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Vivanco-Hidalgo RM, Molina I, Martinez E, Roman-Viñas R, Sánchez-Montalvá A, Fibla J, Pontes C, Velasco Muñoz C. Incidence of COVID-19 in patients exposed to chloroquine and hydroxychloroquine: results from a population-based prospective cohort in Catalonia, Spain, 2020. ACTA ACUST UNITED AC 2021; 26. [PMID: 33663646 PMCID: PMC7934222 DOI: 10.2807/1560-7917.es.2021.26.9.2001202] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Background Several clinical trials have assessed the protective potential of chloroquine and hydroxychloroquine. Chronic exposure to such drugs might lower the risk of infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) or severe coronavirus disease (COVID-19). Aim To assess COVID-19 incidence and risk of hospitalisation in a cohort of patients chronically taking chloroquine/hydroxychloroquine. Methods We used linked health administration databases to follow a cohort of patients with chronic prescription of hydroxychloroquine/chloroquine and a control cohort matched by age, sex and primary care service area, between 1 January and 30 April 2020. COVID-19 cases were identified using International Classification of Diseases 10 codes. Results We analysed a cohort of 6,746 patients (80% female) with active prescriptions for hydroxychloroquine/chloroquine, and 13,492 controls. During follow-up, there were 97 (1.4%) COVID-19 cases in the exposed cohort and 183 (1.4%) among controls. The incidence rate was very similar between the two groups (12.05 vs 11.35 cases/100,000 person-days). The exposed cohort was not at lower risk of infection compared with controls (hazard ratio (HR): 1.08; 95% confidence interval (CI): 0.83–1.44; p = 0.50). Forty cases (0.6%) were admitted to hospital in the exposed cohort and 50 (0.4%) in the control cohort, suggesting a higher hospitalisation rate in the former, though differences were not confirmed after adjustment (HR: 1·46; 95% CI: 0.91–2.34; p = 0.10). Conclusions Patients chronically exposed to chloroquine/hydroxychloroquine did not differ in risk of COVID-19 nor hospitalisation, compared with controls. As controls were mainly female, findings might not be generalisable to a male population.
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Affiliation(s)
- Rosa Maria Vivanco-Hidalgo
- These authors contributed equally.,Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS), Departament de Salut Generalitat de Catalunya, Carrer de Roc Boronat 81-95, Barcelona, Spain
| | - Israel Molina
- Infectious Diseases Department, Hospital Universitario Vall d'Hebron, PROSICS Barcelona, Universitat Autònoma de Barcelona, Barcelona, Spain.,These authors contributed equally
| | - Elisenda Martinez
- Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS), Departament de Salut Generalitat de Catalunya, Carrer de Roc Boronat 81-95, Barcelona, Spain
| | - Ramón Roman-Viñas
- Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS), Departament de Salut Generalitat de Catalunya, Carrer de Roc Boronat 81-95, Barcelona, Spain
| | - Adrián Sánchez-Montalvá
- Infectious Diseases Department, Hospital Universitario Vall d'Hebron, PROSICS Barcelona, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Joan Fibla
- Institut de Recerca Biomedica de Lleida, Av. Alcalde Rovira Roure, 80, 25198, Lleida, Spain.,Unitat de Genètica Humana, Departament de Ciències Mèdiques Bàsiques, Universitat de Lleida, Av. Alcalde Rovira Roure, 80, 25198, Lleida, Spain
| | - Caridad Pontes
- Departament de Farmacologia, de Terapèutica i de Toxicologia, Universitat Autònoma de Barcelona, Av. de Can Domènech, 737, 08193 Cerdanyola del Vallès, Barcelona, Spain.,Gerència del Medicament - Àrea Assistencial, Servei Català de la Salut, Travessera de les Corts, 131-159, 08028 Barcelona, Spain
| | - César Velasco Muñoz
- Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS), Departament de Salut Generalitat de Catalunya, Carrer de Roc Boronat 81-95, Barcelona, Spain
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- Members of the Real World Data Working Group have been acknowledged at the end of the article
