Abstract:
OBJECTIVES:To analyse the risk of pneumonia and/or exacerbations in patients with chronic obstructive pulmonary disease (COPD) who receive treatment with inhaled corticosteroids (CI), in comparison with those who are not treated with inhaled corticosteroids (NCI). To estimate the risk of pneumonia according to CI dose. DESIGN:Population-based cohort study. SETTING:Primary Healthcare. Institut Català de la Salut. PARTICIPANTS:Patients ≥45 years-old diagnosed with COPD between 2007 and 2009 in the Information System for Research in Primary Care (SIDIAP). INTERVENTION:Two cohorts; patients initiating CI and patients initiating bronchodilators after COPD diagnosis. MAIN MEASUREMENTS:Demographics, smoking, medical history, pneumonias, exacerbations, vaccinations, and drug therapy. RESULTS:A total of 3,837 patients were included, 58% in the CI and 42% in the NCI group. Higher incidence rates of pneumonia and exacerbations were detected in the CI group compared with the NCI (2.18 vs. 1.37). The risk of pneumonia and severe exacerbations was not significantly different between groups, HR; 1.17 (95% CI; 0.87-1.56) and 1.06 (95% CI; 0.87-1.31), respectively. Patients in the CI group had a higher risk of mild exacerbations, HR; 1.28 (95% CI; 1.10-1.50). Variables associated with a higher risk of pneumonia were age, diabetes, previous pneumonias and bronchitis, very severe COPD, treatment with low doses of β2-adrenergic or anticholinergic agents, and previous treatment with oral corticosteroids. CONCLUSIONS:There were no differences between cohorts in the risk of pneumonia and severe exacerbations. The risk of mild exacerbations was higher in the CI group. Pneumonias and severe exacerbations were more frequent in patients with severe COPD and in patients receiving high doses of CI.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Morros R,Vedia C,Giner-Soriano M,Casellas A,Amado E,Baena JM,en representación de los investigadores del proyecto PNEUMOCORT.doi
10.1016/j.aprim.2018.02.007subject
Has Abstractpub_date
2019-01-01 00:00:00pages
333-340issue
6eissn
0212-6567issn
1578-1275pii
S0212-6567(17)30358-Xjournal_volume
51pub_type
杂志文章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 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:AIMS:Describing the clinical and epidemiological characteristics of the suspicions of measles notified in the CV during the year 2003 and evaluating the system of surveillance. DESIGN:Cross-sectional, descriptive study. SETTING:Community of Valencia (CV), Spain. PARTICIPANTS:Cases of suspected measles notified in 20...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13079864
更新日期:2005-10-15 00:00:00
abstract:OBJECTIVE:To measure the impact of the peer-led training for chronic patients on their health status and behaviors. DESIGN:Descriptive, transversal pretest and posttest quantitative approach. PLACEMENT:Andalusia. PARTICIPANTS:Nine hundred sixty-four patients with Diabetes, fibromyalgia and heart failure, trained at ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2018.09.020
更新日期:2020-02-01 00:00:00
abstract:OBJECTIVE:To evaluate the quality of the care provided for low-level urinary infections in the Toledo Health Area. DESIGN:Retrospective study based on data on procedures supplied from clinical histories. SITE. Primary Care teams in the Toledo Health Area. PATIENTS OR OTHER PARTICIPANTS:Those patients over 14 with a p...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1992-11-01 00:00:00
abstract:OBJECTIVE:To evaluate diagnostic concordance in the interpretation of electrocardiograms (ECG) between general practitioners and a referral cardiologist. DESIGN:Crossover and descriptive. SETTING:Seven General Medicine consulting rooms at Burgo de Osma Health Centre. PATIENTS AND OTHER PARTICIPANTS:318 ECGs included...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1995-09-15 00:00:00
abstract:OBJECTIVE:To analyse the repercussions that caring for chronically sick patients at home can have on the health of the main carers. DESIGN:A descriptive crossover study. SETTING:"Raval Nord" Health District, Barcelona. PATIENTS AND OTHER PARTICIPANTS:All the 336 chronically sick at home recorded in the home-care pro...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1998-04-30 00:00:00
abstract:OBJECTIVE:To test the hypothesis that women with epilepsy come from families with poor cohesion and adaptability to the disease, compared with healthy women. DESIGN:Cross-sectional study. SETTING:A retrospective study was done on 263 women from a neurology outpatient department and a family medicine unit from the Mex...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2013.10.005
更新日期:2014-05-01 00:00:00
abstract:OBJECTIVES:To determine the factors associated with asthma and asthma-related symptoms in children and adolescents in rural areas of Navarre (Spain). PARTICIPANTS AND METHODS:A cross-sectional study using the International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire, as well as additional variable...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/j.aprim.2017.05.005
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVES:To identify diabetics not dependent on insulin (DNDI) who are carriers of clinical proteinuria and microalbuminuria susceptible to captopril treatment and to evaluate the evolution of the urinary excretion of albumin (UEA) rate after three years of follow-up. DESIGN:A prevalence study followed by an interve...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-09-30 00:00:00
abstract:OBJECTIVES:To explore intentions, motivations and country preferences related with professional emigration in a sample of advanced medical students. DESIGN:Cross sectional and descriptive study. SETTING:11 Universities in Spain. PARTICIPANTS:A total of 740 students in their two final courses. PRIMARY MEASUREMENTS:T...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2010.01.017
更新日期:2011-05-01 00:00:00
abstract:AIM:The main aim is to describe the cases of mechanical lumbalgia in relation to clinical and demographic variables, in the period between February and June 1989. The collateral purpose is to analyse the relationship between analgesic/NAI treatment as regards the time needed to resolve the problem. DESIGN:This is an o...
