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:A study of 61 cases (AMI) and 144 controls. Sampling with random start, without matching. COR-II curves were analysed, and effectiveness was estimated using sensitivity and negative predictive value (NPV). A questionnaire was provided to participating family physicians on the applicability of ETAP in the clinic. RESULTS:The opinion of the participating physicians was unanimously favourable. ETAP was easy to use in the clinic, required less than 3min per patient, and was useful to reinforce the preventive intervention. The ETAP COR-II curve showed that 20years of exposure was the best cut-off point, with an area under the curve of 0.70 (95%CI: 0.62-0.78), and a combination of sensitivity (98%) and NPV (96%) for AMI. When stratifying age and gender, all groups achieved sensitivities and NPVs close to 100%, except for men aged ≥55years, in whom the NPV fell to 75%. CONCLUSIONS:The results indicate that ETAP is a valid tool that can be applied and be effective in the clinical practice of Primary Care for the prevention of AMI related to smoking exposure.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
González Romero MP,Cuevas-Fernández FJ,Marcelino-Rodríguez I,Covas VJ,Rodríguez Pérez MC,Cabrera de León A,Aguirre-Jaime Adoi
10.1016/j.aprim.2017.05.010subject
Has Abstractpub_date
2018-01-01 00:00:00pages
414-421issue
7eissn
0212-6567issn
1578-1275pii
S0212-6567(16)30606-0journal_volume
50pub_type
杂志文章abstract：OBJECTIVE:To evaluate the prevalence of deformities of the vertebral column in the child population of a rural area; the index of false positives that diagnoses in the School Health programme generate; and the percentage of children where the diagnosis is confirmed and the treatment is then followed. DESIGN:Descriptiv...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1992-04-01 00:00:00
abstract：OBJECTIVE:Determination of whether rational drug use is facilitated by the quality of the information provided by the Medicom International Vademecum on drugs containing vitamin A as active component. DESIGN:Descriptive study. SETTING:Primary, specialized and hospital health care within the national context. SUBJECT...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-05-31 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：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：OBJECTIVES:To determine the relationship between some characteristics (cost, intensity, quality) of prescriptions issued by general practitioners in a health district and their patient loads, controlling for possible confounders. To analyze the intensity of prescription of certain groups of therapeutic drugs according ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2010.02.010
更新日期：2011-02-01 00:00:00
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：
更新日期：1990-01-01 00:00:00
abstract：OBJECTIVE:To assess the current state of knowledge and attitudes on the advance directives (living wills) document of professionals working in primary. DESIGN:Descriptive, cross-sectional study. PARTICIPANTS:Primary care professionals. SETTING:Catalonia Health Institute, Maresme Province, Barcelona. METHODS:An anon...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2010.02.011
更新日期：2010-09-01 00:00:00
abstract：AIMS:Analyze the relation between objective health assessment (OHA) -Forced spirometry- and subjective health assessment (SHA) -quality of life- in patients with chronic obstructive pulmonary disease (COPD). Analyze the correlation between two different questionnaires to assess quality of life. DESIGN:Cross-sectional ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(01)70457-x
更新日期：2001-11-30 00:00:00
abstract：:Research is one of the fundamental functions that have to be carried out in Primary Care. The clinical information stored in different records arising from medical care is a basic tool for this activity. The use of personal data for the purposes of research is legitimate according to our laws; however, this informatio...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2011.02.009
更新日期：2012-03-01 00:00:00
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
更新日期：2009-02-01 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：OBJECTIVE:To identify and analyse the "theory" expressed by family doctors on the essential features of an effective and functional doctor-patient relationship and on how to achieve one ("stated theory" of Argyris and Schon). DESIGN:Qualitative, based on discourse analysis. SETTING:Primary care. METHOD:Interviews re...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13106284
更新日期：2007-06-01 00:00:00
abstract：OBJECTIVES:To describe sociodemographic and clinical characteristics of a diabetic population. To relate sociodemographic and clinical evolutionaries variables. DESIGN:Descriptive transversal study. SETTING:Three urban Primary Health Centers (PHC). Participants. Diabetic patients attended in these PHC.Measurements. ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(02)70616-1
更新日期：2002-05-15 00:00:00
abstract：OBJECTIVE:To detect problems that terminal cancer patients pose to primary health care (PHC) professionals. DESIGN:Cross-sectional study. SETTING:PHC professionals of the Manresa (province of Barcelona) health Sector of the National Health System. PARTICIPANTS:151 professionals (87 physicians and 64 nurses). MEASUR...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1994-04-15 00:00:00
abstract：:The effectiveness and safety of sustained action nifedipine (NF) were compared to those of chlorthalidone (CL) in two groups of 35 and 37 patients with mild to moderate hypertension followed up for 4 months. There was a significant reduction in blood pressure (BP) after 15 days of therapy. The degree of control was ac...
journal_title：Atencion primaria
pub_type： 临床试验,杂志文章
doi：
更新日期：1990-04-01 00:00:00
abstract：OBJECTIVE:To know the health problems or diseases that patients of 2 basic health areas (BHA) assess as the most important for Spanish population and for themselves; to know if any relation exists between these problems and their existence in the family or social patients' environment. DESIGN:An observational cross-se...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(01)78945-7
更新日期：2001-09-15 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：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：: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：OBJECTIVES:Despite the growing body of legal and normative regulations regarding promotion, sales and consumption of cigarettes, a few studies have already pointed to a low enforcement and commitment of these restrictions. This study explores the degree of awareness and compliance of these norms in the secondary school...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1999-12-01 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
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...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13116153
更新日期：2008-02-01 00:00:00
abstract：SETTING:Community level. "Santa María de Benquerencia" Health District, Toledo. PARTICIPANTS:People over 15, chosen by random sampling from the municipal census, who stated that they had suffered some health disorder over the previous fortnight. MEASUREMENTS AND MAIN RESULTS:212 surveys were accepted as valid (averag...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1995-06-15 00:00:00
abstract：BACKGROUND:The Spanish Family Medicine National Commission is proposing a new portfolio-type Specialist Training Book (STB). OBJECTIVE:To pilot its contents, structure, and implementation strategies. DESIGN:Cross-sectional, descriptive study. SETTING:A Provincial Family Medicine Teaching Unit. PARTICIPANTS:Twenty-e...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13109498
更新日期：2007-09-01 00:00:00
abstract：OBJECTIVE:To evaluate the level of agreement between information compiled from the Vademecum, the Pharmaceutical Catalogue and instruction leaflets on the four excipients most commonly used to prepare pharmaceutical products (saccharin, saccharose, lactose and ethanol). DESIGN:Descriptive study. SETTING:Primary care....
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1996-09-15 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 describe the experience of women caregivers with chronic conditions who care for a dependent relative. DESIGN:Qualitative study based on constructivist grounded theory. LOCATION:Study conducted on two Health Areas urban of the Community of Madrid. PARTICIPANTS:Thirty nine women with a chronic condition ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2015.03.006
更新日期：2016-02-01 00:00:00
abstract：:The aim of the present study was to evaluate the prevalence of certain cardiovascular risk factors in the population of Asepeyo-Elche. The study sample was a working population of 697 persons (71.8% males and 28.2% females) with ages ranging from 15 to 65 years (mean age 34.7 +/- 13.2 years), seen during the first 6 m...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1991-06-01 00:00:00
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：
更新日期：1996-05-15 00:00:00
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
更新日期：2017-03-01 00:00:00
