6 research outputs found
Prevención secundaria de cardiopatía isquémica a nivel lipídico en atención primaria Aragón: estudio PRECIAR 1
Background: Despite the existing evidence of the effectiveness
of secondary prevention by modifying lifestyles or
using the different drugs which have shown themselves to be
clinically beneficial for heart patients, there is little, not highly
accurate information available regarding the handling of the
treatment of these patients within the scope of primary care in
our country. The purpose of this study is that of ascertaining the
current status of secondary prevention of heart disease as far as
lipid control is concerned.
Methods: A review was made of the clinical records of all
of the patients diagnosed at some point in time of their life as
having ischemic heart disease, including those under the heading
of acute myocardial infarction and angina pectoris within
the 11 groups of patients assigned to three urban Health Care
Centers in Area II in Zaragoza. The population in question totaled
19,692 patients, 388 cases of ischemic heart disease having
been found in the record files data.
Results: Based on a study of the lipid control data, 60.8%
of the cases analyzed in this study showed a complete lipid profile
for the last year. Solely 4.7% of these patients had LDL <
100, the control objective having to be limited to c- LDL<130
to find a 31.3% of patients with a lower than optimum control
of this parameter.
Conclusions: The results of our study reveal that the diagnosis
of dyslipemias as well as the control of all other heart disease
risk factors in secondary care have not been in keeping,
for the most part, with the quality criteria of this health care
procedure and therefore reveal the existence of a major degree
of room for improvement.Fundamento: A pesar de la evidencia existente sobre la
eficacia de la prevención secundaria, modificando los estilos de
vida o utilizando los diversos fármacos que han mostrado su
beneficio clínico en pacientes coronarios, la información disponible
sobre el manejo terapéutico de estos pacientes en el
ámbito de la atención primaria en nuestro país es escasa y poco
precisa. El objetivo de este estudio es conocer el estado de la
prevención secundaria de la enfermedad coronaria desde el
punto de vista del control de los lípidos.
Métodos: Se revisaron las historias clínicas de todas las personas
diagnosticadas en algún momento de su vida de patología
cardiovascular isquémica; incluyéndose en este apartado el infarto
agudo de miocardio y el ángor, dentro de 11 cupos de 3
Centros de Salud urbanos del área II de Zaragoza. La población
global era de 19.692 pacientes, encontrándose 388 casos de cardiopatía
isquémica, de los datos recogidos de las historias.
Resultados: Estudiando los datos sobre el control lipídico, el
60.8% de los casos analizados en este estudio presentaba un perfil
lipídico completo en el último año. De estos 236 pacientes solamente
el 4,7% tenía el LDL < 100, teniendo que limitar a un
c-LDL < 130 el objetivo de control para encontrar un 31,3% de
pacientes con un control subóptimo de este parámetro.
Conclusiones: Los resultados de nuestro estudio revelan
que el diagnóstico de las dislipemias, así como el control del
resto de factores de riesgo cardiovascular en prevención secundaria
no se han adecuado en gran medida a los criterios de calidad
de este proceso asistencial y señalan, en consecuencia, la
existencia de un amplio margen de mejora
Complex Care Needs in Multiple Chronic Conditions: Population Prevalence and Characterization in Primary Care. A Study Protocol
Background: Chronicity, and particularly complex care needs for people with chronic diseases is one of the main challenges of health systems. Objective: To determine the population prevalence of people with chronic diseases and complex care needs and to characterize these needs considering features of health and social complexity in Primary Care. Design: Cross-sectional population-based study. Scope: Patients who have one or more chronic health conditions from three Primary Care urban centres of a reference population of 43.647 inhabitants older than 14 years old. Methodology: Data will be obtained from the review of electronical medical records. Complexity will be defined by: 1) the independent clinical judgment of primary care physicians and nurses and 2) the aid of three complexity domains (clinical and social). Patients with advanced chronic disease and limited life prognosis will be also described. Conclusions: This research protocol intends to describe and analyse complex care needs from a primary care professional perspective in order to improve knowledge of complexity beyond multimorbidity and previous consumption of health resources. Knowing about health and social complexity with a more robust empirical basis could help for a better integration of social and health policies and a more proactive and differentiated care approach in this most vulnerable population
Espacios y destinos turísticos en tiempos de globalización y crisis
2 volúmenesXII Coloquio de Geografía del Turismo, Ocio y Recreación de la Asociación de Geógrafos Españoles. Colmenarejo (Madrid), del 17 al 19 de junio de 2010.Este libro ha sido editado con la colaboración económica del Ministerio de Ciencia e Innovación (ref. CS02010-10416-E)