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Article ; Online: Demographic transition and hospital admissions in Spanish centenarians, 2004-2020: Geographical variations and sex-related differences.

Piñeiro-Fernández, Juan Carlos / Rabuñal-Rey, Ramón / Maseda, Ana / Romay-Lema, Eva / Suárez-Gil, Roi / Pértega-Díaz, Sonia

Archives of gerontology and geriatrics

2023 Volume 117, Page(s) 105276

Abstract: Background: This study aims to describe the distribution and temporal trends of the centenarian population and their hospital admissions in Spain over the past two decades, focusing on regional and sex-based differences.: Methods: A retrospective ... ...

Abstract	Background: This study aims to describe the distribution and temporal trends of the centenarian population and their hospital admissions in Spain over the past two decades, focusing on regional and sex-based differences. Methods: A retrospective study was conducted using data from the Spanish National Health System's Hospital Discharge Records-Minimum Basic Data Set. The analysis included all hospitalized patients ≥100 years between January 2004 and December 2020. The crude annual centenarian population and admission rates were calculated. Joinpoint regression analysis and cross-correlation analysis were used to identify trends and associations. Results: From 2004 to 2020, the centenarian population in Spain increased by 89.0 %, with a larger increase observed in women (86.6 %) than men (32.9 %). Significant geographic variability was found, with rates from 1.1 to 5.2 × 10,000 inhabitants per year across different regions. Joinpoint analysis identified three trends: a decline from 2004 to 2008, an increase from 2008 to 2015, and a slower increase from 2015 to 2020. Hospital admissions of centenarians increased by 121.5 %, with a larger increase in women than men (212.1% vs 90.7 %); women represented 75.4 % of admissions. The proportion of centenarian admissions to total hospitalizations showed an upward trend until 2015 and then stabilized; it also varied among regions. Conclusion: There was a significant increase in the centenarian population and hospital admissions of centenarians in Spain. There are regional disparities in their distribution, with women representing a larger proportion of centenarians and hospital admissions. Understanding these trends and differences is crucial for implementing interventions that ensure adequate healthcare for centenarians.
MeSH term(s)	Male ; Aged, 80 and over ; Humans ; Female ; Centenarians ; Retrospective Studies ; Hospitalization ; Spain/epidemiology ; Population Dynamics ; Hospitals
Language	English
Publishing date	2023-11-17
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	603162-6
ISSN	1872-6976 ; 0167-4943
ISSN (online)	1872-6976
ISSN	0167-4943
DOI	10.1016/j.archger.2023.105276
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Article ; Online: BCGitis with aortoiliac aneurysm involvement: Report of two cases and review of the literature.

Raíces Francisco, Natalia / Suárez Gil, Roi / Ayuso García, Blanca / Romay Lema, Eva / Rivas Domínguez, Oskairis María / Rodríguez Ameijeiras, Elena / Besteiro Balado, Yoana / Pérez López, Antía / Rabuñal Rey, Ramón

Enfermedades infecciosas y microbiologia clinica (English ed.)

2023 Volume 42, Issue 3, Page(s) 152–157

Abstract: BCGitis is a rare complication after intravesical administration of Bacillus Calmette-Guérin for high-grade superficial bladder cancer and carcinoma in situ. May cause vascular involvement. We present 2 cases and a review of the literature of the case ... ...

