ABSTRACT
No disponible
Subject(s)
Humans , Male , Aged , Incidental Findings , Cystocele/diagnostic imaging , Radionuclide ImagingABSTRACT
BACKGROUND: Heart failure (HF) diagnosis as reported in primary care medical records is not always properly confirmed and could result in over-registration. OBJECTIVES: To determine the proportion of registered HF that can be confirmed with information from primary care medical records and to analyse related factors. METHODS: A cross-sectional study. The medical records of 595 HF patients attended in two primary healthcare centres in Barcelona (Spain) were revised and validated by a team of experts who classified diagnosis into confirmed, unconfirmed, and misdiagnosis. Variables potentially related to the confirmation of the diagnosis were analysed. The revision of medical records and data collection took place from 15 January to 31 March 2014. RESULTS: Mean (standard deviation) age was 78 (10) years and 58% were women. The diagnosis could be confirmed in 53.6% of patients. Factors associated with a greater probability of having a confirmed diagnosis were age (yearly OR: 0.97, 95%CI: 0.95-0.99), cardiologist follow-up (OR: 3.66, 95%CI: 2.46-5.48), history of ischaemic heart disease (OR: 2.18, 95%CI: 1.36-2.48), atrial fibrillation (OR: 2.01, 95%CI: 1.34-3.03), and prescription of loop diuretics (OR: 3.24, 95%CI: 2.14-4.89). CONCLUSION: Only in half of the patients labelled as HF in primary care medical records could this diagnosis be further confirmed. Variables regularly registered in clinical practice could help general practitioners identify those patients requiring a revision of their HF diagnosis.
Subject(s)
Diagnostic Errors/statistics & numerical data , Heart Failure/diagnosis , Primary Health Care/statistics & numerical data , Age Factors , Aged , Aged, 80 and over , Atrial Fibrillation/complications , Cardiology , Cross-Sectional Studies , Female , Heart Failure/complications , Humans , Male , Medical Audit , Myocardial Ischemia/complications , Referral and Consultation , Risk Factors , Sodium Potassium Chloride Symporter Inhibitors/therapeutic use , SpainABSTRACT
El objetivo de este trabajo es aportar algunas propuestas acerca de cómo organizarla actuación educativa dirigida a los alumnos con trastorno del espectro autista (TEA) yfacilitar su inclusión en contextos educativos ordinarios. Tales sugerencias se derivan deuna investigación en la que los autores han participado y que tenía por objetivo determinarlas principales necesidades educativas de los escolares con TEA censados en la ciudadde Sevilla (España), así como valorar la situación actual de la atención suministrada aesta población en el seno del sistema educativo. Las recomendaciones que se hacen seagrupan en cuatro bloques: a) propuestas relacionadas con la detección y el diagnóstico,b) propuestas para reforzar la inclusión, c) propuestas acerca de recursos que han de serreforzados y d) propuestas específicas para los Institutos de Educación Secundaria
The aim of this paper is to provide some recommendations about the education ofchildren with Autism Spectrum Disorders (ASD) and their inclusion. These recommendationsarise from a study in which the authors took part, with the objective of determiningthe main educational needs of the pupils with ASD in the city of Sevilla (Spain)and assessing the present educational provision to this population. Recommendations are grouped in four blocks: a) those related to detection and diagnosis, b) proposals toreinforce inclusion, c) recommendations for the increase of certain resources, and d)specific proposals for Secondary Education
