Epidemiology, Health Informatics, Public Health, Environmental and Occupational Health
7
Scopus Publications
412
Scholar Citations
7
Scholar h-index
7
Scholar i10-index
Scopus Publications
HYPERGLYCEMIA AS A RISK FACTOR FOR IN-HOSPITAL MORTALITY IN MYOCARDIAL INFARCTION Ciro Barrantes-Alarcon, Rosalia Fernández-Coronado, Adriel Olortegui-Yzu, and Revista De La Facultad De Medicina Humana, 2024 Introduction: Myocardial infarction continues with high mortality rates, from 4.6% to 13.1%. There are predictive risk stratification models, such as the Grace Score, which does not include glycemia as a variable. Patients hospitalized for myocardial infarction with hyperglycemia on admission may have higher mortality, in ST elevated and non-elevated infarcts. Objectives: The objective of this review is to identify and systematize the evidence on hyperglycemia on admission as a biomarker of mortality and heart failure in acute myocardial infarction. Materials and Methods: The search was carried out in the MEDLINE database including the MeSH terms hyperglycemia and hospital mortality or heart failure in myocardial infarction, selecting 12 articles. Results: Hospital mortality was calculated in 11 articles, in 9 of them a significant association was found between hyperglycemia and hospital mortality, both in the bivariate and multivariate analysis, and in 2 articles this association was not demonstrated. For in-hospital mortality, the results of 11 articles included in this review were synthesized. The frequency of occurrence of heart failure was determined in 11 articles, finding a higher frequency in 9 of them. For in-hospital mortality, the results of 11 articles included in this review were synthesized and analyzed, in 8 the analysis was performed in non-diabetics, obtaining OR: 4.15, IC 95% (2.853-6.035), in 3 for diabetics obtaining OR 2.365 IC 95% (1.778- 3,146) and in 6 for the total population finding OR 3,314 (2,910-3,774). Conclusions: Hyperglycemia on admission is associated with increased mortality and frequency of occurrence of heart failure during hospitalization for myocardial infarction, with evidence of moderate quality.
Structure of the perception of health professionals regarding the quality of health services in the context of COVID-19 Johann M. Vega‐Dienstmaier, Alberto Fernández‐Arana, Adriel Olórtegui‐Yzú Brain and Behavior, 2023 BackgroundThe health emergency caused by COVID‐19 revealed the shortcomings of health services (HS), but little is known about how this has impacted the mental health of health professionals (HP) when perceiving these difficulties.MethodsData were collected through an online survey administered to HP in Lima (Peru) between May and July 2020. A questionnaire was applied to identify perceived quality of health services (PHQS). A network analysis was performed, and the centrality measures of the variables were calculated and plotted.ResultsA total of 507 HP completed the survey. In the network analysis of PHQS, four clusters were identified: (A) “empathy” and “recognition of competencies,” (B) “logistical support,” “protection,” “personal early diagnosis,” and “early family diagnosis”; C) “professional competence with regard to their treatment and treatment for their family,” “equipment for their treatment and treatment for their family,” “professional competence with regard to their treatment and treatment for their family,” and “institutional support for them and their family”; and D) “fear of being infected or infecting their family,” “fear of dying or death of a family member,” “knowledge stability,” “job burnout,” and “role change.” The variables of PHQS with the greatest centrality were “equipment for their treatment,” “equipment for the treatment of their family,” and “early family diagnosis.”ConclusionsThe structure of the PHQS of HP describes direct and indirect influences of different variables in the context of COVID‐19.
