A5082969427- Chronic Disease Management Strategies
- Schizophrenia research and treatment
- Blood Pressure and Hypertension Studies
- Cardiac Health and Mental Health
- Health Systems, Economic Evaluations, Quality of Life
- Medical Coding and Health Information
- Child and Adolescent Psychosocial and Emotional Development
- Pharmaceutical Practices and Patient Outcomes
- Heart Rate Variability and Autonomic Control
- Sodium Intake and Health
- Mental Health Treatment and Access
- Medication Adherence and Compliance
- Frailty in Older Adults
- Eating Disorders and Behaviors
- Bipolar Disorder and Treatment
- Child Nutrition and Feeding Issues
- Psychiatric care and mental health services
- Cardiovascular Syncope and Autonomic Disorders
- Dementia and Cognitive Impairment Research
- Cardiovascular Health and Disease Prevention
- Aging, Health, and Disability
- Primary Care and Health Outcomes
- Healthcare cost, quality, practices
- Health, psychology, and well-being
- Electroconvulsive Therapy Studies
Universitat de Vic - Universitat Central de Catalunya
2019-2024
Althaia
2024
Centro de Investigación Biomédica en Red de Salud Mental
2024
Instituto de Salud Carlos III
2024
Hospital Universitari Germans Trias i Pujol
2024
Hospital Universitari de Vic
2009-2023
Creative Commons
2023
Institut Universitari d'Investigació en Atenció Primària Jordi Gol
2013-2022
Universitat Autònoma de Barcelona
2006-2020
Idiap Research Institute
2020
Health surveys (HS) are a well-established methodology for measuring the health status of population. The relative merit using information based on HS versus electronic records (EHR) to measure multimorbidity has not been established. Our study had two objectives: 1) and compare prevalence distribution in EHR data, 2) test specific hypotheses about potential differences between reporting diseases with symptoms-based diagnosis those requiring diagnostic testing. Cross-sectional data from...
Multimorbidity is the coexistence of more than two chronic diseases in same individual; however, there no consensus about best definition. In addition, few studies have described variability multimorbidity patterns over time. The aim this study was to identify and their a 6-year period patients older 65 years attended primary health care.A cohort with yearly cross-sectional analysis electronic records from 50 care centres Barcelona. Selected had were age or 2009. Diagnoses (International...
The burden of chronic conditions and multimorbidity is a growing health problem in developed countries. study aimed to determine the estimated prevalence patterns urban areas Catalonia, stratified by sex adult age groups, assess whether socioeconomic status use primary care services were associated with multimorbidity. A cross-sectional was conducted Catalonia. Participants adults (19+ years) living areas, assigned 251 teams. Main outcome: (≥2 conditions). Other variables: (male/female),...
The purpose of this study was to ascertain multimorbidity patterns using a non-hierarchical cluster analysis in adult primary patients with attended care centers Catalonia.
The aim was to compare multimorbidity patterns identified with the two most commonly used methods: hierarchical cluster analysis (HCA) and exploratory factor (EFA) in a large primary care database. Specific objectives were: (1) determine whether choice of method affects composition these (2) consider potential application each clinical setting.Cross-sectional study. Diagnoses were based on 263 corresponding blocks International Classification Diseases version 10. Multimorbidity using HCA...
Concurrent diseases, multiple pathologies and multimorbidity patterns are topics of increased interest as the world's population ages. To explore impact on affected patients consequences for health services, we designed a study to describe by sex life-stage in large sample assess association with acute morbidity, area residency use services. A cross-sectional was conducted Catalonia (Spain). Participants were 1,749,710 aged 19+ years (251 primary care teams). Primary outcome: Multimorbidity...
The aim of this study was to identify, with soft clustering methods, multimorbidity patterns in the electronic health records a population ≥65 years, and analyse such accordance different prevalence cut-off points applied. Fuzzy cluster analysis allows individuals be linked simultaneously multiple clusters is more consistent clinical experience than other approaches frequently found literature.A cross-sectional conducted based on data from records.284 primary healthcare centres Catalonia,...
