ADRIEL RAUL OLORTEGUI YZU
@unmsm.edu.pe
Departamento de Medicina Preventiva y Salud Pública
Universidad Nacional Mayor de San Marcos
RESEARCH, TEACHING, or OTHER INTERESTS
Epidemiology, Health Informatics, Public Health, Environmental and Occupational Health
Scopus Publications
Scholar Citations
Scholar h-index
Scholar i10-index
Scopus Publications
, Ciro Barrantes-Alarcon, Rosalia Fernández-Coronado, , Adriel Olortegui-Yzu, and
Instituto de Investigacion en Ciencias Biomedicas
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.
Johann M. Vega‐Dienstmaier, Alberto Fernández‐Arana, and Adriel Olórtegui‐Yzú
Wiley
AbstractBackgroundThe 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.
Adriel Olórtegui‐Yzú, Johann M. Vega‐Dienstmaier, and Alberto Fernández‐Arana
Wiley
AbstractBackgroundThe 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.
Adriel Olortegui Yzu and Rosalía Fernández Coronado
Instituto Nacional Cardovascular - Carlos Alberto Peschiera Carrillo
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.
Alberto Fernández‐Arana, Adriel Olórtegui‐Yzú, Johann M. Vega‐Dienstmaier, and Manuel J. Cuesta
Wiley
AbstractBackgroundAdverse 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.
José Revilla-López, Andrea Anampa-Guzmán, Luis Casanova Marquez, Katrina Weeks, Suzanne Pollard, Adriel Olórtegui-Yzú, María Ruiz-Velazco, Alba Davila-Edquen, Daniel Castro-Dorer, Juan Wong-Barrenechea,et al.
Springer Science and Business Media LLC
In the original publication of this article [1] several figures and tables were incorrectly displayed. In this correction article the correct overview of the tables and figures are published. The original article has been updated. The publisher apologizes to the readers & authors for the inconvenience.
José Revilla-López, Andrea Anampa-Guzmán, Luis Casanova Marquez, Katrina Weeks, Suzanne Pollard, Adriel Olórtegui-Yzú, María Ruiz-Velazco, Alba Davila-Edquen, Daniel Castro-Dorer, Juan Wong-Barrenechea,et al.
Springer Science and Business Media LLC
Abstract 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.