Abstract:
OBJECTIVE:To study the association between the potential inappropriate prescriptions (PIP) and the 30 and 180-day adverse event rate after discharge from a Short Stay Unit (SSU). METHODOLOGY:A retrospective cohort observational study was conducted on patients aged ≥75years discharged from an SSU from February to April, 2014. STOPP-START criteria version2 was used. The main outcome was 30 and 180-day adverse event rate after being discharged. RESULTS:A total of 179 patients, with a mean age of 84 (SD5) years were included. The presence of ≥1PIP after being discharged was not associated with a 30 and 180-day composite adverse event. Patients with ≥1PIP related to a cerebro-cardiovascular process were at higher risk of an adverse event at 30 days after discharge (adjusted OR, 2.1; 95%CI: 1.0-3.2; P=.045), those with ≥1PIP related to neuropsychiatric process and risk of fall were at higher risk of increased 30-day functional impairment (adjusted OR, 6.3; 95%CI: 1.7-22.5; P=.005), and those with ≥1PIP related to omission of cardiovascular system were at higher risk of 180-day hospital readmission (adjusted OR, 3.6; 95%CI: 1.5-8.3; P=.003). CONCLUSIONS:The presence of adverse events in older patients discharged from SSU may be associated with PIP, identified by STOPP-START criteria, and more specifically with drugs related to cardiovascular, neuropsychiatric disorders, and falls.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Rodríguez Del Río E,Perdigones J,Fuentes Ferrer M,González Del Castillo J,González Armengol J,Borrego Hernando MI,Arias Fernández ML,Martín-Sánchez FJdoi
10.1016/j.aprim.2017.03.018subject
Has Abstractpub_date
2018-10-01 00:00:00pages
467-476issue
8eissn
0212-6567issn
1578-1275pii
S0212-6567(16)30277-3journal_volume
50pub_type
杂志文章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:Principally, to establish the prevalence of xerostomia in the general population and, second, to find the association of xerostomia with the consumption of tranquillizers and anti-depression, anti-allergy, anti-Hypertension and hypnotic drugs. DESIGN:A crossover study of prevalence. SETTING:The urban area o...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1998-03-15 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 analyse the qualitative composition of medication prescribed to paediatric patients, in function of the intrinsic value of the medication and active principles used, and to evaluate risks run by children through being exposed to medication. DESIGN:An observational, descriptive, crossover study. SETTING:...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract:OBJECTIVE:To know the health professional profile in the province of Lleida with regard to health education. DESIGN:Observational transversal study. SETTING:All the medicine, nursery and social work colleges in the province of Lleida (3060). PARTICIPANTS:Bachelors in medicine (208), graduates in nursery (252), gradu...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1999-07-01 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:OBJECTIVE:To describe the frequency and distribution of sexual conduct with risk of pregnancy, the degree of information on sexuality and contraceptive methods. To analyze the relationship between sexual conduct with risk of pregnancy and the most relevant variables of social surroundings of the adolescent: family, fri...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1992-02-01 00:00:00
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 ...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1157/13126421
更新日期:2008-09-01 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: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:The aim of this study is to detect alcoholism problems among the young population, using the CAGE test. DESIGN:Transversal descriptive study. SITE. Work developed with high school students (BUP and COU) from a rural context in Aragón. PATIENTS AND OTHER PARTICIPANTS:Random sample of 1,012 students, ordered ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1993-05-15 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 test the validity of Ottawa ankle rules (OAR) in our field. To test the agreement physician/nurse in the assessment of the patient with acute ankle injuries. DESIGN:Observational, with application of rules and prospective outcome measurement. SETTING:Hospital emergency departments. PARTICIPANTS:Adults w...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1999-09-15 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:To analyse the impact of a formative / informative intervention on the treatment of non-oncological chronic pain in Primary Care. DESIGN:Quasi-experimental study before-after, and follow-up of the patient cohort. LOCATION:64 Primary Care teams/centres (770 physicians). PARTICIPANTS:Patients≥14 years withou...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2019.09.001
更新日期:2020-01-01 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:OBJECTIVE:The objective of this study is to assess the usefulness of a programme of attention to pharmaceutical prescriptions (APP) so as to detect medicine-related problems. DESIGN:A descriptive study of the findings after six months operation of this programme. SETTING:Five primary care centres in the Bahía-Cádiz A...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(01)78877-4
更新日期:2001-05-31 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: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:OBJECTIVE:To determine the epidemiological and clinical characteristics of children with Cryptorchidism in our milieu. DESIGN:Crossover study. SETTING:Specialist care. PATIENTS:159 children referred from Primary Care for a Cryptorchidism study. MEASUREMENTS AND RESULTS:Average age of detection: 1.5-3 years. Lateral...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-11-15 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:OBJECTIVE:Epidemiological studies and interventions to reduce inequalities in community health require the assignation of exhaustive and easy-to-obtain social indicators. Occupation and education are two of the most often used. In this study we attempt to evaluate the association between education and occupation among ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(00)78733-6
更新日期:2000-11-30 00:00:00
abstract:OBJECTIVE:To find the views of health professionals on how the terms of the new management agreement with clinical units affect the quality of health delivery. DESIGN:Qualitative study to find professionals' views. Individual opinions of key informers were obtained, secondary sources were analysed and a discussion gro...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(03)70725-2
更新日期:2003-05-15 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:OBJECTIVES:To evaluate the knowledge about medical treatment on people with more than 70 years old, specifically, the understanding, reason for prescription and dosage. To describe the use of natural remedies in the rural environment. To correlate the medication and the natural remedies consumption with health's self-p...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1999-05-15 00:00:00
abstract:OBJECTIVES:The main objective was to evaluate the use of two diagnostic instruments for mental disorders in primary care (PC): the PRIME-MD and the Goldberg anxiety and depression scales. Second, to determine the concordance between the two tests and evaluate the quality of psychiatric diagnosis records in the clinical...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1999-03-31 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: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: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