Browsing by Author "Lopez-Espejo, Mauricio"

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    Clinical and radiological risk factors for poststroke epilepsy in childhood
    (2018) Lopez-Espejo, Mauricio; Hernández, Marta; Huete, Isidro
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    Factors affecting the behavior of children with ASD during the first outbreak of the COVID-19 pandemic
    (2021) Nunez, Alicia; Le Roy, Catalina; Coelho-Medeiros, Maria Elisa; Lopez-Espejo, Mauricio
    Aim and methods Cross-sectional data from 118 Chilean children with ASD collected during the pandemic outbreak of COVID-19 in 2020 were evaluated to analyze predictors of behavioral problem impairment. Results Forty-five percent of parents stated that their children's behavioral difficulties increased in intensity or frequency. The adjusted predictors were having a family member hospitalized with COVID-19 (OR = 4.11; 95% CI = 1.53-11.1) and parents' mental health disorders during the pandemic (OR = 2.43; 95% CI = 1.01-5.83). Conclusion Potentially modifiable psychosocial factors affecting children's behavior should be considered in a possible second outbreak.
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    Social and health determinants related to adverse short-term outcomes after a first-ever stroke in adults younger than 65 years
    (2023) Lopez-Espejo, Mauricio; Poblete, Rodrigo; Bastias, Gabriel
    Background: Stroke-related mortality and disability-adjusted life years in adults younger than 65 have increased over the last decade. However, geographical differ-ences in distributing these outcomes could reflect dissimilarity in determinants. Therefore, this cross-sectional study of secondary data from Chilean hospitals aims to analyze the association of sociodemographic and clinical factors with in-hospital case-fatality risk or acquired neurologic deficits (adverse outcomes) in inpatients aged 18 to 64 who experienced their first-ever stroke. Methodology: Adjusted multi -variable logistic regression models and interaction analysis using multiple imputa-tion for missing data (4.99%) for 1,043 hospital discharge records from the UC-CHRISTUS Health Network International Refined Diagnosis Related Groups (IR-DRG) system database (2010-2021) were conducted. Results: Mean age: 51.47 years (SD, 10.79); female: 39.60%. Stroke types: subarachnoid hemorrhage (SAH): 5.66%, intracerebral hemorrhage (ICH): 11.98%, and ischemic: 82.45%. Adverse outcomes: 25.22% (neurological deficit: 23.59%; in-hospital case-fatality risk: 1.63%). After adjusting for confounders, adverse outcomes were associated with stroke type (patients with ICH and ischemic stroke had higher odds than those with SAH), soci-odemographic characteristics (age = 40 years, residence in an area of the capital city other than the center-east, and coverage by public health insurance), and discharge diagnoses (obesity, coronary artery and chronic kidney diseases, and mood and anxiety disorders). For hypertension, women had higher odds of adverse outcomes. Conclusions: In this predominantly Hispanic sample, modifiable social and health determinants are related to adverse short-term outcomes after a first-ever stroke. Longitudinal studies are needed to investigate the causal role of these factors.