Objective The purpose of this study was to identify clusters diagnoses in elderly patients with multimorbidity, attended primary care. Design Cross-sectional study. Setting 251 care centres Catalonia, Spain. Participants Individuals older than 64 years registered participating practices. Main outcome measures Multimorbidity, defined as the coexistence 2 or more ICD-10 disease categories electronic health record. Using hierarchical cluster analysis, multimorbidity were identified by sex and...
Strategies for the involvement of primary care in management patients with presumed or diagnosed dementia are heterogeneous across Europe. We wanted to explore attitudes physicians (PCPs) when managing dementia: (i) most popular cognitive tests, (ii) who had right initiate continue cholinesterase inhibitor memantine treatment, and (iii) relationship between permissiveness these rules/guidelines PCP's approach investigations assessment.Key informant survey.Primary practices 25 European...
The implementation of individual clinical practice guidelines in patients with multimorbidity often results polypharmacy. Our aim was to analyse medication use according longitudinal patterns (MP) and determine during a 5-year period (2012-16) which MP are associated abnormal liver kidney function primary care over 65 years age living Catalonia.
Abstract This study aimed to analyse the trajectories and mortality of multimorbidity patterns in patients aged 65 99 years Catalonia (Spain). Five year (2012–2016) data 916,619 participants from a primary care, population-based electronic health record database (Information System for Research Primary Care, SIDIAP) were included this retrospective cohort study. Individual longitudinal modelled with Hidden Markov Model across patterns. We computed hazard using Cox regression models estimate...
Older adults suffer from various chronic conditions which make them particularly vulnerable. The proper management of multiple drug use is therefore crucial. aim our study was to describe prescription and medication patterns in this population.A cross-sectional Barcelona (Spain) using electronic health records 50 primary healthcare centres. Participants were aged 65 94 years, presenting multimorbidity (≥2 diseases), had been prescribed at least 1 for 6 months or longer during 2009. We...
The aim of this study was to determine medication-related problems (MRPs) in primary care patients over 65 years age.Cross-sectional based on the electronic health records (65-99 age) visited 284 centers during 2012 Catalonia.age, sex, sociodemographic variables, number drugs, kidney and liver function MRPs (duplicate therapy, drug-drug interactions, potentially inappropriate medications [PIMs] drugs contraindicated chronic disease diseases). Unconditional logistic regression models were...
Adolescence is associated with a higher vulnerability that may result in high dissatisfaction, the practice of unhealthy weight-control behaviors (UWCB) and, eventually, onset body image-related mental disorders. These factors are strongly social context, so it important to characterize them local or regional studies. To assess relationship between image and UWCB presence, cross-sectional study was performed among 2496 schooled adolescents from Lleida (Spain) 2017 2019. Their perceived...
Depressive disorders are the third leading cause of consultation in primary care, mainly patients with chronic physical illnesses. Studies have shown effectiveness group psychoeducation reducing symptoms depressive individuals. Our aim is to evaluate an intervention based on a psychoeducational program, carried out by care nurses, improve remission/response rate depression illness. Secondarily, assess cost-effectiveness intervention, its impact improving control pathology and quality life,...
The association between physical illness and depression implies a poorer management of chronic disease lower response to antidepressant treatments. Our study evaluates the effectiveness psychoeducational group intervention led by Primary Care (PC) nurses, aimed at patients this kind. It is randomized, multicenter clinical trial with (IG) control groups (CG), blind variables, one year follow-up. included 380 ≥50 years age from 18 PC teams. participants presented (BDI-II > 12) comorbidity:...
ResumenObjetivo: Determinar los factores de riesgo cardiovascular (FRCV), estratificar el (RCV) y analizar la relación entre RCV calidad vida en pacientes con trastorno mental severo (TMS).