Examinando por Autor "Arostegui Madariaga, Inmaculada"

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    Predictive factors over time of health-related quality of life in COPD patients
    (NLM (Medline), 2020-06-05) Esteban González, Cristóbal; Arostegui Madariaga, Inmaculada; Aramburu Ojembarrena, Amaia; Moraza, Javier; Nájera Zuloaga, Josu; Aburto Barrenechea, Myriam; Aizpiri Rivero, Susana; Chasco, Leyre; Quintana, José María
    BACKGROUND: Health-related quality of life (HRQoL) should be seen as a tool that provides an overall view of the general clinical condition of a COPD patient. The aims of this study were to identify variables associated with HRQoL and whether they continue to have an influence in the medium term, during follow-up. METHODS: Overall, 543 patients with COPD were included in this prospective observational longitudinal study. At all four visits during a 5-year follow-up, the patients completed the Saint George's Respiratory Questionnaire (SGRQ), pulmonary function tests, the 6-min walk test (6MWT), and a physical activity (PA) questionnaire, among others measurements. Data on hospitalization for COPD exacerbations and comorbidities were retrieved from the personal electronic clinical record of each patient at every visit. RESULTS: The best fit to the data of the cohort was obtained with a beta-binomial distribution. The following variables were related over time to SGRQ components: age, inhaled medication, smoking habit, forced expiratory volume in one second, handgrip strength, 6MWT distance, body mass index, residual volume, diffusing capacity of the lung for carbon monoxide, PA (depending on level, 13 to 35% better HRQoL, in activity and impacts components), and hospitalizations (5 to 45% poorer HRQoL, depending on the component). CONCLUSIONS: Among COPD patients, HRQoL was associated with the same variables throughout the study period (5-year follow-up), and the variables with the strongest influence were PA and hospitalizations.
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    Quality indicators for penitentiary medical reports supporting the adoption of alternative measures to imprisonment on health grounds
    (Elsevier España, 2026) Aia Goikoetxea, Nahia; Bengoetxea Martínez, Itxaso; Morentín, Benito; Arostegui Madariaga, Inmaculada; Callado Hernando, Luis Felipe ; Garro Carrera, Enara
    Introduction/objectives. Humanitarian release from prison on health grounds is a measure to preserve human dignity, recommended by international human rights bodies and enshrined in the legislation of many countries. A medical report is required for such a judicial decision. The objective of this study was to analyse the quality, content and variability of medical reports used for early release from prison on health grounds. Methods: a retrospective observational descriptive study was conducted on 164 medical reports for the early release of persons deprived of liberty obtained in the Basque Autonomous Community (BAC) and Catalonia. Structural aspects, clinical content, compliance with the standards of clinical reports in the health system, and relevant medico-legal aspects were evaluated. Results.The study revealed that there was a high degree of variability, that the importance of the temporary life prognosis for the granting of this type of measure was significant in Spain, and that the health baseline situation of the subjects studied was advanced. Analysis of the quality of the reports revealed significant technical deficiencies and the frequent absence of basic clinical elements. Barriers to accessing information sources limit research. Conclusions. The absence of standardised guidelines or protocols at the national and international levels for the drafting of this type of report leads us to propose further advancement in this important area of human rights.