- Blood Pressure and Hypertension Studies
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Chronic Kidney Disease and Diabetes
- Diabetes Treatment and Management
- Retinal Imaging and Analysis
- Cardiovascular Health and Disease Prevention
- Retinal and Optic Conditions
- Retinal Diseases and Treatments
- Heart Rate Variability and Autonomic Control
- Lipoproteins and Cardiovascular Health
- Diabetes Management and Research
- Sodium Intake and Health
- Metabolism, Diabetes, and Cancer
- Liver Disease Diagnosis and Treatment
- Pharmacology and Obesity Treatment
- Thyroid Cancer Diagnosis and Treatment
- Cardiovascular Syncope and Autonomic Disorders
- Diabetes Management and Education
- Neuroendocrine Tumor Research Advances
- Cardiovascular Function and Risk Factors
- Congenital Heart Disease Studies
- Dialysis and Renal Disease Management
- Health and Lifestyle Studies
- Chronic Lymphocytic Leukemia Research
- Electrical and Bioimpedance Tomography
Clínica Girona
2009-2022
Instituto de Microelectrónica de Sevilla
2022
Universidad de Sevilla
2022
Hospital Universitario Son Espases
2011-2021
Hospital Universitario de Getafe
2020
Institut Universitari d'Investigació en Atenció Primària Jordi Gol
2015-2019
Institut d'Investigació Biomèdica de Girona
2007-2019
Red de Fundaciones Universidad Empresa
2019
Complejo Hospitalario de Salamanca
2017
Institut Català de la Salut
2010-2016
Abstract Bakground The objective of this study was to determinate the prevalence chronic kidney disease (CKD) and different stages CKD in patients with type 2 diabetes mellitus (DM2) treated primary care consults Spain. Methods A national cross-sectional performed consults. following data were collected: demographic anthropometric information; list present cardiovascular risk factors (CVRF); previous macrovascular microvascular history; physical examination analytical from 12 months,...
Purpose To explore the relationship between chronic kidney disease (CKD) and diabetic retinopathy (DR) in a representative population of type 2 diabetes mellitus (DM2) patients Catalonia (Spain). Methods This was population-based, cross-sectional study. A total 28,344 diagnosed with DM2 who had recorded ophthalmologic renal functional examinations were evaluated. Data obtained from primary healthcare electronic database medical records. CKD defined as an estimated glomerular filtration ratio...
<h3>Background/aims</h3> Retinal photography with a non-mydriatic camera is the method currently employed for diabetic retinography (DR) screening. We designed this study in order to evaluate prevalence and severity of DR, associated risk factors, patients type 2 diabetes (T2DM) screened Catalan Primary Health Care. <h3>Methods</h3> Retrospective, cross-sectional, population based performed Catalonia (Spain) T2DM, aged between 30 years 90 (on 31 December 2012) retinal whose DR category was...
Background Proton Pump Inhibitors (PPIs) have been associated with chronic kidney disease (CKD). Our objective was to quantify the association between PPI use and incident CKD in a population-based cohort. Methods findings We used retrospective cohort, including people aged 15 years or over, January 1, 2005 December 31, 2012. measured follow-up session by recording prescriptions. Incident defined as an estimated glomerular filtration rate < 60 ml/ min/1.73 m2 and/or urinary albumin level...
To evaluate the incidence of certain symptoms in a population health workers exposed to coronavirus disease 2019 patients.Case-control study.The study was conducted at tertiary care hospital from March 1 April 7, 2020. Health with suspected (COVID-19) infection were included. The presence COVID-19 detected by using real-time polymerase chain reaction (RT-PCR) methods. Positive and negative RT-PCR patients used as case control groups, respectively. This analyzed both patient groups. Visual...
Abstract Background Kidney disease is associated with an increased total mortality and cardiovascular morbimortality in the general population patients Type 2 diabetes. The aim of this study to determine prevalence kidney different types renal type diabetes (T2DM). Methods Cross-sectional a random sample 2,642 T2DM cared for primary care during 2007. Studied variables: demographic clinical characteristics, pharmacological treatments complications (diabetic foot, retinopathy, coronary heart...
Control of glycaemic levels as well cardiovascular risk factors (CVRF) is essential to prevent the onset complications associated with type 2 diabetes mellitus (T2DM).To describe degree control and CVRF in relation duration.Multicentre cross-sectional study T2DM patients seen primary care centres during 2007.Demographical clinical characteristics, antidiabetic treatments development disease complications. Diabetes duration classification: 0-5, 6-10, 11-20 >20 years. Logistic regression...
The presence of chronic kidney disease (CKD) in type 2 diabetes mellitus (T2DM) increases the risk cardiovascular (CVD) regardless traditional factors. There is controversy about impact each manifestations CKD on prevalence CVD, whether it greater with decreased estimated glomerular filtration rate (eGFR) or increased urine albumin creatinine ratio (UACR). This study a national cross-sectional performed primary care consults. We selected participants both sexes who were aged 40 years older,...
