当前位置： SCI文献检索 > Atencion Primaria期刊下所有文献 > [Retrospective analysis of adverse side-effects of medication in elderly patients at a primary care health centre].

[Retrospective analysis of adverse side-effects of medication in elderly patients at a primary care health centre].

Abstract：

OBJECTIVE:To describe the adverse drug events (ADEs) reported by doctors of a primary health care centre in the patient's medical record. DESIGN:A retrospective, descriptive study. SETTING:Burriana Health Centre (Castellón), Spain. PARTICIPANTS:All patients over 75 with a clinical history held on paper at the health centre, ie non-institutionalized patients seen on an out-patient basis, were checked. MEASUREMENTS:A total of 2044 paper-based medical records were analysed, in which 832 histories describing 1893 ADEs (90.4% unforeseen and 9.6% preventable) were found. This means that 41% of the patients experienced one or more adverse events, with an average of 2.28 ADEs per patient. RESULTS:Most ADEs (85.3%) were light, but 6% were classified as serious, with high digestive haemorrhage caused by NSAIDs standing out as the most common serious problem (37.3%). The pharmaco-therapeutic groups most involved in ADEs were cardiovascular therapy (29.4%), anti-infectious drugs (21.2%) and nervous system drugs (20.1%). Seventeen cases of intoxication were detected (0.9% total ADEs), with digoxin responsible for 67% of the serious intoxications. It was observed that ADEs occur with statistical significance most frequently in women (OR, 1.73; 95% CI, 1.42-2.10). After an age-stratified analysis, it was concluded that the only sub-group where the increase in risk was not significant was the group of people over 85 years old. CONCLUSIONS:ADEs create a serious public health problem, with negative effects on patients. Although most ADEs are unforeseen (90.4%), it is still worrying that 9.6% of the ADEs identified are preventable.

journal_name

Aten Primaria

journal_title

Atencion primaria

authors

Alós Almiñana M,Bonet Deán M

doi

10.1157/13116153

subject

Has Abstract

pub_date

2008-02-01 00:00:00

pages

75-80

issue

2

eissn

0212-6567

issn

1578-1275

pii

13116153

journal_volume

40

pub_type

杂志文章

相关文献

Atencion Primaria文献大全
  • [Analysis of indications and diagnosis of the gastroscopies requested by primary care physicians].

    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

    authors： Vernet Vernet M,Roca Figueras G,Jovell Fernández E,Iglesias Rodríguez M,Ureña Tapia MM,Roca Fusalba A

    更新日期：2000-03-15 00:00:00

  • [Diagnosing osteoporosis in primary care in Spain (ABOPAP 2000 study)].

    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

    authors： Aragonès Forès R,Orozco López P,Grupo de Osteoporosis de la Societat Catalana de Medicina Familiar i Comunitària.

    更新日期：2002-10-15 00:00:00

  • [The medical empathy, is it born or is it made? Evolution of the empathy in medical students].

    abstract：OBJECTIVE:Empathy is one of the basic skills in medicine that promotes better doctor-patient relationship, best professional competition and less professional stress. We don't found studies in our area. This study aims to measure the degree of empathy in medical students in our area and associated factors. DESIGN:Cros...

    journal_title：Atencion primaria

    pub_type： 杂志文章

    doi：10.1016/j.aprim.2014.12.012

    authors： Esquerda M,Yuguero O,Viñas J,Pifarré J

    更新日期：2016-01-01 00:00:00

  • [Mortality caused by cancer in Andalusia: trends and geographic distribution].

    abstract：AIMS:To describe the evolution of mortality due to gastric cancer in Andalusia and the current geographic distribution of mortality. DESIGN:Descriptive, population-based study. SETTING:Andalusia (Southern Spain) during the period from 1975 to 1999. PARTICIPANTS:Residents of the region of Andalusia. MEASUREMENTS:Cru...

