José Luis Bernal Sobrino
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View article: Outcomes of infective endocarditis in patients with end-stage renal disease in Spain: a population-based study
Outcomes of infective endocarditis in patients with end-stage renal disease in Spain: a population-based study Open
View article: Comprehensive analysis of clinical characteristics, management, and prognosis in patients with dilated cardiomyopathy discharged from Spanish hospitals
Comprehensive analysis of clinical characteristics, management, and prognosis in patients with dilated cardiomyopathy discharged from Spanish hospitals Open
This study highlights the substantial hospitalization burden and mortality risk among DCM patients, emphasizing the necessity for advanced management strategies and specialized cardiac care.
View article: Gender differences in clinical features and outcomes of patients over 75 years presenting with acute heart failure. Results of a nationwide study (2016–2019)
Gender differences in clinical features and outcomes of patients over 75 years presenting with acute heart failure. Results of a nationwide study (2016–2019) Open
Almost 60% of hospital admissions for HF in people aged 75 years or older between 2016 and 2019 in Spain were female patients. Female sex seems to play a protective role on in-hospital mortality and the rate of admissions and mortality at …
View article: A Multi-State Markov Model for the Longitudinal Analysis of Clinical Composite Outcomes in Heart Failure
A Multi-State Markov Model for the Longitudinal Analysis of Clinical Composite Outcomes in Heart Failure Open
Background The statistical analysis of composite outcomes is challenging. The Clinical Outcomes, HEalthcare REsource utilizatioN, and relaTed costs (COHERENT) model was developed to describe and compare all components (incidence, timing an…
View article: Long-term neurological symptoms after acute COVID-19 illness requiring hospitalization in adult patients: insights from the ISARIC-COVID-19 follow-up study
Long-term neurological symptoms after acute COVID-19 illness requiring hospitalization in adult patients: insights from the ISARIC-COVID-19 follow-up study Open
View article: Regional differences in infective endocarditis epidemiology and outcomes in Spain. A population-based study
Regional differences in infective endocarditis epidemiology and outcomes in Spain. A population-based study Open
Introduction Population-based studies of infective endocarditis (IE) provide nationwide representative information of the disease, with a lower risk of selection and referral bias. Purpose Our aim was to describe the contemporary epidemiol…
View article: Sex differences in patterns of referral and resource utilization in the cardiology clinic: an outpatient analysis
Sex differences in patterns of referral and resource utilization in the cardiology clinic: an outpatient analysis Open
Aims Women may have different management patterns than men in specialised care. Our aim was to assess potential sex differences in referral, management and outcomes of patients attending outpatient cardiac consultations. Methods and result…
View article: Impact of annual volume of cases and intensive cardiac care unit availability on mortality of patients with acute myocardial infarction-related cardiogenic shock treated at revascularization capable centres
Impact of annual volume of cases and intensive cardiac care unit availability on mortality of patients with acute myocardial infarction-related cardiogenic shock treated at revascularization capable centres Open
Aims Cardiogenic shock (CS) is associated with high mortality. The purpose of this study was to assess the impact of hospital structure-related variables on mortality in patients with CS treated at percutaneous and surgical revascularizati…
View article: Characteristics and in-hospital mortality of elderly patients with heart failure in Spanish hospitals
Characteristics and in-hospital mortality of elderly patients with heart failure in Spanish hospitals Open
In-hospital mortality in patients with HF ≥ 75 years between 2016 and 2019 was 12.7%, higher in males and elderly patients. The main predictors of mortality were cardiogenic shock, stroke, and advanced cancer. There was a trend toward lowe…
View article: Healthcare outcomes in patients with HIV infection at a tertiary hospital during the COVID-19 pandemic
Healthcare outcomes in patients with HIV infection at a tertiary hospital during the COVID-19 pandemic Open
View article: Validity and usefulness of the RAE-CMBD studying patients hospitalised with influenza
Validity and usefulness of the RAE-CMBD studying patients hospitalised with influenza Open
