Browsing by Autor "Alejandro Pardo Ledezma"

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Family satisfaction in the Intensive Care Unit: A multidimensional network analysis approach
(2025) Rommer Alex Ortega Martínez; Roly Misael Ramos Zenteno; Carmen Laura Garcés Hazou; Alejandro Pardo Ledezma; Natalia Andrea Cuadros Pariente; Niciel Poma Cruz
Introduction: Family satisfaction in the Intensive Care Unit (ICU) is a multidimensional construct for the quality of care. Understanding its structure and interrelationships requires advanced statistical analysis. The aim of this study was to explore the latent structure of family satisfaction, evaluate the instrument's reliability, and analyze its relationships. Materials and methods: A cross-sectional study was conducted with 47 patients' relatives. Cronbach's α, exploratory and confirmatory factor analysis, network analysis, latent class analysis, and a Bayesian approach were applied. Finally, mediation and moderation analyses were performed. Results: The instrument demonstrated excellent reliability (α = 0.954). Factor analysis confirmed a four-factor structure that explained 77.8% of the total variance. Network analysis identified physician skill and honest information as the most central nodes. Latent class analysis revealed three distinct profiles: highly satisfied, moderately satisfied, and dissatisfied. Bayesian analysis provided evidence that physician skill and honest communication are predictors of satisfaction. Mediation and moderation analyses showed that medical communication mediates the relationship between professional competence and satisfaction, with stronger effects in women and family members living with the patient. Discussion: The application of advanced statistical analysis allowed a comprehensive understanding of family satisfaction in the ICU, confirming its multidimensional structure. The skill of physicians, nurses, and transparent communication are the pillars of satisfaction.
Invasive Klebsiella syndrome in a case in Bolivia
(2025) Carmen Laura Garcés Hazou; Rommer Alex Ortega Martínez; Alejandro Pardo Ledezma; Natalia Andrea Cuadros Pariente
Klebsiella pneumoniae is a Gram-negative bacterium that requires oxygen and is capable of fermenting lactose. It can cause serious infections such as pneumonia, bacteremia, and liver abscesses. There are two main subtypes: the classic strain (cKP) and the hypervirulent strain (hvKP), the latter being identified by its highly viscous mucus phenotype and its remarkable ability to invade.The most common hvKP lineage is ST23-K1, although K2 lineages (ST65, ST86, ST66) have also been recognized in different parts of the world, including South America. hvKP can affect healthy individuals and those with additional diseases, with diabetes mellitus being a relevant risk factor due to its association with immune dysfunction and hyperglycemia, conditions that favor bacterial growth and spread through the circulatory system. The case presented concerns a 45-year-old diabetic woman who was admitted with severe diabetic ketoacidosis and pneumonia caused by Klebsiella pneumoniae. Despite intensive treatment that included antibiotics and respiratory support, the patient developed multiple lung abscesses and a possible septic embolism, dying after 18 days in intensive care unit.
Perspectivas estudiantiles: un análisis reflexivo sobre la Jornada de Gestión Editorial e Investigación en Salud Univalle, 2023
(2023) Dafne Michelle Araya Jollares; Alejandro Pardo Ledezma; Natalia Andrea Cuadros Pariente
La “Primera Jornada Internacional de Gestión Editorial e Investigación en Salud”, fue llevada a cabo el miércoles 11 de octubre al sábado 14 de octubre del presente año en la Universidad privada del Valle sede Cochabamba, Bolivia. Con expositores tanto nacionales como internacionales y por vía presencial al paralelo con virtual. Además de la realización de un concurso nacional de trabajos de investigación y un taller de Bioestadística.