Abstract:
OBJECTIVE:To determine the usefulness of ultrasound examination in Primary Care (PC) for the detection of abdominal aortic aneurysm (AAA) in male patients from 65-75 years old, as well as the consistency between observers on the diagnosis between general practitioners and the reference specialty in this area, Vascular Surgery. To estimate the prevalence of AAA in that population and its association with risk factors. DESIGN:Cross-sectional descriptive study. LOCATION:Healthcare Centres of Coto and Calzada II (Gijón, Spain). PARTICIPANTS:Males born between 1 January 1939 and 31 December 1950. INTERVENTIONS:From the 2,511 males found, 407 were selected using stratified random sampling. Aortic diameter was measured, with those ≥3cm and 20% from the <3cm being referred for a second measurement by a vascular surgeon. VARIABLES:Dependent: presence/absence of aneurism. Independent: age, abdominal perimeter, smoking, arterial hypertension, diabetes, dyslipidaemia, familial cases of AAA, cerebrovascular accident, and coronary disease. The analysis was performed using Bayesian inference with models for proportions and a multivariate logistic regression. RESULTS:From 304 ultrasound scans performed, 13 were referred with suspicion of AAA, and 63 with were within normal. The sensitivity was 93.3% and specificity 98.5% with a 95% credibility interval (CredI) of 75.4-99.9%, and 94.3-100%, respectively. The prevalence was 4.6% (95% CredI: 2.5-7.2%, and the intraclass correlation coefficient between PC and Vascular Surgery was 0.88 (95% CredI: 0.79-0.94). Age, smoking, dyslipidaemia, and diabetes tended to increase the odds of prevalence of AAA. CONCLUSION:The ultrasound performed by GPs for the detection of AAA had high diagnostic validity. Further studies on the effectiveness should be conducted in order to assess the appropriateness of introducing a system of early detection of AAA in the risk population.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Bravo-Merino L,González-Lozano N,Maroto-Salmón R,Meijide-Santos G,Suárez-Gil P,Fañanás-Mastral Adoi
10.1016/j.aprim.2017.10.005subject
Has Abstractpub_date
2019-01-01 00:00:00pages
11-17issue
1eissn
0212-6567issn
1578-1275pii
S0212-6567(17)30468-7journal_volume
51pub_type
杂志文章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: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: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 quantify and describe the self-treatment existing among users requesting a consultation about an illness which had commenced in the previous 15 days. DESIGN:Observational prospective study. SETTING:Primary care in a semi-rural environment. Family Medicine Unit in Valls (Tarragona). PATIENTS AND OTHERS P...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1993-03-15 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
abstract:OBJECTIVE:To quantify and to evaluate the reliability of Primary Care (PC) computerised medication records of as an information source of patient chronic medications, and to identify associated factors with the presence of discrepancies. DESIGN:A descriptive cross-sectional study. LOCATION:General Referral Hospital i...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2015.05.003
更新日期:2016-03-01 00:00:00
abstract:OBJECTIVES:To analyse the pathology diagnosed on the basis of the gastroscopies requested from a primary care centre (PCC). Assessment and treatment of Helicobacter pylori (HP) infection. DESIGN:Retrospective and descriptive. SETTING:Urban PCC. PATIENTS:Those over 14 who had a gastroscopy for a diagnostic purpose, r...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(00)78496-4
更新日期:2000-03-15 00:00:00
abstract:OBJECTIVE:The echocardiogram (ECC) is not available to all Spanish General Practitioners (GP) despite its proven benefits in prevalent diseases, such as hypertension and heart failure. STUDY OBJECTIVE:To analyse the clinical adequacy of the application, performance, and diagnostic and therapeutic decisions of ECC indi...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/j.aprim.2011.03.007
更新日期:2012-04-01 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
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:OBJECTIVE:To analyse association between the development of type 2 diabetes and the health-related quality of life (HRQL). DESIGN:Descriptive cross-sectional study. SETTING:Primary care centre in Ayamonte (Huelva). PARTICIPANTS:Selection by simple random sampling between the patients registered with type 2 diabetes:...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2010.03.014
更新日期:2011-03-01 00:00:00
abstract:AIM:To determine the effectiveness of medical counseling for alcohol abuse, when it is provided in primary care centers. DESIGN:Quasi-experimental, open, multicenter before-after study.Setting. 14 primary care physician's practices (7 rural, 7 urban) in the province of Córdoba (Spain). PARTICIPANTS:306 patients of bo...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/s0212-6567(03)70674-x
