Abstract:
OBJECTIVE:The aim of this study is to estimate risky-drug use patterns of consumption of primary care patients. DESIGN:Multicentric descriptive cross-sectional study. SETTING:five primary health care centers of the South of Madrid. PARTICIPANTS:all patients between 16-100 year-old consulting with their family physician. MEASUREMENTS:Spanish-validated World Health Organization ASSIST test was use to screen risky drug use in primary care. Total points scored at the test were obtained. RESULTS:A sum of 441 screening test were collected. Mean age was 51,3 years and 51.6% of patients presented a moderate-severe risky drug use out of the nine drugs tested. The more frequent drug use screened were tobacco (41.7%) followed by alcohol (15.4%), hypnotics (13.7%) and cannabis (5.7%). Differences were found between genders in the patterns: men had higher risky drug uses compared to women regarding alcohol and cannabis. Women had higher sedatives/hypnotics consumption prevalence. A 16% of patients presented with polyconsumption drug use patterns. CONCLUSIONS:There is risk derived from drug misuse in primary care for tobacco, alcohol, hypnotics and cannabis as detected by the ASSIST test. There is a higher rate of hypnotics than expected.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
López-Rodríguez JA,Rigabert A,Gómez Llano MN,Rubio G,Grupo ASSIST.doi
10.1016/j.aprim.2017.03.021subject
Has Abstractpub_date
2019-04-01 00:00:00pages
200-207issue
4eissn
0212-6567issn
1578-1275pii
S0212-6567(16)30540-6journal_volume
51pub_type
杂志文章,多中心研究abstract::Information on pharmaceutical assistance in health care can be obtained from different sources: pharmacies, medical records, market studies, and family interviews. These allow to evaluate whether the consumed drugs were prescribed or directly purchased, if they are stored at home, and the relation between these facts ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1990-03-01 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 find the efficacy of two methods of detecting previously unknown hypertension--systematic taking of blood pressure (ST) and the Mobile Unit (MU)--and to evaluate the over-diagnosis of arterial hypertension (AHT) in crossover studies which only use epidemiological criteria (EC). DESIGN:A descriptive study ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1993-11-15 00:00:00
abstract:OBJECTIVES:To validate the Cockroft-Gault and the abbreviated Modification of Diet in Renal Disease (MDRD) formulas in a hypertense population aged over 60 and with blood pressure monitored in out-patients. To evaluate the prevalence of various stages of hidden chronic kidney disease in this population. DESIGN:Descrip...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13101799
更新日期:2007-05-01 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:OBJECTIVES:Main: to describe the health situation of the urban non-institutionalised population of 75 or over in Castro Urdiales. Secondary. To analyse the differences in the over-user group. DESIGN:Descriptive, crossover. SETTING:Primary Care Health Centre. PATIENTS:People in the urban area aged 75 or over and with...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1998-06-15 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 assess the usefulness of measuring in primary care the intraocular pressure (IOP) of diabetics as a glaucoma screening test, validating the Schiörtz tonometer for this end. To analyse the prevalence of glaucoma and associated risk factors in our diabetic population. DESIGN:An observational crossover stud...
