Pub Date : 2025-04-01Epub Date: 2025-02-18DOI: 10.1016/j.rccl.2025.01.008
Roberto Sánchez Medina , Alejandro de Arriba Fernández , Ángela Gutiérrez Pérez , José Luis Alonso Bilbao
Introduction and objectives
The prevalence of diabetes mellitus (DM) has increased faster in low- and middle-income countries. We determined how the COVID-19 pandemic may have affected the relationship between income level and prevalence of DM, disease management, and the use of primary care services.
Methods
Descriptive cross-sectional study. It included diabetic patients over 14 years of age residing in Las Palmas de Gran Canaria as of 31 December 2022. The results were compared with those of a pre-pandemic study in 2019.
Results
The prevalence of DM in 2022 in Las Palmas de Gran Canaria was almost identical to that of 2019, with a slight decrease in the low- and high-income groups, and an increase in the middle-income group. The average age of the population with DM increased. The average number of visits to the doctor increased, while visits to the nursing home decreased. A worsening of glycosylated hemoglobin and low-density lipoproteins was found in high and middle incomes. The trend was the opposite for body weight, with a 1.2% increase in the prevalence of overweight/obesity in low incomes.
Conclusions
Lower incomes were associated with worse outcomes in terms of overweight and obesity. The situation of people with DM with overweight or obesity worsened compared to 2019 for the lower-income population.
{"title":"Influence of COVID-19 on the prevalence of diabetes mellitus and use of health care services in Gran Canaria","authors":"Roberto Sánchez Medina , Alejandro de Arriba Fernández , Ángela Gutiérrez Pérez , José Luis Alonso Bilbao","doi":"10.1016/j.rccl.2025.01.008","DOIUrl":"10.1016/j.rccl.2025.01.008","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>The prevalence of diabetes mellitus (DM) has increased faster in low- and middle-income countries. We determined how the COVID-19 pandemic may have affected the relationship between income level and prevalence of DM, disease management, and the use of primary care services.</div></div><div><h3>Methods</h3><div>Descriptive cross-sectional study. It included diabetic patients over 14 years of age residing in <em>Las Palmas de Gran Canaria</em> as of 31 December 2022. The results were compared with those of a pre-pandemic study in 2019.</div></div><div><h3>Results</h3><div>The prevalence of DM in 2022 in Las Palmas de Gran Canaria was almost identical to that of 2019, with a slight decrease in the low- and high-income groups, and an increase in the middle-income group. The average age of the population with DM increased. The average number of visits to the doctor increased, while visits to the nursing home decreased. A worsening of glycosylated hemoglobin and low-density lipoproteins was found in high and middle incomes. The trend was the opposite for body weight, with a 1.2% increase in the prevalence of overweight/obesity in low incomes.</div></div><div><h3>Conclusions</h3><div>Lower incomes were associated with worse outcomes in terms of overweight and obesity. The situation of people with DM with overweight or obesity worsened compared to 2019 for the lower-income population.</div></div>","PeriodicalId":36870,"journal":{"name":"REC: CardioClinics","volume":"60 2","pages":"Pages 117-126"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143858967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-01Epub Date: 2025-03-10DOI: 10.1016/j.rccl.2025.01.007
Claudia Flórez Rodríguez , Javier Castro Monsalve , Felipe Rubio Duarte , Silvia Plata , Claudia C. Colmenares-Mejía , Diana Laverde , Diana Fajardo , Sara Mendoza Crespo
Introduction and objectives
Total anomalous pulmonary venous connection is a rare condition with a wide anatomical spectrum and a favorable prognosis, except in the presence of pulmonary venous obstruction. The objective was to identify factors associated with operative mortality in patients undergoing surgical correction.
Methods
A retrospective analysis was conducted on patients operated on between 2013 and 2022. The primary outcome was operative mortality, while the secondary outcome was the presence of major complications. Survival at 1 and 5 years after discharge was also evaluated. Logistic regression was used to identify preoperative and intraoperative risk factors for operative mortality, and Kaplan-Meier survival curves and a Cox model were employed to assess factors associated with 1-year survival.
Results
A total of 74 patients were included (56.8% male, 59.5% with supracardiac drainage). Operative mortality was 16.2% (95%CI, 8.7-26.6), higher in patients with obstruction at diagnosis (36.6% vs 4.5%). Patients with obstruction more frequently had infracardiac drainage, lower age and weight, increased need for mechanical ventilation and vasoactive support, and longer extracorporeal circulation times. The reintervention rate was 21.6%. Overall survival was 88.7% at one year (95%CI, 77.7-94.4) and 85.4% at 5 years (95%CI, 73.9-92.1). Survival was lower in patients with residual obstruction (37.5% at 1 year, 95%CI, 8.7-67.4; 25% at 5 years, 95%CI, 3.7-55.8; HRa, 47.4, 95%CI, 3.77-594.9).
Conclusions
Survival in patients with surgically corrected total anomalous pulmonary venous connection at our institution is comparable to international data, but outcomes are worse in those with obstruction at diagnosis.
