DIAZ TAPIA, VIOLETA DEL CARMEN
Preferred name
DIAZ TAPIA, VIOLETA DEL CARMEN
Main Affiliation
Email
vdiaz@udd.cl
Scopus Author ID
35610811800
22 results
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Item type:Publication, Cervical Artery Dissections with and without stroke, risk factors and prognosis: a Chilean prospective cohort(2020); ;D. Rocha; ;C. De la BarraX. Stecher3Scopus© Citations 15 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Scopus© Citations 8 1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, 5Scopus© Citations 52 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Additional Information Given to a Multimodal Imaging Stroke Protocol by Transcranial Doppler Ultrasound in the Emergency Room: A Prospective Observational Study(2010); ; ;Daniel A. Cárcamo; <jats:p><i>Background:</i> Transcranial Doppler (TCD) ultrasound can demonstrate dynamic information. We aimed to evaluate whether TCD generates useful additional information in the emergency room after a multimodal stroke imaging protocol and also whether this modified the management of patients with cerebral infarction. <i>Methods:</i> Patients admitted between April 2006 and June 2007 with ischemic stroke of less than 24 h were subjected to a protocol consisting of noncontrast brain CT, computed tomography angiography, diffusion-weighted magnetic resonance imaging and then TCD within the following 6 h by an observer blinded to the results of imaging studies. <i>Results:</i> Seventy-nine patients were included. The imaging protocol was performed 457 (±346) min after stroke symptoms and TCD after 572 (±376) min. TCD provided additional information in 28 cases (35.4%, 95% CI 25.7–46.4). More that one piece of additional information was obtained in 6 patients. The most frequent additional information was collateral pathways. Multivariate analysis demonstrated that intracranial vessel occlusion was the variable most associated with additional information. In 7 patients (8.8%, 95% CI 4.3–17.1), additional information changed management: in 4 an additional angiography was performed, in 2 patients angiography was suspended and in 1 aggressive neurocritical care was indicated. Patients with NIHSS >10 were significantly more likely to have their initial treatment changed (p = 0.004). <i>Conclusions:</i> TCD can provide additional information to a multimodal acute ischemic stroke imaging protocol in a third of patients. This can result in changes in the management in some of these patients.</jats:p>2Scopus© Citations 17 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, 2Scopus© Citations 4 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Incidence of multiple sclerosis in Chile. A hospital registry study(2011); ;J. Barahona ;J. Antinao ;R. Quezada2Scopus© Citations 19 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Frequency and Determinants of Poststroke Cognitive Impairment at Three and Twelve Months in Chile(2010) ;Carolina Delgado ;Archibaldo Donoso ;Patricia Orellana ;Carolina VásquezA higher risk of poststroke cognitive impairment (CI) has been reported in Hispanics in a US cohort but has not been systematically studied in Latin America. <i>Objectives:</i> Our purpose was to investigate the frequencies and determinants of poststroke CI in the hispano-mestizo population of Santiago, Chile. <i>Methods:</i> A prospective study of hospitalized patients aged >60 years admitted with an ischemic or hemorrhagic stroke was conducted. The cognitive status was determined at 3 and 12 months after the stroke by informant questionnaires, neuropsychological testing and clinical diagnosis. Cardiovascular risk factors, brain imaging and stroke features were analyzed using regression models to establish determinants for poststroke CI. <i>Results:</i> A total of 164 patients (mean age = 72 ± 7.5 years) were recruited. Out of 122 patients (74%) evaluated at 3 months, 81 (66%) had CI. Out of 101 patients (62%) evaluated at 12 months, 39 (39%) had CI no dementia, and 22 (22%) were demented. The new-onset dementia frequency at 1 year was 16%. Independent determinants for dementia were higher functional impairment at hospital egress (OR = 4.0), left-hemisphere large-vessel infarction (OR = 6.9) and a larger amount of white matter changes (OR = 1.3). <i>Conclusions:</i> In this first study on poststroke CI in Latin America, the frequencies and determinants of poststroke CI were similar to those in other cohorts of different ethnic origin.3Scopus© Citations 27 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, 1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Real-world experience of ocrelizumab in multiple sclerosis patients in Latin America(2021) ;Juan Ignacio ROJAS ;Liliana PATRUCCO ;Manuel FRUNS ;Giesela HORNUNGJosé FLORES<jats:p>ABSTRACT Background: Despite the abundance of information concerning ocrelizumab in phase III clinical trials, there is scarce evidence regarding real-world patient profiles. Objective: The aim of this study was to investigate patient profiles, effectiveness and persistence with treatment among patients who used ocrelizumab for treatment of multiple sclerosis in Latin America. Methods: This was a retrospective multicenter study in Argentina, Chile and Mexico. Medical record databases on patients who received ocrelizumab were analyzed. Demographic and clinical variables were described, along with effectiveness outcomes, which included the proportions of patients free from clinical relapses, from disability progression and from new or enlarging T2 or T1 gadolinium-enhancing lesions, on annual magnetic resonance imaging. Results: A total of 81 patients were included. The most frequent phenotype was relapsing-remitting MS, in 64.2% of the patients. The mean age at study entry was 41.3 ± 12.0 years and 51.8% were women. A total of 38% had had relapse activity during the 12 months before starting on ocrelizumab, with a mean relapse rate of 1.3 ± 0.6 during that period. 75% were free from clinical relapses and 91% were free from gadolinium-enhancing lesions in the relapsing-remitting course. Ocrelizumab discontinuation during the first 12 months was observed in three patients (3.7%). The mean persistence observed during the first-year follow-up was 338 ± 24 days. Conclusions: Our study is in line with previous randomized clinical trials and recent real-world studies describing patient profiles, effectiveness and persistence regarding ocrelizumab treatment in multiple sclerosis patients in Latin America.</jats:p>1Scopus© Citations 12 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Pandemic influenza A (H1N1) 2009 with neurological manifestations, a case series(2010) ;Luis Miguel Noriega ;Renato J. Verdugo; ; 34Scopus© Citations 22
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