    journal_title：Atencion primaria

    pub_type： 杂志文章

    doi：10.1016/s0212-6567(01)70475-1

    authors： Ruiz Ramos M,Nieto García MA,Mayoral Cortés JM

    更新日期：2001-12-01 00:00:00

  • [Level of knowledge of antibiotics prescribed in outpatients].

    abstract：INTRODUCTION:The lack of patient knowledge about their medication is considered to be one of the main reasons for an inappropriate use. OBJECTIVE:This study the level of knowledge in patients about their prescribed antibiotic, and describes some of the factors related to this. DESIGN:A cross-sectional, descriptive an...

    journal_title：Atencion primaria

    pub_type： 杂志文章

    doi：10.1016/j.aprim.2014.04.014

    authors： Bernabé Muñoz E,Flores Dorado M,Martínez Martínez F

    更新日期：2015-04-01 00:00:00

  • [Descriptive study of patients with leprosy in the province of Cordoba].

    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：

    authors： García Sádaba JI,Logroño Quero C,Lluch Fernández C

    更新日期：1989-06-01 00:00:00

  • [Population-based study of exercise habits in the counties of Alt Camp and Conca de Barvera (Tarragona)].

    abstract：OBJECTIVE:To find the proportion of the adult population that practice physical exercise habitually. DESIGN:An observational study of a crossover nature. SETTING:The counties of Alt Camp and Conca de Barberà (Tarragona). PATIENTS AND OTHER PARTICIPANTS:A two-stage random sampling (stratified by age, gender and type ...

    journal_title：Atencion primaria

    pub_type： 杂志文章

    doi：

    authors： Vila Córcoles A,Pardo Fonfría C,Llor Vilà C,Espinosa Mata E,Gisbert Selles C,Martín Vallés H

    更新日期：1995-05-31 00:00:00

  • [Impact of AIDS on premature mortality in La Rioja].

    abstract：OBJECTIVE:To describe the evolution of the number of potential years of life lost (PYLL) because of AIDS in La Rioja between 1986 and 1993. DESIGN:Descriptive study. SETTING:Autonomous Community of La Rioja. PATIENTS AND OTHER PARTICIPANTS:Secondary data from the regional Register of AIDS cases in La Rioja, from the...

    journal_title：Atencion primaria

    pub_type： 杂志文章

    doi：

    authors： Ramalle-Gómara E,González Martínez MA,Lezaun Larumbe ME

    更新日期：1996-05-15 00:00:00

  • [Efficacy of a training technique concerning clinical interview skills associated with psychodiagnostic ability of the physician].

    abstract：OBJECTIVE:To evaluate the efficacy of a training technique to improve clinical interview skills connected with Primary Care doctors' psycho-diagnostic ability: visual contact, posture, verbal and non-verbal ways of advancing the interview, verbal interruptions and questions with a psychological content. DESIGN:The doc...

    journal_title：Atencion primaria

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：

    authors： Girón M,Sánchez García E

    更新日期：1998-02-28 00:00:00

  • [Impact on the primary carer of an intervention carried out on dependent elderly people].

    abstract：OBJECTIVE:To evaluate the impact of joining a home care program on primary caregivers of dependent elderly people. DESIGN:Non-randomised "before-after" intervention study. SETTING:Primary Care. PARTICIPANTS:Primary carers of elderly dependent people included in a home care program (n=156; 7.8% loss to follow up). I...

    journal_title：Atencion primaria

    pub_type： 杂志文章

    doi：10.1016/j.aprim.2010.09.011

    authors： Orueta-Sánchez R,Gómez-Calcerrada RM,Gómez-Caro S,Sánchez-Oropesa A,López-Gil MJ,Toledano-Sierra P

    更新日期：2011-09-01 00:00:00

  • [Thyroid pathology in a health center].

    abstract：OBJECTIVE:To describe the thyroid pathology seen at our health centre (HC) and its evolution. DESIGN:A longitudinal, retrospective study. SETTING:La Mina HC, Sant Adrià de Besòs, Barcelona. PATIENTS:Patients older than 14 who, between January 1985 and June 1993, had presented functional or morphological thyroid func...

