Publications by authors named "Luis Sanchez Perruca"

Article Synopsis
  • Hypertension significantly raises the risk of kidney and cardiovascular events (K/CVEs) and mortality, particularly for individuals diagnosed before age 55.
  • A study involving over 71,000 patients was conducted from 2007 to 2018 in Madrid, comparing newly diagnosed hypertensive patients to a matched control group without hypertension.
  • Findings indicate that younger individuals face much higher risks, with hazard ratios reflecting increased danger of K/CVEs related to the age at which hypertension is diagnosed.
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Article Synopsis
  • Toxic oil syndrome, a disease linked to contaminated rapeseed oil ingested in 1981, shows a higher prevalence of chronic diseases among affected individuals compared to a matched reference group.
  • In a study of 3,527 patients, those with toxic oil syndrome were found to have significantly higher rates of multimorbidity and conditions like diabetes, complicated hypertension, heart attack, depression, and asthma.
  • Interestingly, the same patients exhibited lower prevalence of anxiety and low back pain, suggesting a complex relationship between toxic oil syndrome and various health issues.
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Aims: Inequalities in diabetes prevalence among immigrants from Andean countries remain unknown. Andean populations are one of the largest groups of immigrants in Madrid city. We examined the association between country of birth and type 2 diabetes mellitus (T2DM) prevalence in Andean immigrant population relative to Spanish-natives; and whether this association varied by age, sex and length of residence.

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We studied the association between neighborhood social and economic change and type 2 diabetes incidence in the city of Madrid (Spain). We followed 199,621 individuals living in 393 census tracts for diabetes incidence for 6 years using electronic health records, starting in 2009. We measured neighborhood social and economic change from 2005 to 2009 using a finite mixture model with 16 indicators that resulted in four types of neighborhood change.

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Objective: To study the association between neighbourhood socioeconomic status and diabetes prevalence, incidence, and control in the entire population of northeastern Madrid, Spain.

Setting: Electronic health records of the primary-care system in four districts of Madrid (Spain).

Participants: 269 942 people aged 40 or older, followed from 2013 to 2014.

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Background: Communities of practice are based on the idea that learning involves a group of people exchanging experiences and knowledge. The e-MPODERA project aims to assess the effectiveness of a virtual community of practice aimed at improving primary healthcare professional attitudes to the empowerment of patients with chronic diseases.

Methods: This paper describes the protocol for a cluster randomized controlled trial.

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Objectives: 1) To analyse concordance between the level of risk classification using the Adjusted Groups Morbidity (GMA) tool and the assigned level of intervention by general practitioners (GP). 2) To study the usefulness of the GMA tool as an aid in electronic medical records (EMR) for decision making.

Design: Cross-sectional observational study of concordance.

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Objectives: To determine quality control of patients with oral anticoagulant treatment recruited in Primary Care (PC) using the Rosendaal method to estimate time in therapeutic range (TTR) and comparing it with fraction of international normalized ratio (INR) in range and cross-sectional analysis (last INR registred).

Material And Method: A retrospective observational study based on electronic medical record in routine clinical practice.

Setting: PC centers (262) in Madrid.

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Article Synopsis
  • The study examined seasonal anti-influenza vaccination rates among chronically ill children (6 months to 14 years) and adults (15-59 years) using electronic clinical records in Madrid, Spain, which included over 5 million residents.
  • Of those aged 6 months to 59 years with medical cards, 10.3% had a chronic condition; vaccination coverage was 27.1% for children, particularly high among diabetics, and 22.1% for adults, notably higher in those with heart failure.
  • Factors influencing vaccination rates included prior vaccination history, national origin (lower for immigrants), and the presence of multiple chronic conditions, indicating overall coverage was below acceptable levels for 2009.
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Objective: To estimate the prevalence rates of chronic disorders in immigrants and to compare them with those in the native population, based on electronic clinical records in primary care (ECRPC).

Methods: We performed a descriptive cross-sectional study in patients aged 16 and over included in the Madrid Regional Public Health System. Age-adjusted prevalence rates for each sex and region were estimated on the basis of medically examined cases registered in the ECRPC with any new data entry made in 2005 or 2006.

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Background: The purpose is to describe the introduction of a Care Program for the Elderly on Multiple Medication in a Primary Care area and the complete improvement cycle after evaluating the initial results The Program was instigated by the Community of Madrid Pharmacy Directorate.

Methods: The Program was aimed at patients over 75 years who took 6 or more active ingredients (9721 patients in the area at the start of the program) and began in September 2006. It is based on coordinating with pharmacists, systematic review of treatment, health education, and the providing of personal dose dispensing systems for the correct use of the medication.

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