Person: Albaladejo Vicente, Romana
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First Name
Romana
Last Name
Albaladejo Vicente
Affiliation
Universidad Complutense de Madrid
Faculty / Institute
Medicina
Department
Salud Pública y Materno-Infantil
Area
Medicina Preventiva y Salud Pública
Identifiers
28 results
Search Results
Now showing 1 - 10 of 28
Item The Impact of COPD in Trends of Urinary Tract Infection Hospitalizations in Spain, 2001–2018: A Population-Based Study Using Administrative Data(Journal of Clinical of Medicine, 2020) Miguel DÃez, Javier De; Albaladejo Vicente, Romana; Palacios-Ceña, Domingo; Carabantes Alarcón, David; Zamorano León, José Javier; López Herranz, Marta; López De Andrés, Ana IsabelBackground: To examine trends in incidence and outcomes of urinary tract infections (UTIs) among men and women with or without chronic obstructive pulmonary disease (COPD), and to identify the predictors for in-hospital mortality (IHM). (2) Methods: We included patients (aged ≥40 years) who were hospitalized with UTIs between 2001 and 2018. Data were collected from the Spanish National Hospital Discharge Database. (3) Results: We identified 748,458 UTI hospitalizations, 6.53% with COPD. The UTIs incidence increased over time. It was 1.55 times higher among men COPD patients than among non-COPD men (incidence rate ratio (IRR) 1.55; 95% CI 1.53-1.56). The opposite happened in women with COPD compared to non-COPD women (IRR 0.30; 95% CI 0.28-0.32). IHM was higher in men with COPD than non-COPD men (5.58% vs. 4.47%; p < 0.001) and the same happened in women (5.62% vs. 4.92%; p < 0.001). The risk of dying increased with age and comorbidity, but the urinary catheter was a protective factor among men (OR 0.75; 95% CI 0.64-0.89). Multivariable analysis showed a significant reduction in the IHM over time for men and women with COPD. Suffering from COPD only increased the risk of IHM among men (OR 1.07; 95% CI 1.01-1.13). (4) Conclusions: The incidence of UTIs increased over time. Suffering COPD increased the risk of IHM among men, but not among women.Item Hospital admissions for community-acquired, ventilator-associated and nonventilator hospital-acquired pneumonia in COPD patients in Spain (2016-2017)(European Journal of Internal Medicine, 2020) Miguel DÃez, Javier De; Albaladejo Vicente, Romana; Hernández Barrera, ValentÃn; Ji, Zichen; López Herranz, Marta; Jiménez GarcÃa, Rodrigo; López De Andrés, Ana IsabelBackground: To examine the incidence, characteristics and outcomes of community-acquired pneumonia (CAP), ventilator-associated pneumonia (VAP) and nonventilator hospital-acquired pneumonia (NV-HAP) in patients with or without COPD; compare in-hospital outcomes; and identify factors associated with in-hospital mortality (IHM) for pneumonia. Methods: We carried out a retrospective observational study using the hospital discharge records from 2016-17 of the Spanish National Health System. Propensity score matching was used for data analysis. Results: We found 245,905 patients (≥40 years) with pneumonia; we identified CAP in 228,139 patients (19.85% with COPD), VAP in 2,771 patients (8.55% with COPD) and NV-HAP in 14,995 patients (14.17% with COPD). The incidence for the three types of pneumonia was higher in COPD patients (CAP: incidence rate ratio (IRR) 2.23, 95% CI 2.21-2.26; VAP: IRR 1.25, 95% CI 1.08-1.42; and NV-HAP: IRR 1.55, 95% CI 1.48-1.63). The IHM for CAP was 10.35% in COPD patients and 12.91% in the controls (p<0.001). In patients with VAP and NV HAP, IHM was not significantly different between those with and without COPD (43.88% vs. 41.77%;p=0.643 and 29.21% vs. 30.57%;p=0.331, respectively). Factors associated with IHM for all types of pneumonia ana lyzed in COPD patients were older age and receiving dialysis. Conclusions: The incidence of hospitalizations for all types of pneumonia was significantly higher in COPD patients than in the non-COPD population. In contrast, IHM was significantly lower among COPD patients with CAP than among matched non-COPD patients. Higher mortality rates in COPD patients with any pneumonia type were associated with increasing age and receiving dialysis.Item Reversal of the Upward Trend of Obesity in Boys, but Not in Girls, in Spain(International Journal of Environmental Research and Public Health, 2021) Albaladejo Vicente, Romana; Villanueva Orbaiz, Rosa; Carabantes Alarcón, David; Santos Sancho, Juana