9 results on '"Jordi de Batlle"'
Search Results
2. Treatment strategies after acute exacerbations of chronic obstructive pulmonary disease: Impact on mortality.
- Author
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Fernando Casas-Mendez, Maria Jose Abadías, Oriol Yuguero, Ignasi Bardés, Ferran Barbé, and Jordi de Batlle
- Subjects
Medicine ,Science - Abstract
INTRODUCTION:Acute exacerbation of chronic obstructive pulmonary disease (AECOPD) is a common reason for presentation to emergency departments (ED), but the management of these episodes is often heterogeneous regardless of their potential impact on short-term adverse outcomes. METHODS:This was a longitudinal, retrospective study of all patients >40 years old admitted to the ED of two Spanish teaching hospitals for an AECOPD between January 1st and May 31st, 2016. All data were collected from electronic medical records. The primary outcomes were patient treatment at discharge and 90-day mortality. Logistic regression was used to model the determinants of 90-day mortality. RESULTS:Of the 465 included patients, 56% were prescribed a 3-drug combination at hospital discharge, 22% a 2-drug combination, 19% a single drug, and 4% other or no treatment. Approximately 8% of patients died within 90 days after an AECOPD. Multivariate logistic models revealed that having more than 2 severe exacerbations within the last 12 months (OR (95% CI): 15.12 (4.22-54.22)) and being prescribed a single drug at discharge (OR (95% CI): 7.23 (2.44-21.38)) were the main determinants of 90-day mortality after an AECOPD. CONCLUSIONS:This study reflects the real-life heterogeneity in the pharmacological treatments prescribed after an ED admission for an AECOPD and suggests the potential impact of suboptimal inhaled treatment strategies on 90-day mortality rates.
- Published
- 2018
- Full Text
- View/download PDF
3. Erectile dysfunction in obstructive sleep apnea patients: A randomized trial on the effects of Continuous Positive Airway Pressure (CPAP).
- Author
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Mercè Pascual, Jordi de Batlle, Ferran Barbé, Anabel L Castro-Grattoni, Josep M Auguet, Lydia Pascual, Manel Vilà, Anunciación Cortijo, and Manuel Sánchez-de-la-Torre
- Subjects
Medicine ,Science - Abstract
OBJECTIVES:Obstructive sleep apnea (OSA) is among the least studied risk factors for erectile dysfunction (ED). We aimed to determine ED prevalence in newly-diagnosed OSA patients, describe their main characteristics and assess continuous positive airway pressure (CPAP) effects on ED. METHODS:Cross-sectional study assessing ED prevalence in OSA patients and open-label, parallel, prospective randomized controlled trial evaluating 3-month CPAP treatment effects on sexual function, satisfaction, and psychological, hormonal and biochemical profiles. Male patients newly diagnosed with moderate/severe OSA (apnea-hypopnea index >20 events·h-1), aged 18-70 years, attending the sleep unit of a Spanish hospital during 2013-2016 were considered. A total of 150 patients were recruited (75 randomized ED patients). ED was defined as scores
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- 2018
- Full Text
- View/download PDF
4. Assessing sleep health in a European population: Results of the Catalan Health Survey 2015.
- Author
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Mireia Dalmases, Ivan D Benítez, Anna Mas, Oriol Garcia-Codina, Antonia Medina-Bustos, Joan Escarrabill, Esteve Saltó, Daniel J Buysse, Núria Roure, Manuel Sánchez-de-la-Torre, Montse Rué, Ferran Barbé, and Jordi de Batlle
- Subjects
Medicine ,Science - Abstract
To describe the overall sleep health of the Catalan population using data from the 2015 Catalan Health Survey and to compare the performance of two sleep health indicators: sleep duration and a 5-dimension sleep scale (SATED).Multistage probability sampling representative of the non-institutionalized population aged 15 or more years, stratified by age, gender and municipality size, was used, excluding nightshift-workers. A total of 4385 surveys were included in the analyses. Associations between sleep health and the number of reported chronic diseases were assessed using non-parametric smoothed splines. Differences in the predictive ability of age-adjusted logistic regression models of self-rated health status were assessed. Multinomial logistic regression models were used to assess SATED determinants.Overall mean (SD) sleep duration was 7.18 (1.16) hours; and SATED score 7.91 (2.17) (range 0-10), lower (worse) scores were associated with increasing age and female sex. Alertness and efficiency were the most frequently impaired dimensions across age groups. SATED performed better than sleep duration when assessing self-rated health status (area under the curve = 0.856 vs. 0.798; p-value
