Abstract:
OBJECTIVE:To determine the prevalence of chronic kidney disease and associated risk factors in subjects over 60 years of age, as well as its staging by determining the glomerular filtration rate (GFR). DESIGN:Cross-sectional observational study. SETTING:Primary Health Care. PARTICIPANTS:Patients≥60 years of age who were seen in 40 Primary Health Care centres with serum creatinine measured in a central laboratory between January 1 and December 31, 2010. EXCLUSION CRITERIA:kidney transplant, home care. MAIN MEASURES:Social-demographic and anthropometric data, cardiovascular risk factors, and diseases established according to electronic clinical records. Serum creatinine was measured using standardised Jaffe kinetic method, and GFR estimated with MDRD-4-IDMS and CKD-EPI. RESULTS:A total of 97,665 subjects (57.3% women, median age 70.0 years [Q1: 65.0, Q3: 77.0]). GFR-MDRD prevalence<60=15.1% (16.6% in women, 13.2% in men; P<.001) and increased with age. Multivariate analysis showed a positive association between GFR-MDRD<60 and age (OR=1.74; 95% CI 1.70 to 1.77), hypertension (OR=2.18; 95% CI 2.08 to 2.30), heart failure (OR=2.03; 95% CI 1.83 to 2.25), atrial fibrillation (OR=1.57; 95% CI 1.41 to 1.76), ischaemic heart disease (OR=1.40; 95% CI 1.30 to 1.50), peripheral arterial disease (OR=1.31; 95% CI 1.09 to 1.57), dyslipidaemia (OR=1.28; 95% CI 1.23 to 1.33), diabetes (OR=1.26; 95% CI 1.17 to 1.34), and stroke (OR=1.17; 95% CI 1.09 to 1.25). The GFR-CKD-EPI model showed an increase in OR with age and male sex, that became significant as a chronic kidney disease risk factor. CONCLUSIONS:Chronic kidney disease has considerable prevalence in subjects≥60 years seen in Primary Health Care, more in women, and increasing with age. Hypertension, more than diabetes, was the main associated cardiovascular risk factor.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Salvador González B,Rodríguez Pascual M,Ruipérez Guijarro L,Ferré González A,Cunillera Puertolas O,Rodríguez Latre LMdoi
10.1016/j.aprim.2014.06.003subject
Has Abstractpub_date
2015-04-01 00:00:00pages
236-45issue
4eissn
0212-6567issn
1578-1275pii
S0212-6567(14)00232-7journal_volume
47pub_type
杂志文章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:An analysis of the impact of the commercialisation of intranasal administration on calcitonin consumption. DESIGN:Descriptive study. SETTING:Non-hospital ambit within the national health system. PATIENTS AND OTHER PARTICIPANTS:A protected population group within the national health system, with occupationa...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1995-03-15 00:00:00
abstract::The program of help to the smoker (PHS) consists of a systematic intervention upon the whole of the demanding population, identifying the smokers and acting on them with a short, concise advise in all visits. The results after 2 months of operation of the PHS in a primary care center are reported. Among 483 persons 10...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1991-05-01 00:00:00
abstract:OBJECTIVE:To identify health professionals concerns on the organisational issues of a randomised clinical trial. DESIGN:A qualitative cross-sectional, descriptive study. SETTING:Primary Care Area 11, Madrid, Spain. PARTICIPANTS:Twenty-four doctors and nurses from 4 primary care teams. METHOD:Three planning meetings...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(06)70527-3
更新日期:2006-10-31 00:00:00
abstract:OBJECTIVE:To evaluate the efficacy of an educational intervention to minimise the prescription of those new medicines whose therapeutic effects are of little benefit. DESIGN:Controlled and randomised experimental study. SETTING:27 health centres in the province of Sevilla, Spain. PARTICIPANTS:376 general practitione...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1157/13080299
更新日期:2005-10-31 00:00:00
abstract:OBJECTIVES:Ascertain what effect post-natal visits have on recruiting involvement in the mother and child programme of activities. Identify the profile of mothers and children with little involvement in these activities. Ascertain how suitable the register is. DESIGN:Study of cohorts of previous years. The term expose...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1992-09-15 00:00:00
abstract:OBJECTIVE:The objectives of the present study are to describe to the social particularizations, reasons for consultation and diagnoses conducted in the adult immigrants without regularizing that they went to this doctor's office in the district of Villaverde-Usera (Madrid), excluding the data from obstetrics-gynecology...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:2001-01-01 00:00:00
abstract:OBJECTIVE:To critically analyse the concept of nursing prescription through the study of its background and a review of the scientific literature, in order to develop an accurate conception of this nursing activity and to identify the essential elements surrounding this concept. METHOD:Application of the concept analy...
journal_title:Atencion primaria
pub_type: 杂志文章,评审
doi:10.1016/j.aprim.2018.06.006
更新日期:2019-04-01 00:00:00
abstract::We describe one of four epidemic known outbreaks of type "A" hepatitis during the year 1987 in Jaén, and whose focal point was a day nursery placed in our sanitary area. We identify 75 cases; we followed 48 from a pediatric surgery (PS), 33 of them were from a day nursery (attack rate, 31.73%). To the 48 children from...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1989-08-01 00:00:00
abstract:OBJECTIVES:To evaluate the results of pharmaceutical intervention in a programme to monitor the drug therapy of type-2 diabetics; and to assess the improvement of the indicators, glycosylated haemoglobin, basal glycaemia, lipid profile, albumin/creatinine, blood pressure, BMI, medication-related problems and adherence....
journal_title:Atencion primaria
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0212-6567(04)79451-2
更新日期:2004-06-15 00:00:00
abstract:AIMS:To learn how the elderly people in our health area see their own state of health (AS) in relation with certain variables. DESIGN:Transverse. Survey of socio-economic and health characteristics. LOCATION:Community oriented primary care. PATIENTS OR OTHERS PARTICIPANTS:232 psychically capable people aged 65 or ov...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1992-10-01 00:00:00
abstract:OBJECTIVES:To analyse the risk of pneumonia and/or exacerbations in patients with chronic obstructive pulmonary disease (COPD) who receive treatment with inhaled corticosteroids (CI), in comparison with those who are not treated with inhaled corticosteroids (NCI). To estimate the risk of pneumonia according to CI dose....
