Abstract：
OBJECTIVES:The goal of this work was to prove the usefulness of simple standard geriatrics tools as a predictors of basic daily activities or quality of life decline in one year in older patients apparent healthy to apply in primary care. DESIGN:Prospective study of a randomised sample of 100 patients. SETTING:Urban primary care center. PATIENTS:A systematic sample of 100 patients of 75 years old or older, with Barthel index > or =90, Karnofsky scale > or =70 and without any neoformation process evaluated prospectively. MEASUREMENTS:A comprehensive geriatric assessment was done that include: physical performance, neural-psychologist performance, organic assessment, social assessment. After 12 month were assessed again basic activities of daily living (Barthel) and quality of life (Karnofsky). To estimate the odds ratio (OR) of association we used logistic regression models. RESULTS:The alterations in cognition trials (Pfeiffer >2) and in instrumental activities of daily living (Lawton <7) showed predictors about decline in basic activities of daily living (OR=4.66; CI, 1.33-16.22), (OR=4.89; CI, 1.65-14.48). The alterations in instrumental activities of daily living (Lawton <7) and in performance tests (abbreviated Guralnik test <4) showed predictors about decline in quality of life (OR=4.31; CI, 1.62-11.44), (OR=7.41; CI, 1.54-35.62). CONCLUSION:In primary care geriatric assessment tools based in instrumental activities of daily living, cognition and performance tests predict decline in basic activities of daily living and quality of life.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Sitjas Molina E,San José Laporte A,Armadans Gil L,Mundet Tuduri X,Vilardell Tarrés Msubject
Has Abstractpub_date
2003-09-30 00:00:00pages
282-7issue
5eissn
0212-6567issn
1578-1275pii
13051596journal_volume
32pub_type
杂志文章abstract：OBJECTIVES:Despite the growing body of legal and normative regulations regarding promotion, sales and consumption of cigarettes, a few studies have already pointed to a low enforcement and commitment of these restrictions. This study explores the degree of awareness and compliance of these norms in the secondary school...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1999-12-01 00:00:00
abstract：OBJECTIVE:To investigate whether there is a relationship between the quality of the clinical history (CH) in primary care and metabolic control of patients with diabetes (DM). DESIGN:Retrospective and observational. SETTING:15 health centres in the Segovia Area. PATIENTS:315 diabetic patients, selected at random fro...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(00)78749-x
更新日期：2000-12-01 00:00:00
abstract：OBJECTIVE:The echocardiogram (ECC) is not available to all Spanish General Practitioners (GP) despite its proven benefits in prevalent diseases, such as hypertension and heart failure. STUDY OBJECTIVE:To analyse the clinical adequacy of the application, performance, and diagnostic and therapeutic decisions of ECC indi...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/j.aprim.2011.03.007
更新日期：2012-04-01 00:00:00
abstract：:We have evaluated the patients that were referred to the referencie hospital from the emergency service of our health center between July 1, 1988, and June 31, 1989, and we have followed them up after their arrival to the hospital. We had cared for 20,546 emergencies, particularly from internal medicine, pediatrics an...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1991-01-01 00:00:00
abstract：AIMS:Describing the clinical and epidemiological characteristics of the suspicions of measles notified in the CV during the year 2003 and evaluating the system of surveillance. DESIGN:Cross-sectional, descriptive study. SETTING:Community of Valencia (CV), Spain. PARTICIPANTS:Cases of suspected measles notified in 20...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13079864
更新日期：2005-10-15 00:00:00
abstract：OBJECTIVE:To know the views, experiences and expectations of care provided by the Andalusian Public Health System (SSPA) of users of an urban area in need of social transformation (ZNTS). DESIGN:Qualitative methodology (exploratory study). LOCATION:Urban basic health zone (16,000 inhabitants, 40% ZNTS). PARTICIPANTS...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2013.01.016
更新日期：2013-08-01 00:00:00
abstract：OBJECTIVE:To analyse the appropriateness of specific immunotherapy treatment (IT) to indications based on scientific evidence. DESIGN:Cross-sectional, descriptive study. SETTING:Primary care in a health district of about 12,000 inhabitants. PATIENTS:166 patients for whom IT was prescribed in the period between Janua...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(00)78635-5
更新日期：2000-07-01 00:00:00
abstract：:The aim of the present study was to analyze the content in health education of the patient-physician interview. The study was observational and descriptive. The target population were the patients attending the general practices of the Social Security clinics. With permission of patients and physicians, 53 visits of t...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1991-03-01 00:00:00
abstract：OBJECTIVE:To assess if work-related activities represented a threatening situation for nursing personnel through the correlation between the level of usual anxiety (trait-anxiety) and the level of anxiety present during working hours (state-anxiety). As well as, to determine state-anxiety risk factors. MATERIAL AND ME...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1999-02-28 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：:An evaluation study of the quality of care was carried out in diabetic patients aged 20 years or more diagnosed since the primary health care center had been opened. 20 criteria accepted by consensus were evaluated in all be clinical records of the diabetic population. A remarkable result was the high rate of incorrec...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1989-05-01 00:00:00
abstract：:Research is one of the fundamental functions that have to be carried out in Primary Care. The clinical information stored in different records arising from medical care is a basic tool for this activity. The use of personal data for the purposes of research is legitimate according to our laws; however, this informatio...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2011.02.009