MarÃa; Jiménez GarcÃa, Rodrigo; Regidor Poyatos, EnriqueBackground: To compare the prevalence of overweight and obesity in boys and girls and to estimate socioeconomic differences associated with obesity in Spain in 1997, 2007, and 2017. (2) Methods: Data were drawn from national health interview surveys. For each year of study, the prevalence of overweight and obesity was measured, and these results were compared by gender (boy/girl) and socioeconomic status (low/high education). (3) Results: The prevalence of overweight and obesity rose from 1997 to 2007 but then fell in 2017 in all subgroups except in girls aged 10 to 15 years. In this group, there was a steady increase in the prevalence of both overweight (1997, 14.6%; 2007, 17.7%; 2017, 19.6%) and obesity (1.1, 3.2, and 3.7%, respectively). The decrease in prevalence of overweight in both sexes and of obesity in boys, along with the increase in prevalence of obesity in girls, was of a higher magnitude in children whose parents had a lower educational level. (4) Conclusions: The apparent turnaround in the obesity epidemic in Spain should be interpreted with caution. Children’s body weight is influenced by both gender and socioeconomic status—considerations that should be kept in mind when designing health promotion interventionsItem Type 2 Diabetes Is a Risk Factor for Suffering and for in-Hospital Mortality with Pulmonary Embolism. A Population-Based Study in Spain (2016–2018)(International Journal of Environmental Research and Public Health, 2020) Jiménez GarcÃa, Rodrigo; Albaladejo Vicente, Romana; Hernández Barrera, ValentÃn; Villanueva Orbaiz, M. Rosa Rita; Carabantes Alarcón, David; Miguel DÃez, Javier De; Zamorano León, José Javier; López De Andrés, Ana Isabel(1) Background: The relationship between type 2 diabetes (T2DM) and pulmonary embolism (PE) has not been well stablished so far. We aim to analyze incidence, clinical conditions and in-hospital mortality (IHM) according to the presence of T2DM among patients hospitalized for suffering from PE. The factors associated with IHM were identified. (2) Methods: Patients aged ≥40 years hospitalized for PE from 2016 to 2018 included in the Spanish National Health System Hospital Discharge Database were analyzed. Dependent variables included incidence, IHM and length of hospital stay. Independent variables were age, sex, diagnosed comorbidities, thrombolytic therapy and inferior vena cava filter placement. Poisson and logistic regression models were constructed for multivariable analysis. (3) Results: Of the 47,190 hospitalizations for PE recorded, 16.52% had T2DM. Adjusted incidence of PE was higher among T2DM women (IRR 1.83; 95% CI: 1.58-1.96) and men (IRR 1.22; 95% CI: 1.18-1.27) than among non-diabetic subjects. Crude IHM in T2DM patients with PE was similar in both sexes but higher than in non-diabetic patients. Among T2DM patients with PE, risk factors for IHM included older age, comorbidity, atrial fibrillation and massive PE. Obesity was associated with lower IHM. Suffering T2DM was a risk of IHM (OR 1.15; 95% CI 1.05-1.26) after PE. (4) Conclusions: The incidence of PE is higher in T2DM men and women than in non-diabetic patients. T2DM was a risk factor for IHM after PE.Item Are there sex differences in the effect of type 2 diabetes in the incidence and outcomes of myocardial infarction? A matched‑pair analysis using hospital discharge data(Cardiovascular Diabetology, 2021) López De Andrés, Ana Isabel; Jiménez GarcÃa, Rodrigo; Hernández Barrera, ValentÃn; Miguel Yanes, José MarÃa De; Albaladejo Vicente, Romana; Villanueva Orbaiz, M. Rosa Rita; Carabantes Alarcón, David; Zamorano León, José Javier; López Herranz, Marta; Miguel DÃez, Javier DeBackground To analyze incidence, use of therapeutic procedures, and in-hospital outcomes in patients with ST elevation myocardial infarction (STEMI) and non-ST elevation myocardial infarction (NSTEMI) according to the presence of type 2 diabetes (T2DM) in Spain (2016–2018) and to investigate sex differences. Methods Using the Spanish National Hospital Discharge Database, we estimated the incidence of myocardial infarctions (MI) in men and women with and without T2DM aged ≥ 40 years. We analyzed comorbidity, procedures, and outcomes. We matched each man and woman with T2DM with a non-T2DM man and woman of identical age, MI code, and year of hospitalization. Propensity score matching was used to compare men