Browsing by Subject "Matching"

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    Evaluación del impacto de políticas orientadas a la inserción sociolaboral mediante matching
    (Universidad de Murcia. Servicio de Publicaciones, 2016) Muñoz Cantero, Jesús Miguel
    La Conferencia sobre Políticas activas de empleo para la Europa de 2020 delimitó dentro de las 10 “maneras de avanzar” dos propuestas que destacan la importancia de realizar una evaluación sistemática a fin de determinar la eficacia de las políticas activas - (1) Los Estados miembro deberían hacer más para evaluar la eficacia de sus políticas activas - , - (2) Con el fin de tener un mayor impacto, la nueva Estrategia Europea de Empleo necesita una fuerte dimensión de “evaluación” -. Uno de los objetivos principales que se pretende alcanzar con la puesta en marcha de las políticas activas de fomento del empleo, es la inserción laboral de sus participantes. En este estudio, se pretende determinar el impacto del programa de inserción sociolaboral “Puesto a Puesto VII” a través de un análisis matching. Los resultados obtenidos permiten acreditar el impacto del programa en las variables resultado.
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    Intracranial pressure monitoring in patients with severe traumatic brain injury: extension of the recommendations and the effect on outcome by propensity score matching
    (Lippincott, Williams & Wilkins, 2022-09) Castaño-León, Ana M.; Gomez, Pedro A.; Jiménez-Roldán, Luís; Paredes, Igor; Munarriz, Pablo M.; Pérez, Irene Panero; Eiriz Fernández, Carla; Posadas Guillermo García; García Pérez, Daniel; Moreno Gómez, Luis Miguel; Sinovas, Olga Esteban; Posadas García, Guillermo; Lagares, Alfonso; Farmacología; Farmacia
    BACKGROUND: Intracranial pressure (ICP) monitoring is recommended for patients with traumatic brain injury (TBI) with a Glasgow Coma Scale (GCS) <9 on admission and revealing space-occupying lesions or swelling on computed tomography. However, previous studies that have evaluated its effect on outcome have shown conflicting results. OBJECTIVE: To study the effect of ICP monitoring on outcome after adjustment of patient’s characteristics imbalance and determine the potential benefit on patients with higher GCS that deteriorates early or in the absence of computed tomography results suggesting high ICP. METHODS: We searched for adult patients with TBI admitted between 1996 and 2020 with a GCS <9 on admission or deterioration from higher scores within 24 hours after TBI. Patients were divided into groups if they fulfilled strict (Brain Trauma Foundation guidelines) or extended criteria (patients who worsened after admission or without space-occupying lesions) for ICP monitoring. Propensity score analyses based on nearest neighbor matching was performed. RESULTS: After matching, we analyzed data from 454 patients and 184 patients who fulfilled strict criteria or extended criteria for ICP monitoring, respectively. A decreased on in-hospital mortality was detected in monitored patients following strict and extended criteria. Those patients with a higher baseline risk of poor outcome showed higher odds of favorable outcome if they were monitored. CONCLUSION: ICP monitoring in patients with severe TBI within 24 hours after injury following strict and extended criteria was associated with a decreased in-hospital mortality. The identification of patients with a higher risk of an unfavorable outcome might be useful to better select cases that would benefit more from ICP monitoring.