Soriano Moreno, Anderson Nelver Elías

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Soriano Moreno, Anderson Nelver Elías
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    Retos y prioridades en la Seguridad y salud en el Trabajo en Chile, 2025
    (2025-07-22)
    Pia Delano  
    ;
    Santiago Mansilla
    ;
    Claudia Muñoz
    ;
    Cristián Villarroel
    ;
    Patricia Silva
    El objetivo de esta Editorial es ofrecer un resumen sobre los principales hallazgos y desafíos identificados en el Perfil de Seguridad y Salud en el Trabajo de Chile, 2024. Este perfil ha sido desarrollado en colaboración con entidades gubernamentales, universidades y expertos en salud ocupacional a nivel nacional e internacional. Se destaca los principales desafíos presentes en el país, y se proponen prioridades para mejorar las condiciones laborales y salud de la población trabajadora chilena.
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    Home-Based Respiratory Physiotherapy and Telephone-Based Psychological Support for COVID-19 Survivors in Peru: Protocol for a Randomized Controlled Trial
    (2022-08-02)
    Soriano Moreno, Anderson Nelver Elías  
    ;
    Flores, Elaine C
    ;
    Hartinger, Stella M
    ;
    Mallma, Claudia Y
    ;
    Diaz, Arnold A
    BACKGROUND: Both pulmonary and mental health are affected following hospitalization for COVID-19 pneumonia. Pulmonary rehabilitation therapy has demonstrated benefits in improving mental health, but no validated combined programs that include mental health have been proposed. OBJECTIVE: This article presents the design of a trial that aimed to assess whether the participation in a combined rehabilitation program that includes home-based respiratory physiotherapy and telephone-based psychological support is associated with a greater improvement of pulmonary and mental health outcomes 7-12 weeks after COVID-19 hospitalization discharge compared with posthospital usual care provided by a public Peruvian hospital. METHODS: WAYRA (the word for air in the Quechua language) was an open-label, unblinded, two-arm randomized controlled trial. We recruited 108 participants aged 18-75 years who were discharged from the hospital after COVID-19 pneumonia that required >6 liters/minute of supplemental oxygen during treatment. Participants were randomly assigned at a 1:1 ratio to receive the combined rehabilitation program or usual posthospital care provided by a public Peruvian hospital. The intervention consisted of 12 at-home respiratory rehabilitation sessions and 6 telephone-based psychological sessions. The primary outcome was the 6-minute walk distance. Secondary outcomes included lung function, mental health status (depression, anxiety, and trauma), and quality of life. Outcomes were assessed at baseline (before randomization) and at 7 and 12 weeks after hospital discharge to assess the difference between arms. RESULTS: This study was funded by the Peruvian National Council of Science Technology and Technology Innovation in July 2020. Ethics approval was obtained on September 2, 2020. Recruitment and data collection occurred between October 2020 and June 2021. Results are expected to be published by the end of 2022. CONCLUSIONS: WAYRA was the first randomized controlled trial evaluating combined pulmonary-mental health rehabilitation for hospitalized COVID-19 survivors in resource-limited settings, potentially providing a foundation for the cost-effective scale-up of similar multidisciplinary rehabilitation programs. TRIAL REGISTRATION: ClinicalTrials.gov NCT04649736; https://clinicaltrials.gov/ct2/show/NCT04649736. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR1-10.2196/36001.
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    COVID-19 among Amazonian indigenous in Peru
    (2022-01-01)
    Soriano Moreno, Anderson Nelver Elías  
    Data of the paper "COVID-19 among Amazonian indigenous in Peru: mortality, incidence, and clinical characteristics"
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    Percutaneous coronary intervention versus optimal medical therapy for stable coronary artery disease: An umbrella review
    (2024-03-01)
    Soriano‐Moreno, David R.
    ;
    Fernandez‐Guzman, Daniel
    ;
    Tuco, Kimberly G.  
    ;
    Soriano Moreno, Anderson Nelver Elías  
    ;
    Ccami‐Bernal, Fabricio
    Background: Invasive management of stable coronary artery disease is still a controversial topic. The purpose of this umbrella review was to synthesize systematic reviews (SRs) that evaluate the benefits and harms of percutaneous coronary intervention (PCI) versus optimal medical therapy (OMT) in patients with stable coronary artery disease. Methods: We systematically searched PubMed/MEDLINE, Embase, and CENTRAL from 2018 to August 7, 2022. We included SRs with meta-analyses of randomized controlled trials (RCTs) that evaluated the question of interest. We assessed the methodological quality of the SRs with the AMSTAR-2 tool. We summarized the results of the outcomes for each SR. We calculated the degree of overlap of the RCTs included in the SRs using the corrected covered area (CCA). Results: We found 10 SRs with meta-analyses. The SRs included 3 to 15 RCTs. The degree of overlap among the SRs was very high (CCA > 15%). No SR evaluated the certainty of the evidence using the GRADE system and 9 out of 10 had critically low methodological quality. The SRs reported heterogeneous results for the outcomes of all-cause mortality, myocardial infarction, revascularization, and angina. On the other hand, for the outcomes of cardiovascular mortality and stroke, all SRs agreed that there were no differences between PCI and OMT alone. Conclusions: We found 10 SRs on the use of PCI compared to OMT alone for patients with stable coronary artery disease. However, none had high methodological quality, none evaluated the certainty of the evidence using the GRADE approach, and the results were inconsistent for several outcomes. This variability in evidence may result in divergent clinical decisions for the management of stable coronary artery disease among healthcare professionals. It is necessary to perform a high-quality SR using the GRADE approach to clarify the balance of benefits and harms of PCI.