Background. Understanding the hospital impact of influenza requires enriching epidemiological surveillance registries with other sources of information. The aim of this study was to determine the validity of the Hospital Care Activity Reco…
View article: Characteristics and outcomes of percutaneous coronary interventions in patients with spontaneous coronary artery dissection. A study from the administrative minimum data set of the Spanish National Health System
Characteristics and outcomes of percutaneous coronary interventions in patients with spontaneous coronary artery dissection. A study from the administrative minimum data set of the Spanish National Health System Open
Background Coronary revascularization in patients with spontaneous coronary artery dissection (SCAD) is challenging. Indications and results of percutaneous coronary interventions (PCI) in SCAD patients are not well established. Aim To ass…
View article: Impact of shock aetiology and hospital characteristics on the clinical profile, management and prognosis of patients with non ACS-related cardiogenic shock
Impact of shock aetiology and hospital characteristics on the clinical profile, management and prognosis of patients with non ACS-related cardiogenic shock Open
More than a half of cases of CS were due to non-ACS causes. Non ACS-CS cases are a very heterogeneous group, with different clinical profile and management. Management at high-volume hospitals and availability of ICCU were associated with …
View article: 44 In-hospital outcomes for patients undergoing percutaneous or surgical coronary revascularization and aortic stenosis intervention: a propensity score matched analysis from a national health database
44 In-hospital outcomes for patients undergoing percutaneous or surgical coronary revascularization and aortic stenosis intervention: a propensity score matched analysis from a national health database Open
Introduction and Objectives Concomitant coronary artery disease is prevalent among patients with symptomatic severe aortic stenosis. We aimed to investigate the periprocedural outcomes among patients undergoing transcatheter aortic valve r…
View article: 1-year hospital readmissions due to cardiovascular causes after a heart failure episode in elderly patients in Spain
1-year hospital readmissions due to cardiovascular causes after a heart failure episode in elderly patients in Spain Open
Background The prevalence of heart failure (HF) increases with age, one of the leading causes of hospitalization and death in the elderly. However, there are little data about the long-term readmission rate of elderly patients after an epi…
View article: Clinical features and short-term prognosis in the very elderly, >90 year-old, patients hospitalized with heart failure. A population-based study (2016–2019)
Clinical features and short-term prognosis in the very elderly, >90 year-old, patients hospitalized with heart failure. A population-based study (2016–2019) Open
Background Heart failure (HF) is a main health problem in western countries, and a major cause of hospitalizations and death, particularly in older people. Few data are available about clinical features and prognosis of very old patients, …
View article: Making EHRs Trustable: A Quality Analysis of EHR-Derived Datasets for COVID-19 Research
Making EHRs Trustable: A Quality Analysis of EHR-Derived Datasets for COVID-19 Research Open
One approach to verifying the quality of research data obtained from EHRs is auditing how complete and correct the data are in comparison with those collected by manual and controlled methods. This study analyzed data quality of an EHR-der…
View article: Building an i2b2-Based Population Repository for COVID-19 Research
Building an i2b2-Based Population Repository for COVID-19 Research Open
Reuse of Electronic Health Records (EHRs) for specific diseases such as COVID-19 requires data to be recorded and persisted according to international standards. Since the beginning of the COVID-19 pandemic, Hospital Universitario 12 de Oc…
View article: Primary vs. Secondary Heart Failure Diagnosis: Differences in Clinical Outcomes, Healthcare Resource Utilization and Cost
Primary vs. Secondary Heart Failure Diagnosis: Differences in Clinical Outcomes, Healthcare Resource Utilization and Cost Open
Background There is scarce information on patients with secondary heart failure diagnosis (sHF). We aimed to compare the characteristics, burden, and outcomes of sHF with those with primary HF diagnosis (pHF). Methods Retrospective, observ…
View article: Healthcare outcomes in patients with HIV infection at a tertiary hospital during the COVID-19 pandemic