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Pérez Sust P, Solans O, Fajardo JC, Medina Peralta M, Rodenas P, Gabaldà J, Garcia Eroles L, Comella A, Velasco Muñoz C, Sallent Ribes J, Roma Monfa R, Piera-Jimenez J. Turning the Crisis Into an Opportunity: Digital Health Strategies Deployed During the COVID-19 Outbreak. JMIR Public Health Surveill 2020; 6:e19106. [PMID: 32339998 PMCID: PMC7199803 DOI: 10.2196/19106] [Citation(s) in RCA: 70] [Impact Index Per Article: 17.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2020] [Revised: 04/24/2020] [Accepted: 04/27/2020] [Indexed: 01/22/2023] Open
Abstract
Digital health technologies offer significant opportunities to reshape current health care systems. From the adoption of electronic medical records to mobile health apps and other disruptive technologies, digital health solutions have promised a better quality of care at a more sustainable cost. However, the widescale adoption of these solutions is lagging behind. The most adverse scenarios often provide an opportunity to develop and test the capacity of digital health technologies to increase the efficiency of health care systems. Catalonia (Northeast Spain) is one of the most advanced regions in terms of digital health adoption across Europe. The region has a long tradition of health information exchange in the public health care sector and is currently implementing an ambitious digital health strategy. In this viewpoint, we discuss the crucial role digital health solutions play during the coronavirus disease (COVID-19) pandemic to support public health policies. We also report on the strategies currently deployed at scale during the outbreak in Catalonia.
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Affiliation(s)
| | | | | | | | | | - Jordi Gabaldà
- Centre de Telecomunicacions i Tecnologies de la Informació, L'Hospitalet de Llobregat, Barcelona, Spain
| | | | | | | | | | | | - Jordi Piera-Jimenez
- Open Evidence Research Group, Universitat Oberta de Catalunya, Barcelona, Spain
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Sisó-Almirall A, Kostov B, Martínez-Carbonell E, Brito-Zerón P, Ramirez PB, Acar-Denizli N, Delicado P, González-Martínez S, Muñoz CV, Àreu JB, Ramos-Casals M. The prevalence of 78 autoimmune diseases in Catalonia (MASCAT-PADRIS Big Data Project). Autoimmun Rev 2019; 19:102448. [PMID: 31838161 DOI: 10.1016/j.autrev.2019.102448] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2019] [Accepted: 09/07/2019] [Indexed: 12/22/2022]
Affiliation(s)
- Antoni Sisó-Almirall
- Primary Healthcare Transversal Research Group, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain; Primary Care Centre Les Corts, Consorci d'Atenció Primària de Salut Barcelona Esquerra (CAPSBE), Barcelona, Spain; Faculty of Medicine, Universitat de Barcelona, Barcelona, Spain
| | - Belchin Kostov
- Primary Healthcare Transversal Research Group, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain; Primary Care Centre Les Corts, Consorci d'Atenció Primària de Salut Barcelona Esquerra (CAPSBE), Barcelona, Spain; Department of Statistics and Operations Research, Universitat Politècnica de Catalunya, Barcelona, Spain
| | | | - Pilar Brito-Zerón
- Autoimmune Diseases Unit, Department of Medicine, Hospital CIMA-Sanitas, Barcelona, Spain; Laboratory of Autoimmune Diseases Josep Font, IDIBAPS-CELLEX, Barcelona, Spain
| | - Pere Blanch Ramirez
- Department of Statistics and Operations Research, Universitat Politècnica de Catalunya, Barcelona, Spain
| | - Nihan Acar-Denizli
- Department of Statistics, Faculty of Science and Letters, Mimar Sinan Fine Arts University, Istanbul, Turkey
| | - Pedro Delicado
- Department of Statistics and Operations Research, Universitat Politècnica de Catalunya, Barcelona, Spain
| | - Susana González-Martínez
- Primary Care Centre Les Corts, Consorci d'Atenció Primària de Salut Barcelona Esquerra (CAPSBE), Barcelona, Spain
| | - César Velasco Muñoz
- Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQUAS), Barcelona, Spain
| | - Jaume Benavent Àreu
- Primary Healthcare Transversal Research Group, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain; Primary Care Centre Les Corts, Consorci d'Atenció Primària de Salut Barcelona Esquerra (CAPSBE), Barcelona, Spain
| | - Manuel Ramos-Casals
- Faculty of Medicine, Universitat de Barcelona, Barcelona, Spain; Laboratory of Autoimmune Diseases Josep Font, IDIBAPS-CELLEX, Barcelona, Spain; Department of Autoimmune Diseases, ICMiD, Hospital Clínic, Barcelona, Spain.
