Abstract：
OBJECTIVE:To estimate the prevalence of orthostatic hypotension (OH) in patients 80 years old and over attending a primary care unit. To relate OH to the most prevalent pathologies and to the most used drugs. DESIGN:Transversal observational study. LOCATION:Primary care unit, Santiago de Compostela. PARTICIPANTS:Eighty one patients 80 years old or over representative of a primary care unit were recruited. Ten patients were excluded. MAIN MEASUREMENTS:Blood pressure was measured in decubitus and later in erect position first immediately after standing and then after 3 minutes. Diagnoses and active treatments were reviewed in the electronic clinical history and through an interview with the patient and caregiver. RESULTS:In 26.76% of patients the systolic blood pressure fell by 20mmHg or more and/or the diastolic blood pressure fell by 10mmHg in the instant following the postural shift. In 16.90% of patients the drop persisted after 3 minutes of standing from decubitus position. None of the patients was diagnosed with OH. The highest prevalence ratio was observed for diabetes mellitus (1.6; P=.412), not existing differences for arterial hypertension (P=.881). OH related in a statistically meaningful way to the use of renin angiotensin aldosterone system inhibitors (OR: 8.174, CI95%: 1.182-56.536); P=.033] and benzodiazepines (OR: 5.938, CI95%: 1.242-28.397; P=.026)]. CONCLUSION:OH had a prevalence of 16.90% among the elderly patients who had a consultation. Its connection with some drugs (renin angiotensin aldosterone system inhibitors and benzodiazepines) must be considered.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Formigo Couceiro FJ,Pena Seijo M,Pose Reino A,Mayán Santos JM,Ayape Amigot FJ,Sueiro Justel Jdoi
10.1016/j.aprim.2017.12.003subject
Has Abstractpub_date
2019-05-01 00:00:00pages
294-299issue
5eissn
0212-6567issn
1578-1275pii
S0212-6567(17)30471-7journal_volume
51pub_type
杂志文章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 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 assess if work-related activities represented a threatening situation for nursing personnel through the correlation between the level of usual anxiety (trait-anxiety) and the level of anxiety present during working hours (state-anxiety). As well as, to determine state-anxiety risk factors. MATERIAL AND ME...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1999-02-28 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：OBJECTIVE:To investigate the habits and risk factors of adolescents from two Health Centres in two semi-urban populations using a structured clinical interview with open questions. DESIGN:Cross-sectional descriptive study. SETTING:Two semi-urban populations from the Malaga area. PARTICIPANTS:Adolescents aged between...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/j.aprim.2010.02.008
更新日期：2011-04-01 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：OBJECTIVE:To determine whether hypercholesterolaemia treatment with pravastatin causes modifications in plasma fibrinogen. DESIGN:Descriptive, prospective pharmacological intervention study, with two transversal cuts, one at the start and one after 6 months pravastatin treatment. SETTING:Health area located in the su...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(01)78824-5
更新日期：2001-04-15 00:00:00
abstract：OBJECTIVES:The main aim was to calculate the prevalence of mental pathology in women between 18 and 70 in a Health District of Pamplona; second, to describe comorbidity and to analyse how mental pathology was recorded in the clinical histories. DESIGN:An observational crossover study with randomised selection. SETTIN...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-03-31 00:00:00
abstract：OBJECTIVES:To find how suitable a semFYC guide is for the indication of bone densitometry in menopausal women; and how appropriate their Osteoporosis treatment is. DESIGN:Cross-sectional study.Setting. Girona-3 Health District. PARTICIPANTS:Women between 50 and 80 allocated to the Girona-3 Health District. Suffering ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(04)79391-9
更新日期：2004-03-15 00:00:00
abstract：OBJECTIVE:To establish the effectiveness of a broad offer for tetanus vaccination (ATT), to any person visiting his general practitioner, by evaluating its coverage, acceptance by patients and final vaccination figures. DESIGN:Intervention study of nonrandom type. SETTING:Primary care. PATIENTS:1349 people aged > or...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1996-09-30 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 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：INTRODUCTION:Chronic diseases have become more central to Primary Care due to their greater prevalence and the difficulties of monitoring them. This complex problem requires a many-sided solution that affects patients' behaviour, health workers' approach and changes in how the health service is organised. OBJECTIVES:T...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(04)78910-6
