Sisó Almirall, AntoniKostov, BelchinNavarro González, MartaCararach Salami, DanielPérez Jiménez, AlonsoGilabert Solé, Maria RosaBrú i Saumell, ConcepcióDonoso Bach, LluísVillalta Martí, MireiaGonzález de Paz, LuisRuiz Riera, RafaelRiambau, VicenteAcar Denizli, NihanFarré Almacellas, MartaRamos Casals, ManuelBenavent Àreu, Jaume2019-03-272019-03-272017-04-281932-6203https://hdl.handle.net/2445/130966We 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.application/pdfengcc-by (c) Sisó Almirall, Antoni et al., 2017http://creativecommons.org/licenses/by/3.0/esAneurismes aòrticsAtenció primàriaEcografiaFactors de risc en les malaltiesCribratgeAortic aneurysmsPrimary health careUltrasonic imagingRisk factors in diseasesMedical screeninginfo:eu-repo/semantics/article6823882019-03-27info:eu-repo/semantics/openAccess28453577