Abstract	BCGitis is a rare complication after intravesical administration of Bacillus Calmette-Guérin for high-grade superficial bladder cancer and carcinoma in situ. May cause vascular involvement. We present 2 cases and a review of the literature of the case reports pubished on the 10 years prior to April of 2022, when this proyect was finished, which described a case of aortoiliac mycotic aneurysm after receiving this treatment. Of the 51 cases included (49 revised and 2 original), 100% were men, 82% were older than 65 years. The median latency period was 15 months (IQR 18). The most frequent location was the abdominal aorta, rupture occurred in 45,1% of patients. The most frequent symptom was abdominal or lumbar pain (61%), followed by general syndrome (49%). In 39,2% cases, it was associated with retroperitoneal abscesess. Attributable mortality was 13,6%. BCGitis should be included in the differential diagnosis in patients who have received BCG therapy and present vascular involvement, even years after being treated.
MeSH term(s)	Humans ; Male ; Aneurysm, Infected/etiology ; Aneurysm, Infected/diagnosis ; Mycobacterium bovis ; Urinary Bladder Neoplasms/pathology ; Urinary Bladder Neoplasms/therapy ; Aged
Language	English
Publishing date	2023-07-22
Publishing country	Spain
Document type	Case Reports ; Journal Article ; Review
ISSN	2529-993X
ISSN (online)	2529-993X
DOI	10.1016/j.eimce.2023.07.003
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Article ; Online: Description of multimorbidity clusters of admitted patients in medical departments of a general hospital.

Matesanz-Fernández, María / Seoane-Pillado, Teresa / Iñiguez-Vázquez, Iria / Suárez-Gil, Roi / Pértega-Díaz, Sonia / Casariego-Vales, Emilio

Postgraduate medical journal

2021 Volume 98, Issue 1158, Page(s) 294–299

Abstract: Objective: We aim to identify patterns of disease clusters among inpatients of a general hospital and to describe the characteristics and evolution of each group.: Methods: We used two data sets from the CMBD (Conjunto mínimo básico de datos - ... ...

Abstract	Objective: We aim to identify patterns of disease clusters among inpatients of a general hospital and to describe the characteristics and evolution of each group. Methods: We used two data sets from the CMBD (Conjunto mínimo básico de datos - Minimum Basic Hospital Data Set (MBDS)) of the Lucus Augusti Hospital (Spain), hospitalisations and patients, realising a retrospective cohort study among the 74 220 patients discharged from the Medic Area between 01 January 2000 and 31 December 2015. We created multimorbidity clusters using multiple correspondence analysis. Results: We identified five clusters for both gender and age. Cluster 1: alcoholic liver disease, alcoholic dependency syndrome, lung and digestive tract malignant neoplasms (age under 50 years). Cluster 2: large intestine, prostate, breast and other malignant neoplasms, lymphoma and myeloma (age over 70, mostly males). Cluster 3: malnutrition, Parkinson disease and other mobility disorders, dementia and other mental health conditions (age over 80 years and mostly women). Cluster 4: atrial fibrillation/flutter, cardiac failure, chronic kidney failure and heart valve disease (age between 70-80 and mostly women). Cluster 5: hypertension/hypertensive heart disease, type 2 diabetes mellitus, ischaemic cardiomyopathy, dyslipidaemia, obesity and sleep apnea, including mostly men (age range 60-80). We assessed significant differences among the clusters when gender, age, number of chronic pathologies, number of rehospitalisations and mortality during the hospitalisation were assessed (p<0001 in all cases). Conclusions: We identify for the first time in a hospital environment five clusters of disease combinations among the inpatients. These clusters contain several high-incidence diseases related to both age and gender that express their own evolution and clinical characteristics over time.
MeSH term(s)	Aged ; Aged, 80 and over ; Diabetes Mellitus, Type 2 ; Female ; Hospitalization ; Hospitals, General ; Humans ; Male ; Middle Aged ; Multimorbidity ; Retrospective Studies ; Spain/epidemiology
Language	English
Publishing date	2021-02-05
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	80325-x
ISSN	1469-0756 ; 0032-5473
ISSN (online)	1469-0756
ISSN	0032-5473
DOI	10.1136/postgradmedj-2020-139361
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Article: Efficacy of Telemedicine and At-Home Telemonitoring following Hospital Discharge in Patients with COVID-19.

Suárez-Gil, Roi / Casariego-Vales, Emilio / Blanco-López, Rosa / Santos-Guerra, Fernando / Pedrosa-Fraga, Cristina / Fernández-Rial, Álvaro / Íñiguez-Vázquez, Iria / Abad-García, María Mar / Bal-Alvaredo, Mercedes / On Behalf Of The Members Of The Lugo Telea-Covid Team

Journal of personalized medicine

2022 Volume 12, Issue 4

Abstract: Aim: This work aims to evaluate the safety and utility of an at-home telemedicine with telemonitoring program for discharged COVID-19 patients. Methods: This is a retrospective cohort study of all patients discharged home in Galicia between 6 March 2020 ... ...