更新日期：2012-03-01 00:00:00
abstract：OBJECTIVE:To evaluate the Maternity Education (ME) programme: improvement of previous knowledge, changes in hygiene and dietary habits, attitudes to giving birth, satisfaction with the development of the sessions and perceived use. DESIGN:Pre-test/post-test. SETTING:Urban Health Centre. PARTICIPANTS:222 pregnant wom...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1999-06-30 00:00:00
abstract：:The present study is based on the analysis of records concerning 2,123 cases of cancer registered between 1973 and 1982 in the Health Sector of Calatayud. We pretend to find out what sort of role is played by the gathered cancer information registries on the Community Health Diagnosis elaboration and, therefore, on th...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1989-03-01 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 evaluate the effectiveness of the implementation of a mindfulness and self-care program to treat common mental health disorders in primary care. DESIGN:Quasi-experimental non-controlled, non-randomised study, with repeated measurements. SETTING:Seven health centres, in area v of the Principality of Astur...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2019.05.015
更新日期：2020-01-01 00:00:00
abstract：OBJECTIVE:To quantify and describe consultations carried out with third parties in General Medicine. DESIGN:Prospective and descriptive study. SETTING:Three General Medical consulting rooms in INSALUD's Health Area IV, Madrid. PARTICIPANTS:All those consultations carried out with third parties from 15 February 1993 ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1994-05-31 00:00:00
abstract：OBJECTIVES:To evaluate the knowledge about medical treatment on people with more than 70 years old, specifically, the understanding, reason for prescription and dosage. To describe the use of natural remedies in the rural environment. To correlate the medication and the natural remedies consumption with health's self-p...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1999-05-15 00:00:00
abstract：OBJECTIVE:To prepare and validate a tool to measure Basic Life Support (BLS) and semi-automatic defibrillator (SAD) skills adapted for use by health professionals in Primary Care Teams (PCT). To propose an updated version and demonstrate self-sufficiency of the team to use it in a training evaluation. DESIGN:Validatio...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2009.03.006
更新日期：2010-01-01 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 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: MAIN OBJECTIVE:to elaborate a Persons at Risk Index (PRI) for the abandonment of elderly handicapped. SECONDARY OBJECTIVES:to discover the profile of these invalids and their carers within our Health District. DESIGN:A case-control study. A uni- and multi-variant analysis (multiple logistic regression). ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1995-01-01 00:00:00
abstract：AIM:To analyze if breast-feeding (BF) is a protective factor against infectious diseases. DESIGN:Case-control study. Retrospective study during 1998. SETTING:Primary care. Teaching health center. Population of 22,500 inhabitants. PATIENTS:We consider an alpha risk of .05 and a beta risk of .20, unilateral hypothesis...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13071939
更新日期：2005-02-28 00:00:00
abstract：OBJECTIVE:To determine the pap smear adequacy, and to compare the quality using cervical cytobrush with that obtain by using cotton swab in the endocervical sample. DESIGN:Transversal study. Carried out in two periods both pre and post intervention. SETTING:Primary care centre in the south of Madrid. INTERVENTION:We...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(00)78604-5
更新日期：2000-06-15 00:00:00
abstract：OBJECTIVES:To find the views of family doctors (FD) on care demand, its conditioning factors, its repercussions and possible rationalizing measures, and to relate these to personal and professional characteristics. DESIGN:A descriptive crossover study. SETTING:Primary care. PARTICIPANTS:140 of 262 FD from Health Cen...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-06-15 00:00:00
abstract：OBJECTIVE:To find the prevalence of tobacco dependency in the population of six counties in Lleida and in patients with chronic diseases or vascular risk factors. DESIGN:Cross-sectional study. A descriptive analysis of the data. SETTING:Six counties in Lleida: 5 Pyrenean counties with a rural population and the Segri...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-03-31 00:00:00
abstract：OBJECTIVE:To find the relevance of analytic tests requested by the Primary Care doctor. DESIGN:A descriptive crossover study. Relevance was decided by the definition of criteria through consensus techniques. SETTING:Three urban Health Centres in Area 4 of the City of Valencia. PARTICIPANTS:All the requests for analy...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：
更新日期：1996-06-30 00:00:00
abstract：AIM:To evaluate the level of cardiovascular risk in smokers seenin Primary Care clinics. DESIGN:Epidemiologic, cross-sectional and multicentre study. SETTING:Primary Care. PATIENTS:Every investigator included 4 consecutive patients (3 smokers, 1 non-smoker) aged 35-50 years, who came to the clinic for any reason. A ...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/j.aprim.2010.10.005
更新日期：2011-11-01 00:00:00
abstract：OBJECTIVE:To determine the comorbidity, the therapeutic objectives, and economic impact in subjects with cardiovascular risk in primary care (PC). DESIGN:Multicentre, cross-sectional study. SETTING:Five urban PC centres, Spain. PARTICIPANTS:Patients over 55 years seen during the year 2006. Compared according to the ...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1157/13126421
更新日期：2008-09-01 00:00:00
abstract：OBJECTIVE:To find the efficacy of two methods of detecting previously unknown hypertension--systematic taking of blood pressure (ST) and the Mobile Unit (MU)--and to evaluate the over-diagnosis of arterial hypertension (AHT) in crossover studies which only use epidemiological criteria (EC). DESIGN:A descriptive study ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1993-11-15 00:00:00
