Abstract：
OBJECTIVE:To test the validity of Ottawa ankle rules (OAR) in our field. To test the agreement physician/nurse in the assessment of the patient with acute ankle injuries. DESIGN:Observational, with application of rules and prospective outcome measurement. SETTING:Hospital emergency departments. PARTICIPANTS:Adults who attended at the emergency department, suffering from a secondary ankle pain to a traumatic injury, from 1st March to 30th September, 1997. MEASUREMENTS AND MAIN RESULTS:Physicians who participated applied the OAR to the patients and asked for a control radiograph, independently from the result of rules application. 100 patients were valued by a physician and a nurse in order to measure the agreement level. Data from 564 patients were recorded, getting a global sensitivity of the OAR of 97.3% (95% CI 89.7-99.5); specificity of 33.3% (95% CI 29.5-37.3). The positive predictive value was of 15.6 (95% CI 12.4-19.3). Thanks to the application of the rules radiography would reduce by 29.5%. 74 (13.1%) patients suffered form fracture: 48 (8.5%), of the maleolar zone and 26 (4.6%) of the midfoot zone. Attending to the OAR criteria, radiographs wouldn't be necessary in two cases of fracture. CONCLUSIONS:We consider the OAR clinically valuable and useful in our field. They can help to work on the basis of uniform criteria when decisions must be taken and to use properly sanitary resources. Triage nurses can apply them.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Aginaga Badiola JR,Ventura Huarte I,Tejera Torroja E,Huarte Sanz I,Cuende Garcés A,Gómez Garcerán M,Labaca Arteaga Jsubject
Has Abstractpub_date
1999-09-15 00:00:00pages
203-8issue
4eissn
0212-6567issn
1578-1275journal_volume
24pub_type
杂志文章abstract：:The effectiveness and safety of sustained action nifedipine (NF) were compared to those of chlorthalidone (CL) in two groups of 35 and 37 patients with mild to moderate hypertension followed up for 4 months. There was a significant reduction in blood pressure (BP) after 15 days of therapy. The degree of control was ac...
journal_title：Atencion primaria
pub_type： 临床试验,杂志文章
doi：
更新日期：1990-04-01 00:00:00
abstract：OBJECTIVE:Given the possibility of adverse side-effects, interactions with medicines and poisoning by contaminants among herbal medicine consumers (HM), we aimed to describe the consumption of HM by health centre users being treated with medicines. DESIGN:Cross-sectional, observational study.Setting. Thirteen health c...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(01)70381-2
更新日期：2001-09-30 00:00:00
abstract：OBJECTIVES:To find the evolution of consumption of self-analysis material used to control Diabetes (reactive strips of glucose) and the costs involved, in the metropolitan area of Málaga from July 1994 to the first quarter of 1996. DESIGN:Descriptive retrospective study. SETTING:Metropolitan area of Málaga (580, 586 ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-02-15 00:00:00
abstract：:We have evaluated serum cholesterol in a primary care center with a recently introduced portable analyzer: Reflotron (Boehringer Mannheim). The linearity and exactitude were investigated with Hitachi 704 (Boehringer Mannheim) used in the reference laboratory. Accuracy was also tested. We found a good accuracy after re...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1990-05-01 00:00:00
abstract：OBJECTIVE:To analyse antibiotic consumption (ABC) and its trend in primary care in an area with a high rate of bacterial resistance during the periods 1993-96 and 2000-02. DESIGN:Comparative, retrospective analysis. SETTING:Costa de Ponent Health Region. Population in 1993-96 period was 1,158,098 inhabitants; in 2000...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(04)79482-2
更新日期：2004-07-01 00:00:00
abstract：OBJECTIVE:To analyse the modifications in cardiovascular risk in patients seen over two years in adult services for dyslipaemia, diabetes mellitus or hypertension. DESIGN:Observational, retrospective study with repeated measurement tests. SETTING:Two health centres. PATIENTS:265 patients attended by the above servic...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(01)78857-9
更新日期：2001-05-15 00:00:00
abstract：OBJECTIVE:To analyse the frequency of attendance and the time elapsed between the diagnosis of Arterial Hypertension (AHT) and the control of Arterial Pressure (AP); and to analyse the different ways of presenting the level of control of AHT. DESIGN:Retrospective study. SETTING:Teaching Health Centre. PATIENTS:103 h...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1994-10-15 00:00:00
