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 primary care centers with the diagnosis of heart failure in medical records were included. MAIN OUTCOME MEASUREMENTS:Demographic data, comorbidities and therapeutical subgroups in patients with a diagnosis of heart failure in their clinical record. RESULTS:Heart failure was found in 0.99% (3017 from 306229 patients), of whom 59% were women, and a mean age of 80 years. Comorbidities: hypertension 67%, diabetes 30%, hyperlipidemia 26.5%, obesity 27%, ischemic heart disease 19%, stroke 11%, atrial fibrillation 31%, COPD 26%, renal failure 12%. Hypertension, hyperlipidemia and obesity were more frequent in women, COPD, ischemic heart disease and renal failure in men. There were no differences in diabetes, stroke and atrial fibrillation. Patients were prescribed a median of 8 different therapeutic subgroups (P25=6 and P75=11). Women were more frequently prescribed diuretics (76%), cardiac glycosides (22%) and ACE inhibitors/angiotensin II receptor antagonists, and men ACE inhibitors/angiotensin II receptor antagonists in combination with beta-blockers. CONCLUSIONS:Heart failure patients in primary care are elderly, with significant co-morbidities and treated with a high number of drugs. Gender differences exist in cardiovascular risk factors, co-morbidities, and also in therapy.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Galindo Ortego G,Esteve IC,Gatius JR,Santiago LG,Lacruz CM,Soler PSdoi
10.1016/j.aprim.2010.03.021subject
Has Abstractpub_date
2011-02-01 00:00:00pages
61-7issue
2eissn
0212-6567issn
1578-1275pii
S0212-6567(10)00399-9journal_volume
43pub_type
杂志文章,多中心研究abstract：OBJECTIVE:To discover the prevalence and most relevant epidemiological characteristics of the victims of traffic accidents which occur in our health area. SETTING:Hospital Casualty department (HC), Health area 19, Alcoy. PATIENTS:This was an observational, crossover study, based on the collection of data from all tho...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1993-09-15 00:00:00
abstract：OBJECTIVE:The aim of this study is to estimate risky-drug use patterns of consumption of primary care patients. DESIGN:Multicentric descriptive cross-sectional study. SETTING:five primary health care centers of the South of Madrid. PARTICIPANTS:all patients between 16-100 year-old consulting with their family physic...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/j.aprim.2017.03.021
更新日期：2019-04-01 00:00:00
abstract：OBJECTIVE:To evaluate the results of a programme of intervention into the monitoring of short-term unfitness for work of members of the Special Sea Regime at Cádiz during 1997. DESIGN:Quasi-experimental intervention study with a pre- and post-intervention group, formed by the doctors from the Instituto Social de la Ma...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1999-11-30 00:00:00
abstract：OBJECTIVES:The main objective was to determine the prevalence of the burnout syndrome among health workers and its distribution by social, demographic and work variables. The secondary aim was to detect potentially modifiable causes. DESIGN:Descriptive cross-sectional study. SETTING:Primary care. PARTICIPANTS:All th...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(01)79373-0
更新日期：2001-03-31 00:00:00
abstract：OBJECTIVES:To choose, as part of a strategy of change in the records system, the best sampling design for obtaining data on primary care activity and to evaluate the appropriateness of introducing this design. DESIGN:An experimental study of the errors committed and the precision of four different sampling designs. A:...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1996-04-15 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：OBJECTIVE:To describe the process of development of community health in a territory where the Primary Health Care board decided to include it in its roadmap as a strategic line. DESIGN:Evaluative research using qualitative techniques, including SWOT analysis on community health. Two-steps study. LOCATION:Primary care...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2015.10.009
更新日期：2016-12-01 00:00:00
abstract：:The general situation of pediatric care in Asturias is characterized by the imbalance between the two levels of care, with a high number of hospital beds and staff members, requiring a redistribution in number and functions, and a deficit in staff and material resources at the primary care level, with massified practi...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1989-01-01 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: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 ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：2003-09-30 00:00:00
abstract：OBJECTIVE:To find the origin of primary care pharmaceutical prescription and where expenditure is attributed. DESIGN:A descriptive study of a prospective character. SETTING:Medical clinics of a primary care team at the Torre del Mar Health Centre, Málaga. MAIN RESULTS:A total of 2,580 prescriptions, whose average pr...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1996-06-15 00:00:00
abstract：OBJECTIVES:To find the factors linked to erectile dysfunction, to evaluate this as a possible marker of health status, to analyse the evolution of clinical parameters of associated illnesses and the response to Viagra.Design. Intervention study without a control. SETTING:Alguazas Health Centre (Murcia). PARTICIPANTS:...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(02)79030-6
