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http://hdl.handle.net/2445/130966
Title: | Abdominal aortic aneurysm screening program using hand-held ultrasound in primary healthcare |
Author: | Sisó Almirall, Antoni Kostov, Belchin Navarro González, Marta Cararach Salami, Daniel Pérez Jiménez, Alonso Gilabert Solé, Maria Rosa Brú i Saumell, Concepció Donoso Bach, Lluís Villalta Martí, Mireia González de Paz, Luis Ruiz Riera, Rafael Riambau, Vicente Acar Denizli, Nihan Farré Almacellas, Marta Ramos Casals, Manuel Benavent Àreu, Jaume |
Keywords: | Aneurismes aòrtics Atenció primària Ecografia Factors de risc en les malalties Cribratge Aortic aneurysms Primary health care Ultrasonic imaging Risk factors in diseases Medical screening |
Issue Date: | 28-Apr-2017 |
Publisher: | Public Library of Science (PLoS) |
Abstract: | We determined the feasibility of abdominal aortic aneurysm (AAA) screening program led by family physicians in public primary healthcare setting using hand-held ultrasound device. The potential study population was 11,214 men aged ≥ 60 years attended by three urban, public primary healthcare centers. Participants were recruited by randomly-selected telephone calls. Ultrasound examinations were performed by four trained family physicians with a hand-held ultrasound device (Vscan®). AAA observed were verified by confirmatory imaging using standard ultrasound or computed tomography. Cardiovascular risk factors were determined. The prevalence of AAA was computed as the sum of previously-known aneurysms, aneurysms detected by the screening program and model-based estimated undiagnosed aneurysms. We screened 1,010 men, with mean age of 71.3 (SD 6.9) years; 995 (98.5%) men had normal aortas and 15 (1.5%) had AAA on Vscan®. Eleven out of 14 AAA-cases (78.6%) had AAA on confirmatory imaging (one patient died). The total prevalence of AAA was 2.49% (95%CI 2.20 to 2.78). The median aortic diameter at diagnosis was 3.5 cm in screened patients and 4.7 cm (p<0.001) in patients in whom AAA was diagnosed incidentally. Multivariate logistic regression analysis identified coronary heart disease (OR = 4.6, 95%CI 1.3 to 15.9) as the independent factor with the highest odds ratio. A screening program led by trained family physicians using hand-held ultrasound was a feasible, safe and reliable tool for the early detection of AAA. |
Note: | Reproducció del document publicat a: https://doi.org/10.1371/journal.pone.0176877 |
It is part of: | PLoS One, 2017, vol. 12, num. 4, p. e0176877 |
URI: | http://hdl.handle.net/2445/130966 |
Related resource: | https://doi.org/10.1371/journal.pone.0176877 |
ISSN: | 1932-6203 |
Appears in Collections: | Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer) Articles publicats en revistes (Medicina) |
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