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2018.02.007
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVES:To find how much alcohol, tobacco and drugs adolescents consume and identify some linked socio-family variables. DESIGN:A crossover and descriptive study, with randomised sampling stratified by classrooms. SETTING:Secondary schools in the town of Lugo. PATIENTS AND OTHER PARTICIPANTS:805 students of both ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1996-10-31 00:00:00
abstract:OBJECTIVE:To discover the evolvement of Primary Care doctors' tobacco consumption in Guipuzcoa and their attitudes to tobacco dependency. DESIGN:A descriptive study of a crossover type. October 1992. SETTING:Primary Health care. PARTICIPANTS:381 general physicians and paediatricians from Guipuzcoa province. MEASURE...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1994-11-30 00:00:00
abstract:AIMS:To assess the level of immunity in a healthy population to the hepatitis A virus (HAV), according to age groups and in an urban health area. DESIGN:Transversal random prospective study of a sample of the population found by letters. SITE. Primary Care Centre covering the population of an urban health area in Vall...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1992-01-01 00:00:00
abstract:OBJECTIVE:To evaluate and compare the use of the different primary care (PC) services between immigrants and the indigenous population. DESIGN:Cross-sectional observation study of a population seen in (PC). SETTING:Patients seen by 15 PC doctors, in 5 basic health areas (BHA) in the city of Lleida, Spain, from March ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13120588
更新日期:2008-05-01 00:00:00
abstract:OBJECTIVE:To analyse information on adolescent use of tobacco in Spain from different school surveys. DESIGN:Data on daily smoking prevalence by sex at the end of compulsory education is extracted and figures are compared, analysing trends. SETTING:The five representative studies on adolescents in Spain are reviewed:...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2010.12.016
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVE:To assess the views of primary care physicians (PCPs) in Spain regarding the purpose of inspection validation of prescriptions (IVP) and its impact on prescription and patients, as well as doctors' acceptance of this measure. DESIGN:Cross-sectional study through a telephone survey. SETTING:Primary care cent...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13086315
更新日期:2006-03-31 00:00:00
abstract:OBJECTIVE:To carry out a budget impact analysis (BIA) of olmesartan/amlodipine (20/5, 40/5 and 40/10mg) marketed as a fixed combination (FC) in its approved indication for the National Health System (NHS). DESIG:We developed a decision tree model in order to estimate usual hypertension treatment algorithm in Spanish c...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2010.04.017
更新日期:2011-07-01 00:00:00
abstract:OBJECTIVE:To describe the health situation of the target population (women between 15 and 45 and children from 0 to 3), living in the towns on the West Bank in which the 12 dispensaries of the Palestine NGO Health Services Council were located, in order to plan a programme of support activities for that NGO. DESIGN:Cr...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1998-11-15 00:00:00
abstract:OBJECTIVE:The aim of this study was to identify multimorbidity patterns in patients from 19 to 44 years attended in primary care in Catalonia in 2010. DESIGN:Cross-sectional study. SETTING:251 primary care centres. PARTICIPANTS:530,798 people with multimorbidity, aged 19 to 44 years. MAIN OUTCOME MEASURES:Multimorb...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2015.10.006
更新日期:2016-08-01 00:00:00
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
更新日期:2015-04-01 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:OBJECTIVES:The overall objective is to prioritize health care for women and children at higher social risk. DESIGN:Intervention study. SETTING:An urban health centre. PATIENTS:Women and children using a programme for mothers and infants at greater social risk. Infant health (IH): immigrant children, low social and e...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-04-30 00:00:00
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
更新日期:2007-02-01 00:00:00
abstract:OBJECTIVE:To describe the parental knowledge and care of fever in children under 2years. Relate this data with socio-demographic with characteristics. DESIGN:Cross-sectional and correlation multicenter study. LOCATION:Five teams of Primary Care in Barcelona. PARTICIPANTS:Parents of children under 2years attended to ...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/j.aprim.2016.11.011
更新日期:2017-10-01 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:OBJECTIVE:Study of the prevalence of smoking among La Rioja's health professionals. DESIGN:Descriptive study. SETTING:The Autonomous Community of La Rioja. PARTICIPANTS:A random sample of health workers taken from the censuses of their respective Professional Colleges on February 1st, 1988. RESULTS:Of a representat...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1994-04-30 00:00:00
abstract::The pandemic of the disease known as COVID-19 (acronym for coronavirus disease-2019), which was first detected in the Chinese city of Wuhan in December 2019, has led to an international public health emergency. This due to several reasons (threat to the lives of many people, unprecedented health and socioeconomic cris...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2020.09.004
更新日期:2020-11-01 00:00:00
abstract:OBJECTIVE:To analyse the modifications in cardiovascular risk in patients seen over two years in adult services for dyslipaemia, diabetes mellitus or hypertension. DESIGN:Observational, retrospective study with repeated measurement tests. SETTING:Two health centres. PATIENTS:265 patients attended by the above servic...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(01)78857-9
更新日期:2001-05-15 00:00:00