- Frailty in Older Adults
- Health Systems, Economic Evaluations, Quality of Life
- Machine Learning in Healthcare
- Bayesian Modeling and Causal Inference
- Occupational and environmental lung diseases
- Pneumonia and Respiratory Infections
- Nutrition and Health in Aging
- Geriatric Care and Nursing Homes
- Emergency and Acute Care Studies
- COVID-19 and healthcare impacts
- Artificial Intelligence in Healthcare
- Nosocomial Infections in ICU
- Palliative Care and End-of-Life Issues
- Pharmacy and Medical Practices
- Pneumocystis jirovecii pneumonia detection and treatment
- Total Knee Arthroplasty Outcomes
- Respiratory viral infections research
- Blood transfusion and management
- Venous Thromboembolism Diagnosis and Management
- Sepsis Diagnosis and Treatment
- Global Health Care Issues
- Pharmaceutical Economics and Policy
- Pharmaceutical Practices and Patient Outcomes
Maresme Health Consortium
2017-2025
Hospital de Mataró
2015-2021
Frailty is a geriatric syndrome with repercussions on health, disability, and dependency.To assess health resource use costs attributable to frailty in the aged population.A population-based observational longitudinal study was performed, follow-up from January 2018 December 2019. Data were obtained retrospectively computerized primary care hospital medical records. The population included all inhabitants ≥ 65 years ascribed 3 centres Barcelona (Spain). status established according...
Background Clinical guidelines recommend frailty screening for the aged population, given that is frequently reversible. However, little known about and prefrailty reversal rates in general population if no specific interventions have been implemented. Aim To assess real-world ≥65 years, main contributing clinical conditions risk factors reversing prefrailty. Methods Observational longitudinal 12-month study (2019) of all 1·5 million persons years Catalonia. Data were retrospectively...
primary care screening for frailty status is recommended in clinical guidelines, but impeded by doctor and nurse workloads the lack of valid, easy-to-use time-saving tools.to develop validate a new electronic tool (the index frailty, e-SIF) using routinely available health data to automatically massively identify population aged ≥65 years.the e-SIF was developed three steps: selection conditions; establishment ICD-10 codes, criteria algorithms their definition; design extraction,...
We develop a predictive prognosis model to support medical experts in their clinical decision-making process Intensive Care Units (ICUs) (a) enhance early mortality prediction, (b) make more efficient decisions about patients at higher risk, and (c) evaluate the effectiveness of new treatments or detect changes practice. It is machine learning hierarchical based on Bayesian classifiers built from some recorded features real-world ICU cohort, bring assessment risk mortality, also predicting...
Aim: The aim was to assess the effectiveness of 23-valent pneumococcal polysaccharide vaccine (PPV23) in preventing CAP adults. Methods: This a population-based cohort study, followed up over 5 years (2015–2019), that included 47,768 persons aged ≥18 assigned three primary care centres. Data were retrospectively obtained from electronic medical records and databases. vaccination effect adjusted for potential confounders. Analyses performed entire study population ≥65 age subgroup. Results:...
Background: The COVID-19 pandemic severely affected the aged population and healthcare system functioning. Aim: To evaluate impact of on mortality health resource use in an to determine whether differed according frailty status. Methods: A population-based observational longitudinal study comparing pre-pandemic variables was performed using data retrospectively collected from computerized clinical histories. included all inhabitants =65 years corresponding three primary care centres...
Evaluar el efecto de la fragilidad en consumo recursos sanitarios población anciana con cáncer. Estudio cohortes base poblacional recogida retrospectiva y seguimiento enero 2018 a diciembre 2019 personas ≥65 años Se incluyeron 996 sujetos, una prevalencia del 22,1%. La mortalidad los 2 fue 14,1% frágiles 9,0% no (p = 0,028). Independientemente edad sexo, aumentó número hospitalizaciones urgentes (168%) programadas (64%), las visitas urgencias (111%), consultas externas (59%), sesiones...
Background: Knowledge of frailty prevalence and incidence trends over time is essential to planning the necessary health social resources. The objective this study was assess prevalence, incidence, reversibility, mortality rates for population aged ≥65 years in Catalonia period 2017–2021.Methods: Observational longitudinal 5-year (1 January 2017–31 December 2021) (around 1·5 million individuals), using retrospectively collected data from different databases. Frailty status evaluated...
Background: Benzodiazepine (Bz) exposure has been identified as a risk factor of community-acquired pneumonia (CAP) in some observational studies, but this remains controversial. This study was designed to quantify the CAP associated with treatment Bz. Methods: All individuals ⩾14 years age registered any 3 primary health care providers our area between January 2011 and May 2013 were included study. resulted population 51 912 who contributed total 1 496 680 person-months observation....
<h3>Background</h3> Risk of medicines discrepancies is high during care transitions where treatment changes are frequent. According to the Institute for Healthcare Improvement, reconciliation formal process obtaining a complete list patient's prior and comparing it with what has been prescribed on admission, or hospital discharge. Changes should be documented communicated properly follow-up physician patient caregiver. <h3>Purpose</h3> To determine drug at discharge complex chronic patients....