and women with T2DM. Results MI was coded in 109,759 men and 44,589 women (30.47% with T2DM). The adjusted incidence of STEMI (IRR 2.32; 95% CI 2.28–2.36) and NSTEMI (IRR 2.91; 95% CI 2.88–2.94) was higher in T2DM than non-T2DM patients, with higher IRRs for NSTEMI in both sexes. The incidence of STEMI and NSTEMI was higher in men with T2DM than in women with T2DM. After matching, percutaneous coronary intervention (PCI) was less frequent among T2DM men than non-T2DM men who had STEMI and NSTEMI. Women with T2DM and STEMI less frequently had a code for PCI that matched that of non-T2DM women. In-hospital mortality (IHM) was higher among T2DM women with STEMI and NSTEMI than in matched non-T2DM women. In men, IHM was higher only for NSTEMI. Propensity score matching showed higher use of PCI and coronary artery bypass graft and lower IHM among men with T2DM than women with T2DM for both STEMI and NSTEMI. Conclusions T2DM is associated with a higher incidence of STEMI and NSTEMI in both sexes. Men with T2DM had higher incidence rates of STEMI and NSTEMI than women with T2DM. Having T2DM increased the risk of IHM after STEMI and NSTEMI among women and among men only for NSTEMI. PCI appears to be less frequently used in T2DM patients After STEMI and NSTEMI, women with T2DM less frequently undergo revascularization procedures and have a higher mortality risk than T2DM men.Item Evaluación de la mutagenicidad inducida por concentrados orgánicos derivados de aguas de consumo público por medio del test de Ames(2002) Albaladejo Vicente, Romana; DomÃnguez Carmona, Manuel; Romero MartÃn, MargaritaLa valoración de la actividad mutagénico inducida por concentados orgánicos derivados de aguas de consumo público por medio del test de Ames, ha concluido que no se ha encontrado actividad mutagénica positiva con ninguna de las muestras ensayadas. Las cepas más adecuadas para valorar dichos concentrados has sido la TA 1535 y TA 100. Con la cepa TA-1535 se ha alcanzado la calificaicón de ligera mutagenidad por lo que se postula que la acción de estos derivados podrÃa consisitir en la sustitución de pares de bases. Por último la presencia de la fracción microsomal disminuye la mutagenicidad inducida en todas las cepas.Item Macroeconomic fluctuations, changes in lifestyles and mortality from diabetes: a quasiexperimental study(Journal of Epidemiology and Community Health, 2019) Regidor Poyatos, Enrique; Albaladejo Vicente, Romana; Mateo, Alberto; Fuente, Luis de la; Barrio, Gregorio; Ortega Molina, Soledad PalomaBackground: To evaluate trends in diabetes-related health behaviours and mortality from diabetes and other chronic diseases in the Spanish population before, during and after the 2008 economic crisis. Methods: Annual population measurements were obtained from national surveys and administrative registries for 2004-2016. Using segmented regression analysis, we calculated the annual percentage change (APC) in 2004-2007, 2008-2010, 2011-2013 and 2014-2016 in risk behaviours (smoking, alcohol consumption, obesity and meals away from home), in healthy behaviours (fruit and vegetable intake and physical activity) and in mortality rates from diabetes, cardiovascular disease and cancer. Results: In general, during the economic crisis (2008-2013), the Spanish population reduced risk behaviours and improved healthy behaviours as compared with the trend observed before and afterwards. Diabetes mortality decreased more during the crisis than before or afterwards. The APC in each time interval was -3.3, -3.7, -4.4 and -2.6 in all-age mortality and -2.9, -5.2, -6.7 and -1.3 in premature mortality (less than 75 years). Only in older people (≥75 years) diabetes mortality showed similar decline before and during the crisis. Mortality from cardiovascular disease also declined more during the crisis, except for all-age mortality and older people in the second part of the crisis, whereas the downward trend in cancer mortality was smaller during the crisis years. Conclusions: During the 6 years of the economic crisis in Spain, the favourable changes in health behaviours were accompanied by an important reduction in diabetes mortality in the population.Item Asthma Is Associated with Back Pain and Migraine-Results of Population-Based Case-Control Study(Journal of clinical medicine, 2023) Gutiérrez Albaladejo, Natalia; López De Andrés, Ana Isabel; Cuadrado Corrales, MarÃa Natividad; Albaladejo