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    Comorbilidades asociadas a la mortalidad por COVID-19 en adultos en Lima, Perú: un estudio de cohorte retrospectiva
    (2023-06-30)
    M. Gabriela Soto-Cabezas
    ;
    Mary F. Reyes-Vega
    ;
    Anderson N. Soriano-Moreno  
    ;
    Luis Ordoñez Ibargüen
    ;
    Kevin S. Martel
    OBJECTIVES.: Motivation for the study. During the COVID-19 pandemic, the mortality rate from this disease was higher in adults and the elderly. Therefore, it is important to identify the factors that were associated with mortality from COVID-19 in adults, by age group. Main findings. Chronic neurological disease, kidney disease, liver disease, and cancer increased the risk of dying from COVID-19 in the three age groups we analyzed, which were made up of hospitalized patients from Lima and Callao. The risk of mortality associated with comorbidities was higher in patients aged 18 to 29. Implications. This study helps to identify the groups of patients with the highest risk of death from COVID-19, according to age group and type of comorbidity. . To evaluate comorbidities associated with mortality in adult patients hospitalized due to COVID-19 in hospitals in Lima and Callao. MATERIALS AND METHODS.: In this retrospective cohort study, we analyzed data from adult patients hospitalized due to COVID-19 reported to the National Epidemiological Surveillance System of the Peruvian Ministry of Health from March to October 2020. We estimated relative risks with 95% confidence intervals using Poisson regression models with robust variance to assess comorbidities associated with mortality by age group: young adults (18-29 years), adults (30-59 years) and older adults (≥60 years). RESULTS.: We included 2366 young adults, 23,781 adults and 25,356 older adults. Older adults had the highest mortality (63.7%) compared to adults (27.1%) and young adults (8.5%). Regardless of age group, the presence of neurological disease, renal disease, liver disease, and cancer was associated with an increased risk of mortality. Additionally, cardiovascular disease was also a risk factor in young adults; obesity, diabetes, cardiovascular disease, chronic lung disease, and immunodeficiency in adults; and obesity and chronic lung disease in the elderly. CONCLUSIONS.: Regardless of age groups, individuals with chronic neurologic disease, renal disease, liver disease, and cancer were at high risk of death from COVID-19.
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    Ethical and administrative considerations of the article ‘COVID-19 among Amazonian Indians in Peru: mortality, incidence and clinical characteristics’
    (2022-10-11)
    M. Gabriela Soto-Cabezas
    ;
    Mary F. Reyes-Vega
    ;
    Anderson N. Soriano-Moreno  
    ;
    Jean Pierre Velásquez Rodríguez
    ;
    Luis Ordoñez Ibargüen
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    Viral–bacterial codetection and clinical and laboratory characteristics in children hospitalized with lower respiratory tract infections in a private hospital in Lima, Peru: a cross-sectional study
    (2026-05-08)
    Rojas-Cosi, Ana F.
    ;
    Soriano‐Moreno, David R.
    ;
    Soriano Moreno, Anderson Nelver Elías  
    ;
    Diaz Reyes, Nelson Fidel  
    ;
    Bobadilla, Fernando
    BACKGROUND: Viral-bacterial codetection is common and may increase clinical severity, but evidence in the Peruvian pediatric population is limited. The objective of the present study was to evaluate the clinical, laboratory, and seasonal characteristics associated with viral-bacterial codetection in children hospitalized for lower respiratory tract infections (LRTIs). METHODS: Cross-sectional secondary database study from a private hospital in Lima, Peru. We included patients < 13 years hospitalized for LRTIs with RT-qPCR results for respiratory viruses and/or bacteria. Viral-bacterial codetection was compared against other detection patterns using Poisson regression for binary outcomes and linear regression for continuous outcomes, with false discovery rate (FDR) correction for multiple comparisons. RESULTS: A total of 548 patients were included (median age 2.0 years; 50.5% female). Viral-bacterial codetection was identified in 21.5% of patients (n = 118), with RSV + Haemophilus influenzae being the most frequent combination. Compared with other detection patterns, viral-bacterial codetection was significantly associated with a higher prevalence of crackles (aPR: 1.30; 95% CI: 1.08-1.57), lower oxygen saturation at admission (β: -0.57; 95% CI: -1.04 to - 0.10), higher platelet counts (β: 30,452; 95% CI: 5,113-55,792), higher hemoglobin levels (β: 0.29 g/dL; 95% CI: 0.03-0.56), and longer hospital stay (β: 0.66 days; 95% CI: 0.02-1.29). However, after FDR correction for multiple comparisons, none of these associations reached statistical significance (q-values: 0.056-0.113). No difference was detected according to seasonality. CONCLUSIONS: Viral-bacterial codetection was common and was associated with crackles, lower oxygen saturation, longer hospital stay, and higher platelet counts; however, after FDR correction, none of these associations remained statistically significant, underscoring the exploratory nature of these findings and the need for larger, confirmatory studies.
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    Síndrome visual informático en estudiantes universitarios de posgrado de una universidad privada de Lima, Perú
    (2021-02-15)
    Fernandez-Villacorta, D.
    ;
    Soriano Moreno, Anderson Nelver Elías  
    ;
    Galvez-Olortegui, T.
    ;
    Agui-Santivañez, N.
    ;
    Soriano‐Moreno, David R.
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    Prevalence of frailty syndrome and associated factors in elderly adults; Prevalencia del síndrome de fragilidad y factores asociados en adultos mayores
    (Editorial Ciencias Medicas, 2020)
    Herrera-Pérez, Dennis
    ;
    Soriano Moreno, Anderson Nelver Elías  
    ;
    Rodrigo-Gallardo, Paola Katterine
    ;
    Toro-Huamanchumo, Carlos J.
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