Community health

Group members Research lines Articles Proyects Other publications

The group currently has three main lines of research: diabetes, smoking and emergencies.

In the line of diabetes we are participating in the study PREDAPS, which is a multicenter national follow-up study of two cohorts of patients (subjects with prediabetes criteria and healthy controls) started in 2012, consists of 1184 prediabetics and 838 controls. Four articles have been published and are being drafted and are about to be submitted for evaluation. It has also collaborated in a genetic study related to the risk of developing diabetes in which three Autonomous Communities participate at the national level (Madrid, Catalonia and Cantabria) within CIBERDEM (CIBER of Diabetes and Associated Metabolic Diseases). In addition one of the areas of interest of the group is diabetic retinopathy, in this sense has been finalized in 2016, an epidemiological study in Cantabria to update the prevalence of this complication. The possible contribution of vitamin D deficiency as a risk factor for diabetic retinopathy and the possible use of certain micrornas as predictors of diabetic retinopathy are also being investigated.

Smoking. At present there is an active follow-up project, which includes patients who participated in the groups of tobacco cessation in primary care from 2006 to the present, in the health center of Puertochico; In these have participated something more than 520 people. The aim is to establish long-term effectiveness, ie beyond the 12-month period commonly used as an international benchmark for evaluating the effectiveness of interventions. This would be a novel contribution, and may serve to establish the need to mark an assessment at three or five years as a standard.

In the emergency and emergency area, a cohort study is used to establish the prognostic capacity of ultrasensitive troponin T for early and late mortality in community acquired pneumonias, in which the emergency professionals of the hospitals of Laredo And Valdecilla. The aim is to evaluate the predictive capacity of the aminoterminal fragment of the Cerebral Natriuretic Pro-peptide in order to predict mortality in pneumonias. The objective of this study was to use the same protocol for the collection of variables and follow-up of patients. Acquired in the community, and which provided positive results. In this study we explored the utility of troponin T results, not significant because of the small sample number available for this marker, but with a better diagnostic yield curve than that of the main objective (NT Pro-BNP).

In addition we propose with the incorporation of two nurses, one of them matron, to initiate a new line in the area of breastfeeding matrerna, one of the priority lines of the Health Plan of Cantabria. We have experience in this research topic, in particular we obtained funding in a competitive call in 2008, which served to verify the proper functioning of the methodology of collection and monitoring of the cohort. At the moment we are finishing the analysis of the final survey of 2009 after the segumiento that ended in 2016.

Gobierno de Cantabria  Servicio Cántabro de Salud  Hospital Universitario Marqués de Valdecilla   Universidad de Cantabria     

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