journal_title:Atencion primaria
pub_type: 临床试验,杂志文章
doi:
更新日期:1996-01-01 00:00:00
abstract:OBJECTIVES:With a system of qualitative indicators, to analyse the pharmaceutical prescription of general practitioners (GPs), and to evaluate the relationship of these indicators to the overall pharmaceutical prescription expenditure per inhabitant. DESIGN:Retrospective descriptive study. SETTING:Primary care. MEAS...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(00)78545-3
更新日期:2000-04-30 00:00:00
abstract:OBJECTIVE:To describe the situations of risk and the prevalence of HIV in women with a heterosexual partner infected by HIV. DESIGN:Cross-sectional descriptive study. SETTING:Out-patient HIV diagnosis centre in Madrid. PATIENTS:229 women seen for the first time between 1993 and 2002 because they had a stable heteros...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(04)78926-x
更新日期:2004-11-15 00:00:00
abstract:OBJECTIVE:To analyze the diagnostic agreement rate between primary care, an asynchronous teledermatology consultation, and a conventional dermatology consultation. DESIGN:Prospective non-randomized concordance study. SETTING:Dermatology Service in Hospital Son Llàtzer (Palma de Mallorca) and primary care centers of S...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2008.11.012
更新日期:2009-10-01 00:00:00
abstract:OBJECTIVE:To find the views and expectations of professionals working at primary care centres on team-work. DESIGN:Qualitative study. Focus group. SETTING:The study was conducted during May 1997 at the following primary care centres: Terrassa North, Sant Llatzer (Terrassa) and Antón de Borja (Rubí). These PCCs depend...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(00)78670-7
更新日期:2000-09-30 00:00:00
abstract::A sample of 360 people was analyzed. They had received the protocol of preventive activities of the "Unitat Docent de Medicina Familiar i Comunitària de Barcelona" during 1989. The results of those activities directed to the prevention of cardiovascular risk and to the detection of excessive alcohol intake are reporte...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1991-04-01 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: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:OBJECTIVES:1) To identify the causes of the outbreak. 2) To adopt the appropriate measures to control it. DESIGN:Observational crossover study. SETTING:San Benito Health District in Jerez de la Frontera (Cádiz). PATIENTS AND OTHER PARTICIPANTS:Diners who attended a family celebration. MEASUREMENTS AND MAIN RESULTS:...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1996-04-30 00:00:00
abstract:OBJECTIVE:To assess the level of initial non-compliance with treatment. DESIGN:An observational study with interviews of patients, which compared prescriptions filled at the Siruela Health Centre (Badajoz) with those dispensed at the town's only pharmacy. SETTING:Primary Care; rural ambit. RESULTS:8,100 prescription...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-01-01 00:00:00
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:To assess the prevalence of thyroidal disorders in our area using a representative sample of the population in terms of age and distribution by sex. DESIGN:Descriptive observational transversal study. SETTING:Six areas from the province of Lleida including its capital. PARTICIPANTS:All the inhabitants olde...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1999-11-15 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, using a scheme to monitor arterial pressure in out-patients (MAPOP), how well patients were able to control their light arterial hypertension after hygienic-dietary measures had been found insufficient. DESIGN:Observational study. SITE. Urban health centre. PATIENTS:18 people suffering from lig...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1993-02-01 00:00:00
abstract:OBJECTIVES:1. To describe the habits and conduct of school students (13-17 years old) around alcohol in the Cartagena Health Area. 2. To discover the factors underlying consumption. 3. To analyse beliefs and behaviour about consumption. DESIGN:Cross-sectional descriptive study. SETTING:Health area. PARTICIPANTS:16,6...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(01)78790-2
更新日期:2001-02-28 00:00:00
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...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2017.03.018
更新日期:2018-10-01 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: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: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::We have evaluated the patients that were referred to the referencie hospital from the emergency service of our health center between July 1, 1988, and June 31, 1989, and we have followed them up after their arrival to the hospital. We had cared for 20,546 emergencies, particularly from internal medicine, pediatrics an...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1991-01-01 00:00:00
abstract:OBJECTIVE:To quantify and describe consultations carried out with third parties in General Medicine. DESIGN:Prospective and descriptive study. SETTING:Three General Medical consulting rooms in INSALUD's Health Area IV, Madrid. PARTICIPANTS:All those consultations carried out with third parties from 15 February 1993 ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1994-05-31 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 describe the incidence of health problems dealt with less often in primary care medical consultations, and to discuss its relationship with the maintenance of professional skill, with in-work training and case-load planning. DESIGN:A prospective observational study based on a year's recording. SETTING:Th...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1999-04-15 00:00:00