabulary is known to decline with aging and is sensitive to brain damage, specifically in the neuroanatomical basis of language ( Martin and Fedio, 1983 ; Del Ser et al, 1997 ; Sierra et al, 2010 ; Hebben et al, 2011 ; de Oliveira et al, 2014 ). However, reading ability becomes, with practice, an automatic ability that is highly resistant to cognitive impairment ( Del Ser et al, 1997 ; Russell et al, 2000 ; Khandaker et al, 2011 ; Harman-Smith et al, 2013 ; Hessler et al, 2013 ).…”

“…As a result, Del Ser et al (1997) designed the Word Accentuation Test (WAT), the Spanish adaptation of the NART, to estimate the premorbid IQ in dementia ( Del Ser et al, 1997 ). This adaptation is based on the prosodic accentuation of infrequent Spanish words and its use has been expanded to measure premorbid functioning in patients with schizophrenia ( Gomar et al, 2011 ), cognitive impairment and dysexecutive syndrome ( Sierra et al, 2010 ), as well as healthy people without cognitive impairment ( Sierra et al, 2010 ; Contador et al, 2015 ). Nevertheless, there is currently no normative data available for this instrument.…”