abstract：:The pandemic of the disease known as COVID-19 (acronym for coronavirus disease-2019), which was first detected in the Chinese city of Wuhan in December 2019, has led to an international public health emergency. This due to several reasons (threat to the lives of many people, unprecedented health and socioeconomic cris...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2020.09.004
更新日期：2020-11-01 00:00:00
abstract：OBJECTIVE:To appraise the level of school-children's dental health after five years in operation of the buccal-dental health programme, in which children received fortnightly rinses of sodium fluoride at 0.2%. DESIGN:A crossover study. School survey of the 1993-4 academic year. PARTICIPANTS:A total of 1,674 school-ch...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1995-10-31 00:00:00
abstract：OBJECTIVE:To analyze the diagnostic agreement rate between primary care, an asynchronous teledermatology consultation, and a conventional dermatology consultation. DESIGN:Prospective non-randomized concordance study. SETTING:Dermatology Service in Hospital Son Llàtzer (Palma de Mallorca) and primary care centers of S...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2008.11.012
更新日期：2009-10-01 00:00:00
abstract：OBJECTIVES:To assess the validity of small questionnaires of 4,5 and 1 questions, based on the 15-question Spanish version of the Yesavage geriatric depression scale (GDS-VE), for diagnosing depression in the over-65s. DESIGN:Study to validate questionnaires. SETTING:Health centre consultations. PARTICIPANTS:258 pat...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13071040
更新日期：2005-01-01 00:00:00
abstract：OBJECTIVE:To get to know the profile of use of antidepressants (AD) and tranquilizers-hypnotics (T-H) in primary care in Catalonia. DESIGN:Transversal, observational, epidemiological study of prescription-indication. LOCATION:Health centres in Catalonia, Spain. PARTICIPANTS:Included, using consecutive sampling, pati...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13079144
更新日期：2005-09-30 00:00:00
abstract：AIM:To determine the effectiveness of medical counseling for alcohol abuse, when it is provided in primary care centers. DESIGN:Quasi-experimental, open, multicenter before-after study.Setting. 14 primary care physician's practices (7 rural, 7 urban) in the province of Córdoba (Spain). PARTICIPANTS:306 patients of bo...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/s0212-6567(03)70674-x
更新日期：2003-02-28 00:00:00
abstract：OBJECTIVE:To discover the prevalence of serological markers of the Hepatitis B virus in the out-patient population of the city of Vigo. DESIGN:A year-long retrospective study (from January to December, 1990) of a total of 4,581 serums belonging to patients. These came to our laboratory from patients who attended the o...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1992-12-01 00:00:00
abstract：OBJECTIVE:To assess the current state of knowledge and attitudes on the advance directives (living wills) document of professionals working in primary. DESIGN:Descriptive, cross-sectional study. PARTICIPANTS:Primary care professionals. SETTING:Catalonia Health Institute, Maresme Province, Barcelona. METHODS:An anon...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2010.02.011
更新日期：2010-09-01 00:00:00
abstract：OBJECTIVE:To assess heart failure prevalence, epidemiology, co-morbidities and polypharmacy in our region from electronic patient records. To evaluate gender differences in heart failure patients. DESIGN:Descriptive, cross-sectional study. SETTING:Primary care Lleida (Spain). PARTICIPANTS:All patients from 21 primar...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/j.aprim.2010.03.021
更新日期：2011-02-01 00:00:00
abstract：OBJECTIVES:To find out the perceptions of family doctors (FD) and psychiatrists (PS) on their inter-relationships in the health care of patients with depression. DESIGN:Qualitative methodology. Exploratory design based on FD and PS discussion groups (DG). SETTING:Primary health care centres (PHCC) and mental health c...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2008.04.003
更新日期：2009-01-01 00:00:00
abstract：OBJECTIVE:To evaluate the prescription of generic medicines by the primary care doctors in a health district after an intervention programme conducted by the area pharmacist. DESIGN:Intervention study. Two indicators were selected as indicators of pharmaceutical prescription of generics. SETTING:Primary care. Distric...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13087380
更新日期：2006-04-30 00:00:00
abstract：OBJECTIVE:To find the views and expectations of professionals working at primary care centres on team-work. DESIGN:Qualitative study. Focus group. SETTING:The study was conducted during May 1997 at the following primary care centres: Terrassa North, Sant Llatzer (Terrassa) and Antón de Borja (Rubí). These PCCs depend...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(00)78670-7
