Abdel Hay I Abdel Hay

Bio: Abdel Hay I Abdel Hay is an academic researcher. The author has contributed to research in topics: COPD. The author has an hindex of 1, co-authored 1 publications receiving 5 citations.

Chronic Obstructive Pulmonary Disease in the Elderly

Abstract: Elderly is robustly accompanied with raise prevalence of chronic obstructive pulmonary disease (COPD). Prevalence of COPD in subjects aged 65 years and more is estimated at 14.2% (11.0%-18.0%) in contrast with 9.9% (8.2% to 11.8%) in those aged 40 years or more.

"Celebrating old age": an obsolete expression during the COVID-19 pandemic? Medical, social, psychological, and religious consequences of home isolation and loneliness among the elderly

Abstract: Since epidemiological arguments favouring self-isolation during the COVID-19 pandemic are widely recommended, the consequences of social isolation/loneliness of older people considered to be at higher risk for severe illness are neglected. We identified and described medical, social, psychological, and religious issues, indirectly generated by the COVID-19 lockdown. Mortality induced by SARS-CoV-2 and death from other "neglected" issues were put in balance. Arguments for strict lockdown from most European countries are compared with a relaxed approach, as has been applied in Sweden. Social isolation affects disproportionally the elderly, transforming it into a public health concern. One witnesses openly ageist discourse, while painful decisions to prioritising ventilation for younger patients deepens the sense of hopelessness. Fear has led to anxiety disorders and depression. Various religious practices provide resources for coping with isolation/overcoming loneliness. Higher levels of mortality/morbidity due to "COVID-19 versus non-COVID-19" polarisation oblige the healthcare community to find ways to provide proper care for its elders.

Acupuncture techniques for COPD: a systematic review

Abstract: This is the second part of a large spectrum systematic review which aims to identify and assess the evidence for the efficacy of non-pharmacological acupuncture techniques in the treatment of chronic obstructive pulmonary disease (COPD). The results of all techniques except for filiform needle are described in this publication. Eleven different databases were screened for randomised controlled trials up to June 2019. Authors in pairs extracted the data and assessed the risk of bias independently. RevMan 5.3 software was used for the meta-analysis. Thirty-three trials met the inclusion criteria, which involved the follow techniques: AcuTENS (7 trials), moxibustion (11 trials), acupressure (7 trials), ear acupuncture (6 trials), acupressure and ear acupuncture combined (1 trial) and cupping (1 trial). Due to the great heterogeneity, only 7 meta-analysis could be performed (AcuTENS vs sham on quality of life and exercise capacity, acupressure vs no acupressure on quality of life and anxiety and ear acupuncture vs sham on FEV1 and FEV1/FVC) with only acupressure showing statistical differences for quality of life (SMD: -0.63 95%CI: − 0.88, − 0.39 I2 = 0%) and anxiety (HAM-A scale MD:-4.83 95%CI: − 5.71, − 3.94 I2 = 0%). Overall, strong evidence in favour of any technique was not found. Acupressure could be beneficial for dyspnoea, quality of life and anxiety, but this is based on low quality trials. Further large well-designed randomised control trials are needed to elucidate the possible role of acupuncture techniques in the treatment of COPD. PROSPERO (identifier: CRD42014015074 ).

Prescripción potencialmente inadecuada en pacientes mayores grandes polimedicados según criterios «STOPP»

Abstract: Resumen Introduccion La adecuacion en la prescripcion terapeutica es especialmente relevante en pacientes mayores. El objetivo de este trabajo es analizar la prescripcion potencialmente inadecuada (PPI) en pacientes ancianos grandes polimedicados segun criterios del Screening Tool of Older Person's Prescriptions (STOPP). Pacientes y metodos Estudio descriptivo transversal realizado en el centro de salud Siero-Sariego (Asturias), en el que participaron todos los pacientes mayores de 64 anos adscritos al centro, grandes polimedicados (consumo ≥10 farmacos durante 6 meses). Se revisaron los 65 criterios del Screening Tool of Older Person's Prescriptions en la historia clinica electronica de atencion primaria. Se recogieron variables sociodemograficas, farmacos prescritos y patologias cronicas. Se calculo el indice de Charlson. Se realizaron distribuciones de frecuencias de cada criterio y se exploraron causas relacionadas con la PPI a traves de tablas de contingencia, correlacion de Spearman y regresion lineal. Resultados Trescientos cuarenta y nueve grandes polimedicados (prevalencia: 6,4 [IC 95% : 5,76-7,08]), media: 79 anos (DE : 3,7), 62,2% mujeres, 14% institucionalizados. Media de farmacos: 11,5 (DE : 1,7). Patologias mas frecuentes: hipertension arterial (64%), diabetes (46%) y patologia osteoarticular (41%). El 72,9% de los polimedicados tenia al menos una PPI. Media: 1,32 (DE : 1,2). Criterios del Screening Tool of Older Person's Prescriptions mas incumplidos: duplicidad terapeutica (25,2%), uso de benzodiacepinas de vida media larga (15,8%) y uso inadecuado de aspirina (10,9%). Se encontro asociacion entre presentar alguna PPI y el numero de farmacos dispensados (OR = 1,22 [IC 95% : 1,04-1,43]) y de forma inversa al indice de Charlson (OR = 0,76 [IC 95% : 0,65-0,89]). Conclusiones La PPI es frecuente en grandes polimedicados. Debe prestarse especial atencion al uso de farmacos psicotropos, implicados en un volumen importante de PPI.