Abstract	Aim: This work aims to evaluate the safety and utility of an at-home telemedicine with telemonitoring program for discharged COVID-19 patients. Methods: This is a retrospective cohort study of all patients discharged home in Galicia between 6 March 2020 and 15 February 2021. We evaluated a structured, proactive monitoring program conducted by the ASLAM (Área Sanitaria de Lugo, A Mariña y Monforte de Lemos) Healthcare Area team compared to patients discharged in the rest of the Autonomous Community of Galicia. Results: During the study period, 10,517 patients were hospitalized for COVID-19 and 8601 (81.8%) were discharged. Of them, 738 (8.6%) were discharged in ASLAM and 7863 (91.4%) were discharged in the rest of Galicia. Of those discharged in ASLAM, 475 (64.4%) patients were monitored. Compared to patients in the rest of Galicia, the group monitored via telemedicine had a significantly shorter first hospital stay (p < 0.0001), a lower readmission rate (p = 0.05), and a shorter second hospital stay (p = 0.04), with no differences in emergency department visits or 90-day all-cause mortality. Conclusion: A structured, proactive telemedicine with telemonitoring program for discharged COVID-19 patients is a safe, useful tool that reduces the mean length of hospital stay and readmissions.
Language	English
Publishing date	2022-04-10
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2662248-8
ISSN	2075-4426
ISSN	2075-4426
DOI	10.3390/jpm12040609
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Article ; Online: Evaluation of a patient-centered integrated care program for individuals with frequent hospital readmissions and multimorbidity.

Piñeiro-Fernández, Juan Carlos / Fernández-Rial, Álvaro / Suárez-Gil, Roi / Martínez-García, Mónica / García-Trincado, Beatriz / Suárez-Piñera, Adrián / Pértega-Díaz, Sonia / Casariego-Vales, Emilio

Internal and emergency medicine

2021 Volume 17, Issue 3, Page(s) 789–797

Abstract: Managing patients with multimorbidity and frequent hospital readmissions is a challenge. Integrated care programs that consider their needs and allow for personalized care are necessary for their early identification and management. This work aims to ... ...

Abstract	Managing patients with multimorbidity and frequent hospital readmissions is a challenge. Integrated care programs that consider their needs and allow for personalized care are necessary for their early identification and management. This work aims to describe these patients' clinical characteristics and evaluate a program designed to reducing readmissions. This prospective study analyzed all patients with ≥ 3 admissions to a medical department in the previous year who were included in the Internal Medicine Department chronic care program at the Lucus Augusti University Hospital (Lugo, Spain) between April 1, 2019 and April 30, 2021. A multidimensional assessment, personalized care plan, and proactive follow-up with a case manager nurse were provided via an advanced hospital system. Clinical and demographic variables and data on healthcare system use were analyzed at 6 and 12 months before and after inclusion. Descriptive and survival analyses were performed. One hundred sixty-one patients were included. Program participants were elderly (mean 81.4 (SD 11) years), had multimorbidity (10.2 (3) chronic diseases) and polypharmacy (10.6 (3.5) drugs), frequently used the healthcare system, and were highly complex. Most were included for heart failure. The program led to significant reductions in admissions and emergency department visits (p = .0001). A total of 44.7% patients died within 1 year. The PROFUND Index showed good predictive ability (p = .013), with high values associated with mortality (RR 1.15, p = .001). Patients with frequent hospital readmissions are highly complex and need special care. A personalized integrated care program reduced admissions and allowed for individualized decision-making.
MeSH term(s)	Aged ; Delivery of Health Care, Integrated ; Humans ; Multimorbidity ; Patient Readmission ; Patient-Centered Care ; Prospective Studies
Language	English
Publishing date	2021-10-29
Publishing country	Italy
Document type	Journal Article
ZDB-ID	2454173-4
ISSN	1970-9366 ; 1828-0447
ISSN (online)	1970-9366
ISSN	1828-0447
DOI	10.1007/s11739-021-02876-9
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Article: Estimating the Prevalence of Cardiac Amyloidosis in Old Patients with Heart Failure-Barriers and Opportunities for Improvement: The PREVAMIC Study.

