Luis jose Arambula buitrago - Academia.edu (original) (raw)
Related Authors
University of the Basque Country, Euskal Herriko Unibertsitatea
Uploads
Papers by Luis jose Arambula buitrago
Acta Médica Colombiana, 2013
Existen territorios vasculares denominados sitios inusuales que pueden presentar eventos trombóti... more Existen territorios vasculares denominados sitios inusuales que pueden presentar eventos trombóticos: senos venosos, miembros superiores y lecho esplácnico, con consecuencias clínicas que pueden ser catastróficas. Se encuentran vacíos de conocimiento en el estudio de los factores involucrados en estas entidades. Objetivo: escribir la frecuencia de trombofilia en pacientes que consultan por trombosis en sitios inusuales al servicio de hematología del Hospital San José, entre enero 2007 y diciembre 2011. Se describe la población en términos demográficos, género, edad, recurrencia, tratamientos empleados y complicaciones asociadas. Métodos: es un estudio descriptivo serie de casos, se incluyeron las historias clínicas de pacientes mayores de 18 años con primer evento trombótico que compromete trayecto vascular en sitio inusual, asistentes a la consulta externa de hematología durante el periodo de estudio, los datos fueron extraídos de las historias clínicas de forma retrospectiva. Resu...
Value in Health, 2009
status, type of supplement plan, and residential location. RESULTS: Of the 2.2 million Medigap in... more status, type of supplement plan, and residential location. RESULTS: Of the 2.2 million Medigap insureds eligible for the study, 25.4% (570,711) had CAD. Males were 60% (p 0.001) more likely than females to have an offi ce visit, but gender was not a signifi cant predictor for the other services. Patients residing in high-minority neighborhoods were about 8% (p 0.001) less likely to receive any services for CAD. Older individuals were signifi cantly less likely (p 0.001) to have invasive procedures (angiography and surgery). Patients residing in lower-income areas were about 9% (p 0.001) more likely to receive any of the CAD services. Patients with mental health problems were about 45% (p 0.001) less likely to receive any CAD services. Additionally, CAD-related care varied signifi cantly by state of residence and urban versus rural location. Insureds with policies that covered more out-of-pocket costs were more likely to receive an offi ce visit, however, policy type was not a signifi cant predictor for invasive CAD procedures. CONCLUSIONS: Disparities in CAD-related care existed by age, income, and race, but the magnitude was relatively small (about 10%). Larger disparities were found by residential location and for those with mental health problems. AARP and UnitedHealth Group are designing interventions to address these disparities; such interventions will begin in mid-2009.
Acta Médica Colombiana, 2013
Existen territorios vasculares denominados sitios inusuales que pueden presentar eventos trombóti... more Existen territorios vasculares denominados sitios inusuales que pueden presentar eventos trombóticos: senos venosos, miembros superiores y lecho esplácnico, con consecuencias clínicas que pueden ser catastróficas. Se encuentran vacíos de conocimiento en el estudio de los factores involucrados en estas entidades. Objetivo: escribir la frecuencia de trombofilia en pacientes que consultan por trombosis en sitios inusuales al servicio de hematología del Hospital San José, entre enero 2007 y diciembre 2011. Se describe la población en términos demográficos, género, edad, recurrencia, tratamientos empleados y complicaciones asociadas. Métodos: es un estudio descriptivo serie de casos, se incluyeron las historias clínicas de pacientes mayores de 18 años con primer evento trombótico que compromete trayecto vascular en sitio inusual, asistentes a la consulta externa de hematología durante el periodo de estudio, los datos fueron extraídos de las historias clínicas de forma retrospectiva. Resu...
Value in Health, 2009
status, type of supplement plan, and residential location. RESULTS: Of the 2.2 million Medigap in... more status, type of supplement plan, and residential location. RESULTS: Of the 2.2 million Medigap insureds eligible for the study, 25.4% (570,711) had CAD. Males were 60% (p 0.001) more likely than females to have an offi ce visit, but gender was not a signifi cant predictor for the other services. Patients residing in high-minority neighborhoods were about 8% (p 0.001) less likely to receive any services for CAD. Older individuals were signifi cantly less likely (p 0.001) to have invasive procedures (angiography and surgery). Patients residing in lower-income areas were about 9% (p 0.001) more likely to receive any of the CAD services. Patients with mental health problems were about 45% (p 0.001) less likely to receive any CAD services. Additionally, CAD-related care varied signifi cantly by state of residence and urban versus rural location. Insureds with policies that covered more out-of-pocket costs were more likely to receive an offi ce visit, however, policy type was not a signifi cant predictor for invasive CAD procedures. CONCLUSIONS: Disparities in CAD-related care existed by age, income, and race, but the magnitude was relatively small (about 10%). Larger disparities were found by residential location and for those with mental health problems. AARP and UnitedHealth Group are designing interventions to address these disparities; such interventions will begin in mid-2009.