    journal_title：Atencion primaria

    pub_type： 杂志文章

    doi：

    authors： Serra M,Méndez MA,Davins J,Borrell M,Baxarias J,Ríos L

    更新日期：1995-04-30 00:00:00

  • [Research in action. How to assist the integration of residents of family and community medicine in health centers].

    abstract：OBJECTIVES:To find the causes of worry in second-year family and community medicine (FCM) residents on their arrival at health centres. DESIGN:A descriptive study. A survey with 4 questions on difficulties found in the on-demand clinic, in consultations by appointment, other causes of anxiety and problems foreseen a p...

    journal_title：Atencion primaria

    pub_type： 杂志文章

    doi：

    authors： Leal Hernández M,Saura Llamas J,López Piñera M,de la Viesca Cosgrove S,Ferrer Mora A,García Méndez MM

    更新日期：1996-12-01 00:00:00

  • [Emotional map in Andalusian primary care teams].

    abstract：OBJECTIVE:To evaluate the dynamics and establish the emotional map of 8 primary care teams. DESIGN:Descriptive, cross-sectional and multi-site study. SETTING:Primary care centers in Granada, Cádiz and Málaga, Spain. PARTICIPANTS:Simple random sampling of 8 health centers and 272 primary care professionals. MAIN MEA...

    journal_title：Atencion primaria

    pub_type： 评论,杂志文章,多中心研究

    doi：10.1016/j.aprim.2008.09.007

    authors： March Cerdá JC,Oviedo-Joekes E,Romero Vallecillos M,Prieto Rodríguez MA,Danet A

    更新日期：2009-02-01 00:00:00

  • [Prevalence of hidden renal failure calculated through formulas on the degree of renal function in hypertense patients over 60 referred to out-patients for blood pressure monitoring].

    abstract：OBJECTIVES:To validate the Cockroft-Gault and the abbreviated Modification of Diet in Renal Disease (MDRD) formulas in a hypertense population aged over 60 and with blood pressure monitored in out-patients. To evaluate the prevalence of various stages of hidden chronic kidney disease in this population. DESIGN:Descrip...

    journal_title：Atencion primaria

    pub_type： 杂志文章

    doi：10.1157/13101799

    authors： Pozuelos Estrada G,Molina Martínez L,Romero Perera JJ,Díaz Herrera N,Cañón Barroso L,Buitrago Ramírez F

    更新日期：2007-05-01 00:00:00

  • [Vaginal candidiasis: diagnosis and treatment in a primary care clinic].

    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：

    authors： González-Pedraza Avilés A,Ortiz Zaragoza C,Inzunza Montiel AE,Ponce-Rosas ER

    更新日期：1998-04-15 00:00:00

  • [The chronically ill at home and the impact in main caregivers].

    abstract：OBJECTIVE:To analyse the repercussions that caring for chronically sick patients at home can have on the health of the main carers. DESIGN:A descriptive crossover study. SETTING:"Raval Nord" Health District, Barcelona. PATIENTS AND OTHER PARTICIPANTS:All the 336 chronically sick at home recorded in the home-care pro...

    journal_title：Atencion primaria

    pub_type： 杂志文章

    doi：

    authors： Segura Noguera JM,Bastida Bastús N,Martí Guadaño N,Riba Romeva M

    更新日期：1998-04-30 00:00:00

  • [Utilization of generic drugs in Spain and Catalonia: possibilities of savings].

    abstract：OBJECTIVES:To analyze the degree of utilization of generic drugs in Spain and Catalonia. To determine real savings and scope for further savings due to the use of generic drugs. DESIGN:Descriptive, crossover study. SETTING:Public health prescription in Spain and Catalonia in June of 1999 and in Catalonia from January...

    journal_title：Atencion primaria

    pub_type： 杂志文章

    doi：10.1016/s0212-6567(00)78649-5

    authors： Torralba Guirao M,Gilabert Perramon A,Peláez de Loño J,Faixedas Brunsoms MT

    更新日期：2000-09-15 00:00:00

  • [Emergency contraception: evaluation of women's understanding of it, a requisite for the effectiveness of the treatment].

