Enrique antonio romero martinez sotomayor biography

  • 9 JESUS HIRACHETA ALMENDOREZ DUCTERO · 8 AARON SALAS MOLINA AYUDANTE · 7 ROGELIO JOSE GARCIA.
  • Born in Montevideo in 1830 into a milieu where constant strife with Brazil, Argentina or local factions prevented much creative work, he was studying by 1862.
  • Martinez, Iris Y., State Senator 20th District, Chicago, Illinois Romero, Ramona E., National President, Hispanic National Bar.

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    Abstract

    Purpose

    To determine clinical predictors associated with corticosteroid administration and its association with ICU mortality in critically ill patients with severe influenza pneumonia.

    Methods

    Secondary analysis of a prospective cohort study of critically ill patients with confirmed influenza pneumonia admitted to 148 ICUs in Spain between June 2009 and April 2014. Patients who received corticosteroid treatment for causes other than viral pneumonia (e.g., refractory septic shock and asthma or chronic obstructive pulmonary disease [COPD] exacerbation) were excluded. Patients with corticosteroid therapy were compared with those without corticosteroid therapy. We use a propensity score (PS) matching analysis to reduce confounding factors. The primary outcome was ICU mortality. Cox proportional hazards and competing risks analysis was performed to assess the impact of corticosteroids on ICU mortality.

    Results

    A total of 1846 patients with primary influenza pneumonia were enrolled. Corticosteroids were administered in 604 (32.7%) patients, with methylprednisolone the most frequently used corticosteroid (578/604 [95.7%]). The median daily dose was equivalent to 80 mg of methylprednisolone (IQR 60–120) for a median duration of 7 days (IQR 5–10). Asthma, COPD, hematolo

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