Relationship between depression, anxiety, and perceived stress in health professionals and their perceptions about the quality of the health services in the context of COVID-19 pandemic Adriel Olórtegui‐Yzú, Johann M. Vega‐Dienstmaier, Alberto Fernández‐Arana Brain and Behavior, 2023 BackgroundThe health emergency caused by COVID‐19 revealed the shortcomings of health services (HS), but little is known about how this has impacted the mental health of health professionals (HP).MethodsData were collected through an online survey administered to HP in Lima (Peru) between May and July 2020. Instruments were applied to evaluate anxiety, depression, perceived stress (PS), and perceived quality of health services (PQHS).ResultsA total of 507 HP completed the survey. In the multivariate analysis, younger age and female gender were related to anxiety, depression, and PS (all with p < .001). The most relevant unfavorable PQHS associated with anxiety were competence of other HP to care for HP if infected (p = .002) and support for HP or their families in the event of becoming infected (p = .001); the most relevant unfavorable PHQS associated with depression were equipment to care for HP and their families if infected (p = .003); support for HP or their families if infected (p < .001); fear of HP and/or family members being infected or dying (p = .006); and HP’ recognition of their competencies (p < .001); and the most relevant unfavorable PHQS associated with PS were support for HP or their families if infected (p < .001) and instability of knowledge (p = .027).ConclusionsThere was an association between impaired mental health and PQHS scores among HP. This study shows the need for HP to express their concerns about how HS are supporting their safety and that of their family during health emergencies.
Perceptions of resident physicians on the development of the cardiology resident program during the COVID-19 pandemic in Lima, Peru Adriel Olortegui Yzu, Rosalía Fernández Coronado Archivos Peruanos De Cardiologia Y Cirugia Cardiovascular, 2022 Objective. To describe the perceptions of resident doctors about the development of their training program during the pandemic in the city of Lima - Peru. Materials and methods. Through a cross- sectional study, a questionnaire was applied to seventy-eight cardiology residents in the last two years of training in the specialty. The perceptions about the accompaniment and support of the universities in the educational venues, for the development of the training program in cardiology during the pandemic, were evaluated. Results. Regarding the support provided for their training, the items evaluated showed shortcomings above 60%, where permanent supervision was lacking in 90.0% of the residents. Regarding compliance with the rotations, the residents only received supervision in 24.4%, observing that they did not manage to carry out adequate rotations in 80.8% of the cases. The courses of the curricular plan were adequately developed in 92.5% of the cases, and the actions for the health of the resident were very low, highlighting that only in 9.0% of the cases did the university inquire about the state of health of the resident. Conclusions. The development of the cardiology residency training program during the pandemic presented important shortcomings, showing that the deficiencies were accentuated compared to previous studies.
Depression and anxiety symptoms and perceived stress in health professionals in the context of COVID-19: Do adverse childhood experiences have a modulating effect? Alberto Fernández‐Arana, Adriel Olórtegui‐Yzú, Johann M. Vega‐Dienstmaier, Manuel J. Cuesta Brain and Behavior, 2022 BackgroundAdverse childhood experiences (ACE) have a great impact on mental health outcomes of adults. However, little is known whether ACE may act as modulators of the mental health of health professionals caring for patients with COVID‐19.MethodsData were collected through an online cross‐sectional survey administered to health professionals in Lima (Peru) between May and July 2020. The survey included standardized self‐assessment instruments for anxiety, depression, acute stress (AS) and history of ACE.ResultsA total of 542 health professionals completed the survey. Caring for patients with COVID‐19 was significantly associated with depression and anxiety and when caring for patients with COVID‐19 was combined with a history of early sexual abuse, its effect on the risk of anxiety increased (OR = 7.71, p = .010). Mental health problems were associated with female gender in almost all the analyses and with the majority of ACEs.ConclusionsHealth workers in the context of the COVID‐19 pandemic presented a high risk of mental health disorders. Antecedents of sexual abuse acted as a potentiating factor of anxiety in professionals providing COVID‐19 care. These findings suggest that the burden of ACE modulates mental health problems in health professionals during the pandemic.