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Latasa Zamalloa P, Velasco Muñoz C, Iniesta Mármol C, de Beltrán Gutierrez P, Curto Ramos J, Gil-Borrelli CC. [Approach to the causes of discharge and health needs of transgender people through the National Hospital Discharge Survey in Spain during the period 2001 to 2013]. Rev Esp Salud Publica 2019; 93:e201905031. [PMID: 31155609] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2018] [Accepted: 02/27/2019] [Indexed: 06/09/2023] Open
Abstract
OBJECTIVE The health of transgender people is a little studied topic and hospital records can be an opportunity to make an approach. The aim of this study was to describe the cause for admission and the associated comorbidities of transgender people in Spain between 2001 and 2013. METHODS Retrospective observational study with population-based administrative records (Minimum Basic Data Set). The discharges generated by the transgender in Spanish public and private hospitals were selected using one of the following ICD-9-CM codes in any diagnostic field: Trans-sexualism (302.5), Disorders of psychosexual identity (302.6) and Gender identity disorder in adolescents or adults (302.85). The causes of admission and comorbidity according were described. The qualitative variables were described in their frequency distribution according to their number(n) and proportion(%) and the quantitative variables according to their mean and standard deviation (SD) or median (MD) and interquartile range (RIQ) according to their distribution. RESULTS A total of 2,010 highs were recorded corresponding to 1,878 patients. The mean age was 33 years (SD = 10). 51% were male, 46% female and 3% undetermined or unspecified. The discharges were motivated in 59% by the process of body modification, followed by HIV (4%) and personality disorders (3%). The most common comorbidities were those associated with body modification (49%), mental health problems (40%) and infectious diseases (15%). CONCLUSIONS It is necessary to address the health of transgender people in a comprehensive way that takes into account their specific health needs, including bodily modification, mental health, HIV and other infections, through strategies that include improve research, tailor health information systems and develop guidelines and training of healthcare providers in this transgender health.
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Affiliation(s)
- Pello Latasa Zamalloa
- Iniciativa Sociosanitaria para la Cooperación y Equidad LGBT en España (ISOSCELES). Madrid. España
- Subdirección General de Epidemiología. Dirección General de Salud Pública de la Comunidad de Madrid. Madrid. España
| | - César Velasco Muñoz
- Iniciativa Sociosanitaria para la Cooperación y Equidad LGBT en España (ISOSCELES). Madrid. España
- Dirección de Gestión Integral e Innovación. Hospital Vall d`Hebron. Barcelona. España
| | - Carlos Iniesta Mármol
- Iniciativa Sociosanitaria para la Cooperación y Equidad LGBT en España (ISOSCELES). Madrid. España
- Centro nacional de Epidemiología. Instituto de Salud Carlos III. Madrid. España
| | | | - Javier Curto Ramos
- Iniciativa Sociosanitaria para la Cooperación y Equidad LGBT en España (ISOSCELES). Madrid. España
- Servicio de Psiquiatría. Hospital Universitario La Paz. Madrid. España
| | - Christian-Carlo Gil-Borrelli
- Iniciativa Sociosanitaria para la Cooperación y Equidad LGBT en España (ISOSCELES). Madrid. España
- Proyecto Sistema de Vigilancia de Violencia de Odio. Escuela Nacional de Sanidad del Instituto de Salud Carlos III. Madrid. España
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