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 for pharmacoepidemiological research in PC (BIFAP) 2011: 24,575 patients between 2002 and 2011. Diagnoses associated with first prescription of these drugs were grouped into 5 categories: "dementia", "memory impairment", "dementia-related diseases", "intercurrent processes" and "convenience codes". We calculated the prevalence of each category by age and sex for each study year (95%CI) and analysed the associations and trend for 2002-2011 using difference in proportions in independent samples and binary logistic regression. RESULTS:A code of "dementia" was associated with first prescription in 56.5% (95%CI: 55.8-57.1) of patients. It was higher in women [OR1.09 (95%CI: 1.03-1.15)] and with increasing follow-up time [OR1.07 (95%CI: 1.06-1.08) for each year of follow-up]. "Convenience codes" [16.3% (95%CI: 15.8-16.7)] were coded more frequently in women and in those ≥80 years; "Memory impairment" [12.4% (95%CI: 12.0-12.8)], "related diseases" [4.6% (95%CI: 4.4-4.8)] and "intercurrent processes" [10.3% (95%CI: 9.9-10.6)] were used more in men and in persons <80 years. Between 2002 and 2011 improved the use of "convenience codes". CONCLUSIONS:Almost half of the patients taking cholinesterase inhibitors or memantine do not have a diagnosis of dementia registered in their PC-ECR. Registration improves with increasing time of follow-up. Improvements are needed in the PC-ECR, adequate care coordination, and proactive approach to increase the quality of dementia registration.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
de Hoyos-Alonso Mdel C,Bonis J,Bryant V,Castell Alcalá MV,Otero Puime Ádoi
10.1016/j.aprim.2015.03.002subject
Has Abstractpub_date
2016-01-01 00:00:00pages
33-41issue
1eissn
0212-6567issn
1578-1275pii
S0212-6567(15)00091-8journal_volume
48pub_type
杂志文章abstract:OBJECTIVE:To determine the validity of the Centor score (cervical adenopathy, tonsillar exudate, fever, and absence of catarrh symptoms) in diagnosing streptococcal pharyngitis (gold standard: throat swab). DESIGN:Descriptive study. SETTING:San Fernando 2 Health Centre, Madrid (outer urban area), Spain. PARTICIPANTS...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13107724
更新日期:2007-07-01 00:00:00
abstract:OBJECTIVE:For purposes of the present study of people over 65 attending a particular Health Centre, we aimed to discover and inter-relate their morbidity due to chronic illnesses, their frequency of attendance, and the total average outlay of drugs on them. DESIGN:Descriptive crossover study. Information on the clinic...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1992-07-01 00:00:00
abstract:OBJECTIVE:To check whether the information in the written publicity that the pharmaceutical industry gives to family doctors really is based on the scientific studies that support it. DESIGN:Cross-sectional study. SETTING:Health centre on the outskirts of a big city. PARTICIPANTS:Over a year, all the scientific stud...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13075926
更新日期:2005-06-15 00:00:00
abstract:OBJECTIVES:Evaluate the effectiveness of the implementation of independently or combined dietary and physical activity programs on the blood glucose values and lipid profile in patients with type 2 diabetes, including participants aged 60 years and over. DESIGN:Systematic review. DATA SOURCE:PubMed/Medline database, ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2017.06.012
更新日期:2018-12-01 00:00:00
abstract:AIM:Describe gender-based violence by intimate partners against female nurses in a sample of nurses in Andalucia, Spain. DESIGN:Descriptive transversal study. SETTING:Hospitals and primary health care districts in Andalucia. PARTICIPANTS:Six hundred and twenty-two female nurses that work as nurses in the eight provi...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2010.07.009
更新日期:2011-08-01 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::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:
更新日期:1989-04-01 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 discover the perception of health, social support and family function for asymptomatic HIV carriers. DESIGN:This was an observation crossover study, using validated questionnaires. SETTING:Almanjayar and Cartuja Health Centres in Granada. PATIENTS AND OTHER PARTICIPANTS:58 HIV+ patients belonging to the...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1994-03-15 00:00:00
abstract:OBJECTIVE:To analyse the nutritional status of patients older than 65 years included in the home care program (PAD). DESIGN:Croos-sectional study. EMPLACEMENT:3 urban health centers. PARTICIPANTS:218 patients in the PAD. METHOD:Mini Nutritional Assessment questionnaire (MNA) was applied. Sociodemographic, anthropom...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/j.aprim.2017.02.006
更新日期:2018-02-01 00:00:00
abstract:OBJECTIVES:To find the amount of non-compliance with medical treatment for Hypertension and its causes, and to describe the profile of non-compliant patients. DESIGN:A crossover study performed on two home visits. SETTING:A rural Health Centre at Calpe, Alicante. PATIENTS:The sample was obtained from the census of m...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-09-15 00:00:00
abstract:OBJECTIVE:To describe trends and geographical distribution of breast cancer mortality in Andalusian women between 1976 and 1995. DESIGN:Descriptive study. SETTING:Andalusia. PATIENTS AND OTHER PARTICIPANTS:Deaths from breast cancer during the period 1976 to 1995 were obtained. MEASUREMENTS AND MAIN RESULTS:The foll...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-10-15 00:00:00
