Time trends in coronary revascularization procedures among people with COPD: analysis of the Spanish national hospital discharge data (2001-2011).

Background: People with COPD suffering from coronary artery disease are frequently treated with revascularization procedures. We aim to compare trends in the use and outcomes of these procedures in COPD and non-COPD patients in Spain between 2001 and 2011.

Methods: We identified all patients who had undergone percutaneous coronary interventions (PCIs) and coronary artery bypass graft (CABG) surgeries, using national hospital discharge data.

An individual patient data meta-analysis on factors associated with adverse drug events in surgical and non-surgical inpatients.

Aim: The incidence of adverse drug events (ADEs) in surgical and non-surgical patients may differ. This individual patient data meta-analysis (IPDMA) identifies patient characteristics and types of medication most associated with patients experiencing ADEs and suggests target areas for reducing harm and implementing focused interventions.

Methods: Authors of eligible studies on preventable ADEs (pADEs) were approached for collaboration.

Predictive factors of self-medicated analgesic use in Spanish adults: a cross-sectional national study.

Background: Analgesics are among the most commonly consumed drugs by the world populations. Within the broader context of self-medication, pain relief occupies a prominent position. Our study was to ascertain the prevalence of self-medication with analgesics among the Spanish population and to identify predictors of self-medication, including psychological disorders, psychological dysfunction, mental health status, and sociodemographic and health-related variables.

Trends 2001 to 2008 in incidence and immediate postoperative outcomes for major joint replacement among Spanish adults suffering diabetes.

Objectives: To analyze the trend of incidence rates of primary total knee (TKA) and primary total hip arthroplasty (THA) due to osteoarthritis among Spanish adults suffering diabetes (type-1 and 2) from 2001 to 2008 and analyze in-hospital mortality (IHM), length of stay (LOS) and hospital charges compared with non-diabetic patients.

Methods: From the Spanish National Hospital Database, we selected 250,205 patients with TKA and 122,926 patients with THA; 12 and 9% of patients undergoing TKA and THA, respectively, were diabetes sufferers, of them, 1.6% was classified as type 1 in each procedure.

Sexuality among Spanish adults with diabetes: a population-based case control study.

Objectives: To describe and compare sexuality between subjects with diabetes with matched non-diabetic controls.

Methods: Population based case control study using individual data from the Spanish National Sexual Health Survey. Diabetes status was self reported, we selected type 2 patients.

Are age-based strategies effective in increasing influenza vaccination coverage?: the Spanish experience.

We investigated the effectiveness of applying age-based strategies to improve influenza vaccination coverage in Spain. We described and compared influenza vaccination coverage from 2003 to 2010 between those Spanish autonomous regions (AR) that lowered the age limit to 60 y and those regions that maintained the limit at 65 y. We used data collected from two surveys covering a representative sample of the Spanish population aged ≥ 16 y [Spanish National Health Survey (SNHS) 2003/2004 and the European Health Survey for Spain (EHSS) 2009/2010].

Trend in cervical cancer screening in Spain (2003-2009) and predictors of adherence.

Cervical cancer remains a public health problem in developed countries. Early detection of both premalignant lesions and cervical cancer through an appropriate screening programme may decrease its incidence and mortality. High rates of participation are essential to ensure the desired impact on the population.

Vaccination against 2008/2009 and 2009/2010 seasonal influenza in Spain: coverage among high risk subjects, HCWs, immigrants and time trends from the 2005/2006 campaign.

Influenza continues to be a very important cause of morbidity, mortality and a large number of hospitalizations each year, however the compliance with vaccine uptake is low and has barely varied over time among health care workers (HCWs) and people under 65 years of age suffering a chronic condition. Based on data from two nation-wide representative health surveys namely the 2006 Spanish National Health Survey and the 2009 European Health Interview Survey for Spain the aim of this study is to describe influenza vaccination coverage and time trends for the Spanish population as a whole and in recommended populations in four vaccination campaigns: 2005/2006, 2006/2007, 2008/2009 and 2009/2010. Our results show an increasing trend (OR 1.

The association between excess weight and self-rated health and psychological distress in women in Spain.

Objective: To investigate the associations between obesity and self-rated health and psychological well-being in Spanish women.

Design: Cross-sectional study. Three dependent variables were defined: self-rated health; self-declared diagnosis of psychiatric disorders or use of psychiatric drugs; and General Health Questionnaire-12 (GHQ-12) score.

Trends in primary total hip arthroplasty in Spain from 2001 to 2008: evaluating changes in demographics, comorbidity, incidence rates, length of stay, costs and mortality.

Background: Hip arthroplasties is one of the most frequent surgical procedures in Spain and are conducted mainly in elderly subjects. We aim to analyze changes in incidence, co-morbidity profile, length of hospital stay (LOHS), costs and in-hospital mortality (IHM) of patients undergoing primary total hip arthroplasty (THA) over an 8-year study period in Spain.

Methods: We selected all surgical admissions in individuals aged ≥ 40 years who had received a primary THA (ICD-9-CM procedure code 81.

Changes in the epidemiology of hepatitis A in Spain (2005–2008): trends of acute hepatitis A hospitalizations, comorbidities, and costs associated with the hospitalization.

Introduction: The objective of this study is to analyze data related to hospitalization, comorbidities, median stays and costs associated with the hospitalization cases of hepatitis A in Spain, during the 2005-2008 periods.