更新日期：2002-09-30 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 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：OBJECTIVE:To evaluate the quality of the care provided for low-level urinary infections in the Toledo Health Area. DESIGN:Retrospective study based on data on procedures supplied from clinical histories. SITE. Primary Care teams in the Toledo Health Area. PATIENTS OR OTHER PARTICIPANTS:Those patients over 14 with a p...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1992-11-01 00:00:00
abstract：OBJECTIVE:To determine the percentage of patients over 65 years of age with potential problems derived from the consumption of medications, and identify associated variables. DESIGN:A descriptive cross-sectional study. SETTING:Otero y Paulino Prieto Health Centers (Oviedo). PATIENTS:A randomly selected group of 298 ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-07-01 00:00:00
abstract：OBJECTIVE:To evaluate, using a scheme to monitor arterial pressure in out-patients (MAPOP), how well patients were able to control their light arterial hypertension after hygienic-dietary measures had been found insufficient. DESIGN:Observational study. SITE. Urban health centre. PATIENTS:18 people suffering from lig...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1993-02-01 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
abstract：OBJECTIVE:To compare the effectiveness of two interventions in the treatment of obese patients: hypocaloric diet and hypocaloric diet plus serotoninergic medication. DESIGN:Randomised clinical trial. SETTING:Primary Care. Out-patient Endocrinology clinic. PATIENTS:The trial included 60 obese adults, assigned at rand...
journal_title：Atencion primaria
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：1995-10-15 00:00:00
abstract：OBJECTIVES:To explore intentions, motivations and country preferences related with professional emigration in a sample of advanced medical students. DESIGN:Cross sectional and descriptive study. SETTING:11 Universities in Spain. PARTICIPANTS:A total of 740 students in their two final courses. PRIMARY MEASUREMENTS:T...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2010.01.017
更新日期：2011-05-01 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：OBJECTIVE:To determine the distribution of the public health spending (PHS) among health sectors from 2002 to 2008, and the eventual regional inequalities related to the regional income level and the ageing population. DESIGN:A longitudinal and retrospective study. SETTING:Spain. PARTICIPANTS:The 17 Autonomous Commu...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2011.01.005
更新日期：2012-01-01 00:00:00
abstract：OBJECTIVES:The main aim was to calculate the prevalence of mental pathology in women between 18 and 70 in a Health District of Pamplona; second, to describe comorbidity and to analyse how mental pathology was recorded in the clinical histories. DESIGN:An observational crossover study with randomised selection. SETTIN...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-03-31 00:00:00
abstract：OBJECTIVE:To work out and validate a questionnaire that can be self-filled and has closed answers to describe: 1) the kind of relationship between family doctors and the pharmaceutical industry; 2) the attitude of family doctors towards this relationship, and 3) the conduct of family doctors when faced with concrete of...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(04)79465-2
更新日期：2004-06-30 00:00:00
abstract：OBJECTIVES:To estimate the use of cardiovascular medicines and its distribution by age and sex. DESIGN:Observational study. SETTING:Region of Murcia. MAIN MEASUREMENTS:Daily doses of cardiovascular drugs prescribed and dispensed in all the pharmacies of the Region per 1,000 inhabitants-day (DHD). A comparison was ma...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2013.09.003
更新日期：2014-03-01 00:00:00
abstract：OBJECTIVE:To study the use of single consultation in Primary Care/Psychiatry liaison. DESIGN:A retrospective study. SITE. Outpatients psychiatry department. Hospital Clínico Universitario. Zaragoza. PATIENTS OR OTHERS PARTICIPANTS:200 consecutive referrals. PERIOD:June-December 1992. MEASUREMENTS AND MAIN RESULTS:G...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1994-02-28 00:00:00
abstract：:Recognizing the clinical heterogeneity of COPD suggests a specific therapeutic approach directed by the so-called clinical phenotypes of the disease. The Spanish COPD Guidelines (GesEPOC) is an initiative of SEPAR, which, together with the scientific societies involved in COPD patient care, and the Spanish Patient For...
journal_title：Atencion primaria
pub_type： 杂志文章,实务指引
doi：10.1016/j.aprim.2012.04.005
更新日期：2012-07-01 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 estimate the effectiveness of a Medication Discrepancy Detection Service (MDDS), a collaborative service between the community pharmacy and Primary Care. DESIGN:Non-controlled before-and-after study. SETTING:Bidasoa Integrated Healthcare Organisation, Gipuzkoa, Spain. PARTICIPANTS:The service was provid...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2020.04.008
更新日期：2021-01-01 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
