Publications by authors named "Ana Lopez De Andres"

(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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(1) Background: Radical prostatectomy has a high incidence of erectile dysfunction (ED). The aim was to determine if the expression of the nitric oxide synthase-3/soluble guanylate cyclase/phosphodiesterase 5 axis could be detected in buccal mucosa and if it could be differently expressed in patients with and without ED; (2) Methods: Erectile function from 38 subjects subjected to prostatectomy was evaluated using the International Index of Erectile Function-Erectile Function Domain before and one year after surgery. Nitric oxide synthase (NOS3), β1-subunit of soluble guanylate cyclase (sGC), phosphodiesterase-5 (PDE-5) expressions, and interleukin-6 and interleukin-10 content were measured in the buccal mucosa.

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(1) Background: Artificial intelligence using machine learning techniques may help us to predict and prevent obesity. The aim was to design an interpretable prediction algorithm for overweight/obesity risk based on a combination of different machine learning techniques. (2) Methods: 38 variables related to sociodemographic, lifestyle, and health aspects from 1179 residents in Madrid were collected and used to train predictive models.

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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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  • The study aimed to evaluate how physical activity (PA) levels relate to overweight and obesity in Spanish adults, considering various sociodemographic factors.
  • Utilizing data from the European Health Interview Surveys in Spain from 2014 and 2020, it found that while the percentage of overweight and obese individuals not engaging in any PA remained unchanged, there were increases in those walking and exercising regularly.
  • The research highlighted that lack of leisure-time PA and infrequent exercise significantly increased the likelihood of being overweight or obese, indicating a strong association between PA levels and body weight.
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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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(1) Background: Our aim was to determine changes in the prevalence of physical activity (PA) in adults with asthma between 2014 and 2020 in Spain, investigate sex differences and the effect of other variables on adherence to PA, and compare the prevalence of PA between individuals with and without asthma. (2) Methods: This study was a cross-sectional, population-based, matched, case-control study using European Health Interview Surveys for Spain (EHISS) for 2014 and 2020. (3) Results: We identified 1262 and 1103 patients with asthma in the 2014 and 2020 EHISS, respectively.

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Article Synopsis
  • This study aimed to analyze the prevalence of atrial fibrillation (AF) among asthma patients hospitalized in Spain and compare hospital outcomes based on AF presence, with a focus on sex differences and factors linked to hospital mortality.
  • Researchers examined data from over 65,000 hospitalizations between 2016 and 2021, finding that nearly 15% of asthma patients had AF, which increased over time, while male patients had a lower risk of developing AF.
  • The study concluded that AF in asthma patients led to higher in-hospital mortality rates, especially in older patients and those with additional health conditions, and noted that sex did not have an impact on mortality rates in this group.
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  • Anaphylaxis is a serious and quick-reaction allergic response, and this study looked at adult hospitalizations in Spain from 2016 to 2021, specifically comparing patients with asthma to those without.
  • The analysis used data from a national database and included matching patients to accurately evaluate their conditions and outcomes.
  • Findings revealed that the number of hospitalizations remained stable, but drug-induced anaphylaxis rose; while asthma patients had more respiratory issues, overall mortality rates didn’t differ much between asthma and non-asthma patients, highlighting the need for further research into the complexities of anaphylaxis.
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(1) Background: 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.

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(1) Background: We analyzed the association between atrial fibrillation or atrial flutter (AF) and in-hospital mortality (IHM) among patients who underwent solid organ transplants in Spain from 2004 to 2021. (2) Methods: We gathered information from all hospital admissions for lung, liver, kidney, and heart transplants. (3) Results: A total of 71,827 transplants were analyzed (4598 lung transplants; 18,127 liver transplants; 45,262 kidney transplants; and 4734 heart transplants).

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Objectives: To evaluate trends in the prevalence of physical activity (PA) from 2014 to 2020; to identify sex differences and sociodemographic and health-related factors associated with PA in individuals with chronic obstructive pulmonary disease (COPD); and to compare PA between individuals with and without COPD.

Methods: Cross-sectional and case-control study.

Source: European Health Interview Surveys for Spain (EHISS) conducted in 2014 and 2020.

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(1) Background: To assess and compare the temporal trends in the incidence, characteristics and hospital outcomes among children with and without asthma who were hospitalized with anaphylaxis in Spain from 2016 to 2021, and identify the variables associated with severe anaphylaxis among children with asthma. (2) Methods: An observational, retrospective study was conducted using a population-based database. The study population included pediatric patients with anaphylaxis.

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Background: The impact of Type 2 Diabetes (T2D) on the outcomes of heart transplantation (HT) has not yet been clearly established. The objectives of this study were to examine the trends in the prevalence of T2D among individuals who underwent a HT in Spain from 2002 to 2021, and to compare the clinical characteristics and hospitalization outcomes between HT recipients with and without T2D.

Methods: We used the national hospital discharge database to select HT recipients aged 35 and older.

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(1) Background: Epidermolysis bullosa (EB) comprises a group of rare skin diseases. We assessed diagnostic procedures, comorbidity profiles, length of hospital stay (LOHS), costs, and in-hospital mortality (IHM) associated with EB. (2) Methods: A retrospective, population-based observational study was performed using the Spanish National Hospital Discharge Database.

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(1) Background: To analyze the association between hospital-acquired pneumonia (HAP) and in-hospital mortality (IHM) during hospital admission for solid organ transplant in Spain during 2004-2021. (2) Methods: We used national hospital discharge data to select all hospital admissions for kidney, liver, heart, and lung transplants. We stratified the data according to HAP status.

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Objectives: To validate the diagnoses of acute myocardial infarction (AMI) and stroke recorded in electronic medical records (EMR) and to estimate the population prevalence of both diseases in people aged ≥18 years.

Design: Cross-sectional validation study.

Setting: 45 primary care centres.

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(1) Background: This paper aims to assess temporal trends (2016-2020) in incidence, patient's characteristics, complications, length of hospital stay (LOHS) and in-hospital mortality (IHM) among patients with and without idiopathic pulmonary fibrosis (IPF) undergoing lung transplantation (LTx). We also analyse the effect of the COVID-19 pandemic on LTx in these populations. (2) Methods: A retrospective, population-based observational study was conducted using the Spanish National Hospital Discharge Database.

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