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OBJECTIVE: A wide range of surgical techniques are available for maxillary sinus augmentation. This review aimed to determine which techniques have achieved the highest success rates and so offer the greatest predictability. MATERIALS AND METHODS: A systematic literature review was performed using the PubMed, MEDLINE, and Scopus databases, identifying clinical trials that assessed different surgical techniques for maxillary sinus augmentation, and registered the success rates of subsequent implant placement. RESULTS: A total of 40 articles described clinical studies involving different maxillary sinus augmentation procedures with follow-up periods of at least 6 months after dental implant placement. Implant success rates varied between 94% and 100% during the follow-up periods. CONCLUSION: A wide variety of clinical techniques are available for maxillary sinus augmentation; the choice of the technique will depend chiefly on the characteristics of the edentulous site, which will permit or prevent the placement of the implant at the moment of sinus augmentation surgery.

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IntroducciónLos trastornos depresivos son especialmente frecuentes en la persona mayor. Además de reducir su calidad de vida, pueden incidir en determinados aspectos de la evolución de sus enfermedades médicas. El objetivo es analizar si los trastornos depresivos en la persona mayor que acude a urgencias por una causa médica constituyen un factor de riesgo de ingreso hospitalario.Material y métodosSe incluyen personas mayores de 74 años que acudieron al Servicio de Urgencias del Hospital Universitario Central de Asturias (2004–2005) y que requirieron de una valoración geriátrica integral. Se obtuvieron datos sociodemográficos, estado funcional previo, situación cognitiva y presencia de trastornos depresivos. Se realizó un análisis de regresión logística.ResultadosSe valoraron 1.016 pacientes (el 62,32% eran mujeres), con una edad media de 87,4 años. Índice de Barthel medio previo de 71,8 (intervalo de confianza [IC] del 95%: 69,8–73,9). Diagnosticados como trastorno depresivo en el 17,4% de los casos (el 75,7% eran mujeres). Del total, ingresaron 721 individuos (71,0%), mientras que entre los diagnosticados de depresión, ingresó el 79,7% (p=0,002). Tras el análisis de regresión logística ajustado por edad, sexo, estado civil, institucionalización, forma de convivencia, índice de Barthel y deterioro cognitivo, la depresión se asoció de forma independiente a un mayor riesgo de ingreso (odds ratio: 1,83; IC del 95%: 1,20–2,78).ConclusionesLas personas mayores de 74 años que acuden a un servicio de urgencias, realizándose una valoración geriátrica integral y que presentan sintomatología depresiva, tienen un mayor riesgo de ingreso hospitalario(AU)

IntroductionDepression is especially frequent in the elderly. In addition to impairing quality of life, this disorder can affect the outcome of medical diseases. The objective is to analyze whether depressive disorders in elderly individuals attending an emergency room for medical complaints constitute a risk factor for admission.Material and methodsAll patients aged more than 74 years old attending the Emergency Department of the Hospital Universitario Central de Asturias who required comprehensive geriatric assessment from 2004 to 2005 were included in this study. Sociodemographic variables and data on functional, cognitive and emotional status before attendance at the emergency department were collected. A logistic regression analysis was performed to determine whether there was an independent association between depression and admission to the Geriatric Service.ResultsA total of 1016 patients (62.32% women) were evaluated. The mean age was 87.4 years. The Barthel index before admission to the emergency department was 71.8 (95% confidence interval [CI]: Depression was diagnosed in 17.4% of the patients (75.7% women). Of the whole sample, 721 patients (71.0%) were admitted to a geriatric service, while 79.7% of patients with depression were admitted (p=0.002). After multivariate regression analysis adjusted by age, sex, marital status, institutionalization, living arrangements, Barthel index and cognitive status before admission, depression was independently associated with a greater risk for admission to a geriatric service (odds ratio: 1.83, 95% CI: 1.20–2.78).ConclusionsDepression and mood disorders constitute an independent risk factor for admission to a geriatric service in patients aged more than 74 years assessed by comprehensive geriatric methodology in an emergency department(AU)

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INTRODUCTION: Depression is especially frequent in the elderly. In addition to impairing quality of life, this disorder can affect the outcome of medical diseases. The objective is to analyze whether depressive disorders in elderly individuals attending an emergency room for medical complaints constitute a risk factor for admission. MATERIAL AND METHODS: All patients aged more than 74 years old attending the Emergency Department of the Hospital Universitario Central de Asturias who required comprehensive geriatric assessment from 2004 to 2005 were included in this study. Sociodemographic variables and data on functional, cognitive and emotional status before attendance at the emergency department were collected. A logistic regression analysis was performed to determine whether there was an independent association between depression and admission to the Geriatric Service. RESULTS: A total of 1016 patients (62.32% women) were evaluated. The mean age was 87.4 years. The Barthel index before admission to the emergency department was 71.8 (95% confidence interval [CI]: Depression was diagnosed in 17.4% of the patients (75.7% women). Of the whole sample, 721 patients (71.0%) were admitted to a geriatric service, while 79.7% of patients with depression were admitted (p=0.002). After multivariate regression analysis adjusted by age, sex, marital status, institutionalization, living arrangements, Barthel index and cognitive status before admission, depression was independently associated with a greater risk for admission to a geriatric service (odds ratio: 1.83, 95% CI: 1.20-2.78). CONCLUSIONS: Depression and mood disorders constitute an independent risk factor for admission to a geriatric service in patients aged more than 74 years assessed by comprehensive geriatric methodology in an emergency department.

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