Ruiz-Hueso, Rocío / Salamanca-Bautista, Prado / Quesada-Simón, Maria Angustias / Yun, Sergi / Conde-Martel, Alicia / Morales-Rull, José Luis / Suárez-Gil, Roi / García-García, José Ángel / Llàcer, Pau / Fonseca-Aizpuru, Eva María / Amores-Arriaga, Beatriz / Martínez-González, Ángel / Armengou-Arxe, Arola / Peña-Somovilla, José Luis / López-Reboiro, Manuel Lorenzo / Aramburu-Bodas, Óscar

Journal of clinical medicine

2023 Volume 12, Issue 6

Abstract: Background: Cardiac amyloidosis (CA) could be a common cause of heart failure (HF). The objective of the study was to estimate the prevalence of CA in patients with HF.: Methods: Observational, prospective, and multicenter study involving 30 Spanish ... ...

Abstract	Background: Cardiac amyloidosis (CA) could be a common cause of heart failure (HF). The objective of the study was to estimate the prevalence of CA in patients with HF. Methods: Observational, prospective, and multicenter study involving 30 Spanish hospitals. A total of 453 patients ≥ 65 years with HF and an interventricular septum or posterior wall thickness > 12 mm were included. All patients underwent a Results: The vast majority of CA were diagnosed non-invasively. The prevalence was 20.1%. Most of the CA were transthyretin (ATTR-CM, 84.6%), with a minority of cardiac light-chain amyloidosis (AL-CM, 2.2%). The remaining (13.2%) was untyped. The prevalence was significantly higher in men (60.1% vs 39.9%, Conclusions: CA was the cause of HF in one out of five patients and should be screened in the elderly with HF and myocardial thickening, regardless of sex and LVEF. Few transthyretin-gene-sequencing studies were performed in older patients. In many patients, it was not possible to determine the amyloid subtype.
Language	English
Publishing date	2023-03-15
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2662592-1
ISSN	2077-0383
ISSN	2077-0383
DOI	10.3390/jcm12062273
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Article ; Online: Usefulness of a Telemedicine Tool TELEA in the Management of the COVID-19 Pandemic.

Rabuñal, Ramón / Suarez-Gil, Roi / Golpe, Rafael / Martínez-García, Mónica / Gómez-Méndez, Raquel / Romay-Lema, Eva / Pérez-López, Antía / Rodríguez-Álvarez, Ana / Bal-Alvaredo, Mercedes

Telemedicine journal and e-health : the official journal of the American Telemedicine Association

2020 Volume 26, Issue 11, Page(s) 1332–1335

Abstract: Background: ...

Abstract	Background:
MeSH term(s)	Adolescent ; Adult ; Aged ; Aged, 80 and over ; COVID-19/epidemiology ; Child ; Child, Preschool ; Comorbidity ; Female ; Humans ; Infant ; Male ; Middle Aged ; Pandemics ; Risk Factors ; Rural Health Services ; SARS-CoV-2 ; Spain ; Telemedicine/organization & administration ; User-Computer Interface ; Young Adult
Keywords	covid19
Language	English
Publishing date	2020-06-04
Publishing country	United States
Document type	Journal Article
ZDB-ID	2035659-6
ISSN	1556-3669 ; 1530-5627
ISSN (online)	1556-3669
ISSN	1530-5627
DOI	10.1089/tmj.2020.0144
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Article: Efficacy of Telemedicine and Telemonitoring in At-Home Monitoring of Patients with COVID-19.