Cancer cases detected in the prevention and control service of a private cancer clinic in Peru José Revilla-López, Andrea Anampa-Guzmán, Luis Casanova Marquez, Katrina Weeks, Suzanne Pollard, et al. Infectious Agents and Cancer, 2019 Purpose Describe the characteristics of patients seen at the Cancer Prevention and Control Service at a Peruvian private cancer clinic in 2014. Patients and methods This retrospective clinical study analyzed the prevalence of 10 cancers and characteristics of patients seen at a private cancer center located in Lima, Peru. The study sample included 7680 adults, and data were collected from de-identified medical records. Results The average age of the patients was 44.71 years and 98,82% of them had private insurance. The majority of patients were women (67.69%). Our gross incidence rate of cancer was 35.16 per 100,000 in the Cancer Prevention and Control Service in 2014. Only 0.35% had cancer, and most of those diagnosed with cancer (77.78%) were diagnosed in the early stages, stages I and II. The two most common cancers observed were breast and thyroid cancer. Conclusions The high rates of early, rather than late-stage diagnoses at this clinic are dramatically different than national rates. This difference may be because we are analyzing data from a prevention service seeing mainly patients with private insurance as opposed to national data, which consists primarily of patients seen in oncologic services with national insurance.
RECENT SCHOLAR PUBLICATIONS
Neurocognitive performance in children aged 6 to 16 with attention-deficit/hyperactivity disorder without medication A Fernandez-Arana, JM Vega-Dienstmaier, RT Silva-Trujillo, ... Revista de Neuro-Psiquiatría 89 (2), 141-154 , 2026 2026
Surgical Outcomes After Delayed Diagnosis of Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery: A Longitudinal Retrospective Study in a National … C Villasante Villalta, MR Montesinos Segura, DA Davila Flores, ... Circulation 152 (Suppl_3), A4373164-A4373164 , 2025 2025
Hiperglicemia como factor de riesgo de mortalidad hospitalaria en infarto de miocardio: Hyperglycemia as a risk factor for in-hospital mortality in myocardial infarction C Barrantes-Alarcon, R Fernández-Coronado, A Olortegui-Yzu Revista de la Facultad de Medicina Humana 24 (1) , 2024 2024
Effectiveness of tertiary prevention on quality of life and control of risk factors in patients with ischemic coronary heart disease RF Coronado, AO Yzu Archivos Peruanos de Cardiología y Cirugía Cardiovascular 4 (3), 88 , 2023 2023 Citations: 1
Efectividad de la prevención terciaria en la calidad de vida y control de los factores de riesgo en pacientes con cardiopatía coronaria isquémica RF Coronado, AO Yzu Archivos peruanos de cardiología y cirugía cardiovascular 4 (3), 88-95 , 2023 2023 Citations: 5
Structure of the perception of health professionals regarding the quality of health services in the context of COVID‐19 JM Vega‐Dienstmaier, A Fernández‐Arana, A Olórtegui‐Yzú Brain and behavior 13 (8), e3140 , 2023 2023 Citations: 2
Tele-rehabilitación cardiaca en tiempos de pandemia. Experiencia en el Instituto Nacional Cardiovascular-INCOR J Espinoza Pérez, RO Fernández Coronado, A Olórtegui Yzú, ... Instituto Nacional Cardiovascular-INCOR , 2023 2023 Citations: 7
Relationship between depression, anxiety, and perceived stress in health professionals and their perceptions about the quality of the health services in the context of COVID‐19 … A Olórtegui‐Yzú, JM Vega‐Dienstmaier, A Fernández‐Arana Brain and Behavior 13 (1), e2816 , 2023 2023 Citations: 6
