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Biomedical subjects

E Calvo Corbella

Publications and source records attributed to E Calvo Corbella.

17 recordsLinked to original sources
PubMed2005

[Cost and management of asthma attacks treated in primary care (COAX Study)].

OBJECTIVES: To estimate the cost and characterize the management of asthma attacks in primary care. DESIGN: Prospective, observational study of 1 year's duration. Setting. 10 physician's offices at 9 primary care centers located in 5 provinces (Asturias, Barcelona, Cadiz, Madrid, and Valencia) of Spain. PARTICIPANTS: 10 family physicians who saw 133 consecutive patients with an asthma attack. METHOD: Prospective, observational study; no intervention was used. Direct and indirect costs arising from asthma attacks were calculated. Episodes were treated according to the physicians' habitually used procedures; the study protocol did not specify any predetermined intervention. RESULTS: The attacks were classified as mild in 43.6% of the cases, moderately severe in 43.6%, and severe in 12.8%. Of all severe attacks, 17.2% occurred in patients with intermittent asthma. The more severe the attack, the less preventive treatment patients had received previously. The mean cost of asthma attacks was 166.7 (95% CI, 146.5-192.3); 80% (132.4) (95% CI, 122.7-143.8) were direct costs and 20% (34.3) (95% CI, 17-56.2) were indirect costs. The most economical management option was to change treatment, perform diagnostic tests and have the patient attend 2 follow-up appointments with the physician. CONCLUSIONS: Mean cost of each asthma attack treated in primary care was 166.7 (95% CI, 146.5-192.3), of which 80% were direct costs and 20% indirect costs.

Anti-Asthmatic Agents↗
PubMed2005

[Effectiveness of a recuperative primary care intervention in patients with chronic obstructive pulmonary disease].

OBJECTIVES: The main objective is to assess the effect of a respiratory rehabilitation programme on the quality of life of patients with COPD. Secondary aims are to determine whether the intervention, as against the habitual monitoring, improves tolerance to exercise and pulmonary function, and reduces dyspnoea, the number of crises and hospital admissions due to COPD and the medication used to control the disease. DESIGN: Pragmatic cluster-randomised clinical trial. SETTING: Clinics of 16 PC teams in various health areas of the Community of Madrid. PARTICIPANTS: 476 patients with light-moderate COPD, who sign their informed consent. VARIABLES: Quality of life, number of crises, packages of medicines used to control the disease, unscheduled attendance, pulmonary function, dyspnoea and tolerance to exercise. METHOD: The consultations will be assigned to the control and intervention groups at random. At each clinic there will be a randomised selection from all patients with COPD and in a stable clinical condition. 238 patients are needed in each group, in order to detect a minimum difference of 4 points in quality of life, assuming a standard deviation of 16, 95% confidence level, 80% power and 20% losses. The effect between each factor and the variables evaluated through multivariate analysis will be calculated. DISCUSSION: This research project aims to show that a basic recuperative intervention, which is feasible and primary care-based, can achieve improvements in the quality of life of patients with COPD.

Humans↗
PubMed2005

[Antibiotic prescription quality at a hospital emergency service].

INTRODUCTION AND AIM: Many patients receive an antibiotic prescription at hospital emergency departments. It could be considered adequate if it is effective against an appropriate bacteria spectrum and the dosage prescribed is correct. The aim was to evaluate the antibiotic prescriptions quality at an hospital emergency department. METHOD: Retrospective study of patients attended because an infectious disease at an emergency department during a 12 days period analyzing the antibiotic prescription quality. RESULTS: One hundred eighty nine patients were included (48+/-23 years; 52% women). More frequent diseases attended were respiratory infections (58 patients 31%), urinary tract infections (33 patients, 17%) and gastroenteritis (22 patients, 12%). Most frequent prescribed antibiotic was amoxicillin with clavulanic acid (54%). In 82 cases (43%) prescription was considered incorrect. More frequent reason were having a disease that does not need antibiotics (40%), excessive dosage(27%), treatment period inappropriate prolonged (26%), short dosage(10%) and wrong antibiotic selection (5%). CONCLUSIONS: A huge proportion of patients attended at an hospital emergency department received an inadequate antibiotic treatment. Some important measures should be undertaken in order to improve the antibiotic prescription quality.

Adult↗
PubMed1989

[The use of programmed consultation and compliance with the appointment in a teaching program of family medicine. Prospective study of 2,627 cases].

During the last years, systems of programmed consultation have been included in primary health care. These allow a better knowledge and improvement of the quality of care, and an evaluation of the satisfaction degree of the population. To evaluate the performance and acceptation of a model of programmed consultation in a teaching center of Family and Community Medicine, 2627 protocolized consultations were prospectively studied. The system was shown to be accessible, and was accepted by the population. The rate of lack of compliance with the appointment was 6.4%. The variables associated with compliance were the day of the week, the type of consultation (new patient, first visit or control visit) and the number of appointments per patient. Among the causes of lack of compliance, personal ones predominated over environmental and institutional. Further studies will be required to determine the mechanisms for the improvement of the compliance with the appointment.

Appointments and Schedules↗