Publications by authors named "Isaac Subirana"

Unlabelled: This project aims to establish the acceptability and satiety of a hybrid snack containing plant protein and a small percentage of animal protein compared to a meat-based snack.

Design: Randomised, crossover, double-blind, controlled post-prandial trial involving 24 participants (18-30 years), with two interventions: (a) a hybrid snack containing plant protein derived from chickpeas and 6.6% lean high-quality pork meat; and (b) a meat-based snack containing 90% lean pork meat.

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  • The study evaluates the effectiveness of STEMI networks, focusing on out-of-hospital triage, in improving patient outcomes for ST elevation myocardial infarction (STEMI).
  • It found that implementing these networks led to significant reductions in case-fatality (35%) and long-term mortality (27%), along with improvements in various patient conditions and treatment times.
  • The positive effects were more pronounced in urban areas and high-income countries, emphasizing the importance of emergency transport systems in enhancing patient care.
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Background: The clinical use of colistin methanesulphonate (CMS) is limited by potential nephrotoxicity. The selection of an efficient and safe CMS dose for individual patients is complicated by the narrow therapeutic window and high interpatient pharmacokinetic variability. In this study, a simple predictive equation for estimating the plasma concentration of formed colistin in patients with multidrug and extremely drug-resistant gram-negative bacterial infections was developed.

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  • Atrial fibrillation (AF) commonly complicates ST elevation myocardial infarction (STEMI), increasing the risks of heart failure and mortality, making treatment strategies controversial.
  • A study analyzed 4,184 STEMI patients, finding that 6.4% developed AF in the first 48 hours, leading to a comparison between AF-STEMI patients and a matched control group.
  • Results showed that AF-STEMI patients had worse outcomes, including higher in-hospital mortality (11.9% vs 7.2%) and greater 10-year mortality (50.5% vs 36.2%), alongside a higher recurrence of AF, but no significant difference in stroke rates.
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Cardiorespiratory fitness (CRF) is an important component of overall physical fitness and is associated with numerous health benefits, including a reduced risk of heart disease, diabetes, and obesity. However, direct measurement of CRF is time-consuming and therefore not feasible for screening purposes. A maximal treadmill exercise test with the Bruce protocol was performed to estimate VO in 1047 Spanish men and women aged 17 to 62 years.

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Introduction: The study of frailty and its effect on the risk of mortality in older people is of utmost importance, but understanding the critical factors is still limited. Our main objective was to analyze the association of frailty with all-cause mortality in a prospective community cohort of older people.

Methods: A five-year longitudinal follow-up study was conducted with 1,174 community-dwelling older adults (men and women≥65 years old) from different Family Health Centers and community groups from Chile.

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Pre-existing coronary artery disease (CAD), and thrombotic, inflammatory, or virus infectivity response phenomena have been associated with COVID-19 disease severity. However, the association of candidate single nucleotide variants (SNVs) related to mechanisms of COVID-19 complications has been seldom analysed. Our aim was to test and validate the effect of candidate SNVs on COVID-19 severity.

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Introduction And Objectives: Myocardial infarction (MI) incidence and case fatality trends are highly informative but relatively untested at the population level. The objective of this work was to estimate MI incidence and case fatality in the Girona population aged 35-74 years, and to determine their 30-year trends (1990-2019).

Methods: The REGICOR (Girona Heart Registry) monitored MI incidence and case fatality rates from 1990 to 2008.

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  • - The study evaluated a genetic risk score (GRS) for coronary artery disease (CAD) to see if it could predict the risk of recurrence in patients having their first heart attack, independently of traditional cardiovascular risk factors.
  • - Researchers conducted a meta-analysis of data from three studies involving various age groups and developed a GRS based on 12 genetic variants related to CAD, focusing on outcomes like cardiovascular death and recurrent heart issues.
  • - Results showed that a higher GRS was linked to an increased likelihood of recurrence but did not enhance the overall predictive model; however, it did help identify high-risk patients who might benefit from targeted preventative treatments.
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The present study describes the time-loss injuries among female and male athletes of the Spanish rink hockey league during the 2021/22 season.We performed a retrospective cohort study on time-loss injuries, whereby the athlete is prevented from participating in a training session or game because of the injury.A total of 463 athletes were included, with 326 (70.