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- 2018
- Full Text
- View/download PDF
5. Characterization of the CPAP-treated patient population in Catalonia.
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Cecilia Turino, Sandra Bertran, Ricard Gavaldá, Ivan Teixidó, Holger Woehrle, Montserrat Rué, Francesc Solsona, Joan Escarrabill, Cristina Colls, Anna García-Altés, Jordi de Batlle, Manuel Sánchez de-la-Torre, and Ferran Barbé
- Subjects
Medicine ,Science - Abstract
There are different phenotypes of obstructive sleep apnoea (OSA), many of which have not been characterised. Identification of these different phenotypes is important in defining prognosis and guiding the therapeutic strategy. The aim of this study was to characterise the entire population of continuous positive airway pressure (CPAP)-treated patients in Catalonia and identify specific patient profiles using cluster analysis. A total of 72,217 CPAP-treated patients who contacted the Catalan Health System (CatSalut) during the years 2012 and 2013 were included. Six clusters were identified, classified as "Neoplastic patients" (Cluster 1, 10.4%), "Metabolic syndrome patients" (Cluster 2, 27.7%), "Asthmatic patients" (Cluster 3, 5.8%), "Musculoskeletal and joint disorder patients" (Cluster 4, 10.3%), "Patients with few comorbidities" (Cluster 5, 35.6%) and "Oldest and cardiac disease patients" (Cluster 6, 10.2%). Healthcare facility use and mortality were highest in patients from Cluster 1 and 6. Conversely, patients in Clusters 2 and 4 had low morbidity, mortality and healthcare resource use. Our findings highlight the heterogeneity of CPAP-treated patients, and suggest that OSA is associated with a different prognosis in the clusters identified. These results suggest the need for a comprehensive and individualised approach to CPAP treatment of OSA.
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- 2017
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6. Central Sleep Apnoea Is Related to the Severity and Short-Term Prognosis of Acute Coronary Syndrome.
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Marina Florés, Jordi de Batlle, Alicia Sánchez-de-la-Torre, Manuel Sánchez-de-la-Torre, Albina Aldomá, Fernando Worner, Estefanía Galera, Asunción Seminario, Gerard Torres, Mireia Dalmases, Josep M Montserrat, Onintza Garmendia, Ferran Barbé, and Spanish Sleep Group
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Medicine ,Science - Abstract
To evaluate the relation of central sleep apnoea (CSA) to the severity and short-term prognosis of patients who experience acute coronary syndrome (ACS).Observational study with cross-sectional and longitudinal analyses. Patients acutely admitted to participating hospitals because of ACS underwent respiratory polygraphy during the first 24 to 72 h. CSA was defined as an apnoea-hypopnoea index (AHI) >15 events•h-1 (>50% of central apnoeas). ACS severity (Killip class, ejection fraction, number of diseased vessels and peak plasma troponin) was evaluated at baseline, and short-term prognosis (length of hospitalization, complications and mortality) was evaluated at discharge.A total of 68 CSA patients (AHI 31±18 events•h-1, 64±12 years, 87% males) and 92 controls (AHI 7±5 events•h-1, 62±12 years, 84% males) were included in the analyses. After adjusting for age, body mass index, hypertension and smoking status, patients diagnosed with CSA spent more days in the coronary unit compared with controls (3.7±2.9 vs. 1.5±1.7; p
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- 2016
- Full Text
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7. Lifetime occupational exposure to dusts, gases and fumes is associated with bronchitis symptoms and higher diffusion capacity in COPD patients.
