scholarly journals Prevalence of normal electrocardiograms in primary care patients

2014 ◽  
Vol 60 (3) ◽  
pp. 236-241 ◽  
Author(s):  
Milena Soriano Marcolino ◽  
Daniel Moore Freitas Palhares ◽  
Maria Beatriz Moreira Alkmim ◽  
Antonio Luiz Ribeiro
Keyword(s):  
Primary Care ◽  
Chest Pain ◽  
General Practitioner ◽  
Minas Gerais ◽  
Progressive Reduction ◽  
Telehealth Service ◽  
Primary Care Patients ◽  
Normal Ecgs ◽  
Primary Care Professionals ◽  
Ecg Interpretation

Objective: Knowing the proportion the proportion of normal and abnormal electrocardiograms (ECGs) in primary care patients allows us to estimate the proportion of exams that can be analyzed by the general practitioner with minimal training in ECG interpretation, in addition to being epidemiologically relevant. The objective of this study is to assess the prevalence of normal ECGs in primary care patients. Methods: all digital ECGs analyzed by the cardiologists of Telehealth Network of Minas Gerais (TNMG) in 2011 were evaluated. TNMG is a public telehealth service that provides support to primary care professionals in 662 municipalities in the state of Minas Gerais, Brazil. Results: during the study period, 290,795 ECGs were analyzed (mean age 51 ± 19 years), 57.6% were normal. This proportion was higher in women (60.1 vs 57.6%, p <0.001) and lower in patients with hypertension (45.8% vs 63.2%, p <0.001) or diabetes (43.3% vs 63.2%, p <0.001). A progressive reduction in the prevalence of normal ECG with increasing age was observed. Among the ECGs of patients under investigation for chest pain, 58.7% showed no abnormalities. Conclusion: the prevalence of normal ECGs in primary care patients is higher than 50% and this proportion decreases with age and comorbidities. Most ECGs performed for investigation of chest pain in primary care shows no abnormality.

scholarly journals Alopecia and Iron Deficiency: An Interventional Pilot Study in Primary Care to Improve the Request of Ferritin

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Maria Salinas ◽  
Maria Leiva-Salinas ◽  
Emilio Flores ◽  
Maite López-Garrigós ◽  
Carlos Leiva-Salinas
Keyword(s):  
Primary Care ◽  
General Practitioner ◽  
Pilot Study ◽  
Iron Deficiency ◽  
Laboratory Testing ◽  
Laboratory Tests ◽  
Young Female ◽  
Cross Sectional ◽  
Primary Care Patients ◽  
Cross Sectional Studies

Background. The aim was to study the demographic and laboratory pattern of primary care patients with alopecia undergoing laboratory testing, more specifically, the request of hemoglobin and ferritin and values showing anemia and iron deficiency, and to evaluate the effects of an intervention involving automatic ferritin registration and measurement when not requested. Methods. Retrospective and prospective observational cross-sectional studies were conducted, as well as an intervention to automatically register and measure ferritin when not requested by the general practitioner. Results. There were 343 and 1032 primary care laboratory requests prompted by alopecia in the retrospective and prospective studies. Hemoglobin was requested in almost every patient and ferritin in 88%. 5% of the cohort had anemia, and 25% had iron deficiency. The intervention registered and measured that 123 ferritin and 24 iron deficiencies were detected in patients with alopecia, all women, at a cost of 10.6€. Conclusion. Primary care patients with alopecia and laboratory tests request were mainly young female. Our intervention added ferritin when not requested, detecting iron deficiency in 27.9% of women, potentially avoiding the adverse effects of iron deficiency on hair loss.

scholarly journals Computerization of primary health care: the manager as a change agent

2021 ◽  
Vol 74 (2) ◽  
Author(s):  
Tarcísio Laerte Gontijo ◽  
Paola Karol Martins Lima ◽  
Eliete Albano de Azevedo Guimarães ◽  
Valéria Conceição de Oliveira ◽  
Humberto Ferreira de Oliveira Quites ◽  
...  
Keyword(s):  
Primary Care ◽  
Implementation Process ◽  
Cross Sectional Study ◽  
Minas Gerais ◽  
Software Systems ◽  
Cross Sectional ◽  
Technological Infrastructure ◽  
Factors Associated ◽  
Care Systems ◽  
Primary Care Professionals

