scholarly journals Initial assessment of femoral proximal fracture and acute hip arthritis using pocket-sized ultrasound: a prospective observational study in a primary care setting in Japan

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Takashi Akimoto ◽  
Tadashi Kobayashi ◽  
Hiroki Maita ◽  
Hiroshi Osawa ◽  
Hiroyuki Kato
Keyword(s):  
Primary Care ◽  
Observational Study ◽  
Prospective Observational Study ◽  
Care Setting ◽  
Primary Care Setting ◽  
Initial Assessment ◽  
Hip Arthritis

scholarly journals A six-month, multicenter, open-label, noncomparative, prospective, observational study of the efficacy and tolerability of atorvastatin in the primary care setting(estudio del control de las hiperlipidemiasen atención primaria): the cheap study

2003 ◽  
Vol 64 (6) ◽  
pp. 338-354
Author(s):  
Juan A. Gómez-Gerique ◽  
Luis A. Álvarez-Sala ◽  
Beatriz Armada ◽  
Isabel Fernández-Arias ◽  
Javier Martinez ◽  
...  
Keyword(s):  
Primary Care ◽  
Observational Study ◽  
Prospective Observational Study ◽  
Care Setting ◽  
Primary Care Setting ◽  
Open Label

scholarly journals Initial assessment of femoral proximal fracture and acute hip arthritis using pocket-sized ultrasound: A prospective observational study in a primary care setting in Japan

2019 ◽  
Author(s):  
Takashi Akimoto ◽  
Tadashi Kobayashi ◽  
Hiroki Maita ◽  
Hiroshi Osawa ◽  
Hiroyuki Kato
Keyword(s):  
Primary Care ◽  
Observational Study ◽  
Diagnostic Accuracy ◽  
Prospective Observational Study ◽  
Fluid Retention ◽  
Hip Pain ◽  
Joint Fluid ◽  
Initial Assessment ◽  
Hip Arthritis ◽  
Imaging Results

Abstract Background Acute hip pain caused by femoral proximal fractures or acute hip arthritis requires imaging for accurate diagnosis. Although pocket-sized ultrasound (PsUS) offers several advantages over other imaging modalities, there is limited information regarding its use in diagnosing femoral proximal fractures or acute hip arthritis. Thus, we aimed to validate the diagnostic accuracy of PsUS for both disorders. Methods In this prospective observational study, outpatients with acute hip pain were diagnosed according to a fixed procedure of the PsUS probe handling. We verified the diagnostic accuracy of PsUS findings (cortical discontinuity and joint fluid retention) and compared it with that of radiography, computed tomography, and magnetic resonance imaging. Results Our study included 52 outpatients (mean age, 78.0 years; female, 88.5%). Of 26 patients diagnosed with femoral proximal fractures, 14 had femoral neck fractures and 12 had femoral trochanteric fractures. Six patients had arthritis. The sensitivity and specificity for identifying cortical discontinuity in femoral proximal fractures were 0.96 and 0.92, respectively, and those for identifying joint fluid retention in acute hip arthritis were 1.00 and 0.65, respectively. The sensitivity for identifying either cortical discontinuity or joint fluid retention in femoral proximal fractures or acute hip arthritis was 0.97. Conclusions Negative PsUS findings of cortical discontinuity and joint fluid retention in the hip are useful for ruling out femoral proximal fractures and acute hip arthritis. PsUS and radiography have comparable diagnostic accuracies, and PsUS could aid in the initial assessment of acute hip pain among the elderly in primary care settings.

scholarly journals Initial assessment of femoral proximal fracture and acute hip arthritis using pocket-sized ultrasound: A prospective observational study in a primary care setting in Japan

2020 ◽  
Author(s):  
Takashi Akimoto ◽  
Tadashi Kobayashi ◽  
Hiroki Maita ◽  
Hiroshi Osawa ◽  
Hiroyuki Kato
Keyword(s):  
Primary Care ◽  
Observational Study ◽  
Diagnostic Accuracy ◽  
Prospective Observational Study ◽  
Fluid Retention ◽  
Hip Pain ◽  
Joint Fluid ◽  
Initial Assessment ◽  
Hip Arthritis ◽  
Imaging Results

Abstract Background Acute hip pain caused by femoral proximal fractures or acute hip arthritis requires imaging for accurate diagnosis. Although pocket-sized ultrasound (PsUS) offers several advantages over other imaging modalities, there is limited information regarding its use in diagnosing femoral proximal fractures or acute hip arthritis. Thus, we aimed to validate the diagnostic accuracy of PsUS for both disorders. Methods In this prospective observational study, outpatients with acute hip pain were diagnosed according to a fixed procedure of the PsUS probe handling. We verified the diagnostic accuracy of PsUS findings (cortical discontinuity and joint fluid retention) and compared it with that of radiography, computed tomography, and magnetic resonance imaging. Results Our study included 52 outpatients (mean age, 78.0 years; female, 88.5%). Of 26 patients diagnosed with femoral proximal fractures, 14 had femoral neck fractures and 12 had femoral trochanteric fractures. The sensitivity and specificity for identifying cortical discontinuity in femoral proximal fractures were 0.96 and 0.92, respectively. The sensitivity for identifying either cortical discontinuity or joint fluid retention in femoral proximal fractures or acute hip arthritis was 0.97. Conclusions Negative PsUS findings of cortical discontinuity and joint fluid retention in the hip are useful for ruling out femoral proximal fractures and acute hip arthritis. PsUS and radiography have comparable diagnostic accuracies, and PsUS could aid in the initial assessment of acute hip pain among the elderly in primary care settings.