    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

    authors： Serra-Torres A,Montaner-Amorós M,Sitjar-Martínez de Sas S,Sisó-Almirall A,Espanyol-Navarro M,Devant-Altimir M

    更新日期：2007-02-01 00:00:00

  • [Application of the Smoking Scale for Primary Care (ETAP) in clinical practice].

    abstract：OBJECTIVE:To determine if the ETAP smoking scale, which measures accumulated exposure to tobacco, both actively and passively, is applicable and effective in the clinical practice of Primary Care for the prevention of acute myocardial infarction (AMI). Location Barranco Grande Health Centre in Tenerife, Spain. DESIGN:...

    journal_title：Atencion primaria

    pub_type： 杂志文章

    doi：10.1016/j.aprim.2017.05.010

    authors： González Romero MP,Cuevas-Fernández FJ,Marcelino-Rodríguez I,Covas VJ,Rodríguez Pérez MC,Cabrera de León A,Aguirre-Jaime A

    更新日期：2018-01-01 00:00:00

  • [The prevalence of the surface antigen of the hepatitis B virus (HBsAg) in pregnant women in Alicante].

    abstract：:To assess the prevalence of the hepatitis B virus carrier status in pregnant women from the population of Alicante and to evaluate the need of screening studies in future programs of attention to pregnant women, 550 women at the final stage of their pregnancies who were admitted to the Alicante Hospital were evaluated...

    journal_title：Atencion primaria

    pub_type： 杂志文章

    doi：

    authors： Alvarez Fernández M,Carrión Tomás AM,García Pont J,Molina García J,Roselló Farrás D,Truyols Bonet J

    更新日期：1989-04-01 00:00:00

  • [Factors associated with the knowledge, treatment, and control of arterial hypertension in an adult population of the community of Valencia].

    abstract：OBJECTIVE:To identify the level of hypertension awareness, treatment and control in the adult population (14 years and older) at the Valencian Region. Type of treatment and associated factors to the hypertension awareness will be also explored. DESIGN:Cross-sectional study (population survey). SETTING:Valencian Regio...

    journal_title：Atencion primaria

    pub_type： 杂志文章

    doi：

    authors： Compañ L,Vioque J,Hernández-Aguado I,Quiles J

    更新日期：1998-05-15 00:00:00

  • [Irritable bowel syndrome with constipation and functional constipation in adults: Treatment (Part 2 of 2)].

    abstract：:In this Clinical practice guide we examine the diagnostic and therapeutic management of adult patients with constipation and abdominal discomfort, at the confluence of the spectrum of irritable bowel syndrome and functional constipation. Both fall within the framework of functional intestinal disorders and have major ...

    journal_title：Atencion primaria

    pub_type： 共识发展会议,杂志文章,实务指引

    doi：10.1016/j.aprim.2017.01.003

    authors： Mearin F,Ciriza C,Mínguez M,Rey E,Mascort JJ,Peña E,Cañones P,Júdez J,en nombre de la SEPD, la semFYC, la SEMERGEN y la SEMG.