Healthcare outcomes in patients with HIV infection at a tertiary hospital during the COVID-19 pandemic Open
View article: Use of EHRs in a Tertiary Hospital During COVID-19 Pandemic: A Multi-Purpose Approach Based on Standards
Use of EHRs in a Tertiary Hospital During COVID-19 Pandemic: A Multi-Purpose Approach Based on Standards Open
This work aims to describe how EHRs have been used to meet the needs of healthcare providers and researchers in a 1,300-beds tertiary Hospital during COVID-19 pandemic. For this purpose, essential clinical concepts were identified and stan…
View article: Heart Failure Is a Poor Prognosis Risk Factor in Patients Undergoing Cholecystectomy: Results from a Spanish Data-Based Analysis
Heart Failure Is a Poor Prognosis Risk Factor in Patients Undergoing Cholecystectomy: Results from a Spanish Data-Based Analysis Open
Background: The incidence of cholecystectomy is increasing as the result of the aging worldwide. Our aim was to determine the influence of heart failure on in-hospital outcomes in patients undergoing cholecystectomy in the Spanish National…
View article: Impact of Heart Failure on In-Hospital Outcomes after Surgical Femoral Neck Fracture Treatment
Impact of Heart Failure on In-Hospital Outcomes after Surgical Femoral Neck Fracture Treatment Open
Background: Femoral neck fracture (FNF) is a common condition with a rising incidence, partly due to aging of the population. It is recommended that FNF should be treated at the earliest opportunity, during daytime hours, including weekend…
View article: Obtaining EHR-derived datasets for COVID-19 research within a short time: a flexible methodology based on Detailed Clinical Models
Obtaining EHR-derived datasets for COVID-19 research within a short time: a flexible methodology based on Detailed Clinical Models Open
View article: In-hospital outcomes of mechanical complications in acute myocardial infarction: Analysis from a nationwide Spanish database
In-hospital outcomes of mechanical complications in acute myocardial infarction: Analysis from a nationwide Spanish database Open
Mechanical complications occur in 3.5 per thousand AMI, with no significant trends to better survival over the past few years. Advanced age, cardiogenic shock and cardio-respiratory failure are the most important risk factors for in-hospit…
View article: Diabetes mellitus, revascularization and outcomes in elderly patients with myocardial infarction-related cardiogenic shock.
Diabetes mellitus, revascularization and outcomes in elderly patients with myocardial infarction-related cardiogenic shock. Open
Prognostic impact of DM in patients with MI-CS was different according to age, with a significantly lower impact at older ages. The availability of ICCU and revascularization were associated with better outcomes in these complex patients.
View article: Percutaneous and surgical aortic valve replacement. Impact of volume and type of center on results
Percutaneous and surgical aortic valve replacement. Impact of volume and type of center on results Open
Introduction and objectives: To analyze if there is an association between certain structural variables of the treating centres (availability of cardiac surgery and an intensive care unit [CICU] led by cardiologists) and the volume of proc…
View article: <i class="fa fa-video-camera" aria-hidden="true"></i> Reemplazo valvular a�rtico percut�neo y quir�rgico. Influencia del volumen y del tipo de centro tratante en los resultados
<i></i> Reemplazo valvular a�rtico percut�neo y quir�rgico. Influencia del volumen y del tipo de centro tratante en los resultados Open
RESUMEN Introducción y objetivos: Analizar la asociación entre algunas variables estructurales de los centros tratantes (disponibilidad de cirugía cardiaca y de unidad de cuidados intensivos cardiológicos [UCIC]), así como su volumen de pr…
View article: RECALMIN. Cuatro años de evolución de las Unidades de Medicina Interna del Sistema Nacional de Salud (2013-2016)
RECALMIN. Cuatro años de evolución de las Unidades de Medicina Interna del Sistema Nacional de Salud (2013-2016) Open
View article: Impact of the implementation of electronic health records on the quality of discharge summaries and on the coding of hospitalization episodes
Impact of the implementation of electronic health records on the quality of discharge summaries and on the coding of hospitalization episodes Open
The implementation of EHR improves the formal quality of DS, although poor use of EHR functionalities might reduce its understandability. Having more clinical information immediately available due to EHR increases the number of diagnosis a…