Examinando por Autor "Alonso-Safont, Tamara"

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Association between hypertension and selfperception of health status: Findings from a decade population-based survey in Spanish adults
(National Library of Science, 2025-05-07) Martín-Fernández , Jesús; Alonso-Safont, Tamara; Polentinos-Castro, Elena; Rodríguez-Martínez, Gemma; González-Anglada, Mª Isabel; Bilbao-González, Amaia; del-Cura-González, Mª Isabel
Objective This study, conducted in the community setting, aimed to assess and discuss how a diagnosis of arterial hypertension affects self-perceived health status, examining the association with potential explanatory factors and comparing its impact with that of other chronic conditions. Methods Cross-sectional observational study using the 2011–2012 and 2017 Spanish National Health Surveys and the 2020 European Health Interview Survey for Spain as data sources. Health perception was categorised as very good, good, fair, bad, or very bad. The independent variables recorded demographic, social, clinical, and lifestyle information. The associations between variables were evaluated via a generalisation of an ordered logit model. Results A total of 66,168 subjects were included (21,007 in 2011, 23,089 in 2017, and 22,072 in 2020), 21.6% of whom were diagnosed with hypertension, 51.3% were women, PLOS One | https://doi.org/10.1371/journal.pone.0322577 May 7, 2025 2 / 11 and the average age was 48.24 (18.89) years. Around one in five people in the general population reported a “very good” health status. The probability of reporting a “very good” health condition decreased with a diagnosis of hypertension (6.2%; CI 95%: 3.1–9.3%) and hypertensive medication (4.5%; CI 95%: 1.8–7.3%). Such associations were independent of age, gender, social group, other chronic conditions or limitations, or various lifestyle habits. In contrast, no association was found with reporting a “bad” or “very bad” health status. Conclusion Being diagnosed with hypertension and prescription of antihypertensive medication are associated with a lower probability of reporting a “very good” health status, irrespective of other comorbidities or complications related to the diagnosis.
Association of socioeconomic status with prognosis in hypertensive patients over age 65: a cohort study in the community setting
(BMJ Group, 2024-08) Martín-Fernández, Jesús; Alonso-Safont, Tamara; Gestri-Mora, Patricia Elena; Polentinos-Castro, Elena; Rodríguez-Martínez, Gemma; Bilbao, Amaia; del Cura-González, Mª Isabel
Objective: To examine whether socioeconomic status is associated with prognosis after the diagnosis of hypertension (HTN), in a population older than 65 years, in the community setting. Design: Retrospective cohort study. Setting: All the primary care centres of the Community of Madrid (n=392). Participants: All patients (>65 years) with a new diagnosis of HTN in 2007-08, without previous kidney or cardiovascular (K/CV) events (n=21 754).Patient records from primary care electronic health records and Spanish mortality database were analysed from January 2007 through December 2018. Sociodemographic data such as age, gender, Area Deprivation Index (MEDEA-Mortalidad en áreas pequeñas Españolas y Desigualdades Socioeconómicas y Ambientales-Index in quintiles), and characteristics, such as smoking, type 2 diabetes mellitus and hypercholesterolaemia, were collected at the time of enrolment. Primary and secondary outcome measures: The occurrence of K/CV events (including mortality from these causes) and total mortality were evaluated using Cox regression. Results: Patients had a mean age of 73.5 (SD 6.5) years, and 63.5% were women. The median follow-up was 128.7 months (IQR: 110.6-136.7 months). There were 10 648 first K/CV events, including 1508 deaths from these causes and 4273 deaths from other causes. Adjusted for age, gender, smoking, diabetes and hypercholesterolaemia, when comparing the third, fourth and last quintiles (less affluent) of the Deprivation Index with respect to the first quintile, the hazard of K/CV events increased by 14.8% (95% CI: 3.3 to 27.6%), 16.0% (95% CI: 6.4 to 26.4%) and 19.1% (95% CI: 8.9 to 30.2%), respectively. The MEDEA Index was not associated with differences in adjusted total mortality. Conclusion: Living in a low socioeconomic status area is associated with an increase in kidney or cardiovascular events in hypertensive patients diagnosed after age 65 years, which will result in a significant increase in disease burden even if not related to an increase in total mortality.
Impact of hypertension diagnosis on morbidity and mortality: a retrospective cohort study in primary care.
(Springer Nature, 2023-03) Martín Fernández, Jesús; Alonso-Safont, Tamara; Polentinos-Castro, Elena; Esteban-Vasallo, María Dolores; Ariza-Cardiel, Gloria; González-Anglada, Mª Isabel; Sánchez-Perruca, Luis; Rodríguez-Martínez, Gemma; Rotaeche-del-Campo, Rafael; Bilbao-González, Amaia
Background: Hypertension is responsible for a huge burden of disease. The aim of this study was to evaluate the impact of newly diagnosed hypertension on the occurrence of kidney or cardiovascular events (K/CVEs) and on mortality among community dwellers. Methods: Retrospective cohort study, conducted from January, 2007, to December, 2018. All patients (age > 18) newly diagnosed with hypertension and no previous K/CVEs in 2007 and 2008, in the primary care centers of Madrid (Spain) (n = 71,770), were enrolled. The control group (n = 72,946) included patients without hypertension, matched by center, sex and age. The occurrence of kidney or CV events, including mortality from these causes and total mortality were evaluated using Cox regression and multistate models. Data were collected from three sources: personal data from administrative records, clinical data from medical records, and mortality data from regional and national databases. Results: The median follow-up was 138.61 months (IQR: 124.68-143.97 months). There were 32,896 K/CVEs (including 3,669 deaths from these causes) and 12,999 deaths from other causes. Adjusted for sex, smoking, diabetes and socioeconomic status, K/CVEs HR was 4.36 (95% CI: 3.80-5.00) for diagnoses before 45 years of age, 2.45(95% CI: 2.28- 2.63) for diagnosis between 45 to 54 years, and HR decreased to 1.86 (95% CI: 1.64-210) for diagnoses over age 85. Total mortality risk was only higher for hypertension diagnosed before 55 years of age (HR: 2.47, 95% CI: 1.90-3.19 for ages 18 to 44; and HR: 1.14, 95% CI: 1.02-1.28 for ages 45 to 54). Conclusion: The diagnosis of hypertension in the community environment, in patients without evidence of previous kidney or CV disease, is associated with a large increase in the risk of K/CVEs, but especially in individuals diagnosed before the age of 55. This diagnosis is only associated with an increase in kidney or cardiovascular mortality or overall mortality when it occurs before age 55.