Publications by authors named "Javier de Miguel Diez"

(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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Creutzfeldt-Jakob disease (CJD) and fatal familial insomnia (FFI) are prion diseases characterized by severe neurodegenerative conditions and a short duration of illness. : This study explores the characteristics of hospitalizations for CJD and FFI in Spain from 2016 to 2022 using the Spanish National Hospital Discharge Database (SNHDD). : We identified a total of 1063 hospital discharges, including 1020 for CJD and 43 for FFI.

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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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: To analyze changes in the prevalence of atrial fibrillation (AF) in patients hospitalized for acute exacerbation of chronic obstructive pulmonary disease (AE-COPD); to evaluate hospital outcomes according to AF status, assessing sex differences; to identify factors associated with AF presence; and to analyze variables associated with in-hospital mortality (IHM) in AE-COPD patients with AF. : We used data from the Registry of Specialized Care Activity-Basic Minimum Data Set (RAE-CMBD) to select patients aged ≥40 years with COPD in Spain (2016-2021). We stratified the study population according to AF presence and sex.

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Article Synopsis
  • 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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Article Synopsis
  • * 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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(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
  • - Chronic Obstructive Pulmonary Disease (COPD) is a growing public health concern that requires ongoing, coordinated care due to its progressive nature.
  • - Effective follow-up for COPD should emphasize disease screening, monitoring lung function, preventing flare-ups, and ensuring proper treatment adherence, although current guidelines provide limited direction for this.
  • - The review highlights the critical roles of nursing and community pharmacy in COPD care, as well as the need for quality indicators to enhance treatment and management strategies.
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  • 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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