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Several patient-related factors that influence adherence to antiretroviral therapy (ART) have been described. However, studies that propose a practical and simple tool to predict nonadherence after ART initiation are still scarce. In this study, we develop and validate a score to predict the risk of nonadherence in people starting ART.

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Ischemic cardiovascular diseases (CVD) originate from an imbalance between atherosclerotic plaque formation, instability, and endothelial healing dynamics. Our aim was to examine the relationship between 5-year changes in inflammatory, metabolic, and oxidative biomarkers and 10-year CVD incidence in a population without previous CVD. This was a prospective cohort study of individuals aged 35-74 years (n = 419) randomly selected from 5263 REGICOR participants without CVD recruited in 2005.

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Objectives: To identify prognostic models which estimate the risk of critical COVID-19 in hospitalized patients and to assess their validation properties.

Study Design And Setting: We conducted a systematic review in Medline (up to January 2021) of studies developing or updating a model that estimated the risk of critical COVID-19, defined as death, admission to intensive care unit, and/or use of mechanical ventilation during admission. Models were validated in two datasets with different backgrounds (HM [private Spanish hospital network], n = 1,753, and ICS [public Catalan health system], n = 1,104), by assessing discrimination (area under the curve [AUC]) and calibration (plots).

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Vancomycin is used for the treatment of bone and joint infections (BJI), but scarce information is available about its pharmacokinetic/pharmacodynamic (PK/PD) characteristics. We aimed to identify the risk factors associated with the non-achievement of an optimal PK/PD target in the first therapeutic drug monitoring (TDM). Methods: A retrospective study was conducted in a tertiary hospital from January 2020 to January 2022.

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Background: Atrial fibrillation (AF) ablation strategy is associated with a non-negligible risk of complications and often requires repeat procedures (AF ablation track), implying repetitive exposure to procedural risk.

Objective: The purpose of this study was to develop and validate a model to estimate individualized cumulative risk of complications in patients undergoing the AF ablation track (Atrial Fibrillation TRAck Complication risK [AF-TRACK] calculator).

Methods: The model was derived from a multicenter cohort including 3762 AF ablation procedures in 2943 patients.

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  • The study examines the effects of phenol-rich olive oils (OOs), particularly virgin olive oil (VOO), on cardiovascular health among individuals with high cholesterol.
  • Thirty-three participants consumed different types of OOs for three weeks, which varied in phenolic compounds (PCs) content, while various health metrics were measured.
  • Results showed that phenol-enriched OOs significantly altered metabolic profiles, reducing metabolites linked to cardiometabolic diseases compared to VOO.
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Background And Aims: Cardiovascular (CV) risk functions are the recommended tool to identify high-risk individuals. However, their discrimination ability is not optimal. While the effect of biomarkers in CV risk prediction has been extensively studied, there are no data on CV risk functions including time-dependent covariates together with other variables.

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Objectives: Heart failure (HF) management has significantly improved over the past two decades, leading to better survival. This study aimed to assess changes in predicted mortality risk after 12 months of management in a multidisciplinary HF clinic.

Materials And Methods: Out of 1,032 consecutive HF outpatients admitted from March-2012 to November-2018, 357 completed the 12-months follow-up and had N-terminal pro-B-type natriuretic peptide (NTproBNP), high sensitivity troponin T (hs-TnT), and interleukin-1 receptor-like-1 (known as ST2) measurements available both at baseline and follow-up.

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Accurate identification of individuals at high coronary risk would reduce acute coronary syndrome incidence and morbi-mortality. We analyzed the effect on coronary risk prediction of adding coronary artery calcification (CAC) and Segment Involvement Score (SIS) to cardiovascular risk factors. This was a prospective cohort study of asymptomatic patients recruited between 2013-2017.

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People living with HIV (PLWH) have an increased risk of cardiovascular (CV) disease, likely due to a higher prevalence of CV risk factors. We compared the age-standardized prevalence and management of CV risk factors in PLWH to that of the general population in Spain. Blood pressure, lipid, glucose, and anthropometric profiles were cross-sectionally compared along with the treatment of hypertension, dyslipidemia, and diabetes in a general population cohort and a PLWH cohort.

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