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GALEANO-TORO, José Alejandro; RESTREPO-ALVAREZ, Camilo Andrés; MENDOZA-MENDOZA, Deibie Yesith  and  CARABALLO-CORDOVEZ, César. Clinical and epidemiological round: journal club. Iatreia [online]. 2018, vol.31, n.2, pp.207-215. ISSN 0121-0793.

In this edition of the clinical and epidemiological round, we present four articles that we consider relevant from a clinical point of view. Wan-Chuan, et al., contribute with a systematic review and meta-analysis to the discussion of the ideal blood pressure goals, this time from a different perspective: impact of intensive blood pressure goals in non-diabetic patients with chronic kidney disease. In addition, Valent et al., performed a randomized clinical trial to study the effect of the post-operatory prophylaxis in the risk of infection of the surgical site in obese pregnant women underwent a cesarean section. On the other hand, Miro et al. followed a cohort of patients with acute heart failure to prove the possibility to predict mortality using information which can be taken in the emergency room. To conclude, Andersson et al., bring a promising proposal to improve the diagnostic approach in patients in which an appendicitis is suspected, as well as its impact in the use of the resources.

Keywords : Antibiotic Prophylaxis; Appendicitis; Blood Pressure; Cephalexin; Chronic Renal Insufficiency; Heart Failure; Hypertension; Metronidazole; Mortality; Obesity; Pregnant Women; Prognosis; Surgical Wound Infection.

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