scholarly journals The monitoring of longer term prescriptions of antidepressants: observational study in a primary care setting

2014 ◽  
Vol 31 (4) ◽  
pp. 419-426 ◽  
Author(s):  
J. E. Sinclair ◽  
L. S. Aucott ◽  
K. Lawton ◽  
I. C. Reid ◽  
I. M. Cameron
Keyword(s):  
Primary Care ◽  
Observational Study ◽  
Care Setting ◽  
Primary Care Setting

scholarly journals Does refugee status matter? Medical needs of newly arrived asylum seekers and resettlement refugees - a retrospective observational study of diagnoses in a primary care setting

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Evelyn Kleinert ◽  
Frank Müller ◽  
Ghefar Furaijat ◽  
Nele Hillermann ◽  
Alexandra Jablonka ◽  
...  
Keyword(s):  
Primary Care ◽  
Observational Study ◽  
Asylum Seekers ◽  
Care Setting ◽  
Primary Care Setting ◽  
Retrospective Observational Study ◽  
Refugee Status ◽  
Medical Needs

Identification and Characterization of Adverse Drug Events in Primary Care

2016 ◽  
Vol 32 (5) ◽  
pp. 518-525 ◽  
Author(s):  
Katy E. Trinkley ◽  
Harrison G. Weed ◽  
Stuart J. Beatty ◽  
Kyle Porter ◽  
Milap C. Nahata
Keyword(s):  
Primary Care ◽  
Prospective Observational Study ◽  
Care Setting ◽  
Adverse Drug Events ◽  
Primary Care Setting ◽  
Life Threatening ◽  
Internal Medicine Clinic ◽  
Identification And Characterization ◽  
Medication Changes

The purpose of this study was to identify and characterize adverse drug events (ADEs) in a primary care setting using an electronic health record (EHR). This prospective, observational study enrolled patients with any medication change who were seen at an outpatient internal medicine clinic. Patients were evaluated for ADEs by EHR review and telephone interview. ADEs were independently assessed for causality, severity, preventability, and ameliorability by a physician and a pharmacist using a grading instrument. There were 1368 unique medication changes for 701 individuals who completed the study (1.95 changes per person). Of the 226 suspected ADEs, 68 (58%) were deemed to be “definite” or “probable” following causality assessment; 21% were preventable and 40% ameliorable. Only 2 ADEs were serious or life-threatening. Compared with prior reports, ADEs in primary care have decreased in frequency and severity, yet the occurrence of preventable and ameliorable ADEs has increased.

scholarly journals Short-term effects of a pay-for-performance programme for diabetes in a primary care setting: an observational study

2015 ◽  
Vol 33 (4) ◽  
pp. 291-297 ◽  
Author(s):  
H. Ödesjö ◽  
A. Anell ◽  
S. Gudbjörnsdottir ◽  
J. Thorn ◽  
S. Björck
Keyword(s):  
Primary Care ◽  
Observational Study ◽  
Care Setting ◽  
Primary Care Setting ◽  
Pay For Performance ◽  
Short Term ◽  
Short Term Effects

scholarly journals An observational study of hypertension treatment and patient outcomes in a primary care setting

2015 ◽  
Vol 20 ◽  
Author(s):  
Keneuoe Hycianth Thinyane ◽  
Tumelo Mothebe ◽  
Mopa Sooro ◽  
Lekotoane David Namole ◽  
Varsay Cooper
Keyword(s):  
Primary Care ◽  
Observational Study ◽  
Patient Outcomes ◽  
Care Setting ◽  
Primary Care Setting ◽  
Hypertension Treatment

scholarly journals Impact of gastroesophageal reflux disease on patients' daily lives: a European observational study in the primary care setting

2009 ◽  
Vol 7 (1) ◽  
Author(s):  
Javier P Gisbert ◽  
Alun Cooper ◽  
Dimitrios Karagiannis ◽  
Jan Hatlebakk ◽  
Lars Agréus ◽  
...  
Keyword(s):  
Primary Care ◽  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Observational Study ◽  
Reflux Disease ◽  
Care Setting ◽  
Primary Care Setting ◽  
Daily Lives

Helicobacter Pylori Eradication for Peptic Ulceration: An Observational Study in a Scottish Primary Care Setting

2002 ◽  
Vol 47 (2) ◽  
pp. 28-33 ◽  
Author(s):  
E. H. Forrest ◽  
J. F. MacKenzie ◽  
R. C. Stuart ◽  
A. J. Morris
Keyword(s):  
Primary Care ◽  
Helicobacter Pylori ◽  
Observational Study ◽  
Care Setting ◽  
Primary Care Setting ◽  
Peptic Ulceration ◽  
Helicobacter Pylori Eradication
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