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 with population and opportunist strategies. An operative MU team attended commercial and work centres within the chosen area. ST looked for AHT in patients attending Health Centre clinics. INTERVENTION:EC in screening, in line with WHO guidelines and clinical confirmation (CC) in the Health Centres. SETTING:MU in the catchment areas of Novelda, Carrús and C. Jardin Health areas. ST in the San Miguel de Salinas and C. Jardin Health Centres. PATIENTS:1654 people over 19 with the MU and 4138 through ST. RESULTS:Both methods discovered more hypertension in men (MU p = 0.009 and ST p = 0.000) and in the 20 to 39 age group (MU p = 0.000 and ST p = 0.000). EC led to over-diagnosis (5.8% MU and 6.3% ST); greater in men (6.6% and 6.5%) and +/- 60 years old (8.7% and 7.5%). Positive predictive values obtained were 59.8% with MU and 47.4% with ST. CONCLUSIONS:Both methods are useful ways of identifying people suffering hypertension: both young people and men. But CC is essential in order to make a real diagnosis of AHT. Out of every 10 people detected by using EC, only 5 were confirmed by ST and 6 by MU. This information must be borne in mind when evaluating the the prevalence of AHT in epidemiological studies.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Gil V,Pineda M,Blanes N,Belda J,Soriano JE,Merino Jsubject
Has Abstractpub_date
1993-11-15 00:00:00pages
455-64issue
8eissn
0212-6567issn
1578-1275journal_volume
12pub_type
杂志文章abstract：OBJECTIVE:Preparation of a map of medication errors reported by health professionals outside hospitals within the framework of Medication Errors Reporting for the Community of Madrid during the period 2008-2009. DESIGN:Retrospective observational study. LOCATION:Notification database of medication errors in the Commu...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2010.10.003
更新日期：2011-12-01 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：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:To discover the prevalence of serological markers of the Hepatitis B virus in the out-patient population of the city of Vigo. DESIGN:A year-long retrospective study (from January to December, 1990) of a total of 4,581 serums belonging to patients. These came to our laboratory from patients who attended the o...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1992-12-01 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 ascertain the diagnosis associated with specific treatment for dementia in the Primary Care Electronic Clinical Record (PC-ECR) and to analyse the factors associated with the quality of registration. METHODS:Descriptive study of patients taking cholinesterase inhibitors or memantine registered in Database...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2015.03.002
更新日期：2016-01-01 00:00:00
abstract：OBJECTIVE:To evaluate healthcare resource use and productivity in patients with gastro-esophageal reflux disease (GERD) and the influence of disease severity on these two factors. DESIGN:Sub-analysis of the Spanish population of a multinational study with a 4-month retrospective period for the identification and selec...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2010.09.009
更新日期：2011-09-01 00:00:00
abstract：OBJECTIVE:To check whether the information in the written publicity that the pharmaceutical industry gives to family doctors really is based on the scientific studies that support it. DESIGN:Cross-sectional study. SETTING:Health centre on the outskirts of a big city. PARTICIPANTS:Over a year, all the scientific stud...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13075926
更新日期：2005-06-15 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：OBJECTIVE:To determine the percentage of patients over 65 years of age with potential problems derived from the consumption of medications, and identify associated variables. DESIGN:A descriptive cross-sectional study. SETTING:Otero y Paulino Prieto Health Centers (Oviedo). PATIENTS:A randomly selected group of 298 ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-07-01 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：AIM:To describe the minor surgery (MS) characteristics in a Primary Care (PC) centre, and to evaluate the clinical pathological concordance and patient satisfaction. DESIGN:Descriptive and retrospective study. SETTING:Primary Care, urban health care centre, Almería, Spain. PARTICIPANTS:The population were the patien...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2016.05.002
更新日期：2017-02-01 00:00:00
abstract：OBJECTIVES:To find how much alcohol, tobacco and drugs adolescents consume and identify some linked socio-family variables. DESIGN:A crossover and descriptive study, with randomised sampling stratified by classrooms. SETTING:Secondary schools in the town of Lugo. PATIENTS AND OTHER PARTICIPANTS:805 students of both ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1996-10-31 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 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 evaluate the validity of a rapid serology test for diagnosing Helicobacter pylori infection in our area. DESIGN:Longitudinal, prospective study. SETTING:Urban primary care centre. MEASUREMENTS:As reference tests for defining the presence/absence of Helicobacter pylori, histology and the urease gastric m...
journal_title：Atencion primaria
pub_type： 临床试验,杂志文章
doi：10.1016/s0212-6567(01)78912-3
更新日期：2001-06-30 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:To discover the perception of health, social support and family function for asymptomatic HIV carriers. DESIGN:This was an observation crossover study, using validated questionnaires. SETTING:Almanjayar and Cartuja Health Centres in Granada. PATIENTS AND OTHER PARTICIPANTS:58 HIV+ patients belonging to the...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1994-03-15 00:00:00
abstract：AIMS:To learn how the elderly people in our health area see their own state of health (AS) in relation with certain variables. DESIGN:Transverse. Survey of socio-economic and health characteristics. LOCATION:Community oriented primary care. PATIENTS OR OTHERS PARTICIPANTS:232 psychically capable people aged 65 or ov...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1992-10-01 00:00:00
abstract：OBJECTIVE:To measure the correctness of decisions concerning counter-indications to vaccination (CV), taken by Primary Care professionals involved with the vaccination programme; to identify their associations with personal or organisational variables; and to sound out professionals' views on the source of false counte...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-07-01 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: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
abstract：OBJECTIVES:To calculate the prevalence of eating attitudes which determine eating disorders and their relationship to social, personal and cultural variables. DESIGN:Prevalence study. PARTICIPANTS:Centres of secondary education. Gijón Health Area (Asturias). Secondary school students (n = 17,000) selected by multi-st...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(00)78511-8
更新日期：2000-03-31 00:00:00
abstract：OBJECTIVE:To determine the percentage of women aged 40 to 70 years who had had at least one preventive Pap test (cytological examination) during the preceding 5 years, and the factors associated with use of the test. DESIGN:Population survey.Setting. Home interviews during October 2000. PARTICIPANTS:2409 women aged 4...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(04)79407-x
更新日期：2004-03-31 00:00:00
abstract：OBJECTIVE:Study of the prevalence of smoking among La Rioja's health professionals. DESIGN:Descriptive study. SETTING:The Autonomous Community of La Rioja. PARTICIPANTS:A random sample of health workers taken from the censuses of their respective Professional Colleges on February 1st, 1988. RESULTS:Of a representat...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1994-04-30 00:00:00
abstract：OBJECTIVE:We undertook this study to assess the validity of cytologic diagnosis of sexually transmitted infections like: bacterial vaginosis (BV), tricomoniasis and candidiasis using the Papanicolaou (Pap) smear. DESIGN:Prospective, descriptive transverse study. SETTING:The present study was carried out in the Health...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：2001-03-15 00:00:00
abstract：OBJECTIVE:To evaluate and compare the use of the different primary care (PC) services between immigrants and the indigenous population. DESIGN:Cross-sectional observation study of a population seen in (PC). SETTING:Patients seen by 15 PC doctors, in 5 basic health areas (BHA) in the city of Lleida, Spain, from March ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13120588
更新日期：2008-05-01 00:00:00
abstract：OBJECTIVE:To determine the proportion of benzodiazepines consumers who present a mayor depressive disorder and to observe the clinical evolution after restoring an antidepressive treatment. DESIGN:An observational design with a transversal character to determine the prevalence of the depression and a pre and after int...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-06-30 00:00:00
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 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
