Publications by authors named "de Miguel Diez"

This study aims to develop a protocol for respiratory disease-associated biomarker discovery by combining urine proteome studies with urinary exosome components analysis (i.e., miRNAs).

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Background: Respiratory syncytial virus (RSV) infection is a common cause of hospital admission. The association between chronic obstructive pulmonary disease (COPD) exacerbation and RSV infection is not well studied.

Objective: To analyze the hospitalizations of patients with COPD and RSV infection in Spain between 2018 and 2022.

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Introduction: Triple inhaled therapy (TT) in one device has been shown in clinical trials to reduce exacerbations and in some cases mortality compared to dual inhaled therapy (DT) in one device in the population of moderate to very severe COPD patients and previous exacerbations. This evidence must be contrasted in real-world conditions.

Patients And Methods: Non-intervention retrospective cohort study comparing the incidence of moderate and severe exacerbations in COPD patients treated with TT (formoterol, glycopyrrolate and budesonide, 5mcg/72mcg/320mcg, n=112) and DT (LAMA/LABA/ or LABA/inhaled glucocorticoid, n=107) for 26 weeks under clinical practice conditions.

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Article Synopsis
  • Chronic obstructive pulmonary disease (COPD) is a significant health issue worldwide, contributing to high mortality rates, and is often underdiagnosed in Spain, prompting the CARABELA-COPD initiative to improve care.
  • The CARABELA-COPD initiative uses a four-phase lean methodology focusing on collaboration among various stakeholders to enhance COPD management across different healthcare settings in Spain.
  • Initial results include the development of a comprehensive patient journey, identification of key improvement areas in care, and establishment of quality indicators, aiming to transform COPD management and improve patient outcomes through interdisciplinary teamwork.
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(1) Background: To describe hospitalizations due to respiratory syncytial virus (RSV) infection among children and elderly patients with asthma. (2) Methods: We used a nationwide discharge database to select patients with asthma aged 0 to 15 years and ≥65 years admitted to Spanish hospitals from 2016 to 2022. (3) Results: We identified 49,086 children and 471,947 elderly patients hospitalized with asthma (3.

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Background: Chronic obstructive pulmonary disease (COPD) exacerbations represent significant clinical events marked by worsening respiratory symptoms, often necessitating changes in medication or hospitalization. Identifying patterns of exacerbation and understanding their clinical implications are critical for improving patient outcomes. This study aimed to identify exacerbation patterns in COPD patients using variations in the COPD Assessment Test (CAT) scores and compare clinical characteristics and comorbidities among patients with different exacerbation patterns.

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: To analyze the number and clinical characteristics of hospital admissions in Spain between 2016 and 2022 in which alpha-1-antitrypsin deficiency (AATD) was coded; to describe and analyze differences in these parameters between men and women; and to identify variables associated with a worse prognosis. : We used a nationwide discharge database to select all admissions featuring an AATD diagnostic code (ICD-10 code E88.01) in any position.

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Background: We used the Spanish national hospital discharge data from 2016 to 2022 to analyze procedures and hospital outcomes among patients aged ≥ 18 years admitted for ST-elevation myocardial infarction (STEMI) and non-ST-elevation myocardial infarction (NSTEMI) according to diabetes mellitus (DM) status (non-diabetic, type 1-DM or type 2-DM).

Methods: We built logistic regression models for STEMI/NSTEMI stratified by DM status to identify variables associated with in-hospital mortality (IHM). We analyzed the effect of DM on IHM.

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Article Synopsis
  • The study analyzes hospitalizations for Creutzfeldt-Jakob disease (CJD) and fatal familial insomnia (FFI) in Spain from 2016 to 2022, identifying 1063 discharges, with a majority for CJD.
  • There was a notable increase in FFI cases in 2017, with average hospital stays of 13 days for CJD and 6 days for FFI; the in-hospital mortality rates were 36.37% for CJD and 32.56% for FFI.
  • Factors like older age and the presence of sepsis or pneumonia were linked to higher mortality rates in CJD patients, and the total cost for managing these diseases during the study was approximately EUR
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Introduction: The objectives of this study were to examine temporal trends in the incidence of bariatric surgery (Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG)) in patients with and without type 2 diabetes mellitus (T2DM). Outcomes of hospitalization and the impact of T2DM on these outcomes were also analyzed.

Research Design And Methods: We performed an observational study with the Spanish national hospital discharge database.

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Introduction: Telemedicine (TM) can help in the management of chronic obstructive pulmonary disease (COPD). This study examines knowledge, current use and potential limitations for practical implementation of TM for the remoted management of COPD patients among members of the COPD area of SEPAR ( = 3118).

Methods: An electronic survey was circulated three times to these 3118 health-care professionals.

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Background: Food-induced anaphylaxis (FIA) is a major public health problem resulting in serious clinical complications, emergency department visits, hospitalization, and death.

Objective: This study aims to assess the epidemiology and the trends in hospitalizations because of FIA in Spain between 2016 and 2021.

Methods: An observational descriptive study was conducted using data from the Spanish National Hospital discharge database.

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: Both diabetes mellitus (DM) and gynaecological and colorectal cancers are highly prevalent diseases. Furthermore, the presence of DM constitutes a risk factor and poor prognostic indicator for these types of cancer. This study is based on the European Health Interview Surveys in Spain (EHISS) of 2014 and 2020.

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  • The study analyzed the prevalence and outcomes of atrial fibrillation (AF) in patients hospitalized for acute exacerbation of chronic obstructive pulmonary disease (AE-COPD) in Spain from 2016 to 2021.
  • It found that 20.58% of hospitalized patients had AF, with a notable increase in prevalence over the years, especially in men.
  • Patients with AF faced longer hospital stays and higher in-hospital mortality rates, influenced by factors such as older age, male sex, comorbidities including COVID-19, and the need for intensive care.
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  • The study analyzed trends in kidney transplants (KT) among patients with type 1 diabetes (T1D), type 2 diabetes (T2D), and those without diabetes from 2016 to 2020 in Spain, focusing on incidence, complications, and hospital outcomes.
  • Results showed a decline in KTs during the COVID-19 pandemic, with an increase in complications for T2D patients and higher rates of organ rejection for T1D patients.
  • T1D was linked to higher in-hospital mortality rates, while T2D did not show a similar association, suggesting different impacts of diabetes types on transplant outcomes.
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Article Synopsis
  • The SARS-CoV-2 pandemic has created major challenges for healthcare systems and professionals around the world.
  • Medical communities have had to adapt quickly to new health protocols, treatment methods, and patient care strategies.
  • The ongoing impacts of the pandemic have highlighted existing weaknesses in healthcare infrastructure and emphasized the need for future preparedness.
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  • * Patients with COPD showing signs of CVD or vice versa should be referred to the appropriate specialist, especially if they exhibit specific symptoms like palpitations or excessive dyspnea.
  • * Treatment for patients with both conditions may include specific medications, such as long-acting bronchodilators for COPD and cardioselective beta-blockers for CVD, tailored to the severity and frequency of exacerbations.
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COPD is a disease with a high prevalence that diminishes the quality of life of many patients. Despite this, there are still high rates of under-diagnosis in Spain, partly due to a lack of recognition of the pathology by patients. In this context, the role played by primary care teams becomes fundamental, as they are one of the first lines of entry into the health system.

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