Background The significant rise in the prevalence of obesity coincides with considerable increase metabolic syndrome (MS) currently being observed worldwide. components MS are not static and their dynamics, such as order occurrence, or time exposure to them are, yet, unknown but could well be clinically relevant. Our objective was study dynamic behaviour its a large population-based cohort from Mediterranean region. Methods findings employed retrospective (between January 1, 2005 December...
Aim . To assess prescribing practices of noninsulin antidiabetic drugs (NIADs) in T2DM with several major contraindications according to information or clinical guidelines: renal failure, heart liver dysfunction, history bladder cancer. Methods Cross-sectional, descriptive, multicenter study. Electronic medical records were retrieved from all subjects who attended primary care centers pertaining the Catalan Health Institute Catalonia 2013 and pharmacologically treated any NIAD alone...
The aim of this study was to assess glycaemic control and prescribing practices antihyperglycaemic treatment in patients with diabetes mellitus type 2 aged 75 years or older.We analysed data from health electronic records 4,581 persons attended at primary healthcare centres the Institut Català de la Salut (ICS), Girona Sud area Catalonia, Spain, during 2013 2016. Variables such as age, gender, body mass index (BMI), duration, age diagnosis, glycated haemoglobin (HbA1c), creatinine,...
Aim This study aimed to investigate whether different levels of fasting plasma glucose (FPG) and hemoglobin A1c (HbA1c) in prediabetes are associated with hyperfiltration. Methods A prospective cohort 2,022 individuals aged 30–74 years took part the PREDAPS Study. One 1,184 participants another 838 normal FPG HbA1c were followed for 5 years. Hyperfiltration was defined as an estimated glomerular filtration rate (eGFR) above age- gender-specific 95th percentile healthy control participants,...
To describe the distribution of Type 2 DM retinal lesions and determine whether it is symmetrical between two eyes, random or follows a certain pattern.Cross-sectional study patients who had been referred for an outpatients' ophthalmology visit diabetic retinopathy screening in primary health care. Retinal photographic images were taken using central projection non-mydriatic retinography. The under microaneurysms/haemorrhages, hard soft exudates. placed numerically along x- y-axes obtained,...
Some authors consider that secondary prevention should be conducted for all DM2 patients, while others suggest the drug preventive treatment start or increased depending on each patient’s individual CVR, estimated using cardiovascular coronary risk functions to identify patients with a higher CVR. The principal objective of this study was assess three different prediction models in type 2 diabetes patients. Multicentre, cross-sectional descriptive 3,041 and no history disease. demographic,...
Background. There are no studies assessing cardiovascular morbidity/mortality in patients with isolated clinical hypertension (ICH) self‐blood pressure monitoring (SBPM). Objectives. To determine the value of SBPM diagnosis ICH. Methods. Cohort study. New hypertensive and normotensive 15–75 years, without events history. Variables. Oriented anamnesis hypertension; blood measurements (BP): BP, ambulatory BP (ABPM); evaluation target organ damage (TOD); electrocardiogram; retinography...
To determine the prognostic value of various self-blood pressure (BP) monitoring (SBPM) cutoff at time diagnosis. Cohort 466 newly diagnosed and never-treated hypertensive patients. At baseline 1 year, patients underwent a physical examination, clinic BP (CBP), SBPM, ambulatory (ABPM), fasting blood urine analysis, electrocardiogram (ECG), retinography. The diagnosis hypertension was made based on CBP average two readings, separated by 2 min, taken over three different days, with results...
Self-blood pressure (BP) measurement (SBPM) and ambulatory BP (ABPM) are suitable for theisolated clinical hypertension (ICH) or ‘white-coat’ diagnosis. However, patients with ICH have adifferent cardiovascular risk according to the technique used Objective To describe baseline of SBPMand daytime ABPM. Methods Six hundred sixty-four newly diagnosed andnever treated an average age 59.3 years (standard deviation=12.0) were included (52% men) in this study. Clinical data, analytical data...
Although international guidelines for management of hypertension recommend optic fundus examination in the initial evaluation hypertensive patients, there have been no studies to evaluate usefulness retinography this application. Two hundred and fifty consecutive new patients with but without known cardiovascular disease were studied. The average age was 57.2 years (s.d. 12.9) 56% men. study conducted 14 primary care centers. Measurements included target organ damage (TOD)...
Background. The aim is to evaluate whether cardiovascular (CV) risk stratification in newly diagnosed hypertensive patients according the European Society of Hypertension (ESH) guidelines, can predict evolution target organ damage (TOD) using routine examinations clinical practice during 1 year. Methods. Prospective study recently untreated hypertensives. At moment inclusion and year later, urinary albumin excretion rate (UAER), blood analysis, electrocardiogram, retinography, self-monitored...