    更新日期：2017-03-01 00:00:00

  • [Monoclonal gammapathy of uncertain significance. A perspective from the primary care setting].

    abstract：:Eight cases of monoclonal gammapathy of uncertain significance are reported. They were detected from routine analysis in patients from the general population who consulted for several diseases to a primary care center. One patient developed multiple myeloma and the rest remained stable. As there is no effective method...

    journal_title：Atencion primaria

    pub_type： 杂志文章

    doi：

    authors： Bordas Julve JM,Solé Villa J,García Pont X,Guarga Rojas A

    更新日期：1990-01-01 00:00:00

  • [Validity of the abdominal ecography in primary care for detection of aorta abdominal aneurism in male between 65 and 75 years].

    abstract：OBJECTIVE:To determine the usefulness of ultrasound examination in Primary Care (PC) for the detection of abdominal aortic aneurysm (AAA) in male patients from 65-75 years old, as well as the consistency between observers on the diagnosis between general practitioners and the reference specialty in this area, Vascular ...

    journal_title：Atencion primaria

    pub_type： 杂志文章

    doi：10.1016/j.aprim.2017.10.005

    authors： Bravo-Merino L,González-Lozano N,Maroto-Salmón R,Meijide-Santos G,Suárez-Gil P,Fañanás-Mastral A

    更新日期：2019-01-01 00:00:00

  • [The results of the introduction of a protocol of preventive activities in a primary care center].

    abstract：:A sample of 360 people was analyzed. They had received the protocol of preventive activities of the "Unitat Docent de Medicina Familiar i Comunitària de Barcelona" during 1989. The results of those activities directed to the prevention of cardiovascular risk and to the detection of excessive alcohol intake are reporte...

    journal_title：Atencion primaria

    pub_type： 杂志文章

    doi：

    authors： Tamayo Marco B,Deniel Rosanas J,López Plana A,Trallero Fort JC,Lafuente Navarro A,Lafuente Navarro C

    更新日期：1991-04-01 00:00:00

  • [Adolescence and depressive symptoms: are group health questionnaires useful in detecting them?].

    abstract：INTRODUCTION:Depressive symptomatology during adolescence can have severe consequences when not treated. Formal health and surveillance programs rarely research its presence. OBJECTIVE:To determine whether it is possible to integrate a depressive symptomatology questionnaire into a standard health survey; to determine...

    journal_title：Atencion primaria

    pub_type： 杂志文章

    doi：10.1016/j.aprim.2008.10.006

    authors： Moreno MR,García RJ,Moreno MR,Sanz TS

    更新日期：2009-07-01 00:00:00

  • [Adverse reactions to drugs in a health center].

    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：

    authors： de Frutos Hernansanz MJ,Lázaro Damas A,Llinares Gómez V,Azpiazu Garrido M,Serrano Vázquez A,López de Castro F

    更新日期：1994-09-30 00:00:00

  • [Learning concepts of diagnosis in family medicine: the "mark robinson sign" - the traces that should not be there].

    abstract：:We review the mechanisms of the mental operation to identify the disease in family medicine, using five cases where the diagnosis process began in "the trace that should not be there" or "Robinson sign" as happened to Robinson Crusoe when he saw a human footprint on the beach of the "desert island". How could it be th...

    journal_title：Atencion primaria

    pub_type： 杂志文章

    doi：10.1016/j.aprim.2015.02.008

    authors： Turabián JL,Samarín-Ocampos E,Minier L,Pérez-Franco B

    更新日期：2015-11-01 00:00:00

  • [Prevalence and relations of orthostatic hypotension in patients 80 years old and over from a primary care unit].

    abstract：OBJECTIVE:To estimate the prevalence of orthostatic hypotension (OH) in patients 80 years old and over attending a primary care unit. To relate OH to the most prevalent pathologies and to the most used drugs. DESIGN:Transversal observational study. LOCATION:Primary care unit, Santiago de Compostela. PARTICIPANTS:Eig...

    journal_title：Atencion primaria

    pub_type： 杂志文章

    doi：10.1016/j.aprim.2017.12.003

    authors： Formigo Couceiro FJ,Pena Seijo M,Pose Reino A,Mayán Santos JM,Ayape Amigot FJ,Sueiro Justel J

    更新日期：2019-05-01 00:00:00

  • [Opinions and expectations of primary care professionals concerning team work].

    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

    authors： Viñas Maestre M,Castel Simón S

    更新日期：2000-09-30 00:00:00