{"title":"Impacto de la obstrucción en la conexión venosa pulmonar anómala total: morbimortalidad quirúgica y supervivencia","authors":"Claudia Flórez Rodríguez , Javier Castro Monsalve , Felipe Rubio Duarte , Silvia Plata , Claudia C. Colmenares-Mejía , Diana Laverde , Diana Fajardo , Sara Mendoza Crespo","doi":"10.1016/j.rccl.2025.01.007","DOIUrl":"10.1016/j.rccl.2025.01.007","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Total anomalous pulmonary venous connection is a rare condition with a wide anatomical spectrum and a favorable prognosis, except in the presence of pulmonary venous obstruction. The objective was to identify factors associated with operative mortality in patients undergoing surgical correction.</div></div><div><h3>Methods</h3><div>A retrospective analysis was conducted on patients operated on between 2013 and 2022. The primary outcome was operative mortality, while the secondary outcome was the presence of major complications. Survival at 1 and 5 years after discharge was also evaluated. Logistic regression was used to identify preoperative and intraoperative risk factors for operative mortality, and Kaplan-Meier survival curves and a Cox model were employed to assess factors associated with 1-year survival.</div></div><div><h3>Results</h3><div>A total of 74 patients were included (56.8% male, 59.5% with supracardiac drainage). Operative mortality was 16.2% (95%CI, 8.7-26.6), higher in patients with obstruction at diagnosis (36.6% vs 4.5%). Patients with obstruction more frequently had infracardiac drainage, lower age and weight, increased need for mechanical ventilation and vasoactive support, and longer extracorporeal circulation times. The reintervention rate was 21.6%. Overall survival was 88.7% at one year (95%CI, 77.7-94.4) and 85.4% at 5 years (95%CI, 73.9-92.1). Survival was lower in patients with residual obstruction (37.5% at 1 year, 95%CI, 8.7-67.4; 25% at 5 years, 95%CI, 3.7-55.8; HRa, 47.4, 95%CI, 3.77-594.9).</div></div><div><h3>Conclusions</h3><div>Survival in patients with surgically corrected total anomalous pulmonary venous connection at our institution is comparable to international data, but outcomes are worse in those with obstruction at diagnosis.</div></div>","PeriodicalId":36870,"journal":{"name":"REC: CardioClinics","volume":"60 2","pages":"Pages 106-116"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143859079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01Epub Date: 2024-11-12DOI: 10.1016/j.rccl.2024.10.010
Jaume Agüero Ramón-Llin , Amparo Martínez-Monzonís , Covadonga Fernández-Golfín , Marta Alamar Cervera , Manuel Barreiro-Pérez
Introduction and objectives
The 2022 Registry of the Cardiovascular Imaging Association of the Spanish Society of Cardiology is presented.
Methods
67 Spanish hospitals were invited to participate in the registry. Participation was voluntary and data collection was carried out through an online questionnaire. The questionnaire focused on data on resource endowment and activity.
Results
53 hospitals participated, most of them public (88.9%) and of typologies 3 or 4. The average number of cardiologists with preferential dedication to cardiac imaging was 4.2. A 38.9% of centers have imaging technicians. The availability of ultrasound machines and age indicates a trend towards better equipment and renewal. In 25.9% of centers, cardiologists only perform echocardiography, and 74.1% participate in at least one other modality (computed tomography [CT], magnetic resonance imaging, or nuclear medicine). The average annual activity was: 9590 echocardiograms, 516 magnetic resonance imaging, 631 CT scans and 607 nuclear medicine studies, with marked inter-center variability despite stratifying by hospital type. An increase in stress echo, transthoracic echocardiography in intervention and CT is observed. In 90% of centers, echocardiograms are performed by other specialties, especially in the form of echocardioscopy by the ICU and emergency services, and to a lesser extent internal medicine, anesthesiology and neurology.
Conclusions
The Spanish Cardiac Imaging Registry of 2022 allows us to know the current situation and temporal trend in terms of resources and activity, the differences between centers and identify potential areas of improvement for the future.
{"title":"IV informe de actividad y recursos de la Asociación de Imagen Cardiaca de la Sociedad Española de Cardiología (2022)","authors":"Jaume Agüero Ramón-Llin , Amparo Martínez-Monzonís , Covadonga Fernández-Golfín , Marta Alamar Cervera , Manuel Barreiro-Pérez","doi":"10.1016/j.rccl.2024.10.010","DOIUrl":"10.1016/j.rccl.2024.10.010","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>The 2022 Registry of the Cardiovascular Imaging Association of the Spanish Society of Cardiology is presented.</div></div><div><h3>Methods</h3><div>67 Spanish hospitals were invited to participate in the registry. Participation was voluntary and data collection was carried out through an online questionnaire. The questionnaire focused on data on resource endowment and activity.</div></div><div><h3>Results</h3><div>53 hospitals participated, most of them public (88.9%) and of typologies 3 or 4. The average number of cardiologists with preferential dedication to cardiac imaging was 4.2. A 38.9% of centers have imaging technicians. The availability of ultrasound machines and age indicates a trend towards better equipment and renewal. In 25.9% of centers, cardiologists only perform echocardiography, and 74.1% participate in at least one other modality (computed tomography [CT], magnetic resonance imaging, or nuclear medicine). The average annual activity was: 9590 echocardiograms, 516 magnetic resonance imaging, 631 CT scans and 607 nuclear medicine studies, with marked inter-center variability despite stratifying by hospital type. An increase in stress echo, transthoracic echocardiography in intervention and CT is observed. In 90% of centers, echocardiograms are performed by other specialties, especially in the form of echocardioscopy by the ICU and emergency services, and to a lesser extent internal medicine, anesthesiology and neurology.</div></div><div><h3>Conclusions</h3><div>The Spanish Cardiac Imaging Registry of 2022 allows us to know the current situation and temporal trend in terms of resources and activity, the differences between centers and identify potential areas of improvement for the future.</div></div>","PeriodicalId":36870,"journal":{"name":"REC: CardioClinics","volume":"60 1","pages":"Pages 43-52"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143171069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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