Patrones de costos de atención a pacientes con enfermedades isquémicas del corazón en el Instituto Nacional Cardiovascular, 2019 C Sanabria-Montañez, J Cabrejos Polo, AR Olortegui Yzu, ... An Fac med 83 (2), 104-11 , 2022 2022 Citations: 6
Cumplimiento del programa de formación del residentado en cardiología durante la pandemia COVID-19, Lima–Perú AO Yzu, RF Coronado, LM Pérez, PF Rodríguez Archivos Peruanos de Cardiología y Cirugía Cardiovascular 3 (1), 16-24 , 2022 2022 Citations: 3
Compliance with the cardiology residency training program during the COVID-19 pandemic, Lima–Peru A Olortegui Yzu, R Fernández Coronado, L Murillo Pérez, ... 2022
Depression and anxiety symptoms and perceived stress in health professionals in the context of COVID‐19: Do adverse childhood experiences have a modulating effect? A Fernández‐Arana, A Olórtegui‐Yzú, JM Vega‐Dienstmaier, MJ Cuesta Brain and Behavior 12 (1), e2452 , 2022 2022 Citations: 17
Reducción del riesgo cardiovascular en trabajadores de un instituto de salud especializado mediante un programa de prevención cardiovascular ROF Coronado, MAH Ñahui, AO Yzú, RYP Vilchez, MXG Monge, ... Anales de la Facultad de Medicina 81 (1), 14-20 , 2020 2020 Citations: 37
Cancer cases detected in the prevention and control service of a private cancer clinic in Peru J Revilla-López, A Anampa-Guzmán, LC Marquez, K Weeks, S Pollard, ... Infectious agents and cancer 14 (1), 44 , 2019 2019 Citations: 4
A flor de piel A Olórtegui Yzú Revista Gerencia y Políticas de Salud 16 (32), 151-153 , 2017 2017
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Costo–Efectividad De Apixaban Con Otros Noacs (Dabigatran Y Rivaroxaban) En El Tratamiento De La Fibrilacion Auricular No Valvular (Fanv) En Pacientes De La Seguridad Social De … C Sanabria, J Cabrejos, A Olortegui, C Guevara, SG Lecca Value in Health 18 (7), A829 , 2015 2015 Citations: 3
Cost-Utility Analysis of Apixaban In Patients With Atrial Fibrillation (Af) At The Peruvian Social Security (Essalud) C Sanabria, J Cabrejos, SG Lecca, A Olortegui, C Guevara Value in Health 18 (3), A143 , 2015 2015
Asociación entre violencia contra la mujer en relación de pareja y el nivel de riqueza, Perú 2013 EFPG Carazas UNIVERSIDAD NACIONAL MAYOR DE SAN MARCOS , 2015 2015
Treatment Patterns Of Care For Non-Valvular Atrial Fibrilation Patients At A National Institute Of Care In Peru C Sanabria, J Cabrejos, C Guevara, A Olortegui, SG Lecca Value in Health 17 (3), A125 , 2014 2014
MOST CITED SCHOLAR PUBLICATIONS
Occupational Transmission of Mycobacterium tuberculosis to Health Care Workers in a University Hospital in Lima, Peru J Alonso-Echanove, RM Granich, A Laszlo, G Chu, N Borja, R Blas, ... Clinical infectious diseases 33 (5), 589-596 , 2001 2001.0 Citations: 152
Incidencia estimada de las cardiopatías congénitas en niños menores de 1 año en el Perú A Olórtegui, M Adrianzén Anales de la Facultad de Medicina 68 (2), 113-124 , 2007 2007.0 Citations: 87
ESTUDIO DE UN BROTE DE ENFERMEDAD FEBRIL EXANTEMATICA EN UNA COMUNIDAD CAMPESINA DEL DEPARTAMENTO DEL CUZCO R Neira, A Olórtegui Rev Per Epidem 2 (18.2), 2-13.3 , 0 Citations: 41
Reducción del riesgo cardiovascular en trabajadores de un instituto de salud especializado mediante un programa de prevención cardiovascular ROF Coronado, MAH Ñahui, AO Yzú, RYP Vilchez, MXG Monge, ... Anales de la Facultad de Medicina 81 (1), 14-20 , 2020 2020.0 Citations: 37
