Examinando por Autor "Perea Laguna, Jonatan Josue"
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Ítem Acceso abierto Effectiveness of continuous versus bolus injection of diuretics in congestive heart failure(Universidad Privada Norbert Wiener, 2018-07-08) Arauco Cuyutupa, Felix Jose; Perea Laguna, Jonatan Josue; Pretell Aguilar, Rosa MaríaMaterials and Methods: The present study is a Systematic review, the search has been restricted to articles with full text and the selected articles were subjected to a critical reading, using the GRADE evaluation to identify their level of evidence. 10 articles were chosen, which correspond to 100% (10/10) of the articles, 40% (4/10) correspond to the United States, 30% (3/10) correspond to Italy and 10% (1 /10) correspond to Taiwan, Portugal and Malaysia respectively; Likewise, 10 pieces of evidence are determined (100%): 2 systematic reviews (20%), 2 meta-analysis (20%), 3 randomized controlled trial (30%), 2 open randomized trial (20), 1 cross-sectional descriptive trial (10 %). Results: 100% (7/10) of the articles showed the effectiveness of the continuous administration of diuretics because it was associated with a high reduction in body mass, an increase in total urine production in 24 hours, and a significant increase in of additional hospital treatment, was the choice in patients with worse clinical status such as low systolic blood pressure, more severe kidney injury, where the kidney alteration was gradually worse, and the incidence of hydroelectrolyte imbalance decreased. CONCLUSIONS: it is concluded that 7/10 reviews show us that continuous administration of furosemide is more effective than bolus administration in patients with heart failure.
