ABSTRACT
Objetivos Estudiar la prevalencia de calcificación arterial (índice tobillo-brazo ≥1,4) y de factores de riesgo cardiovascular asociados en población general >49 años de edad. Métodos Estudio transversal, 3786 sujetos seleccionados aleatoriamente en 28 centros. Para el cálculo de la prevalencia se usó toda la muestra, excluyendo los sujetos con arteriopatía periférica (índice tobillo-brazo <0,9) para determinar los factores asociados a calcificación arterial mediante regresión logística multivariada. Resultados Se encontró calcificación arterial en 235 individuos (prevalencia: 6,2%; intervalo de confianza del 95%: 5,6-7,0); más del doble en los hombres que en las mujeres. Los sujetos con calcificación arterial eran mayores, presentaban más antecedentes cardiovasculares, diabetes y obesidad, y tenían más limitaciones para realizar actividad física que las personas con un índice tobillo-brazo normal. Conclusiones En atención primaria podríamos priorizar la práctica de la determinación del índice tobillo-brazo para detectar calcificación arterial en hombres, personas de edad avanzada, diabéticos, personas con sobrepeso u obesidad, con incapacidad para realizar ejercicio físico, o con hipertrofia del ventrículo izquierdo (AU)
Objective To determine the prevalence of arterial calcification (ankle-brachial index ≥1.4) and its related factors among the general population aged >49 years. Methods We performed a cross-sectional study of 3,786 people randomly selected from 28 centers. To assess the factors associated with arterial calcification using a multivariate logistic model, the whole sample was used to compute prevalence, excluding persons with peripheral arterial disease (ankle-brachial index <0.9).Results Arterial calcification was found in 235 persons (prevalence: 6.2%; 95% CI: 5.6-7.0), and was twice as frequent in men as in women. Patients with arterial calcification were older, had more previous cardiovascular events, diabetes and obesity, and were less able to perform physical activity than persons with a healthy ankle-brachial index. Conclusions We recommend measurement of the ankle-brachial index in primary care centers to detect arterial calcification among men, persons with diabetes, overweight, obesity or difficulty in performing physical activity, and in those with left ventricular hypertrophy (AU)
Subject(s)
Humans , Male , Female , Middle Aged , Atherosclerosis/epidemiology , Primary Health Care/methods , Calcinosis/diagnosis , Cross-Sectional Studies , Mass Screening , Risk FactorsABSTRACT
OBJECTIVE: To determine the prevalence of arterial calcification (ankle-brachial index ≥1.4) and its related factors among the general population aged >49 years. METHODS: We performed a cross-sectional study of 3,786 people randomly selected from 28 centers. To assess the factors associated with arterial calcification using a multivariate logistic model, the whole sample was used to compute prevalence, excluding persons with peripheral arterial disease (ankle-brachial index <0.9). RESULTS: Arterial calcification was found in 235 persons (prevalence: 6.2%; 95% CI: 5.6-7.0), and was twice as frequent in men as in women. Patients with arterial calcification were older, had more previous cardiovascular events, diabetes and obesity, and were less able to perform physical activity than persons with a healthy ankle-brachial index. CONCLUSIONS: We recommend measurement of the ankle-brachial index in primary care centers to detect arterial calcification among men, persons with diabetes, overweight, obesity or difficulty in performing physical activity, and in those with left ventricular hypertrophy.
Subject(s)
Peripheral Arterial Disease/epidemiology , Vascular Calcification/epidemiology , Aged , Cardiovascular Diseases/epidemiology , Cardiovascular Diseases/etiology , Cross-Sectional Studies , Female , Humans , Male , Middle Aged , Peripheral Arterial Disease/complications , Prevalence , Risk Factors , Vascular Calcification/complicationsABSTRACT
El Servicio de Atención Primaria de Santa Coloma de Gramenet ha diseñado un sistema que estandariza y automatiza la planificación de coberturas de personal sanitario. Está dividido en dos partes: una calculadora que en función de parámetros de actividad y presión asistencial orienta sobre el riesgo previsible derivado de nuestra planificación, y otra con indicadores centinela; el principal es el «nivel básico asistencial», definido como el porcentaje de usuarios atendidos a 2, 3 y 7 días naturales, y valora su repercusión en la asistencia a la población. Los resultados en el verano de 2010 muestran un aumento de la eficiencia al disminuir la plantilla presencial respecto al año 2009, conseguir una mejor distribución de ésta en el periodo acorde con la actividad realizada y mejorar la gestión presupuestaria. Puesto que los datos necesarios están disponibles y su cálculo es sencillo, puede ser exportable a todo nuestro ámbito (AU)
The Santa Coloma de Gramenet Primary Care Service has designed a new tool to standardize and automate the process of planning the number of needed health care workers. The tool is divided in two parts: a calculator, which gives guidance on the foreseeable risk depending on the activity and the health care workers workload, and sentinel indicators; the main is the welfare basic level, that is the percentage structure of visited patients and their delay at 2, 3 and 7 calendar days, assessing the impact on the care of the population. The results of its use in the summer of 2010 have demonstrated its efficiency by lowering the needed workers with respect to 2009, achieving a better distribution according to the workload and improving the economic management. Given that the necessary data are accessible through computerized databases and its simple use, we believe it to be exportable to other fields (AU)
Subject(s)
Humans , Health Services Coverage , Case Management/statistics & numerical data , Workload/statistics & numerical data , Primary Health Care , Health Services Needs and Demand/organization & administration , Health Personnel/statistics & numerical dataABSTRACT
The Santa Coloma de Gramenet Primary Care Service has designed a new tool to standardize and automate the process of planning the number of needed health care workers. The tool is divided in two parts: a calculator, which gives guidance on the foreseeable risk depending on the activity and the health care workers' workload, and sentinel indicators; the main is the "welfare basic level", that is the percentage structure of visited patients and their delay at 2, 3 and 7 calendar days, assessing the impact on the care of the population. The results of its use in the summer of 2010 have demonstrated its efficiency by lowering the needed workers with respect to 2009, achieving a better distribution according to the workload and improving the economic management. Given that the necessary data are accessible through computerized databases and its simple use, we believe it to be exportable to other fields.
Subject(s)
Health Workforce/statistics & numerical data , Primary Health Care , Algorithms , Automation , Delivery of Health Care , Forecasting , Health Planning , Health Services Needs and Demand/statistics & numerical data , Humans , Spain , Time Factors , WorkloadABSTRACT
No disponible
