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47 results on '"Salcedo-Mejia F"'

4. Molecular testing dynamics is reactive to COVID-19 incidence: Observations from the colombian experience

Author

Lozano, A, Zakzuk, J, Salcedo Mejia, F, Moyano, L, ALVIS ZAKZUK, NELSON RAFAEL, and Alvis-Guzmán, Nelson

Subjects
correlation, COVID-19, macromolecular substances, Colombia
Abstract

There was a positive correlation between molecular tests conducted and COVID-19 incidence and death rate (r = 0.79, p < 0.01 and r = 0.64, p < 0.01, respectively). The cointegration (ADF) test revealed a statistically significant and closely time-dependent stochastic structure between daily COVID-19 cases and number of molecular tests (ADF, -3.50; p < 0.01).

Published
2021

44. PREVALENCE AND ASSOCIATED FACTORS TO SUICIDE ATTEMPTS IN LOW-INCOME ADOLESCENTS FROM THE CARIBBEAN REGION OF COLOMBIA

Author

Parra Padilla, D, Salcedo Mejia, F, Moyano, L, Gomez De la Rosa, F, Jerez Arias, M, and Alvis-Guzman, N

Subjects
Colombia, Low-income adolescents, Caribbean region
Abstract

Objectives to establish the prevalence and associated factors to suicide attempts (SA) in low-income adolescents from the Caribbean region of Colombia Methods A cross sectional study was conducted. Adolescents between 10-24 years of age residents in 21 municipalities in the Caribbean region of Colombia were randomly selected from the population affiliated to a subsidized-regime insurance company between 2014-2018. A previously constructed questionnaire was used to obtain information regarding sociodemographic variables and potential risk factors. A self-reported antecedent of suicide attempt was defined as a case. Bivariate and multivariate logistic regression models were used to establish associated factors. Absolute and relative frequencies were reported. Relative frequencies were compared with the Chi2 test and continuous variables were compared with the t-test. A p value

45. EFFECTIVENESS OF A CARDIOVASCULAR RISK MANAGEMENT PROGRAM IN THE INCIDENCE OF CARDIOVASCULAR EVENTS IN A LOW-INCOME POPULATION FROM THE CARIBBEAN REGION OF COLOMBIA

Author

Miranda, P. A., Salcedo Mejia, F, Parra Padilla, D, Gomez De la Rosa, F, Carrasquilla, M, Paz Wilchez, J, Mercado, Juan Carlos, Jose Arias, Maria, Vargas Moranth, Rusvelt, Alvis Guzman, N, and De la Hoz, Fernando P

Subjects
cardiovascular risk, low-income population, Colombia
Abstract

Methods This was a retrospective cohort study. Patients with 20 to 76 years affiliated to insurer company and enrolled to the DTC program were considered as the study population. The data source was an administrative database of all 128,263 patients between Jan 2015 and Dec 2018. The main outcome was the reduction in the risk of a CVE (stroke, AMI or CHF) based in the time-person exposed to the intervention. Four different time thresholds were considered for stablishing exposure status: six months, one year, two years and four years. Propensity score-weighted Cox regression models were used to evaluate the association between exposure to the program and the incidence of CVE.

47. Clinical inertia in newly diagnosed type 2 diabetes mellitus among patients attending selected healthcare institutions in Colombia.

Author

Alvis-Guzman N, Romero M, Salcedo-Mejia F, Carrasquilla-Sotomayor M, Gómez L, Rojas MM, Urrego JC, Beltrán CC, Ruíz JE, Velásquez A, Orengo JC, and Pinzón A

Abstract

Background: The burden of disease of diabetes in Colombia have increased in the last decades. Secondary prevention is crucial for diabetes control. Many patients already treated remain with poor glycemic control and without timely and appropriate treatment intensification. This has been called in the literature as Clinical Inertia. Updated information regarding clinical inertia based on the Colombian diabetes treatment guidelines is needed., Objective: To measure the prevalence of clinical inertia in newly diagnosed Type 2 Diabetes Mellitus (T2DM) patients in healthcare institutions in Colombia, based on the recommendations of the current official guidelines., Methods: An observational and retrospective cohort study based on databases of two Health Medical Organizations (HMOs) in Colombia (one from subsidized regimen and one from contributory regimen) was conducted. Descriptive analysis was performed to summarize demographic and clinical information. Chi-square tests were used to assess associations between variables of interest., Results: A total of 616 patients with T2DM (308 for each regimen) were included. Median age was 61 years. Overall clinical inertia was 93.5% (87.0% in contributory regimen and 100% in subsidized regimen). Patients with Hb1Ac ≥ 8% in the subsidized regimen were more likely to receive monotherapy than patients in the contributory regimen (OR 2.33; 95% CI 1.41-3.86)., Conclusions: In this study, the prevalence of overall clinical inertia was higher in the subsidized regime than in the contributory regime (100% vs 87%). Great efforts have been made to equalize the coverage between the two systems, but this finding is worrisome with respect to the difference in quality of the health care provided to these two populations. This information may help payers and clinicians to streamline strategies for reducing clinical inertia and improve patient outcomes., (© 2024. The Author(s).)

Published
2024
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