Atencion Primaria最新文献_第2页

MVP Risk score y nuevo diagnóstico de fibrilación auricular: estudio de cohorte prospectivo PREFATE MVP 风险评分与心房颤动新诊断：前瞻性队列研究 PREFATE

IF 1.8 4区医学

Atencion Primaria Pub Date : 2024-09-11 DOI: 10.1016/j.aprim.2024.103071

{"title":"MVP Risk score y nuevo diagnóstico de fibrilación auricular: estudio de cohorte prospectivo PREFATE","authors":"","doi":"10.1016/j.aprim.2024.103071","DOIUrl":"10.1016/j.aprim.2024.103071","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the association between electrocardiogram (ECG) patterns according to the MVP ECG risk score (morphology-voltage-P-wave duration) and a diagnosis of Atrial Fibrillation (AF).</p></div><div><h3>Design</h3><p>Prospective observational cohort study (1/01/2023-31/12/2024).</p></div><div><h3>Site</h3><p>Primary care.</p></div><div><h3>Participants</h3><p>Randomized sample of 150 patients aged 65-85 years without prior diagnosis of AF, stroke, or current anticoagulant treatment; high risk of future AF; CHA2DS2-VASc ≥2; and ability to use the FibricheckR application (App).</p></div><div><h3>Measurements</h3><p>At baseline, a standard ECG, MVP risk score assessment, and cardiac rhythm monitoring for 15 days using the Fibricheck<sup>R</sup> App were performed. The dependent variables were the presence of P-wave patterns on the electrocardiogram according to MVP risk score and a new diagnosis of AF.</p></div><div><h3>Results</h3><p>The diagnosis of AF was confirmed in 14 cases (9.3%, 95% CI 5.6-15.1), 3 men and 11 women. In 3 cases, the arrhythmia was diagnosed on the baseline ECG, and in 11 cases by Holter after being reported as possible AF by the Fibricheck<sup>R</sup> App. A higher prevalence of atypical advanced interatrial block (A-AIB) (p 0.007) was detected among participants with AF, as well as the prevalence of P-wave <0.1mV. (p=0.006). All new diagnoses of AF were made at scores ≥4 in the MVP risk score.</p></div><div><h3>Conclusions</h3><p>Using scales for identifying ECG patterns in high-risk subjects in primary care can facilitate the diagnosis of unknown AF.</p></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724002130/pdfft?md5=5cc7904352499b0f636ae8b66fbf7315&pid=1-s2.0-S0212656724002130-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142167437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diagnóstico ecográfico precoz de enfermedad de Crohn 克罗恩病的早期超声诊断

IF 1.8 4区医学

Atencion Primaria Pub Date : 2024-09-10 DOI: 10.1016/j.aprim.2024.103087

引用次数: 0

Tratamiento farmacológico de la obesidad. Situación actual y nuevos tratamientos 肥胖症的药物治疗。现状和新疗法

IF 1.8 4区医学

Atencion Primaria Pub Date : 2024-09-10 DOI: 10.1016/j.aprim.2024.103074

引用次数: 0

Use of first line antibiotics for uncomplicated cystitis in women in primary care following the implementation of a two-year multifaceted intervention 在实施为期两年的多方面干预措施后，基层医疗机构妇女在治疗无并发症膀胱炎时一线抗生素的使用情况。

IF 1.8 4区医学

Atencion Primaria Pub Date : 2024-09-06 DOI: 10.1016/j.aprim.2024.102958

引用次数: 0

Violence against women in the post-pandemic time of COVID-19 COVID-19 大流行病后时期对妇女的暴力行为

IF 1.8 4区医学

Atencion Primaria Pub Date : 2024-08-29 DOI: 10.1016/j.aprim.2024.102950

引用次数: 0

Conclusiones de la primera conferencia de académicos y académicas de la academia de medicina de familia (amfe) de semFYC 半青联家庭医学学会（amfe）第一次学术会议的结论

IF 1.8 4区医学

Atencion Primaria Pub Date : 2024-08-27 DOI: 10.1016/j.aprim.2024.103079

引用次数: 0

Ecografía cutánea: más allá de la clínica y la dermatoscopia [皮肤超声：超越诊所和皮肤镜]。

IF 1.8 4区医学

Atencion Primaria Pub Date : 2024-07-30 DOI: 10.1016/j.aprim.2024.103062

引用次数: 0

Test de diagnóstico rápido en la patología dermatológica pediátrica [小儿皮肤病理学快速诊断测试]。

IF 1.8 4区医学

Atencion Primaria Pub Date : 2024-07-30 DOI: 10.1016/j.aprim.2024.103061

引用次数: 0

VIH: perspectiva social desde la cinematografía. Modelo de educación sanitaria de las enfermedades infecciosas en Atención Primaria [艾滋病毒：电影中的社会视角。初级保健中的传染病健康教育模式]。

IF 1.8 4区医学

Atencion Primaria Pub Date : 2024-07-30 DOI: 10.1016/j.aprim.2024.102951

引用次数: 0

Prescripción de fármacos para la deshabituación tabáquica. Análisis retrospectivo del área de salud de Zamora [戒烟药物处方。萨莫拉卫生区的回顾性分析]。

IF 1.8 4区医学

Atencion Primaria Pub Date : 2024-07-23 DOI: 10.1016/j.aprim.2024.103049

{"title":"Prescripción de fármacos para la deshabituación tabáquica. Análisis retrospectivo del área de salud de Zamora","authors":"","doi":"10.1016/j.aprim.2024.103049","DOIUrl":"10.1016/j.aprim.2024.103049","url":null,"abstract":"<div><h3>Objective</h3><p>To analyze the prescription of drugs to aid smoking cessation and to detect whether there are differences by age or sex.</p></div><div><h3>Design</h3><p>Retrospective cohort study.</p></div><div><h3>Site</h3><p>Zamora Health Area.</p></div><div><h3>Participants</h3><p>Persons with smoking cessation attempts employing drugs funded in the period from 2020 to 2023.</p></div><div><h3>Interventions</h3><p>Request of pharmaceutical consumption of varenicline, bupropion and cytisine to the Pharmacy Information System of the Regional Health Management of Castilla y León.</p></div><div><h3>Main measurements</h3><p>Number of quit attempts per person, treatment drug, number of medication containers per attempt, year, age and sex. Descriptive and statistical analysis using SPSS© v. 20.</p></div><div><h3>Results</h3><p>2581 people tried to quit smoking with drugs, 2206 made one attempt and 375 made several attempts. Mean age was 50.7 years (95% CI: 50.2-51.1). No significant differences were found for age (<em>P</em>=.71) or sex (<em>P</em>=.74). There was a preference for prescribing varenicline over bupropion and low drug compliance, with only one container of medication being collected in about 50% of cases. A total of 1680 attempts were made to quit using cytisine in 2023, equivalent to 55.4% of the total number of treatment drugs used in the four years. The estimated cumulative incidence rate of drug withdrawal attempts in smokers between 18 and 65 years of age was 11.9%.</p></div><div><h3>Conclusions</h3><p>The drug intervention had a low reach and poor compliance with the recommended treatment. It is essential to emphasize patient follow-up and drug adherence.</p></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724001914/pdfft?md5=666d9edc9dfba5f71c1db85d710d0bdd&pid=1-s2.0-S0212656724001914-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0