Assuntos
Ética Clínica , Abandono do Hábito de Fumar , Tabagismo/terapia , Adulto , Aconselhamento , Feminino , Humanos , Neoplasias Pulmonares/etiologia , Neoplasias Pulmonares/mortalidade , Masculino , Relações Médico-Paciente , Fatores de Risco , Tabagismo/complicações , Tabagismo/mortalidade , Tabagismo/prevenção & controleRESUMO
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Assuntos
Adulto , Humanos , Ética Clínica , Abandono do Uso de Tabaco , Tabagismo/terapia , Aconselhamento , Relações Médico-Paciente , Fatores de Risco , Tabagismo/complicações , Tabagismo/mortalidade , Tabagismo/prevenção & controle , Neoplasias Pulmonares/etiologia , Neoplasias Pulmonares/mortalidadeAssuntos
Antagonistas Adrenérgicos beta/uso terapêutico , Diuréticos/uso terapêutico , Hipertensão/tratamento farmacológico , Antagonistas Adrenérgicos beta/efeitos adversos , Antagonistas Adrenérgicos beta/farmacologia , Idoso , Animais , Benzotiadiazinas , Doença das Coronárias/prevenção & controle , Diuréticos/efeitos adversos , Diuréticos/farmacologia , Humanos , Qualidade de Vida , Inibidores de Simportadores de Cloreto de Sódio/efeitos adversos , Inibidores de Simportadores de Cloreto de Sódio/farmacologia , Inibidores de Simportadores de Cloreto de Sódio/uso terapêuticoRESUMO
OBJECTIVE: To design a simple method to calculate overall cardiovascular risk (CVR), which could be used in Primary Care (PC). DESIGN: A descriptive study to correlate and validate our method (called CVR-PC) using the Framingham, the British Regional Heart study and the Spanish Society to fight against Arterial Hypertension methods. SETTING: Urban health centre. PATIENTS: 670 patients of both sexes chosen at random in clinics, to apply a programme of preventive measures. MEASUREMENTS AND MAIN RESULTS: The age, gender, blood pressure, tobacco consumption, Cholesterolaemia and Glycaemia were determined for each patient. A multiplicative memory method was designed to obtain the index of cardiovascular risk without recourse to electronic support. Figures obtained were correlated with those from the equation of the Framingham study. The Pearson r values were: 0.85 for the series total (0.85 for men and 0.83 for women). The cut-off point for high/low-moderate risk was identified. From this 76.3% sensitivity and 95.7% specificity were obtained. CONCLUSIONS: The method studied shows adequate correlation as well as high sensitivity and specificity when compared with the Framingham method. It can be useful in Primary Care clinic for identifying individuals at high cardiovascular risk.
Assuntos
Doenças Cardiovasculares/epidemiologia , Atenção Primária à Saúde , Adulto , Feminino , Humanos , Modelos Logísticos , Masculino , Métodos , Pessoa de Meia-Idade , Fatores de RiscoRESUMO
We determined the prevalence of tobacco consumption among the general population and established its distribution considering socioeconomical variables. We performed a cross-sectional study with 2781 subjects from 93 rural and urban areas, selected by randomized, census-based, multi-staged and stratified sampling. 40.9% of the population from Aragon are regular smokers (58.6 of men and 23% of women). Heavy smokers comprise 17.2% of the total (30.1% of men and 3.8% of women). The higher proportion of smokers in observed among single men over 40 and single women under 40. The percentage of smokers is lower among 20 to 29-years-old young people from high socio-economical than from low levels. In general, the mean percentage of smokers among men and, specially, among women from rural areas is higher than in the rural areas. In Aragon, tobacco is a risk factor affecting 41% of the adult population and, specially, young people, men, single persons from both sexes and living in urban areas. It seems that young people with a high socio-economical level are becoming smokers at a lower frequency.
