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http://hdl.handle.net/2445/130966
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DC Field | Value | Language |
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dc.contributor.author | Sisó Almirall, Antoni | - |
dc.contributor.author | Kostov, Belchin | - |
dc.contributor.author | Navarro González, Marta | - |
dc.contributor.author | Cararach Salami, Daniel | - |
dc.contributor.author | Pérez Jiménez, Alonso | - |
dc.contributor.author | Gilabert Solé, Maria Rosa | - |
dc.contributor.author | Brú i Saumell, Concepció | - |
dc.contributor.author | Donoso Bach, Lluís | - |
dc.contributor.author | Villalta Martí, Mireia | - |
dc.contributor.author | González de Paz, Luis | - |
dc.contributor.author | Ruiz Riera, Rafael | - |
dc.contributor.author | Riambau, Vicente | - |
dc.contributor.author | Acar Denizli, Nihan | - |
dc.contributor.author | Farré Almacellas, Marta | - |
dc.contributor.author | Ramos Casals, Manuel | - |
dc.contributor.author | Benavent Àreu, Jaume | - |
dc.date.accessioned | 2019-03-27T11:23:51Z | - |
dc.date.available | 2019-03-27T11:23:51Z | - |
dc.date.issued | 2017-04-28 | - |
dc.identifier.issn | 1932-6203 | - |
dc.identifier.uri | http://hdl.handle.net/2445/130966 | - |
dc.description.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. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | Public Library of Science (PLoS) | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.1371/journal.pone.0176877 | - |
dc.relation.ispartof | PLoS One, 2017, vol. 12, num. 4, p. e0176877 | - |
dc.relation.uri | https://doi.org/10.1371/journal.pone.0176877 | - |
dc.rights | cc-by (c) Sisó Almirall, Antoni et al., 2017 | - |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/es | - |
dc.source | Articles publicats en revistes (Medicina) | - |
dc.subject.classification | Aneurismes aòrtics | - |
dc.subject.classification | Atenció primària | - |
dc.subject.classification | Ecografia | - |
dc.subject.classification | Factors de risc en les malalties | - |
dc.subject.classification | Cribratge | - |
dc.subject.other | Aortic aneurysms | - |
dc.subject.other | Primary health care | - |
dc.subject.other | Ultrasonic imaging | - |
dc.subject.other | Risk factors in diseases | - |
dc.subject.other | Medical screening | - |
dc.title | Abdominal aortic aneurysm screening program using hand-held ultrasound in primary healthcare | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 682388 | - |
dc.date.updated | 2019-03-27T11:23:51Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 28453577 | - |
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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