Abstract:
OBJECTIVE:To determine the validity and usefulness of brain natriuretic peptide (BNP) for diagnosing left ventricular dysfunction (LVD). DESIGN:Prospective, descriptive, multi-centred study to validate the diagnostic test. SETTING:Primary care centres in the Community of Madrid, Spain. PARTICIPANTS:Consecutive sample of patients at high risk of presenting with LVD. INTERVENTIONS:Data will be gathered from anamnesis, physical examination, ECG, and chest x-ray to find the risk factor(s) for LVD and the presence or absence of symptoms of congestive heart failure according to the Framingham scale. BNP will be determined at PC clinics in all patients who meet the inclusion criteria, using the "triage BNP test." All patients included in the study will be referred to an echocardiography service for an echocardiogram, which will be the gold standard test. Two independent cardiologists will evaluate the echocardiograph without knowing the BNP values. MAIN MEASUREMENTS:BNP concentrations will be compared against the kind and degree of LVD. ROC curves analysis will test the capacity of BNP to diagnose LVD. Optimal sensitivity and specificity value will be calculated by means of the position on the curve resulting from the minimum distance at the cut-off point for best sensitivity and specificity. Then, sensitivity, specificity, and positive and negative predictive values will be calculated. DISCUSSION:BNP can complement the information provided by other diagnostic tests. It should be included as an important factor in the taking of clinical-therapeutic decisions.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
González-González AI,Lobos-Bejarano J,Horrillo-García C,Castellanos-Maroto J,Díaz-Sánchez S,Castellanos-Rodríguez A,Martínez-Carrasco J,Taboada-Tabeada M,Miraflores-Carpio Jdoi
10.1016/s0212-6567(05)70554-0subject
Has Abstractpub_date
2005-11-30 00:00:00pages
510-4issue
9eissn
0212-6567issn
1578-1275pii
13082003journal_volume
36pub_type
杂志文章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 determine the differences in the diagnosis of light arterial hypertension between using three tension measurements (over 2 or 3 weeks) or five (6 or 7 weeks). DESIGN:A descriptive, longitudinal study. SETTING:Santomera Health Centre, Murcia. PARTICIPANTS:In 245 patients initially diagnosed as suffering ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1996-03-31 00:00:00
abstract:OBJECTIVES:To calculate the number of hospital discharge reports (HDR) received in primary care for determined kinds of patients suffering chronic pathologies who need on-going care. To evaluate whether the reports' contents are of use to the family doctor's monitoring of the patient. DESIGN:Descriptive study. SETTIN...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(00)78687-2
更新日期:2000-10-15 00:00:00
abstract:OBJECTIVE:To know the opinion of the primary health care (PHC) physicians on the assistance demand in mental health (MH), their training necessities and their attitudes about this disorders. DESIGN:Observational and transversal study. SETTING:Primary care. PARTICIPANTS:The subjects of the study were PHC physicians. ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13076608
更新日期:2005-06-30 00:00:00
abstract:OBJETIVE:To evaluate SAR-COV-2 pacients' features. To analyse de diferences between those who required hospital care and those who didn't. DESIGN:Observational, descriptive and retrospective study. SETTING:Twomedical practices of an urban health center in Salamanca (Spain). PARTICIPANTS:≥18 years diagnosed with SAR-...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2020.10.005
更新日期:2020-12-13 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::Acute pharyngitis in adults is one of the most common infectious diseases seen in general practitioners' consultations. Viral aetiology is the most common. Among bacterial causes, the main agent is Streptococcus pyogenes or group A β-haemolytic streptococcus (GABHS), which causes 5%-30% of the episodes. In the diagnos...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2015.02.002
更新日期:2015-10-01 00:00:00
abstract:OBJECTIVE:To discover the recruitment and follow-up coverage of Prenatal Care in Parla Health Center, derivation causes and quality control of follow-up. DESIGN:Descriptive and retrospective study. PATIENTS:We obtained 445 newborns (from May 1991 to April 1992) in pediatric records of Health Center, and encountered 4...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1993-10-31 00:00:00
abstract::A descriptive study of virtually all patients with leprosy in the Córdoba province was carried out. The socioeconomic and hygienic features of the patients' homes, some clinical variables, the therapeutic habits and the features of the foci were evaluated. The major findings were as follows: More than 50% of patients ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1989-06-01 00:00:00
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:To establish the diagnostic validity and usefulness of Eating Attitudes Test-26 (EAT-26) for the risk assessment of eating disorders in a male population. DESCRIPTION:Observational validation study questionnaire. SETTING:Performed in Medellin city at a community care level of mixed (public and private) psyc...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2016.02.016
更新日期:2017-04-01 00:00:00
abstract:OBJECTIVE:To discover how osteoporosis is tackled in Spanish primary care before the publication of the semFYC osteoporosis guide. DESIGN:Self-filled questionnaire for primary care doctors sent out by commercial mail (in blocks per province). SETTING:Five thousand family medicine clinics in Spain.Participants. Doctor...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(02)79046-x
更新日期:2002-10-15 00:00:00
abstract::High blood pressure (HBP) is the main modifiable cardiovascular risk factor. HBP can be related to high salt intake. To measure intake, not all feeding surveys are comparable and valid. The reference procedure for assessing salt intake consists of measuring the urinary excretion of sodium in urine collected during 24h...
