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, answered the questionnaire. 46 patients with 2 or more positive replies concerning alcoholism (SMAST positive) were invited to a subsequent appointment, as were 40 with a lower score (SMAST negative). 30 from each group attended. MEASUREMENTS AND MAIN RESULTS:The presence of alcoholism was examined by looking at the compliance with the diagnostic criteria of the DSM-III-R and/or the existence of alcohol consumption equal to or above 30 grams a day in women and 60 in men, in those patients who attended the subsequent appointment. 20 SMAST++ positives and two negatives were diagnosed as alcoholics. There was good correlation between daily alcohol consumption in grams and SMAST scoring (r = 0.60; CI's 95%: 0.41-0.74). SMAST showed 50.48% sensitivity, 96.48% specificity and positive and negative predictive values of 66.67% and 93.33%, respectively. By means of a logistical regression analysis, it was clearly shown that the SMAST questions which best forecast the existence of alcoholism were the first two. CONCLUSIONS:The SMAST questionnaire is a very specific test for diagnosing alcoholism within primary care, although its only moderate sensitivity does not recommend it for screening purposes.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Escobar F,González C,López JL,Vercher R,Arnal JA,Galdámez AMsubject
Has Abstractpub_date
1994-06-30 00:00:00pages
627-30issue
2eissn
0212-6567issn
1578-1275journal_volume
14pub_type
杂志文章abstract：OBJECTIVE:The objective of this work was to value the relationship between cardiovascular disease and presence of hidden renal failure in patients between 35 and 74 years followed up for 10 years. DESIGN:Observational, longitudinal, retrospective study of a cohort of patients. SETTING:Primary care health centre. PAR...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(08)75696-8
更新日期：2008-12-01 00:00:00
abstract：OBJECTIVE:To assess the frequency of Candida species others than Candida albicans isolation, in patients with chronic as well as relapsing vaginitis. To analyze the clinical pictures and the treatments routinely employed in patients with Candida albicans infection, compared to those with other Candida species infection...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-04-15 00:00:00
abstract：INTRODUCTION:On the centenary of the foundation of the Paediatrics Society of Madrid, a tribute is presented to rural medical practice of that time, although there are few documents on the history of rural medicine. The main objective is to describe the context of the rural medical practice in the late 19th and beginni...
journal_title：Atencion primaria
pub_type： 历史文章,杂志文章
doi：10.1016/j.aprim.2015.05.008
更新日期：2016-01-01 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 assess the effectiveness of an educational intervention on antibiotic adherence and patient-reported resolution of symptoms. DESIGN:A controlled experimental study with systematic assignment to groups. SETTING:A pharmacy in Murcia. Participants were patients who came to the pharmacy with a prescription f...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2013.12.003
更新日期：2014-08-01 00:00:00
abstract：OBJECTIVE:To determine what family doctors think about various aspects of patient involvement in clinical decision making in Primary Care. DESIGN:Qualitative study using focus groups. LOCATION:Primary Care. PARTICIPANTS:Family physicians with and without expertise in clinical communication. METHODS:Three focus grou...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2011.07.007
更新日期：2012-07-01 00:00:00
abstract：INTRODUCTION:There are no existing studies that appraise cardiovascular morbidity-mortality in patients diagnosed with isolated clinical hypertension (HCA) through self-measurement of blood pressure (AMPA). OBJECTIVE:To find the prognostic value of AMPA for diagnosing HCA, by means of assessment of cardiovascular morb...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13086703
更新日期：2006-04-15 00:00:00
abstract：OBJECTIVE:To evaluate the efficacy of metformin against placebo, diet, oral anti-diabetics, or insulin in type 2 diabetes mellitus. DESIGN:Systematic review. DATA SOURCES:MEDLINE (1966-2003), EMBASE (1974-2003), LILACS (1986-2003), Cochrane library (Issue 3, 2003). SELECTION OF STUDIES:29 randomized clinical trials ...
