Atencion primaria
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To determine the usefulness of patients' reports in constructing indicators of the rational use of medicines and to analyse these reports' benefits and limitations in comparison with the medical records. ⋯ The user's report can be useful, as a substitute for and as a complement to other sources of information, to construct indicators of the rational use of medication from an integrated perspective.
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Multicenter Study
[ADA-97 criteria, prevalence of diabetes mellitus and the most southern counties of Catalonia].
To find the prevalence of diabetes mellitus (DM) and disturbed basal glucaemia in the population over 24 years old and the relationship of this to factors of risk of becoming diabetic. ⋯ High prevalence of DM, with high proportion known through primary care. We know the prevalence of disturbed basal glucaemia. DM-related risk factors in our population were: age > 45, BMI > 27 and hyper-triglyceridaemia. Our primary care focus can better manage the resources dedicated to DM.
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Multicenter Study
[Validity of new diagnostic criteria for type 2 diabetes mellitus. Impact of its application in a health care area].
To estimate how the number of diabetics known as type 2 is modified by applying the American Diabetes Association (ADA) new diagnostic criteria. To calculate the sensitivity, specificity and predictive values of the ADA diagnostic criteria. ⋯ The prevalence of diabetes when the WHO criteria are applied is significantly higher than when ADA criteria are applied (p = 0.000). The basal glycemia value of > or = 126 is less sensitive than the glucose tolerance test. No normoglycemic patient according to the ADA would be diabetic according to the WHO; however the ADA and the WHO classify the non-normoglycemics in different groups. The WHO criteria (scrupulously applied) are the better diagnostic method for diabetes in principle and the glucose tolerance test is a test not to be done away with.
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Multicenter Study
[Incidence of amputaciones of the lower extremities in the population with diabetes mellitus in Málaga (1996-1997)].
To find the frequency of amputations of lower limbs (ALL) with the aim of designing a programme to prevent ALL in people with diabetes mellitus (DM). ⋯ This study confirmed the greater risk of ALL run by people with DM. The incidence of ALL in this study was less than in countries of Northern Europe, the USA and Australia, but more than in any study published before in Spain.
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Multicenter Study
[Nocturnal drop of arterial blood pressure: determinant factors and relationship with organic damage secondary to hypertension].
To evaluate the night-time drop in blood pressure in patients with light hypertension and to determine its possible relationship with damage in key organs. ⋯ Relative night-time drop in blood pressure is greater in women than in men, diminishes with age and depends on the day-time ambulatory pressure. In women a minor night-time drop in blood pressure is associated with greater organic damage.