RESUMO
OBJETIVO: El objetivo de este trabajo fue conocer la prevalencia de síntomas respiratorios y de EPOC, así como las características de esta población en Aragón (España). Diseño y emplazamiento: Estudio epidemiológico, transversal, en población entre 40 y 75 años. Los sujetos fueron elegidos de forma aleatoria y estratificada por edad y sexo a partir de los datos de la tarjeta sanitaria del Servicio Aragonés de Salud. PARTICIPANTES: Un total de 1.185 sujetos aceptaron colaborar. MEDICIONES PRINCIPALES: Un cuestionario sociodemográfico y clínico y espirometría forzada antes y después de una prueba broncodilatadora. El diagnóstico de EPOC se realizaba según los criterios de la guía GOLD (cociente FEV1/CVF < 0,7). RESULTADOS: La prevalencia de EPOC alcanzó un 10,4% (IC: 9,8-11,0%), un 16,9% en hombres y un 5,7% en mujeres. Los síntomas respiratorios aparecieron en un 58% de la población general. Existía mayor prevalencia de EPOC en las mujeres que en otros estudios. Los factores asociados a desarrollar EPOC fueron ser hombre, tener más edad, mayor índice tabáquico y menor nivel de estudios. El 78,9% de los pacientes con EPOC no estaban diagnosticados. Los diagnosticados fueron de más edad, más fumadores, con EPOC más graves o con peor calidad de vida. CONCLUSIONES: La alta prevalencia de EPOC y el importante nivel de infradiagnóstico nos permite creer que el diagnóstico precoz de esta enfermedad es todavía una asignatura pendiente. Necesitamos desarrollar nuevas estrategias para atajar este problema
OBJECTIVE: The aim of this study was to determine the prevalence of respiratory symptoms and COPD, as well as the characteristics of this population in Aragon (Spain). Design and LOCATION: It is a cross-sectional epidemiological study in a population between 40 and 75 years of age. Subjects were randomly selected and stratified by age and sex using the data from the health card of the Aragonese Health Service. PARTICIPANTS: A total of 1185 subjects agreed to participate. MAIN MEASUREMENTS: A sociodemographic questionnaire and spirometry before and after bronchodilator test. The diagnosis of COPD was made according to the criteria of the GOLD guide (FEV1/FVC<0.7). RESULTS: COPD prevalence was 10.4%, 16.9% in men and 5.7% in women. Respiratory symptoms appeared in 58% of the general population. There was a higher prevalence of COPD in women than in other studies. Factors associated with developing COPD were, being male, increasing age, smoking more, and a lower education. More than three-quarters (78.9%) of COPD were not diagnosed. Diagnosis was associated with, being older, more smoking more, more severe COPD or poorer quality of life. CONCLUSIONS: The high prevalence of COPD and the significant level of underdiagnoses lead to believe that early diagnosis of this disease is still a pending issue. New strategies need to be developed to resolve this problem
Assuntos
Adulto , Idoso , Feminino , Humanos , Masculino , Doença Pulmonar Obstrutiva Crônica/diagnóstico , Doença Pulmonar Obstrutiva Crônica/epidemiologia , Monitoramento Epidemiológico/tendências , Fumar , Qualidade de Vida , Fatores de Risco , Estudos Transversais , Espirometria , Espanha/epidemiologiaRESUMO
OBJECTIVE: The aim of this study was to determine the prevalence of respiratory symptoms and COPD, as well as the characteristics of this population in Aragon (Spain). DESIGN AND LOCATION: It is a cross-sectional epidemiological study in a population between 40 and 75 years of age. Subjects were randomly selected and stratified by age and sex using the data from the health card of the Aragonese Health Service. PARTICIPANTS: A total of 1185 subjects agreed to participate. MAIN MEASUREMENTS: A sociodemographic questionnaire and spirometry before and after bronchodilator test. The diagnosis of COPD was made according to the criteria of the GOLD guide (FEV1/FVC<0.7). RESULTS: COPD prevalence was 10.4%, 16.9% in men and 5.7% in women. Respiratory symptoms appeared in 58% of the general population. There was a higher prevalence of COPD in women than in other studies. Factors associated with developing COPD were, being male, increasing age, smoking more, and a lower education. More than three-quarters (78.9%) of COPD were not diagnosed. Diagnosis was associated with, being older, more smoking more, more severe COPD or poorer quality of life. CONCLUSIONS: The high prevalence of COPD and the significant level of underdiagnoses lead to believe that early diagnosis of this disease is still a pending issue. New strategies need to be developed to resolve this problem.
Assuntos
Doença Pulmonar Obstrutiva Crônica/epidemiologia , Transtornos Respiratórios/epidemiologia , Adulto , Idoso , Estudos Transversais , Estudos Epidemiológicos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , PrevalênciaRESUMO
El interés del síndrome del escroto agudo en atención primaria radica en la importancia del diagnóstico precoz de una de las posibles causas: la torsión testicular. Se trata de una urgencia subsidiaria de tratamiento quirúrgico en las primeras horas del diagnóstico, ya que la viabilidad del testículo torsionado disminuye conforme aumenta la duración de la torsión. Otras causas de escroto agudo, con las que estableceremos el diagnóstico diferencial, son torsión de los apéndices testiculares, epididimitis, hidrocele, varicocele, traumatismo, etc (AU)