更新日期：2004-09-15 00:00:00
abstract：OBJECTIVE:An analysis of the impact of the commercialisation of intranasal administration on calcitonin consumption. DESIGN:Descriptive study. SETTING:Non-hospital ambit within the national health system. PATIENTS AND OTHER PARTICIPANTS:A protected population group within the national health system, with occupationa...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1995-03-15 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：OBJECTIVES:The overall objective is to prioritize health care for women and children at higher social risk. DESIGN:Intervention study. SETTING:An urban health centre. PATIENTS:Women and children using a programme for mothers and infants at greater social risk. Infant health (IH): immigrant children, low social and e...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-04-30 00:00:00
abstract：OBJECTIVE:To prepare and validate a tool to measure Basic Life Support (BLS) and semi-automatic defibrillator (SAD) skills adapted for use by health professionals in Primary Care Teams (PCT). To propose an updated version and demonstrate self-sufficiency of the team to use it in a training evaluation. DESIGN:Validatio...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2009.03.006
更新日期：2010-01-01 00:00:00
abstract：OBJECTIVE:To determine the prevalence of chronic kidney disease and associated risk factors in subjects over 60 years of age, as well as its staging by determining the glomerular filtration rate (GFR). DESIGN:Cross-sectional observational study. SETTING:Primary Health Care. PARTICIPANTS:Patients≥60 years of age who ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2014.06.003
更新日期：2015-04-01 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：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：OBJECTIVES:To assess the validity of small questionnaires of 4,5 and 1 questions, based on the 15-question Spanish version of the Yesavage geriatric depression scale (GDS-VE), for diagnosing depression in the over-65s. DESIGN:Study to validate questionnaires. SETTING:Health centre consultations. PARTICIPANTS:258 pat...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13071040
更新日期：2005-01-01 00:00:00
abstract：AIM:Description of a clinical case of enteropathic arthritis. DESIGN:Descriptive study. SITE. Health Centre. PATIENTS AND OTHER PARTICIPANTS:A clinical case is described, starting with back pain where X-rays perceive no irregularity. Later a diagnosis of Crohn's disease is made. Finally lesions characteristic of anch...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1992-01-01 00:00:00
abstract：OBJECTIVES:To find the factors linked to erectile dysfunction, to evaluate this as a possible marker of health status, to analyse the evolution of clinical parameters of associated illnesses and the response to Viagra.Design. Intervention study without a control. SETTING:Alguazas Health Centre (Murcia). PARTICIPANTS:...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(02)79030-6
更新日期：2002-09-30 00:00:00
abstract：OBJECTIVE:To evaluate how much women who attend primary care consultations understand about the correct use of emergency ("morning after") contraception (EC), their information requirements and their views about free EC prescription. DESIGN:Cross-sectional study, using a questionnaire. SETTING:Les Corts Primary Care ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13098676
更新日期：2007-02-01 00:00:00
abstract：:We describe one of four epidemic known outbreaks of type "A" hepatitis during the year 1987 in Jaén, and whose focal point was a day nursery placed in our sanitary area. We identify 75 cases; we followed 48 from a pediatric surgery (PS), 33 of them were from a day nursery (attack rate, 31.73%). To the 48 children from...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1989-08-01 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 discover the evolvement of Primary Care doctors' tobacco consumption in Guipuzcoa and their attitudes to tobacco dependency. DESIGN:A descriptive study of a crossover type. October 1992. SETTING:Primary Health care. PARTICIPANTS:381 general physicians and paediatricians from Guipuzcoa province. MEASURE...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1994-11-30 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 find whether the systematic investigation of the contacts of Pulmonary Tuberculosis patients is carried out. DESIGN:Crossover and descriptive. SETTING:Asturias Health Area VIII. PATIENTS AND OTHER PARTICIPANTS:We examined whether contacts of the cases of Pulmonary Tuberculosis diagnosed in our area duri...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1994-09-15 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