- Author
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Esther Rodríguez, Jaume Ferrer, Jan-Paul Zock, Ignasi Serra, Josep M Antó, Jordi de Batlle, Hans Kromhout, Roel Vermeulen, David Donaire-González, Marta Benet, Eva Balcells, Eduard Monsó, Angel Gayete, Judith Garcia-Aymerich, and PAC-COPD Study Group
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Medicine ,Science - Abstract
BACKGROUND: Occupational exposure to dusts, gases and fumes has been associated with reduced FEV1 and sputum production in COPD patients. The effect of occupational exposure on other characteristics of COPD, especially those reflecting emphysema, has not been studied in these patients. METHODS: We studied 338 patients hospitalized for a first exacerbation of COPD in 9 Spanish hospitals, obtaining full occupational history in a face-to-face interview; job codes were linked to a job exposure matrix for semi-quantitative estimation of exposure to mineral/biological dust, and gases/fumes for each job held. Patients underwent spirometry, diffusing capacity testing and analysis of gases in stable conditions. Quality of life, dyspnea and chronic bronchitis symptoms were determined with a questionnaire interview. A high- resolution CT scan was available in 133 patients. RESULTS: 94% of the patients included were men, with a mean age of 68(8.5) years and a mean FEV1% predicted 52 (16). High exposure to gases or fumes was associated with chronic bronchitis, and exposure to mineral dust and gases/fumes was associated with higher scores for symptom perception in the St. George's questionnaire. No occupational agent was associated with a lower FEV1. High exposure to all occupational agents was associated with better lung diffusion capacity, in long-term quitters. In the subgroup with CT data, patients with emphysema had 18% lower DLCO compared to those without emphysema. CONCLUSIONS: In our cohort of COPD patients, high exposure to gases or fumes was associated with chronic bronchitis, and high exposure to all occupational agents was consistently associated with better diffusion capacity in long-term quitters.
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- 2014
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8. Treatment strategies after acute exacerbations of chronic obstructive pulmonary disease: Impact on mortality
- Author
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Ignasi Bardés, Ferran Barbé, Fernando Casas-Mendez, Oriol Yuguero, Jordi de Batlle, and María José Abadías
- Subjects
Male ,Acute exacerbation of chronic obstructive pulmonary disease ,Time Factors ,Critical Care and Emergency Medicine ,Pulmonology ,Logistic regression ,Pulmonary Disease, Chronic Obstructive ,0302 clinical medicine ,Antibiotics ,Medicine and Health Sciences ,Medicine ,030212 general & internal medicine ,Longitudinal Studies ,Aged, 80 and over ,Multidisciplinary ,Pharmaceutics ,Antimicrobials ,Mortality rate ,Medical record ,Drugs ,Middle Aged ,Hospitals ,Female ,Emergency Service, Hospital ,Research Article ,medicine.medical_specialty ,Death Rates ,Chronic Obstructive Pulmonary Disease ,Science ,Models, Biological ,Microbiology ,03 medical and health sciences ,Pharmacotherapy ,Bronchodilators ,Drug Therapy ,Population Metrics ,Internal medicine ,Microbial Control ,Humans ,Aged ,Retrospective Studies ,Pharmacology ,Population Biology ,business.industry ,Biology and Life Sciences ,Retrospective cohort study ,medicine.disease ,Clinical trial ,Health Care ,030228 respiratory system ,Health Care Facilities ,business - Abstract
Introduction Acute exacerbation of chronic obstructive pulmonary disease (AECOPD) is a common reason for presentation to emergency departments (ED), but the management of these episodes is often heterogeneous regardless of their potential impact on short-term adverse outcomes. Methods This was a longitudinal, retrospective study of all patients>40 years old admitted to the ED of two Spanish teaching hospitals for an AECOPD between January 1st and May 31st, 2016. All data were collected from electronic medical records. The primary outcomes were patient treatment at discharge and 90-day mortality. Logistic regression was used to model the determinants of 90-day mortality. Results Of the 465 included patients, 56% were prescribed a 3-drug combination at hospital discharge, 22% a 2-drug combination, 19% a single drug, and 4% other or no treatment. Approximately 8% of patients died within 90 days after an AECOPD. Multivariate logistic models revealed that having more than 2 severe exacerbations within the last 12 months (OR (95% CI): 15.12 (4.22–54.22)) and being prescribed a single drug at discharge (OR (95% CI): 7.23 (2.44– 21.38)) were the main determinants of 90-day mortality after an AECOPD. Conclusions This study reflects the real-life heterogeneity in the pharmacological treatments prescribed after an ED admission for an AECOPD and suggests the potential impact of suboptimal inhaled treatment strategies on 90-day mortality rates. This research was supported by ALLER, Menarini Spain and GSK Spain. Jordi de Batlle acknowledges a research contract from Departament de Salut [PERIS 2016: SLT002/16/ 00364].