journal_title:Atencion primaria
pub_type: 杂志文章,评审
doi:10.1016/j.aprim.2019.05.012
更新日期:2019-12-01 00:00:00
abstract:OBJECTIVE:The aim of this study is to detect alcoholism problems among the young population, using the CAGE test. DESIGN:Transversal descriptive study. SITE. Work developed with high school students (BUP and COU) from a rural context in Aragón. PATIENTS AND OTHER PARTICIPANTS:Random sample of 1,012 students, ordered ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1993-05-15 00:00:00
abstract:OBJECTIVE:To improve follow-up of health problems, once detected, until their resolution. Also to introduce corrective measures to the demand for Primary Care consultations. DESIGN:Prospective study of Organised Telephone Consultations (OTC). SITE. General Medicine quota of the PC team at Ofra-Delicias (Tenerife). PA...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1992-06-01 00:00:00
abstract:OBJECTIVE:To study the adverse side-effects to medication and define their principle characteristics. DESIGN:A descriptive, crossover, observation study with no random distribution. SETTING:The population cared for at a Health Centre in Toledo. PATIENTS:Those over 15 years old during a 6-month period. MEASUREMENTS ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1994-09-30 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: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::We have evaluated the fulfillment of the aims of an integrated influenza vaccination program for a basic urban health area. We have focused the analysis on the vaccine coverage for age and sex groups, groups of risk modifiers and risk gradient. We have evaluated the most adequate method of call. Overall coverage was 6...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1989-10-01 00:00:00
abstract:OBJECTIVES:1. To describe the habits and conduct of school students (13-17 years old) around alcohol in the Cartagena Health Area. 2. To discover the factors underlying consumption. 3. To analyse beliefs and behaviour about consumption. DESIGN:Cross-sectional descriptive study. SETTING:Health area. PARTICIPANTS:16,6...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(01)78790-2
更新日期:2001-02-28 00:00:00
abstract:OBJECTIVE:To assess the frequency of migraines attributable to continuous consumption of analgesics. DESIGN:A longitudinal prospective study of a descriptive type. SETTING:A specialised Neurology Clinic within a County hospital, which provides the Primary Care coverage for ibiza and Formentera. PATIENTS:All those pa...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1994-06-15 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:OBJECTIVE:To ascertain the diagnosis associated with specific treatment for dementia in the Primary Care Electronic Clinical Record (PC-ECR) and to analyse the factors associated with the quality of registration. METHODS:Descriptive study of patients taking cholinesterase inhibitors or memantine registered in Database...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2015.03.002
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVES:To analyse the pathology diagnosed on the basis of the gastroscopies requested from a primary care centre (PCC). Assessment and treatment of Helicobacter pylori (HP) infection. DESIGN:Retrospective and descriptive. SETTING:Urban PCC. PATIENTS:Those over 14 who had a gastroscopy for a diagnostic purpose, r...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(00)78496-4
更新日期:2000-03-15 00:00:00
abstract:OBJECTIVE:To evaluate the economic impact in terms of the direct costs (health care costs) and the indirect costs (effects on production caused by mortality and morbidity) of diabetes mellitus (DM) in the Canary Islands (Spain) during 1998. DESIGN:The approach used was to study the cost of the disease through looking ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(02)70526-x
更新日期:2002-02-28 00:00:00
abstract:OBJECTIVE:To find the prevalence, characteristics, and consequences of falls in the elderly and related factors. DESIGN. Cross-sectional, descriptive study using personal interviews. SETTING:Three health districts in Cordoba city, Spain. PARTICIPANTS:A stratified sample of 362 people over 70. MAIN MEASUREMENTS:The a...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13094802
更新日期:2006-11-15 00:00:00
abstract:OBJECTIVE:To evaluate diagnostic concordance in the interpretation of electrocardiograms (ECG) between general practitioners and a referral cardiologist. DESIGN:Crossover and descriptive. SETTING:Seven General Medicine consulting rooms at Burgo de Osma Health Centre. PATIENTS AND OTHER PARTICIPANTS:318 ECGs included...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1995-09-15 00:00:00
abstract:OBJECTIVES:To study internal communication between primary care health professionals DESIGN:Cross-sectional, descriptive. SETTING:Catalan Health Institute Costa de Ponent Primary Care Area, Spain. PARTICIPANTS:All workers in the area (n=3565). MEASUREMENTS:Three part questionnaire: a) sociodemographic questions; b)...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13125405
更新日期:2008-08-01 00:00:00
abstract:OBJECTIVES:To describe the type of relationship between primary care family doctors (PCDs) and the pharmaceutical industry (PI) and its representatives in Aragon, to describe doctors' attitudes to this relationship and to find out how doctors behave towards offers from the industry. DESIGN:Descriptive cross-sectional ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(04)70840-9
更新日期:2004-09-30 00:00:00
abstract::Cardiovascular risk stratification is currently part of routine clinical practice to establish cardiovascular prevention strategies. A complementary approach to the assessment scales of cardiovascular risk stratification is the non-invasive evaluation of the atherosclerotic lesion to identify patients at high risk for...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2009.11.005
更新日期:2010-09-01 00:00:00