journal_title：Atencion primaria
pub_type： 杂志文章,meta分析,评审
doi：10.1157/13078602
更新日期：2005-09-15 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：OBJECTIVE:To describe the evolution of mortality due to ischaemic heart diseases in Andalucia between 1975 and 1992 and predict rates up to the year 2000. DESIGN:Descriptive study. SETTING:The Autonomous Community of Andalucia. Patients and other participants. Deaths because of ischaemic heart diseases between 1975 a...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1996-10-15 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 the effectiveness of the implementation of a mindfulness and self-care program to treat common mental health disorders in primary care. DESIGN:Quasi-experimental non-controlled, non-randomised study, with repeated measurements. SETTING:Seven health centres, in area v of the Principality of Astur...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2019.05.015
更新日期：2020-01-01 00:00:00
abstract：OBJECTIVE:To determine the differences in the diagnosis of light arterial hypertension between using three tension measurements (over 2 or 3 weeks) or five (6 or 7 weeks). DESIGN:A descriptive, longitudinal study. SETTING:Santomera Health Centre, Murcia. PARTICIPANTS:In 245 patients initially diagnosed as suffering ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1996-03-31 00:00:00
abstract：OBJECTIVE:To establish the diagnostic validity and usefulness of Eating Attitudes Test-26 (EAT-26) for the risk assessment of eating disorders in a male population. DESCRIPTION:Observational validation study questionnaire. SETTING:Performed in Medellin city at a community care level of mixed (public and private) psyc...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2016.02.016
更新日期：2017-04-01 00:00:00
abstract：OBJECTIVE:To identify the level of hypertension awareness, treatment and control in the adult population (14 years and older) at the Valencian Region. Type of treatment and associated factors to the hypertension awareness will be also explored. DESIGN:Cross-sectional study (population survey). SETTING:Valencian Regio...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-05-15 00:00:00
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:Eig...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2017.12.003
更新日期：2019-05-01 00:00:00
abstract：OBJECTIVES:To find the prevalence of vaginal candidiasis in pregnant women monitored through primary care and to see whether it is on the increase. DESIGN:Descriptive and retrospective study of pregnant women. SETTING:Cazoña Health District (34,783 inhabitants). SUBJECTS:The entire obstetric population monitored by ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(00)78471-x
更新日期：2000-02-15 00:00:00
abstract：OBJECTIVES:To describe the qualitative-quantitative features of Primary Care prescriptions originated by specialists. DESIGN:A crossover descriptive study. SETTING:Txantrea Health Centre (Pamplona). PATIENTS AND OTHER PARTICIPANTS:All the prescriptions originated by out-clinic or hospital specialists over a two-mont...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1995-11-30 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:The main objective was to determine the prevalence of the burnout syndrome among health workers and its distribution by social, demographic and work variables. The secondary aim was to detect potentially modifiable causes. DESIGN:Descriptive cross-sectional study. SETTING:Primary care. PARTICIPANTS:All th...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(01)79373-0
更新日期：2001-03-31 00:00:00
abstract：OBJECTIVE:Given the possibility of adverse side-effects, interactions with medicines and poisoning by contaminants among herbal medicine consumers (HM), we aimed to describe the consumption of HM by health centre users being treated with medicines. DESIGN:Cross-sectional, observational study.Setting. Thirteen health c...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(01)70381-2
更新日期：2001-09-30 00:00:00
abstract：:The general situation of pediatric care in Asturias is characterized by the imbalance between the two levels of care, with a high number of hospital beds and staff members, requiring a redistribution in number and functions, and a deficit in staff and material resources at the primary care level, with massified practi...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1989-01-01 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：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
abstract：OBJECTIVES:To assess the impact of the Law 42/2010, on the health measures on smoking, on the prevalence of the exposure to environmental tobacco smoke (ETS), the repercussions in frequently visited places, and support of the new legislation. DESIGN:A before-after evaluation by comparing two cross-sectional studies th...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2012.02.010
更新日期：2012-10-01 00:00:00
abstract：OBJECTIVE:To determinate the relationship between the age of smoking initiation and the success of the smoking cessation program. DESIGN:Prospective cohort. SETTING:Smoking Cessation Unit, in the University Hospital of Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain. PARTICIPANTS:2801 smokers of 10 or more ci...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13075481
更新日期：2005-05-31 00:00:00
abstract：OBJECTIVE:A clinical epidemiological study at a health centre of carriers of hepatitis C virus (HCV) antibodies. The prevalence of HCV antibodies in immediate family members. DESIGN:Crossover and descriptive. SETTING:Chopera I Primary Care team. PATIENTS AND FAMILY MEMBERS: 37 carriers of HCV antibodies in the Centre...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1994-01-01 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：UNLABELLED:Successful aging as a process of adaptation to the optimal state is little known in older people. OBJECTIVE:To describe successful aging and to analyze the factors associated with frailty in people aged 86 years. DESIGN:A cross-sectional study of a clinical trial at the second year of follow-up (Octabaix S...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/j.aprim.2014.01.004
更新日期：2014-11-01 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