Casariego-Vales, Emilio / Blanco-López, Rosa / Rosón-Calvo, Benigno / Suárez-Gil, Roi / Santos-Guerra, Fernando / Dobao-Feijoo, María José / Ares-Rico, Ramón / Bal-Alvaredo, Mercedes / On Behalf Of The Telea-Covid Lugo Comanagement Team

Journal of clinical medicine

2021 Volume 10, Issue 13

Abstract: Aim: this work aims to assess if telemedicine and telemonitoring are clinically useful and safe for at-home monitoring of Coronavirus disease 2019 (COVID-19) patients.: Methods: This is a retrospective cohort study of all patients diagnosed with ... ...

Abstract	Aim: this work aims to assess if telemedicine and telemonitoring are clinically useful and safe for at-home monitoring of Coronavirus disease 2019 (COVID-19) patients. Methods: This is a retrospective cohort study of all patients diagnosed with COVID-19 in Galicia (Northwestern Spain) between 26 December 2020 and 15 February 2021. The structured, proactive monitoring via telemonitoring (TELEA) of patients considered to be high-risk in the Lugo, A Mariña, and Monforte Healthcare Area (ASLAM) was evaluated compared to other models in the remaining healthcare areas of Galicia. Results: Of the 47,053 COVID-19 patients, 4384 (9.3%) were in ASLAM. Of them, 1187 (27.1%) were monitored via TELEA, and the rest (3197 in ASLAM and 42,669 in the rest of Galicia) were monitored via other methods. Patients monitored in ASLAM via TELEA were older, consulted in the emergency department less frequently ( Conclusions: these data suggest that, for COVID-19 patients, a care model involving proactive at-home monitoring with telemedicine and telemonitoring is associated with reduced pressure on hospital services and a lower mortality rate.
Language	English
Publishing date	2021-06-29
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2662592-1
ISSN	2077-0383
ISSN	2077-0383
DOI	10.3390/jcm10132893
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Article: Usefulness of a Telemedicine Tool TELEA in the Management of the COVID-19 Pandemic

Rabuñal, Ramón / Suarez-Gil, Roi / Golpe, Rafael / Martínez-García, Mónica / Gómez-Méndez, Raquel / Romay-Lema, Eva / Pérez-López, Antía / Rodríguez-Álvarez, Ana / Bal-Alvaredo, Mercedes

Telemed. j. e. health

Abstract: Background: The usefulness of telemedicine in the management of the coronavirus disease 2019 (COVID-19) pandemic has not been evaluated. Methods: We conducted a descriptive study of the process of recruitment and follow-up of patients using a ... ...

Abstract	Background: The usefulness of telemedicine in the management of the coronavirus disease 2019 (COVID-19) pandemic has not been evaluated. Methods: We conducted a descriptive study of the process of recruitment and follow-up of patients using a telemedicine tool (TELEA) in the management of patients at risk, in a rural environment with a dispersed population in Lugo in north western Spain. Results: A large number of patients diagnosed with COVID-19 infection (N = 545) were evaluated. Of this group, 275 had comorbidities and were enrolled in the program, with a mean age of 57.6 ± 16.3 years, 43.1% male. The risk factors were hypertension (38%), diabetes (16%), asthma (9.5%), heart disease (8.8%), and immunosuppression (5.1%). Patients were followed through the platform with daily control of symptoms and vital signs. Only 8% were admitted to the hospital, 5.1% on a scheduled basis and 2.9% through the emergency room. Conclusion: The telemedicine tool TELEA is useful for the management of high-risk patients with COVID-19.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #32501747
Database	COVID19

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Article ; Online: Usefulness of a Telemedicine Tool TELEA in the Management of the COVID-19 Pandemic

Rabuñal, Ramón / Suarez-Gil, Roi / Golpe, Rafael / Martínez-García, Mónica / Gómez-Méndez, Raquel / Romay-Lema, Eva / Pérez-López, Antía / Rodríguez-Álvarez, Ana / Bal-Alvaredo, Mercedes

Telemedicine and e-Health ; ISSN 1530-5627 1556-3669

2020

Keywords	Health Informatics ; Health Information Management ; General Medicine ; covid19
Language	English
Publisher	Mary Ann Liebert Inc
Publishing country	us
Document type	Article ; Online
DOI	10.1089/tmj.2020.0144
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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