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 presence/absence of a cardiovascular event (CVE). MEASUREMENTS:Demographics, cardiovascular/general comorbidity (adjusted clinical groups), Charlson index, clinical parameters, multiple drugs and semi-fixed direct costs (operational) and variables (tests, referrals, drugs). A logistical regression and ANCOVA analysis was performed to correct the models. SPSSWIN Program (P< .05). RESULTS:Of 24 410 patients, 15.4% (CI, 14.9-15.9) had a CVE. The subjects with a CVE showed a higher mortality (4.0% vs 1.8%) and general morbidity (8.1 vs 6.4 episodes) (P< .001). The CVE had an independent association in males (OR=2.7), Charlson index (OR=2.1), dyslipaemia (OR=1.5), depression (OR=1.4), age (OR=1.3), arterial hypertension (OR=1.2) and diabetes (OR=1.1) (P< .005). In primary prevention worse average cholesterols were obtained (211.6 vs 192.4 mg/dL), while in secondary prevention blood glucose was worse (111.3 vs 104.2 mg/dL; P< .001). The average corrected direct costs were euro1543.55 versus euro1027.65, respectively (P< .001). These differences were maintained in all the cost components. CONCLUSIONS:The presence of a CVE is associated with higher comorbidity, causing an increase in costs. The achievement of therapeutic control objectives could be improved, in primary prevention as well as in secondary. Intervention strategies should be increased to modify life styles in these patients.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Sicras-Mainar A,Velasco-Velasco S,González-Rojas Guix N,Clemente-Igeño C,Rodríguez-Cid JLdoi
10.1157/13126421subject
Has Abstractpub_date
2008-09-01 00:00:00pages
447-54issue
9eissn
0212-6567issn
1578-1275pii
13126421journal_volume
40pub_type
杂志文章,多中心研究abstract：OBJECTIVE:To measure with primary data the kinds of family doctor consultations, the reasons for them and the interruptions. DESIGN:Observational, transversal, and multi-centred study. SETTING:All the health centres in Area 17 of the Community of Valencia. PARTICIPANTS:Representative sample of 2051 patients belongin...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1157/13071914
更新日期：2005-02-15 00:00:00
abstract：OBJECTIVE:To quantify and describe the self-treatment existing among users requesting a consultation about an illness which had commenced in the previous 15 days. DESIGN:Observational prospective study. SETTING:Primary care in a semi-rural environment. Family Medicine Unit in Valls (Tarragona). PATIENTS AND OTHERS P...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1993-03-15 00:00:00
abstract：OBJECTIVE:To analyse the length of sick leave (SL) and its associated factors in Andalusia. DESIGN:Descriptive observational study. SETTING:Andalusia. PARTICIPANTS:A total of 1,633,405 sick leave forms issued from the 1st January 2002 to the 31st of December 2006 for any reason by Primary Health Care doctors in the ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2008.10.020
更新日期：2009-07-01 00:00:00
abstract：OBJECTIVES:To calculate the prevalence of eating attitudes which determine eating disorders and their relationship to social, personal and cultural variables. DESIGN:Prevalence study. PARTICIPANTS:Centres of secondary education. Gijón Health Area (Asturias). Secondary school students (n = 17,000) selected by multi-st...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(00)78511-8
更新日期：2000-03-31 00:00:00
abstract：OBJECTIVES:To find whether the variables age, gender, speciality, training and type of contract of primary care doctors, as well as the size of their patient lists and the sort of centre where they work, affect their absenteeism, as measured by time off work sick. DESIGN:An observational, crossover study. SETTING:Nou...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1996-03-15 00:00:00
abstract：OBJECTIVE:To compare portable coagulometer devices and conventional coagulometers. The clinical validity will be estimated via anticoagulation control (maintenance of therapeutic range), patient satisfaction, thrombotic or haemorrhagic events and mortality. Analytical validity will be studied in quality control terms. ...