journal_title:Atencion primaria
pub_type: 临床试验,杂志文章
doi:
更新日期:1992-03-15 00:00:00
abstract:OBJECTIVES:To find out the perceptions of family doctors (FD) and psychiatrists (PS) on their inter-relationships in the health care of patients with depression. DESIGN:Qualitative methodology. Exploratory design based on FD and PS discussion groups (DG). SETTING:Primary health care centres (PHCC) and mental health c...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2008.04.003
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVES:To find the evolution of consumption of self-analysis material used to control Diabetes (reactive strips of glucose) and the costs involved, in the metropolitan area of Málaga from July 1994 to the first quarter of 1996. DESIGN:Descriptive retrospective study. SETTING:Metropolitan area of Málaga (580, 586 ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1998-02-15 00:00:00
abstract:OBJECTIVE:To describe the prevalence of iron deficiency anaemia in the Basque Country by age group and sex and to identify the main groups at risk. DESIGN:Cross-sectional study. SETTING:Basque Country. PARTICIPANTS:School-aged population of Bilbao (n = 762); further education students of San Sebastian (n = 372); adu...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1998-10-15 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: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 assess the precision of the Sickness Certificate (SC) issued for Temporary Unfitness for Work (TUW). To measure the percentage of TUW where the diagnoses in the medical records and in the TUW Sickness Certificate do not coincide. To seek objective criteria to determine TUW. DESIGN:A descriptive, prospecti...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1993-05-31 00:00:00
abstract:OBJECTIVE:To compare the family functioning profile (FFP) in adolescents addicted to drugs and those not addicted to drugs. DESIGN:Cross-sectional study comparative. SETTING:A high school in Querétaro State, Mexico. PARTICIPANTS:Study of 63 adolescents with and without addiction, of both sexes between the ages of 13...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2010.04.009
更新日期:2011-02-01 00:00:00
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journal_title:Atencion primaria
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journal_title:Atencion primaria
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更新日期:1995-04-30 00:00:00
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journal_title:Atencion primaria
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更新日期:1998-10-31 00:00:00
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journal_title:Atencion primaria
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journal_title:Atencion primaria
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doi:10.1016/s0212-6567(00)78481-2
更新日期:2000-02-28 00:00:00
abstract:OBJECTIVES:To find the profile of the heroin addict included in the Methadone Maintenance Programme (MMP) and the standard of information which primary care doctors have about these patients. DESIGN:A descriptive crossover study. PATIENTS AND OTHER PARTICIPANTS:All the drug addicts included in the MMP, located at the...
journal_title:Atencion primaria
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doi:
更新日期:1996-05-31 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
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journal_title:Atencion primaria
pub_type: 杂志文章
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更新日期:2000-10-15 00:00:00
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journal_title:Atencion primaria
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更新日期:1999-09-30 00:00:00
abstract:OBJECTIVE:The purpose of this study was the quantitative and qualitative analysis of the water in the reservoir and supply system to 27 villages of over 100 inhabitants or those which had a village council, within the Cistierna Health Area. DESIGN:It was a descriptive, longitudinal, prospective and observational study...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1993-06-30 00:00:00