Methods: A retrospective study of the characteristics of acute hepatitis A patients admitted to Spanish hospitals was performed using the minimum basic dataset. Costs were calculated using the diagnosis-related groups for the disease.

Gender influence in influenza vaccine uptake in Spain: time trends analysis (1995-2006).

This study aims to analyze gender differences in influenza vaccine coverage and predictors of vaccine uptake in Spain from year 1995 to 2006. We used data obtained from the Spanish National Health Surveys (NHSS) conducted in 1995, 1997, 2001, 2003 and 2006. Only subjects for whom the vaccine was recommended in Spain (age >or=65 years and <65 years with an associated chronic condition) during the entire study period were analyzed.

Predictors of influenza vaccination uptake among adults with a history of heart attack.

Background: Influenza vaccination can reduce morbidity and mortality caused by cardiovascular diseases. This study sought to evaluate influenza vaccination coverage among adults with a history of heart attack and to determine which variables were associated with vaccine uptake.

Results: A total of 716 adults reported having suffered a heart attack.

Breast and cervical cancer screening in Spain and predictors of adherence.

Gynecological cancers are an important cause of morbidity and mortality. Secondary prevention programmes attempt to improve their prognosis. High participation rates are needed to ensure the desired population impact.

Patient's perceptions and information provided by the public health service are predictors for influenza vaccine uptake.

The objective of this study is to determine whether a patient's perception and information received from health services can be used as predictive tools in regard to vaccination coverage against influenza. Individual data from 7,341 adults included in the Madrid City Health Survey conducted in 2005 were used. With the objective of discovering the level of satisfaction with the public health system in mind, the question "In your opinion, does the public health care system in the city of Madrid work properly?" was asked to the population so as to obtain an affirmative/negative answer with respect to public health services.

Hospital-acquired rotavirus infections in Spain over a ten-year period (1998-2007).

Background And Objectives: To analyze the epidemiology and burden of rotavirus infections amongst hospitalized children up to 5 years of age in Spain over a 10-year period (1998-2007).

Results: During the study period (1998-2007), a total of 10,990 cases of rotavirus disease mentioned as a secondary diagnosis were recorded (annual incidence of 59.02 cases per 100,000 people and 0.

Medication consumption in the Spanish paediatric population: related factors and time trend, 1993-2003.

Aims: To ascertain the prevalence of consumption of medications in the Spanish paediatric population and to identify the factors associated with such consumption.

Methods: This was a descriptive, cross-sectional study covering the Spanish adult population, using data drawn from the 1993 and 2003 Spanish National Health Surveys (SNHS). The 1993 and 2003 SNHS include data on 5280 and 6463 children, respectively, age range 0-15 years.

Significant differences in the use of healthcare resources of native-born and foreign born in Spain.

Background: In the last decade, the number of foreign residents in Spain has doubled and it has become one of the countries in the European Union with the highest number of immigrants There is no doubt that the health of the immigrant population has become a relevant subject from the point of view of public healthcare. Our study aimed at describing the potential inequalities in the use of healthcare resources and in the lifestyles of the resident immigrant population of Spain.

Methods: Cross-sectional, epidemiological study from the Spanish National Health Survey (NHS) in 2006, from the Ministry of Health and Consumer Affairs.

Coverage and predictors of influenza vaccination among adults living in a large metropolitan area in Spain: a comparison between the immigrant and indigenous populations.

This study sought to evaluate influenza vaccination coverage in Madrid (Spain). Coverages were estimated for vaccine target groups and special attention was placed on the immigrant population. Individual data from 7341 adults included in the Madrid City Health Survey conducted in 2005 was used.

Coverage and predictors of influenza vaccination among adults with diabetes in Spain.

Based on data drawn from the 2003 National Health Survey (NHS), we sought to: (1) estimate influenza vaccination coverages among Spanish diabetic adults; (2) analyze which sociodemographic, health-related, and use of health-care services variables were associated with the likelihood of Spanish diabetes sufferers being vaccinated; and (3) analyze the time-trend in coverage for the period 2001-2003. We analyzed data on the 1295 adults suffering diabetes included in the 2003 NHS. The reply to the question "Were you vaccinated against influenza in the last vaccination campaign?" was taken as the dependent variable.

Estimates of influenza vaccination target population sizes in Spain for the 2006-2007 season.

This study sought to estimate influenza vaccination target population sizes in Spain for the 2006-2007 season, based firstly on current vaccine recommendations, and secondly, on the hypothetical assumption that Advisory Committee on Immunization Practices (ACIP) recommendations were to be implemented. We estimate that under present Spanish guidelines, 41% of the population should be vaccinated against influenza in the 2006-2007 season. Of those eligible for vaccination, 41% are aged >or=65 years, 16% are aged <65 years and suffer from a chronic condition, and 36% are healthy household contacts aged <65 years.

Influenza vaccination among the elderly Spanish population: trend from 1993 to 2003 and vaccination-related factors.

Background: Influenza is an important public health problem that particularly affects elderly subjects and influenza vaccination is a safe, effective and efficient method for prevention of influenza-related complications in elderly individuals with or without underlying chronic conditions. This study aims to analyze adjusted time trends in the coverage of influenza vaccination among elderly Spanish subjects and to identify which variables were associated with the probability of having been vaccinated in 2003.

Methods: We undertook a cross-sectional study using data of individuals aged >/=65 years drawn from the 1993, 1995, 1997, 2001, and 2003 Spanish National Health Surveys.