journal_title：Atencion primaria
pub_type： 杂志文章,评审
doi：10.1016/j.aprim.2010.03.017
更新日期：2011-03-01 00:00:00
abstract：OBJECTIVES:To find how many diabetics should receive anti-aggregant treatment according to the recommendations made since 2001 by the American Diabetes Association (ADA), how many cardiovascular events could be avoided by 100 mg daily of acetylsalicylic acid (ASA), and the cost per event avoided by this measure. DESIG...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(03)70699-4
更新日期：2003-01-01 00:00:00
abstract：OBJECTIVE:To discover the level of autochthonous urinary microflora and their sensitivity to antimicrobials, at the primary care level. DESIGN:A descriptive and retrospective study of a sequential sampling of urine cultures in primary care (during July, August and September, 1991). SITE. Primary care in the Province o...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1992-06-15 00:00:00
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：
更新日期：1996-12-01 00:00:00
abstract：OBJECTIVE:To compare the family functioning profile (FFP) in adolescents addicted to drugs and those not addicted to drugs. DESIGN:Cross-sectional study comparative. SETTING:A high school in Querétaro State, Mexico. PARTICIPANTS:Study of 63 adolescents with and without addiction, of both sexes between the ages of 13...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2010.04.009
更新日期：2011-02-01 00:00:00
abstract：:Nurse demand management (NDM) is an emerging concept that requires some useful clarification, not only for professionals and users but also for managers. The NDM was born in 2009 after the need to reorganize the flow of demand, but it has become more than this. NDM is understood as a program led by the primary care nu...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2017.10.011
更新日期：2019-04-01 00:00:00
abstract：OBJECTIVES:To determine the factors associated with asthma and asthma-related symptoms in children and adolescents in rural areas of Navarre (Spain). PARTICIPANTS AND METHODS:A cross-sectional study using the International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire, as well as additional variable...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/j.aprim.2017.05.005
更新日期：2018-01-01 00:00:00
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：
更新日期：1998-04-30 00:00:00
abstract：OBJECTIVE:To find the prevalence of burnout syndrome in general practitioners of the Public Sanitary Service in a health area in Zaragoza (Spain) and compare the results with the original American and two Spanish samples (general practitioners and specialists). DESIGN:A descriptive, crossover population study. SETTIN...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-11-30 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:To describe the characteristics of the malignant and pre-malignant lesions found in the minor surgical interventions performed at a health centre. DESIGN:Retrospective, descriptive study. PARTICIPANTS:682 lesions: all the lesions extirpated and referred to pathology except for epidermal and trichilemmal cys...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(03)79334-2
更新日期：2003-12-01 00:00:00
abstract：OBJECTIVES:To identify diabetics not dependent on insulin (DNDI) who are carriers of clinical proteinuria and microalbuminuria susceptible to captopril treatment and to evaluate the evolution of the urinary excretion of albumin (UEA) rate after three years of follow-up. DESIGN:A prevalence study followed by an interve...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-09-30 00:00:00
abstract：OBJECTIVE:To measure the correctness of decisions concerning counter-indications to vaccination (CV), taken by Primary Care professionals involved with the vaccination programme; to identify their associations with personal or organisational variables; and to sound out professionals' views on the source of false counte...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-07-01 00:00:00
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：
更新日期：1998-05-15 00:00:00
abstract：OBJECTIVES:To find the profile of the heroin addict included in the Methadone Maintenance Programme (MMP) and the standard of information which primary care doctors have about these patients. DESIGN:A descriptive crossover study. PATIENTS AND OTHER PARTICIPANTS:All the drug addicts included in the MMP, located at the...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1996-05-31 00:00:00
abstract：OBJECTIVE:The objective of this work was to value the relationship between cardiovascular disease and presence of hidden renal failure in patients between 35 and 74 years followed up for 10 years. DESIGN:Observational, longitudinal, retrospective study of a cohort of patients. SETTING:Primary care health centre. PAR...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(08)75696-8
更新日期：2008-12-01 00:00:00
abstract：OBJECTIVES:To determine the percentage of female authors in original articles published during 2periods, in the journal of Atención Primaria (Primary Care), and to examine the differences between the categories of authorship (first, last author, and co-author) between both periods. DESIGN:Cross-sectional study. SETTI...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2019.11.002
更新日期：2021-01-01 00:00:00
abstract：AIM:To determine the relevance level of non-technical skills of those professionals dedicated to the healthcare of patients with chronic diseases, from an analysis of home care professionals. DESIGN:Quantitative and qualitative research conducted in 2 phases: 1.st from November 2010 to March 2011 and 2.nd from Decembe...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2014.02.009
更新日期：2015-02-01 00:00:00
abstract：AIM:The main aim is to describe the cases of mechanical lumbalgia in relation to clinical and demographic variables, in the period between February and June 1989. The collateral purpose is to analyse the relationship between analgesic/NAI treatment as regards the time needed to resolve the problem. DESIGN:This is an o...
journal_title：Atencion primaria
pub_type： 临床试验,杂志文章
doi：
更新日期：1992-03-15 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 evaluate the link nurse programme after 2 years of operation. DESIGN:Descriptive study. SETTING:Primary vare in the towns of Sant Boi de Llobregat and Sant Vicenç dels Horts (Barcelona) and the County Hospital of Sant Boi, Spain. PATIENTS:Patients discharged from the hospital (October 2000-October 2002)...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(05)70566-7
更新日期：2005-12-01 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：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
更新日期：2007-05-01 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:To find asthma mortality in the city of Barcelona. DESIGN:Descriptive study of mortality. SETTING:City of Barcelona. MAIN MEASUREMENTS:Deaths due to asthma in the city of Barcelona in the period 1983-1993 were studied through the register of mortality at Barcelona's Municipal Institute of Health, which in ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(04)78872-1
更新日期：2004-01-01 00:00:00
