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
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UCM identifierScopus Author IDDialnet ID

Search Results

Now showing 1 - 7 of 7
  • 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 Paloma
    Background: 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.
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    Project number: 77
    Evaluación on-line y presencial de adquisición de conocimientos de la actividad docente
    (2019) Albaladejo Vicente, Romana; Sordo del Castillo, Luis; Villanueva Orbáiz, María Rosa Rita; Pulido Manzanero, Jose; Hoyos Miller, Juan Eduardo; García Ferrera, Alicia; Hernández Jiménez, Jose Antonio; Grimalt Pomar, María del Mar; Regidor Poyatos, Enrique
    Tanto 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 partícipe del proceso docente. Ellos de manera inmediata, juzgaban lo que habían visto y de alguna manera eso hacía que sintieran que era importante su opinión y que con ella se podían modificar las clases posteriores.
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    Project number: 211
    Utilización de los medios de comunicación como herramienta de aprendizaje y consolidación de conocimientos en epidemiología 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 Lucía; Sordo del Castillo, Luis; Pulido Manzanero, José
    Reforzar 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.
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    Trends in mechanical ventilation use and mortality over time in patients receiving mechanical ventilation in Spain from 2001 to 2015.
    (European Journal of Internal Medicine, 2019) Miguel Díez, Javier De; Jiménez García, Rodrigo; Hernández Barrera, Valentín; Zamorano León, José Javier; Villanueva Orbaiz, M. Rosa Rita; Albaladejo Vicente, Romana; López De Andrés, Ana Isabel; Elsevier
    Background: We examined trends in the incidence of ventilator support with noninvasive ventilation (NIV) or invasive mechanical ventilation (IMV) among patients hospitalized in Spain from 2001 to 2015. We also assessed in-hospital mortality (IHM) after receiving these types of ventilator support. Methods: This study was an observational retrospective epidemiological study. Our data source was the Spanish National Hospital Discharge Database. Results: In total, 1,031,497 patients received ventilator support in Spain over the study period. NIV use increased from 18.8 patients per 100.000 inhabitants in 2001 to 108.7 in 2015. IMV utilization increased significantly from 2001 to 2003 and then decreased from 2003 until 2015. Patients who required NIV had the highest mean Charlson Comorbidity Index (CCI) score. Patients who received IMV had the highest in-hospital mortality. Factors associated with an increased risk for IHM were sex, age, conditions included in the CCI (except for COPD and diabetes), haemodialysis, presence of a peripheral arterial catheter, presence of a central venous catheter, readmission and emergency room admission. Undergoing a surgical procedure was a risk factor only for IMV. IHM decreased significantly from 2001 to 2015 in patients who underwent NIV or IMV. Conclusions: We identified an increase in the utilization of NIV over time, whereas use of IMV decreased from 2003 until 2015 after an initial increase from 2001 to 2003. We also found a significant decrease in IHM over time.
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    Project number: 174
    Epidemiología básica. Material docente para prácticas en ciencias de la salud
    (2018) Pérez Farinós, José Napoleón; Wärnberg, Julia; Santos Sancho, Juana Mª; Ajejas Bazán, Mª Julia; López de Andrés, Ana; Pérez López, Jéssica; Benavente Marín, Juan Carlos; Romero Galisteo, Rita Pilar; Cueto Galán, Raquel; Albaladejo Vicente, Romana; Villanueva Orbáiz, Mª Rosa Rita; Astasio Arbiza, Paloma; Barón López, Javier; Jiménez García, Rodrigo; Jiménez Trujillo, María Isabel; Sordo del Castillo, Luis; Cea Soriano, Trinidad Lucía; Morales Cerchiaro, Ángela Patricia; Sanz Rojo, Sara; Hernández Barrera, Valentín; Martínez Hernández, David; Ortega Molina, Paloma; Calle Purón, Mª Elisa; Hedo Prieto, Mª Teresa
    Material docente teórico práctico para apoyar la enseñanza de la epidemiología. Consta de 4 unidades, cada una de ellas con una introducción teórica y unos ejercicios basados en artículos publicados en inglés en revistas científicas.
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    Trends in the Use and Outcomes of Mechanical Ventilation among Patients Hospitalized with Acute Exacerbations of COPD in Spain, 2001 to 2015
    (Journal of Clinical Medicine, 2019) Miguel Díez, Javier de; Jiménez García, Rodrigo; Hernández-Barrera, V.; Puente Maestu, Luis; Girón Matute, Walther Iván; Miguel Yanes, José María de; Méndez-Bailón, M.; Villanueva Orbaiz, Mª Rosa Rita; Albaladejo Vicente, Romana; López-de-Andrés, A.
    (1) Background: We examine trends (2001–2015) in the use of non-invasive ventilation (NIV) and invasive mechanical ventilation (IMV) among patients hospitalized for acute exacerbation of chronic obstructive pulmonary disease (AE-COPD). (2) Methods: Observational retrospective epidemiological study, using the Spanish National Hospital Discharge Database. (3) Results: We included 1,431,935 hospitalizations (aged ≥40 years) with an AE-COPD. NIV use increased significantly, from 1.82% in 2001–2003 to 8.52% in 2013–2015, while IMV utilization decreased significantly, from 1.39% in 2001–2003 to 0.67% in 2013–2015. The use of NIV + invasive mechanical ventilation (IMV) rose significantly over time (from 0.17% to 0.42%). Despite the worsening of clinical profile of patients, length of stay decreased significantly over time in all types of ventilation. Patients who received only IMV had the highest in-hospital mortality (IHM) (32.63%). IHM decreased significantly in patients with NIV + IMV, but it remained stable in those receiving isolated NIV and isolated IMV. Factors associated with use of any type of ventilatory support included female sex, lower age, and higher comorbidity. (4) Conclusions: We found an increase in NIV use and a decline in IMV utilization to treat AE-COPD among hospitalized patients. The IHM decreased significantly over time in patients who received NIV + IMV, but it remained stable in patients who received NIV or IMV in isolation.
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    Sports facilities, socio-economic context and overweight among the childhood population in two southern European cities: a cross sectional study
    (BMC Pediatrics, 2019) Albaladejo Vicente, Romana; Villanueva Orbaiz, M. Rosa Rita; Astasio Arbiza, Paloma; Ortega Molina, Soledad Paloma; Santos Sancho, Juana María; Regidor Poyatos, Enrique
    Background: To evaluate relationship between socio-economic environment and overweight in Madrid and Barcelona, adjusting for possible confounding factors. Methods: We obtained three indicators which reflected socio-economic context, namely, unemployment rate, percentage of population with tertiary education, and percentage with a second home. The design is a cross sectional study. The association with overweight was estimated using odds ratios by multilevel logistic regression. The statistical analysis, data synthesis, or model creation was performed from the 2017. In all, 707 children from 21 districts of Madrid and 474 children from 10 districts of Barcelona were analysed. Results: In Madrid, standardised ORs for personal and family characteristics were 1.17, 1.53 and 1.57 by reference to unemployment rate and percentages of population with a university education and second home. After adjustment, only the OR obtained with unemployment rate decreased, specifically by 58%. In Barcelona, the following ORs were obtained: 1.80 with unemployment rate; 1.80 with population having a university education; and 1.86 with population having a second home. After being standardised, these ORs decreased by 14% in the case of unemployment rate, 10% in the case of population with a university education, and 9% in the case of population with a second home. Conclusions: Overweight displayed a risk gradient in Madrid and Barcelona alike. This risk of overweight is not accounted for by physical inactivity and could, in part, be due to the availability of sports facilities.