Natalia Gutiérrez-Albaladejo

Hospital Universitario Fundación Alcorcón

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Rodrigo Jiménez‐García

Universidad Complutense de Madrid

Ana López‐de‐Andrés

Universidad Complutense de Madrid

Romana Albaladejo‐Vicente

Universidad Complutense de Madrid

Javier de Miguel‐Díez

Hospital General Universitario Gregorio Marañón

Rosa Villanueva-Orbáiz

Universidad Complutense de Madrid

Natividad Cuadrado‐Corrales

Universidad Complutense de Madrid

Francisco Carricondo

Universidad Complutense de Madrid

Ricardo Omaña-Palanco

Universidad Complutense de Madrid

Bárbara Romero‐Gómez

Universidad Complutense de Madrid

Concepción Noriega

Universidad de Alcalá

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Universidad Complutense de Madrid

Hospital General Universitario Gregorio Marañón

Instituto de Investigación Sanitaria del Hospital Clínico San Carlos

Departamento de Salud

Universidad Rey Juan Carlos

Hospital Clínico San Carlos

Comunidad de Madrid

Universidad de Granada

Camilo José Cela University

Instituto de Salud Carlos III

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Trends and sex differences in atrial fibrillation among patients hospitalized due to asthma: Insights from a nationwide population-based discharge database in Spain, 2016–2021

Respiratory Medicine (2023)

Javier de Miguel‐Díez Natalia Gutiérrez-Albaladejo Francisco J. Caballero-Segura Ana López‐de‐Andrés Rodrigo Jiménez‐García

10.1016/j.rmed.2023.107508

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Citations (1)

Trends in hospital admissions among children with asthma in Spain (2011–2020)

European Journal of Pediatrics (2023)

Natalia Gutiérrez-Albaladejo Rodrigo Jiménez‐García Romana Albaladejo‐Vicente Rosa Villanueva-Orbáiz Javier de Miguel‐Díez

The purpose of this study is to describe and assess changes in incidence, clinical conditions, use of mechanical ventilation, length of hospital stay (LOHS), and in-hospital mortality (IHM) among children hospitalized with asthma in Spain from 2011 to 2020. We analyzed children aged 0 to 15 years hospitalized with an ICD code for asthma included in the Spanish National Hospital Discharge Database (SNHDD). The analysis was conducted for asthma as the primary diagnosis and with asthma in any diagnosis position. Joinpoint regression was used to assess time trends in incidence. We included a total of 85,664 children hospitalized with asthma; of these, 46,727 (54.55%) had asthma coded as the primary diagnosis. The number of boys was higher than the number of girls, irrespective of age group or diagnostic position. The frequency of asthma as primary diagnosis decreased from 55.7% in 2011 to 43.96% in 2020 (p < 0.001). The incidence of hospitalizations because of asthma decreased significantly from 2011 to 2020, with a faster decrease from 2018 onwards. Over time, the proportion of older children increased. In the year 2020, only 55 children had codes for asthma and COVID-19 in their discharge report, and this infection had no effect on hospitalizations this year. A significant increase in the use of non-invasive ventilation (NIV) was observed over time. Irrespective of the diagnostic position, LOHS and IHM remained stable over time, with the IHM under 0.1%. Conclusion: Our results show a decrease in the incidence of hospital admissions with asthma either as the primary diagnosis or in any position. The age of children hospitalized seems to be increasing as the use of NIV. Better management of the disease from primary care and the emergency department as is the use of NIV could explain the reduction in incidence. What is Known: • Asthma is the most common chronic respiratory in childhood in high income countries. • The incidence of hospital admissions with asthma and associated factors is one of the best sources of information on morbidity trends and prognosis. What is New: • The incidence of hospital admissions for asthma in Spain decreased in children between 2011 and 2020 with a more frequent use of non-invasive mechanical ventilation and low mortality rates. • COVID-19 did not cause an increase in admissions with asthma in the year 2020.

Hospital discharge

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10.1007/s00431-023-04873-w

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Citations (2)

Asthma Is Associated with Back Pain and Migraine—Results of Population-Based Case–Control Study

Journal of Clinical Medicine (2023)

Natalia Gutiérrez-Albaladejo Ana López‐de‐Andrés Natividad Cuadrado‐Corrales Romana Albaladejo‐Vicente Rosa Villanueva-Orbáiz

(1) Background: Worldwide, asthma, back pain, and migraine are major public health problems due to their high prevalence, effect on the quality of life, and huge economic costs. The association of asthma with an increased risk of these types of pain has been suggested; however, no conclusive results have been obtained to date. The aims of our study were (1) to describe and compare the prevalence of three types of pain localization, namely migraine or frequent headaches (MFH), chronic neck pain (CNP), and chronic low back pain (CLBP), in adults with and without asthma in Spain during the years 2014 and 2020 and (2) to identify which variables were associated with the presence of these types of pain in adults with asthma. (2) Methods: A cross-sectional study and a case-control study were conducted. The 2014 and 2020 European Health Interview Surveys for Spain were used as the data source. (3) Results: A total of 2463 individuals were interviewed and had self-reported asthma. In this group, the prevalence of pain was high, with CLBP (30.9%) being the most common, followed by CNP (26.7%) and MFH (13.3%). All types of pain remained stable from 2014 to 2020. In both surveys, the women with asthma reported a remarkably higher prevalence of all the types of pain analyzed than the men with asthma. After matching by age and sex, the prevalence of all pain types was significantly higher in the patients with asthma than in the matched individuals without asthma. Multivariable adjustment showed that asthma increased the likelihood of CNP by 1.45 times (OR 1.45; 95% CI 1.19-1.76), that of CLBP by 1.37 times (OR 1.37; 95% CI 1.11-1.64), and that of MFH by 1.19 times (OR 1.19; 95% CI 1.02-1.51). The three types of pain analyzed were associated with the female sex and worse self-rated health. (4) Conclusions: Among the men and women with asthma, the prevalence of all the pain types was high and remained stable over time. The prevalence was higher and the severity was greater among the women with asthma than among the men with asthma. The prevalence of any pain was significantly higher in people with asthma than in the sex-age-matched individuals without asthma. Multivariable analysis showed that the variables associated with the reporting of the three types of pain in people with asthma were female sex, worse self-reported health, and self-reported mental illness.

Neck pain

Back Pain

Cross-sectional study

10.3390/jcm12227107

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Citations (2)