Incidencia y letalidad del ictus isquémico en la población mayor de 60 años del área de Tarragona, España (2008-2011)

Vila-Córcoles, Ángel; Satué-Gracia, Eva; Ochoa-Gondar, Olga; Diego-Cabanes, Cinta de; Vila-Rovira, Ángel; Bladé, Jordi; Bobé, Francesc; Casanova, R.; Jariod, Manuel; Reig, Rosaura

doi:10.33588/rn.5911.2014264

Cited by 5 publications

(2 citation statements)

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“…La tendencia descendente en la mortalidad cardiovascular observada en las últimas décadas (2,3,4) parece deberse al efecto de la prevención primaria sobre el control de los factores de riesgo cardiovascular (FRCV), así como a las intervenciones terapéuticas en fase aguda y prevención secundaria (5) . Los trabajos sobre incidencia de CI y ACV en España son escasos, abordando aspectos diferentes de las mismas y dificultando su conocimiento fiable (6,7,8,9,10,11,12) . Tras la cohorte de Manresa (1968/96) (13) , son pocos los trabajos sobre incidencia relativos a la población laboral posteriores al año 2000.…”

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Incidencia de cardiopatía isquémica y accidente cerebrovascular en trabajadores de una administración local del sur de España a lo largo de diez años de seguimiento

Álvarez-Fernández¹,

Romero-Saldaña²,

Álvarez-López

et al. 2020

Rev. Esp. Salud Publica

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Los autores declaran que no existe conflicto de intereses. RESUMEN Fundamentos:Las enfermedades cardiovasculares son la primera causa de muerte en España. Existen escasos estudios sobre incidencia de acontecimientos cardiovasculares en trabajadores. Los objetivos de este trabajo fueron conocer la incidencia de cardiopatía isquémica (CI) y enfermedad cerebrovascular (ECV) en trabajadores de una administración pública del sur de España, estimar la prevalencia de los factores de riesgo cardiovascular (FRCV) y su contribución a la misma, así como evaluar el comportamiento predictivo de la función REGICOR. Métodos:Se realizó un estudio longitudinal de cohortes históricas, no concurrentes, constituidas por 698 trabajadores, reclutados en los exámenes de salud laboral. Las variables dependientes fueron la aparición de CI o ECV, mientras que las principales independientes fueron glucosa, colesterol, triglicéridos, Índice de Masa Corporal (IMC), presión arterial, perímetro abdominal, actividad física, tabaquismo y puntuación REGICOR. Se llevó a cabo una regresión de Cox y se calculó el área ABC de la curva ROC para las variables explicativas.Resultados: Según la función REGICOR, se clasificó de alto riesgo al 0,6% de la población. La Densidad de Incidencia (DI) por cada 100.000 personas-año para cardiopatía isquémica en mujeres resultó ser de 53,9 por 357,4 en hombres, sin diferencias significativas respecto a las esperadas a partir de la función REGICOR. La DI combinada para cardiopatía isquémica y accidentes cerebrovasculares fue de 477,1 por cada 100.000 personas-año (en hombres).Conclusiones: La función REGICOR valora adecuadamente el riesgo cardiovascular de manera global, perdiendo capacidad predictiva según grupos de riesgo. El tabaquismo y la presión arterial se muestran como los factores de riesgo modificables con mayor asociación independiente en la aparición de una enfermedad cardiovascular.

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Incidencia de cardiopatía isquémica y accidente cerebrovascular en trabajadores de una administración local del sur de España a lo largo de diez años de seguimiento

Álvarez-Fernández¹,

Romero-Saldaña²,

Álvarez-López

et al. 2020

Rev. Esp. Salud Publica

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“…В группе пациентов старше 50 лет, по данным Vila-Córcoles Á и соавт. (2021), общая летальность составила 23,1 %: 1,7 % в возрасте 50-64 года против 25,5 % в возрасте 65-79 лет и против 38,7 % в возрасте ≥80 лет (р<0,001) [15].…”

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Factors associated with adverse outcome among hospitalized patients with moderate to severe COVID-19