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Prevalencia de patología oftalmológica en la población escolar de un distrito andino rural-Ocongate-Q'osqo-Perú A Olórtegui, R Neira, J Mogollón, A Fernandez Rev. peru. epidemiol.(Online), 35-39 , 1994 1994.0 Citations: 16
Impacto de la rehabilitación cardiaca en la calidad de vida de los pacientes del Instituto Nacional Cardiovascular del Perú K Pacci-Salazar, C De la Cruz-Fuentes, A Alzamora-Cárdenas, ... Revista peruana de epidemiologia 15 (2), 126-129 , 2011 2011.0 Citations: 15
Tele-rehabilitación cardiaca en tiempos de pandemia. Experiencia en el Instituto Nacional Cardiovascular-INCOR J Espinoza Pérez, RO Fernández Coronado, A Olórtegui Yzú, ... Instituto Nacional Cardiovascular-INCOR , 2023 2023.0 Citations: 7
Relationship between depression, anxiety, and perceived stress in health professionals and their perceptions about the quality of the health services in the context of COVID‐19 … A Olórtegui‐Yzú, JM Vega‐Dienstmaier, A Fernández‐Arana Brain and Behavior 13 (1), e2816 , 2023 2023.0 Citations: 6
Patrones de costos de atención a pacientes con enfermedades isquémicas del corazón en el Instituto Nacional Cardiovascular, 2019 C Sanabria-Montañez, J Cabrejos Polo, AR Olortegui Yzu, ... An Fac med 83 (2), 104-11 , 2022 2022.0 Citations: 6
Efectividad de la prevención terciaria en la calidad de vida y control de los factores de riesgo en pacientes con cardiopatía coronaria isquémica RF Coronado, AO Yzu Archivos peruanos de cardiología y cirugía cardiovascular 4 (3), 88-95 , 2023 2023.0 Citations: 5
Prevalencia de disfunción eréctil y factores asociados en pacientes con enfermedad coronaria en un instituto cardiovascular L Talledo, R Palomino, JJ Paredes, A Olórtegui, R Fernández, H Silva, ... Revista de Cardiología del Cuerpo Médico del Instituto Nacional … , 2016 2016.0 Citations: 5
Cancer cases detected in the prevention and control service of a private cancer clinic in Peru J Revilla-López, A Anampa-Guzmán, LC Marquez, K Weeks, S Pollard, ... Infectious agents and cancer 14 (1), 44 , 2019 2019.0 Citations: 4
INCIDENCIA DE CARDIOPATíA S CONGÉNITAS EN IQUITOS, PERÚ JU Chávez, CR Asayag, A Olórtegui, C Pisconte, J Elgegren, R Fritas, ... Revista Peruana de Cardiología 36 (1), 15 , 2010 2010.0 Citations: 4
Cumplimiento del programa de formación del residentado en cardiología durante la pandemia COVID-19, Lima–Perú AO Yzu, RF Coronado, LM Pérez, PF Rodríguez Archivos Peruanos de Cardiología y Cirugía Cardiovascular 3 (1), 16-24 , 2022 2022.0 Citations: 3
Costo–Efectividad De Apixaban Con Otros Noacs (Dabigatran Y Rivaroxaban) En El Tratamiento De La Fibrilacion Auricular No Valvular (Fanv) En Pacientes De La Seguridad Social De … C Sanabria, J Cabrejos, A Olortegui, C Guevara, SG Lecca Value in Health 18 (7), A829 , 2015 2015.0 Citations: 3
Structure of the perception of health professionals regarding the quality of health services in the context of COVID‐19 JM Vega‐Dienstmaier, A Fernández‐Arana, A Olórtegui‐Yzú Brain and behavior 13 (8), e3140 , 2023 2023.0 Citations: 2
Effectiveness of tertiary prevention on quality of life and control of risk factors in patients with ischemic coronary heart disease RF Coronado, AO Yzu Archivos Peruanos de Cardiología y Cirugía Cardiovascular 4 (3), 88 , 2023 2023.0 Citations: 1
Estimated prevalence of congenital cardiopaties in one year-old children in Peru A Olórtegui, M Adrianzén 2007.0 Citations: 1
Neurocognitive performance in children aged 6 to 16 with attention-deficit/hyperactivity disorder without medication A Fernandez-Arana, JM Vega-Dienstmaier, RT Silva-Trujillo, ... Revista de Neuro-Psiquiatría 89 (2), 141-154 , 2026 2026.0