calidad

Evaluación de la calidad de las guías de práctica clínica sobre enfermedad vascular cerebral aguda mediante la herramienta AGREE II. Quality assessment of clinical practice guidelines on stroke using the AGREE II tool

Objetive: Evaluate the quality assessment of the treatment guidelines for stroke between 2010 and 2021.

Methods: Evaluation by AGREE II instrument. Intraclass correlation was performed for two observers, and it was analyzed the consensus on blood pressure goals and the use of prehospital scales.

Results: 21 clinical practice guidelines were included. The consensus between observers was 0.88 (95% CI: 0.69-0.95). The highest score was for clarity of presentation, while the lowest was for applicability. Nine guidelines (42.9%) were “recommended,” seven were “not recommended” (33.3%) and five were “recommended, but with modifications.” There is consensus on the blood pressure goals in the initial phase. The Fast scale was the most recommended.

Conclusions: Less than half of the guidelines analyzed were recommended for clinical use. Since 2016, the guidelines have shown substantial improvements in their quality. Implementing and actively utilizing the guidelines demands strengthening the applicability and editorial independence.

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Palabras clave: calidad, enfermedad vascular cerebral aguda, Guía de Práctica Clínica,

Keywords: clinical practice guideline, quality, stroke,

Correlación Entre Calidad de Sueño y Calidad de Vida en Estudiantes de Medicina. Correlation Between Quality Of Sleep And Quality Of Life In Medical Students.

Introduction: Sleep is important for the proper performance of the individual since it participates in many biological processes. Medical students often do not get the recommended amount of sleep per day, this affects their quality of sleep, with repercussions on their quality of life.

Objective: To identify the association between sleep quality according to the Pittsburgh Sleep Quality Index (PSQI) questionnaire and quality of life according to the World Health Organization Quality of Life (WHOQOL–BREF) questionnaire of the World Health Organization (WHO) and describe the most prevalent risk factors for sleep disorders in medical students from the Catholic University Santiago de Guayaquil (UCSG).

Methods: Cross-sectional observational study in UCSG medical students.

Results: The questionnaires were completed by 211 students; the mean age was 20,8 ± 2,6 years; 62,1% were women. The mean BMI was 23,1 ± 3,8, 20,4% of the students were overweight and 4,3% were obese. The mean score in the PSQI obtained in the study population was 7,2 ± 3,1 and in the WHOQOL – BREF was 60,9%. Pearson’s correlation coefficient, r2, between both variables was -0.33 (p: <0.01).

Conclusion: Poor quality of sleep is inversely correlated with quality of life. The quality-of-life domain most associated with poor sleep quality was the physical domain. The most frequent risk factor for poor quality sleep was snoring.