Mishinova

Gomon

Kolbin

et al. 2023

GCP

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Aims. To consider factors associated with adverse outcome among hospitalized patients with moderate and severe COVID-19.Materials and methods. Data from 345 case histories of adult patients hospitalized with moderate to severe COVID-19 were analyzed in a single-center retrospective study. Characteristics by sex, age, number of days from disease onset to admission to hospital, duration of hospitalization, duration of disease, population characteristics by medical history of comorbidities and self-medication, outcome of hospitalization and medical technologies used in hospital conditions were given for the whole cohort of patients. All parameters were analyzed using descriptive statistics methods. Qualitative variables are given in absolute (n) and relative (%) values with 95% confidence interval. Continuous variables were presented as median and quartiles. Risk factors for mortality were determined across groups using the χ2 criterion and odds ratio.Results. There was no demonstrated effect of gender, degree of pulmonary tissue lesions on computed tomography data, or time of initiation of respiratory support on disease outcome. At the same time, the age older than 65 years as well as neoplasms, type 2 diabetes mellitus, dementia, Stage 3 arterial hypertension, chronic heart failure, coronary heart disease, myocardial infarction and stroke history, chronic obstructive pulmonary disease, bronchiectatic disease, urogenital diseases were the predictors of unfavorable outcome in patients with moderate and severe COVID-19 form. Prehospital use of antiplatelet agents, direct and indirect oral anticoagulants, drugs affecting the renin-angiotensin system, systemic glucocorticosteroids, antibiotics, antiviral drugs, and analgesics was associated with a decrease in the mortality rate in patients with moderate-to-severe COVID-19, as well as timely use of pronposition and transfer to intensive care unit.Conclusions. Our findings are partially consistent with previous reports on the effect of risk factors on COVID-19 outcomes.

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The Barcelona Brain Health Initiative: Cohort description and first follow-up

et al. 2020

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The Barcelona Brain Health Initiative is a longitudinal cohort study that began in 2017 and aims to understand and characterize the determinants of brain health maintenance in middle aged adults. A cohort of 4686 individuals between the ages of 40 and 65 years free from any neurological or psychiatric diseases was established, and we collected extensive demographic, socioeconomic information along with measures of self-perceived health and lifestyles (general health, physical activity, cognitive activity, socialization, sleep, nutrition and vital plan). Here we report on the baseline characteristics of the participants, and the results of the one-year follow-up evaluation. Participants were mainly women, highly educated, and with better lifestyles compared with the general population. After one year 60% of participants completed the one-year follow-up, and these were older, with higher educational level and with better lifestyles in some domains. In the absence of any specific interventions todate, these participants showed small improvements in physical activity and sleep, but decreased adherence to a Mediterranean diet. These changes were negatively associated with baseline scores, and poorer habits at baseline were predictive of an improvement in lifestyle domains. Of the 2353 participants who completed the one-year follow-up, 73 had been diagnosed with new neurological and neuropsychiatric diseases. Changes in vital plan at follow-up, as well as gender, sleep quality and sense of coherence at baseline were shown to be significant risk factors for the onset of these diagnoses. Notably, gender risk factor decreased in importance as we adjusted by sleep habits, suggesting its potential mediator effects. These findings stress the importance of healthy lifestyles in sustaining brain health, and illustrate the individual benefit that can be derived from participation in longitudinal observational studies. Modifiable lifestyles, specifically quality of sleep, may partially mediate the effect of other risk factors in the development of some neuropsychiatric conditions.

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Incidencia y letalidad del ictus isquémico en la población mayor de 60 años del área de Tarragona, España (2008-2011)

Cited by 5 publications

References 0 publications

Incidencia de cardiopatía isquémica y accidente cerebrovascular en trabajadores de una administración local del sur de España a lo largo de diez años de seguimiento

Incidencia de cardiopatía isquémica y accidente cerebrovascular en trabajadores de una administración local del sur de España a lo largo de diez años de seguimiento

Factors associated with adverse outcome among hospitalized patients with moderate to severe COVID-19

The Barcelona Brain Health Initiative: Cohort description and first follow-up

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