La historia clínica electrónica y los registros sobre diabetes en España

Navarro-Pérez, Jorge; Franch-Nadal, Josep; Artola-Menéndez, Sara; Díez‐Espino, Javier; García-Soidán, J.

doi:10.1016/j.avdiab.2011.09.001

Cited by 10 publications

(5 citation statements)

References 15 publications

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“…Our study's lifestyle or clinical examination data may have underreported smoking, BP, and weight measurements. However, our results were similar to those of previous studies in Spain [18,[39][40][41][42][43][44][45][46][47]. Laboratory data were collected automatically, accurately reflecting what had been requested for each patient.…”

Section: Strengths and Limitationssupporting

confidence: 88%

“…Laboratory data were collected automatically, accurately reflecting what had been requested for each patient. The registry of Navarra was rated as the highest quality among the 17 regional health services in Spain in patients with T2D [42]. In Navarra, studies have shown the usefulness of electronic records for assessing the quality of care of patients with T2D [7,27,29].…”

Section: Strengths and Limitationsmentioning

confidence: 99%

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Variability in the Control of Type 2 Diabetes in Primary Care and Its Association with Hospital Admissions for Vascular Events. The APNA Study

Guillen-Aguinaga

Forga

Brugos-Larumbe

et al. 2021

JCM

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Type 2 diabetes (T2D) is associated with increased cardiovascular morbidity, mortality, and hospital admissions. This study aimed to analyze how the differences in delivered care (variability of glycosylated hemoglobin (HbA1c) achieved targets) affect hospital admissions for cardiovascular events (CVEs) in T2D patients. Methods: We analyzed the electronic records in primary care health centers at Navarra (Spain) and hospital admission for CVEs. We followed 26,435 patients with T2D from 2012 to 2016. The variables collected were age, sex, health center, general practitioner practice (GPP), and income. The clinical variables were diagnosis of T2D, weight, height, body mass index (BMI), blood pressure (BP), HbA1c, low-density lipoprotein cholesterol (LDL-C), smoking, and antecedents of CVEs. We calculated, in each GPP practice, the proportion of patients with HbA1c ≥ 9. A non-hierarchical K-means cluster analysis classified GPPs into two clusters according to the level of compliance with HbA1C ≥ 9% control indicators. We used logistic and Cox regressions. Results: T2D patients had a higher probability of admission for CVEs when they belonged to a GPP in the worst control cluster of HbA1C ≥ 9% (HR = 1.151; 95% CI, 1.032–1.284).

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Section: Strengths and Limitationssupporting

confidence: 88%

Section: Strengths and Limitationsmentioning

confidence: 99%

Variability in the Control of Type 2 Diabetes in Primary Care and Its Association with Hospital Admissions for Vascular Events. The APNA Study

Guillen-Aguinaga

Forga

Brugos-Larumbe

et al. 2021

JCM

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“…En un estudio en nuestro país sobre los registros de diabetes en la historia informática, se demuestra que la Historia Clínica electrónica mejora los indicadores de calidad de la atención al paciente diabético; encuentran que en general existe un moderado registro del plan terapéutico relacionado con la diabetes (69,1%). Diez Comunidades registran todas las variables analizadas (dieta, ejercicio físico, cumplimiento y autoanálisis), Los datos sobre dieta, ejercicio físico y autoanálisis tienen idéntica implantación (70,5%), siendo menor el registro sobre cumplimiento terapéutico (64,7%) 27 . Nuestros datos no difieren demasiado de los encontrados en el estudio citado.…”

Section: Discussionunclassified

Valoración de la adherencia en el seguimiento del paciente diabético y uso de lenguaje enfermero.

Arévalo

González

García

et al. 2013

eglobal

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“…Laboratory data are collected automatically, so they accurately reflect what has been requested from each patient. The registry of Navarra was rated as the highest quality among the 17 Regional Health Services in Spain in patients with T2D [39]. In Navarra, studies have shown the usefulness of electronic records for assessing the quality of care of patients with T2D [7,[27][28][29].…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Variability in the Control of Type 2 Diabetes in Primary Care and Its Association with Hospital Admissions for Vascular Events. The APNA Study.

Guillen-Aguinaga¹,

Forga²,

Brugos-Larumbe³

et al. 2021

Preprint

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Type 2 diabetes (T2D) is associated with increased cardiovascular morbidity, mortality, and hospital admissions. There is variability in clinical practice. The objectives are to analyze the variability in the control of Blood Pressure (BP), HbA1c, and LDL-C in T2D patients and its influence on admissions due to cardiovascular events (CVE) Methods: We analyzed the electronic records in Primary Care Health centers in Navarra (Spain) and hospital admission for CVE. We follow 480637 people from 2012 to 2016. We calculated indicators of control of patients with T2D for each year, percentage with: HbA1c &lt; 7%; HbA1c &gt;= 9%; BP &lt;140/90 mmHg; LDL-C &lt;100 mg/dl. We used logistic and Cox regression. Results: Patients in the best control GP practices cluster are 2.5 times more likely to have HbA1c &lt;7% [OR: 2.46 (95% CI: 2.29-3.64)]. Poor HbA1c control ≥ 9% is more likely in the worst control cluster [OR: 1.73 (95% CI:1.63-1.83)]. The probability of admission for CVE increases with age, being male, low income, obesity, history of CVE, having HbA1c ≥ 9%, and belonging to a GP practice in the cluster of HbA1C ≥ 9% worst control. In contrast, it decreases in patients with HbA1c &lt;7%, BP&lt;140/90 mmHg and LDL &lt;100 mg/dl.

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La historia clínica electrónica y los registros sobre diabetes en España

Cited by 10 publications

References 15 publications

Variability in the Control of Type 2 Diabetes in Primary Care and Its Association with Hospital Admissions for Vascular Events. The APNA Study

Variability in the Control of Type 2 Diabetes in Primary Care and Its Association with Hospital Admissions for Vascular Events. The APNA Study

Valoración de la adherencia en el seguimiento del paciente diabético y uso de lenguaje enfermero.

Variability in the Control of Type 2 Diabetes in Primary Care and Its Association with Hospital Admissions for Vascular Events. The APNA Study.

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