更新日期:2003-02-28 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:OBJECTIVES:To find whether the variables age, gender, speciality, training and type of contract of primary care doctors, as well as the size of their patient lists and the sort of centre where they work, affect their absenteeism, as measured by time off work sick. DESIGN:An observational, crossover study. SETTING:Nou...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1996-03-15 00:00:00
abstract:OBJECTIVES:To find how many diabetics should receive anti-aggregant treatment according to the recommendations made since 2001 by the American Diabetes Association (ADA), how many cardiovascular events could be avoided by 100 mg daily of acetylsalicylic acid (ASA), and the cost per event avoided by this measure. DESIG...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(03)70699-4
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVES:To find the seroprevalence of Toxoplasma gondii in pregnant women and identify associated factors. To assess the relevance of systematic screening of pregnant women. DESIGN:A descriptive crossover study of prevalence. SETTING:Primary Care in the "Puerto de la Torre" district of Málaga. PATIENTS:Pregnant w...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1995-07-01 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:OBJECTIVE:To know the views, experiences and expectations of care provided by the Andalusian Public Health System (SSPA) of users of an urban area in need of social transformation (ZNTS). DESIGN:Qualitative methodology (exploratory study). LOCATION:Urban basic health zone (16,000 inhabitants, 40% ZNTS). PARTICIPANTS...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2013.01.016
更新日期:2013-08-01 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::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 find the pattern of mortality in people between 1 and 14 years old and how this evolved between 1980 and 1993. DESIGN:A descriptive, epidemiological study. SETTING:State-wide study of mortality. PATIENTS AND OTHER PARTICIPANTS:The source of information were the vital statistics published by the National...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-11-30 00:00:00
abstract:AIMS:To determine the attitudes of community-dwelling elderly patients about the possibilities for cure of urinary incontinence. DESIGN:Cross-sectional study. INTERVENTIONS:A specific questionnaire on urinary incontinence and the Barthel Index Modified by Shah. LOCATION:Basic Health Zone of Cabra (Córdoba, Spain). ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(00)78708-7
更新日期:2000-10-31 00:00:00
abstract:OBJECTIVE:To evaluate the attitudes, knowledge and training needs for primary care health professionals (PCP) dealing with HIV/AIDS infection. DESIGN:An observational, crossover study. SETTING:primary care: health districts in the Ciutat Vella health area of the city of Barcelona. PARTICIPANTS:34 nursing professiona...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-05-15 00:00:00
abstract:AIM:To analyze if breast-feeding (BF) is a protective factor against infectious diseases. DESIGN:Case-control study. Retrospective study during 1998. SETTING:Primary care. Teaching health center. Population of 22,500 inhabitants. PATIENTS:We consider an alpha risk of .05 and a beta risk of .20, unilateral hypothesis...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13071939
更新日期:2005-02-28 00:00:00
abstract:OBJECTIVE:To validate a self-administrable version of the SMAST questionnaire for diagnosing alcoholism at the primary care level. DESIGN:A descriptive study of a crossover type. SETTING:An urban health centre. PATIENTS AND OTHER PARTICIPANTS:497 patients over 15, selected at random from the log-book of daily demand...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1994-06-30 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 determine the validity and usefulness of brain natriuretic peptide (BNP) for diagnosing left ventricular dysfunction (LVD). DESIGN:Prospective, descriptive, multi-centred study to validate the diagnostic test. SETTING:Primary care centres in the Community of Madrid, Spain. PARTICIPANTS:Consecutive sampl...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(05)70554-0
更新日期:2005-11-30 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: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::An evaluation study has been done on the quality of long-term drugs prescription. The aim was to check the effectiveness of certain corrective measures agreed by the professionals working in a primary care centre. Using the results of a first evaluation made in 1989, a series of recommendations were made to reduce the...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1991-12-01 00:00:00