Examinando por Autor "Mejia, Christian R."
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- PublicaciónAcceso abiertoAssociation between hospitalization stay and diabetic foot: an analytical cross-sectional study in three Peruvian hospitals(Medwave Estudios Limitada, 2018-11) Mejia, Christian R.; Paucar-Tito, Liz; Morales-Concha, Luz; Atamari Anahui, Noé; Rondón-Abuhadba, Evelina Andrea; Ordoñez-Linares, Marco EdmundoDiabetic foot is one of the main complications of diabetes mellitus; however, in hospitals of provinces from Perú, the relationship of this condition with hospital stay has not been calculated. Objective: To determine the association between hospitalization time and diabetic foot in three hospitals from Cusco, Perú. Methods: A cross-sectional study of secondary data analysis was conducted. We analyzed the data of patients with type 2 diabetes mellitus admitted to the internal medicine service between January and December 2016, in three tertiary hospitals in Cusco, Peru. Correlation coefficients and p-values were calculated using generalized linear models, with Gaussian family and identity function, adjusted by intervening variables. Values of p < 0.05 were considered statistically significant. Results: Of the 153 patients, 14% (21) had a diabetic foot diagnosis, and their median age was 61 years (interquartile range 56 to 68). Those who had a diabetic foot had on average 20 hospitalization days. A strong association was found between a diabetic foot and the number of hospitalization days (17 days more, p = 0.003); adjusted by six variables. Those patients with a history of hypertension had more hospitalization days (10 days more, p = 0.011) and those admitted to a hospital of the Ministry of Health, had fewer hospitalization days (10 days less, p = 0.032). Conclusion: The group of patients with diabetic foot had a longer hospitalization time. The longer hospitalization time could be due to complications of the disease or difficulties in management.
- PublicaciónAcceso abiertoCuban scientific production on diabetes, 2000–2017: Peer-reviewed Publications, Collaboration and Impact(Medical Education Cooperation with Cuba, 2019) Corrales Reyes, Ibraín Enrique; Fornaris Cedeño, Yasmany; Dorta Contreras, Alberto Juan; Mejia, Christian R.; Pacheco Mendoza, Josmel; Arencibia Jorge, RicardoINTRODUCTION The steadily increasing prevalence of diabetes globally has captured researchers’ attention. Cuban production of scientific articles on diabetes has not been studied from a bibliometric perspective. OBJECTIVE Characterize the production and impact of research and review articles on diabetes by Cuban authors in journals listed in the Scopus bibliographic database, as well as related collaboration among Cuban institutions and between Cuban and non-Cuban institutions. METHODS A bibliometric analysis was conducted using 2000–2017 data from the Scopus database. The following search strategy was used: descriptor (diabetes), country (Cuba), publication source (journal), article type (original research, review article). Bibliographic indicators of production, visibility, impact and collaboration were examined. RESULTS Cuba contributed 3.2% of Latin American production and 0.1% of global production related to diabetes. Within Cuba’s scientific production (610 articles, 538 original research and 72 review), 85.9% had a Cuban corresponding author (Cuban leadership). In articles with international collaboration (22.9%), however, most (67.9%) had non-Cuban corresponding authors. A total of 47% (287) were articles involving a single institution. Only 11.1% were published in top-ranked journals, and 14.4% were cited >10 times. Cubans were lead authors on 0.3% of the most frequently cited (top 10%) articles on diabetes in Scopus. A total of 38.4% of this production appeared in low-impact journals and 57.9% in Cuban journals. Articles published in English accounted for 30% of total and obtained higher impact in terms of citations than articles in Spanish. The strongest networks for scientific collaboration were those that connected Cuban and US researchers.
- PublicaciónAcceso abiertoMortalidad atribuida a diabetes mellitus registrada en el Ministerio de Salud de Perú, 2005-2014(Pan Amer Health Organization, 2018-05) Atamari-Anahui, Noe; Suker Ccorahua-Rios, Maycol; Taype Rondán, Álvaro; Mejia, Christian R.Objective. To estimate the mortality attributable to diabetes mellitus (DM) as recorded by Peru’s Ministry of Health and its association with the human development index (HDI). Methods. This was an ecological study based on a secondary analysis of death records belonging to the Ministry of Health for the period from 2005 to 2014. A death was considered attributable to DM if the underlying cause of death given in the death record was DM. Mortality attributable to DM has been presented descriptively and in terms of geospatial analyses, and Spearman’s rho was used to test for an association between the difference in the mortality attributable to DM (between 2005-2006 and 2013-2014) and the HDI in Peru’s various departments.
- PublicaciónAcceso abiertoMortalidad y factores asociados en pacientes con enfermedad renal crónica en hemodiálisis en un hospital peruano(Universidad de Ciencias Médicas de La Habana, 2019-01) Herrera Añazco, Percy; Atamari-Anahui, Noé; Loaiza-Huallpa, Jhon; Condori-Huaraka, Mirian; Quispe-Rodríguez, Gabriel H.; Pinares-Valderrama, María Pilar; Cruz-Huanca, Ana Isabel; Mercado-Phuño, Rufo; Nieto-Portocarrero, Rubén; Mejia, Christian R.Introducción: La enfermedad renal crónica es un problema de salud en Perú. Objetivo: Determinar la mortalidad y los factores asociados en pacientes con enfermedad renal crónica en hemodiálisis de una población incidente en un hospital peruano. Material y Métodos: Estudio de cohorte retrospectiva, de los pacientes que ingresaron al programa de hemodiálisis crónica del hospital Antonio Lorena (Cusco-Perú), entre 2010-2016. Para el análisis de supervivencia se utilizó el método de Kaplan-Meier, para determinar los factores asociados a mortalidad se realizó la Regresión de Cox, se obtuvo el Hazard Ratio (HR) y sus intervalos de confianza al 95% (IC 95%).