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- 2018
9. Assessing sleep health in a European population: Results of the Catalan Health Survey 2015
- Author
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Núria Roure, Oriol Garcia-Codina, Daniel J. Buysse, Ferran Barbé, Antonia Medina-Bustos, Esteve Saltó, Joan Escarrabill, Jordi de Batlle, Manuel Sánchez-de-la-Torre, Iván Benítez, Montse Rué, Mireia Dalmases, and Anna Mas
- Subjects
Male ,Physiology ,Cross-sectional study ,lcsh:Medicine ,Blood Pressure ,Logistic regression ,Vascular Medicine ,Habits ,Endocrinology ,0302 clinical medicine ,Public health surveillance ,Medicine and Health Sciences ,Coronary Heart Disease ,Medicine ,Public Health Surveillance ,Public and Occupational Health ,030212 general & internal medicine ,lcsh:Science ,Multinomial logistic regression ,Aged, 80 and over ,education.field_of_study ,Multidisciplinary ,Middle Aged ,Neurology ,Hypertension ,Female ,Research Article ,Adult ,Adolescent ,Endocrine Disorders ,Population ,Cardiology ,White People ,Young Adult ,03 medical and health sciences ,Diabetes Mellitus ,Humans ,education ,Life Style ,Aged ,Behavior ,business.industry ,lcsh:R ,Biology and Life Sciences ,Physical Activity ,Health Surveys ,Health indicator ,Alertness ,Cross-Sectional Studies ,ROC Curve ,Health assessment ,Spain ,Age Groups ,Metabolic Disorders ,People and Places ,lcsh:Q ,Population Groupings ,Sleep ,Physiological Processes ,Sleep Disorders ,business ,030217 neurology & neurosurgery ,Demography - Abstract
Objective To describe the overall sleep health of the Catalan population using data from the 2015 Catalan Health Survey and to compare the performance of two sleep health indicators: sleep duration and a 5-dimension sleep scale (SATED). Methods Multistage probability sampling representative of the non-institutionalized population aged 15 or more years, stratified by age, gender and municipality size, was used, excluding nightshift-workers. A total of 4385 surveys were included in the analyses. Associations between sleep health and the number of reported chronic diseases were assessed using non-parametric smoothed splines. Differences in the predictive ability of age-adjusted logistic regression models of self-rated health status were assessed. Multinomial logistic regression models were used to assess SATED determinants. Results Overall mean (SD) sleep duration was 7.18 (1.16) hours; and SATED score 7.91 (2.17) (range 0–10), lower (worse) scores were associated with increasing age and female sex. Alertness and efficiency were the most frequently impaired dimensions across age groups. SATED performed better than sleep duration when assessing self-rated health status (area under the curve = 0.856 vs. 0.798; p-value
- Published
- 2018
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