abstract:OBJECTIVE:To evaluate the costs of influenza epidemics in Spanish society. DESIGN:Observational, longitudinal, and multi-centre study of healthcare and non-healthcare resource use associated with flu. SETTING:Two primary care centres, 3 hospital emergency services, and the medical service at an old people's home. PA...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1157/13092984
更新日期:2006-09-30 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 identify the practices reported by health professionals on hand hygiene; To determine how the practices of hand hygiene are related to socio-demographic and professional variables and variables in the context of practice. MATERIAL AND METHODS:A descriptive-correlational and cross-sectional study conducted...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/S0212-6567(14)70080-0
更新日期:2014-11-01 00:00:00
abstract:OBJECTIVE:To find the prevalence of DM in the population of Albacete, and their relationship with other risk factors. DESIGN:A descriptive cross-sectional population study. SETTING:Community setting in the province of Albacete. PARTICIPANTS:A sample of 2121 people+ over 18 (843 from the capital and 1278 from the res...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(00)78481-2
更新日期:2000-02-28 00:00:00
abstract:OBJECTIVE:To estimate the importance of the working environment in sickness absence, as well as to show possible relationships with clinical-work variables. DESIGN:A descriptive observational study. SITE: Medical Inspection of an Andalusian province. PARTICIPANTS:A total of 1016 workers on certified sick leave due to...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2017.03.011
更新日期:2018-04-01 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: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
更新日期:2018-01-01 00:00:00
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:
更新日期:1995-04-30 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:To describe referrals from primary care (PC) to mental health (MH) and to study the diagnostic and therapeutic concordance between the two. DESIGN:Retrospective, descriptive study. SETTING:Gavà II Primary Care Centre, Barcelona.Participants. All patients referred to MH in 1998, 1999 and 2000 (n=380). MAIN...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(03)70782-3
更新日期:2003-11-30 00:00:00
abstract:OBJECTIVES:To evaluate the efficacy of nursing care and monitoring of patients over 65 in primary care, to reduce the rate of readmission and to extend time till readmission. DESIGN:Non-randomised clinical trial with control. SETTING:Base Area 8, Madrid, Spain. Primary and specialist care. PARTICIPANTS:Patients over...
journal_title:Atencion primaria
pub_type: 临床试验,杂志文章
doi:10.1157/13123681
更新日期:2008-06-01 00:00:00
abstract:OBJECTIVE:To assess the effectiveness of an educational intervention on antibiotic adherence and patient-reported resolution of symptoms. DESIGN:A controlled experimental study with systematic assignment to groups. SETTING:A pharmacy in Murcia. Participants were patients who came to the pharmacy with a prescription f...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2013.12.003
更新日期:2014-08-01 00:00:00
abstract:OBJECTIVE:This study aims to discover the individual, microsocial and macrosocial factors and the milieu which lead to today's pattern of adolescent alcohol consumption. DESIGN:A descriptive, crossover study without randomisation. SETTING:Primary Care. School population from the Bajo-Asón Centre 1 Health Area, Cantab...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-10-31 00:00:00
abstract:OBJECTIVE:To design and validate a self-administered questionnaire to evaluate sexual function in women. DESIGN:Cross-sectional, multi-centre study. SETTING:Primary care, in 9 health centres of the Community of Valencia. PARTICIPANTS:Women not at risk of sexual dysfunction, selected by consecutive sampling. Initial ...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/s0212-6567(04)79497-4
更新日期:2004-10-15 00:00:00
abstract:OBJECTIVE:To evaluate the prescription of generic medicines by the primary care doctors in a health district after an intervention programme conducted by the area pharmacist. DESIGN:Intervention study. Two indicators were selected as indicators of pharmaceutical prescription of generics. SETTING:Primary care. Distric...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13087380
更新日期:2006-04-30 00:00:00
abstract::We have evaluated serum cholesterol in a primary care center with a recently introduced portable analyzer: Reflotron (Boehringer Mannheim). The linearity and exactitude were investigated with Hitachi 704 (Boehringer Mannheim) used in the reference laboratory. Accuracy was also tested. We found a good accuracy after re...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1990-05-01 00:00:00
abstract:AIM:To describe the minor surgery (MS) characteristics in a Primary Care (PC) centre, and to evaluate the clinical pathological concordance and patient satisfaction. DESIGN:Descriptive and retrospective study. SETTING:Primary Care, urban health care centre, Almería, Spain. PARTICIPANTS:The population were the patien...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2016.05.002
更新日期:2017-02-01 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