Publications by authors named "Paulina Luna"
Sex Disparities in the Management, Outcomes, and Transfer of Patients Hospitalized for Cardiogenic Shock.
J Soc Cardiovasc Angiogr Interv
March 2024
Article Synopsis
- Previous studies indicated that women experience worse outcomes than men when suffering from cardiogenic shock (CS), especially when treated at less advanced hospitals (spokes) compared to specialized centers (hubs).
- An analysis of over 618,000 hospitalizations revealed that women were less likely to be transferred to hubs, underwent fewer invasive procedures, and had higher in-hospital mortality rates compared to men.
- Findings suggest a need for further research to address the sex disparities in treatment and outcomes for women with cardiogenic shock, as they face greater challenges in receiving optimal care.
Background: Peripheral artery disease (PAD) and microvascular disease (MVD) are highly prevalent conditions that share common risk factors. This observational study aimed to characterize patients with both conditions and determine the impact of comorbid PAD/MVD on outcomes.
Methods And Results: Patients admitted across 31 states January 2011 through December 2018 with a primary or secondary diagnosis of PAD or MVD were included from the National Readmissions Database and weighted to approximate a national sample.
Photovoice Lessons from a Peruvian Program in Combatting Stigma for Caregivers of Children with Disabilities.
Prog Community Health Partnersh
December 2022
Background: Access to resources for children with disabilities and their caregivers are lacking worldwide, especially for low-and middle-income countries, especially those of Latin origin. Furthermore, decreased social visibility coupled with minimal support available for caregivers can negatively affect their overall mental well-being. Limited community-based participatory research has been done to understand the experiences of caregivers and identify effective measures of support.
View Article and Find Full Text PDFBackground: Infant feeding practices are rapidly changing within rural areas in Mexico, including indigenous communities. The aim of this study was to compare infant feeding recommendations between grandmothers and healthcare providers, to better understand the factors that may influence these practices within these communities. This study builds on research that recognizes the legacy of colonization as an ongoing process that impacts the lives of people through many pathways, including the substandard healthcare systems available to them.
View Article and Find Full Text PDFObjective: COVID-19 accelerated telehealth use to ensure care delivery, but there is limited data on the patient perspective. This study aimed to examine telehealth visit uptake before and during COVID-19 and correlates of patient satisfaction and interest in future telehealth visits.
Materials And Methods: This was a cross-sectional observational study between October 2019 and April 2020.
Objective: Previous studies have shown that Hispanics have worse clinical outcomes for lower extremity peripheral artery disease (PAD) than non-Hispanic White (NHWs). Using a national database, this study aimed to document the contemporary burden of PAD in Hispanics by evaluating their risk profiles, access to care, and outcomes compared with NHWs.
Methods: Hospitalizations of Hispanics and NHWs with a primary diagnosis of PAD were identified using 2011-2017 National Inpatient Sample data.
Objective: As Mexico continues to develop, an epidemiological and nutritional transition has led to an increase in infant formula use in its rural and indigenous communities. Our objective was to determine the social and cultural factors that influence the use of formula in such populations in Central Mexico.
Design: Qualitative study using a data collection instrument based on the socio-ecological framework.