Vicente, Romana; Villanueva Orbaiz, M. Rosa Rita; Carricondo Orejana, Francisco Javier; Romero Gómez, Bárbara; Jiménez GarcÃa, Rodrigo; Perez Farinos, NapoleónBackground: Worldwide, asthma, back pain, and migraine are major public health problems due to their high prevalence, effect on the quality of life, and huge economic costs. The association of asthma with an increased risk of these types of pain has been suggested; however, no conclusive results have been obtained to date. The aims of our study were (1) to describe and compare the prevalence of three types of pain localization, namely migraine or frequent headaches (MFH), chronic neck pain (CNP), and chronic low back pain (CLBP), in adults with and without asthma in Spain during the years 2014 and 2020 and (2) to identify which variables were associated with the presence of these types of pain in adults with asthma. (2) Methods: A cross-sectional study and a case-control study were conducted. The 2014 and 2020 European Health Interview Surveys for Spain were used as the data source. (3) Results: A total of 2463 individuals were interviewed and had self-reported asthma. In this group, the prevalence of pain was high, with CLBP (30.9%) being the most common, followed by CNP (26.7%) and MFH (13.3%). All types of pain remained stable from 2014 to 2020. In both surveys, the women with asthma reported a remarkably higher prevalence of all the types of pain analyzed than the men with asthma. After matching by age and sex, the prevalence of all pain types was significantly higher in the patients with asthma than in the matched individuals without asthma. Multivariable adjustment showed that asthma increased the likelihood of CNP by 1.45 times (OR 1.45; 95% CI 1.19-1.76), that of CLBP by 1.37 times (OR 1.37; 95% CI 1.11-1.64), and that of MFH by 1.19 times (OR 1.19; 95% CI 1.02-1.51). The three types of pain analyzed were associated with the female sex and worse self-rated health. (4) Conclusions: Among the men and women with asthma, the prevalence of all the pain types was high and remained stable over time. The prevalence was higher and the severity was greater among the women with asthma than among the men with asthma. The prevalence of any pain was significantly higher in people with asthma than in the sex-age-matched individuals without asthma. Multivariable analysis showed that the variables associated with the reporting of the three types of pain in people with asthma were female sex, worse self-reported health, and self-reported mental illness.- Project number: 77
Item Evaluación on-line y presencial de adquisición de conocimientos de la actividad docente(2019) Albaladejo Vicente, Romana; Sordo del Castillo, Luis; Villanueva Orbáiz, MarÃa Rosa Rita; Pulido Manzanero, Jose; Hoyos Miller, Juan Eduardo; GarcÃa Ferrera, Alicia; Hernández Jiménez, Jose Antonio; Grimalt Pomar, MarÃa del Mar; Regidor Poyatos, EnriqueTanto el desarrollo como la generalización de las herramientas virtuales han mejorado la docencia, haciendo que la misma pueda ir mucho más allá de las clases presenciales. Estas herramientas pueden ser de gran utilidad en las propias clases permitiendo al docente y al alumno saber en el curso de esas clases presenciales (en directo) si las materias desarrolladas han sido asimiladas de manera adecuada y oportuna. En este sentido, uno de los objetivos alcanzados a reseñar, es que el alumnado se sintió partÃcipe del proceso docente. Ellos de manera inmediata, juzgaban lo que habÃan visto y de alguna manera eso hacÃa que sintieran que era importante su opinión y que con ella se podÃan modificar las clases posteriores. - Project number: 211
Item Utilización de los medios de comunicación como herramienta de aprendizaje y consolidación de conocimientos en epidemiologÃa y salud pública(2018) Pérez Farinós, Napoleón; Warnberg, Julia; Santos Sancho, Juana Mª; López de Andrés, Ana; Calle Purón, Mª Elisa; Albaladejo Vicente, Romana; Villanueva Orbaiz, Mª Rosa Rita; Hedo Prieto, Mª Teresa; Serrano Gregorio, Lydia; Pérez López, Jéssica; Astasio Arbiza, Paloma; Barón López, Francisco Javier; Cea Soriano, Trinidad LucÃa; Sordo del Castillo, Luis; Pulido Manzanero, JoséReforzar conceptos de salud pública mediante análisis de información publicada por los medios. Se seleccionarán informaciones que traten temas de salud pública. Se realizará un análisis evaluando qué conceptos se manejan, y si están bien utilizados.