更新日期：2000-09-30 00:00:00
abstract：OBJECTIVE:To design and validate a self-administered questionnaire to evaluate sexual function in women. DESIGN:Cross-sectional, multi-centre study. SETTING:Primary care, in 9 health centres of the Community of Valencia. PARTICIPANTS:Women not at risk of sexual dysfunction, selected by consecutive sampling. Initial ...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/s0212-6567(04)79497-4
更新日期：2004-10-15 00:00:00
abstract：OBJECTIVE:To assess the prevalence of goiter in five areas of the Pyrineans and in the region of Segrià in Lleida. DESIGN:Transversal descriptive study. SETTING:Five Pyrinean's regions and Segrià. PATIENTS:Randomised selection of a sample of 601 subjects from the population over 6 years old. MEASUREMENTS:The field ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-12-01 00:00:00
abstract：OBJECTIVE:To evaluate how much women who attend primary care consultations understand about the correct use of emergency ("morning after") contraception (EC), their information requirements and their views about free EC prescription. DESIGN:Cross-sectional study, using a questionnaire. SETTING:Les Corts Primary Care ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13098676
更新日期：2007-02-01 00:00:00
abstract：OBJECTIVE:To evaluate the efficacy of an educational intervention to minimise the prescription of those new medicines whose therapeutic effects are of little benefit. DESIGN:Controlled and randomised experimental study. SETTING:27 health centres in the province of Sevilla, Spain. PARTICIPANTS:376 general practitione...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1157/13080299
更新日期：2005-10-31 00:00:00
abstract：OBJECTIVE:To assess the frequency of Candida species others than Candida albicans isolation, in patients with chronic as well as relapsing vaginitis. To analyze the clinical pictures and the treatments routinely employed in patients with Candida albicans infection, compared to those with other Candida species infection...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-04-15 00:00:00
abstract：OBJECTIVE:The aim of this study was to identify multimorbidity patterns in patients from 19 to 44 years attended in primary care in Catalonia in 2010. DESIGN:Cross-sectional study. SETTING:251 primary care centres. PARTICIPANTS:530,798 people with multimorbidity, aged 19 to 44 years. MAIN OUTCOME MEASURES:Multimorb...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2015.10.006
更新日期：2016-08-01 00:00:00
abstract：UNLABELLED:Successful aging as a process of adaptation to the optimal state is little known in older people. OBJECTIVE:To describe successful aging and to analyze the factors associated with frailty in people aged 86 years. DESIGN:A cross-sectional study of a clinical trial at the second year of follow-up (Octabaix S...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/j.aprim.2014.01.004
更新日期：2014-11-01 00:00:00
abstract：OBJECTIVES:To determine whether the benefit on cardiovascular risk factors (CVRF) persists 5 years after an intensive intervention in lifestyle (LS) that lasted 2 years, in patients with hyperfibrinogenaemia and moderate or high cardiovascular risk. DESIGN:multicentre prospective observational study. LOCATION:13 Prim...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.aprim.2017.04.004
更新日期：2018-01-01 00:00:00
abstract：OBJECTIVE:To assess the prevalence of thyroidal disorders in our area using a representative sample of the population in terms of age and distribution by sex. DESIGN:Descriptive observational transversal study. SETTING:Six areas from the province of Lleida including its capital. PARTICIPANTS:All the inhabitants olde...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1999-11-15 00:00:00
abstract：:Western societies have displaced problems from the subjective and social fields over to medicine, and the search for the perfect health has become an obsession and a pathogenic predominant factor. Paradoxically, the number of ilnesses and sick people arises proportionally with health levels. We now tend to add «diseas...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2013.04.014
更新日期：2013-10-01 00:00:00
abstract：OBJECTIVE:To research on the relationship of the patient and his/her family as a non-pharmacological factor for blood hypertension. To determine whether a hyposodic, hypocaloric, hypofat, and hypocholesterolemic diet decreases the blood tension. To determine whether physical exercises in the patient and his/her family ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1999-10-31 00:00:00