ABSTRACT Objective: To analyze factors associated with the implementation of software systems of the e-SUS Primary Care strategy in municipalities of Minas Gerais. Methods: This is a cross-sectional study conducted with municipal managers of the e-SUS Primary Care strategy. A sample of cities stratified according to population size was selected. Descriptive, bivariate, and multivariate analyzes were performed to identify factors associated with the implementation of the systems. Results: In 49.1% (95%CI: 39.5-58.8) of the municipalities investigated, some of the e-SUS Primary Care systems were implemented. Time working as a strategy manager (OR: 3.03) and training for Primary Care professionals in the municipality (OR: 2.28) were associated with the implementation of the systems. Conclusion: The presence of a trained manager leading the implementation process impacted the implementation of the e-SUS AB strategy software systems in the municipalities of Minas Gerais. It is also essential to highlight the need to improve the technological infrastructure for the computerization of Primary Care.

scholarly journals Chest wall syndrome in primary care patients with chest pain: presentation, associated features and diagnosis

2010 ◽  
Vol 27 (4) ◽  
pp. 363-369 ◽  
Author(s):  
S. Bosner ◽  
A. Becker ◽  
M. A. Hani ◽  
H. Keller ◽  
A. C. Sonnichsen ◽  
...  
Keyword(s):  
Primary Care ◽  
Chest Pain ◽  
Chest Wall ◽  
Primary Care Patients

scholarly journals Brief Research Note: A Comparison of the Provision of Counselling and Advice to Primary Care Patients in Emergency Departments and a General Practice Casualty Department

2002 ◽  
Vol 8 (1) ◽  
pp. 91 ◽  
Author(s):  
Patrick Bolton ◽  
Michael Mira
Keyword(s):  
Primary Care ◽  
Emergency Department ◽  
General Practice ◽  
General Practitioner ◽  
Emergency Departments ◽  
Adverse Outcome ◽  
Triage Nurse ◽  
Ambulatory Patients ◽  
Primary Care Patients ◽  
Research Officer

Data were collected from clinicians at the time of consultation about the care that they provided in 12,813 encounters in a general practitioner (GP) staffed casualty department and 719 primary care encounters in two emergency departments (Bolton, 1999). Data were collected by the GPs themselves in general practice, and by a research officer located in the emergency departments. Patients seen in the emergency department were ambulatory patients whom the triage nurse assessed would not suffer an adverse outcome if they had to wait an hour or longer for care. Comparison of these two patient populations established that they were similar in terms of age, gender, ethnicity, and reason for encounter.

scholarly journals Integrating primary and secondary care for children and young people: sharing practice

2015 ◽  
Vol 101 (9) ◽  
pp. 792-797 ◽  
Author(s):  
Jenny Woodman ◽  
Hannah Lewis ◽  
Ronny Cheung ◽  
Ruth Gilbert ◽  
Linda PMM Wijlaars
Keyword(s):  
Primary Care ◽  
General Practitioner ◽  
Young People ◽  
Healthcare Professionals ◽  
Shared Responsibility ◽  
Specialist Care ◽  
Children And Young People ◽  
Telephone Interviews ◽  
Hospital At Home ◽  
Primary Care Professionals

ObjectiveTo share innovative practice with enough detail to be useful for paediatricians involved in planning services.DesignA review of practice, adopting a realist approach.SettingWe collected detailed information about five initiatives which were presented at two meetings in July and October 2014 and telephone interviews between July and November 2014 with key informants, updating information again in February 2015.ResultsThe five case studies involved three clinical commissioning groups (CCGs): Islington CCG and Southwark and Lambeth CCG in London and Taunton CCG in the Southwest. All five initiatives involved acute paediatric units. We heard about four distinct types of services designed to bring paediatric expertise into primary care and/or improve joint working between paediatricians and primary care professionals: telephone multidisciplinary team, hospital at home, general practitioner (GP) outreach clinics, and advice and guidance. We defined four common ways that initiatives might work: promoting shared responsibility; upskilling GPs; establishing relationships between paediatricians and primary healthcare professionals; and by taking specialist care to the patient.ConclusionsWe derived common aims and mechanisms and generated programme (mid-level) theory for each integrated care initiative about how they might work. These descriptions of what is being done can inform debate about which interventions should be prioritised for wider implementation. There is an urgent need for evaluation of these interventions and more indepth research into how mechanisms and their effectiveness could be assessed.

scholarly journals Ruling out coronary heart disease in primary care patients with chest pain: a clinical prediction score

BMC Medicine ◽  
2010 ◽  
Vol 8 (1) ◽  
Author(s):  
Baris Gencer ◽  
Paul Vaucher ◽  
Lilli Herzig ◽  
François Verdon ◽  
Christiane Ruffieux ◽  
...  
Keyword(s):  
Primary Care ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Chest Pain ◽  
Prediction Score ◽  
Clinical Prediction ◽  
Primary Care Patients
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